1020 BROOKMERE DR.PDF11111111111111
10446
1020 BROOKMERE
DR
•
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER: ���J� ��P TY) b b I y-0Eil?
BUILDING PERMIT (NEW STRUCTURE): 19 \�Q L 0l Z� ( Sr-
COVENANTS (RECORDED)
CRITICAL AREAS DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER): �AQy-'Dy-�Z� k 4O ( E ( YoL� I q lDajQ 1-7 h-Ca(.IC
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #: g-�
�r� u
SHORT PLAT FILE: LOT: Z4BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CAR(D� DATED: I J oj
OTHER: "l -� �Q (0aV( n6
LATEMP\DST's\Forms\.Street File Checklist.doc
AppL ION iiOiLDl�� PERiiT
CITY Op cDMONDS Building Depa-9Mea1
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AppL'No.i 1• ;' '
Permit limit, one'yeu'
�►PPLICI�YION is hereby trade for a permit to construct the following work, in accordance with the accom• `
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n plans and specifications. Two sets are submitted herewith for approval.
Ps Yig P
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new Z alter �.,"trLf�c.0 tr_.�_1 .."..".-._".-. Parking ."...............
-'
repair
_
Work addn
/
Use zone..". r�..-...... Fire zone_....._..."_...-..".......
Occupancy Const. type /
BlkAdder ---/� :..... . :t
•
o /C'ti` ........ . .................
Area .......-t ". S tic tank.".""...".::�.......................__
-Corrfrontage..........".".........................•J
t /i rear".........,...... ............
'
.r. side ........./side^..........Y.._
Bdg. setback — front_.".._..".:.......
r ,
.. - J�"ci" �:" e,-�,� -.c.. ,�•�c �i c:-: Address. .... �:: =5-=- _..._L-��rFel,_2Qo..:------------------------ _
Owner.."
Builder_ ...-":."-..--••---•-•----'-•---••-- Address-..-"... ...."........""......."....".......-- ... Tel. No .....................
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-------- ---.....__.. Address ......................... Tel. No... - -.
Plans by_......._..-".._-. --•---••-•-------- • �
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Remarks-..---•--•---••--•-'---."..".-.."...".......""........................."....--•--....-....-...-..--•--...--.....---......".............".."...."....."......
.-
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latin this
>a " statement. and I agree to comply Nvith all applicable Codes and State laws regu g l
The above is a correct
work.- �
l
� J �`Addre............."....".z."-...-"... .".-..""... ate _.."...
Signed Owner/ genL
PMMff for the above work is hereby approved, subject to the above conditions, and to complian c with the ap•'•
proved plans and specifications,' and Building Department notations thereon.
�+ rJ" Q.. ce.....-. J .. Reed.
Valuation Permit f
by....LL�e�
Date 911, -• .............:..:..."_._.....-._.
.Building Department, By
i
nor does it permit any`wt;rk to be �' -.,j • .' . :
NOTE — `il:is permit does not rover plumbing, sewer, or electrical installations: f
done in the Right of Way areas. Driveways.and walkways must be planned to meet the official grades of streets i
and alleys, and plans for future sidewallZ developmrnt. t
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APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT EASEMENT No ...........................................
NEW CONSTRUCTION ❑ REPAIRS ❑
115-06900
OWNER...........Anil homy...Defiavi-------------------------------------------------------------- CONTRACTOR........................---.....--..................................------......------.....------. PERMIT No.......................
ADDRESS ------ �-Q20...0 '(IO mer-e--Drive.............................................
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LEGAL DESCRIPTION: LOT No ............................................... BLOCK No.
NAMEOF ADDITION.................................................................................................
Dye Tested On Sewer 1972
Approved:
DATE................................................ BY--------..............................................................
'"ON
�FILE COPY
• •
STREET FILE*
CITY OF E ®ice O N S HARVE H. HARRISON
200 DAYTON ST. - EDMONDS, WASHINGTON 98020 - (206) 775-2525 MAYOR
DEPARTMENT OF PUBLIC WORKS
July 2.3, 1980
Mr s_.�Marion—Elmore
�1020 Broo_kmere _ _
FdTnonds , Washington 9.8020
Dear Mrs. Elmore:
Several months ago you were contacted concerning the
storm water that is draining from your property into the
City sanitary sewer system. If you have not yet corrected
this problem, the "Disconnect Handbook" included with this
letter will describe the 5 solutions to this problem suggested
by the City. These solutions will either direct this water into
the City storm water system, or into other Darts of your yard.
In either case, the removal of this water from the sanitary sewer
system will help to reduce the volume of our often overtaxed
Sewage Treatment Plant.
Please contact Dan Smith or Bob Franklin of the Engineering
Division at 775-2525, extensions 220 or 252, when you have
disconnected. Your cooperation is greatly appreciated.
DS: jky
Enclosure
DAN SMITH DT.
Sincerely,
J S ADAMS, P.E.
City Engineer
BOB FRANKLIN DT.
— 1-...a....,
�Y
teSTREET FIL�
C07Y. OF (EDMUNDS
200 DAYTON ST. • EDMONDS. WASHINGTON 98020• (206) 775-2525
DEPARTMENT OF PUBLIC WORKS
Ms. -Marion Elmore
1020 Brookmere i
Edmonds, Washington 980'20
Dear Ms. Elmore:
HARVE H. HARRISON
MAYOR
December 5, 1979
The City of Edmonds is currently engaging in a program to
improve its sewage wastewater treatment system. One of the major
parts of the program is reducing the volume of flow into our
treatment plant. A major item contributing to this problem is
the infiltration of stormwater runoff from roofs, drains, etc.
into our sanitary sewers.
A series of tests was completed by an independent engineering
firm. They pumped smoke into sewer lines and recorded where it
was escaping, thereby locating the stormwater infiltration sources.
Your property contains such a source and the City now requires,
by Ordinance, that this problem be corrected. The attached sketch
shows your property and the,sources of infiltrating stormwater.
.Please contact the Engineering -Division by the date indicated
on the sketch. Members of the staff will be glad to advise you
as to your best solution. Please contact Dan Smith or Bob Franklin
at 775-2525, extension 220, for assistance.
DS : BF: j ak
Attachment
Yours very truly,
FRED F. HERZBERG, P.E.
Director of Public Works
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CITY OF EDMONDS JP
PUBLIC WORKS DEPARTMENT STREET FILE Issue Date
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. *Address or vicinity of Construction • Permit Issued To:
• Owner: _74,6} ,y �.4%/ // � • Type of Work to be Done:
NaFne
�!� • '—,=:r • Work in Connection With:
Mailing Address ❑ Sub or Plat (]*'Single Family
WO S • ❑ Comm]. / Ind. ❑ Apt. Condo.
City, State, Zip Code • Pavement Cut: ❑ Yes ID No
• Contractor:;f�//3lS,/s�
Name
Mail ng Address State License Number
s` o 101051
City, State, Zip 'ode Telephone Number
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
B. APPLICANT TO READ AND SIGN
INDEMITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless
from any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made
against the City of Edmonds, or any of it's departments or employees, including or not limited to the defense of any legal
proceedings including defense, costs, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
following the final inspection and acceptance of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call
775-2525, extension 220.
I understand that this permit mustbe available at the job site for inspection purposes at all times.
Signature: — ! -y -�- ate J2 % Id -70
Owne�ot�Aeen a� '///'
THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued B.y:�>--....
Time Authorized: Void after .._M"T days
Special Conditions:
Ammendments:
F
Permit Fee:
Security Deposit:
Receipt No.:
Fund III Fee:
Street Cut Dimensions
X =
* * NO WORK TO BEGIN PRIOR TO'PERMIT ISSUANCE * *
Eng. Div. December 1978
FIELD INSPEC41WES ,(Fund 110 *Ite cony to Street Dent.)
Comments:
Diagram:
Contractor called for inspection_ Yes ( *Io
work Disapproved By• Date: B Date:
Work .Approved By : � _ Date: S- �- D
Inspector:
Ena. Div. December 1978
...................
00,11of Edmonds ---Water Department
TAP CARD
Date .....AM JUL....
MeterNo................ .............. Tap I No. ............_.....................
Size.............................. Size ................. ..................
...
'Afgrs. No ....... ...................... Style... ..........._......._..........
For.......................I....: ........ c.................... ........ _.... ..._........
............................................................... ..... .... .................
:,ot No ........................................... Blk. No....4..1�
_....._-........._........_.....
Ud......................................................................._...............
service Location .1!.�,.f . ��..........:....
..........................................
................................................._......_.........
4eter Location .............. .
4a.ke Tap........................................................... _................ ........... _............ ....
.._
....
'ressure..............................lbs.T......................................
Test
.% -..._..........w.
endBills to................................................................................_..............._.....
......................................
?ate of Work ...
................................... v................. ............................................... Foreman
►uar. Voucher No ....................................
.em arks:........................................................ _..................................................
.....
..............................................._---..............................._........................_......._............_
..........................................E............................. R&........._......._......._..............
. . .................................. ...
a1w
)wr,R L .. r ....._......._.........._..
. - ..........
.._........................_..........—
............. ......................... _.................................................... _................ ............
. .
....................................................................................................... ....... ..................
.............................................................................._................................_..............
. ............................................................................... . ......................... . .. . ... . ..............
MOING Index ......... Reg ....... Route Bk......... StenciL..... Card .....
...
iCOMING Index ......... Reg ....... Route Bk.... .... Stencii...... Card.......
Material Chargeable to Instak--iion Meters
NU.
SIZEI
I DESCRIPTION
RATE
AMOUNT
.......
-A-15ili/I Meter ......................................
.............
.......... I Meter Box ..............................
..............
..............
.. VO .......
......
...............
.......... Meter Plate ............
- --_-------_
__---- Check Valve ........... .......
..............
......... Pipe, GaIv. Screw ..................
.
..............
.............
.......... Nipples ....................................
..............
.............
.......................
..........
..............
.......... Bushings ............................ ...
..............
......... * ---
---------- Plain Ells ..... ..........................
............
..........
.......................
St. Ells ................................ ...
..............
............
..........
...........
.......... Tees .........................................
..............
............
..........
....
. . .......
.......
.............
......... ...
.........
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......... . ....... ... ........................................
..............
..
.........
4:;
. ...... ............................... ............
.................
...... I .......
.. tk.
.....
............
...........
Material Chargeable to Taps Connected
NO.
SIZE
DESCRIPTION
RATE
AMOUNT
..............
..........
Pipe, Black Screw ..................
.............
.............
..........
...............
..........
pipe, Galv. Screw ..................
...............
.............
.........
..............
...........
Lead Connections ................ * .
... ..........
.......
..............
..........
Curb Cocks ............................
..... *'*"* ....
..... / ......
. :VAK..'
Corp. Cocks ...........................
..............
....
.............
.........
..............
..........
Unions .................... ...............
......... ....
.............
..........
.............
..........
Saddles ................................ ...
..............
.......... —
..............
..........
Nipples ...................................
...............
.......... .
.........
............
.........
Bushings .................................
..............
...........
.........
..........
Plain Ells .... ............................
............
.............
..........
......... .
..........
Street Ells ......................... ...
.............
.......... ..
..... ....
..............
.....7....
Tees ..........................................
...............
......... ..
............
..............
..........
Curb Boxes ............................
..............
.............
..........
--------- ..
..........
S. O. Extensions ....................
..............
I
............
..........
... ...........
..........
Gates ........................................
..............
............
...........
..............
..........
Plugs ............
.............
........
4 ..........
A:� ...
Couplings ..... A W_- .0 ..
...............
......... 7
..............
........ ..
Gate Boxes ............................
...............
...........
..............
..............
....
.............
..........
..............
..............
..........
..........
..........
..........
..........
...........
..........
................................................ ....
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....
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I .............
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..... �_
.... . .......
.............
.............
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.........
.........
. ........
. ........
..............
.. ...........
...............
..............
...... 4 ......
.3-4 .......
..........
..........
..........
..........
...........................................................
...........................................................
...........................................................
....................................... ..................
Hours Time —Day Men ......................
Hours Time —Monthly Men ................
..............
..............
..............
...............
.............
............
............
............
_7"
... A4 .
..........
..........
..........
..........
......
...............
.........
. ......
,;/. ....
Hours Time —Auto ............ ...
Superintendence .................. ....
..............
..............
......
.......
............... I
..........
Total .............. ...
...............