17709 69TH AVE W.PDFiiiiiiiiiiii
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17709 69TH AVE W
APPLICATION
rhe City of Edmonds for EASEMENT NO . ............................ ...............
c%,rV% SIDE SEWER PERMIT
0 1 HEET FILEEW CONSTRUCTION E REPAIRS LID NO . ................... . ASMT. NO . .............
OWNER ...... ....... ..................................... CONTRACTOR PERMIT NO.
..............
JOB ADDRESS bzlll�=— . W.
........................................................ LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . .................. - ................
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CITY OF EDMONDS SIDE SEWER, PERMIT
WATER -SEWER DEPARTMENT
PERMIT
Call 77 -2525 for side sewer inspections BEFORE covering any portion of the construction.)
Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.
ADDRESS LOCATION OF CONSTRUCTION ------- 1.71.-ICe --- :!=.1� ) ............. ....... .... ....................................
PROPERTY LEGAL DESCRIPTION .... ----------- \ ------- - ...................................... .................................
y ---- V11-4EW ......... RACA-:�Az "=: 440
.................................................. . ...................................... w ......................................................... ................ ................................
................................................................ 014WERANDIOR BUILDER -------------- ...... I ... ..........
CONTRACTOWS NAME & ADDRESS ....... l.—C ... x_ —,j ..... -- -------------------------------------------------------
A -1 * .,I- --I ..... ................ .-r- I - -
F" ission Is granted ....... N� A .. ............. 19—,r-7,, for repair and/or connection of a side sewer to the city sanitary sewer
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s�_.effin in accordance with C—Ity 'of Edmonds ordinances.
ATTENTION 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 construct
side sewer in street.area. Do not cover any portion of sewer before it has been inspected.
NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office.
NOTE No. 3--Obtain 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 '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 failure 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 main sewer or its appurtenances except to in-
sert the pipe into the wye.
DISAPPROVEDDate ... . .. * ---- -- -------------------_--- By ................ Date --------- ------------- By ------------_- Date ............... - ------------------- By ----------------
APPROVEDDate. ......... 7-7 --------- By----... ................. .......................................................................................
Remarks: ....... . .............. ....... . .. . ..................................... - ------ .........................................................................................................
..................................................................... . ........................................................................................ . .................................. . .......................... . ........
BOTH Permit Copies MUST Be Signed E�y Owner of Firm Performing Construction PRIOR To Request For Inspection
A A
V ---------- 4 ......... r-i;; ----------- 4� hereby certify that the side sewer installation constructed under this permit
. j� �,? --- ....... �/ ...... ....
(Owner -of Confracting rm Performing Construction)
was installed in accordance with all governing ordinances of the City of Edmonds.
Dated this,?—.// ........ day of .................................................. I ..............
9
Check. BEFORE you dig for: Water E], Gas [], Telephone E], Power [:], Sewer E], Other
CITY OF EI)MC98P AD . ORESS �ILE BARBARA FAHEY
MAYOR
7110-210TH ST.S.W. - EDMONDS, WA 98026 - (206) 771-0235 - FAX (206) 744-6057
COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION
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t . 18
August 15, 1996
Douglas Bellingham
17709 - 69th Ave. W.
Edmonds, WA 98026
Dear Mr. Bellingham:
I have reviewed your account and will allow a credit for the billing period of March 1996
through May 1996 in accordance with our City policy. The policy states that the customer
will be billed at the retail rate based upon the average water consumption for the same
period during the previous year. In addition, the excess water lost from the leak will be
billed to customer at the City's wholesale rate with a 15% surcharge added for
administrative cost. Only one leak credit will be granted in any'three year period.
Should you have any additional questions after you receive your new billing, please
contact Ilene Larson, Utility Billing Clerk, at 771-0241. 1
Sincerely,
(RZon H��d
Water/Sewer Supervisor
RWIk
cc: Ilene Larson
Utility Billing Clerk
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APPLICATION
The City of
Edmonds
for
SIDE SEWER PERMIT
EASEMENT NO.
--� .........................................
NEW CONSTRUCTION REPAIRS F� LID NO . ..................
. ASMT. NO . ..................
OWNER .....
-------------------------
------------- --------------------
CONTRACTOR ---- --- ---------- ---- ----------------
PERMIT NO . . ......
ADDRESS
LEGAL DESCRIPTION: LOT /
JOB
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NO . ....... ------ ...................... BLOCK
NO - ------------------------------------
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NAME OF ADDITION ---------
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Approved:
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DATE......................... 4�,L .............. By ------------------------------------------------
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ILDING DEPARTMENT'
Applicant Fill
UW� PERM
ZONE N U M IBIETR
PERMIT APPLICATION
Inside Heavy Lines
JOB
NAME (OR NAME. OF BUSINESS)
ADDRESS 177og-69th Ave. W.
H H HOMESjNC.
VARIANCE OR COND. USE NO. AOB
NO.
HEIGHT
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MAILING ADDRESS
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P. 0. Box 644
Pfv=264110 YARDS
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ILOT COVERAGE
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TELEPHONE
FRONT SIDE /,5-'REAR
NUMBER
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775-1916
SIGN AREA
ENVIRON _ MENTAL REVIEW
ALLOWED PROPOSED
1 1:1 COMPLETE D EXEMPT
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NAME
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REMARKS
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ADDRESS
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PLANNING DEPT. APPROVAL DATE
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CITY
ELEPHONE NUMBER
LEGAL LOT
AREA
NO.
NAME
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ILOT ISUBDIVISION
Same
STREET R/W
EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY
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ADDRESS
COMP. PLAN ST. R/W FT. OFT.
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CITY
TELEPHONE NUMBER
REMARKS Driveway slopes not to exceed those
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indicated on Standared Dwg. No. 103
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STATE LICENSE NUMBER
CITY LICENSE NUMBER
CHECKED BY
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223-01-go8o
Legal Description of Propertv (Show Below or Attach Four Copies)
STREET AND/OR UTILITY WORK
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ERM T REQUIRED
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Lot 1 Viewridge #6
R E Q'D. 0 YES &NO
DY ES ONO
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UNDERGROUND
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WIRING REO'D.
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TYPE CONNECTION 1# YES
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SANITARY SEWE R 1:1 N 0
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P ERMIT NUMBER
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APPVD BY CITY ENG. 9�140
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REMARKS
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METER SIZE
SIZE
BY
ISERVICE
ICLEARANCE
ICHECKED
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REMARKS
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NEW
x
RESIDENTIAL
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GAS
LINE
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FIRE ZONE
TYPE OF CONSTRUCTION
CODE
NON-RESIDENTIAL
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DO
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1:1
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SPECIAL INSPECTOR AREA
REQUIRED
OCCUPANCY OCCUPANT
GROUP
WALL
ALTER EXCAVATE FENCE
YES N 0 i
LOAD
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OR FILL
1:1
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
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PRE -MOVE swim
D REPAIR r_1
OF EDMONDS. LOCAL SALES TAX
INSP. POOL
SHOULD BE CODED 31,04,
REMARKS
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NUMBER OF STORIES
N OF
7UMBER
D D WELLING
J
U NITS
NATURE OF WORK TO BE DONE
New construction
VALUATION
FEE
PROPOSED USE
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2
Single family residence
PLAN CHECK
NO.
F.
PLOT PLAN (INDICATE BUILDING SETBACKS,
ABUTTING STREETS)
BUILDING
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1 .
W
See attached - - -
PLUMBING
0
HEAT &*GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL