18005 ANDOVER ST.PDFIIIIIIIIIIIIII
10159
18005 ANDOVER ST
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District to ��o
0 lot
City o Edmonds — Water Departm
TAP CARD
Reading: (rX00 Date n%180486
No. 873 G No.
Meter '{ Size Tap { Size
Mfgrs. No. 3 E3,9 2 nern Style R WS 9,_
Purchaser: 4,d� C6yt__1+
Serv. Add. [PSoo7C
Lot No. Blk. No.
Add.
Residential:
Other:
Meter Location BQA 62F M-A)n
1).R., nj/ ZZ, OF AAJJ20V4D3 ED-
Service Material:
Pressure-lbs. Test
-Date of Work 'U5/8e .
1� Foreman
Guar. Voucher No.
Proi. No:
Remarks:
OUTGOING Index Reg. - Route - Bk. - Stencil- Card
INCOMING index- Reg. -Route Bk.-Stencil -Card
I � -
ROUnNG SLIP
NEW SERVICE INSTAUATI
ADDRESS: AE�ocS Avdnou-
DATE: ZL
D.
I -s-r DIAL A DIG #8041640
P.U.D.
TELEPMEET F ILE
CABLE T.V.
GAS
FOREMAN
STORM SEWER
OTHER
FUTURE. SERVICE INSTL: YES
CUT:
LOCK
CREW
INITIAL:
DATE: INITIAL:
METER SHOP
302-101 saz
ACCOUNT NUMBER: ?lt 717 eg?"
SUPPLIER: oul> 41mr—
TREATMENT PLANT
FOREMAN
B 11'1,,,� T
FOREMAN
INITIAL: DATE:
TAP CARD
METER SHEET
APPLICATION/
UTILI TY
DISPATCH
BILLING
7/76
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER:2 70W POO/ O/W
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS �// DETERMINATION: Conditional Waiver Ej Study Required E] Waiver
DISCRETIONARY PERMIT
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER): -
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID#: 1151
SHORT PLAT FILE:S-4i rss LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERM (S) #:.
GEOTECH REPORT DA
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:. �Z] /��
OTHER:
LATEMP\DSTs\Fomis\Street File Checklist.doc
USE
ZONE P11=.
CITY OF EMU 7
CONSTRUCTION PERMIT APPLICATION '08
NAME (OR NA�E OF BUSINESS) ADDRESS
18005 AwrnrA)�t
-�-:7 a:al czt-is-, LEGAL DESCRIPTION CHECKI SUBDIVISION NO. 10 NO
ESS
CIT, 'ELEP"OIENUMIIIR PUBLIC RIGHT 01 WAY PER 0111CM1. STREET 11AP,
-14-L -141 --5 EXISTING
NAM ,QWUI..DD1!DI.ATIO. 0
P...�F
Z
-S RIGHT .1 WAY CONSTRUCTION PERMIT REOUIRED 0
ADDRESS STREET USE PERMIT REOVIRED C
Z
NUMBER SEE ENGINEERING MEMO DATED
Cl
[j��NONE
A
NAME
ADDRESS
METER S!;E BUILDIN UPPLY SIZE 11IXTURI UNITS
CITY ME NUUSE�
Z 7� It
STATE LICENSE NUMBER i-R V
0 6 M r-1 SIGN AREA ENV. REVIEW ADS NO.
