Loading...
1045 ALDER ST.PDF11111111111111 10037 1045 ALDER ST q ......._ to ct City of Edmonds ---Water Departmen`'S' TAP CARD /-- Date....- Meter Ta ...... No.................."............ p No .................._............. ....... � Size.............................. Size ...................................... Mfgrs.Style...................................... . For---- ..-------------------------------------------------------- .................................................. ................................... _....... ......... _..... -------- ------------ _ LotNo ........................................... Blk. No....... .............................. -- Add. ".................................................. ........... ...... ............ Service Location ...%.. . ��.. _ ......._ Meter Location MakeTap..............................................._---------------..._......._.........._.................. ..................................................----........------......---------.._..............._.......-....-._.........._ Pressure .............................. lbs. Test .................................... % SendBills to .......................... _......................... .................. ......... -............ -... - ..... Date of Work ................E.f Guar. I Foreman VoucherNo ........................... -.............. $.......... ......................... _..... OUTGOING Index ......... Reg ....... Route Bk......... StenciL..... Card........ INCOMING Index _......... Reg ....... Route Bk .... - ... StenciL..... Card... -.- Saterial Chargeable to Installatioveters NO. {/ ----- SIZE `�~ DESCRIPTION Meter ...................................... RATE ---............:_--- AMOUNT .... •-- ----•_.. •......... Meter Box `t'. ----- -------------- ----•----- • ....... -------••------ -•------•- Meter Plate ............................ ----------•••- ----•-•------• --••----•- Check Valve .......................... .............. --......... .......... ............... --------- Pipe, Galv. Screw .................. -----•----•--- ---......... .......... .............. --•••-••-- Nipples ------------------------------------ -------------- -_......... .......... --------•----- .......... Bushings ---------------------------------- ............... .......... Plain Ells .. ............. .......... .......... ... .......... St. Ells .................................... .......... _... ---•------.... .......... .......... I Tees .......................................... -----•----•-----••----•----•----------• ............. ----------•- ........•---- Material Chargeable to Taps Connected NO. SIZE! DESCRIPTION • RATE AMOUNT --------_-•... .......... Pipe, Black Screw ................... ............. ............. ••---.--- .............. .......... Pipe, Galv. Screw ------------------ .............. •-----------. .......... Lead Connections ................................ Curb Cocks .............. ..•--- r. - -`� /••••-. -•11e.. Corp. Cocks ¢.-jam`--`---------- ----•• -------• ----- ---••---•-•••• -•---••--- Unions .................................... -•-•-•---..... ......... f O .............. .......... Saddles ................................ ... .............. ••-------•-- ---------••--- .......... Nipples -•--------•------------------------- ............... -•-----•--- -------- - ............... ......... Bushings .............. =................... -----•---•---- ---------- •---------••... ---••----- Plain Ells .......................... •---- ......----••-- .......... Street Ells ---------------------------.. ............. •-•--•-•--•-• .......... ............. .......... Tees ................................. -------- •-••----•-•-••• ......... _. -----•---- ----------••-- .......... Curb Boxes ............................ .............. -••---•••-- .......... .............. •-••--•--- S. O. Extensions .................... ----•--•-•-•-- --•-••-----• .......... ............... ••-•-•---- Gates ---------------•--------------•--.