17012 68TH AVE W.PDF17012 68TH AVE W
ADDRESS:
TAX ACCOUNT/PARCEL #: (xJlp/�ZLoa0000(pOQ
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
CRITICAL AREAS #: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE:
LOT:
BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE/ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
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S 85D 1 g' 39 E DEDICATED TO THE
185.08' CITY OF
SCOPE OF WORK: EDMONDS
REMODEL : COMBINE TWO EXISTING BEDROOMS ------- .
INTO ONE MASTER SUITE
HOUSE FOOTPRINT REMAINS THE SAME
F HOUSE ROOF HEIGHT REMAINS THE SAME
IOWNER NAME:
JIM AND PATTY MCKEON
IMAILING
ADDRESS:
17012 68TH AVE. W
EDMONDS, WA. 98026
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SITE ADDRESS:
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17012 68TH AVE. W
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EDMONDS, WA. 98026 REMODELED
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PARCEL ID NUMBER:
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00 6426 000 006 00
OLD PARCEL ID NUMBER:
6426 000 006 00 07
EXISTING BUILDING SETBACK
EXISTING
SINGLE FAMILY
RESIDENCE
I LEGAL DESCRIPTION:
SHADOW WOOD NO.5 BLK 000 D-00
Y1 LOT 6 SUBJ TO ESE PUD & GEN TEL
LOT: 6
ZONING: RS-20 EXISTING BUILDING SETBACK
LOT SIZE: 23,087 SO FT
PUBLIC SEWER
MAX. LOT COVERAGE: N 8 3°
REMAINS THE SAME AS EXISTING
�. RECF_IVF-D S1TE PLAIV
+4 JUN. 0 5 2008
DEVELCITM VICES CTR.
OF EDMONDS
DRIVEWAY
200.0
15.0' 1
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REMODELED FINISHED AREA: 458 SO. FT.
NO ADDITIONAL SO. FT.
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CONTACT: DON LARKIN
ARCHITECT
(425) 466-4097
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a� 5-16-08
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- _APPLICATION..-".
T City of Edmonds - for :.
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S E� 'PERMIT
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CONTRACTOR-_.-g_#' :M_ Cp�R,S_ __ _. PERMIT NO.---------------------
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JOB, .ADDRESS lr?�l2 �8 L�VCNLIE WEST LEGAL DESCRIPTION: LOT NO- ------------------------------------- BLOCK NO. .----------.....-----.-------..
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NAME OF ADDITION --_
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Approved:
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DATE ..... --• --• - - -•.
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OF EDMONDS - SIDE SEWER PERMIT r�
CITY
WATER -SEWER DEPARTMENT
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PERMIT23t ,t
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/Call 77b-2625 for aide sewer inspections RF.FORE covering any Portion of the construction.1
>n. \Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections./ -
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ADDRESS LOCATION OF CONSTRUCTION-___••-•--1A2..NeS�.......................•-...•._...__._..._.-.._..0.
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Jood D�rr�s�oxl #5
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Sid...._..._. .
PROPERTY LEGAL
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DESCRIPTI
OWNER AND/OR BUILDER-- �.
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CONTRACTOR'S NAME & ADDRESS ---...7.
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�p and/or connection of a side sewer to the cit sanitary sewer, . x
l�t`rR�Y i9--------_, 19.75-- for repair
Permission is granted
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s.-<t�n in accordance with City Of Edmonds ordinances. "� s
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i' ATTENTION IS CALLED TO THE FOLLOWING: m ' >
o not cover any portion of sewer before it has been inapecotbd�ble from the City Engineer's office.„ S�'r i A• r.
NOTE No. 1—The owners of the propertyllmay obtain s Permit to construct sewer inside propert�ytine. A licensed Side Sewer Contractor must be employed to construct
side sewer in street areRight-Of-Way
s NOTE No. 2—All work performed in city right-of-way requires an Invasion of Pe No bends in grade - •`
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NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.- A•
NOTE No. 4—Top of side seweWim be permittedat .st have
30 inches coverage at -property line and 12 inches inside property line; minimum grade of 2%. '
to
le for
sharper than '%lur
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NOTE No. 5—Trenches in street must be water settled and surface of street restored to original conditio an Contractorsffiwork he maishall n sewer orits appurtenanceseexcept Po Pnr
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work which may develop within one year of completion.
other work than is providedL is unlawful to alter or for in the permit, or to do Y
NOTE No. �eert the Pipe into the wye. do any f
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By..._.._.__.
Date --------------- ................ By....._...._.._._
G y....... Date.._.._.__.._
DISAPPROVED ❑ Date-.__ ...... ........... - ................
G�► . ........ By.. y
Date.. •- < ......
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APPROVED "
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— BOTH Permit Copies MUST Be Signed By owner of Firm Performing Construction PRIOR To Request For Inspection —
hereby certify that the side sewer installation constructed under this permit y:
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T
�erf Contracting Firm Perfcrm Construction) _
wa installed in accordance with all •governing ordinances of the City of Edmonds. 19
Dated this.. ....................... ay of d....................... .
t Check BEFORE you dig for: Water ❑, Gas ❑, Telephone ❑,
Power ❑, Sewer ❑, Other ❑ J J
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W)"CE NO WARRAP-l" 0,-7 AGI-JRArY Th,,
M2P VIPP cvfn*; by h)o Cj",'CLj
an Th,� clod, of Edmonds- do ilWfr�iiL
fo!tj" 0j tj"'L 111,1P
An,, a copy
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th, injitco-tu th,-,Io-c-. Cl L
shL IS
fiil�ll', o rrJ4� i1c. m�f amd
sw�. may cr u-j J�
th ID-311 ' %I! kl'dL. theL Citv of Edmond:nc, its c.�,
L fC; thtL intuii-natiort give• o,ii thiq map, nc for zwv or,
rep seiiialioij providCL lka,,,ud UpU,i said map
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