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1021 A AVE S.PDFiiiiiiiiiiii 9990 1021 A AVE S ROUTING SLIP 4)W SERVICE INSTALLATION DATE: a� ��- �titid✓1�p�, FOREMAN;aFlEE UR S DIAL A DIG # 6960-7 P.U.D. TELEPHONE v CABLE T.V.✓ lglov GAS 'i' `Li a STORM SE Z OTHER FUTURE SERVICE INSTL: YES NO BORE: CUT: CREW LOCK DATE: INITIAL: UNLOCK DATE: 3 - INITIAL:• s� METER SHOP ACCOUNT NUMBER: I O "4-IG3$o SUPPLIER: SPA FOREMAN TREATMENT PLANT E B L T FOREMAN INITIAL: DATE: UTILITY BILLING TAP CARD METER SHEET APPLICATION / DISPATCH 10 U L'IstL�/.Rt + IF I"3 7, 85 �itfonds —Water Dep rtment _ TAP CARD,. LEST S/bE Reading: O O_O _ Date No. S 5 No. Meter Size 3l Tap1 Size Mfgrs. No.33c�asg6 S le Purchaser: Serv. Add. S42-2352 /-Ja-. 9Pda0 Lot No. Add Residential: Blk. No. Other: Meter Location rF 012/11_12• Service Material: /- Le gyp 2-NI, firms; / - /",X - Pressure Work TEE 2- lbs. Test Foreman guar. Voucher No. Proj . No: Remarks: rafta.-pap tit-amp-sHoP OUTGOING Index Reg. Route ' Bk. Stencil Card ADDRESS: IQZ I A 2N ejqu °V TAX ACCOUNT/PARCEL NUMBER: Do (D 1 g4 U c6 oo g 0,71 BUILDING PERMIT (NEW STRUCTURE): M%410(00-4 COVENANTS (RECORDED) CRITICAL AREAS: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: q - 6 - PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): Q �`f Q �� C add J I �L 85 O 1 d C,Mec,� l I ��� o7 g m * 4(Wl ech) kD4oaroCmea, PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: 14 SHORT PLAT FILE:y �� ' �l LOT: BLOCK: SIDE SEWER AS BUILT DATED: I 1 - 5' 3T SIDE SEWER PERMIT(S) #: /D• 3I 'S4 01 GEOTECH REPORT DA' STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED: ?z - V - S9 OTHER: L:\TEMP\DSTs\Forms\Street File Checklist.doc CITY of EDMP#DS '.'-"For Inspection Call 771-3202 RECEIVED OCT 1934 S1#E SEWER PERMIT PUBLIC. IIVORKs S i "1 `� I -PERMI' I L Address of Construction: /D i/ A Property Legal Description (Include all easements): 4,0 7"-f3 EDMONDS Owner and/or Builder:2.ey14A_2S,GPLANT Contractor'& License No: /rbF L Es /2o�i� Single Family Residence '( Multi -Family (No. of Units ) Commercial (No. of fixture Units ) Invasion into City Right -of -Way: No X Yes (If Yes, Right -of -Way Construction Permit required. Call One -Call -Center (1-800-424-5555) before any excavation.) Cross other Private Property: No �_ Yes (If Yes, easement required, attach legal description and county easement number.) PLEASE READ THE ITEMS LISTED ON THE BACK I certify that I have read and shall comply Date with the items listed on the back. Charge:Permit Fee: 3o-C)0 Issued By: 11163164.19JI46P Trunk I r Date Issued: Assessment Fee Receipt No.: Partial -Inspection: Comments Final Inspection Approved:-/�.5-198 4 Date Initial Rejected: son ** PERMIT MUST BE POSTED ON JOB SITE ** Date Initial Date Initial White Copy - File Green Copy - Inspector Buff Copy - Applicant The City of Edmonds Side Sewer Drawing NEW CONSTRUCTION REP,IIRS 1.ID NO. _. ..