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1125 VISTA P L
CITY OF EDMONDS
CIVIC CENTER • EDMONDS, WASHINGTON 98020 • (206) 775-2525
COMMUNITY DEVELOPMENT DEPARTMENT
November 27, 1978
Gerald L. Ward.
1125 Vista Place
Edmonds, Wa. 98020
FRIECEIVED
HARVE H. H�7 1978
Dir.
OfUPublic Works
STgEtI FILE
BUILDING PERMITS #770421 & 780611
Please provide this office with a recorded
copy of .the legal description of the above
property, in order that we may check the
location of the access easement with the
requirements of S-31-64.
Harry M. Whitcutt
Building Official
HMW/ae
cc: City Engineer
APPLICATION
The City of Edmonds for EASEMENT NO . .........................................
SIDE SEWER PERMIT
NEW CONSTRUCTION ❑ REPAIRS ❑ LID NO_ __________________ .ASMT. NO. ..................
OWNER ----- `4 rGL." '.._ !.j! f._tt-I�----------------------- -- CONTRACTOR----------------------------------------------------------------------------------- PERMIT NO. J�-. _1
JOB .ADDRESS ___1._I.Z. ___ .L.sl � .. l a e ,---------•__..._.__ LEGAL DESCRIPTION: LOT NO.Ws_rk t.a . BLOCK NO_ ____________________________________
'.p�cj..�.�._S<stiff?�.cl__?"\QI.C_!'�.t_Yt�.Y.`- - --•11--�za�-•-- s-a-�'-r 2_Tr_G_LC.r._..Qe.C.A_r�_�Yi�
P Iq� -reQQ--rA t.rp.d fiat
NAME OF ADDITION 1, a Y' o ` ��'` Ce _
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i
DATE
............ BY-•-----------------
..................... t t /7 5
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4
W, APPLICATION
The City of Edmonds for EASEMENT NO_ ............................................
SIDE SEWER PERMIT
NEW CONSTRUCTION 0 REPAIRS [:1 LID NO . .................. . ASMT. NO. ..................
OWNER ---- C�:F2U:�t3-- C) --------- W-- LSF�ED ------------------------ CONTRACTOR ------ .......................................... PERMIT NO.
JOB ADDRESS . ....... P -� 1. L LEGAL DESCRIPTION: LOT NO_ -------------------------------------- BLOCK NO. _________-.__-_________________.___.
Fz:!>PT —� --7% RJca= T S
...... -rj= el--bl - M --Sir -
NAMEOF ADDITION .......................................................................................................................
0-
Approved:
DATE ........... BIW� .................... ..... YUY6
`¢ j .K. _ i p-.,,� •Tf"',' �_ '� Y."'' .VK v .v _ S '^"'r'N_'^'^^"�+ ..^n.+'•�(, .--.^T.. „- `: -.—as...•
;CITY%'ED�M� N 'D'S� S'I�D`E SEWER` �PER�M'ITt
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WATEW SEWER= DEPARTMENT e
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'• �'' < ; ° � l PE°R1VII� _' -���d �;� �' �j , � ky { i v -i
' t r CalliT78 2626� tors• tilde sewer - Inspections- nN'FORE-�covering •any poHlon, of the construction
�� s - "� _ • .(tInepectloni wil!_�be� provided within,,24 hauras'afler: requat. `NO;Sat ;, :Sun or, hollday'Inspections) t .f
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''ADDRESSLOCATIUN' OF''CONSTRUCTION ?: ,� �!+F �cr . e.
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$ sPROPERTY;'LEGAL DESCRIPTION �"^.r ��n n_:, 7ta x c I ..:. J,t� ::.1 �n � /.1r l r dry !>�; . � 5 �� r � ..ire � '
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# I rr.n.Ali;°I•: f�-,6,! ,(Jf/�.� 4^ �. ,R..0 pN... 1......(/oJC r t .:S fJ�,..��� -✓• ., y�E ny;-,` �•'wY lt� �r.e .{ .
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C y j r A j lil J. / >� /,TQr (.t / y z p
:.OWNER AND/OR BUILDER �P2 �{ 3
«CON.TRACTOR'SrrNrAME:&`ADDRESS ..:... Z��ttro y ��.. ' r!r+ a Y.. ............................................................."!
�� �nlisslon isfgranted�� a -!. �. , 19:; for repair, and/orkeonnection of a side" sewer .'to the city sanitary sewee
•.,' system in1'accordance w[th City of'Edmorids ordinances + � tl
ATTENTIONtIs CALLED T04THE,FOLLOWING i {
:'NOTE No..,l. `,The bwnera•of.•the' property may'.obtaln•a permit toi/construct`sewer, inside $roperty line A'aicensed'slde SewsoContractor must. beemployed to.conafructi
;Jeide ewei in.:atreet;area.' Do not'.cover°any, portion ot,aewer Gefore It -hae+,been,inspected {
„NOTE'No 2' work;performedifn city.Hght of=way'requires°an,Invasion of Right-of=Way,P.ermit°obtainable from •the Clty'Engineers office,,.'
