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1037 A AVE S.PDF1037 A AVE S 0 1 District P& City Edmonds —Water Departntnt TAP CARD Reading: Date 10/ G V6'8 No. No. Meter Tap Size �4- Size Mfgrs. No.3,?2Ao7 B StylesWEIZ Purchaser: 5 4 0,e, Serv. Add. l o 3 l A A-vVAA u e, Lot No. Blk. No. Add. Residential: Other: Meter Location- zwwael' Service Material: Pressure lbs. Test Date of Work X1, ' ,% 4 Foreman Guar. Voucher No. $ Proj. No:98 5 c?S S3 Remarks: C,'F+,)P le-ra=Ci,r OUTGOING Index Reg. Route Bk. Stencil Card INCOMING Index Reg. Route Bk. Stencil Card . ROUTING SLIP NEW SERVICE INSTALL, ADDRESS: ► 03 'I l� �V�.uU.0-' DATE: ► 014) S -j141 DIAL A DIG # P.U.D. STREET FILE TELEPHONE CABLE T.V. ' FOREMAN GAS D STORM SEWER OTHER FUTURE SERVICE INSTL: QM NO BORE: CUT: LOCK CREW DATE: INITIAL: UNLOCK DATE:10 INITIAL-711/ Y-11? METER SHOP 10 y--p L 50 ACCOUNT NUMBER: /Zj ZS5 SUPPLIER: SF f}- TREATMENT PLANT FOREMAN ® B L T FOREMAN INITIAL: DATE: )-//- / UTILITY TAP CARD METER SHEET APPLICATION / DISPATCH BILLING 7/76 f ADDRESS: / 6,_J1 A Ave o("— TAX ACCOUNT/PARCEL NUMBER: b W/ 1 4 065 6 07 0) BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: CRITICAL AREAS: DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: V1// PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: SHORT PLAT SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: � U 7 / / U GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver WATER METER TAP CARD GDATED: I C7/' ; -egg OTHER: W O D " �C7I (�f /7✓�) LID #: LOT: Z BLOCK: LATEMP\DSTs\Forms\Street File Checklist.doc � USE PERMIT ZONE NUMBER 138054 €; CITY OF EDMONDS 5- CONSTRUCTION PERMIT APPLICATION BUSINESS( JOB ADDRESS y NAME tOR NAME OF //) �'-/vE�/uE•T. LEGAL DESCRIPTION Cn ECK SUBDIVISION N0. MAILINGADDRESS \A/ CITY TELEPHONE PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING,_(Q[/ REQUIRED DEDICATION "ti NAME �' _ PROPOSED _ �v- _ M RIGHT OF WAY CONST',IUCTION PERMIT REQUIRED [] ADDRESS STREET USE PERMIT IEOUIREDC —5,11/r SEE ENGINEERING MEMO DATED CITY TELEPHONE NUMBER lob (vC1 N 4S Rf�tARKS NAME 1 J'� - L——©`� 1ADDRESS Fj fiG �_ . ti'�CoC�6 11VSf� Dr✓ /2CQ !h1 METE3/ S)Z� eUIL01/ PPLY 512E FIXTURE UNITS �+q, TELEPHONE NUMBER w f 2 ,7 CITY �rn 2"lto 3 REMA i x y NUMBE' A?V STATE LICENSE ELO U M tj SIGN AREA ENV. REVIEW ADB NO. egalDescriptiono}Property- includealleasements ALLOWED PROPOSED COMPLETE EXEMPT (show below or attach four copies) SHORELINE VARIANCE OR CU PLANNING REVIEW BY DAT Sc1 k 4,16 YARDS HEI HT LOT COVERAGE r r r�� U �Q c� = = ' FRONT ?C, SIDE .. REAR/� Z,�j �:J- REMARKS d y ;•:'J 591 NEW I RESIDENTIAL PLUMBING ADD/ALTER COMMERCIAL MECHANICAL RETAINING WALL O SIGN REPAIR EXCAVATE FENCE CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT •^ DEMOLISH OR FILL ( x_FT) Tit � /l /((JS ZS-/ ..}/ PRE -MOVE INSPI swim SPECIAL:NSPECTOR AREA OCCUPANCY IOCCUPANT REMODEL COMPLIANCE INSP. POOL REOUIRED GROUP LOAD ❑ w003 STOVE ❑ ❑ ❑YES L' NO /� RENEWAL REMARKS !!