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107 BELL ST
Oity of EdmoncJ*
INTER -OFFICE CORRESPONDENCE
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CITY OF EDMONDS
CIVIC CENTER — WATEXt—SEWER DEPARTMENT Can PROsPect -6-1107 when work
is ready for inspection. (No Inspec.
SIDESEWER PERMIT ti— Saturday, Sunday or holidays.) N2 3237
ADDRESS--------- 20.7--.211d --- AKen ue --- N.011th ..................... . .......................... . ... .
OWN= ------------- -Inc.----------------------------------- CONTRACTOR ...... jgo3�--Allqm ......................................
Permission is granted - ------ Mar.Ch.-A . . ................ 19 --- 69-, for ---------------- ------- days to REPAIR or CONNECT a side Sewer
with City Sewers in accordance with application on file and governing ordinances.
A�'. .,,rTION IS CALLED TO,THE FOLLOWING:
NOTE No. 1—The owners of the property may ObWn a permit to construct sewer inside property line. A licensed Side Sewer Contractor must
be employed,to construct I side sewer in street area. Do not cover any portion of sewer before it has been inspected.
M No. 2--Obtain full information re . 6arding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
-iOTE No. 3—Top of side sewer must have at least 30 inches coverage at property line and . 12 inches inside property line; m mum grade of 2
. No bends in grade sharper than % will be Permitted. minimum
NOTE No. 4--Trenche
s guin street must be water settled and surface of street restored to original condition. Contractors sball be responsible. for
e to improper work which may develop within one year of completion.
lv^TE No. 5--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 appur-
tenances except to insert the pipe Into the wye.
i
�M
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER: 0 (:Zcf ,7-77 0 0 b (OZ 00 . 001 131000 10 100
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS k/ DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER): IggD610"� igg 1 Igc(I 61L.1 (pi U" pq I D ILOU(P(4
tqqjbZ--7-j(AjkA� 10t91C) (Aj +ek� 1!2 q 7 t
PLANNING DATA CHECKLIST DATED: r C
SCALED PLOT PLAN DATED: g.) Iq 1Q Llf V,4 a/OJ
SEWER LID FEE $: LID #:
SHORT PLAT FILE: C� LOT: BLOCK:
SIDE SEWER AS BUILT DATED: r --J) k I I
SIDE SEWER PERMITS) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
FOR
WATER METER TAP CARD DATED:
U�to6i--? Nat lonQ. �nftm �- ov)1 2n-2"(two j mtvm l avwd
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Edmonds, WA 98020-3209 PERMIT COUNTER
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AUG 19 1992
4(t), Ia µib, iti a PERMIT COUNTER
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CI1'Y OF EDMONDS
2"D eE!`611-b1'NCMbNDARTMENT
WORK _
ADDRESS
OWNER D [t3,5-4-1—
APPLICATION
for
jFhe City of Edmonds SIDE SEWER PERMIT
EASEMENT No .............................
NEW CONSTRUCTION ❑ REPAIRS ❑ n 6--
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OWNER-....4.Q...1? ......--¢ /1 1?.�.....................................................
ADDRESS ....... d / ..............a`---. e ........... �--.......-........-.
CONTRACTOR .............� ` .................................................. PERMIT o.. 32 3
LEGAL DESCRIPTION: LOT No.............IBLOCK No. ....... /............... .............
NAME OF ADDITION-.....-A-L------ � < .................
ST
Approved:
DATE ... ...
% c r / / S,?..................... BY.���.....!!.rG......i..........
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C�(—J 11i�STREET USE PERMIT APPL N
os 5
Mt.Date Received
Date Issued
V" Permit No.
Name of Applicant or Business: .s?�
Mailing Address: �'W 3`� 2E (-- Telephone No: 77/ �5 �—
Address of Public Use: aD —2
**********************************************************************
1. DESCRIBE THE PUBLIC PLACE.OR PORTION OF PUBLIC PLACE TO BE UTILIZED:
Attach an appropriate plot pan orelevation view.
2. SPECIFY THE TYPE OF USE DESIRED:
3. SPECIFY LENGTH OF TIME FOR USE O 692
The issuance of this permit is understood by the plicant to be of a
temporary nature and that no vested right is gran ed.
INDEMNITY: The 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,
foreseep or unforeseen, that may be made against the applicant or the
City of Edmonds, or any of its departments or employees, including but
not limited to the defense or any legal proceedings including defense
costs, court costs, and attorney fees by reason of granting this
permit. In addition the applicant understands that the City shall be
provided a certificate of insurance to indemnity and hold harmless the
City of Edmonds from all claims and/or property damage, and naming the
City of Edmonds as an additional insured.
CODE APPLICATION:
By signing the application below the applicant warrants that s/he has
read or had the opportunity to read Chapter 18 of the Edmonds Community
Development-Code,`and s/he understands that all terms of that Ordinance
are incorporated herein as if set forth in full and this application
and permit therefore are subject to the terms of that Chapter.
4ppVTof
tWignature
Page 8
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Street Use Permit Appli a•tit,1 on
\ \Page Two • '� •��,,U�:- j ,
SIGNATURE OF APPROVAL FROM ABUTTING PROPERTY OWNERS
When applicable; if the street use proposal is for utilization of City
right-of-way that may directly impact any adjacent business or private
property owners, the applicant shall obtain written approval from the
neighbors. (This requirement will be evaluated by the City after
initial submittal of the permit has been made by the applicant.)
SIGNATURE PRINTED NAME ADDRESS DATE
**********************************************************************
DO NOT WRITE BELOW THIS LINE FOR CITY USE ONLY
City Council Approval Date _ ADB Approval Date //�4
Certificate Of Insurance Posted nX- Bond Required
SIGNATURES OF PERMIT APPROVAL FOR ISSUANCE
Fire Department Date
Police Department Date
Engineering Dept Date
Building Official Date
Public Works Date
REMARKS/COMMENTS:
PERMIT NO. 9D a DATE OF ISSUANCE '71 �&
RELEASED BY RECEIPT NO. ! 3 D Z 9
BUILDING PERMIT N0. ,4/,--
Page 7 of 8
1/89
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RIGHT OF WAY CONSTRUCTION PERMIT ROUTING FORM
DATE APPLICATION RECEIVED
0
�Nf1lN���INP
WORK ADDRESS Q0' 2nd Ave .
CONTRACTORrneS c y
DATE TO RIGHT-OF-WAY COORDINATOR FOR REVIEW 9 - �(� CEP 1119y0
POLIC ORKS
REVIEWED BY:
DATE TO PLANNING FOR REVIEW: N4
REVIEWED BY:
DATE TO PUBLIC WORKS FOR REVIEW:. ' 9 - 1 1- cl Q
REVIEW BY PUBLIC WORKS �f - / 2
REVIEW BY STREETS DIV
• REVIEW BY WATER/SEWER D w
DATE TO ENGINEERING FOR REVIEW: 9 -- m- 9 O
REVIEW BY ENGINEERING:
STREET FILE
DATE PERMIT ISSUED PERMIT #
R/WFORM/TXTRECEP
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CITY OF EDMONDS LARRY S. NAUGHTEN
250 - 5TH AVE. N. • EDMONDS. WA 98020 • (206) 771-3202 MAYOR
COMMUNITY SERVICES: PETER E. HAHN
I o Public Works • Planning • Parks and Recreation • Engineering DIRECTOR
g9 p.19Ci
November 6, 1990
Mr. & Mrs. Dell Lowell
207 2nd Avenue North
Edmonds, Washington 98020
RE: Address Change
205 & 207 2nd Avenue North
Per your request the City of Edmonds Building Division has granted your
address change.
205 & 207 2nd Avenue North CHANGED TO 107 Bell Street
As required by the Uniform Building Code, the new address numbers must
be posted on the residence in a highly visible place, at your earliest
convenience. Suite numbers for the individual apartment units may be
assigned at your discretion.
The City will notify all applicable City departments of this address
change, it will be your responsibility to notify all others including
the Post Office. The Post Office has guaranteed postal service of up
to one year on the old address.
Thank you,
6; 6"A-1w
Jeannine L. Graf
Permit Coordinator
cc: Fire & Police
Street Files
Address Files
Public Works
Utility Billing
STREET FIDE
0 Incorporated August 11, 1890 •
Sister Cities International — Hekinan, Japan