-- . ASMT. NO. OWNERQ...+1--.-...� ...RV, r< ------ CONTRACTOR Ml.K�BC 0 ..CC�.E.I-C K- --------- ----- PERMIT NO. 72l-7. JOB ADDRESS --� C-t�.�...... f/�..... 44 ------- . ..- LEGAL DESCRIPTION: LOT NO. . ................------ - BLOCK NO. ..... .. - - - 43T 9. - _------------------- NAME OF ADDITION --•---•-- ---------- ----- 4c.®.r-ga, TO SURFthf.E � 'SEWER MA{Rl PWW-0001-11175 (REV.11178) [�l 0 RT 1 }- f— I9 f~3. �5r I r ter x; 17.5 'r 41JP �_� c.o.cap 6.5, Nk Approved: t DATE 4�-- `�i I�.fI�---------. By 1-11---. v 1 1-9 --A cl r . k s or �JDIAO 4 US.: C8NSTRUCT4 •PE RMIT',.-APPLICATION.- KAVIE,09 ltlh:Ij QF- iu u e-! I, AL 14 C, 3— J -4 • Nklc ,a • 14,:- of v 4, PER OFFjCCA;'SIULET MAP MWSEOIO NAME gr -AAN cossig ISMEET USE PEFIVIT ALQUIRLD, A i4 h-, /?L Jsx:� juIE—C-I.L SVbk?� MF PIA PkP! 0 E., 'rA.. P F UVE1 hilt Blj,L-�f- S.n .11,101 u" 17LI4 Lega: 4Py�i,Vl.on c.,: a;; eascnlams Ls nDw D e! c r a !!,i f o', CON,e S) Pt AA Is L zp f7"7 T r - pA- Ll rrn 71 Pl-rcA-hor, A PRO rjV4 a 41 X/- ATTENT10K, 7 BE E "i G A... S E. P, 6, 19 8 ..PINK low a, 4AfPQ1t'1'AN" I Press Firrrit lV1it ! 1'; i' lE' ijin ,1.fi(tlicptlun Building Reldidtioh., Per it pliIcant' 11;. Y. VAN-, EItSt1T M: D �.� �n du iesvy 'NUMi1kR OWNER'S NAME.'• • i I TE �DL RlaS mAILINC _PRESS x L"V - 1�: Lv 5PRE.'-MOVVE(� C TY. 4 ZONE FIRE' Rk' BLDG. PERMIT NO. _ _ G cs� 1 3 FOR R'9K ' ONrl• AT NEt% SITE MOVrN.G CONTRACTOR - -- MOVF. CONTRACTOR'S INSURANCE COVERAGE. :. -9TRliET A DRESS --i-- -- - .'-.`- ?LAME OF SURETY .. J _ . . , ,'' YROVIDI�YG Y.L. & / ' q _,9-3 �'�. , �,..,. .. . . P,I). CC>VE2RAGE Q t r ` ^ ='..- i.. ._.STREET ADDtt :SJ CITY QZONE .�-.--` " ; �`#,I-,' vo.,----- --_.-.-- i-•-----++----- C17Y..'/"ONE h CONTRACTOR'S • O ,STATE �.?. gCITY I3(1SINE:-Cq L1CF..NSE NO. A 23 ,-e. ^��(j �LICENS _ NO. � VALID INSURANCE] POLICY CHECKED 13) DATE.. tr 1TE.-DESCRIPTI6,N ' S_DDRESS OF PRESI:N .DUI: DING SITE. ' BUILDING DESCRIPTION'. ,Lexel })exrtptton of Prr. t+ldr. Sit, - �i:nn. brl.w or nttxer.,iia[r c,•farat. DESCRI�E nA'ilC CONSTRUCTION,.&& -PRESENT USE OF 'RUILDING:*- OVTt1K1.L LENGTH OF AU1L.J.)ING: JCS . ' P'L', •^llURESS OF AFW ItC�1.1ll1�:G S!'fE: HE:IGH71' 'AS LOwl)E.0 WID711 AS LOADED N1 AREA , /r /. '.FT. + : / ! FT.a BC F7'.. Le�LDescriptiou of Neu ildK, R1tr (S!lov' =&ch four coplas),, ! .1 POLICE - •wYP VAL OF -MOVING -.ROUTE DATE 1 I . 'I1me to Cotamerce Sfo�•In . '...... MOVItNG ROU:•E - - - • J !Ilre to.F:nish MoA g .1�U0_r7_•�',�'••_ A Y S/----'-- i-- - — FIJ'_.F; DEPAP,TNIENT �C1..E P N'E OF ROUTINi; •'DATH' 1: ' - l - t ELV G!XE:Eaa NG �:LEzTt:1NCE L � � CLEARED�iY: ------•--.-.,---------- i .T tl %'" !(..��/�•_•SI "I:ELOCwT20X ,ice �/ UECEIIPT NO. Yo�rr. i• ••�mpany ; � Teleph4tr.�Cvtn pa.^.p r: � NAME OF ON'N E�R�Q2•' NF{S`i•; �'1' liUII"t9! \�: n. :'!: - .,�: . K �y� „ PERMIt APPROVAL 1r� �y{f > P1 /` 1:--`---% - - THIS PEPINIIT I T�iIS ] FR'1tIT`I•I�OES iVOT 13ECOME " o �- \t''IIi0SMES j' CA,LII_`I UNT1L\SIGN D .BY..117HE (� j — -�"�` ` ter' •< i C /C M-711.DING OFFICIAL O Ii18 DEPU-• !' IOC':\ I ICI: TY/'THE FEES' APE P AID RE -, hereby acknotvled�e drat I Zia: e read' this a^nlicatio::: hat --J CFJT1"I IS ':\CF: �O\� EDC 'D IN •THE', Lhe infcLmation myen is co::ect ar,,! that I a:a the o': e.r: a i/F ;Ti;i:. i !. �. duty licen e i' vi ,: •, or h _e..; ;• `�' C YI C.)\'IL)F:ti' s d o n -u.^.t actor, ant C,r::. 1;filf.h?I�( -o: Lhese.I a,ree ����con:1>I :i:iE i cit. and,Matc-Ia:vs rc�.i:lati^! tbuLLldin;•'reloa'tion �, and it doing Ut'a t�yri . no nrrs ,:: v: ill l,e' empfo}'ed in xiolati ,n o th 1—ib,.r Cooly, Stat•. of `•\'aMii to!: I'eiAil.ug-to \\�orkmei.'s Col: A•„satiOn 1n*s , Sign.iture-of O�rnrr, •Contractor, .nr. Authorized X�cnt ..... Signer's (TiT1': (.)t i f \�' /�/ % I i?ISTItl1aJ"IIU�._OF COPJES'� / \\'BITE --- File (i3ldgz.pept. 1 i/- j. '[1 L .. , '1'IL),O\\' -- 3IovS Inyplactor. !• R1 fN --- •DlA ti ite /•'�• /f _ �, +• 1 •;, f sses:t;r' - i c:OT,UF;\li(11? Police?cPt. C)ntr•.fCtor r— r. _PINF STREET _ — — �i to N L7 N i 30� a 125.00 a O O 7671 SO. FT. (A) of 1 2 STORY Zo 24" coNCRETE WOOD FRAME Il NZ., CULVERT l 12" CONCRETE' �t i �! CULVERT �� aEo`EVWQrc, 3� _ lltP. 68.0 3:0: 57.0 • Q ' e j H. • (BjUA a' 7329 SQ.FT.�'l ' 125.00 LEGAL DESCRIPTIONS ENTIRE TRACT Lot 9, Block 5, Yosts First Addition to Edmonds, according to the plat -recorded in Volum-. 8, page 6, records of Snohomish County.,. Washington. PARCEL A SEP 61984 The north 60.00 feet of Lot 9, Block 5, Yost's First Addition to Edmonds, according to plat recorded in. Volume*8, page 6, records of'Snohomishr County, Wash i ngton. Also 'the -south 3.0 feet of the north 63.0 feet of the eost 57.0 feet of sod lot ^. PARCEL B PLOT PL/7iAj 0 Ad C LA-) A,/ Z) 4-10 A/ C 5, c /9 /— E ,-TO -S 7ZO LOT S A/ 0 P, 7- 1-:'Z 7- 711, 7 y 0 F Z-.D/V 6 AID j JAI 0 C011A.1 7- V, Aqc 3c, "Tr IJEQT ZONE SETBACKS: FRONT SIDE REARis - OTHER HEIGHT .5 L: /— Z- L /F IE SEP 61984 Y�. " UPPER C A-rCH BASIN DETENTION PIPE LENGTH VENT) irBASIN CONTROL ATCH � II MIN 2' MAX CDVER • �� (, u ` / r OUTLCT 10 CO► TROC : Iy SLOPE-► M I-}�- 4% I :•�.�..,�.'' TO OUTLET (N PRAP OR RUNOFF SPREADER ._. SYSTEM CROSS SECTION 'SEE PAGE 3 FOR OUTLET CONTROL DETAIL 2' 2• w G" OEM:-?, 4t- (a" SPALLS (r GUAL) 2' 3" DEEP""_ CRUSHED ROCK FP,0M l , OUTLET D CONTROL RIPRAP OUTLET WA -SHED &RAVEL OUTFLOW TRENCH, MIN 10' LONG, TOP 4 4" PERF PIPE -TO 8E LEVEL FROM 0 Uri ET COt1TROL �-� �►� 4" PERF PIPE WITH CAPS RUNOFF SPREADER OUTLET STANDARD DRAINAGE PLAN DETENTION SYSTEM PAGE I OF 3 for-�+�►.>^cM�� a�tisT�c_ location a plan by k A Q-t phone?a3"3 date DESIGN DATA System Imperm Pipe Pipe Orifice Number Ares Diam✓trength Diameter 1 NOTES 1. Call Engineering Division (771-3202) for prebackfill and final inspections. 2. Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property owner(s). Material accumulated in the storage pipe must be flushed out and removed from catch basins to allow proper operation. The outlet control orifice must be kept open at,all times. Lj —` ?v'A�� SO c J C'2oP . - j SEP 61984 CITY OF EDMONDS o . S � � w.o� •G:� I �, Ki O IN SITE PLAN, SCALE: kit =D.0.0 NOTE: DO NOT USE RUNOFF SPREADER ON SLOPES OVER 15 PERCENT ( WITHOUT SPECIAL DESIGN ) SEP 61984 STANDARD DRAINAGE PLAN DETENTION SYSTEM PAGE 2 OF 3 0 CITY OF EDMONDS A&TINFORMATION SHEET STREET. :AIL U NEW :ASSET N0'. ❑ ADDITION ADDITION TO ASSET N0.: ❑ RETIREMENT DESCRIPTION " (// � Cam/ /✓ ' r JGRIAL ITV. LOCATION DEZ. NO lei i 1 .�1Z "PURCHASE ORDER NO. PROJECT NUMBER PURCHASE ORDER DATE c COST B.A.R.S. ACCOUNT N0: ESTIMATED LIFE INITIATED BY PLETION DATE. Y� " COST... ' : c� k 9 Ear_'• � rme�.rtl � ..f`�.- ..� a APPROVED BY "SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST... DATE 'SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF: PROJECT i October 181h, 2000� l�g Z Hello to the Pla Zing Department: I received this "Policy Declarations" from Allstate Insurance Company yesterday on Joseph C and Margaret M Camden. I called the Insurance Agent Rod Ronquillo this morning at 9:03 A.M. and he stated this needs to be forwarded to the Planning Department because of something this couple has displayed in their yard. I gave him your address so in the future they will be sent directly to you. Thank you, -� STREET FILE CITY OF E D M O N D S LARRY S. NAUGHTEN 250 5th AVE. N. • EDMONDS, WASHINGTON 98020 • (206) 771-3202 MAYOR COMMUNITY SERVICES PETER E. HAHN t jj ry J, 1 � DIRECTOR October 23rd, 1986 i000%, Susan Hurley 1027 A Avenue Edmonds, Washington 98020 RE: Proposed Revision To Street Use Permit #86-10 All interested City Departments have reviewed your proposed change on Street Use Permit #86-10. No exceptions have been taken and the change is approved. Enclosed is a revised site plan showing the approved fence change. If you have any questions please call on me. Thank you, Jeannine L. Graf Permit Coordinator JLG.:pmm cc: ✓Engineering , Public Works Planning Street Use Permit Files PUBLIC WORKS 0 PLANNING 0 PARKS AND RECREATION a ENGINEERING tDER NO. _ %S ESCROW NO. MORTGAGOR PLAT MAP Voles PG I E OF PINE 5T ACC TO PLAT OF vOSTS lot ADO. Q• I� !