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15808 68TH AVE W.PDFiiiiiiiiiiii5248 15808 68TH AVE W BUILDING DEPARTMENT AppllcaotFlll °� PERMIT APPUCKTION In+ida fIeaay Lines 7 NAftE lOR NAM& OF BUHINEMI D o -/ L. A1A ii: 0 Y 603 d Lt�r clrl TELEPHONE xvaab aD /KO A/Qr 79r:3i� NAME J - V NUMBER 74G640 wcDltFse d (AA(TYLIUAL (, YEHMISSIBI.E ^ LOT COVERAGE LOT cov.4IAG: PEW. ISSIHLE HEIGHT .� PROPOSED HEIGHT. ACTUAL w AREA TOTAL DL .AREA - RI:VUIHED YARDS OtlBU YAKUB FRON'^ NINE REAR FRONT tlIULE REAR � I , CJ LEOA 1. L, r A• 'AN Oil CS.M ONAL 'SE ru n P4_RMIT NUMBER t3 < - PLARRMING-F)EPT. A; AL CITY 1� i CNI: NUMR%R hTRKET R/11' . ...O EXISTIN0 STREET R/W ....FRO T. DEFICIENCY T is IPF.RTT >. / COMP. PLAN ST. n/W . ........Fr. Fr. 0A w(I NA.Us r gA ML RF-1� 1 Driveway slopes not to exceed those indicated on Standard Dwg. No. 110 V cxED RY I I c -E r11oIrE NiIFIBER METER BILE I BEItvll% 1114E CLEARHE CLEARANCE CEU Y ...3/ j. r/ I I I y �� 1 ILEl1wRKd i 31.111acodap W1Q1AG Sauter �F VI I VYYYOIy+ i Y B'fA li CENag NUM86R j cITY cENBE Nu:tBri E 2..7-3 470 11 xr+ilfT <_ least Dercntrwn of 1'nlDeril tWicw tlemw or nttacb Foot COPLIxI _ ! t� or -A . 1ei.S TYPE CONNECTIUY 501, c Afir _ I VEIU' BY I QT3z M Lnc 6T�/+a-AT s�,u(s;. T PERC. TEOT I r ERMIT N ,11B - i rOUCIL 4 zo' ('y. I'1KT 6Q�r,�ct s ouc2 Ale. zC.Nr c REMARKS /�/i P_/ /.f/G /cam4,�Oc� ll�i3 FIRE ZONE :'YPE OF CONBTAUCT:ON tM EET 5wituv EU 17� NO RESIDE�LTIAL CAS C YES IS:E `-� v HEc THIS SITE IS LOCATED IN THE CITY fLY ❑ NOS•RESIDEDRTAL B;UN �ij'.f bD/ SHOULD BE CODED F EDMONDS. LOCAL SALES TAX jF'j ADU ❑ DEMOLISH ❑ RALL N-ING tA1tK9 ALTER EXCAVATE (.E`C:__._...FL) /��I/�vG✓//�'•' �L L�/'�(/ / ❑ OR FILL REPAIR (—i PRE•MOt•E POOL LJ PFLE- FOOL XXII&H OY STORIES .UMBER OP — - DtvEI.L1\'G L l PROPOSED USE ml PLOT 1• ♦N lldlrat. Hu2:d!09 set harkr, abkl.tlna streets) I■ Pt- Check N.. .__....._. BUILDING — PLUMBING 1 fR.TAI.I.G'WAIL Ld 1IEAT h GAS LINE FENCE SIC. SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OIL FILL Vatontlun I Fre 7 on t f<rcbl aCk""Iadae that I lava reed thlr "Dileateon; that the in 'ormat10. riven u fortert: aM that I am the -.1r, ur the doll autbor- TOTAL AMOUNT DUE �( S /�.+� -� red rrrat of ibe irwner. I earee to -.TIjl with MY sad .W.1.11 rase• n•[TE\•TIo� APPLICATION APPROVAL aM I. dotes the v.orlt ..lb.M.d Lberabr, no tenon latl.a raytrn,d I., Nil: to enDloled t. Vlotatl= or Ne Laror CA. of the State of W.ahl.aw. TINS PERMIT Th:s application is not a permit un!li .1"in[ to WWIL...'r Co P,—tlm Inruranee. AL-11IORIMS eign_d by the Building Official or his Dep- ear (FseeDt DEMOLITIONS aheh 40TE: Permit limit One Year ONLY THE 'ACRK NOTED Uty; and fees are paid, and receipt is ac. 111.11 he compete m clvtl day.: ROVED -IN RUILUING1 rMll be W.- kr3 •v1eCped/lgspace provided. .:" d In Ile Litt.) ' . A '.ON- fCF- tV. V Tl A e ONE v/f INSPECTION , B wTUHE DF_FARTMENr CITY OF .�.:.,! NOTE: AQplirnnl B�jrct to Plan Clirck Firef7 EDJLONG3 T7S•2:�25 DATE -- edr it I—- .err la he don... Print. Vroprrtl VNLl'. T. P A.l ran.lrartluo en] lM pahlle domain Itorh., .Idrw.lk., drlrmral., � u:arn .•r., r(e,l will rp.lre .rin.ralr permhtlan. �� �•�.t 'v -z CG r'y p F'. 