< i;•S, y'ti INSERT APT. BLee r, r�✓suL Gem 1986 A,* �4Y46Y CAE 3 11 NUMBER OF ST S NUMBER OF P2dbAlSS.S Zip'-r�cno�Cs �,� IY�6 m ) p DWELLING ' m UNITS NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) .T<fi y/)✓r9L G�Cr=(P/9NCY ,yY,SjQ'Lr7Q•t/ �f'4b. :_ � ;s,, VALUATION FEE PLAN CHECK FEE BUILDING O .J L J � • - ._ PLUMBING MECHANICAL L This Permit covers work to be dons Or, private property ONLY. GRAOINGrFILL 7s}J Any construction on the public domain (curbs, sidewalks. drIVQ`Nays, marquees, etc-) will require separate permission. STATE SURCHARGE Perm:t Application: 180 Days ENERGY CODE Permit Limit: 1 Year- Provided Work is Started Within 180 Days "Applicant, On behalf of his Or her spouse, heirs, assigns and o successors in interest, agrees to indemnify, defend and hold w harmless the City of Edmonds, Washington, its officials, s employees, and agents from any and all claims for damages of < whatever nature• arising directly or indirectly from the issuance DEPOSIT �/00. = of this permit. Issuance of this permit shall not be deemed to PLAN CHECK 9 modify, waive or reduce any requirement of any city ordinance r ° nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE p9ti ry�31 provisien." o :G I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL information given is correct; and that I am the owner, or the duly authorized agent of the owner. I agree to comply with city end THIS PERMIT This application Is not a permit until stale laws regulating construction; and in doing the work authoriZ- AUTHORIZES - -� oyed in violation of the Labor ONLY THE signed by the Building Official or his ting to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is IN,PEcnoN acknowledged in space provided• LStateLWashington GATE SIGNED DE PAniMENT LL --�Q CITY OF OF 'S "I UR DATE A E C`MONDS 771.32 . ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. PINK — Owner GOLD -C CA_s or ?y �wr co _o m a� Of CITY of EDMq#DS STREET FIL9JJE SEWER PER J For Inspection Call 771-3202 PERMIT NO.- 0 7 910 Address of Construction: A3 ? Property Legal Description ( Include all easements)': LO7- % 2 # ge,96 Owner and/or Builder: Contractor & License No: `1 .l C U C_ &�U s IV lK Si ngl e Family Residence X EDMONDS Multi -Family (No. of Units ) TREATMENT PLANT 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 X Yes '(If Yes, easement required, attach legal description and county easement number.) PLEASE READ THE ITEMS LISTED ON THE BACK RECEIVED OCT a 51988 rt'fy tha ave read and shall comply PUBLIC WORKS, spa—g� with he items listed on the back. Permit Fee: .30.00 Trunk Charge: 2-s-, 00 Assessment Fee: Partial Inspection: Comments Final Inspection Approved: Rejected: eason Issued By: JG67 iDate Issued: Receipt No.: 9y/� Date Initial [ D Initial ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy - File Green Copy - Inspector Date Initial Buff Copy - Applicant Side Sewer Drawing The City Of Edmonds EASEMENT NO - -------------------------------------------- NEW CONSTRUCTION REPAIRS ❑ LID NO - --------------- --- ASMT. NO........----------- OWNER CONTRACTOR 1�1------C - -------------••----- • .- P .. P$RMIT NO. Q.NC7 JOB ADDRESS -i 37-------A.------Ao—cvJu-<-=----------•--•-------- LEGAL DESCRIPTION: LOT NO. ------- ;�------------------------- •- BLOCK NO.------------------------------------ 0 \lo PWW-0001-11/75 (REV.11/78) --------------------------------------------------------------------------------------------------------------------------------------- -------------------------- - �1fL4 NAMEOF ADDITION ----------------------------------------------------------------------------------------------------------------------- E� J r 3g f , EDMONDS / TREATME(V T PLANT r " A" Approved: p DATE . .-..«-- 8---....... By e.�Zl ......... t UPPER ' C ATCH BASIN DETENTION PIPE LENGTH' VENT)` r— 1' MIN , 2' MAX COVER ---} 4 SLOPE SYSTEM CROSS SECTION C01frR0L CATCH IbAsiK i DUTLCT CONTROL rIMA 4"TI-ETAP OR RUNOFF SPREADER ._ 11 aSEE PAGE 3 FOR OUTLET CONTROL. DETAIL. 2' : 2' a loll DEEP, At- &" SPALLS boa cou..L.) t 2'. 2' .c 3" DEEP, 3('_ CRUSHED ROCK FROM OUTLET CON-MOL WASHED FROM OUTI-ET CONTRDL RIPRAP OUTLET OUTFLOW TRENCH, MIN 10' LONG, TOP PERF PIPE TO HE LEVEL 4" PERF PIPE WITH CAPS RUNOFF SPREADER OUTLET STANDARD DRAINAGE PLAN DETENTION SYSTEM PAGE I.OF 3 for '- !(l. f` eaw �5 location plan by If phone date DESIGN DATA System Imperm Pipe Pipe Orifice Number Area Diam Length Diameter 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. Ri�C�,i�P�lu JUL 12 1983 PERMIT COUNTER CITY OF EDMONDS cq.lek� * -. �j U Z'o I SITE PLAN, SCALE: NOTE: DO NOT USE RUNOFF SPREADER ON SLOPES -OVER 15 PERCENT ( WITHOUT SPECIAL DESIGN ) RCkIVED J U L 12 1988 PERMIT COUNTER STANDARD DRAINAGE PLAN DETENTION SYSTEM PAGE 2 OF 3 CITY OF EDMONDS NEW ❑ ADDITION ❑ RETIREMENT r ASO INFORMATION SHEET ASSET NO. ,,.T;'/'Z ADDITION TO ASSET NO. DESCRIPTION / ` Ll/ [./A SERIAL NO. LOCATION DE T. NO. f� "� S� �o it/C� z PURCHASE ORDER NO. PURCHASE ORDER DATE COST " PROJECT NUMBER 4%5 9 .4�3 PROJECT COMPLETION DATE Z�:- COST B.A.R.S. ACCOUNT NO.�� UD -c�/c. _� ESTIMATED LIFE c� INITIATED BY DATE APPROVED BY `*SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST "SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY LEI' - DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT A� VERIFIED BY PROCESSED BATCH NO. - G.L. ENTRY REFERENCE DATE b P INITIAL FINANCE � .., .. ., ..... 'ti....,.,!-..., .. .,'^.. ,•,,. �-,., _. ✓�.r,�.,: ,.o •_...e.....�.. ,w .rv��•r �'S�.@w r-...-'t�,.'�f•�....._r�' ,;,g�wk!✓'a�a.+,a m,4i�J �n.• i � �.-..�'rptFz:,n'"'Pr'. H Z Q U a a Q as W. CITY OF EDMONDS STREET'FILEissueDateermit No.COMMUNITY SERVICES DEPARTMENT Q fo q RIGHT-OF-WAY CONSTRUCTION PERMIT A. • Owner: Washinaton Natural Gas Co B. • Contractor: � t3�e 15 6 AV NE Vgijij'�04gessWA 98007 Same Name Mailing Address City State Zip City State Zip 447-0700 ;/ State License .Number Telephone Number • Address or Vicinity of Construction: , 1017 A AV Type of Work to be Done::�'New gas 'service installation /1g r Work in Connection With: ❑ Sub or Plat ❑ Single Family ❑ City Projects ❑ Commercial ❑ Multifamily ER Utility Pavement Cut: ❑ Y ❑ N APPLICANT TO READ AND SIGN INDEMNITY: 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, forseen or unforseen, that may be made against the City of Edmonds, or any of its 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. a THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE . EAR-EOLL-OW.1NGztTHE-F-INAL:.INSPECTION,AND�ACCEPT-ANCE,OFSHE WORK:Yr- OU Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed by City forces, at which time a debitsor credit iwill�be processed for issuance to the applicant. E.. • A 24 hour notice is required for inspection; Please call Public Works: 771-3202 • Work is to be inspected during progress and at completion. • Restoration to be in accordance with City Code. • Street to be kept clean at all times. • Traffic Control to be in accordance with City regulations. • All street -cut ditches must be patched with asphalt or City approved material prior to end of working day; no exceptions. a O W V) E� U 9 O w I understand the above and that this permit must be available at the job site for inspection purposes at all times. Signature: Date: 9/ 2 9/ 8 8 Owner or Contractor This Per iJt Must Be Posted at the Job Site For Inspection Purposes Call DIAL -DIG Prior To Beginning Work ISSUED BY: Time Authorized: Void after O days. Special Conditions: Amendments: PERMIT FEE: Security Deposit: _ Receipt No.: Fund III Fee: Street Cut Dimensions: X NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE �„ Eng. Div. July 1985 Eng. Div. July 1985 W �_ o ;4t•si mio F 244 S ST " " 55'ID7j-407 il�E ` �� o � en N 4 � I%a5�8'i395 oc 0 N /lea (4 U 314' 489'N 4'43 1965 5/8"/93'3 0 ,�n /98B yl w 19es C' C 1sw 230 '9 O :n 1985 � /9d7 LN cn _ m d r 3 ivs7 N u ' N a 1995 y 6 yi202%v /967 r - i SHALLOW ANDDR D q6'N 7o 125'N . 