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1240 6TH AVE S
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APPLICATION
The City of Edmonds SIDE for
SEWER PERMIT
NEW CONSTRUCTION REPAIRS EASEMENT No ...........................................
OWNER.............................................................................................................. CONTRACTOR ....... —0�4 . .............. PERMIT No.
....................................................................................................... .............................................. BLOCK No. .............................................
ADDRESS ... I Vr" W SEE MUCHED
F-441=- EPP' .4 LEGAL DESCRIPTION: LOT No.
NAME OF ADDITION
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Approv
DATE. ... By ..........................
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STR=.T FILE
CIT1" of EDMUND,S --- PUBLIC '+ORKS DEPARTIMEN `
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y. Routing of Building Permit 4pplications
Proposed,, Pro Address of Application: 1240 - 6th.Ayenue South (Bodine)
DEPARTMEiT•
COIM!"IENTS
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Will USE
B U I LV I N G DEPARTMENT AppHeant M f rPri
'PERMIT) APPLICATION Inside Heavy Lines JG `
NAM (OR N E OF US ADDRESS I,.� /y/ � � ✓ �l%`` d�'�-r/"
t1 PERMI8SIBLE % ACTUAL % I
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ADDRESS
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.CITY
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STATE LI ENSE UMBER
PERMINHIBLE EIGHT PROPOSED HEIGHT
,NE NUMBER ACTUAL LOT AREA TOTAL BLDG. AREA
REQUIRED YARDS PROPOSED YARDS
FRONT SIDE REAR FRONT SIDE REAR
LEGAL LOT VARIANCE OR CONDITIONAL USE
❑ YES ❑ NO PERMIT NUMBER
PLANNING DEPT. APPROVAL DATE:
NO NUM1399— T
EXISTING PTHEcr R/W ............PT. DEFICIENCY THIS PROPERTY
COMP, PLAN ST. R/W ............FT. ............FT.
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'76o"04104�,
or Attach Your Copies)
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TYPE CON14ECTION I VERIFIED BY
PERC. TEST PERMIT NUMBER
EMARKS
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TYPE OF CONSTRUCTION
STREET IMPROVED
❑ YES ❑ NO
SPECIAL INSPECTOR REQUIRED
OCCUPANCY G
OUP
❑YE S u❑
NO
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NEW
RESIDENTIAL
NON-RESIDENTIAL
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GAS
LINE
SIGN
PLAN CHIC
D BY
THIS SITE IS LOCATED IN THE CKITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31,04,
ADD
ALTER
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DEMOLISH
EXCAVATE
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❑
RETAINING
WALL
FENCE
REMARKS
REPAIR
❑
Fl
ORFILL
INSP.
.......... Ft.)
SWIM
POOL
UMBER OF STORIES
NUMBER OF
DWELLING
UNITS
Valuation Fes
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- � Plan Cheek No .........:...........
BUILDING
QED VRE
PLUMBING
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IT PLAN Indicate Building setbacks, abutting streets) HEAT & GAS LINE
RECEIVED FENCE
I APR 2 1973 SIGN
RETAINING WALL
N
I SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL \
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BODINE CONSTRUCTION COMPANY, INC.
' GENERAL CONTRACTORS
1336 SIXTH AVENUE SOUTH - EDMONDS, WASHINGTON 98020
PARCEL TWO TELEPHONE (206) 776-0406
The South 70.00 feet of the North 140.00 feet of the West 95.00 feet
of the East 115.00 feet of the Southwest quarter of the Northwest
q-uart.er—of--the Southwest quarter of Section 25, township 27 North,
Range 3 East, W.M.
Se
Subject to an easement for the installation, 6peration and
maintenance of utilities, over, under, acress, through and upon the
South 5.00 feet thereof.
