17704 69TH AVE W.PDF111111111111
5287
17704 69TH AVE W
'CE VDF,, ON
INY",
F"E D M E%WER1
N,
-WATE 'SE
ENT;'t-
j
o'nst ruict on
C iripections;� Ilk FOIItE,";Foye rip gl- 0 C. c
pa ��ny�,portj f' th'
't �), , . ....
I n spectl on w I I I e� -provid ed, w it'h I n,;1'4" hodrs-�iit e i-ft*r:�e'iiu'st� N-*N&� S�t:� S".:, �,or'�'holld� y' 'I n s Recl on�
�-`AMDRESS,XIOCAMN �_Ott'ONSTRVPT-�ON .............. 1:C
- - . _� �, - � . I . ...... :... ................................
'77" ..... ....................
r
....... ...... .........
MWILEGALTDESCRIPTIOY . . ...... .. �i ........ .. . .........
-MOPEA .......... . .... .. ....
i� .1 ............................
....................
. .............................. ........................ ........................... . . ........ — . .......... ..................................... .......... ..... .......
-0"WERANWOR BUILDE
.. ........
........... R.
.......................... ...........................
�-,&JADDRESS..
. ............... ...........................
E . ... ...............
andYor�.c6nne6t1o** 'a,s �yer
L) 7, 1 ;
177.,, f�r.repiq&. f Id
..... .... .... ..................................... n%*o
--'inklh�a'ccor ance.wiih---'�j��,.�!�]���iDnds,ordinaiir-esr
�-FOLLOWING:
Thezqi.�6erivof:- pro . P�k oj�zo 1: n , air ct.
_NOTE,N6:,,1-:— - 1. 1 I'a
tru
y, -may,obtain �a: permit toi cons et:sewer- Y51ine.,- f�e'�ied, �Side, Sewer, contractor� must; e�e u
e
iidez.iewer!fn,'itreet area' D6-not' cover' -any, portion *of- sewer,before - it haa-,beent_insbected:,%'
NOTE�No..'ZA,11- work 'performed,; 16 dt_y,iigJnt.of:way 'requires an z In�as"Io'n. o'f TUght-of . -Way� Pe . rml . t obt I ainabl�efrom the',Clty. Eng
;� _- .� 1-—. 1. 1 11 1 lneer.!s*. office'..
N6 ]:�'ihf6r�nitl�n iega*,rd'in'g.�Ordinanc6:11.16.03 i ]a I. ions .,.gov��fi In'g, ldq,.se We�rs' mhe' m* you �, ge, t, p ermit.*
TE,No. .3�—Obtalnful 0;&nd Regu
t - �ert':'Ilrie*L��:[Y"
- sl e.scwcr�mpstj ge a pro y Inc pe rty�lline;,,minimum:igrade.:of'2P,.'.�,No�.bends In.,igrade.
shar p 6re t han': IN, w I I b be - pe ft� I tt*6 d-'
NOTE*'No-., 5"T �el 'M'ust'-be, water"
renc esAn- str settled and surface of.street.restored- to; orlkinal,�c6ridltion -Contr"actors shaIIt,be,rispDn'ib' e'�
a le�- for- fall ure,�d u toMmproper
�work`,whlch�may:develop- within �one- year of.'completion.
NOTEPNo.� is
ort*do*, oth orl(.I:thi.Ln Is,provided for, In, the,,I)c .:or.:toWo any �,work�-*on -the.: main, iewer.or, Its,tappurtenancea except,to,in_
�cet A ipe,-I to*th'e'.wy . .. ...
_p 6. �7,;.
e , . T
t .......... ...... . ....... Datei ........
-D1SA!PPROMED'1'-'[]'-:*-Da o... to' x 11�1 ..,.
T'.7 ........................... BY ............
............ .... . ....... ... .. ......
.................
...........
............................................... .......... .................................................................................................................... * .........
e:; I
............... ...... ... .......... .................................
................................................. ........ _****11 .................. ..... ......... ......
'mit" o es INIUST -Be �Slgnedl_ '0 f R.'To� Remiest For- nspect on-
.,By- wiler _o Firm
lk struetedturidbr�,�t
............. h ereby,_ cert if�, tha�Ah6:,icbe?.sewe�,. in s tallation;;con his�perniit
(ow Firm Perf �rm inj; construct ion.j.
.er'o ..t ctl
iris lb'&in'�'cbo !.wlth, alDgoye�rqi'nz..o�dinaiiees�of:,th6,,Cit�y.*',of,Edhioiids�,*�.: -
............. :0 ............................. .. ............. .... ij Wa..:.,.:
Y,
'U
'S
6e NVA er
�dik� for: E];-;-, ewer:)Ej;z,
v
APPLICATION
City of Edmonds for
SIDE SEWER PERMIT EASEMENT NO . ............. ............ ---------------
NEW CONSTRUCTION REPAIRS E] LID NO . ............ ----- ASMT. NO . ..................
OWNER X
----------- CONTRACTOR --- ------ -- - - ------- - --- --------------
JOB ADDRESS ---- / ------ C. u --------------- I ------- PERMIT NO.
-- --------------- --------------------------------------------------------- LEGAL DESCRIPTION: LOT No - -------- ? ........ ------- BLOCK NO - ----- ..........
------------------------------------------------------------------------------------------------------------------ -------------------- -----------------------
NAME OF ADDITION ----------- 7Z Y.-
------------------------- --------------------------------------------------------
Approved:
DATE............................................ By ............................................................
11/75
APPLICATION
Jhe City of Edmon_ds7n for EASEMENT NO . ........... I ............... ..............
a I nEET FILE SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS LID NO . .......... ....... . ASMT. NO . ..................
OWNER ....... .......................... CONTRACTOR
...... ............... ................... -- ..... PERMIT NO.
E ...................... ............................ LEGAL DESCRIPTION: LOT NO . .............
JOB ADDRi SS --� r" --------------- BLOCK NO . .......................... ......
NOTTICE NOWARRAMOF666RACY The informatic7shm.n.m. on the
aifta.&ad map war, compiled fol- use by thc-, City of Ed.,nr--f 7,. i' ----------------------------------------------------------------------- ---------------------------------------------------------------------------------
am., consulftants. The ON of Edrnoads does not vjarrLni of
anyln,rlg sc'-' tcrtj� oi; fta� map. Any persoa or entity rc,e--* --z- L-NAME OF ADDITION ... \-/-' E--:::: \N F5 I c:;'�'Ea I c'-
........................................................................................................
$h" co-llckl`c� indcg-wcai inquiry regz;,t-! !7.j th-,� c,i 'of
tn" linl.�;:141.-g, buit no, limite�. to! t-�Ylocaiipwl of Pal"
J f
S; c' MZ7, 04, may no'L c)�lsl and may or r.-l-j c: t--� al ,7 k ot
ft7 Neilliei tho City of Edmonds nor its ci
iorthE. inloiiiietion givew oil this map, ncrfot Lny o�cl
repi'.,seo.two—i providew ba.�cu upoii said map
Approved:
DATE .... L/9�?
.7 77 By X ...........
,../ ........ --- Q --i- He
�
Z ) } L�/^� Lr)/ /\ . > `�/\ / y/ L,- OJ
-77 0
C�!T�� LI37 '
~�* . `
. kl�l���( P��"J7 �])�I]�
--
� I Strcct Right'oF-Y�> Exis1i ��)(_-� 0Jl ^ -
~
Access Fnsononts Exist
Utility Fxscmc¢ 1,xisrin
^
Lot Per Subdivision -_ IS
\
,~
Sitc PIxn (licdod for Pccurn
'~^`'^^x^olinal "'iring '"-"`'
/
'
U /x,mcvbv
U --------Pate-'-'T-----
.��
!
/z t»- / nc '�T.njn Size�
z/n /c"�o rcx
T
'
_-'-.'---_''
r�.
�
_
/|yJ:`r� Dxphrc� r h��/e /t^i
.
�
p IlutocLor Oicck ter Rcoo.irc
o
S—
|
nroved
--------'---------
i
Septic Tnik Ftonit ncmnircJ �ormit �T`. |
_-_------_-_---,__--__-�-___-
�
�onitor7 So'crywnilrd/ili ' ro� |
�---~--~~~---^---------------'-- �-^�^-�~+-------
^�
|� �
'
| ,c
'
3sdtnry Snnr Dun`,ctiml ;cc Fu!ui/uci
-_,__-_---_-_--__
|
|.