\ 984.25 —_,� — I S69"21'e5'E 1633.71' `EXIST M°" IN 1 CASING I/16 CCR. 1 PINE 67)?EE7 E%IS'/16 COR. ` v1 SET MCN. IN CASING 'h NORTH OF CURB — � c h n.l 3090* I AfT .Pf3� 1 5-42' 79 l� i Io L; nl �, I �DfbSEO I' EASEMENT FOR INGRESS. EGRESS ANO w lyC�1e/ / MAINTENANCE OF STORM SEWER a�f� . 50' ( �v � � so.CEsae ^ A {LcG L :L• . � � r. v yc 50• ' , / Z Q /'t I i) soo s0. Fr. .— Sff Rf rl 15 , �cr ae� This map does not purport to show all highways, roads or easements affecting said property; no liability is assumed for variations in dimensions and location. A::WDATE: O MEMO TO: Building Division Planning Department FROM: Engineering Division Public Works Department SUBJECT: ��� __ _ _41r After review of the subject Building Permit application, we have the following comments: 1. Connection to City water system required. 2. Connection to.City sanitary sewer system required. 3. Right-of-way permit required for any work on City property. 4. Driveway slope not to exceed 14% 5. Backwater valve required if downstairs plumbing is below elevation of upstream manhole. 6. Water and sewer lines to be separated by 10 foot minimum. -7- / -) 4AZOI- — BD 6/82 , STREET FILE • .� ENGINEERING d PUBLIC WORKS PROJECT REVIEVI CITY OF EDMONDS 1 dvK L10g7[A • (OWON0$. WA4.&NG10N i0070 CHE CK LIST ' SINGLE FAMILY MULTIPLE COhME;CIAL O Z w w Z 0 z w PROJECT NAME M �i%Vn M CONTACT NA!'lE b TELEPHONE NUMBER ADDRESS /4, 4yr ACCESS SLOPE AND VEHICLE ACCESS DRAINAGE PLAN STREET FILE LEGAL DESCRIPTION VERIFICATION QUIT CLAIM/DEDICATIONS EASEMENT - PUOLIC/PRIVATE CALCULATE SEWER CONNECTION IF NO LID STREET PAVING REQUIRED CURB AND GUTTER REQUIRED SIDEWALK REQUIRED /V CURB CUT FOR DRIVEWAY.REQUIRED 44. RIGHT-OF-WAY CONSTRUCTION PERMIT RE UI BOND REQUIRED FOR PUBLIC IMPROVEMENTS STREET NAME SIGN REQUIRED OTHER SIGNING REQUIRED f (ADDITIONAL COMMENTS ON B EX)1171116 WATER MAIII SIZE G �• ic, I WATER MAIN REQU1RCO AO& i SERVICE LINE REQUIRED S tom! /i w HYDRANT SIZE EXISTING �T < HYDRANT REQUIRED PER FIRE CODE &A SIZE CROSS CONNECTION 111SPECTICN Of HATER f1ETEA C B. REQUIRED _ of �"`�' i 73, �,�•••- REVIEW BY DATE fO..r/�� (ADDITIONAL. CC*KVTS ON . SANITARY SEWER MAIIING HUM!BER FILE ►JIBER w SIDE SEWER AVAILABILITY SANITARY SEWER COVHECTIDII FEE REQUIRED w OPEN DITCH EXIS71111rl� REQUIRED PL1JN) SIZE y I M (H RASIN P,EgLIIRfP INDICATED ON SITE PLAN SnwLbCk 0.4.kiAGE ININTAIN COLLECTION ON SHALE OPEN RUt10FF t w MANHOLE REQUIRED iINDICATED 04 SITE PLAN a O SOIL COhD17IDNVyq&RoUmD WATER FIELD CHECKED ap REVIEW BY GATE © (ADO11tONAl COMMENTS ON dA