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1237 7TH AVE S.PDF1237 7TH AVE S 0, 0 AD TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): COVENANTS(RECORDED)FOR: CRITICAL AREAS:- / J/ ��/ DETERMINATION: ❑ Conditional Waiver ❑ Study Required Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): PLANNING DATA CHECKLIST DA' SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: SOILS REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR WATER METER TAP CARD DATED: OTHER: LOT: BLOCK: L:\TEMP\DSTs\Fonns\Street File Checkliscdoc • • CA File No: icy 1 Z Z Critical Areas Checklist Site Information (soils/ topography/�hydrology/vegetation) 1. Site Address/Location: �,37 _ 7 4ve 50.)4 2. Property Tax Account Number: O O o 0 i R 00 J- l 3. Approximate Site Size (acres or square feet): 4.. Is this site currently developed? ) , yes; no. If yes; how is site developed? _ EX I ST16�14 .(Z�SI O�NT1A-tom 5. Describe the general site topography. Check all that apply. Flat: less than 5-feet elevation change over entire site. _ Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet). Hilly: slopes present on site of more t�han 15% and less than 30°a.y roll ,(aertical.rise,of 10-feet over a horizontal distance oft }';tq 66jf Steep: grades of greater than 301,6 present on site (a verticarrise of 104eet over a horizontal distance of less than 33-feet).s ` { Other lease describe): - i 4 (P 6.. Site contains areas of year-round standing water:; Approx. Depth: 7. Site contains areas of seasonal standing water:'; Approx. Depth: What season(s) of the year? 8. Site is in the floodway floodplain of a watercourse. 9. Site co tains a creek or an area where water. flows across the grounds surface? Flows are year-round? _ Flows are seasonal? (What time of year? ). 10. Site is primarily: forested ; meadow shrubs mixed urban landscaped (lawn, shrubs etc) 11. Obvious wetland is. present on site: For City Staff Use Only 1. Plan Check Number, if a plicable? Oq - q !6 (fro'T- jeck) 2. Site is Zoned? T ` 3. SCS mapped soil type(s)? Tyoe ! q - Fverer,— CKave tj� j 4. Critical Are/�s inventory or C.A: map indicates Critical Area on site? ll ed -" - 5 o I PiiTl S 1 WAa t camq(' Cif .Sirea�..�.. or S r"u,,... bv�+/ 5. Site within designated earth subsidence landslide hazard area? /IV0, DETERMINATION . STUD EQU ED X WAIVER Reviewed by: Date: Critical Areas Checklist.d&J4.22.2003 of EDMo� 4Cit o�dmonds o y Development Services Department Planning Division 20 Phone: 425.771.02 ia� l gqo Fax: 425.771.0221'- The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of the application to the City. The purpose of the Checklist is to enable City staff to determine whether any potential Critical Areas are, or may be, present on the subject property. The information needed to complete the Checklist should be easily available from observations of the site or data available at Citym survWNCURR n=DNG APPLICA �1 Ah Date Received: ell City Receipt #:TfT9 Critical Areas File #: ' Critical Areas Checklist Fee: $135.00 Date Mailed to Applicant: A property owner, or his/her authorized representative, must fill out the checklist, sign and date it, and submit it to the City. The City will review the checklist, make a precursory site visit, and make a determination of the subsequent steps necessary to complete a' development permit application. � i1`o Please submit a vicinity map, along with the signed copy of this form to assist City staff in finding and locating the specific piece of property described on this form. In r�ition, the applicant shall include other pertinent rmation (e.g. site