1046 ALDER ST.PDFIIIIIIIIIIIIII
10038
1046 ALDER ST
------- _---------- _------- District 19/04
419
City of Edmonds ---Water Department
TAP CARD
' 7 1991 P i u
Dat E
MeterNo .................. ............ Tap No .........................................
Size.............................. Size .....................................
Mfgrs.
For ..f
Style........... _......... ........ ...............
LotNo ........................................... B1k. No ................................ ................ .
Add---------------------------------------------------------- ...
Service Location .... d. �..: ................................................................
Meter Location ---�i�EfT_f................ .......................
ll€
Make Tap
Pressure .............................. lbs. Test ...................................... %
SendBills to ........................... -..................................... :...---........_
Date of Work ........... .- J '------.:..:
.............................. -:�.. ..--------..._.
Guar. Voucher No ........................... ................ $................................... _.....
Remarks: ............................. . ................ . ....... . ................. . ............................ . . . .....
OUTGOING Index........Reg......Route Bk...... _. Stencil- ..... Card ---_INCOMING Index .... _... Reg ....... Route Bk.... ..... Stencil ...... Card..._...
Aerial Chargeable to Installation hers
NO.
171
'�TE
DESCRIPTION
RATE
AMOUNT
7779K.
'Meter ............ . .. .........
..............
.
-------
Meter Box . . . . . .........
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.....
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Meter Plate ........... * ----------------
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Check Valve ...........................
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Pipe, Galv. Screw ..................
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Nipples ....................................
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Bushings ..................................
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Plain Ells ................................
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St. Ells ......... 7 ---------------- -- -----
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Material Chargeable to Taps Connected
NO.
--------------
SIZE,
DESCRIPTION
RATE
AMOUNT
----------
Pipe, Black Screw ..................
..............
.............
.........
--------------
----------
Pipe, Galv. Screw ..................
...............
..............
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-/ - -- ----
I ----
Lead Connections ..................
Curb Cocks .......................... ..
..... : ------- -
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* ---------- -
....... .7
------- -
Corp. Cocks ...........................
........... .
........
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Unions ....................................
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Saddles ................................ ...
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Nioples ....................................
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Bushings ............................ -----
--------------
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Plain Ells ................................
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Street Ells .......................... ...
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Tees ..........................................
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Curb Boxes ............................
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S. O. Extensions ....................
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Gates ................... 7 .......... .........
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7
Plugs................. e ......................
Couplings --- tlO? .... .......
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Gate Boxes ............................
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HoursTime DayMen ........
Hours Time —Monthly Men ..
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. ........
Hours Time —Auto ............ ...
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Superintendence .......
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Total ..........
N
40
ADDRESS: Imo AI lOIC.Y/ 51 r
TAX ACCOUNT/PARCEL NUMBER: Q(G Ie 4z() � � D 15 b D
BUILDING PERMIT (NEW STRUCTURE): 19 cA� )LO
COVENANTS (RECORDED)
CRITICAL AREAS: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DA'
PARKING AGREEMENTS DA'
EASEMENT(S) RECORDED FOR:
PERMITS
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DA'
SIDE SEWER PERMIT(S)
GEOTECH REPORT DA'
STREET USE / ENCROACHMENT PERMIT #:
LID #:
LOT: BLOCK:
FOR:
WATER METER TAP CARD DATED:
OTHER: ROW 2-Q&
LATEMP\DST's\Forms\Street File Checklist.doc
APPLICATION
The City of Edmonds for EASEMENT NO. ----- ---------------------- _____-_____--
SIDE SEWER PERMIT
103-04600 NEW CONSTRUCTION ❑ REPAIRS ❑ LID NO_ _________________ ASMT. NO. ___.___-__-__-
OWNER Lloyd-D.--Martin---------------••---------------- CONTRACTOR -- PERMIT NO. _
JOB ADDRESS ___1046 Alder Street ------------- --- --------------_---_-- LEGAL DESCRIPTION: LOT NO. _. ------- .---------------------------- BLOCK NO. ------- .---------- -_._.___________-
NAMEOF ADDITION------------------------------------------------------------------------------------------------------------------ __
DYE TESTED ON SEIVER - March 23, 1976
By Jim Jensen
Approved:
DATE---------------------------------- ----- By---------------------------------------------------iii�s
IT.4 _ __._� ._.__...__.�-� -_ •.