23'E 9 NCTICIC p!N[IIATo . .N12VE �tarai z FIR ST S/gL3N �~ - SrwIP 4'N a Sul N 167'W In ib 72r--IZ 01— g to iN e 301 Ne N PL q ' 9 o \ (� 3r4l�ae 19 j"SIR 1li� lil 1770 to., 5 9 OSS 095, I�id4 y196A2,N N Qit f o r Sib-274'S 1995 �4�2 N sag' 199'1J _ 199& I� �c'i,YtN1 W 0 f N (O q az+ow ± 4 0 3mv W L. �w4Z n b r h�Q t h N • a \ pp / WY 1- aaL 1*"� y�163'N y 3 � gag .y 1959 N wiz � o7iy 1171 ' h ELM ST r` r L L Gr 1 P 1 AI JZ+ SZR. me �2 a' ELM MEMO TO: Building Division FROM: Engineering Division SUBJECT: /a97 4 ' Ae 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 14A. 5) Back water valve required if downstairs plumbing is below elevation of upstream manhole. 6) Water and sewer lines to be separated by 10 foot minimum. 7) Builder/owner responsible for containing all temporary runoff and erosion on site and may pot impact neighboring properties in any way. 8) Construction hours from 7:00 a.m. to 10:00 p.m. on wdekdays and 10:00 a.�im. to 6:00 p.m. on weekends and holidays. 9) No burning of construction refuse withn-u+ -ap rnira i by Eire Dept. Mow - PRWECT REVIEW CIJEC7Q.IST PrWECP NAME-.— Sf ! /e��irPi✓ PRa ECT ADDRESS: V(/ FJ iF--� APPLICATION Ror DATE: %� Z-- Reviewed by: (,initial date) COMMENTS PLANNING WPR/SWR STREET ENWRNG FIRE/// BUILDING SINGLE FAMILY/MULTIPLE/OONHMCIAL - (Circle One) / / ////// / / // // SETBACKS CJR7CK>r'D -Planning VARIANCE/SI'TAACK ADJ. // / ///// / ///// // CONDITIONAL USE. PERMIT ADB REQ(JIREh>FN'rS /// //%///// ////////%/ COrHER ZONING REQUIREMEWS %//%%%%ENVI/ RONMEW'TURES UAW, Zw/m/ ACCESS SLOPF. E. VJ[iICLE- ACCESS Q ///////// ///////// DRAINAGE PLAN (On Site) =77 STREET FII.F [M.AL DESCRIPTION VERIFICATION JIT CLAIM/DFI)ICATIONS _ASDIFM - 11(JJ3LTC/PRIVA79's `AL,CAME SMIER CONNECTION IF NO LID# '!AT/SUBDMSION REQUIREMENTS TITI QGJIT-OF-WAY CONSTRUCTION PERMIT REQI) / 77771 -7777 R 1 fm REM J-R PUBLIC IMPROVEME3J'J'S ,OILS CCNDITIOf J S S GROUND �� /� 1777777777777777 _ LATER FIEJ.D CIIE7CKED NREET PAVTNG REQUIRED T/T// //T/ /777777 — G( IM AND 7L'J'ER REQUIRED // / — �/ /TT/7/T/7 4 777777TI7 :IDEWALK REQUIRED 1( URB CUT FOR DRIVEWAY REQD /fl—I / 2( 'MEET NAME SI(N READ / // 7777/7T/7/- ' ///////// ///////// ////////// 21 WER SI(NTNG READ / ////// /— ///////// _ ///////// 2: ////////// FITITj IDE SEWER AVAIIARILITY 23 T�% XISTING WA`rQ2 MAIN SIZEr� ///// // ////////// 24 ATER METER SIZE //// //%// / 4 //// //// // E I2VICE I 7NF SI'lr �� ////// %`%�— 26 fDRANr RFX_XJIRED / ///////// //////// ////// 27 CDRANT SIZE EXISTING 711 / I/- 28 ZOSS CONNECTION INSPECTION READ 29 ►TER METER CIJARGE READ llff/ /// ///////// 30 FIRE LINE CHARGE itECID - SPRINJQ.ER ///////// //////// ////////// 31 TUEET cur 32 'EN DITCH EXISTING 7777, 33 REM ///////// ///////// 34 WERT READ / / // / ///// 35 SIZE ///////// ///////// \1 36 .TCIJ BASIN RDQD 37 1NDICATED ON SITE PLAN / / 38 IOULDER DRAINAGE MAINTAIN -- SHALE OPM RUNOFF 39 :SC: // 40 1 2 3 4 5 6 7 8 9 1 2 3 1 I :VIEWED BY: PLANNING MGR. ENGINEERING MGR. PUBLIC 4UiTS MGR.