plan, topography map, etc.) or studies in conjunction with this Checklist to assistant staff in completing their preliminary assessment of the site. The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the applicNoip agrees to release, indemnify, defend and hold the City of E&nonds harmless from any and all damages, including reasonable attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or incomplete information furnished by the applicant, his/her/its agents or employees. By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my knowledge and that I am authorized to file th' on on the behalf of the owner as listed below. SIGNATURE OF APPLICANT/AGENT DATE Property Owner's Authorization By my signature, I certify that I ha au rued th . ve Applicant/Agent to apply for the subject land use application, and grant my permission for the public o s and the staff of the City of Edmonds to enter the subject property for the purposes of inspection and p ' . ant to this applic tion. IGNATIJREQFiWNEIt DATE Owner/Applicant: Applicant Representative: dA� 4- -F TM M U E- Name. Street Address �rv� E-WPr ` 12 ?0o City State Zip G1T11 �U ! L-[�Erl.S Name Street Address LYWt4 jwf) (�i� City State Zip Telephone: 'L�• 7 `�� Telephone: ''• �7 0 • (179 Email address (optional): Email Address (optional): Critical Areas Checklist.doc/4.22.2003 . 0 0 PLANNING DATA ®r�/� NAME: DATE: SITE ADDRESS: PLAN CHK#: O - PROJECT DESCRIPTION: w dec REDUCED SITE PLAN PROVIDED?: es No MAP PAGE: � d 3 CORNER LOT• esNo FLAG LOT: ( es No ZONING: \ J V CRITICAL AREAS DETERMINATION M ❑ Studv Reauired: ❑ Waiver ❑ Conditional Waiver SEPA DETERMINATION: ❑ Fee ❑ checklist- ❑ APO list w/ notarized form ❑ (Needed for 500 cubic yards of grading. Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger) Exempt SETBACKS: Required Setbacks: v / a� L C= / S Mtreet:_Q_Lbit Side: itf�it Side: Rear. Actual Setbacks- F= � L- i -90ee4 jt1 lift Side: a d Rit Side: i or: N / (0 Street map chec ed for additional setback required? (Yes / No / DNA) DETACHED STRUC RES. ROCKERIES: OStU FENCES/TRELLISES: BAY WINDOWS / PROJECTING MODULATION: \ STAIRS / DECKS: OK - PARKING: Required: Actual: 0- LOT AREA. /; / LOT COVERAGE COVE Calc71 mo. 1 o!d BUILDING HEIGHT: / Datum Point: Datum Elevation: Maximum Ai owed: Actual Height: A.D.U. CREATED?: N / Yes SUBDIVISION: N A: LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: es No OTHER: NewBPPIanningDataFornLDOC • • 17� • CLM WAY n31 n[a 1131 1136 - - 30 1131 Q1 -_� 553 573 n38 1137 1130 1,a1 tt40 1126 m 1131 1132 tt33 ,134 1132 1137 901 1140 1151 1142 1137 y ... In lld2 1143 1140 - 1134 1150 > 1141 500 1140 1161 1146 0) 1141 § 65o ELM WAY 1146 y w 1136 C AVE 1143 800 Y w .> t159 1146 j Highland Park o ^ N o 1149 1,56 V> �� �9 = Park 152 1153 0 1161 759 1149 115a a o-.-..�..,,..-.......�.�. a._.,........ 1157 1147 11. �` 837 842 644 700 roe m N O s 760 1201 819 829 -� 841 m A ^ n 701 ^ 1zn _, 22004 ro9 1206 835 ■ 3 0 ,'S 0 09 2 �3 623 82 6 F/. 715 1210 1221 W p 72t _ > 1 ELM WAY 1219 AA' 12� 4 O N N 6 1219 1214 N 22024 h 710 3 ■ m m m w 729F-1 so 745 749 816 817 1220 1221 2 ■ 606 14 1225 < 823 22034 ELM PL ® •1224 f LZ n w 739 all 829 1223 • 1229 0 22042 12 23 V 1233 g g 7� 7� � ale � gWAy 1237, 'rts eae «gg 1zz6 1209 1 2 3Z N e 1226 j /z26 F MOB 1227 22044 m 4 1 2 3(r BIRCH PL N N 12 1-9 1228 1229 US B62 ?20 505 1230 t231 v N F14 J i _■ x m m m m 1241 0 1230 1235 1234 0. 1236 x ® C O 637 1240 n t241 1240 7t2 p 124022 ■ . 4 C C w BIRCH Sr rob 1234 1240 1239 1242 Z 1239 1237 !� n 3 U 517 ' Q ,25, 1250 620 ,250 706 1253 §} ■ 1n m 1336 129, 1290 1257 n 12s1 1250 ¢0 1250 0 x �ro J ,291 0 m m 700 7D4 1254 .. '' U 1251 22221 1331 1330 8 (L 1261 N 1258 1267 1258 1256 ,329 1260 557 t350 m ,345 gyp 69a 897 715 7/9 qCN 1267 BIRCH ST 12s9 2222e 646 1350 N 22300 22303 721 723 O g A 1355 641 891 ro7 13TH WAY m B 22314 22311 13ro 704 m 656 13TH WAY �' 722 726 1oez6 �1 708 730 1351 22326 991e i 10820 660 sF 1371 N 0 670 720 m 9 m m B80 710 Md 726 1360 8� 859 P 9923 60' �tc 819 14TH ST SW m � �5 ,{� �i� 643 744 749 763 757 761 MS 769 `• 6" �1 1411 1405 830 840 g ar Sao 820 14TH WAY 8i w 22407 740 1407 820 1410 40 550 Q 739 758 760 1616 1n 1415 10 1417 3: 22415 800 $ M1 dM�+ 645 736 a 1411 82, 819 1416 d b 0 G 1423 �t 22423 731 721 713 1020 1419 b O 851 10615 10609 � dad' - 732 1423 817 1422 ao ,433 e BSs 14TH WAY 14 1431 815 1434 1439 MIS630 FQ 728 10727 ,10611 10607 4jpy 665 724 7ro 727 1427 14TH WAY 813 1440 lass S 9925 723 / 10605 , m S 10431 s%y 711 717 735 1435 Bps 811 'yp ST SW 1448 lase $ 9924 228TH ST SW t,"' 724728 1439 807 8p9 iasz 145 7 ®IF >zp� zzso5 z2so6 4 710 ® g 8 700 IOMs 10708 10624 22604 740 804 2803 ■ 22615 22616 721 BOB 226TH PL SW 10404 722 1504 a! 1506 226Np 22623 22824 22825 i508 749 r o 1506 1509 ) 9920 22630 N 745 221 22628 7031 M4 22831 $ $ 10a08 ro741 r5 748 1608 1515 1511 9918 a 22M3' 7z6 820 22615 0 22711 2271d 22711 22712 1 740 7" € r 22 22719 22720 1 10421 781 Edmonds Memorial D zz79 7� 22725 22724 22729 22728 10415 734 771 emetary 227 22729 46 10411 C qp 10724 10712 22808 d 22807 10111 .� .. 14 .. , c \ -y===.. T•....•«w� r""'o-°"'' m '^ ■� = 22740 ❑ SO Fief ❑ 22920 06 22818 z2818 10204 10115 � 228 .'■� 22811 22821 22820 to22621 22811 228M Sherwood 22818 22815 10117 22804 ®, 10130 22015 Z?M 2263' Elementa 22626 2M' F N 10130 t 22905 0 ❑ 22628 22907 APPLICATION The City Of Edmonds for EASEMENT NO. " SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS E] LID NO_ __________________ ASMT. NO. ------------------ OWNER _f�E--L-_7 HMES----••---•--------------------•---•------- CONTRACTOR __-- iti1TR¢,S .__ PERMIT NO. �S? L'- JOB ADDRESS-_IZ7�?-_'--- ......................... LEGAL DESCRIPTION: LOT NO. --------------- (8------------------ BLOCK NO.--•--_-__-_---_---------__-___-----. ------------•••----•-----...-•--•--•-----•-----------------•--•-•-• •-•---•--_. _....--•• •---•----•---••--• •------•--•-•--•------•..._ •-----•----------•--•-•---•--- NAME OF ADDITION .........V1E.W 1,C70tTMn" C ----••---•--•-••-----------------••--.....---•---••-•--•-•--•--•------•--- ............... • n U E 0 ----------•--•-•--- BY ----•-•-•---•I,::::a --•----------- I 1 /75 APPIJCA71ON The city of Edmonds for SIDE SEWER PERMIT EASEMENT NO- ------------------------- —1 --------------- NEW CONSTRUCTION ❑ REPAIRS E] LID NO_ ----- ------------ - ASMT. NO. ------------------ .......... "OWNER ---- 13. �F 11 1 .. `7 ........ ---------------------------------------- CONTRACTOR -------------------------------------------------------------------- --------------- PERMIT NO. -------------- JOB ADDRESS �7%H-AVL-- S", .. ........ LEGAL DESCRIPTION: LOT NO. ................. =- ------------ -- ------------------------- BLOCK NO - __--.___------_ JOB E c I 0 .................................. ------------------------------------------------------------------------------------------------------ NAME OF ADDITION ... f I-M yl ......... .......... .... ....................................... N M Approved: DATE-------------------------------------------- By ------------------- CA File No: Ay ' � Z _ Critical Areas Checklist Site Information (soils/topographyhydrology/ vegetation) 1. Site Address/Location: 1 �-3 7 _ 4ve 50,;,-I., 2. Property Tax Account Number: _D_a 6 � o 0 00 i 000 3. Approximate.Site Size (acres or square feet): 1 `�� 4... Is this site currently.developed? yes; no. If yes; how is site developed? EjC 15nK EJ Sl ��NT1A-y 5. Describe the general site topography. Check all that apply. Flat: less than 5-feet elevation change over entire site. Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over .a horizontal distance of 66-feet). Hilly: slopes present on site of more than 15% and less than 30° (a.yertical.rise,of 10-feet over a horizontal distance of .to 66_ t).x S Steep: grades of greater than 30 /b present on site (a verticWrise of 10-feet over a horizontal distance of less than 33-feet). 1"Aft t 1 '' Other lease describe): 6.. Site contains areas of year-round standing water:; Approx. Depth: 7. Site contains areas of seasonal standing. water:'; Approx. Depth: . What season(s) of the year? 8. Site is in the floodway AM floodplain of a water course. 9. Site �co a creek or an area where water flows across the grounds surface? Flows are year-round? Flows are seasonal? (What time of year? ). 10. Site is primarily: forested ; meadow shrubs' • mixed urban landscaped (lawn, shrubs etc) .t 11. Obvious wetland is present on site: . For City Staff Use Only 1. Plan Check Number, if a plicable? - Dq - 16 T�o..Z' deck) 2. Site is Zoned? I l 3. SCS mapped soil type(s)? 4. Critical Arer inventory or C.A: map indicates Critical Area on site? Mqlved `t 5 51 .1 0•i�QiITIS v�l aiSG CanZir.. Cif SiYP�i�-�. dr S /'Cuw� �1r� /; 5. Site within designat d earth subsidence landslide hazard area? /Vo, DETERMINATION . Reviewed R/16/oy 61 rh E,-- ion WAIVER Critical Areas Checklist.doc/4.22.2003 *Ak,F'� City of Edmonds Development Services Department Planning Division Phone: 425.771.0220 �59,11 Fax: 425.771.02217 The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of the application to the City. Date Received:/�/U� City Receipt #: Critical Areas File #: Critical Areas Checklist Fee: $135.00 Date Mailed to Applicant: A property owner, or his/her authorized representative, must fill out the checklist, sign and date it, and submit it to the City. The City will review the checklist, make a precursory site visit, and make a determination of the The purpose of the Checklist is to enable City staff to subsequent steps necessary to complete a development determine whether any potential Critical Areas are, or permit application. may be, present on the subject property. The information Please submit a vicinity map, along with the signed -copy needed to complete the Checklist should be easily of this form to assist City staff in fmding and locating the available from observations of the site or data available at specific piece of property described on this form. In Ci tyton,thapapplicant shall include other pert.enti survWNP RE =DMG ?ERMirfrmation (e.g. site plan, topography map, etc) or studies in conjunction with this Checklist to assistant staff ���y y/6 DSC incompleting their preliminary assessment of the site.APPLICATION PIC The undersigned applicant, and his/her/its heirs, and assigns, in considerationon the processing of the applicfttiapagrees to release, indemnify, defend and hold the City of EAnonds harmless from any and all damages, including reasonable attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or incomplete information furnished by the applicant, his/her/its agents or employees. By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my knowledge and that I am authorized to file th' on on the behalf of the, owner as listed below. SIGNATURE of APPLICANT/AGENT DATE