jt "i r'v
r •F
t
ary OF EDMOi4AS. WASHINGTO N — DEPARTMEFi BUILDINGS
BUILDING PERMIT
Applicant hereby certifies that a plot, plan, drawings, and sufficient details to indicate C � � 1 .,• .; 'a h .� „ �, .
the intention to fulfill all requirements o. this code are attached hereto. ° o }
Application ' hereby made for permit to do the following work• ° o •3 j r
is U
....-. ..--- O 2.0-5 viti
_.......
e •
_r % ��.�
3 peps ; q �. py
t........ ....... ._...
................ .....................G c W
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5 C R7: F >•1 K t
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......................... ......_....-.........-'-•.......-.._.................. ...--...... ...... ............. .........
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a[..._�! -------...............-- _..-_ CI „ 9 ' Y F-
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._..... o n (Street number or .ot avd blob nvmber.l J ,. >. .n
5y
'O T
1. Budding Dimensions 1 �f'k�.'................ c Z s' ?y to - t _ "• d w ,
2. Lot dimensions arc... O. . .........x.... I /. ......._...... t� 'O^> ` e w 5
to
3. Building will be.. -..... ................stories in height. o
4. Number of basements,,�"�� '% P U � S f r5
5. Occupancy of bu ld ng will be-_ e•s- - X t ., .._ _..._...._..-_..._... _ ����
6. Building wil be �....,-.--. ect from nearest ad}o ping lot line o F 'r r
7. Owner-.....t -l•7'. A!r.........................'- .. ... ._Y Fsd=ted cost S- ter' �%..
s x s
is�. 8. Owner's Address .-.--...-._.t- ---...
9. Builder ........... _...............00
................ Group "No I0. Builder's Address .................... .... -.................... _.. ...................... .. It. Architect or engineer ................
..---- -- -------•----• Life �permit._/,, r
Dnta.... .............. laa
Applicant's . .=-,--------------__..-_ plans Sled: Yes
Permis<ion is hereby granted tc Jo the work descni2ed hemnt, according to the approved plans ana ape'aB6tioe».
subject to compliance with tha ordinances of the City of Edmon� is your receipt for the following few:
1. Building permit fee ..........................
j
2: Sewer permit fee ............ .... ..................................... ....
.I 5.... ... _.........................
3. Inspection and supervuion fee . .......... ..........._....._..... ... • Q
Q
v....--_..-----------._..-....
4. Total
•v_
Re c .d
x
•—•�1 — t
PERMIT(fwintot+d;. F.{' ''
N? 436 Departatent of B,B 6ig n
City ofy Edrnonda •
1. The bwildin8 permit (te which .pplicaet pay. when peralt i. iwed .hall be baud as ettim.ttux d tM the pm—M .wcmre, at the ntr of 51.00 for eatL . ,;� t •° T=f' "r•a"?
