17909 75TH PL W.PDFlillIIII 111111116082
17909 75TH PL W
ADDRESS: ` I-7 cT0 � � t- .
1
TAX ACCOUNTIPARCEL NUMBER: (>O 4 -7 -z,)% Q O r!�>O -Z(a O
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR -
CRITICAL AREAS: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DA
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:_ZC%�'j
SIDE SEWER PERMIT(S)#:2�0�
GEOTECH REPORT DATED:
STREET USE I ENCROACHMENT PERMIT #:
FOR
WATER METER TAP CARD DATED:
OTHER:
L:\TEMKDSTs\Forms\Street File Checklist_doc
E.D,tj,
STREET FILE
17909
75TH PL. W.
CITY OF EDMONDS WATERLINE AS -BUILT
v' 1ADDRESS: PERMIT
17909 75TH PL. W. N❑- BLD20070673
CONTRACTOR: HOMEOWNER: SCALE;
XXXXXXXXXXX WIGENBACH NTS
DATE INSPECTEDi INSPECTED BY; DATE DRAWNi DRAWN BY:
08/31/07 1 J.COLLINS 1 09/04/07 J.COLLINS
00
I
A
L-z
QMMI
Lfe 101 IOU
10 Ou
u W JO
12
w V-
z
0 11
0
z
z
0
z
0
z
■
0
tTl
z
0
CITY OF EDMONDS` TT
PUBLIC WORKS DEPAR ,. NT FOR INSPECTION CA • Permit N? . _ 6206
SIDE SEWER _PERMI.T 775-2525 Ext. 22Q Issue Date S�-?� 17: el-
* PERHIIT.MUST BE POSTED ON JOB SITE
'AW
. 1. Address of . Construction%' -g
1 2. 'Property Legal Description (include all easements) 1
1 LZI)rr, , ov_0� , I f U, Oaf-. a ATM 1.77 AOn i
3. Single Family Residence Multi -Family No. of Units 1
Commercial
4. Owner r ,7' , T- �eFN U f 1
1 5. Contractor & License No.
1 6. Invasion into City Right -of -Way: No _X_ Yes (If Yes Right -of- I
way Construction Permit.Required - Call Dial Dig:(342-5344) before
excavation).
H 7. Cross other private property: Yes No S Easement required -
v attach legal description and county easement number.
H
a READ THE FOL.LOWI.NG AND SIGN:
a.' Property owners must obtain a permit to install side sewers on
their property.. A licensed side sewer contractor must be employed to
construct.side sewers.in the public right-of-way.
w b. The side sewer contractor assumes full reponsibility for each
Ei installation for one year..
4 C. Commercial establishment requires a minimum of a six inch (6")
0' side sewer line.
ud. Side sewers may not be installed closer than thirty inches" 30")
to any structure.
M e. Side sewer lines must be laid at a minimum grade, of..`2$ (1.150)
0 and maximum grade of 100% (450). o
H f. No turn in side sewer greater than 45 (1/8..bend) is0allowed
between cleanout. All 90 turns must be constructed of a 45 (1/8
bend) and Wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h: Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100' along sewer'line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poorrcompaction of fill.
k.. Side.sewer must be left uncovered until inspected and approved
by the City._
.1. Inspection during normal working hours only.. Two (2,),working
days notice'. -required. �r)
DATE:
I certify.t at I have read
and shall comply with the above
PERMIT FEE: 3 J.0 apt%r D� APPROVED BY:
Date:
w p� �J N1 By: Date:
CONNECTION FEE: APPROVED By: Date:
*.PERMIT MUST BE POSTED ON JOB SITE
1-7 c. 0 9 -7 7L- VV4
o� 6�
UA
C1TY CLE TREAT FILE
CITY. OF EDMON
12-t- 5TH AVENUE CONFORMED COPY
EDMONDS, WA 98020 2�rr P221Q66 Jlp gg 00 �NGTON
1 pC
RHHO�ISH/COUNTYm G]RSH
STATEMENT ON ACCESSORY DWELLING UNITS
Property Address; -I ( ] 0'1-- �,� V
Edmonds, Washington
Legal Description;
Assessor's Parcel Number; 4-%7 0 C 0O'��
I have read the requirements for accessory dwelling units contained in Chapter 20.21 of the
Edmonds Community Development Code (ECDC) and understand that an accessory
dwelling unit as defined in ECDC Section 21,05,015 is prohibited until an Accessory
Dwelling Unit Permit is approved,
I also'understand that an Accessory Dwelling Unit Permit cannot be approved unless all
the criteria in Chapter 20.21 are met, and all the necessary items are submitted, including
an affidavit of occupancy and a covenant to be filed with the Snohomish County regarding
the regulations imposed on Accessory Dwelling Units,
Property Owner Signatur(
Property Owner Name (pr
.Date;
STATE OF WASHINGTON )
COUNTY OF SNOHOMISH )
I certify that I know or have satisfactory evidence that / ` g
signed this. instrument and acknowledge it to be his/her free and vo untary act for the ses
and purposes mentioned in this instrument,
Notar '� ;•"r'.'
y` fissure, heads must be smudged,
Signature of
Xotary Public
Residing at;
n Nly Appointment
Expires:
�.