NOTEiNo 3='Obtairt.fnll information'-regarding,'Ordinance 1•11.38030(arid Regulations,governing,ssew ide era'.when;you get•perrriit 2 {
` NOTE: No 9-Top;}of fe1001isewer, must
6ha:ve,at, •least. 30,lnchespcoverage .af propert. 11ne tand'"1211nches inslde'-property lir e;.,minimumi grade°tof'.2 J . Nohbenda in..+grad''
-1•.:�aharper�ahan-55{'wil!':be:pertnitted.r.. . `>. .. .V,. ._.. _, ,-b ;. ,-.., ,:.-.. •..� ., �, .,-;. ^•,^' :7
VOTENo•S=Trenches:'in street;must--bewaterseftled°.and'Saurface°of,street'testored?to:�originalcondltlon:�-Contra.ctoraahall'be -responsible for.'�failure+ldue totfmpropertt
j . _work;whlch' may -develop.' within 'onef year of,:completio.ri.
NOTDiNOE18-SC-le°u nlawful�to;altsr or•do,any other work than 1s provided for• in 'the;permit,;or to doi,any work on the:maln acwer'.or Its appurtenances exceptj,to�fn't
:sett;the)pfpe into•'the wye; ' - - �; :�: -•
DISAPPROVED g ,Date: By ....:. Date By Date .. By 1
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� APPROVED j ;Date � 64P G! f� BY ��J � :�
Reiriarks '
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—'BOTermit Copie§ i)IUST BesSigned.By Owner of Firm Performingr+Construction`.PRIOR;To Request•For Inspection
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I ...: ,yij.�yy . hereby certify that the side` sewer;lnstallation constructed+ und'er,.tlns` permit
4 ° (Owner.;of Contracting Firm. Perfcrming;,Construc*gr0r
was-Installe'd�iniaccordance,with:'ally•governingoordinances�6'f the City of'Edmorids
' Datedi thins, r �y of:....- 18'
_ a
�'./= Check BEFORE you dig for Water ❑ Gasi'❑, `, Telephoner ❑„ , Power ❑t Sewer ❑,,' +Other. ❑�/,/ `j
t USE MIT
BUILDING DEPARTMENT Applicant Fill ` ZONE / NUMBER 7 704
PERMIT APPLICATION Inside Heavy Lines '4
NA (OR NAME OF BUSINESS)
4 l a � ee W�4r�D
W MAILING ADDRESS
3
O CITY TELEPHONE NUME
E74m a xJ S !o r7
NAME n
c7A�
F ADDRESS
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jADDRESS r' 1
!11S i.4 PL-/Ac.,:L---
LEGAL LOT LOT AREA SUBDIVISION NO.
19 YES ❑ NO QL _ P
STREET R/W
EXISTING STREET R/W �sp FT. DEFICIENCY THIS PROPERTY
COMP, PLAN ST. R/W G�� FT. ib FT.
or
REMARKS
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W
WORK R/W PERMIT
ICTCKED_W..
REQUIRED
-
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CITY
TELEPHONE NUMBER
REQ'D.
❑ YES "@.n NO
❑ YES RNO
NAME
UNDERGROUND
�v
WIRING REQ'D., ❑ YES NO
Q
ADDRESS
TYPE CONNECTION VES
VERIFIED BY
F
SANITARY SEWER
❑
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U
NO
Q
E
CITY
TELEPHONE NUMBER
SEPTIC SYSTEM ❑VES
PERMIT NUMBER
Z
APPV'D BY CITY ENG.
itN O
O
REMARKS
U
STATE LICENSE NUMBER
CITY LICENSE NUMBER
Legal Description of Property (Show Below or Attach Four Copies)
METE SIZE
BUILDING SUPPLY SIZE
7
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REMARK
Z
0
f ,�U ,C �� v�- Tali/ - �
F
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SIGN AREA
ENV. REVIEW
ADB NO.
C
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ALLOWED PROPOSED
COMPLETE EXEMPT
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REMARKS
19
W
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VARIANCE OR CU
�W NNI REVIEW, BY
DATE
&_17_7
YARDS
LOT COVE GE
RW —2 GAS
NEW RESIDENTIAL ❑ LINE
❑ NON-RESIDENTIAL � SIGN
❑ ADD
❑ DEMOLISH � RETAINING
WALL
❑ ALTER ❑ EXCAVATE 'LLTE ❑ FENCE X—�)
❑ REPAIR ❑ PRE -MOVE �POOOL
I
6A� FRONT O SIDEcA,,;REARLA
FIRE ZONE
yL,
TYPE O,F/CONSTR CTION
I/ --
I CODE
/ y73
SPECIAL INSPECTOR
REQUIRED
❑ YES NO
AREA
1 �%/j ,1
/ O VV
OCCUPANCY
GROUA r
.�.i�- I ��
OCCUPANT
LOAD
PLAN CHECKE B THIS SITE IS LOCATED IN THE CITY
OF SHOULDO EDS. CO EDA3104.LES TAX
R RKS
NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
OF WORK TO BE DONE
NATURE
Z
y
-
W
C
PLAN CHECK
VALUATION
FEE
3S !�2
PROPOSED USE
PLOT PLAN INDICATE BUILDING SETBACKS,
ABUTTING STREETS)
�/ � �
BUILDING
PLUMBING
�q_Az:
HEAT & GAS LINE
700
m
O
1
"7
m
SIGN
RETAINING WALL
SWIMMING POOL
PLAT O.F SURVEY FOR CURTIS P. THOMSON AND GERALD L. WARD
_.Portions of Tract 21, Puget Sound Machinery Depot Five Acre Tracts;
according to the plat thereof recorded in Volume 5 of Plats, on page 47,
Records of Snohomish County, Washington.
F-
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30'
I I NE Corner of Tract 21�' ' --
30'
N
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W
41
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Replaced Ex, iron Pipe
With Rebar and Cap 1_
F Ire"_ 4\4 40.02'_ _ '
I�-SW Corner of \,
Tract 21
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