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17120 SEA LAWN DR.PDF11111111111111 12977 17120 SEA LAWN DR a 0. TAX ACCOUNT/PARCEL NUMBER: co 6-We� 00 BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: CRITICAL AREAS: DETERMINATION: 0 Conditional Waiver E] Study Required E] Waiver' DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DA PARKING AGREEMENTS DA: EASEMENT(S) RECORDED FOR. PERMITS �,J� PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: - SHORT PLAT FILE: SIDE SEWER . AS BUILT DATED: r7// ? SIDE SEWER PERMIT(S) SOILS REPORT DATED: - STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED: OTHER: LID LOT: BLOCK -- LATEmp\Ds-rs\Foffns\sftvet File Checklist.doc L � APPLICALOP& WORK PERM11C,�- -91 pit p cation No . ............... CITY OF EDMONDS Building Department.- Permit Lin -Lit, One Year APPLICATION is hereby made for a pet".nit to construct the following work, in accordance with the aecompany ing plan S.. and specifications: WORK — New/Addn . ..... .................... . ............ Ground Area .......... ..... .... ............. No. storim ... ....... .................. PlansSubmitted ............................................. . ... ........ Type .................. .................... HeightL ......... ....... ��e Zone....'.'.. . ....... . .. — Addreis ........... .. .... Use Zone.. LOCATION . .................................... .. ............ ........... .... Recorded Lot ........ Block. ... . .............. Add'n,2�.. Seweragp . . ................................. ....... . . ...................... .. . . ................... Lot Area .. WidtlL ........................... Min. Bldg. Setbacks, Front and .......... es ....... . . . . 7/ Addres&... Owner ....... . ---- - - ------- --- ------------------ . ............. . ............... Phone...... . ... . ... . ....... Plansby ......... ---------- ------------------------------ Addres& ........ - -------- -------- ------ ------- --------- ------ ------ - - Phone................... . ....... Bldg. by...__- ..................................... ............................... I ...... Address .. . .. . .......................... . ...... . .... . Plbg. by ....... ......... Heatingby ----------- - ----- - -- ---------------------------- --- - .. . ....... Address ....... ......................... Phone.............. .... . ....... .......... Addres& .. . ....................................... Phan,-;% .................. Elect. by ................... ........ ....................................................... Address ....... .................................. .......... . ........... . ... Phone. ..... ze� ........................................ 'S --7r- 7.,— . ................. ............ ... ............... ... ... ......... .. .. .... . .......... ... . .............................. ................... ...... . .. . ....................... .............. ... ......... ....... ................ . .. .... . . ... . .. . ......... . ... . .. . .. . ...... . ...................... . .................. . ................. .. --- - -- ------------ ------------ . ........ . .. . .......... . . ... . .. . .. ................. . ....... - - ----- ------ The above is a correct statement and I agree to comply with all applicab�,;, Codes and State Laws regulating the wo . ix .......... Address ... IIJ ...... .. Date signed: Owner/Agent....-4- �_ ....... I ... . .. . ..................... ........................ . .. PERMIT for the above work is hereby approved, subject to the above �=ditions, and to Compliance with the approved plaw and specifications and Building Department notations thereon. VALUATION PERAM FZES ..... .... APPROVLD* . ......... ..................... Date ............... ... 11.1 4T Bldg. (J::2,L�L Plbg. ... ..... 9 Heat.... $ --------- - 3 . .. . .. . .............. Elect. $ .......... 6q . ................. BUILDING DEPARTMENT Others ... ......................... TOTAL FEE $ X.9 .. . . ................ By.. 4 ......... N,Of.rES: No work requiring Building Department or City Engineer's inspection shall be covered before inspection and approval. Twenty-four (24) hour notice requested. Contact the City Engineer prior to construction of all site utilities, such as Curbs, paving, driveways, sewer, water and street connections. T, The C ity of Edmonds 07NNER - ....... ADDRESS, ui =-i LL CD APPLICATION for SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS E] ................................. ................ ---- - ---- .... ....... EASEMENT No . .............. ......................... CONTRACTOR ....... .............................. ......................... PERMIT No.,�, 7 LEGAL DESCRIPTION: LOT No . ......... BLX)�CK No . ............... .............................. ................................ NAME OF ADDITION ..... --- ....... .1 .. ... d -- - ----------------- Approved: DATE.7 ....... �q.14 ...... By .... APPROVED JUL 10 1970 6-;-z- CITY OF EDMONDS Call PR*spect 0-1107 when work CIVIC CENTER — WATER -SEWER DEPARTMENT Is ready for Inspection. (No Inspec- tions Saturday, Sundav or holidays.) N2 3780 SIDE SEWER PERMIT ADDRI - NSS ....... ; ....... 1.7.120 .... S.e a ... Lan ... D.r.iye ................ ............................ ; ...................................................................................... .. . .. .... -- ----- ....... .. .. .. .... .. OWNER .......... UZY_A!� ... K�.lk.ie ................... ........................... CONTRACTOR .......... QW.DJP,.r ............................................. .... .... ............ Permission is granted . ... J.UIY ... iQ ........................ 19 ... 79, for ............ w .......... days to REPAIR or CONNECT a side sewer with City Sewers in accordance with application on file and governing ordinances. ATTENTION 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. NO 2—Obtain full information regaxding Ordinance 11.16.030 and Regulations governing side seivers when you get permit. NOT-4o. 3—Top of side sewer must have at leazt 30 inches coverage at property line and 12 inches Inside property line; minimum grade of 2%. No bends in grade sharper than 1/s will be permitted. NOTE No. 4—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. 5—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 appur- tenances except to Insert the pipe into the wye. APPLICATION for The City of Edmonds SIDDE SEWER PERMT OUTSIDE E] INSIDE E] REPAIRS CART) No . ......... EASEMENT No - -------------------------------------- OWNER------ 7 ..................................................................................................... ........ CONTRACTOR .............. ............................................................... PERMIT No . ......................... HOUSE No - ------- ZZ c) ............. _s- 4x STREET ............ AVENUE LOT No . ...................................................................... BLOCK No . ............................................... NAMEADD . ........................................................... ............ ................................................................................ too; 0 0 E Date Approved: --7 /V BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ ............................................. -',SEWER.W,ORK..Q.RD"ER ISSUED ....................................... DATE ------------------------------------------------ By ...................................................................