---_.. .............. •--•------•• ........... Y Plugs=---•---------------- Couplings.....f - D_ - ,2 -- -------••----- .......... Gate Boxes ............................ .............. ............. -•---•---- / . ..•..... •..... . t _. N ------------- ---•---- � .............. ..................... ...................... -----� -------- ............ ............. ......... ..•-•-••.....•--•.............-----•-••-•-....................._................... ........... ... `•^ , . �.--- ........... ----•-------•• ...... ... .. ........................................................... Hours Time —Day Men -------- Hours Time —Monthly Men .. .......... •-------•---• .............. ----- r - .............. --....... Hours Time —Auto . -- .. ....... Superintendence .................._-- ._....... ----- .... Total 0-- - ADDRESS: i Dr2 AmO,V f-L TAX ACCOUNT/PARCEL NUMBER:�cal(�'�f,?�bJ� BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) CRITICAL AREAS>� DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver DISCRETIONARY PERMIT DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): PLANNING DATA CHECKLIST DA' SCALED PLOT PLAN DA' SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED, SIDE SEWER PERMIT(S) GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: LATEMP0STs\Forms\Street File Checklist.doc V • ' '"r 'tea ' i ,r r 'C CITY OF EDMOiiwi, WASHINGTON—DEPARTMENa-OF BUILDINGS BUILDING PERMIT ` h e _.,t:,-,,,c hereby certifies that a plat, Plan; drawings, and sufficient details to indicate the intention to ' _:il' 1!! reavirements of the code are attached hereto. Application i! hereby made fo ermit to dr the follows g arork: .. � rr .... ° o 5 ..........................�...._..._-- n�--' S Y ° w ti x ....... _................... 1 . ......................... - ........................_...._................_ . r w U. d _....-....._...._. � Q N ' 1 €A z ........................................._....._...._.... - _..... _...... S u a .. _.. ....................................... - .<r1CR.tS1....KA..'..... _...._y�........ _......... V 11 a Qp '•-• (Street vumber or (a a� block e�mbera) o a rr Gj Nd n s ° 1. Building dimensions are ........ ; L,/...........x---._>� ./.......... _.......... �... n ;Q z m i y` ..............x.. _. / / .a.a•�..............._.......` j 2. Lot dimensions :.re......... .. fi.- ��F•.1-' � C 3. Building will be stories in height. o p i 4 Number of basements h . "•� ? `o' z ..... F. _:t..._.._...... S. Occupancy of bmlding,vnl1 )k........ ....... ............. .._...---•----' ---• 6. Building ave /1 ... _ fec m 42 adjoining lot line. Estimated coat 3.lLt 7. Owner... ` ...c.... . ........--..._.. --..........----•• 3. Owner - Address. .......... _.......... _................. ....-_..._. 9. Builder... __............- --- Group ......_..........._....................'—_............................. t 10. Builders Address... 2 11. Architect or engineer........................../ Liic of permit..��(..t!��__..__... ��7 I Datc.......I-<......z.y.----...19...-, - t > / Plans filed: • Yo, No p' ,''+y s ` Amu's slgnali..e�'tLL:. (:fir. YJN ................_........_..... 1 asmn S wnrr o< t d ZE. F �y Permission is hereby granted to do the work described hereon, -cmrding to the approved plans and specifications ptauining herero , ( = a, subject to csmpiiance with the ordinances or the City of n� e.�L „ i copy your B . ... -.. .. ds •T'}�Is w ss our receipt for the fdlovn,l fees:.- I 1. Building permit fec.................. - ?. Sewer permit fee .............. ........... ....................... ..... $ - ............................ f 3. Inspection and supervisionfee ............ ....................... $............................ ..