Property Owner's Authorization By my signature, I certify that I ha au rtL d ove Applicant/Agent to apply, for the subject land use application, and grant my permission for the public o ' s and the staff of the City of Edmonds to enter the subject property for the purposes of inspection and s ' t to this applic lion. SINTLIREP,WIVBit>. DATE Owner/Applicant: c6y 4- •r0krA, M E Name Street Address PLEASE PRINT CLEARLY I Applicant Representative: l•cri 'F�� l c.t�crz-S Name Street Address IVY rNA- `�g02o LYtJNyJOcTo (�� `�$D3� City State Zip City State Zip Telephone: (o • 2%4Q Telephone:''• trk) • (R9 Email address (optional): Email Address (optional): Critical Areas Checklist.doc/4.22.2003 r ti 14 zone S — CornerYeS Flamm o 'f C_ � R it d Actual ao 6l' N .� Other x Height �. `..T.�'1 } �./{ "• � JAY �; � ' . �. �� 7 4 i �+ � 1 f :. i Fa at, ,- �. •.t.,. L" .. _ _ _ ��: Imo' � _ • EEO Owner: Jay & Rita Demme Address: 20209 841h Ave W Edmonds, WA 98026 Contractor: Gordon Gregg City Builders Inc CITYBI*119BA 425-670-1991 206-779-7702 CELL 0 00, �2w�rne. l�eS� �enc2 123'C ? ave.• d waids, vU a , °► �o,Zo Q \ 0 Pl: Owner: Jay & Rita Demme Address: 20209 841h Ave W Edmonds, WA 98026 Contractor: Gordon Gregg City Builders Inc CITYBI*119BA 425-670-1991 206-779-7702 CELL �. STPEE10FILECity of Edmono RIGHT-OF-WAY CONSTRUCTION PERMIT t y Permit Number- ..25 Issue Date: ��% A. Address or Vicinity of Construction: I Z3 7 7T#m+ AvtC S 18 --memon— C B. Type of Work (be specific): 1 U S74-L.L, 7S t SST e-A 9p-19 rO Sa2. t COAF37*L (^tArCM JcI13, O1 V. C. Contractor: CAS-WII ��Sr//�lz 21�2 C Contact: 7" 4-*1O4Ae.Sd-AV Mailing Address: S33 1AAy AfT T Phone: 97 ¢— r/46 State License #: SW#T4 G- & 1 U 1 61 A- Liability Insurance: Bond: $ - Y?y D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project ®_ Utility (PUD, GTE, WN LE ATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut : ❑ Yes 09No G. Size of Cut: x H. Charge $ APPLICANT TO READ AND SIGN r C_ r7 ; INDEMNITY: Applicant understands and by his signature to this application, agreel 'hold the City of Edmonds harmless filorn injurtea, Emages, or claims of'anykind 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 inclading def ense costs, and attorney fees by reason of g `anting this permit. �. �% THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND M � ERI.A S 'FOR A PERIOD OF ONE YEAIR40OLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE. FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. Construction drawing of proposed work required with. permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 171-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS.' I have read the above statem and understand the permit requirements and the pink copy of the permit will be available l eat a i S- f inspection purposes. Signature. Date: (Contractor or Agent) CALL DIAL-A-DIG`PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: RIGHT OF WAY DEPOSIT ` TIME AUTHORIZED: VOID AFTER SAYS - DISRUPTION FEE/FUND Tll SPECIAL CONDITIONS: ��Li C—UT 5 RESTORATION FEE: P (� /�Vir'' PERMIT FEE: _ 3(J TOTAL FEE: COMMENTS: RECEIPT FEE: DATE: ISSUED BY: .0 NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE \ Engrg. Div. 1991 • 41 - <- - rLM ST IL31 7?HAVFS iC RL) LL 109 SW ZW 1} SAC. 2S-27-3 9-3-9-5 A1STALL ,500 P3 LJG TG W 2-3 ' DV - r_LM ST 7TH AV KZDLL los sw ZW S.C. L.S 27-3 9-3-93 i" - �^�°^"' }.- r--+rr• q�+-+-- .'^e--�--�-,- <--- tF-- --'s —^ •-c .:1 ,sa-r�c-".-'.- °�rwK,r X: f aCITY ;•OFED,M,OND{ D-E,w SwEWER..-:;PERMIT'. # WATER-SEA ARTMENT t `\y n F PERMIT' �9 �'� . 7' r 4 //Call 716-2525 foryslde- sewer Inspections BEFORF covering; any portlon.of..the conatructlon.,1 .\-inspection will be'; provlded�,within 24 hours `after requstl 90 fSat , ,Sum, . or holiday. inspections.-/, :ADDRESS -,LOCATION OF, CONSTRUCTION........1. 1...._ ........ .................. :-.. .........n....... .......... .... . PROPERTY:.I,E( AL<DESCRIPTION _......... ' .. ..... ` j�....... ..... `....... OWNER+AND/UR BUILDER: ^,r !:-I;:.:.:: {/.� Y ems ....... ......... 1 ' - a I TRACTOR'S W ME &ADDRESS .. ^.....�!-C ` :.... C c"�y� * l^'krt.f ............................. .......................... .... ... Eerinission Is'granted'. � .. �...... ...........,,19 ,t'��"� for repair sand/or' connection, of a side sewer to the cityAsanitary sewer. F--t,,wn.in',a&ordanc©:with City of Edmonds 'ordinances.-.' iA�PfENTIONj ISCALLED- TO THE..FOLLOWIN6 .- t"NOTV No. obtaln a.,permit to, construct sewer Inside:;property,:llne. A; licensed, Side Sewer Contractor must bepemployed�tojcon•struct -;. side sewer;; in sireef area. Do not cover. any portion of :sewer before %IC has ;beenrinspected: - •�� NOTE�'No 12 All';work-'performed;• in, 'city ',rlght-of-way ,requfres'.;an; Invasion*:of, Right •of-Way,•P.ermly obte.inable- frorn' the City'En.glneer:e:•offlce . 5 "NOTEr!g0. Otitafn full,dnfo;mationrregarding:Ordinance '1.1.16.030._andRegulations.ygovernink. lde,:sewers. when ;you get'permlt.;.,- NOTE No 4. Topyof, side.,-sewerimuil� ave.at least'30-•lnchea coverage. at:property,line�•and'12anches.lnalde propertyllne;':minimum,grade:of-2/' ,*Nodbends irr:grade ^' sharper;tha.n!'.•,3¢',will ibe'.permitted. .- NOTE.'No .:•S-Trenches2lm atieeVmust„be.water settled•�a.nc1 surfa:m of .street restored- to original!condition:',Contra:ctors'- shall ,be: responsible., for,.fallure -due:-•to lmproper'�• •', workswhlZrhay',develoP,.'withfn,one, year'of completfon,', -' ° - - •' 'NOTE],No sO—Ity*i.j._rlawful{�to`•altec'oP•fdowny:other'w.ork'ttiaii-fa•=provided-,for`_ln the.permit--or,to'do'any,; work on the main. sewer or its.appurtenancea.exceptto�in- -+aWdeerVthe'.pi�4P.Anto=.the,wye. .J r )ISAPPROVED ;Date `' By Date. By Date By y CPPROVED®Date _: •,,.� o �; By �-.'. ..-............................................................................................• Reliuirks.............................. .................................... ..- .. ... .. .. ....: ....... ......-..............- .... - ...... :.:.. .. ..................................................._ - _. .. ... ......... ..... .. ,;BOTH'�P,ermit;.Copies',MUST{iBe, Signed;`By,�OWner of=Firm 7Performing C.Onstmction PRIOR To_ Request: For'.I ispection Ir j�l C l .................. Cuwnerot,-.c,ontracung�rarm ••reriormmg in, tat b, d in` accordance with all governing hereby. rcertifynthat the side, sewer',installation :constructed •under .this permit Conatructlon)• ordinances ;of' the City of 'Edmonds:' _ Datedlathis} .:.: .........,day of ,:::.::...':.; ... ::.: , :19.::..'.:::. . J J' Check BEFORE you dig for Water p, Gas +0, T,el@�ephone E], Power �, Sewer �, "Other. p W .. ..... __......_, -.._ � .. ... - __......_. .... , � . , .-.. .. . � .. ....,.?ri. ,.... _. _m • _ ._.,ir�_-.. 3i::llsid"Y°•4c'�,i .y _ �_�a..S _ _..._ -... _. . _ .._. _ ,. .. .... .... . CITE OF �MONDS S'I,DE,--�EWEr PERMIT WATER-SEWER DEPARTMENT h�� ; ` PERMIT N0 5 5 9�'� /Call 775-2525 for side sewer Inspections 11EFORE .covering 'any portion of the construction.` \Inspection will be provided within 24 hours after requst. ''NO Sat., Sun., or holiday Inspections./ ADDRESS LOCATION OF CONSTRUCTION ......... 1`��=:•l-...:_ ...