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PLAT OF SURVEY FOR RALPH 0.'..WILLIAMSON '
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4 Lot 21, Viealand Heights, according to the
plat thereof recorded in Volume 13 of Plats,
on page 84, records of Snohomish County,
Washinaton. .
N 89° 53' 5 8" W
146.67'
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ENGINEERS • SURVEYORS • PLANNERS
324 Mein Street • Edmonds. Washington 96020
D99.
DATE 8-97.75
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Review Number . CA 97 0240
Date Receidedc 12/17/97 m
—Applicant Krueger
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Determinations Waiver
r' Staff Person:_ Kawamoto
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STREET FILE
CITY F EDMONDS LARRY S. NAUGHTEN
250 5th AVE. N. • EDMONDS, WASHINGTON 98020 • (206) 771.3202 MAYOR
COMMUNITY SERVICES PETER E. HAHN
DIRECTOR
February 24, 1988
Ralph D.-Williamson
1305 - 12th North
Edmonds, WA 98020
SUBJECT: CROSS CONNECTION/IRRIGATION SYSTEMS
Dear Mr. Williamson:
An irrigation system located on your property may be in violation of
State of Washington and City of Edmonds ordinances related to backflow
prevention. To protect the potable, or drinking water supply, an
approved backflow device is mandatory on all irrigation systems.
Please call the Water Department Cross Connection Inspector, Scott
Highland or Lee Willeiksen, at 771-3202, extension 291 or 294, for
information or an appointment for inspection of your irrigation system.
Requirements to meet State and City Codes need to be completed thirty
(30)days from receipt of this notification.
Sincerely,
Archie Brena
Water/Sewer Supervisor
SH/lk
WILLIAMS/TXTWATER
PUBLIC WORKS • PLANNING
• PARKS AND RECREATION 0 ENGINEERING
APPLICATION
CARD No. ......................................
The City of Edmonds
STREET FILE
for
smE SEWER PERMIT
EASEMENT
OUTSIDE ❑ INSIDE ❑ REPAIRS ❑
No- ......................................
z- 7
f
OWNER ............-----------
b- ----------- IVI f}IY_I�l____--------•--•-----------____.
CONTRACTOR _..__..__._._...__��.......�_..._6_.'`_.................
PERMIT No=1//
HOUSENo . ............. 1_. �--
,�
� _U� _.... /)/.-.......-----•--•-••------.
STREET
AVENUE LOT No. ...._.....-•--•---- ................................................. BLOCK No. ...............................................
NAMEADD............L _w-L_ M! )................
14.�fc NT.5......................................................................
1 x 15 / l 6/(, i� M w/
C.
qb
40
BACKFILL WORK ORDER ISSUED ..........
SEWER WORK ORDER ISSUED _________________
l
Date
........................ DEPOSIT, $......
/-o L'IV %
3
A vle, 1101
Approved: // /
DATE ..7 �....... . �. 4
11 c; .�f/ v//iv G (•iC' VG /\ /71\.L.c. A. '• >./U�' k. ��.• i V
r PLAT Or, SURVEY FOR RALP11 D:..WI LL I AMSON
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4 Lot 21, Viealand Heights, according to the
plat thereof recorded in Volume 13 of Plats.'
on page 84S records of Snohomish County,
Washington.
3
r-
3 2
N 89e 53' 5 8" W
14 6.67'
21
ANDRUTILITIESSS,
EASEMENT
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1 15;83'—�,,,�15�,1
S 89° 53'58" E
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ENGINEERS • SURVEYORS • PLANNERS
324 Mein Street • Edmonds. Washington 98020
D99.
DATE 8-27"75
FILL' .koi
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DR' G. W. L .
F'"' 2 3, p. 53
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME NAME OF BUSINESS
TANri. JARuir.&F_o
I SO S-- r Z-6 Me , N Ca
CITY - - _ ZIP I
TE
5-9MON7s
VAME
�foA Fat M 1? (C [ T rMl 'i' � {^`�y �• f
ADDRESS -f
CITY ZIP TELEPHONE NUMBER
NAME a)/41
CITYI' b,= I �l•'r.•-- ea4n,4197 (..: I TELEPHONE N
STATE LICENSE. NUMBER j),g0j4tjC1jDer-4,: EXPIRATION DATE
VV1,
LeGal Description of Property - include all easements
Property
Tar
y�` �i
(_ o®010 C� �s 01!:,,
w itn V
elAccount.60
Parcel No.