ALLOWED PROPOSED COMPLETE EXEMPT
Lo Description of P operly - include all easements
tl
(.119-8.1 below or attach fourcoples) SHORELINE#
I
+i - "
0
-EW By
Z-07- -3 :S-41—,?:!�— VARIANCE OR CU PLANNING REV DAT
YARDS HEIGH� 11.0
FRONT SI
Z
REMA KS
ESI NTIAL PLUMBING
EWALTEA
COMMERCIAL EC"NICAL
A DO M
D'SIGN
REPAIR RETAINING WALL
-TIO HE GMT
EXCAVATE FENCE CHECKED By TYPE 01 CO"SIRUC 1"E
El
DEMOLISH OR FILL Fri _2 2-S
T�— OCCU
PRE -MOVE INSPJ S%M PA CC FANT
SPEOAL INSPECTOR
PUANC GROUP Nk-3 occ
El REklengi, OOM E INSP. I REWRE D LOAD
0 YES NO
W00IN&ITOVE1 Al. RENEWAL REMARKS
13LDG
0 71
J�JWLNUMBEn
OF STORIE3 SEA 0
NU
ID11LU U
U "'. N
H PLOT PLAN)
WATURE OF WORK TO BE DOME (ATTACS
7�
VALUATION FEE
Sit* I Re— 2r.—I
PLAN CHECK FEE
z
Zd
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY. GRADINGJFILL
Any construction on the public domain (curbs. sidewalks...
driveways, marquees, etc.) require
I
will separate permission.
J
Permit Application: 180 Days
,PerMitLimit: 1 Year- Provided Work is Started Within 18ODays
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors In ln�er St. agrees to Indemnify, defend and hold
harmless he Ctyeof Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages of
whatever nature, arising directly or Indirectly from the issuance 7f 7X-
of this permit. Issuance of this permit shall nor be deemed to PLAN CHECK DEPOSIT 100
modify waive or reduce any requirement of any city ordinance
m
nor 11 it In any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE J L
provision. ;1
n
I hereby acknowledge that I have read this application; that the
Information given Is correct; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL
au agent of the owner. I agree
thorized to comply with city and THIS PERMIT
This application Is not a permit until
late laws regulating construction; and In doing the work authoriz. AUTHORIZES
it,
ed th ereby, n person will be employed in violation of the Labor ONLY THE signed by the Building Official or his
Cod a of th. Sotatoof Washington ialating toWorkmen's Compensa. WORK NOTED Deputy; and fees are paid, and receipt Is
tion Insurance. INSPECTION acknowledged in space provided.
S G DATE SIGtIED DEPARTMENT
OFFICIAL'S SIGN URE DATE
G
CITY OF
EDMONDS
L S
771-3202 LEASE06.Yi,
ATTENTION I V14
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A Fl NAL INSPECTION HAS BEEN MADE AND APPROVAL OR I_ ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3. PINK — Owner GOLD — Assessor
102-78
I T Y ol E D MOW S STREETHLESIV. S-EVIR P141IT-V
For Insoect�ion_Call 771-3202 PERMIT NO. 07020
A 2 7 1988
Address of Construction:
Property Legal Description (-Include all easemen.ts):,
Owner and/or Builder:'
Contractor & License No:
SingTe Famil y Residence
Multi -Family (No. of Units
E
Commercial (No..of fixture Units
Invasion into City kight-of-�Way: -No Yes (If Yes, Right -of -.Way
Construction Permit required. Call One -,Cal 1 -Center -(1-800-424-5555) before any
.excavation.)
Cross other Private Property: No. wo'�O/ Yes (If Yes, easement required,
attach legal descri,pt.ion and county easement'number.)
PLEASE READ THE ITEMS LISTED ON THE BACK
I celtify that'l h read and shall comply Date
with theitems listed o.n'the back.
Or
N
,'A FA 05, 05, 115 FA OAF OAF Af rd ArlwWw1w I
Permit F'ee: Issued BY:
Trunk Charge:
Date Issued:
Assessment Fee: Receipt No.:
Partial Inspection.:
_Ua —te Initial
Comments 7
Final Inspection Approved �4e,�
Date. Initial
00
Rejected:
CD
Reason Date Initial
PERMIT MUST BE POSTED *ON JOB SITE
White Copy File Green Copy �'Inspector Buff Copy Applicant
Af
The City of Edmonds
Side Sewer Drawing
EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION Rl REPAIRS F� LID NO - ------------------ ASMT. NO_. ...............
OWNER........ --------------------------- CONTRACTOR — ------------------------------------------------------------- PERMIT NO.
JOB ADDRESS ------- ------------------ LEGAL DESCRIPTION: LOT NO - ----- ;� ---------------------------- BLOCK NO - ------------------------------------
dA% wsc 9'
T. 5,
PWW-0001-11/75 (REV.11/78)
NAMF OF AT")T)TTTC)N
C-6
Approved:
L
_�l �NE
L
(UP
DATE ..........
--------------------------------- ......................
UP V F- R
IF005
CN-TtH
—hS%N
VETEN710H NPE LENG'TV4 COI.(TROL CATCH
tAAX COVEK
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CONT;toc
5LOPF- :17 4*
- TO OUTL-ET
r Lr
(N P R.A.9 OR
RUNOFF
SPIZEKDER)
SYSTEM CROSS SECTION
SEE PAGE 3 FOR OUTLET CONTROL DETAIL
x 2' . (0" C)OE'F, 4�- (o' SPALUS (011. 9QU^L.)
Vx 2' x 3" DEEP, V4'- UZUS�4ED ROCK
FROM 7
OLITLET
CON-rAOL
RIPRAP OUTLET
WA21RED &VLXYEL OU-1-7LOW 7RENC9, MIN 10' LONG,
TOP -4* PEPLF PIPE TO BE %-MVIEL.
FPICM
OLM.Er
CON-rRDL
'L
4� FFRF PIPE WITH CAPS
RUNOFF SPREADER OUTLET
STAMPhARD DRAINAGE PLAN
DETENTION SYSTEM
PAGE I OF 3
e�"
for
location
plan by
phone 2'—
date -7-7
DESIGN DATA
System Imperin Pipe Pipe Orifice
Number Area . Diam Length Diameter
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the resDonsibility
of the property owner(s). Material
accumulated in the storage pipe must
be flushed out and removed from catch
basins to allow proper operation. The
outlet control orifice must be kept
open at all times.
ft. -10
0 :
0
W,
W
S17E -PLAN
LOT 3 OF 'SPW 5-Aql-85-
C-rry OF ff-Tjk-4Om-Dcb
QD
HIEC,HT C- Al L. C'5
Is.. - 3 14. z
r3 322.0
C 333.14
JO 328.0
rOrAL 1217--1 + Li= 324,3-V -4�
rATAIJ L.L-VEL 324.3'r
MA.9. RICC,""r- :5&49.3r
HL)13
SIZ-7
TO ANCOV5,rz 5T.
c;
P rz I V /-%T- e rz o 4�,o
(P PICZ C IE A)
/10
,co-o C/ -.4
sl U7 AN.
lb
OL
7 C>
'01 ol
,�qi
STREET FILL
'517E—PLAN
SILI%Lc,: V'�20'0
LOT 3 OF 'SPIP 5—All-85—
C.VrY OF jFVt-4OWV-t)-
co.,Wk.
LA
to -4-
-.HiEG,H-r CAILC.'5
b- 314.-L
T5 = 321.0
C- 333.2
0 =' 318.0,
TIOrAL'.1217.q --li= 324.35'
fAErAU LVVEL 324-35-
MA.X,
0
-,r.o- A.N DO, v Era 51r.
e rz o A, -a
ol
A N,
CO
IT 0 0 1 1
4D.
71'0
p, 7two P--ol -f—lo t y —�coli�:-
�,CIT-Y-OF-�EDMO - NDS] MONDS
STREET FILEASIW— INFORMATION SHEET
NEW
ADDITION
RETIREMENT
ASSET NO,
ADDITION TO ASSET NO. -
DESCRIPTION
SERIAL NO.
LOCATION
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE
INITIATED BY
DATE
PROJECT NUMBER
PROJECT CO MPLETION DATE
COST tg/
APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
E�l ZDEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE DATE
wp) INITIAL
DEPARTMENT FILE
4��
VERIFIED BY
PROCESSED
BATCH NO.-