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18114 ANDOVER ST.PDFiiiiiiiiiiiiii 10170 18114 ANDOVER ST UIWK PAI 0 AU 6 3 0 K10 . .......... . .... . .. . .. Lstnct City of Edmonds --- Water Department TAP CARD Date ......... ... 4/,!!)' ;,77 Nos�F�_=MW Meter I Size... Tap Siza .10 ................ �! ... ­"­'­­­*­ Mfgrs. No.2440 ...... . ..... Style..R�k!.. For........... . -.4 . ..... ........... ............. LotNo. ........... �& ....................... Blk. No .......... ........................ ...... Add. .......... ................ ­ - ---- --- - - ------- - -- Service Location .................................................. . .......... . ....... . .... . .... Meter -Location � MakeTap .................................................................... . ........ .......... . ............ . . — ............................... ...... ***'****'*'* ...... Pressure ....... ......... lbs. Test .................................... % SendBills to .......................... ................................... . ......... .......................... .................................................. . ... . ... 7 - - - - - --------- ... i7 Date of k .. ................. ..... . .......... . ................. ....... 11,11,11*7 ........ . M ... �n .................................................. Foreman Guar. Voucher No .......................... . ............. $ ........... . .... . ................ . ... . Remarks: 2ift-22 ... ......................................... . ....... . ................ . .. . . . . ..... . ....... . ...... . . ......... ......................................... . ....... . ................ . ...... . ....... . ............... w..­ . . ..... . .. ..................... . . . ......................... . ............. . .......... . ....... . ....... . ....... . ....... . . . . . .......... ......... . .... . ....... . ................ . ....... . ................ . ... . . . ...... . ................ ............................................ .. .. ........... . ...... . ....... . ..... . ... . . .............. OUTGOING Index .. . ..... Reg ..... . Route Bk....—StenciL ..... CarcL..— INCOMING Index .... . ... Reg ------- Route Bk ....... Stencl._Card .. . ... db Material ChargeaDle tq- Installale Meters NO. SIZE DESCRIPTION RATE AMOUNT .............. .......... Meter ...................................... .............. . . ......... .......... .............. ........... Meter Box .............................. .............. ............. . . ....... ............... . m ........ Meter Plate ............................ .............. .. . ......... .......... .............. .......... Check Valve .......................... .............. . . .... . ... .......... .............. ......... Pipe, Galv. Screw .................. .............. .. . ......... .......... ------------- ---------- Nip' les .................................... P .............. . ......... .......... .............. .......... Bushings .................................. .............. ............. .......... ............... .......... Plain Ells ................................ .............. ............. ........... .......... . ... ........... St. Ells .................................... .............. ........ .......... ---------- . ... .............. .............. ............... ............... ............... ............... I -------------- ......... ... .... ....... .......... .......... .......... .......... ----------- Tees ........... ------------------------------- ...................................................... .............................................. .. ................................................... .................................. ................... ...................................................... ......... ......................... .................... ------------------- . ............. - - ---- --------- ..... ----------- .............. .............. .............. ............... .............. .............. ------- .. . * ----------- ............. ............. ............. ............ ......... .. -------- ............. ---------- ......... .......... .......... .......... ........... --------- ........... Material Chargeable to Taps. Connected NO. SIZE. DESCRIPTION - RATE AMOUNT ... . ......... .... ..... Pipe, Black Screw .................. .............. ............. .... . ... .............. .......... Pipe, Galv. Screw .................. .............. ............. ......... .............. .......... Lead Connections ................... ............. ........... . ......... ............... ........... Curb Cocks ............................ .............. .......... . ......... .............. ............ Corp. Cocks .......... .......... . ............. ......... .............. .......... Unions .................................... .............. ............. ......... --------------- .... Saddles ................................ ... .............. ..... . ..... ......... .............. .......... Nipples .................................... ............... .......... . ......... ............... ......... Bushings ................................ . .............. ............ ........... - ------------ ---------- Plain Ells ...... ......................... ............ ............ ......... . .............. .......... Street Ells .......................... ... ............. .......... . . .......... ............. .......... Tees .......................................... .............. --- - ---- - - ---------- .............. ........... Curb Boxes .................. ; ......... .............. ............. ........... -------------- ---------- S. 0. Extensions -------------------- -------------- ------------ --------- ............... .......... Gates ................ : ------- - ------------- ------ - ------ ----- * ------ * ---------- .............. .......... Plugs ----- - ------ .......................... ------------- ............ .......... .......... ! .... .......... Couplings ................................. .......... ... ............. ......... .............. .............. .............. .............. .............. .............. .......... .......... .......... e ......... .......... . ........ Gate Boxes ............................. ..................................................... .................................................... ........................................................... ........................................................... ................... ...................................... .............. ............. .............. ......... . .. ............ .............. ----- - ------ ............ . . ......... . ......... - - --------- ............. ---- - -- - ........... .......... .......... - ------- . ....... .............. .............. -------------- .............. ............... ............... ............... . ........ ........... - -------- .......... .......... . ........ . ........ ........................................................... ........................................................... ------------------------------------------------ * -------- - ........................................................... ........................................................... ........................................................... Hours Time —Day. Men ........ .............. .............. -------------- .............. .............. .............. .............. ------------- ............ ------------- ............ ....... . ... ...... . ... ............ - -------- . ........ ---------- . ........ . ........ . .... . .. ........... ......... . ........ Hours Time —Monthly Men .. ............... .... " -- - --- - -------- ......... ::::: .......... Hours Time —Auto ............ ... ------------ -------- * - ---------- .............. .......... . Superintendence ---------------------- -------------- -- -------- -- ------- ......................... Total .................. ........... ... ....... . ... ....... ROUTING SLIP 90e�_ NAERVICE 41riN-SvTA;LLATI . ON ADDRESS I)ATE: " ' -?L5017-7 DIAL A DIG# P. U. 1). TELEPHONE CABLE T. V. GAS FoRF.%%N A10 STOPM, SE14ER OTHER FUTURE SERVICE INSTL: YES NO BORE: CUT: SURCHARGE: nES NO LOCK CREW DATE: INITIAL: INLIC§ 7 DATE: INITIAL ACCOUNT NUMBER: 301�_)_044_910_ ME TER SHOP SUPPLIER: AL;Dc&.�.r CIVIL ENGR. DRAFTSMAN TREATMENT PLANT B L T SIDE -SEWER PERMIT' # SUPERINTENDENT INITIAL: DATE: TAP CARD METER SHEET APPLICATION/ UTILITY DISPATCH BTLLING, 1//6 CITO OF EDMONDS - SIMP11i EWER PERMIT WATER -SEWER DEPART ENT WN PERMIT 5 4 0 4 Call 175-2525 for side sewer inspections BEFORE covering any portion of the construction. Inspection will be provided within 24 hours after requat. NO Sat., Sun., or holiday inspections.) 8 LOCA17ON OF CONSTRUCTION ........ 1.8.11.4 ... Andover ... Street ................................................ . .......................... A .. .... .. ................... ................ PROPERTY LEGAL DESCRIPTION ........................ �qt ... B-,...Jones ... Add.iti.on ........................................................................... .. ............. ........ ....... ..... ...................... . .......................... . .......... . .......... . ........................................................................ ........ T ...... . ................................... .................................................. .................................................... OMV-b�ERAIMJOR BUILDER ...... R .. & ... S ... Con5tiL .. . .................................. . ....................................................... ACTOR'S NAM & ADDRESS ............. LYMWQ-Qd ... Septic .................................. . .............................. . .. . ....................................................... Ilion is gTanted ...... March 1., ... . .. . ............ 