17618 69TH AVE W.PDFiiiiiiiiiiii
5280
17618 69TH AVE W
L` /\ ��/ `�/) // \ L/�� \// ��Y\] k�\��~v F- ( \ yr,
�
���l�)T�C P�c�J7 �I]1�/ -
-_
303~ 0417,IJ-
Strcet KEzi i �-� (_~/
;z 8ocoss �nso/ocnts �zi��in �P
. ~~~.
Utility [osmmn¢ I-xi-rin)
Lot Per SuJ`dir�d `
-`
z .
Site Plxn (Icdrd for Acourxq,'___
u` }'
---~~����-��� � f-
"nin Sin
It
'- ..^d- ~^^ '``"li.^^.^.^^�__-----�-_�°�'
| ^n 3onitary Sorr Colmrction Fco Rx!ui:r
�._---_---__----_-_ _---_-_-
U /kericv/ }`>' /h�c
! « ----~--------------------------------- '--�-^--+-~�~-----'-'----
U =,=_�`'���========='====�-�========��_-_-_--_--__
! . -`
�xzo� /,n�znPon' \ --' —Indicate, — '-- ^-�--��-�-�'
ClitWilalle,
—
� "�`~. run . . ii `
! ---------7----------------------- '
' |
!�r/ i |� '
! "" u/ - |
BUJLVING DEPARTMENT
PERMIT APPLICATION
NAME (OR NAME OF BUSINESS)
H & H HOPES%, INC.
W MAILING ADDRESS
Z
ii P. 0. Box 6114
0 CITY E
Lynnwood
U
W ADDRESS
U
CITY
NAME
Sme
0 ADDREE
U
Ir CITY
F-
z
0
U -E, —.I F I
z
0
U
In
W
W
.J
V-40
USE PERMIT
Applicant jFill ZONE NUMBER
L'i
Inside Heavy Lines JOB
ADDRESS 17618-69th Ave. W.
V V
ARIANCE OR COND. USE NO. JADB NO.
LEPHONE NUMBER 51 FRONT SIDE REAR
SIGN AREA ENVIRONMENTAL REVIEW
775-1916 JALLOWED PROPOSED 1-1 COMPLETE El EXEMPT
REMAR Is driveway slopes not to exceed those
indicated on Standard Dwg, No. 103
N PLANNING DEPT. APPROVAL DATE
ELEPHONE NUMBER I
ELEPHONE NUMBER
223-01-9080 1
gal Description of Property (Show Below or Attach Four Copies
Lot 6 Viewridge #6
LEGAL LOT ILOT AREA 15�UBDIVISION NO.
j2YES EINO
STREET R/W
EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W FT� 0 FT.
REMARKS Driveway slope not to exceed those
indicated on Standard Drawing #103.
I CHECKED BY
STREET AND/OR UTILITY WORK
R/W PERM I T REQUIRED
R E Q'D. 1-1 YES
12 NO
YES *NO
UNDERGROUND
WIRING REQ*D.
'5�YES El NO
TYPE CONNECTION
YES
VERI
-- E
SANITARY SEWER
El NO
SEPTIC SYSTEM
El Y E
Sk
PERMIT NUMBER
APPVD BY CITY ENG.
fa NO �4
REMARKS
METER SIZE ISERVICE SIZE ICLEARANCE ICHECKED B
REMARKS
PNEW RESIDENTIAL El GAS
I LINE FIRE ZONE TYPE OF CONSTRUCTION ICODE
:1 NON-RESIDENTIAL
SIGN
I
ADD
F1:1
DEMOLISH
RETAINING
SPECIAL INSPECTOI
REQUIRED
ALTER EXCAVATE
F
WALL
FENCE
11 YES NO
I OR FILL
(_ X—FT)
PLAN CHECKED B7
REPAIR PRE -MOVE
swim
I
INSP.
El
POOL
REMARKS
NUMBER OF STORIES
NUMBER 0
DWELLING
UNITS
NATURE OF WORK TO BE DONE
New construction
PROPOSED USE
Z
o Single fa:Aly residence
PLOT PLAN (INDICATE BUILDING"9'E
It ABUTTING STREETS)
U
V1
W see attached
0
11
PLAN CHECK
NO.
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
OCCUPANCY OCCUPANT
GROUP ILOAD *
OF EDMONDS. LOCAL SALES TAX
VALUATION I FEE
Z
Z
0 r�_
Z
W
W
Z
Z
III
a:
ILI
I -
IL
W
a
LD
Z
a
ID
FAM
-C
PMIjC Wam EMET FILE
ACTION REPORT
N? 1941
SUSPENSE DATE:
Fife #
Date.. 5 Time:
Attacoments:
SUBJECT: 2 h,-0 0
�: %--*I—1 -.Iryt i
ADDRESS: /:g& Ig
PHONE:
REQUEST RECEIVED BY:
,,____�'ELEPHCNE
NTACT IN OFFICE r--j
RECEIVED
P()11TP Tn-
M,
=Yes
=No
IMMM
M
MM-1-MM
BE
-
MM
; M-A
MEM
num
MMMII
ACTION:
All Concerned Notified
Action Completed/File
7
CITY OF EDMONDS SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
n"ET FLE
PERMIT
call 775-2525 for side sewer inspections
BEFORE covering any Portion of the construction.
(Inspection will be provided within 24 hours after requat
NO Sat., Sun., or holiday Inspections.)
ADDRESS LOCATION OF CONSTRUCTION.
..... .. nT .... Uj-
--- - ------------------- -- - ---------- - --------- ------ ..........................
PROPERTY LEGAL DESCRIPTION..* ..... 0147=*AA�.._i�_._ -f j_ �' 11
. ....... Zke'e
...... .....
. ............................................. . .....................
....................... . ........................... .......... . ........... .............................................................. ..................
. . .................................. . ...........
.......................................
. ....... . .....................................
.................. OWNER AND/OR BUILDER ...........
......... . .................................. . ......
.............
CONTRACTOR'S NAME & ADDRESS ..........
.. .......
. .. . .. . .......................... ............................
Permission Is granted ........... I A4_4 — -------- n , '. .. .. I " ". �- I -
s ------ - 19=, for repair and/or connection of a side sewer to the city sanitar
y%teni in accordance with C�It)'rof Edmonds ordinances. r
y sewe
A—ilTION IS CALLED TO THE FOLLOWING:
NOTE No. I —The owners of the Property May obtain a permit to construct sewer inside Property line. A licensed Side sewer contractor must be employed to c
side sewer in street area. Do not cover any Portion of sewer before it has beer' inspected. onstruct
NOTE No. 2—All work performed in city right-of-wav requires an Invasion of Right -of -Way permit Obtainable from the City Engineer's office.
NOTE NO. 3—Obtaln full information regarding Ordinance 11.16.030 and Regulations governing side sewers when You get permit.
NOTE No. 4—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.
NOTE No. 5--Trenches in street must be water Settled and Surface of street restored to original Condition. Contractors shall be responsible for failure due to I
work which may develop within one year of completion.
mProper
NOTE No. 6—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 appurtenances except to in -
Bert the Pipe into the Wye.
DISAPPROVED Date ... . ........... . -------------------- By ........
........ Date ... ........ . . ............... By ......
7, ---------- Date --------------- - ------------------- By ................
APPIWVED Ut Date .... .. 1-1.4 . ....... ..... 7
................ By----.
7 . ......... . .. . .. . .............................. . .......................................................
Remarks: ....... . .
............
..................... . ... .......................................................... . ...................................... . ........................................................
...........
..................................................................... . ........................................................................................ . .................................. . .. ....................................................
BOTH P it Copie
Be Signtr Bx Owner of Firm Performing
ST
Construction PRIOR To Request For Inspection
....... . .. .. .... ............ ............. .. . hereby certify that the side sewer installation constructed under this permit
wer of Cont ctin� rm performing Construction)
installed in accordance with all gov ing ordinances of the City of Edmonds.
Dated thlm�-f?�_/>Z.Aay of
V V Check BEFORE you dig for: 19 .........
Water Gas Telephone Power Sewer Other A/ V
-----------
----------------------------- ---------------------------- ,
------ ------
n B
it Copi - ----- S7 B Sig 0,,
wner of Contracting
t
7
APPLICATION
TheA City of Edmonds- for
SIDE SEWER PERMIT EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION REPAIRS LID NO . .................. . ASMT. NO - ------------------
OWNER ---- ....... -T\' �: -----------------
-------------------------------------------------- ------ CONTRACTOR ....... �7-"E-� --------------------- PERMIT NO. .—:-�'177 -�
JOB ADDRESS .-�-AEAE:2> . ............................ LEGAL DESCRIPTION: LOT NO - ------------- <-� ................... BLOCK NO - ------------------------------------
----------------------------
t 1pry
..................................................................................................................................................................
NAMEOF ADDITION --- ............ . . .....................................................................
L<:2sir <E!5
3 ,
- I T-
J
LcDT
C=L--- eA-
�-OT —�
L--,:�>-T (:2> / L-c!:)r C�:
kv.
�\9
Approved:
.c, 177 By
...... . . .........
DATE ... ,,./ ........ . .. .. ... f U