1425 10TH PL N.PDFlill iiiiii
544
1425 10TH PL N
APPLICATION
lhe City of Edmonds ;:`v'4,=i=;���ti""',j fi}`� �:? for EASEMENT <• - - s >(f ;f SIDE SEWER PERMIT ASEMEN NO.
NEW CONSTRUCTION REPAIRS ❑ LID NO - ------------------ -ASMT. NO. ...............
OWNER ...... - --- ------ CON STR UGT 1 O 1`1 C5? . CONTRACTORS J�............................................................... QN
PERMIT NO . ............ ---
JOB ADDRESS .--�g.2'� — I �. PLhGE 1�lQRTk-� LEGAL DESCRIPTION: LOT NO. -__-.....-... C................. BLOCK NO.
------------•-----•--------------
NAME OF ADDITION ATTf�c1--1�c�
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}`' CITY OF EDMONDS - SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT
Call 715-2525 for side sewer inspections BEFORE covering any portion of the construction.
Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.)
ADDRESSLOCATION OF CONSTRUCTION......:.:...:----•..............:...:.........................:....:......................................_.......................................................
PROPERTYLEGAL DESCRIPTION ....................... .,:.-.:.......................... :..............................................................................................................................
......................................................................................................................................................................................................................................................
�........................................................OWNER AND/OR BUILDER.............:.:....................................................................................................................
CONTRACTOR'S NAME & ADDRESS ......................... :............................
:.:.::..,.:.- :...-::.::..:.:.....`7.'...........-.......-............ ........
I r
Permission is granted .............:........................ .................... 1 19......... for repair and/or connection of a side sewer to the city sanitary sewer
s m in accordance with City of Edmonds ordinances.
A�ENTION 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 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
sharper than % will be permitted. property line; minimum grade of 2%. No bends in grade
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.
DISAPPROVED❑ Date .................. By................ Date................. ... ...... .. BY ................ Date .................................... By ................
�- _; ••-•-••7
APPROVED ❑ Date........ 6./1 ...' ... .... ........... By............. G! ......
_.......................................................................................
Remarks: ............. _........................................................................................
NO
— BOT(Pe
I,... fr
caner of
is install in actor
Ws ee Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection --
ng Construction)
.. . hereby certify that the side sewer installation constructed under this permit
Firm Pew i_
1 all governing ordinances of the City of Edmonds. Dated this....../.................day of .... ��.a
......................................1 19.
Checl�BEFORE you dig for: Water ❑, Gas ❑, Telephone ❑, Power ❑, Sewer ❑, Other ❑ V ,/
APPLICATION
The City of Edmonds for
EASEMENT NO. A::?—>— ...............................
SIDE SEWER PERMIT
NEW CONSTRUCTION 1?1� REPAIRS E] LID NO . .................. . ASMT. NO . ...............
OWNER 6.0 ----------------------- ... CONTRACTOR .......
�j ....................... — PERMIT NO.
------- --- ....... .........
JOB ADDRE 77 /-�- u --------- /z).- LEGAL DESCRIPTION: LOT NO. .... . ...... ...................... BLOCK NO. ....................................
-------------------------------------------------------------------------------------------------------------------------------------------- z ....................
/9�7 11�7
..................... .....
NAME OF ADDITION 2
..........................................................
V5 c
P, I
Approved:
DATE............................................ By -------------------------------------------- ' h
�
�
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-- —
PARCEL R
r�,c g i n n i n q I h 1plorse w;S; 71 QIcenterl i nc of Sewrd F: von w! i
K WhAM ounty, Wshing,010.n
line of Voconj Street a ristanc, of
` �*n ��� feet; �' U''W s�ao COX �e'�
� / . , ` . . ..
hoace 3 00� distanceof 19 cut; cu N/0U''[
d ance 3,0Met; th S5102 "E, a a:cc 0.00 � to
ontinum ma.: WK. WC
thO True n� o ginnin Dcing portion vacalo cond �Jroct
and vaca B|ock�?2, Plat North o6s).
PARCEL C
Beginning at the intersection of the cenwrline of Second Street with
the- converlino of Lake Avenue in the Plat of Hu/'th Edmonds, accordiny
to the plat thereof recorded in Volume 2 ofnPlats, on Pay 75, rccorDs
of Snohomish County, Washington; thence NF) B/UO''8, along the centcc-
linc of We Avenue, a distance of 700.08 [oct to the True Point Q Be-
ginning of this description; thence continuing N51026'00''W" a distance
of 190.00 feet; thence N30034'00'/E, a distance of 88.00 feet; thence
� � 35|o 26'00"E' a distance of 190.00 feet; thence S38034'00,H. a d[stanco
� oF 88.80 feet to the True Point of Beginning. (Being n portion o[ va-
� catid Lake Avenue and vacated Block 22, Plat of North Edmonds).
