16217 N MEADOWDALE RD.PDF11111111111111
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16217 N MEADOWDALE RD
COMPRINT, inc. (206) 475-1002 Tacoma
CITY OF EDMONDS ASSET INFORMATION SHEET
STREET FILE
L� NEW ASSET NO. GD 4le?
i
❑ ADDITION ADDITION TO ASSET NO.
❑ RETIREMENT
DESCRIPTION l
SERIAL NO.
LOCATION
DEPT. NO. S
* * PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
* PROJECT NUMBER Uv 95�� t 19
PROJECT COMPLETION DATE
COST
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE
INITIATED BY DATE APPROVED BY
**SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTR
REFERENCE DATE
0� p
VERIFIED BY
PROCESSED
BATCH NO.
b P INITIAL
DEPARTMENT FILE
0
DETENTION�WORKSHEET
CATCH
DETENTION PIPE LENGTH CONTROL CATCH
VENT) 1AS1N I� MIN, 2' MAXMA% COVER —1
i "11% SLOPE-6-
SYSTEM CROSS SECTION
OLJTLGT
CO NT;to c
TO OUTLET
(R! P RAP OR
RUNOFF
SPREADER
2' : 2' s (o"DER7, At-(o" SPALLs 6krouwL.)
p 2'■ 2' .c 3" DEEP, 3('_ CRUSHED RDCV,
r
FROM
OUTLET
CONTROL
RIPRAP OUTLET
WASHED GRAVEL OUTFLOW TRENCH, MIN 10' LONG,
1 (TOP 4 A- PEfiF PIPE TO BE LEVEL
FROM
OUTLET
CONTROL
4" PERF P%PE WITH CAPS
RUNOFF SPREADER OUTLET
sILEd€UIN€&�oN
DETENTION 'SYSTEM
for S/r— 1 4+0
location_ Z 7 IV A&W+TR1,9
plan by
phone
date
DESIGN DATA
System Imperm Pipe Pipe Orifice
Number Area Diam Length Diameter
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the responsibility
of the property owner(s). Material
accumulated in the storage pipe must
be flushed out and removed from catch
basins to allow proper operation. The
outlet control orifice must be kept
open at all times.
✓ �L9. sJ19 1IB9
v.t� Lj
1-WIT COUNTBI
FOOTING DRAINS SHALL NOT BE
Page 9 of 9 CONNECTED TO THE DRAINAGE SYSTEM
CITY OF EDMONDS
Z
_ __ _ yr •7 ill tt rr tj��p �vl i�, " , '
CITY of EDMONDS- r SIDE SEWER PE,-i.MST
For Inspection Call 771-3202 PERMIT NO. 0 0 0 0�
.EET FILE
Address of Construction: /69 / i ems. MP461010�a to (�c�
Property Legal Description (Include all easements):
Owner and/or Builder:
Contractor & License No: �(-� l-I [_ +—I f i4(2 LDcs�
Single Family Residence
Multi -Family (No. of Units )
Commercial (No. of fixture Units )
Invasion into City Right -of -Way: No Y Yes (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No /` Yes (If Yes, easement required,
attach legal description and county easement number.)
PLEASE EAD THE ITEMS LIST 9`ON � HE BACK
RECEIVED
NOV G 1989 // _3_E
c ify that I have read and shall comply Date
wi the items listed on the back. PUBLIC WORKS
Permit Fee: 30,06 Issued By: "T.
Trunk Charge:Date Issued:
Assessment Fee: Receipt No.:
Partial Inspection:
Comments Date Initial
Final Inspection Approved:
D a Tnitial
Rejected:
Reason Date Initial
** PERMIT MUST BE POSTED ON JOB SITE **
Wh.ite Copy - File Green Copy - Inspector
Buff Copy - Applicant
Side Sewer Drawing
The City of Edmonds EASEMENT NO.
--------------------------------------------
t
NEW CONSTRUCTION [J� REPAIRS ❑ LID NO ................... .ASMT. NO...................
� I ,� Q (y
OWNER -•--•--------- CONTRACTOR-------------�---- ��V l�\ a----S------- .................... PERMIT NO.
r r �--......
JOB ADDRESS __1_�Q_. _ �.__l-..___�0, ____-1 "q �� _� -- -.___- LEGAL DESCRIPTION: LOT NO_ ______________________________________ BLOCK NO. ____._.._.__._.____________.____.._.
t
NAMEOF ADDITION -----------------------------------------------------------------------------------------------------------------------
IL y W60D LINE
D �-
i
Approved:
PWW-0001-11/75 (REV.11/78) LU . tlSAl) ,DVa '4Ai, ZU . DATE - -�•r A -------------- By6.,e .....................................