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18018 85TH PL W.PDFIIIIIIIIIIII 8038 18018 85TH PL W 0 1 0 ADDRESS: (19D1Y 95 f1k TAX ACCOUNT/PARCEL NUMBER: 06033166000) oc) BUILDING PERMIT (NEW STRUCTURE): NO- 089 COVENANTS (RECORDED) CRITICAL AREAS: DETERMINATION: F] Conditional Waiver 0 Study Required E] Waiver DISCRETIONARY PERMIT DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORTPLAT SIDE SEWER AS BUILT DATED: q- 1-1- Los SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: OTHER: LOT: BLOCK: LATEMP\DSrs\Fomis\Street File Checklist.doc 9 NOTICE: �u Nb­warranty. OT ac(.., il.d�,ly. The information 'shown on the attached map(s) was compiled for use by the City of lovees and Consultants. Edmonds/ its Emp , kn Th.e City of �Edm.onds does not * wa rra nt t, ie accuracy of anything set for.th on t * hese Map(�_). Any person or entity -requesting a copy should conduct an independent -ation shown on inquiry regarding the inform ffi-�� -m a p (s) , including, but not limited to, th . e lociation of any sewer stub shown. Suc exist and may sewer stubs may or may not I or may not exist at the location sh ' own s nor its Neither the city of Edmonds empl.o-yee-s o*r offi-ce.rs -sh-a-1-1 be i.-lia.b.-IFe for the information given on this map(s), nor �or any one representation provided based upon said map(s). APPLICATION for The City of EdmonSTREET FILE SEDE SEWER PERlVaT NEW CONSTRUCTION E] REPAIRS 4 - OWNER ... 4�jf 12 ......... Ila ..... tt.v.-/ ................................................ 'I" A) 110 0 wt ADDRESS ..... leo ... 449 ..... ...... 16 .. ................ 100--,--,� ..................... 0 0 0 4W APPROVED SEP 16 1968 EASEMENT No . ............................ CONTRACTOR ...JW . ..... ... PERMIT No LEGAL DESCRIPTION: LOT No . .............. / ........... .......... BLOCK No . .................... ....... ........................ NAME OF ADDITION ................... ............. 4 . ................ . ........................... A L-, , �" " " �r 9 v I Approved, DATE .... 5 - ------- By .. 7 .. 4.4-4�. C ITY OF EDMONDS CIVIC CENTER — WATER -SEWER DEPARTMENT SIDE SEWER PERMIT Call PRospect 6-1107 when work Is ready -for Inspection. (No Inspec. tions Saturday, Sunday or holidays.) N2 -6118 1 1 — ADDRESS........................... le.Q.IQ ... 8.5.th ... Place ... ve.st ...................................................................................... ......................... OWNEF ......... �4��qk ... R.hoa.ds ......................................................... CONTRACTOR ... UDivers ... Utilily .. QQ ..... .. ....... .... .............. ?K1 ............. . n.t.r ............... Perinission is granted ..... S.P—P.U.a.e.r...15 .... .... 19_6.8., for ........................ days to REPAIR or CONNECT a side sewer With City Sewers in accordance Avith application oil file and governing ordinances. ATTENTION IS CALLED TO THE FOLLOWING: NOTE No. 1—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—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. N( 14o. 3—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. NO'PE No. 4—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. 5—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 appur- tenances except to insert the pipe into the wye. BUILDING DEPARTMW Applicant Y1.11 PtJSTED ON KROLL MAP NO,: PER rr NUMBER 68028.9 PERM APPLICATA 1.14. Reavy o 6o Lin'. —81JJE NAME (Oxt 14� Vy 151.1ULN10.1 M-� YARD SETBACK STREET SETBACK li,-�&R Y�er BE --BACK z �'U ADDRESS x T':1' f" USE ZONE 5> LOT AREA 0 VACANT SITE . 1, 0 YES (3 No TELEPHORE—gu—Nia ra V,_'C 6 _: I" nl�lukiv BUILDING AREA ARIANCE NUMBER. V 0 NAME 'a' P"N APPrtVvzjj WDRESi­ J.'XI TELEP NE NUMBB H STREET R/ IN EXISTING STREET RfV .... PT. DEFICIENCY THIS PROPERTY ST. R/W ........... YT. NAME YMMOMPAN 3 Drive xceed those -A indicated on Standard Drawing fflu-5. 1)zT.T111 I— a S CRECKE D BY CITY ELEPH NE . NUMB H ER r-Op. pt o. :�3o7_ STATE LICENSE —NUMBER TY LICE, CI NSE NUMBER TER 81 CLEAJUINCE Y 'i� I C�� Legal Descnprion or Property (Show Below or Attach Your CO21e.) A' I IV tFQ/ TYPE CONNECTION D BY VF z —TEST FERC ON TYP!j!:� �NHTR �U70N STREET LMPrOVEL) IF 0 YES 0 NO 1� INSPECTOR REQUIRE ANCY GROUP RESIDENTIAL -Af NEW I R E] I INE NON-RESIDENTIAL 0 1V^j ADD RETAIMN. El DEMOLISH WALL ALTER EXCAVATE PENCE 0 FILL R ( . ........ Pt.) REPAIR PRE -MOVE sm El INSP, M STORIES NUMBEF, uy DWELLING UNITS TURE 0, ­­ Iv DONE Y "i Valuation Fee Recelpt No. M�n Check No.. ........... .. .... z JlUrLDING PLOT P AN (1rull ate Building its, butting stmetx) 2A 2 4 7, tv. tb PLUALWNG HEAT & GAS LINE _z) SIGN N RETAINING NALL SWIMMING POOL r DEMEWITION 7q1 PRE -MOVE INSPECTION EXCAVATION Olt PILL by acknmleege Ijnt I have eaa Ulle apl,11catlen; that the In. TOTAL AMOUNT DUE form. giv n 1. correct: and that I arn the owner, or the duly alithw. - and state I—. rzg.- gen't of I owner. I agree to Comply �Jtb c1t) to Ing WZU!�MCUOJI: and In doing the work authoruted themby, no penon ATTENTION t ;ode of the State of W-hangton THIS PERMIT This application is not a permit until 11 be empl,yed In violation of the Lilbor C APPLICATION APPROVAL minting to Workmen's Compe I ru�tlon Iwu=". AUTHORIZES NOTE: Permit Limit One Year (E-c�p. DE.NfOLITIONS which' ONLY TICE signed by the BUILIding OffieW or his Dep- Rhall be completed In alilety day.; 31OVED-JN BUILDINGS ahall be com- WORK NOTED uty; and fees are Paid, and receipt is ac- plete.d. In lx month.i.) knowledged in space provided. SIGNATURr1/(_0 DATE SIGNED ­®RAGENT DEPAT�Td�." cfty Or EDIVtONID.9 NOTE: Applicant Subject to Plan Check Fee 11d. P_ ___ � work to be done on PI,.t. P';;��ty —ovrv. PH (I-IIJ7 ZVI "v Any cu..mal. on the vabIlu domWn (corb., alde—Ho. dri—Ly., eqlre —t. per-ft.lon. FILE