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17121 SEA LAWN
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TAX ACCOUNT/PARCEL NUMBER: 600 6-766--ex)
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMIT'S (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DA
DETERMINATION: C] Conditional Waiver 0 Study Required E] Waiver
SEWER LID FEE LID #:
SHORT PLAT FILE: LOT:
SIDE SEWER AS BUILT DA
SIDE SEWER PERMIT(S)
SOILS REPORT DA
STREET USE / ENCROACHMENT PERMIT
WATER WTER TAP CARD DATED:
OTHER:
BLOCK --
N
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11111 t I , 11111
POSTED ON KROLL MAP NO.: BUILDING
PERMIT
BUILDING DEPARTMENT Sppu,,,tnn /,4"'42 Ah xUMBR 660007
NWde Heavy Lines JOB ADDRESS
PERMIT APPLICATION
NAME (OR NAME OF BUSINESS) / ; 71..;-) Z
SIDE YARD SETBACK I STREET SETBACK REAR YARD SET3ACK
e1Z c e- CoA�,STRiAc-r;bro C�0, Z'11�c,
MAILING ADDRESS /&7 .57 -v—
X U4k7Z9NE LO.
6 1/ 2- 1:7 g, Cv,
CITY TELEPHONE NUMBER
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CITY IELE ONE NUMBER
NA2LE
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;4 ADDRESS
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C'
:4 CITY TELEPHONE NUMBER
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STATE LICENSE NUMBETR C111k LICENSE Nuwj�skjlt
Legal Description of Property (Show Below or Attach Four Copies)
(.7 w iv - 7-etztrl
y 4L .1d
rO C J/7-7 .1 fO d 3. (C.)
BE
SIGN
NUMBER OF STORH
Q NEW . El SH
ADD DEMOLI I -MINCE 4rMa_
0 NUMBER OF
F-1 ALTER I RESIDENTIAL DWELLING
11 REPAIR NO] UNITS
PROPOSED -USE
0 ro
I hereby acknowledge tbffit I have read this application; that the In-
formation glven Is correct; and that I am the owner, or the duly author-
Ized agent of the owner. I agree to comply with city and state laws regu-
jamag constructlon; and in doing the work authorized thereby, no person
will be employed in violation of the Labor Code of the State of Washington
relaUng to Workmen's Compensat!on Insurance.
.,m pt Dem.11ti.m, which ,h,,ll
NOTE: Permit Limit One Year bEe cempleted In ninety days.)
SIGNATUR27OWNER OR AGENT) 'N 81GNED
11A I
NOTE: Applicant Subject to Plan Check Fee
This permit covetv work to be done on private property ONTLY.
Any construction on the public dornaln (curbs, sidewalks, driveivayn,
nuLNuees, etc.) will require separate permimslon.
SIZE
TYPE
0 YES 0 NO
BUILDING
I
VALUATION
BUILDING PERMIT
2
5 T, F,
PLUMBING
3
PERMIT FEE
HEAT & GAS LINE
4
PERMIT FEE
S
SIGN PERMIT
F—.E
DEMOLITION
6
PERMIT FEE
PLAN CHECK
FEE
8
AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
—CITY OF
INIONDS
PR 6-1107,
vAcANT SITE
C] YES No c;
.EA VARI ANCE NUMBER
STREET IMPRO
YED
0 YES 0-rTO
FtOUP
TOTAL 11KE
ad
APPLICATION. APPROVAL
This application is not a permit.until
signed by the Director. of Building. Inspec-
tion, or his deputy; and fees are paid, and
receipt is acknowledged in space provided.
RECFOR'S SlGr11_
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FILE
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The City of Edmonds
APPLICATION
for
SMIC SEWIM PERAM
NEW CONSTRUCTION REPAIRS 0
F,ASEbUM*rr No . ..........................................
.. ......... .............
OWN16R ...... ..
M . ........... e . ..... jL?A0..4&$- COV4TRACTOA, .... . ..
IAGAL D ...... . ...................
ADDRESS ...... ESCRIi-TION: LOT No. "�� . . ..............
NAME OF ADDITION ---- :5 k '-O-as ......... A ................
..ffAjA=A.W
...... ) .......... r ............................
APPROVED
APR 22 1970
Approved:
.. . ......
DATE ---------- ............. . --------
V L. 6 U
........ ....
'77
F
CITY OF EDMONDS
Call PRospect 6-1107 when work
CIVIC.CENTER—WATER-SEWER DEPARTMENT Is ready for Inspectioni (No inspec-
tions Saturday, Sunday or holidays.) NO. -3675
IDE SEWER PERMIT
ADDRESS............... .... .......... 1.7.12.1 ... S.e-alawn..Dri.ye ....................................................................
Joe Lqwffim) XX) & Sons
OWNER ...... :.."XXX
.X' ................ = ...... x5ji.M. ......... CONTRACTOR ..... H att
Y ................... A .... . ..... ..... ww .............................
Permission is granted .... April.-22 .................... 19.7Q.., for ...... ; ................. days to REPAYR 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. I —The owners of the property may obtain EL 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—Obtain full Information regarding Ordinance 11A6.030 and Regulations governing side sewers when you get permit.
NOTE No. 3—Top of.side sewer must have at least 30 inches coverage at property line and 12 inches Inside property line; minimum grade of 2%.
No bends In grade sharper than % will be permitted.
N 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 whJch may develop within �one year of completion.
NOTE No. 6—It Is unlawful to aiter 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 teinsert the pipe into the wye.
SEWAGE DISPOSAL IT
STREET FILE
PE M
Septic Tank..; ......... 3k!-� ------ gals. No. �2,elk ----------
CITY OF EDMONDS
Disp. Field ------- ------ sq. ft. Department of Public Works
Other, ----- -----------------------------------------
-------------------- is hereby authorized to install/
repair sewage disposal system at
.................. -------------------------------------------------------------------- ---------- --------------
-----------
Date issu
ed on .................. .. n ................ . . ................................
Permit expires one year from date of issue
DO -NOT COVER BEFORE APPROVED BY DESIGNER OR SANITARIAN
I hereby certify this system was installed under my supervision and control and complies with all provisions of the City
of Edmonds Reso.lutions.
Signatureof Installer ---------------------------------------------------------------------------- Date .................................
Disapproved FJ Date -------------------------------- -------------------_------- By ...................................................................................
Approved El
- ---------------- ---------------- --------------------------------------------------------------------------------------------
Remarks: ----------------------------------------------------------------------- ........
SANITARIANOR DESIGNER --------------------------------------------------- --------------------------------------------- Date ..........................................................
This permit shall be posted in a reasonably conspicuous place ofi the job until inspection has been completed.
7
CITY OF. EDMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT
(�ubmit 3 Copies)
Permit to be issued to�.�._Pree .... .............. : ........
For installation at: (street address) .... 17.12I..aeB.I.a.wn ... D�Lve ------- ........................... I..� .................... I., ......................
Addition or Subdivigion ........ 41P.A ... :4.L.Wn ... TIO.I.T.S.c.e ............................ ............... .. Lot ..... 5 ........ Block ....
PIV.6- A
Type of Building: New ---- X ..... Existing ------------ Single family residence ...... X..... Number of* bedrooms-. ........ a .......
Other: (specify type or use) ......... _ ------ ............... ............................ ................... _ ...... ........................................ ...................
Builder ------ ....................... .............................. Address.. .642.0-m.2.73.rd_._P1.# ... ...... % ......... Lynnwao.d
Designer ---- --- Tank ... De.signa .... Address._ 52-08--- 180 th 3..: -Lynn.wo-od ......
Soil Log Hole No. 1 ......................... 0'.'..--4,0 " ------- S.andy. -losm...
3
Soil Log Hole No. 2 ... ......................... ame,
Elevation of Water Table, if encountered. (Distance from ground surface) ................................ .............. ......................
Corrections to control surface water if needed ............................................. ....................... ...................................................
Specify if any removing or grading of topsoil in field area ................................................................................... ...................
..' .................
Percolation:
Test Hole No. I —Average Rate ............. 4 ..................... ....... (Fall in ininutes/inch-bottom 6" test hole)
Test Hole No. 2—Average Rate.. ........... 7 ................... .................... (Fall in iiiinutes/inch-bottom 6" test hole)
Test Hole No. 3--Average Rate.) ........ 10 ......... ....... .............. ....... (Fall in minutes/inch-bottom 6" test- hole)
Average percolation rate on which to base drain field design 7 . ................... . Date TakenA_-F!8?!-t.66....
Septic tank requirements based on present rules and regulations:
Septic Tank Size..._9QQ ............... gallons. I HOID STUB OUT HICE
Amount of Square Feet of Disposal Field ... 42.3 ........ . ..... ..... .... .
Signature — Designer... ... /_X��_ ------ ............................. Date ........ 1--.1-0-- 166 .....................
DO NOT WRITE BELOW THIS LINE (To be completed by ISSUing Agency)
Permit issued (date) ................. ............. .......... Permit Number ......... � .......................
Remarks: .................... ................................................................................. _ ............... I ......... ...... I ................... I ..............................
Barold son
5208-180th 3.
tlnnvvood,, Wash$
o for. Uole
0 Soil Log
4" Tight Line
4" Drain Ti le
IV
T.
druinti le
trench,
required
HIGE
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, 8 9 0 . 19 �3. -
TFjET FIL t
CITY OF EDMONDS
2 50 - 51h AVE N. * EDMONDS. WA 98020 e (206) 7 71-3202
COMMUNITY SERVICES:
Public Works 0 Planning e Parks and Recreation * Engineering
October 26, 1988
Joe Lowder
17121 Sealawn Drive
Edmonds, WA 98020
Dear Mr. Lowder:
LARRY S. NALIGHTEN
MAYO.3
Enclosed is the letter you requested which was sent to the residents
who's street would be chip sealed.
PETER E. HAHN
DIRECTOR
Peter Hahn, Community Services Director, has scheduled a discussion
with the City Council on November 15, 1988. This is a work meeting for
City Council and staff, not public input. You could, if you wish, send
Peter Hahn or myself any information you wish and we would see that it
would be discussed.
If you need additional information, please feel free to call me at
771-3202, extension 314.
Sincerely,
Bobby R. Mills
Public Works Superintendent
BM/lk
Enclosure
LOWDER/TXTLMK41
9 Incorporated AL19LISI 11, 1890 *
Sister Cities International — Hekinan, Japan
0
CITY OF EDMONDS LARRY S. NAUGHTEN
250 5th AVE. N. * EDMONDS. WASHINGTON 98020 e (206) 771-3202 MAYOR
COMMUNITY SERVICES PETER E. HAHN
DIRECTOR
July.1, 1988
Dear'Aisiden't:
r
The City of Edmonds is planning to chipseal your street this summer.
The City will make minor street repairs and then apply the asphalt
emulsion and chiprock. 'The result of the chipseal will be close to an
asphalt -surface. This treatment could be a little dusty for a few days
until we get the excess chiprock swept up.
We will notify you when we approach the commencement.of work and
provide you with adaitional details. We thank you in advance for your
understanding of this temporary inconvenience.
If you have any questions, please call me at 771-3202, extension 315.
Sincerely,
Bill Stroud
Street Supervisor
BS/ 1 kj.
CHIPLETT/TXTSTREE
PU13LIC WORKS -.NNING, PARKS AND RECREATION
ENGINEERING