12M 0,0c/Q� y l i 7,r /S6 .PERMIT Permit Number. //// / Issue Date: `�`— 4? (.19' A. Address or Vicinity of Construction: 5808 68 Ay W (9608769) 18 9 p 1 9 B. Type of Work (be specific): Tion tsl 1 Service C. Contractor: Washington Natural Gas Mailing Address: 1122 75 St. SW Ryerett State License #: 98203 D. Building Permit Al (if applicable): Contact: Mariamne Kingsbury Phone: 356-7500 X7596 Liability Insurance: Bond: $ Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project 1W Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut: ❑ Yes ®No G. Size of Cut: x H. Charge $ APPLICANT TO READ Al DESIGN `� J - . `-'K INDEMNITY: Applicant understands and by his signature to this application, agrees to holdliagity o%Edmonds harmlea� from in esrdamagea, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmon"-9'r any)of its tments or employees, including or not limited to the defense of any legal proceedings including defense 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. 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, 771-0220. 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 statements and understand the permit requirements and the pink copy of the permit will be available on si at all tl: es for inspection purposes. Signature: Date: �.=5-06 1(.eontractor r Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: TIME AUTHORIZED: VOID AFTER 1-1 1--1— DAYS SPECIAL CONDITIONS: COMMENTS: RIGHT OF WAY DEPOSIT DISRUPTION FEE/FUND 111: RESTORATION FEE: PERMIT FEE: TOTAL FEE: - 3 �% © U RECEIPT FEE: DATE: ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. 1994 FIELD INSPECTION NOTES Comments I Diagram; CONTRACTOR CALLED FOR INSPECTION Partial Work.Inspection by P.W.: Work Disapproved By: FINAL APPROVAL BY: (Fund 111 - Route copy to Street Dept.) ❑ YES Date: Date: ❑ NO �M "V*#'''w°"E"!"91'GOrtp°" Addendum to: City of Edmonds Right of Way Permit Application. by. Ilariamae Biagsbury Engineering Aide Washington Natural Gas #356-7500 '.87596 Wa termain depth tJ /A 2i " gas main w Ann �i CIO AVVb#*Vtn Erwrgy Canny Addendum to City of Edmonds Bight of Way Permit Application s+11.i **M by: Naria■ne Kingsbury Engineering Aide Washington Natural Gas 1356-7500 '.X7596 Key: Maternain depth ►-J/A -V- water -G - Gas -SS- Sever gab main �& . Water hydrant p Pater valve Washington Natural Gas Company 1122 75th Strw S.W.; Everett. Washington 98203, (206) 355-3331 w Av�b4i�pbn E�+eigvGarpe+r N Watermain depth ►-�/A gas wain Addend" to: City of Edmonds Right of Way Permit Application -CiA i **ea by: Marianne Biagshnry Engineering Aide Washington Natural Gas 1356-7500 '.%7596 Key: Job Val N o q-L.A -T S -y- Water -G - Gas SS - Seger �. Water. hydrant p Water valve Washington Natural Gas Company 1122 75th Street S.W.; Everett. Washington 98203. (206) 355 3331 C-1 Y OF EDMONDS DVBLIC WORKS DEPARTMENT FOR INSFECTION CALL Permit H3. _ 0� �:,leSIDE �, f7u7�5t- 2.5N2h5tXExt. 2.00 SEWER PERMIT , �� Issue Date �r 1 * PERMIT MUST BE POSTED ON JO Y. NWO.OD LINE FI� 1 1. _ H a Address of Construction ._ 511-13:' rt i�, ; a 11 o , -. 1 2. Property Legal Description (include all' easements) 1 1 1 3. Single Family Residence Multi -Family No. of Units 1 Commercial 4. Owner and/or Builder )on 1 5. Contractor & License No. 1 6. Invasion into City Right -of -Way: No :e Yes (If Yes Right-of- 1 way Construction Permit Required - Call Dial Dig (R2Aj5f d44 before i � excavation). 