-1.::: �.V., _......4.,:...............................................?................................ PROPERTY LEGAL DESCRIPTION.............Lo ....... la.'. .... . ........ ��.....�.—i�1.....Vl.ao...... �........................................ ......................................................................................................................................................... .. .................._.............................................................----... OWNER'AND/OR BUILDS/R_ ........ I ......................................................................... CONTRACTOR'S NAME & ADD G.. ESS.-:..�+....tf.C.1�.,,.........�--4�\�� Permission is granted ....... >..............i......................., 19.14?, for repair and/or connection of a side sewer to the city sanitary sewer system in accordance with City of Edmonds ordinances. ATTENTION Is CALLED TO THE FOLLOWING: NOTE No. 1—The owners of the property may obtain a permit -to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct side sewer in street area. Do not cover*any portion of sewer before It has. been inspected. NOTE No. 2—All work performed In city right-of-way requires an Invasion of Right-of-Way-'Permtt obtainable from the City Engineer's office. NOTE No. 3—Obtain full Information regarding Ordinance 11.10:030'and Regulations governing,,slde sewers when you get permit. ' NOTE No. 4—Top of side sewer must have at least 30 Inches coverage at property- line and 12'inches Inside property line; minimum grade of 2%,.. No bends in grade sharper than 'A will be permitted., . NOTE No. 5—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to improper work which may develop.withln one year of completion. - NOTE No. 0—It Is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the maln sewer or Its appurtenances except to in- sert the pipe Into the wye. DISAPPROVED0 Date ........................................ By ................ Date .................................... By ................ Date .................................... By ................ APPROVED❑ Date............................................................... By ........................................... _....................................................................................... Remarks: ......................................................:................................... ...... :........................................................................ ............................................... ...........................................................•-•--.....--•--................................... — BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection -- I..........................................................................................I hereby certify that the side sewer installation constructed under this permit (Owner of Contracting Firm Performing Construction) was Installed in accordance with all governing ordinances of the City of Edrnonds. Datedthis ............................day of................................................................, 19......... v ./ Check BEFORE you dig for: Water [3, Gas ❑, Telephone E], Power E], Sewer E], Other d v TO Harry- 1::hi tcutt uildlt!c Official INL:R-6FFICE CG"MMUN,-iATI.—i-IS T tc--�-T FILE i DATE qlj ngpct ,���-----19 FROM 1' ichard I;. Al lan ''•,ssist,ant r.:ity ' rl�7il3r. r SUBJECT: ui1d'nU Permit A.n01!d 'lo!'! for. vI clt HOTN3 s P,,'ftrr review of the subJect nerlilit, wo have .the 1. Temporary turn -around to rer:ain— .Sidewalks r qui red. �. Underaround wiring required. RHA:mjr ?37 - 72:.11 Pivenue S. inn comments: