18015 69TH PL W.PDFiiiiiiii lill
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18015 69TH PL W
ADDRESS: D 115 1 iqqt�- -Pf ace- \A/
TAX ACCOUNT/PARCEL NUMBER: Wqc) �400ooao 0cw
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:- Mqq 6* — DETERMINATION: 0 Conditional Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DA
SEWER LID FEE LID #:
SHORTPLATFILE: LOT: 01�,U^ BLOCK:
SIDE SEWER AS BUILT DATED:_
SIDE SEWER PERMIT(S) #: ci (01 Lp
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DATED:
E] Study Required Waiver
N x
LATEMP\DST"s\Fomis\Street File Checklist.doc
HEIGHT CALCULA=W
0 4' Z k Vol
Original ftoposw
A 3" 354.OD
8 366.50 354.00.1
01 be 4
c 3511.50 354.W go -0 fit'
ft N4
D 358.00 354.00
Average Cwade 381M 354.00 ; L
Doturn a C8 07 351.84
0.00
T7
HeWt of SbwW 25.W MM25
38625
Maximum Allom 380.56
14
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&RADING CA
CUT 191 CY
FILL 191 ICY
BALANCE 0 CY
381
11LOTSLOPE 14 % j
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Proposec! OLdWbV Pad 1244 8F
proposw Garep 0
Promm Paw a SF
Ropowd VbkvWe 100 SF
ftopmw own MO 6F
20 Obm*, CrW Imw-ftn&wfm =4 SF
:jWPp
A"Vm WM 8F REC E D
—ILM CAFMMP--- W?4 8F
1kT 'APR 19 2002
A OV D Y L NINO
J."4Lr PERMIT COUNTER
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STREET . FILE
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HEIGHT
HEIGHT CALCULA710HIS IV 4kr��
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A 36425 354.
8 365.50
358.50 X low I* v
c .00 4L
D
358-00 .00
,'Avwaoe Grade 30.56 /354.00
Oat= = CS 97 351.64 2,4�3—t"/ 7-
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Hdgtd of Sbvctu 25.00 32.25
0
_3N.56 31025
Cos
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7 r
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GIRADU
CUT 191 CY
HILL 191 CY
BALANCE 0 CY
381
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)LOPE 14%
_7
RECEIV
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MAR 2'8 210
DEVELOPMENT SERVICE TR. 'o
CITY OF EDMOND
or
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7
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PIMposed WSHNSYS 101) SF Z�IMALE Ti H NE
Pmposed DdW 910 'SF 1, ATER.
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WATER &SEWER
OWNEWCONTRACTON IS RESPONSIBLE INSpECTIONS REQ'D.
FOR EROSION CONTROL AND DAMAGE Date: CALL 425,771-0220 EXT-. 1328
owmen we"Ir vm%"�
14M 80 Am NZ. A/071C --/�-LL
Kenown WA "M ce>Np44�C_rCF_P -71:5 4-PA1'517'6-- VU7tArr7(::,�Q
TEMPORARY C
ONSTR CTION GUTTERS/DOWNSPOUTS
ENTRANCE REQUIRED STREET FILE TO CONNECT TO EXIST. SYST-
RECEII&D'
0
MAY 2 8 2002
nUgEF9N:&W NO: 961-6
City.ofEdmoo", -S
PERMIT EXPIRE
SIDE SEWER PERMIT
Address of Construction: LED #
Property Tax Account Parcel No. 009e) cx,52.0 01e.D00
Attach copies of all access and utility easements Verified and Approved b
Owner and/or Contractor:
Contractor License#: W�S;rAVOCQ 5ZSP19A> Building Permit#: 2Wz_1ja0a
fXp JZ)2-402_Q�
0"Single Family In . vilision into City *Right-ofWay: F1 Yes 0"No
F1 Multi -Family (No. of Units
D Commercial (No. of Units
Fj Public
*RW Construction Permit
Cross other "Private Property* Yes 211ro
"Attach legal description and copy of recorded easement.
Owner or coqyactor ii—re A�bd acknowledgement statement:
I cemf
By signing fffr this p0m KtI c that I have read the City's public handout, entitled
ide Sewer Specifications, and shall comply with all City requireiments. outlined therein.
I'M
CALL DIAL -A -DIG (1-800-42 _'5555) IBEFORE ANY EXCAVATION W.
W FOR INSPECTION CALL 425 -771-0220 extensio�, �1367=
24 HOUR NOTICE REOUIRMFOR.ALL INSPECTION REOUESTS
r--- I
Date
.............
. ......... FOR OFFICE USE ONLY.
. ..... . .. ..... . .
Permit Fee Repair Fee $ Issued By:
Trunk Charges 2,!F;D Date Issued:
Assessment Fee Receipt No:
Total Fees Paid
City Permit Surcharge Fee $5.00
NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN
INSPECTOR ARRIVES A $45 RE.INSPECTION FEE WILL BE CHARGED,
Job Site Ready YES -NO —Date: Initial:
Partial Inspection: --Date: Initial:
Partial Inspection: Date: Initial:
FINAL INSPECTION APPROVED; Date: Initial: As -built to Street File:
t� PERMIT MUST BE POSTED�ON JOB SITE,t-
White Copy: File Green Copy:, Inspector Bu.ff Copy% Applicant
L;temp;bldg,�orms.'sspermitjlg4/00
14'
22* 38'
LLJ C/o
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NOTICE: NO NFIRAn' OF ACCURACY The Information shown on the
attached map was compiled fol use by the City of Edmonds, i"In cmp!,.p�s
and consultants. The City of Edmonds does not warrant th, -1-! of
anything set forth on the map. Any person or entity requ-c--isir-) a
shouId conduct an Independent Inquiry regarding the C.1
the ma.0, including, but not limited to, the location of any scv.-ci- s',�b
sho'.1.1n, Such sevier stubs may or may not e)dst and may or rnmy nct Lf
the locat'qn shown, Neither the City of Edmonds nor its eimployocl. Cf
offluji-S �halll be liable for the information given on this map, nor fict orcl
representation provided based upon said map
CITY [IF EDMONDS SIDE SEVER
AS -BUILT
ADDRESS
18015 69TH PL, W.
PERMIT
NUMBER 9616
HOMEOWNER xxxxxxxxxx
CONTRACTOR
WESTAR
DATE
06/03/02
DRAWN ISMAEL ABILA
BY