---'—
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A /7 77
CITY of EDMONDS --- PUBLIC WORKS DEPARTMENT
Routing of Building Permit Applications
Proposed Property Address of Application: 444��"- 10th Place North
DEPARTMENT
WATER
COMMENTS
171',
DATE
i
S T R E E T
%/'/C�— i
SEWER
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NOTES
BUILDING
DEPARTMENT COMMENTS
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APPLICA110/�
JOB-
ADDR_ ESS
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No.
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SUBDlvisloN
NAME \OR NAME OF evslNe.ssl
-J'
LO'C AREA
C O
W MAILING ADDRESS
-ONES
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3 ic14 3i" q
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VARIANCE OR
cITY
TELEPHONE NUMBER
CONO, USE NO;
AOB NO.
7 -7 4- -- ���
NAME
PROPOSED YARDS
l7
-
WU 11V- .13
U �i�Y-ti CCD
FRONT
ALLOWABLE
HEIGHT Z
SIDE Z
REAR Z
ADDRESS
F-
SIGN AREA
PROPOSED Q
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SIGN AREA a.
(Y CITY
Q
OTHERREQUIREMENTS
'
TELEPHONE NUMBER
NAME
PLANNING DEPT, APPROV!{L
tkj
DATE
E d
0 ADDRESS
STREET R/W
EXISTING STREET R/W
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COMP,
FT, DEFICIENCY THIS PROPERTY
CITY
PLAN ST. R /W
FT
FE-
Z TELEPHONE NUMBER
REMARKS
FT,
0
U STATELICENSE NUMBER
t7
- Z
CITY LICENSE NUMBER
CHECKED W
Legal Description Property
By
of (show Below or Attach Four Copies)
Z
STREETw
AND/OR_
UTILITY
WORK REq'D
❑ ❑ YES Z
NO w
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UNDERGROUND
WIRING
ElYES
a
REO'D
❑ NO
E
TYPE CONNECTION
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VERIFIED BY
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SEPTIC SYSTEM
APPVD BY CITY ENG,
❑ YES PERMIT NUMBER E
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REMARKS
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❑ NO 3
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METER SIZE
SERVICE SIZE CLEARANCE CHECKED By
REMARKS
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NEW
Y�
RESIDENTIAL
GAS
D LINE
3
❑ NON-RESIDENTIAL
❑ SIGN
FIRE ZONE
TYPE OF CONSTRUCTION
CODE
ADD
❑
❑ DEMOLISH � RETAINING
WALL
❑
SPECIAL CIA
L INSPECTOR
REQUIRED
AREA
OCCUPANCY OCCUPANT
GROUP LOAD
ALTER ❑ EXCAVATE FENCE
OR FILL (
❑ YES ❑ NO
X FT)
PLAN CHECKED BY
S
THIS SITE IS LOCATED IN THE CITY w
REPAIR ❑ PRE -MOVE swim
OF EDMONDS. LOCAL SALES TAX 0
INSP, POOL
SHOULD BE CODED 31,04.
NUMBER OF STORIES
NUMBER OF
REMARKS
Z
DWELLING
UNITS
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.
7
NATURE WORK TO BE DONE
/OF
Z
VALUATION
-FEE
PROPOSED USE
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PL'AN CHECK
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PLOT PLAN
NO,
INDICATE BUILDING SETBACKS,
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ABUTTING STREETS)
BUILDING
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PLUMBING
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HEAT & GAS LINE
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FENCE
SIGN
RETAINING WALL
SWIMMING POOL
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CITY OF EDMONDS t Permit No.
COMMUNITY SERVICES DEPARTMENT TRH FILE Issue Date /'z
RIGHT-OF-WAY CONSTRUCTION PERMIT q
A. • Owner: Washington Natural Cas Co B. • Contractor: Same
8e 156 AV NE Name
Mai 1�1g Address
BeLevue, 4gLA- 98on7
City State Zip
Mailing Address
City State Zip
447-0700
State License Number Telephone Number
• Address or Vicinity of Construction; . 14 �J y -� 14 2 5 & 1439 10 p L N
Type of Work to be Done: Installa tion of new eras services /lq
Work in Connection With:
Pavement Cut: ❑ Y ❑ N
APPLICANT TO READ AND SIGN
❑ Sub or Plat ❑ Single Family ❑ City Projects
❑ Commercial ❑ Multifamily x4�a Utility
Q 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, forseen or unforseen, that may
Abe 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.
a THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE
2--:YEAR:FOL- LO.WING_THE :FINAL-INSPECTION-AND:=ACCEPTAN.CE_OF.THE -WORK.-- _ -,-_—:-----:--- ::---- - -
0
U Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed
W by City forces, at which time a debit or credit will -be processed for issuance to the applicant.