/h�c -__��__-__
Ro tcl/z t i /
1'.cquirccl Size
|Culvert
|
Cx�6/ �,�io Pow.iii-ed
Indicatc, 7itc P--
' /`
" i
—
C"/I��.�` ' ���'v`�
OP�� P2x�r�
� .
/ lku/|mIc reoui
| '-�
Tu�icxto on 3i�o ;] _
| Soil Corcli1ioos F, C-ouu� I.,!ater [icIl Chccl,Ucl(-� !
/ |
/
.
|� /
v- q
Si-5 DIG_
USE PERMIT
ZONE NUMBER
ULDING D ' EPARTMENT Applicant Fill
Inside Heavy Lines
ERMIT APPLICATION
JOB
ADDRESS th A
17704-69 Ave. W.
NAME (OR NAME OF BUSINESS)
W
H & 1i MES, INC.
VARIANCE OR COND. USE NO. _7D.
NO.
I.El..T
MAILING ADDRESS -
z
3:
0
P. 0 . Box 644
CITY TELEPHONE NUMBER
PR84XG16WITYARDS
�_� i
FRONT SIDE REAR
1LOT COVERAGE
Lynnwood 1 775-1916
SIGN AREA
ALLOWED PROPOSED
ENVIRONMENTAL REVIEW
COMPLETE EXEMPT
Z
NAME
U
W
REMARKsdriveway slopes not to exceed t1iose
indicated on Standard r
Aig. No. 103
z<
ADDRESS
PLANNING DEPT. APPROVAL DATE
U
CITY
TELEPHONE NUMBER
M
<
LEGAL LOT
ARE7__7SUBDIVISION
NO.
10YES D NO
ILOT
NAME
0
Sc-me
STREET R/W
EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W 5 FT. C:) FT.
ADDRESS
z
0
U
CITY
TELEPHONE NUMBER
REMARKS
Driveway slope not to exceed those
indicated on Standard Drawing #10
STATE LICENSE NUMBER
223-01-9080
CITY LICENSE NUMBER
CHECKE Y
z
0
Legal Description of Property (Show Below or Attach Four Copies)
Lot 9 Viewridge #6
STREET AND/OR UTILITY WORK
REQ.D. 0 YES ONO
R/W PERMIT REQUIRED
0 YES &NO
W
W
z
0
UNDERGROUND
WIRING REQ'D.
&YES ONO
z
Ld
T
TYPE CONNECTION S
YE
SANITARY SEWER NO
JVERIFIJUY
3 �_)
U
V1.
W
SEPTIC SYSTEM
D YES
APPVD BY CITY ENG.
NO
PERMIT NUMBER
—
0
REMARKS
W
.J
METER SIZE ISERVICE
SIZE
ICLEARANCE
ICHECKED BY
W
REMARKS
<
F1NEW RESIDENTIAL GAS
I I LINE
FlADD NON-RESIDENTIAL SIGN
RETAINING
DEMOLISH DWALL
EXCAVATE FENCE
D ALTER F-1 OR FILL I— X—FT)
PRE -MOVE swim
r-1 REPAIR EJ INSP. POOL
FIRE ZONE
TYPE OF CONSTRUCTION ICODE
I
SPECIAL INSPECTOR JAREA
REQUIRED
El YES 0 NO
OCCUPANCY _700CACUPANT
GROUP
I
L D
PLAN CHECKED BY THIS SIT E IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31,04,
REMARKS
J
NUMBER OF STORIES
NUMBER 0
DWELLING
UNITS
NATURE OF WORK TO BE DONE
New construction
z
0
F-
(L
PLAN CHECK
No.
VALUATION
FEE
PROPOSED USE
_"ingle family residence
PLOT PLAN (INDICATE BUILDING SETBACKS,
(r
ABUTTING STREETS)
BUILDING
U
W
a
see attaclied
PLUMBING
HEAT & GAS LINE
(D
0
FENCE
SIGN
RETAINING WALL
SWIMMING POOL