-.._ - iJ �j"7 �i•h dr y,,'f''e•a'c _....... E 4. To............................... il ................._. Rec i�d --'- omerr> Department of Buildings :•ytS? �Y ?a PERMIT N? 387 city of Edmonds : 1. The b ndla7 Permit fee whkh aPPlicau Pan whm perm:, it imd .hall be based oo enimated mrt d the P-P-- it the ns of 71.Q/-for tuh 3ta0p.W of cat- u dre a°val eort of —the awmve, whin fivall/ dacrmivd, eareed, the ertimatd roer br roo,e thin 5%, aPPllmr'a7ren m par of 73.W for each 71 Wp.W of ,aS e:<w mrt. le ,urh event or, vu Perini, tb.11 br in¢d moil -a "du°epavp fee" u P.M. -n :. whmeeer . cavrnrt for mnrtmnlon 1+ r:ccatd for ao, rtrocrun oo ei" more thm 71000.W for ubiS a ueerued ar Sheet m msinrer Ia vor tegvhd Dr ! - i `• �'ST. � ;, ei' Se Bulldin7 Code of Se Gry of Edmond,, the aPplic f.. fee a bolidios Petm:r rhall be urvrvpmid by • rope of Sr rvnvaa and • mp/ o[ the• detanrd tt 1�Sf a .P.Cificarlava. a. lfri, m rmplo..p8 m/ labor m rommmdva work. oouE1 the Ivdoavial loavrmce Di-isiov of doe Depanmrot of Labor and Ind—drr. long m e,tlerars of the w1,a;l`and vtiRt r�tLvdtlr. of Pa1ra1L. Fd mmacti abruld be obtainM from the oC of the DIP�+rmm[ of tabor u:d lodmuim Hef Enal palmm4 .he d�+tet rbouldtob. "tin a nleve °�'l•�ttSROTrdebo w turd-thou)d�oQ a(� nlrue /tnm all rubeonrncton. T.x nlosn ..be rceated b1, the DrPartmml d E-1— and PLoorvnra:ue requieemeae of ,rhi�3vke Ivauuria! Inmtmce An. t F z .1z� ZY N I 00 CI —of ox -Dig a: WASH, 4 Y p l TOi t � f7£ ,-1TT?ttr.?+;. OF Bi.PfiUfNGS Appiiornr h.rrbr ; ::•i61:�a.t� � �i.� y-�—�,n,�._;z-_,_-•�__�. _; .— r..�,���•�,.. . tiic intc:�r.'nn v, I 't'• 1 5 : iud ;t:,�, �u,t al•�aile :•, ie.:.;,tr :uic.i ail :r/ a❑ , •i t. +r t - s 3, vc r o L ?�' y' A^f , non i, L•�r: r.,zc • 4>1 c .. •. 1 rx 23 -44 ci Lft .I!• .nyi ...., v� ..:v- r .... it tz, c �Cw .5_.- ... I:J•i i•n., v,i., i^:_ ._ .io.�.¢ tr: _ . ... ... ..... ; � � :L.,j�, 1jY•`r +. Ncvli cr r. l.7a:mu .. - 9 ` � .,. �-. O -" _ ••y^,;j' G, i,'uiiding iP !+.•. .. t ., .o ... ; 1: .......... ........... C ,--r.�+-.- r 44 r r - n; jdcrnts 5•�:m.•r't r ...,. / •, : I-1 z.w. 1'.7 n:•.•� •, i1 ra,t[: t,� J 1 :ic e: :� !••w r:,:l !: -c t"�.t �a.�:;;• :. .visit tn: ,... Lr...: rJ r••..�. f t�L 7n t a• t �. •!v nti ar t u j ..ti l.ny' hcrcw �. 1.wJ t, a u: r• . .,r dw rntl+wing r AnERM � it j Ij ndth cne,ril tTii q J f 3 7 � :i �vity >r'.tiilii8• 7Fp . , �. f. 'r6v I•u:: :'•'K N•ur rn ..,:.h at: 1;..�. , h n {Nm. :tn+,: d,-i7 - - . JIb.aM nt'.r...' U m_ n su , ,tt t '• xnru . a G•v:;r'b. .. ;A!, , •:r�,rrt�t:., � -,lyr •,. ,rt� � re""•1 •mv:. r, toe n:e of it W rx _xh ,: ott, (� � .tli+ r..... .-„ n ., lve• �,i ....r ., , aw n.:R:t u. -, '^„ .. ,,. sr � r ,1,-YK b p. ry, ' 0 �I Itt a,•\Slvn.11 a .. ,.. c:. rviceur. v M' +rl +,^•,i b.. n.Rt;.+:. "f p 4L ...< me :w',wC,ae Ili It"e; : „x, t,. ``, ,: rc. ,�. � ,.,,. m . •r .�:1 n,.x • ' 1 v:rt.-,,.a, r.>< . nw alxx :•-a� .1„rt s, - x.wt .Lsn< o. mtt.,... t, x .a„t t n '-.Ka�••� s •rr w ae rtx n,a aol a -WV M • 2e \\.vn` �. ' 1 T Rr Mk •ih G+ 7Nes•;., l,,.v'ar:e litri,irtn N dv r M M f J..i act )xd.,,-•.•L9 nax 111 .Ikea ..uG i"• 4 ur ,.+ re aurv. Y ! IA • "Y M m.r4 r ,(ipxf• , 1, • W-r,a r� ` t)ryt :Y - ^f f.aW � an.t Irv'uc�. 1��� y� n1 iy�V� (.-,cn'nz cMGI, G La V f?Jw, iJ u31t 1 tl 1ss, hl. �� err •fe \.._.. ........+.. � ._ � E ' ...`..� . � n .i :tE`T+ ��xl Y � _ •.a APPLICATION The City of Edmonds for EASEMENT NO_ ____________________________________________ SIDE SEWER PERMIT -1-03- 04400 NEW CONSTRUCTION F-1 REPAIRS E] LID NO_ ------------------ ASMT. NO. ------------------ OWNER ................ Pau.l..Gromko ------------------------------------------------------- CONTRACTOR ------------------------------------------------------------------------------------ PERMIT NO. -------------------- ...... .. -------------- JOB ADDRESS ...... 1-04.S--Ald.er--.St.ree.t ---------------------------------------- LEGAL DESCRIPTION: LOT NO. -------------------------------------- BLOCK NO.------------------------------------ ------------------------------------------------------------------------------------------------------------- .................................................... NAMEOF ADDITION ....................................................................................................................... DYE TESTED ON SEWER - February 12, 1976 By Gary Raymond Approved: DATE............................................ By ....................................................11/75........