NEW
It�oX-+e�Io
Jr `N RESIDENTIAL
PLUMBING
r�
0
L�J ADDITION
COMMERCIAL
MECHANICAL
APT. BLDG.
REMODEL
LJ SIGN
GRADING
FENCE
REPAIR
CYDS.
( x_FT)
DEMOLISH
WOODSTOVE
0
SWIM POOL
INSERT
HOT TUB/SPA
GARAGE
RETAINING WALL/
a RENEWAL
CARPORT
ROCKERY
(TYPE:>BUSSS.? ACTIVITY) EXPLAIN:
NUMBER q�
OF �! J
NUMBER OF
DWELLING
CRITICAL
AREAS
STORIES ✓
UNITS
NUMBER
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
F'nt _ N)C116. �Ira"1c'rzro2
- fr/o NFw
F� F q ,,.lot_ M1 Ai `_i_ OiL Mod 17. Ic AAm
USE
ZONE PERMNUMBER
JOB 13
e l r Ir �UIT�
ADDRESS
LEGAL DESCRIPTION CHECK SUBDIVISION NO A I In Nn ®�
Ht
PUBLIC PKIINT DP WAY PER OFFICIA} STgEET MAR.
TE§EPApprgV'OMW ❑-
gef{Tti1R�qulred O
EXISTING pEDIC __ REgUIREp ATIQN
Street Use Permit Req'd ❑
PROPOSED
Ii�SPectian Aequaed ❑
-"""'-PRVREQUIRED
METER'S121E
LINE SIZE -
O'FIXTU.E°-
YES ❑ NO ❑
0
REMARKS
w
w
ENGINEERING MEMO DATED ± REVIEWED BY
SIGN AREA SEPA REVIEW .
ALLOWED I PROPOSED COMPLETE (EXEMPT
VARIANCE OR CU
EXP L
PLANNING REVIEW BY.,
ADB NO
ORELINE a
DATE
0
Lu
O
SETBACKS —FEET HEIGHT LOT COVERAGE z
z
FRONT SIDE REAR Z
¢
REMARKS
CHECKED BY TYPE OF CONSTRUCTION CODE OCCUPANT
_ GP.O
SPECIAL INSPECTOR AREA OCCUPANT
REQUIRED YES LOAD
❑ � e
REMARKS
PROGRESS INSPECTIONS PER UBC 305
FINAL INSPECTION REQUIRED
VALUATION
't`
PLAN CHECK FEE
HEAT SOURCE: //►�
�llp
GLA77T"
e/D
BUILDING
f � r /� 1 �
�/E�j
PLUMBING
Plan Check No.
MECHANICAL
GRADINGIFILL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curCs, sidewalks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Allpfication: 180.Days
f
i
STORM Oi AINAGE FEE
Permit Limit: 1 Year - Provided Work is Started Within 180 Days'
--e-
"Applicant. on behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE
w successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
employees, and' agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance
of this permit. issuance of this permit shall not be deemed to
PLAN CHECK OEPCSIT
modify, waive or reduce any requirement of any city ordinance
° nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE
provision."
I hereby acknowledge that I have read this application; that the
ATTENTION
information given is correct; and that I am the owner, or the duly
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
state laws regulating construction; and in doing the work authoriz-
AUTHORIZES
ed thereby, no person will be employed in violation of the Labor
WORK THE
NOTED
Code of the State of Washington relating to Workmen's Compensa-
tion Insurance and RCW 18.27.
INSPECTION
SIGNATURE wNER 9 GENT I DATE SIGNED
DEPARTMENT
7� 9 �
CITY OF
f• °4
EDMONDS
CALL FOR
ATTENTION
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
HAS BEEN, MADE AND APPROVAL OR
���
UNTIL A FINAL INSPECTION
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
ann n1
FEE
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his/her
Deputy; and fees are paid, and receipt is
acknowledged in space provided.
ELE
S SIGNATURE / DA
A
ORIGINAL — File YELLOW — Inspector
PINK — O.vner GOLD — Assessor
O