19.7�_, for repair and/or connection of a side sewer to the city sanitary sewer ---------- ------------------ systeffn in aaeordance with City of Edmonds ordinances. ATTENTION IS CALT D TO THE FOLLOWING: I 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—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office. NOTE No. 3—Obtaln full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. NOTE No. 4—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. NOTE No. 5--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. 6--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 appurtenances except to in- sert the pipe into the wye. DISAPPROVEDE] Date .... ................................... By ................ Date ................ ................... By ................ Date ............... . ................... . By ................ APPROVED[:] Date .... .......................................................... By ... . .................................. . ... ....................................................................................... Remarks: ....... . ...... . . ........................ . .. . ........................................................... ....................................... ................................................................... .......................................... . .................................................................................... ........................................ ....................................................... AdjjF BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection ....................................................................................... ... I hereby certify that the side sewer installation constructed under this permit (Owner of Contracting Firm Performing Construction) was installed in accordance with all governing ordinances of the City of Edmonds. Datedthis ............................ day of ................................................................. 19 ......... Check BEFORE you dig for: Water [:], Gas E], Telephone E], Power E], Sewer 0, Other 0 V V CITY ,,OF EDMONDS SIDE SEWER PERMIT WATER -SEWER DErARTmENT PERMIT < Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.N Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.) ............... ADDR SS LOCATION OF CONSTRUCTION ........ 4114 Andover Street ----------- ­ ------------ * .................................... ­ ........ * ....... ............................................ PR I OPERTY LEGAL DESCRIPTION-: ...................... Lot ... B.19 ......................................................... .............. . z .................. ---------------------------------- ------- ................................................... . .......... . .......... . ........................................................................................ ....................................................................................... ..................... O-11FNEReiLND1OK BUILDER ...... RA S Const. . ........................... . .................................. . ...... * ........ * .......... ­ ....... .................. OWS NAME & ADDRESS ............. Lynawood SeDtic ................... .. . ...................................................................... . .................................. . ....................................................... Permission Is granted ................. Mar.ch ... I S1 ..................... 119.. �6­ for 4air and/'o'r connection of a side sewer to the city sanitary sewer ........ ..... in accordance with City of Edmonds ordinances. 10m 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 I>ortlon of sewer before it has been Inspected. NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtain -able from the City Engineer's office. NOTE No. 3—Obtain full Information regaxding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. NOTE No. 4—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. NOTE No. 5--Trenches in street must be water settled and surface of street restored to original condition. Contrattors shall be responsible for failure due to improper work which may develop within one year of completion. NOTE No. 6—It Is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the maln sewer or its appurtenances except to in- sert the pipe into the wye. DISAPPROVED E] Dat By ........... Date .......... . . ....... ....... By ................ Date ............... . ................... By ................ .... By ........ - --- -- ----- APPROVEDDate-..­.-�� .... By .... ... .................... .... . ........................................... ........................................... e Remarks: ........................................... . ....................................... .................................................................................................................................... ............................................................................................................................................................................................................................................... BOTH P it Copieyl"ST Be Si d By Owner of Firm Performing Construction PRIOR To Request For Inspection . .. ...... . .......................... ... , hereby certify that the side sewer installation constructed under this permit Twne of Contracting I Performing Construction) Pinstalled in accordance with all governing ordinances of the City of Edmonds. Datedthis ............................ day of ......................... ; ....................................... 19 .......... V V Check BEFORE you dig for: Water 0, Gas 0, Telephone 0, Power 0, Sewer 0, Other 0 V V TAX ACCOUNT/PARCEL NUMBER: a?70q1kQ61D00D BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: CRITICAL AREAS-.' DETERMINATION: E] Conditional Waiver 0 Study Required F] Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER):- DM "'F RqDbUl+4(jdt6� "b I rJLtUtjUtd� ,A-f3 O'D 6 7-V I-vi PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORTPLATFILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: — SIDE SEWER7PERMIT(S) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT WATER METER TAP CARD DATED: IL OTHER: LATEMP\DS'rs\Fortns\Street File Checklist.doc USE: PERMI:F__ BUILDING NPARTMENT Applicam Fill ...... 7505�7. .PERMIT APPLICATIO!L fnside Heavy Lirm Joe ^DORCSS or ..517.1 1 or S...-moN CS 0 No 7-! It & P IM MA D z g 1170/ ID, I..Cz ON �08 .0. o ED— ___ No. �t IT' L VA.0% SID V7. R FRO14T vs - --8'1 REAR ��A L-z Cc— u cui o IT "oc" u 11 o Lelpi Omription of Propt."y (Sh" Below z o o RESID�.TIAL 1E] [D A A ... R E] [D ILA- El E] POOL NUMBER or 5yoRle s N *DE ZLL. ING ITS NATURE Or WORK .=.F To 0C DONE ,zy6 L BE—. Are. V L6411— 1z n`—T �67 ST.ZCT.I/W V~. PLAN 5T. R.40/6o FT. 0 FT. RZMARKS Driveway slopes not t exceed -those ­4 .4irdirated an Stan i cl, Ttv IT STREET Amnior u z TIL;TY AYES le WORK R-CQ:D 0 No UNDERGROUND bryrs WiRIKG REQ*0 0 t40 7, Vipe CORRECTION —71 o In I _�c 11"T'Cee IT hum.a. .PIPlW. I CITI V.C, o "HE o.. JOCCIPANI'V UPANY GROUP D roc-c - V 0 Its Ez J;ATHE CITY OF EDUMM L;� LES TAX non V-11k oil z 1_!. C1.9c. 2 rLO1 'IA. (I I'lDICATE BUILDING SETBACKS. ABU ITING C STRE TS) SUILD"G %1 PLUMBING E,.T & G^S LINE re.ce SWIMMING Pool I h—by uut I be,. N-1 this PpIlcatlon; U�t In. TOTAL AJAOLINT DUE 1.. .1— 1. ce—t: ena U'. I — th. __. - tiM del, _tb_ ...... I — to ..ply �m city anii — I.— tvEn. Win' c—t-100; eBd to 4ni-C Me tZ.—br. — yeseon ATTENTION APPLICAT110NAPPRIDIM .111 � employ'o In �olatlno of M, L�toe co�lq of tI* ate1e at 'ILAZImeon THIS PERMIT 7bis appUcaUen is not a. p.,T�]'r,:;u,,K t ne ZePt DEMOLITIONS �.mol; �Lv 1.14 THE algnedb7thc]3L-UdingOfOcigLOihi.'D��.. BUILDLNGS �1] be WO K'NOTEO uty; said fees are paJd, and rec elpt 19,4c" pl�tkl n X nonthl.) I,,. knowledged In . space providmd. I WHER A E SI N ONSPECTION CII—ENT TGHURE �ATE CITY OF �EDMONDS 10TE'Appliclant Sbjct to Plot Ch(ck Fle 775-.2.525 7*1;�_­" This Pemit co'm work tc be dome on printe oinn—ty ONLY. Any mn$tM"iM On the pub5c dontain (mrbs. side,Ralks, driv*Nwvt;, m3rquees. etc.) will require "Panite pmminion. ORIGINAC, File, YELLOA�,Irpe�tor PINK-' Ov,�. COLD a The City of Edmonds OWNER ----- - - ---------- JOB ADDRESS -------- ----------------- LLJ COD APPLICATION for SIDE SEWER PERMff NEW CONSTRUCTION [] REPAIRS EASEMENT NO - ----------- LID NO. ---i It :-� ASMT. NO. --------------- -7 CONTRACTOR ...... -------- PERMIT No - ---------- --------- LEGAL DESCRIPTIOT,��LOT NO. - ------------------------- BLOCK NO - ---------- ------------------------- . RECEIVED ------------------------------------------------------------------------------------------------------ --------------------------- . ..... -------------------- NAME OF ADDITION ------ - MAR 11976 - - ---- ------------------------------------------------------------------------------------------ Pubk Wodw 04PL Approved: DATE------------------------------------------- � By APPLICATION for The" City of Edmonds EASEMENT NO.�IF.*-7--.1e-4T_:-'�—�-4 ..... SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS LID NO. ------- ASMT. NO. 33-7 OWNER . ...... . ....... --= ........ e "�_77 _ --------- --T. t ------- T*� CONTRACTOR -------- 7—Z: ... ---- 7_k_c_ -------------- PERMIT NO - -------------------- JOB ADDRESS ........... LEGAL DESCRIPTION: LOT NO . ..................................... : -BLOCK NO . ................................ uu _j u_ Lu w NAME OF ADDITION --- ....... ................... DATE../ ... ... By nEET- FILE 18114 Andover St. October 31, 1979 M E M 0 F 0 R R E C 0 R D The following is a list of calls received during the heavy rains during.November of 1978 and March 1979. Some were only for covered inlets, others for plugged drains and creeks. During the week of October 22 to October 26, 1979 all of these addresses were checked for possible plugged or trouble problems. Nothing was found to cause a problem. These addresses were checked by Leadman Bill Stroud. Eobby K;�I-ls Street Foreman STREET FILE 9- IP- 77 CITY of EDMONDS --- PUBLIC WORKS DEPARTMENT Routing of Building Permit Applications Proposed Property Address of Application: 18114 Andover St. DEPARTMENT COMMENTS DATE W A T E R -A\/Ak S T R E E T n aaf,14 S E W E R N 0 T E S BUILDING DEPARTMENT COMMENTS '2-,-f I , "/ k R M 11 jec 0 fl S— TTI i '705 .46 RECEIVE15 \jj pAgrFg- OCT I or* CITY OF EDMONDS PLANNING DEUA 41