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1139 3RD AVE S.PDF1111111111114943 1139 3RD AVE S 0 ADDRESS: I/� �/GQJ a�16 TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) CRITICAL AREAS: DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: SHORT PLAT SIDE SEWER AS BUILT DATED: �?IC SIDE SEWER PERMIT(S) #: la GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: DETERMINATION: ❑ Conditional Waiver Study Required ❑ Waiver LOT: LID #: BLOCK: L:\TEMP\DST s\Forms\Street File Checklist.doc Side Sewer Drawing 7VIA L,,, _ The City of Edmonds EASEMENT NO . .................................. NEW CONSTRUCTION ❑ REPAIRS 0 LID NO.-1---r- i....... ASMT. NO . .................. OWNER .........1.�Y_. .YY1, k c CONTRACTORi(. ...................... PERMIT NO. (n JOB ADDRESS ------ 4 �" / ZJ R ! ._l-V e J =-•------ LEGAL DESCRIPTION: LOT NO. -.---- BLOCK NO. _. ©.0 ------------------------------------------------------------------------------•----•---------------• •---------------------•-----• • •• •-•--•---------•-----_.....--- NAME OF ADDITION ----- _i .......F-----�_ nO 44-S---------------------------------------- r The3"inhovsc plumb►n9 Stack t '� e •O . C��d eep) �.�• hc►s 0� s4kt. Reverse 6radG best was acce-ptable b�. � "the horns owner a nd a► fpmued , by C3vid;ns Dept- Znsrcfior• o ryl CSirn Mvnte.r) 101$)79 �4" RV.� Side Sewer-_ (Scln• 3034) • '�Zhsp•T<c and 6" Conc- s-f`ub (,'1�decP�. r 22 � � R D AV E VIA EDPv',ONDS WAY. TRUNK LINE PWW-0001-11/75 (REV.11/78) Approved: DATE ...... j -- ....... BY NGTKE TO PERMITTEE AND/OR OWNER ❑ PARTIAL APPROVAL VIOLATION CORRECTIONS REQUIRED PERMIT �y �. NUMBER `SJ JOB ADDRESS I j i`i p 3 e-,D ` e-7 00 NO PERMIT — STOP WORK — REMOVE CONSTRUCTION OR OBTAIN El PERMIT AND MAKE WORK COMPLY WITH BUILDING LAWS. CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS El AND PERMIT — STOP WORK. MAKE EXISTING WORK COMPLY WITH APPROVED PLANS AND PERMIT OR REMOVE IT. ❑ STOP WORK — UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK DESCRIBED BELOW HAS BEEN INSPECTED AND IS APPROVED. CONTACT INSPECTOR AND RECALL FOR INSPECTION. Imo' ARRANGE FOR APPOINTMENT. N, WITHIN _._. DAYS OR PENALTIES IMPOSED BY LAW MAY BE APPLIED. FOR INSPECTIONS CALL: 775-2525. BUILDING v -(] DEPARTMENT INSPECTOR CITY OF AT EDMONDS Ef A. N f I TO - PERMITTEE AND/OR OWNER ❑ PARTIAL APPROVAL VIOLATION CORRECTIONS REQUIRED PERMIT NUMBER �(G�.•I /.. --z"(�9b 2- JOB ADDRESS �QZ Q PRo ❑NO PERMIT — STOP WORK — REMOVE CONSTRUCTION OR OBTAIN PERMIT AND MAKE WORK COMPLY WITH BUILDING LAWS. ❑CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT — STOP WORK. MAKE EXISTING WORK COMPLY WITH APPROVED PLANS AND PERMIT OR REMOVE IT. ❑ STOP WORK — UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK DESCRIBED BELOW HAS BEEN INSPECTED AND IS APPROVED. CONTACT INSPECTOR AND RECALL FOR , INSPECTION. ARRANGE FOR APPOINTMENT. THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN .....: r�.._ �._._ DAYS OR PENALTIES IMPOSED BY LAW MAY BE PPLIED. FOR INSPECTIONS CALL: 775-2525. ❑ BUILDING DIV. INSPECTOR.VC I PUBLIC WORKS CITY F ; ❑'! FIRE DEPT. EDMONDS DATE �h U H a a at A w H a z 0 U w . oa 0 :H CITY OF EDMONDS PUBLIC WORKS DEPA T FOR INSPECTION CAS, permit NO. ' 775-2525 Ext. 220 Issue Date 0 SIDE SEWER PERMIT B PERMIT.MUST BE POSTED ON JOB SITE 1. Address of Construction �(�� a® k®2-6 .2. Property Legal Description (include all easements) LVT L 0 A 'Z 3. Single Family Residence Multi-Famifiy' No. tof,1T1nit8lA Commercial.-, _ � 1?0 4. Owner and/o-r Bu=�ld°er��d+p 5. Contractor'.& License No.� 6. Invasion into City Right -of -Way: UNo V Yes-� (If Yes Right-of- way Construction Permit.Required - Call Dial Dig (342-5344) before excavation). 7. Cross other private property: Yes <,� No Easement required - attach legal description and county easement number., READ THE FOLLOWT.NG AND SIGN: a. Property owners must obtain a permit to install s' n their property. A licensed side sewer cont cto st a 81A Iar construct side sewers in the public right-o way Dy 49 HOURS b. The side sewer contractor assumes f 11 r 1'tyBtFDREc installation for one year. YOB! 3i C. Commercial establishment requires a in' ) side sewer line. d. Side sewers may not be installed cl to any structure. Sti0I94MP11 C�I1 i A x e. Side sewer lines must be laid at aLA adEUTf�IfY( ta! Aid OP�CII and maximum grade of 100% (45°). f. No turn in side,.s8wer greater than 450 (1/8,bend) is0allowed between cleanout. All'90 turns must be constructed of a 45 (1/8 bend) and wye with removable cap. g. No.down spouts, footing drains or floor drains can be connected to side sewer system.. h. Pea gravel is required for bedding when installing sewer lines -through other than granular soil. i. Cleanouts are required at 30"-60" from each plumbing exit line and at minimum intervals of 100' along sewer line run. j. Trenches within City right-of-way must be restored to original conditions. Contractors shall be responsible for right-of-way failure due to poor compaction of fill. k.. Side sewer must be left uncovered until inspected and approved by the City. 1. Inspection during normal working hours only. Two (2) working days notice re uired. DATE: V (� ( I `certi y t at I have read S.S &A-n MA-VT(-Un� Ljnd.Z7shall comply with the above ri PERMIT FEE: 7a� (IS-©�*,. CONNECTION FEE: I(�/J w - d; * PERMIT M1 U SAPPROVED By: Date: • Date: APPROVED By: Date: BE POSTED ON JOB SIT M STREET FILE � CITY OF EM 01MOS 200 DAYTON ST.-EDMONDS. WASHINGTON 98020-(2061 7752525 DEPARTMENT OF PUBLIC WORKS August 15, 1979 Property Owner 1139 Third Avenue Edmonds, Washington 98020 Dear Property Owner: HARVE H. HARRISON MAYOR SUBJECT: SEWER SEWER CONNECTION You were notified on March 13, 1979, that you should make arrangements to connect to the new sanitary sewer within sixty (60) days. Your bi-monthly sewer charge has been raised effective May 12, 1979. Please make arrangements to make the required connection or notify me in writing by August 31, 1979. Permits may be obtained at the Public Works Department, 200 Dayton Street. Please contact Jim Roberts of the Engineering Division at 775-2525, extension 220, for any information or assistance you may desire. JEA:rm Yours very truly, n JAT1E S E , —'A- DAMS , P . E , City Engineer v.- -Z-1 _ t.,11 "= ate. l .;, • - 1 STREET FILE CNITY OF ' 200 DAYTON ST • EDMONDS. WASHINGTON 98020. (206) 775-2525 DEPARTMENT OF PUBLIC WORKS August 15, 1979 Property Owner. 1139 Twhi�renue Edmonds, Washington 95020 Dear Property Owner: HARVE H. HARRISON MAYOR SUBJECT: LID NO. 2.04 - SANITARY SEWER CONNECTION . You were notified on March 13, 1979, that you should make arrangements to connect to the new sanitary sewer within sixty (60) days. Your bi-monthly sewer charge has been raised effective May 12, 1979. Please make arrangements to make the required connection or notify me in writing by August 31, 1979.. Permits may be obtained at the Public Works Department, 200 Dayton Street. Please contact Jim Roberts of the Engineering Division at 775-2525, extension 220, for any information or assistance you may desire. Yours very truly, JAMES E. ADAMS, P.E. City Engineer JEA:rm ROBERTS DT ADMIN DT DIR PW DT 014 �j 1 �- CITY OF ED-MONDS PUBLIC WORKS DEPARTMENT TO: W ~ � Q W SUSPENSE DATE: DIRECTOR Investigate and Report Take Appropriate Action Prepare letter/memo for my signature For Information Previously Ref'd Status of Action? Return to: ADMINISTRATIVE SECRETARY BUILDING & GROUNDS SUPT. CITY ENGINEER ' EQUIPMENT RENTAL SUPT. STREET DIVISION SUPT. WATER/SEWER SUPT. TREATMENT PLANT SUPT. COMMENTS: b7HEET FILE FROM: —0/ , DATE: PWA-0001.11.78 CITY OF EDMONDS [qEC!DVAP Offli,M6. PUBLIC WORKS DEPARTMENT Issue Date RIGHT - OF - WAY CONSTRUCTION PERMIT APR 2 1982 A. •Addressor vicinity of Construction 1139 3rd Ave • owner: General Telephone Co. of the N. Name Attention: E. Nelson 3831 204th St. S.W', Mailing Address Alderwood Manor, WA 98036 City, I State, Zip Code • Contractor: SAME Name Mailing Address City, State, Zip Code • Permit lssued To: General Telephone Co of the N.W, • Ty e of Work to be Done: Placing aerial TeT. cable. Remove old Tel cable • Mirk m onnecuon ith: C602 ❑ Sub or Plat ❑ Single Family 50 Comml. / Ind. ❑ Apt. Condo. • Pavement Cut: ❑ Yes k-1 No State License Number Telephone Number * * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * * B. APPLICANT TO READ AND SIGN 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 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 for a 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 to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call 775-2525, extension 220. I understand that this permit must e a ailabk at he 'ob site for inspection oses at all times. Signature: Date caner or Agent �t >k THIS PERMIT MUST BE POSTED AT THE JOB SITE FOR INSPECTION PURPOSES CALL DIAL - DIG PRIOR TO BEGINNING WORK C. Issued By: OG Time Authorized: Void after _3C'J days Special Conditions: Ammendments: Permit Fee: A '3 U ()0 Security Deposit: Receipt No.: Fund III Fee: Street Cut Dimensions X = * * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * * Eng. Div. December 1978 k a 45--l? (01 � (00 k - Crjlz-tm 4- rl C) I - rz00 —N--tn Itl 4M q 'PT .41P;' tek AA! ftL-MUI- u Iw M015 k(bl. 1-1 c) I _lz-lw 'r (D', CoL a C—D , pli 'i (n'- 64 C-) Cn 'L C 4 '-4 r- c-, 411 L J N r 4a eN -2 r\--";zz� Iry -L-L. fZ.00 t'-a 0 1 - to-L ca 4-15 Ui lcoll cook- CA17 IS co -, --7,51 --1 -1 P-S) 0 /Y7 J sEnc- RALTELEPHOM r �rORMt04'0')j OTC 0 OlIt V07DOO-03,4W ROUTINE W(."iK ORDER (p TITLE w c R NZ M--% \A A 0 vi r--Z' 4 -L44 GA J�l XCHA E DISTRICT NARRATIVE -Z-c4s - 4; -7-45 - ------ Coll 12noc) a 4' v GE; -A c \0 rv\, L—.= =.k—, a to co j-L. Kf', 4 qS 15 CREW SPLICE ACT START By I 64D 4- 4- ACT. COMP By OTHER JPN NO. DATE JAPPLICATION NO. DATE r-N W.O. PREP, ay DATE DATE z APPROVED SY DATE rq WP. AEG, J