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DEVELOPMENT SERVICES
COUNTER
PLANNING DATA
SINGLE FAMILY. RESIDENTIAL
S'TItEET =FILE
Name:
Date:
G
Site Address:
Tax Parcel: 00 00
Project Description: Replace_ exis M� \}G •�•4• dew
Plan Check #: SLD'Ao\3o9g3
2,10
YES
Reduced Site Plan Provided: NO)
Zoning: _
Map Page:
Corner Lot: (YES /4
Flag Lot: (YES /to
Critical Areas Determination #: —RA013o103
❑ Study Required .
® Waiver
SEPA Determination: E,Kec,mc�
.B Exempt
❑ Needed (for over 500 cubic yards of grading)
❑ Fee ❑ Checklist ❑ APO List with notarized form
Required Setbacks .
Street:
Side: S
Side: �,
Rear:
Actual Setbacks
Street:
Side: 5 ,
Side:
Rear:
❑ Detached Structures: None show eN
Rockeries: Exak:� rocky
❑ Fences/Trellises: Nc,e_
❑ Bay Windows/Projecting Modulation: "Nome,
Stairs Deck:
Buildin Height
Datum Point:
Datum Elevation:
Maximum Height Allowed:
Actual Height: 8.5. -6 ex -
Other N ��\
Parking Required:
Parking'Provided:
Lot Area:
Maximum Lot Coverage: 35% Proposed:
ex; . Howse.= 1 �31gh Ex:sk S%No a 36'0
Lot Coverage Calculations:G « 53 .54e : 1000
ADU Created: (YES NO
Subdivision: i
Legal Nonconforming Land Use Determination Issued: (YES / NO
Comments
c
F%
Plan Review By: Via_
Planning Data Form 07-14-09
APPLICATION =
tt,, QARD No . ..:..................................
The City of Edmonds Tj� EET— SIDE SEWER PERMIT
EASEMENT No_ ........................................
OUTSIDE C]v INSIDE C5 REPAIRS ❑
OWNER ...... .ti....... �-L � y'— CONTRACTOR f �. �' t /c� %3 -..
.....__�..... :..n.-,....fa.------- '�.Y....................:. PERMIT No. .._....
STREET ^
HOUSE No.... ! .<.....-_-._(_--._..-_.............. AVENUE LOT No. __' .�_. / BLOCK No. .. .._..-----.-�
.......... ....... ...........
NAME ADD. .......................................... 0 S �t. -
0.
Date Approved:
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $....---.........._...............__..__...---
SEWER WORK ORDER ISSUED .......................................... DATE ... t. ...".4........ By ..... ".................... ..... ....._..---
Ole-' _
CITY OF EDMONDS
CIVIC CENTER - WATER -SEWER DEPARTMENT _ Can,;:PRospeet ...0=1107 when work
leaready.:_for_Inspection. (Nodnspee-
'Y1a�♦1
tiohe Saturday, Sunday of holidays.) b \ 0 13731
SIDE SEWER PERMIT
1041 Seventh Avenue South
ADDRESS.....................................................................................................................................................................................................
OWNER ......... Jack ..Culpepper ............................................... CONTRACTOR........ Re-dford...&..Son.........................---........
Permission is granted ...... February 11 66 y
.........., 19........, for ...................... days, to.REPAIR or CONNECT a side sewer
with City Sewers in acdordance with application`on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING: - -
NOTE No. 1—The owners of the property may obtain a permit to construct sewer Inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer In street area.. Do not cover any portion of sewer before it has been inspected.
1—TE No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing_side sewers when you get permit. ,
E No. 3—Top of side sewer must have at least 30 inches_coverageat property line and-12 Inches Inside property line;.minimum grad6 of-2q..
No bends in grade sharper than % will be permitted.
NOTE No. 4—Tren0es In street must be water settled and surface of street., restored .to original. condition. Contractors: shall. be responsible for
failure due to improper work which may develop within one year of completion. - - -
NOTE No. &—It Is unlawful to alter or do any other .work than is provided for in the. permit, or to do any work on the main sewer or Its ap-.
purtenanees except to Insert the pipe into the wye.,