THIS DOCUMENT MUST BE RECORDED WITH SNOHOMISH COUNTY AUDITOR.
1-7909 �-FL- W
CITY CLE TREET FILE
CITY OF EDMON
'§
121 5TH AVENUE CONFORMED COPY
EDMONDS, WA 98020 200708221066 1 PG
SNOHOMISH7COUNT�, 1,40,00IGTON
STATEMENT ON ACCESSORY DWELLING UNITS
Property Address: 171 c-',,cl — Ift R • lam•
Edmonds, Washington
Legal Description:
Assessor's Parcel Number: on(%--37ccDo-2�6qD
I have read the requirements for accessory dwelling units contained in Chapter 20.21 of the
Edmonds Community Development Code (ECDC) and understand that an accessory
dwelling unit as defined in ECDC Section 21.05.015 is prohibited until an Accessory
Dwelling Unit Permit is approved.
I also understand that an Accessory Dwelling Unit Permit cannot be approved unless all
the criteria in Chapter 20.21 are met, and all the necessary items are submitted, including
an affidavit of occupancy and a covenant to be filed with the Snohomish County regarding
the regulations imposed on Accessory Dwelling Units,
Property Owner Signatur(
Property Owner Name (pr
Date:
STATE OF WASHINGTON )
COUNTY OF SNOHOMISH )
I certify that I know or have satisfactory evidence that
signed this instrument and acknowledge it to be his/her free and vo(ntary act for the ses
and purposes mentioned in this instrument.
Notary`s Ossure"he4)s must be smudged.
.. Signature of
,Kotary Public
Residing at:
;E•,ij ' My Appointment
,A`; •' Expires:
" ` per♦ � -
THIS DOCUMENT MUST BE RECORDED WITH SNOHOMISH COUNTY AUDITOR.
w
0
E4
CITY OF EDMONDS
PUBLIC WORKS DEPAONT
SIDE SEWER PERMIT
FOR INSPECTION
775-2525 Ext. 220
Permit N?
Issue Date
PERMIT MUST.BE POSTED ON JOB SITE
Address of Construction
Property Legal Description (include all, easements)
__6266
-3 -u 79
Single Family Residence Multi -Family No. of Units
Commercial
Owner auclq,'e er
Contractor & License No.
Invasion into City Right -of -Way: No Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation).
7. Cross other private property: Yes No x Easement required -
attach legal description and county easement number.
READ THE FOLLOW'I.HG AND SIGN:
a. Property owners must obtain a permit to install side sewers on
their property. A licensed side sewer contractor must be employed to
construct side sewers in the public right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year.
c. Commercial establishment requires a minimum of a six inch (6")
side sewer line.
d. Side sewers may not be installed closer than thirty inches ('30")
to any structure.
e. Side sewer lines must be laid at a minimum grade of 2% (1.150)
and maximum grade of 100% (450).
f. No turn in side sewer greater than 450 (1/8�bend) is allowed
between cleanout. All 90 turns must be constructed of a 45° (1/8
bend) and wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100' along sewer line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k. Side sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours only. Two (2) working
days notice required.
DATE: �j "% 9
I certify-thaif I have reaff
and shall comply with the above
PERMIT FEE: Ss•UU 1/0.00
U \
CONNECTION FEE:%
O
* PERMIT MI
reirlb, _�APPROVED BY: Date:
By: Date:
APPROVED By: Date:
T BE POSTED ON JOB SITE
VV
17 9
I'A
CITY OF EDMON EDM
CCLE
TREET FILE
17Y
121 5TH AVENUE N , CONFORMED COPY
EDMONDS, WA 98020 200708221066 140 1 PG
SNOHOMISH1COUNT�, HIONGTON
STATEMENT ON ACCESSORY DWELLING UNITS
Property Address: I (`1 U 1-- (S' `r �
Edmonds, Washington
Legal Description:
Assessor's Parcel Number: —57c0oln-2Jz�2 cr(D
I have read the requirements for accessory dwelling units contained in Chapter 20.21 of the
Edmonds Community Development Code (ECDC) and understand that an accessory
dwelling unit as defined in ECDC Section 21.05,015 is prohibited until an Accessory
Dwelling Unit Permit is approved.
I also understand that an Accessory Dwelling Unit Permit cannot be approved unless all
the criteria in Chapter 20.21 are met, and all the necessary items are submitted, including
an affidavit of occupancy and a covenant to be filed with the Snohomish County regarding
the regulations imposed on Accessory Dwelling Units.
Property Owner Signaturc
Property Owner Name (pr
Date:
STATE OF WASHINGTON )
COUNTY OF SNOHOMISH )
I certify that I know or have satisfactory evidence that _h�
signed this instrument and acknowledge it to be his/ free and vo untary act for theses
and purposes mentioned in this instrument.
Notary`st j,ssure,-'e4)s must be smudged. Dated:
10
Signature of
otary Public: L
00/
o
,'•• ,
Residing at: LC�
My Appointment
Expires:
THIS DOCUMENT MUST BE RECORDED WITH SNOHOMISH COUNTY AUDITOR.