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------------- ................ . ... . ........ PERMIti
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CONTRACTOR ------
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.................... LEGAL DESCRIPTION: LOT NO.
JOB ADDRESS ------------------------
------- BLOCK NO. -------------------------------------
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NAME OF ADDITION --
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Approved:
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DATE............................................ By --------------------------------------------
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CITY. -.OF. EDMONDS. SIDE SEWER PERMIT
WATER4EWER DEPARTMENT
PERMIT
4
(Call 775-2525 for side sewer inspections BEFORE covering any Portion of the construction, 0
Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday Inspee I ns,
'4
ADDRESS LOCATION OF coNsTnucTirojv. ....... g2-6_0 ........ 7th Place Squth
.....
........... .......................................... ...................... . .......................................................
PROPERTY LEGAL DESCRIPTION....
..................................
............................................
..........
.. ...................... . ........................... ...................... . ........................................................
...............
01 ................. . .......................................................................................
OWNER AND/OR BUILDE
R.---
.
...................................... ......................... ..... Belt Homes
.......... I .................
..... .................................. . ......................................................
CONTRACTOR'S NAME & ADDRESS .......
K QqWP.zKMqti0n
................................... ............................... .. . ... ..................................
-----------------
`4 Permission is granted ... Wip-tv 9 4;• 3LO 7 7 19:17, for repair angilo, connection of a side sewer to the city sanitary
Edmonds ordinances, ------
sVstem In accordance with City of sewer
LTENTION IS CALLED TO THE FOLLOWING:
ns
NOTE No. 1—The owners of the Property may obtain a Permit to construct sewer inside property line. A lice ed Side Sewer Contractor must be employed to cc
side sewer in street area. Do not cover any Portion of sewer before it has been inspected. nstruct
- • 6 NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right-of-way Permit obtainable 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 —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 % 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 within one Year Of Completion,
NOTE No. 6--It is unlawful to alter or do any other work than is
Bert the pipe into the wye. e provided for in thpermit, or to do any work on the main sewer or Its appurtenances except to in-
f . 4.
4
DISAPPROVED p Date._._._....By ................ Date...._.._.. ------------------ BY ---------------- Date .......... ..... ................... By .....
APPROVED ...........
Date.- . .....
------------ BY.._ I .................. . ... .......................................................................................
Remarks: ....... .... ................
---------- - --- --------------------------------- ..................... . ................................
....... . .............. . .........................................
..........
1.
..................................................................... . ........................................................................................ . .......... ....................... . ............................................. .........
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
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.................
(Own r o e ............. .... hereby certify that the side sewer installation constructed under this permit Lys installed in accordance with all governing ordinances of the City of Edmonds.
&n Construction) ------ Date BY -----
y Date....
----------- ---------------------------------------------------------------
------------------ - -------------- - ---------------------------------------------------
. ........... ------ - ---------------------------------------------
Dated this.
............................day of._.._...._.. .................................................... 19 .........
la i V Check BEFORE you dig for: Water Gas Telephone E], Power S ,z*..
Other I/
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4:
A..
APPLICATION
for
The City of Edmon tTREET FILE SIDE SEWER PERMIT EASEMENT NO . ............................................
E—= NEW CONSTRUCTION 0 REPAIRS ❑ LID NO ................... . ASMT. NO. ------------------
OWNER . ....... E�F---=. ........ --------------------------------------- CONTRACTOR .... M ---- N P ZQI ........ PERMIT NO.
JOB ADDRESS ... - - ----- LEGAL DESCRIPTION: LOT NO . ............. '�> -------------------- BLOCK NO.------------------------------------
------------------------------------------------------------------------------------------------------------- ....
...........................................
Approved:
� - DATE." . 14.. .. ................ ... ... --- -----------------
I.-. 4� i73
-Len—
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M(I P!*i1'1IT 171" F 17
Strcct Pdolit-of-l-,'ay 17-xistinv
II Acccss F-..1SCMCT1tS 117-X iStiTlfl
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Utilitv Eascmcnt Y'Xistin�n,
Assessor TJT) Lot PcrSuhdivision plat—Y-1—
Site Plm (I.edi.cd for Accuracv
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Tildicate or. "'Itc 13:ul
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BUILDING DEPARTMENT
Applicant Fill
USE PER T
ZONE � X � J NUMBER
�•] (pv/'
PERMIT APPLICATION
Inside Heavy Lines
JOB
ADDRESS / — F7
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NAME (OR NAME OF BUSINESS)
BELT HOMES
LEGAL LOT
LOT AREA
5r�'@OlI/VISI/O�N�N+O.
`DYES ❑NOt'1
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MAILING ADDRESS
3
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9808-215th St. S.W.
CITY ELEPHONE NUMBER
Edmonds, Wa. 776-2829
STREET R/W
EXISTING STREET R/W Sr O FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W 5'� FT. OFT.
NAME
REMARKS Driveways slope not to exceed those
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indicated on Standard Drawin #103.
W
W
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ADDRESS
CHECKED BY
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0:CITY
Q
TELEPHONE NUMBER
STREET AND/OR UTILITY WORK
/ O
R EQ' D. �3
❑ YES rrLNO
R/ W PERMIT REQUIRED
❑ YES 1$INO
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NAME
UNDERGROUND
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BELT HOMES
WIRING REQ'D. YES ❑ NO
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USANITARY
Q
ADDRESS
9808-215th St. S.W.
TYPE CONNECTION :aYEs IVERIFIE
SEWER
❑No
BY�-�- ^
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ZAPPV'D
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CITY
Edmonds, Wa.
TELEPHONE NUMBER
776-2829
SEPTIC SYSTEM ❑ YES
BY CITY ENG.
EFNQ
RMIT NUMBER
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STATE LICENSE NUMBER
CITY LICENSE NUMBER
REMARKS
223-01-4937
Legal Description of Property (Show Below or Attach Four Copies)
METER IZE
BUILDING SUPPLY SIZE
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F
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REMAR S
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Lot #9 - Birch Addition -Div. #2
3
f
6
SIGN AREA
ENV. REVIEW
ADS NO.
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W
0
ALLOWED PROPOSED
COMPLETE EXEMPT
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a
REMARKS
0
W
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VARIANCE OR CU
PLANNING REVIEW BY
DATE
YARDS S
FRONT
SIDE REAR
LOT COVERAGE
X GAS
NEW RESIDENTIAL 13 LINE
❑ NON-RESIDENTIAL ❑ SIGN
❑ ADD DEMOLISH
❑ RETAINING
WALL
❑ ALTER ❑ EXCAVATE FX—� ENCE
OR FILL
❑
PRE -MOVE swim
REPAIR INSP. ❑ POOL
FIRE
EZONE
TYPE OF CONSTRUCTION
CODE
SPECIAL INSPECTOR AREA
REQUIRED
❑ YES ❑ NO
OCCUPANCY OCCUPANT
GROUP LOAD
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
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NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS 1
REMARKS
NATURE OF WORK TO BE DONE
f
F
New Residence
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d
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0
PLAN CHECK
NO.
VALUATION
FEE
Z
0
F
Z
W
PROPOSED USE
6
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In
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PLOT PLAN INDICATE BUILDING SETBACKS,
ABUTTING STREETS)
BUILDINGir
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0
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PLUMBING
HEAT & GAS LINE
0
0
0
FENCE
F
SIGN
RETAINING WALL
0
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SWIMMING POOL