17703 69TH AVE W.PDF111111111111
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17703 69TH AVE W
APPLICATION
*ej City of EdmonWIT for EASEMENT NO . ............. -- ...........................
REET FILE SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS F� LID NO . .................. . ASMT. NO . .................. .
OWNER ...... --- jt-tl ........ S,
......................................................... CONTRACTOR C-.: ...... ..... T--1
PERMIT NO.
JOB' ADDRESS ---- W . . ............. LEGAL DESCRIPTION: LOT NO - ---------------- 2 .................... BLOCK NO - ------------------------------------
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NOME- NO WARRAMY OF ACCURACy The Inforrhffi-6-1, --- -n ... the, ---------------------------------------------------------------------------------- * -----------------------------------------
Pitat—ho,d rnp-p was ComPiled for use by the City ol j,
Zinc, Consultants. The CltY of Edmonds does no, !.Z;NAME OF ADDITION ..... --------------------------------------------------------
an�lilm� . I C. L.. , - . .-., ............... ---- ---
s,, forth 011 tki map. Any person. or
sh--- inquiry regarding 1"'11c..';
nn, limited to, the loc—.�-) cf Z-,
Kj Jes me-y o,* may n6i e)dst a
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1;cj;a toi thc; infoinlation given ncrf:-
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AP12rovedo
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CITY OF EDMONDS SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
........ FILE
PERMIT
.... ..... ..... .. call 775-2525 for side sewer
(InsPection will be Provided inspections BEFORE covering any portion of the construction.)
within 24 hours after requst. NO Sat., Sun.,
or holiday inspections.
ADDRESS LOCATION OF CONSTRUCTION.
.......... ........ Its. \1
------ ------- — --- ......................................................
PROPERTY LEGAL DESCRIPTION ................ ��.C) - -------- 7
................... .........................................
...................... . ........................... ...................... . ......................................................................
------------- - ---------------------------------- - -------------- -- ----------- - -------------------
----------------------------------------------------- -- 01 R AND/OR BUILDER
----------------- ... ........ .......
.........................................
4TRACTORIS NAME ADD
nEss ....... L
. ............. �_.
. . . .. ..........
Is granted ..... ----- - -- r ---------------------------------- - - ---
--? — - -- ------------- 197.7, for repair and/Or connection of a Sid
system In accordance with City Oi Edmonds ordinances. e sewer to the city sanitary sewer
ATTENTION IS CALLED TO THE FOLLOWING:
v NOTE No. I —The owners of the property. may obtain a Permit to con
side sewer in street area. Do not cover any Portion of sestruct sewer inside By
7 I=Plnrt Irinea. A licensed Side Sewer Contractor must be employed to construct
NOTE No. 2—All work wer before it has Pe te
Performed in City right -Of -way requires an In asion of Right -of -Way permit obtainable from the City Engineer's office.
NOTE No. 3—Obtain full Information regarding Ordinance 11.16.03 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 'A 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 fallure due to improper
work which may develop within one year Of completion.
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 maJn sewer or its appurtenances except to In-
sert the pipe into the wye.
DISAPPROVED Date--,4 ---------------------------------- By ---------------- Date.
. . .. .. .................. BY --------_----- Date ..........
Wkl�
APPROVED Dp� ----- /_7 ... 77.7 ..... ...... ................... By ................
................. By ... . .....
... ................. .. . ............................... �: ------------ .........
Remarks: ....... . ...................................... . ....................................... ..........
.................................................... .........
...........................................
................................................... . ........................................................................................ . .................................. . ........................................
...............
/MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
BOTH Permit Copies
. .......... ...
lereby certify that the side sewer installation constructed under this permit
r of Contracting F
'f�elri.r i�i 2uC
installed in accordance with all governing ordinances of the City of Edmonds.
-V V Check BEFORE you dij for: Dated this.-... ......... day of .................................................................. 119
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NO No.
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Water Gas Telephone 0,
Power El, Sewer Other
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__569 06-F
USE V PERMIT
9_�SUIIDING DHARIMINITApplicant Fil ZONE NUMBER
PERMIT APPLICATION I nside Heavy Li JOB ft
NAME (OR NAME OF BUSINESS) ADDRESS 17703-69th Ave. W.
H & H 110TAES 5 PIC. VARIANCE OR COND. USE NO.
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W MAILING ADDRESS
-Z IPRQ&QSRQ YARDS
HEIGHT
3: P. 0. Box 644 1 '�- /
0 CITY TELEPHONE NUMBER aS-JFRONT SIDE REAR
SIGN AREA ENVIRONMENTAL REVIEW
Lynnwood 1775-1916 . ALLOWED PROPOSED Z
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W ADDRESS
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jr CITY TELEPHONE NUMBER
-1 NAME
0 ADDRESS
U Same
It CITY TELEPHONE NUMBER
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U STATE LICENSE NUMBER CITY LICENSE NUMBER
223-oi-qo8o
Legal Description of Property (Show Below or Attach Four Copies)
Lot 2 Viewridge 71-6
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0 COMPLETE El EXEMPT i
REMARKSDrives SI-LOPUL; 11UU
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excee tFose Z
indicated on Standared 1hig.
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No. 103 IL
PLANNING DEPT. APPROVAL
DATE
LEGAL LOT
ILOT AREA
ISUBDIVISION NO.
&YES NO
STREET R/W
EXISTING STREET R/W -6'0 FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W FT.
FT.
REMAR " Driveway slope not
to exceed those
Lndicated on Standard DrawinR
#103.
C�JECKEO BY
0
t-
Z
STREET AND/OR UTILITY WORK
R/W PERMIT REQUIRED
W
Z
R E Q'D. YES
El YES UNO
UNDERGROUND
z
W
WIRING REQ'D.
BYES DNO
TYPE CONNECTION
Iti- Y ES
V ERIFIED B
SANITARY SEWER
El NO
(0y
SEPTIC SYSTEM
YES
ERMIT NUMBER
APPVD BY CITY ENG.
4eNO
REMARKS
14ETER SIZE
SIZE
BY
ISERVICE
ICLEARANCE
ICHECKED
It
W
REMARKS
NE GAS
r W RESIDENTIAL LINE
FIRE ZONE
TYPE OFCONSTRUCTION
NON-RESIDENTI 11
AL
SIGN
I
ICODE
—]:LO
F
El
AD D
El DEMOLISH
EXCAVATE
ALTER 0 OR FILL
NING
RETAINING
OWALL
FENCE
Ell— -I
SPECIAL INSPECTOR
REQUIRED
YES NO
JAR.A
1CCCUPANCY
GROUP
C UPANT
OC:
A D
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
REPAIR PRE -MOVE
INSP.
swim
POOL
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31,04.
REMARKS
NUMBER OF STORIES _�D
NUMBER OF
U
"ELL ING
, ELL
NITS
U U ITS
m
NATURE OF WORK TO BE DONE
New
construction
PROPOSED USE VALUATION FEE
z PLAN CHECK
5 Si-1-1gle Fwaily residence NO.
PLOT PLAN (INDICATE BUILDING SETBACKS,
- ABUTTING STREETS) BUILDING
u
0 See attached
W PLUMBING
JA'
0 HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL