18029 85TH PL W.PDFIIIIIIIIIIII
8041
18029 85TH PL W
a &
ADDRESS: 1,90,21 7KGI-�, PL-
TAX ACCOUNT/PARCEL NUMBER: Ce -3 1 0 C)on�o t 0 0 0
BUILDING PERMIT (NEW STRUCTURE): 0 0 N09
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: E] Conditional Waiver E] Study Required 0 Waiver
DISCRETIONARY PERMIT
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
W MOND N, I m'' 11, [1011111 11 MI
aMmi
LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #: 3535
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DS'rs\Fonns\Street File Checklist.doc
APPLICATION
for
SIDE SEWER PERMT
The City of Edmonds tt 1 FILE
NEW CONSTRUCTION E] REPAIRS E]
OWNER-------------- ------ A ...............
.' .,17
ADDRESS /0�?gJ� -- - ---- i _ ....... C ..... ............
a]
/,<4 07
EASEMENT No . ..........................................
4; D / r ( -,- �--
............. CONTRACTOR PERMIT T�
............. LEGAL DESCRIPTION: LOT No . ......... ..................... BLOCK No . ......................................
NAME OF ADDITION J e ........ j ......................................................
Approved:
'00
DATE.... ------ -------- ---------------------
The City of Idmonds
APPLICATION
for
SIDE SEWER PER3HT
NEW CONSTRUCTION [:] REPAIRS n
/7-7 V_ lytl�lawll�t-
ONMER---------------------------------------------- ------------ * --------- * -------------
/047 ? — ?I' Ccl �
ADDRESS. .. .... .............................................................
0
APPROVED
JAN 9 1970
EASEMENT No - ------------------------------------------
.,� 7 '01w 0c;0foet'r �j W."c * laAw "y
CONTRACTOR................. .............. __ ----------------- 4 -------------------------------------------- PERMIT NO -
LEGAL DESCRIPTION: LIQX No..-,, .... ............... ......... BLOCK No . ............................................
j
NAMEOF ADDITION . ................. ....................... -----------------------------------------------------------------------------------------
Approved:
DATE------------------------------------------ ___ BY ------------
NOTICE:
No ... wa r-ra ntyOT d-UkUF:c1u:Y__..
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
Th.e City of �Edm.onds does not warrant the
accuracy of anything set for.th on these
map(§-). Any person or e n.tity -requesting a
copy should conduct an independent
0 'ation shown c)n
inquiry regarding the inf rm
ff�e -map(s), including, but not limited to,
er stub shown, Such
the lociation of any sew
-not exist and may
sewer stubs may or may
or may not exist at the location shown.
Neither the City of EdmbndS nor its
I
empl-o-yee*s o*r offi-ce-rs -sha-H be Via-b-Ife for the
n on this map(s), nor for
information give'
any one representation provided based
upon . said map(s).
r
CITY OF EDMONDS Call PRospea 6-1107 when work
CIVIC CENTER — WATER -SEWER DEPARTMENT is ready for Inspection. (No Inspec,
tions Saturday, Sunday or hoUdays.) N2 3535
SIDE SEWER PERMIT
ADDRESS ............... ..... 18029 - 85th Place West
................................................................................................... . .............................................................................
M. V. Rhoads North End Septic Tank
OWNER---------- - ---- - ---- - - ---------------------------------------------------- CONTRACTOR ................................................................................
January 9 70
Permission is granted -------------------- * ------------------------ 19 ... .... for ------------------------ days to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing 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--Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 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 % will be permitted.
N 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. S—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.
Z" AD PERMIT
V08TED a 690409
B 0 1 ED I'M G_ E�NT Applicant Fill EO 4 :09L11
Inside Heavy Lines —juisADDItiss
T �AP N
PERMIT AP
jjEAR YARD BETBAC
NAME (OR NA." OFsj�Ma'NZ8B)'
SIDE YARD 81,TllA0K ST 4
VACANT 8
ITE
0 ADDRZSS-,k,'��r,' USE g�w
al_�i�� wo� NO
rEjEF-.N. �NU--_ 06"Cr NgU-.—.
ILDING AREA
T
PLOT PLA ROVED
STREE /W pRoPERTY
FxisTING STREET R/W DEFIC=NCY Ta's
NUMB-' r
0 PLAN ST. R/W 510 1"
-e
e:,r,ed thl z
Drivew .,l:)pes not ZZ
3-119 43-03.
z
1,�dicated on standard Draw
CHECKED BY
ed
7Er17tV717C77_Z777_ 7CARANCE: -Fa- C!= BY
A
VERIFIED By
TYPE ZONNECTION
'5 r
T NUMB —
;,,;RC. TEST ERMI
1P ra
REMAR:.b
u X_ 41 If :n�
IMPR VED
iON
FIT.LE ZON T' -
N. C] NO
GROUP
SprftL INSP QUIRED O"r
Y]
LALL PLAN CaECYnD B)r
NEW
RETAINING REMARVV
WALL
PENCE
ALTER ATE
......... Ft.)
SWIM
E] REPAIR
l_j POOL
NUM NUMBER 0
free Receipt NO.
Valuation
NATURE OF 0 -T-01-MrIal
Plan Check NO. -
BUILDING
PLUMBING
HEAT & GAS LINE
u
PENCE
t SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRZ-MOVE INSPECTTO.'r
EXCAVATION Or- P7WL
TOTAL AMOUNT ][)Uy
this application: that the 111'
I hereby acknowledg I �Rve read
irt,en Is to that I am. the 0 er, or the duly anthor,
formation 'to comply WILh city and state le— relin jTTEN ON APPLICATION APPROVAL
h,'d all Of the 0, �'tha iro.k authorized thereby, no person
I& ug constructlOut and This application Is not a permit until
TIUS PERMT
of W"It"t"
J! Labor Code Of We State Of Wuht
will be employed 1. PVTUOFjzrg eigned by the 131.111ding Official or his Dl
relel to W�kmen , I , a CU71 . an I -Oran". ONLY TILE Uty; and fees Eire paid, and receipt is ac-
NOTE: Permit , - ear l DEMOLITION .9 -h1ch WORR VOTED knowledged in Fpace provided.
shall be coirl t ; .7: ilOVED-IN, Bu—'.-"Gg shall be
pleted 1. 1. months:,. INSPECTION SIGN
SLGNATU-'tZ E GENT) DATE BJGNr�o DEPARTMENT DLRECTOR'S
CITY OF DA
EDNIONDS
NOTE: bject to Plan Check Fee rp. 6-110,
Thin Parmit,col ia�ib. date. — prirate.property ONLY. F2 FILE
17 6main (cubs, sid wal drtvm&Yg,
�d
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'rel s011 pertw...I
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