Sim 00 0( tort. I! the serval cox o/ the xn+mvre when 6nallr determined mceed. the tested . ft^
M $2.00 for each sic".00 of taco terert tort. In .uch ergot no uu permit .bait Le i—ev will . 6 •'di n, e, 3". appllet0[ tRea tp pay m eddid..d for
f
rn uerersne7• tee" i. Wid- - A `. r ' _•
2. When+v a con for --.1- 1. ezecvted for am fwetur. eoxine more 'IL.. S1000.00 fw rhia a licensed a,.hi,— or en¢ioter uroog tegvlred bj ' :^ {• l''.� a h 'lag
the B.Rdiu0 code of dv Otr or P6moodr, the application (or . buildiuR permit rball be tcrompeoW by . copr or -the tv®.a and • ropy of the deta0ed r - Il �.r
rPc:iGtstiov.. \ `. •,j -'Ir, '.,,;.�'~, •t�oit°
"• 3. I'dor-to m.loyint any labor or rommencint work, vorify,the lndvsri.l iogu.oae Di.vioe d the G
tlm Piyron and make moothl Partmeu of Lbor and Indvx.io, tMPR av - Celt y g
Y report. of.paymlla:�Fid1 ivxn:ttiaei tho`uld-be obnivd from the treir'ert odim�o/.du Ce _nt of Lbw end
todmRw• BdoR
fine] payment, the owner .howl.• obtain a :dnt from Lhe tt l eoeoamon wbo in tun abowld abut, rrle.n'(n:m .11 .ubaovtnaun. The relearns .hold bef''r t'• 1 rJ� '�e ' reseed by the Uep—ent of Lhor and Indurtrie.. 7'hr ,,bore. gratedur v rryui—en. W he State W._ial 1_M..
i _ - �'_ i �. ♦ti -� per _ ( t• }). y 4 t _';•F f,!'4 S�
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P20i CILVT��6 PV41 -7-75 "ZISZ5 8XT.
•
RECEIVED
AUG 9 1977
#Yhlk l'Vorks Dept,
Name of Applicant:
Mailing Address:
CITY OF EDMONDS Ul-'INEERING DEPARTMENT
505 BELL STREET1''
EDMONDS, WASHINGTON 98020
APPLICATION FOR STREET USE PERMIT
Telephone Number: 7 7 el - /8 J f,
Date:_
Description of Public Place or Portion thereof desired to be used: (exhibit may be
attached)
Fate AeC6s-5 TO -
Type of Use desired to be made of Public Pl ac : �s,w,,j- A,,-« c? g& Pg1t&C eA/Z- d,
m
If applicable, attach plans and specifications for any utility or structure to be erected
and/or maintained on the Public Place: /q ,vim WtF vvouI.p 1-1K95- 4-o CY/eiALA4-- 7T
• TEMPORARY PERMIT: Unless otherwise designated herein, this permit is understood by
applicant to be wholly of a tempor/ie
ature, that it vests no permanent right whatsoever.
If the permitted use becomes dangeor such structure shall become insecure or unsafe,
or shall not be constructed, maintor used in accordance with the provisions of this
title, the same may be revoked andstructure and obstructions ordered removed by order
of the City Engineer. If,this appion is for a specified period of time, the terms
of said application is:. z-o, T — e-, o -s
Au
INDEMNITY: Applicant understand/ 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 descrip-
tion whatsoever, foreseen or u foreseen, that may be made against the applicant or the City
of Edmonds, or any of its dep rtments or employees, including but not limited to the defense
of any legal proceedings inc uding defense costs, court costs, and attorney fees by reason
of granting this permit. I addition, applicant understands that the City shall be provided
a certificate of insurance to indemnify and hold the City of Edmonds harmless from all
claims and/or property da,agae, naming the City of Edmonds as an also insured.
APPLICATION OF CHAPTER 0.40 OF THE EDMONDS CITY CODE: Applicant warrants that he has read,
or had the opportunity to read, Chapter 6.40 of the Edmonds City Code, attached herewith,
and understands that qql terms of that Ordinance are incorporated herein as if set forth
in full and this app 'cation and permit therefore are subject to the terms of that Chapter
of the Edmonds City ode.
• Applicant s Signature
Date
e
11/7/74 rev.
go
City cf iCmonds C_,.r; I neeri nr i' ra.rtment
APi'L?C",TiOPJ FORc;''F�'T USA" i'`'�' :1T -- Pa';: ?_
*Approval (and Agreement, if applicable) of Abutting Property O;rners:
Signature Printr-d N'a-me Ad:"ress Date
DO NOT 1-.RII'E BELO',! THIS LINIE (To be completed by Issuing Agency)
City Council Approval (Attach Minute Entry):
Permit Fee: Annual Fee: _ due January 1, 19
Wenities Design, Board Approval (if applicable) AG -each Minute Entry: _
Building Official Approval (if applicable):
Signature Date
Provision for Indemnity:
Terms and Provision of Performiance Bond, if applicable: (Reference 6.40,050 of applicable
Ordinance)
PERMIT AUTHORIZATION BY CITY ENGINEER: _
Signature
PERMIT NO.
Remarks:.
DATE
ante
., 1117174 rev.
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MUNG
Rr �2Y a ; ' ADD NG. \\ ATLAS Ofg,
108E , „y -
'0 '0 IkTREET FILE
-11MO� HARVE H. HARRISON
CITY OF EDMI
MAYOR
CIVIC CENTER • EDMONDS, WASHINGTON 98020 • (206) 775.2525
DEPARTMENT OF PUBLIC WORKS
February 8, 1978
Mr. Jimmy Forbes
828 Cary Road
Edmonds, Washington 98020
Dear Mr. Forbes:
SUBJECT: PERMISSION FOR ALLEY CONSTRUCTION AT 1046 ALDER
STREET
In reference to your application for opening the alley
behind 1046 Alder Street, the City has recently installed
drainage facilities which will now make it possible to open the
alley without drainage impact on the abutting properties. Based
upon City Code, you or your contractor will need to obtain a
Right -of -Way Construction Permit. An application is attached
for your use. We will require removal of the sod and installa-
tion of four inches of crushed rock. The grading should be
done in such a manner that the alley drainage enters the
catch basins. Particular attention should be paid to the trees
at the edge of the alley as we do not wish to see them damaged
or removed.
If you have any further questions on this matter, please
contact Mr. Bill Nims, Engineering Division, at 775-2525,
ext. 220, between the hours of 8 a.m. and 5 p.m., Monday thru
Friday.
Yours very truly,
SIGNED'
LEIF R. LARSON, P.E.
Director of Public Works
RHA . lv
Enclosure
Nims dAT—e E. jdatE "�57 ( Z)4�c. I Cffe
rr CITY OF EDMONDS * 9Tq%ETPUBLIWDEPARTMENT, ENGINEE G DIVI�I�Lc
ORS
APPLICATION FOR RIGHT-OF-WAY CONSTRUCTION PERMIT`,
THIS PERMIT MUST BE AVAILABLE AT THE JOB SITE FOR INSPECTION PURPOSES
Applicant to Complete Parts A and B
Permit to be issued to: ,I ,, L,
For Work a t : (address or vicinity) iy Zi C i`} L 17�e-7�' , � ��� �I Cc • � :>�
Type of Work to be done: n A S�v�
(attach drawing when applicable) -
o e,Y S A,
Time Required -- Start: Finish:
Owner: `I , .,, �,•� y L �`u: ,�, `S
Name
ia!`
Mailing Address
City State Zip
Contractor: -fJ jc.l�/j rju�L� Z/PLC=
Name
Mailing Address
City State Zip
Telephone Number
State License Number
-7 74.- .
Telephone Number
B. 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, foreseen or unforeseen, that may be made against
the applicant or 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.
Upon issuance of this permit, the contractor is responsible for workmanship and
materials fora 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 subject to inspection and restoration in accordance with City Code. A
24-hour notice is required for inspection by Engineering. Call 775-2525, ext. 220.
I understand that this permit must be available at the job site for inspection
purposes at all times.
Signature: //_s���✓•�I ���_ %� Date:
Owner or Aeent
TO BE COMPLETED BY ISSUING AGENCY:
Date Issued: Permit No.Fee:/,.5
mo
Security Bond: /f/�
Time Authorized: ?ec) _✓-
APPROVED B
Date �,/7Y
�L2e�G
,,,�p✓/l
O .K=