1-300-424-5555 0 7. Cross other private property: Yes No',,' Easement required - u attach legal description and county easement number. H a READ THE FOLLLOWT,NG AND SIGN: a a. Property owners must obtain a permit to install side sewers on their property. A licensed side sewer contractor must be employed to construct side sewers in the public right-of-way. w b. The side sewer contractor assumes full reponsibility for each F' installation for one year. aC. Commercial establishment requires a minimum of a six inch (6") Zl side sewer line. o d. Side sewers may not be installed closer than thirty inches (30") to any structure. M e. Side sewer lines must be laid at a minimum grade. of 2% (1.150) O and maximum grade of 100% (450). o [i f. No turn in side sewer greater than 45 (1/8.bend) is0allowed between cleanout. All 90 turns must be constructed of a 45 (1/8 bend) and wye with removable cap. g. No down spouts, footing drains or floor drains can be connected to side sewer system. h. Pea gravel is required for bedding when installing sewer lines through other than granular soil. i. Cleanouts are required at 30"-60" from each plumbing exit line and at minimum intervals of 100' along sewer line run. j. Trenches within City right-of-way must be restored to original conditions. Contractors shall be responsible for right-of-way failure due to poor compaction of fill. k.. Side sewer must be left uncovered until inspected and approved by the City. 1. Inspection during normal working hours only. Two (2) working days notice required. DATE: ' / i / 8 4 I certify that I'have`read and shall comply with the above PERMIT FEE: O CONNECTION FEE: O * PERMIT MI DISAPPROVED By: Date: B Date: APPROVED By: Date: 103P. R%u. "D T BE POSTED ON JOB SITE * /l 14 The City of Edmonds Side Sewer Drawing EASEMENT NO - -------------------------------------------- NEW CONSTRUCTION El REPAIRS F-1 LID NO_ ------------------ ASMT. NO. 3 OWNER ...... D-0-11 ------ V-: ----- CONTRACTOR --------- 0-W-1-k-tV --------------------•------------------------------- PERMIT NO. 40-S.P! JOB ADDRESS ...... ------ (a ----- Rve ------ vj---------- LEGAL DESCRIPTION: LOT NO- -------------------------------------- BLOCK NO.------------------------------------ -------------- ---------------------------------- ---------------------------------------------------------------- - - ------- LYNNWOOD LINE. NAME OF ADDITION ..... -------------------------------------------------- .............. [)/w 4r--- 17 # 27, NOTICE NO WARM'47, 0; V,,.!JRACV Thy in4r sh n-wT, on the aftachad map was cc anc. consuftants. Th(" C,. anylaing set forth or: ti sh-rL.'zi conduct an Ind V"Map, Including, L G° E-, s, t,.- loGailort shown, Ed, ofiK"r; .> &I';"ll be Gable ki L. provider nwo Approved: ---- 49 ..... 4164Z - ------------ PWW-0001-1 1/75 (REV.ni/78) DATE ... q!�17. j-4 By .... ------------ PARCEL A: Tne 1Jorth half or the ^ rc l l Owi n That � Uescri bed tract: �' ��(li(.) I Plat Portion of Tract ;; thereof recorded Pla` of Meadowdale �.udifor of the in ��olume 5 of Beach, according to th as fo)I0%%,s: County of Snohomish, Plats, Page e State of Washington, to of the gton, described 4e�inning on the East of North line of said Tract 37 the Northv.,es t corner a distance l3.5 feet West of thereof; thence of 233,5 -'03. 5 feet; thence I,Ies te. 1 93Northeast East 193, 5 f feet Point of beginning, eet�rner of said Tract 37,eet to a point E*YCEPT thence North 208.5 to South the :des t 70 feet there feet to the true PARCEL B, of,. An undivided one-half interest in the following described tract: 'he ;ti'Orth 20 feet - Tract cf the North 2;`)8, 5 f corded J7' P1a t o f I -lea Jot,,�a le feet of the East in Volume 5 of Plats, beach, according to the 213.5 feet of County of Snohomish, State page 33 of Plat thereof re - County the Auditor of of idashington. the