• A 24 hour notice is required for inspection; Please call Public Works: 771-3202
• Work is to be inspected during progress and at completion.
• Restoration to be in accordance with City Code.
• Street to be kept clean at all times.
• Traffic Control to be in accordance with City regulations.
• All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
no exceptions.
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I understand the above and that this permit must be available at the job site for inspection purposes at all times.
Signature. Date: 12 / 5 / P P
Owner or Contractor
This Permit Must Be Posted at the Job Site For Inspection Purposes
Call DIAL -DIG Prior To Beginning Work
ISSUED BY: t /� l • ;'`' .l c.✓ �' '
Time Authorized: Void after L -! �-' days.
Special Conditions:
Amendments:
PERMIT FEE: 4
Security Deposit:
Receipt No.:
Fund III Fee:
Street Cut Dimensions:
X =
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
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EXCELSIC
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CITY of EDMONDS
Civic Center • Edmonds, Washington 98020 • Telephone (206) 775-2525
Building Department
January 13, 1977
W. B. Construction Company
19431 - 44th Avenue West
Lynnwood, Washington 98036
Dear Sir: Re: Permit #760559,
After a site inspection by the City we find it necessary to
change the address assigned to the above mentioned permit.
Please change your records -to show that the correct address
will be 1425-10th Place North. We will notify our Utility
Billing Department and it is your responsibility to inform
other interested parties.
Thank you for your cooperation in this matter.
Very truly yours,
EDMONDS BUILDING D PIPTMEPT
Jug/
Harry . Whitcutt
Building, Official
HMW/ae
cc-: utility billing
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CITY OF EDMONDS FILE
RIOGHTUOF WAY CONSTRUCTION ERWREET
A. • Owner: iashin�itcn '-Tatural ra-, B. • Contractor:
Name
Mailing Address
T17A ')2nn7
City State Zip
Permit No. %
Issue Date f Tr,�!
C arr Ei
Name
Mailing Address
City State Zip
State License Number Telephone Number
• Address or Vicinity of Construction: 7 425 - 19 rI, -f
Type of Work to be Done: ''�> �..i:�sio>� i.s rec t��stn�'. to install a 2" an I- I./4
astir.rtss_ zi.n in 10 TIT,1� ;� ? `r ��/L from+;4- 19, "�? C/L tb f;=- 3 r5 `S C,
nt l;t rwli' . �.;� P.�,.v. (Gc'?_7.r,6 lc-r)1K,
Work in Connection kit : ❑ Sub or Plat n Single Family ❑ City Projects
❑ Commercial ❑ Multifamily ® Utility
Pavement Cut: ❑ Y ❑ N
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, forseen or unforseen, 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.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE
YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK.
Funds held from the Security Deposit (estimated restoration fee) 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.
• A 24 hour notice is required for inspection; Please call Public Works: 771-3202
• Work is to be inspected during progress and at completion.
• Restoration to be in accordance with City Code.
• Street to be kept clean at all times.
• Traffic Control to be in accordance with City regulations.
• All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
no exceptions.
I understand the above and that this permit must be available at the job site for inspection purposes at all times.
t
Signature: Date: 1 ' - -
Owner or Contrac or
This Permit Must Be Posted at the Job Site For Inspection Purposes
Call DIAL -DIG Prior To Beginning Work
ISSUED BY:
Time Authorized: Void after A : days.
Special Conditions:
PERMIT FEE:'
Security Deposit:
Receipt No.:
Fund III Fee:
Amendments: Street Cut Dimensions:
X =
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. July 1985
FIELD INSPECTION NOTES
C.
(Fund II I - Route copy to Street Dept.)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO
Partial Work Inspection by P. W.:
Work Disapproved By:
FINAL APPROVAL BY:
Date:
Date:
Eng. Div. July 1985
V/40PE IP MAIN 35
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END MAIN 3'PASTSEEVKE--
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NOTES
I. NOTIFY ONE CALL TWO DAYS PRIOR TO DIGGING AT
1.800-424-5555.
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