Also subject to and together with an.easement for the installation,
operation and maintenance of a drain line, over, under, acress,
through and upon the West 10.00 feet of the East 40.00 feet and the
South 10.00 feet of the North 75.00 feet of the West 38.00 feet
of the East 78.00 feet, all in the North 140.00 feet of the East
115.00 feet of the Southwest quarter of the Northwest quarter of the
Southwest quarter of Section 25, Township 27 North, Range"3
East, W.M. RECEIVED
Situated in Snohomish County, Washington APR 2 1973
MAR 30 1973
CITY OF ED(�MONDS
CITY OF EDMONDS - SIDE SEWER PERMIT
WATEWSEWER DEPARTMENT
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PERMIT 4430
- Call 776-1107 for side sewer inspections BEFORE covering any portion of the construction.
1
Inspection will be provided within 24 hours- after request. NO Sat., Sun., or holiday inspections./
1 ADDRESS LOCATION OF CONSTRUCTION.------..._1��4.1!•---J-IX��'i.._F-1-V�Q�U�._....Ul �r�...................................................................
PROPERTYLEGAL DESCRIPTION .............. !"p Rr.. _....'-_-=••--? ..!T-jli�._..�.......-=.....__........_.. ._................................................................................
.................................................. _................................................................................................................ _................._.........................._.........•. •-----••--_...
.................................................. ------------- OWNER AND/OR BUILDER----. JOKu----A...-- B-OD I N�.............._._...._.._......--•--•--......-•----.............---..........._.
CONTRACTOR'S NAME & ADDRESS----1-liSS.._JOhiniS71� °....=k�)tJ� �....u......x �AOi�E,3�Al..... ......._....-�i..Mn�i1S--------••..................
Permission is granted ............ AUGOS!... 1 .__........_-., 197E-, for repair and/or connection of a side sewer to the city sanitary sewer
system in accordance with City of Edmonds ordinances.
A ITION IS CALLED TO THE FOLLOWING:
Nam,._/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 Permit obtairrable from the City Engineer's office.
NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. -
NOTE No. 4—Tap 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 will 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 within one year of completion.
NOTE No. 6—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 appurtenances except to in-
sert the pipe into the wye.
i-
DISAPPROVED ❑ Date-.._ ....... .. .......•-------•-- BY ?Date...... Date ................ ................... BY .......
APPROVED -- Date.. .---.. i1.- - . J'BY---_---
Re1
— B T Pe i Copie T Be Signed By Owner of Firm .Performing Construction PRIOR To Request For Inspection —
I ---- .... . . ............................... ...... hereby certify that the side sewer installation constructed under this permit
con f ntracting Firm Perfcrmi truction)
led in a co r ante with all governing ordinances of the City of Edmonds.
Datedthis ..... /_........... day of ----- ......................................................
Check BEFORE you dig for: Water ❑, Gas ❑, Telephone ❑, Power ❑, Se er ❑, Other ❑
1. ---- -- - -- - ---- ----- --- — ---- ---
BODINE CONSTRUCTION .COMPANY, INC.
1 GENERAL CONTRACTORS
1336 SIXTH AVENUE SOUTH - EDMONDS, WASHINGTON 98020
TELEPHONE (206) 776-0406
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PARCEL TWO
The South 70.00 feet of the North140.00 feet of the Nest 95.00
feet of the Fast 115.00 feet of the Southwest quarter of the
Northwest quarter of the Southwest quarter of Section 25,
Township 27 North, Range 3 East, W.N,,
Subject to an easement for the installation, iperation and
maintenance of utilitiess over, under, access, through and upon
the South 5.00 feet thereof.
Also subject to and together with an easement for the installation,,
operation and maintenance of a drain line, over, under, acres®,
through and upon the West 10.00 feet of the East 40.00 feet and the
South 10.00 feet of- the North 75.00. feet of the V66t ,38.00 feet of
the East 78.00 feet, wd all in the North 140.00 feet of the ZaA
115.00 feet of the Southwest quarter of the Northwest quarter of the
Southwesti'quarter of Section 25, Township 27 North, Range 3 fit, WON*
Situatedyin Snohomish County, Washington
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