18116 ANDOVER ST.PDFiiiiiiiiiiiiii
10171
18116 ANDOVER ST
CITY OF EDMONDS 4
CIVIC CENTER — WATER -SEWER DEPARfMENT "'pect 6_1l`07 wh" "ark
Is ready for Inspection. (No inspee,
tions Saturday, Sunday or holidays.) N2 3305
SIDE SEWER PERMIT
ADDRESS...... 18.126 .. Andover ... Road ...................................................... I ............ . .............................................................................
owNER .......... F_rzr4k._Ha=ck .................................................... CONTRACTOR ......... Owner ..........................................................
Permission is granted ---------------- June ... 25.1 ........ 19..69., 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.
NICE 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.
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. 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 appur-
tenances except to Insert the pipe Into the wye.
CIT# OF EDMONDS — SIDFdFEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT N? 5409
LU
(Call 775-2525 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.
CC
ADDRESSk(CATION OF CONSTRUCTION ........ 18116 Andover Street
............................................................................................................................................................
PROPERTY EGAL DESCRIPTION ................... Lot A. Jones Addition
.... . ........................................................................................................................................................
- ---------- . ............ * ........... * --------------------------- **"* -------------------- * ---------- - ----------------- *"*** ........................ .......... ........
................................................................ 011rtrl�� J&AND/OR BUJIMER ........ R ... & ... �..CQX$L . .................................. . .......................................................
XACTOR'S NAME & ADDRESS .... Ly-nnwood-Septic-Tank ............................. . .............................. . ... .......................................................
ion Is granted ..... Abrch-21,11-1 ..... 11 ------- - ---- 1--,-*., 19 .... 7-� for repaIr and/or connection of a side sewer to the city sanitary sewer
system in accordance with City of Edmonds 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—All work performed in city right-of-way requires an Invasion of ItIght-of-Way Permit obtainable from the City Engineer's office.
NOTE No. 3—Obtain 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 al property line and 12 Inches Inside property line; minimum grade of 2%. No bends in grade
shaxper than % 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 maln sewer or its appurtenances except to in-
sert the pipe into the wye.
DISAPPROVEDDate
.... ................................... By ................
Date ............... . ................... BY ---------------- Date ................ ................... . By ................
AWVED
Date .... ..........................................................
By --- - ------- ----------------------- --- -- - ---------------------------------------------------------------------------------------
Remarks:
.......
. .. Repair .. Pexiiiit.-Oxily
. .............................................
. ....................................... .............. . ...................................................
..........................................................................................................................................................................................................................................................
0— BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
I ....................................................................................... ... 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 .........
-j Check BEFORE you dig for: Water E], Gas E], Telephone E], Power E], Sewer E], Other E] V V
ADDRESS: Ztl& A,�aIDVw ,--jad
TAX ACCOUNT/PARCEL N-UMBER:oM411-D&Q13e0
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREASV, — DETERMINATION: E] Conditional Waiver [] Study Required F] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER): .19AILO &00&k V ff 6136 20 03 Ok 7:5
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
SHORT PLAT FILE: LOT
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:-6403 -336F;,
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
OTHER:
LID #: 1�5 1
BLOCK: IL
LATEMP\DS7s\Fomis\Street File Checklist.doc
The City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT
EASEMENT No . ..........................................
NEW CONSTRUCTION JK REPAIRS E]
I D Arl
OWNER ..... Ft;;LA. hl.K ..... RAMALK ................................................ CONTRACTOR .... J0..WX.F—.R -- ----------------------------------------------------------- : ........ PERMIT No.
ADDRESS ... A.N.D.ay.E.J,� k
.................... LEGAL DESCRIPTION: LOT No . ......... / .................................. BLOCK No. .....;2.7 .............................
NAMEOF ADDITION � ........................................................................................................................................
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UN 241969
Approved:
............................
..........
DATEY ................................ ByJ.Xf-Z�. ..rZ
FILE
CITY of EDMONDS --- PUBLIC WORKS DEPARTMENT
Routing Of kmkl&x5*eXX9lK Appli cations
PROPOSED SUBDIVISION
Proposed Property Address of Appiication: /-1 - 811 - 6 - A - ndover
DEPARTMENT
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COMMENTS
DATE
W A T E R
S T R E E T
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74�
N 0 T E S
BUILDING
DEPARTMENT COMMENTS
le
FILE NU;IBER S-23-75
PLAT OR 18116 Andover ST.
STREET NAME,
CITY OF M1410NDS
PLANNINIG DEPARTMENT
V
STAFF REVIEW OF PROPOSED SUBDIVISION
APPLICANT David and Susan Jones
ANALYSIS OF DESIGN
1. Lot sizes and dimensions:
a . Areas and setbacks Areas and setbacks - adequate
' za-cis-ractory
b. Lot dimension ratio:
c. Corner Lots: No
d. Other:
11-3-75
l-lEARING DATE
2. Lot arrangement in relation ' to topography:
Satisfactory. Lots B and C are essentially level. Slope begins approximately 120' west
of Andover and slopes quite steeply up to Lots A and D.
3. Lot frontage: . Adeq ate; and residential street
4. Protection of natural features, views, open spaces
.Satisfactory
5. Tree cutting restrictionsTo be imposed on all trees .8 inches in diameter and over per
Section 12.10.050 (c) (2)
ENVIRONMIENNTAL ASSESSMENT
1., Located in environmentally sensitive area:
No
2. Shorelines 11anagement permit required:
No
3. W assessment requi red:
4-- Negative Declaration:
5. EIS required:
REQUIRED IMPROVEMENTS AND DEDICATIONS
1. See City Engineer's Report
2. Walks or pedestrian ways required:
3. Parks or other facilities required:
4.- Special requirements or conditions:
No
No
Page 1 of 2
r-
aff Review of Proposed Subd4vision
age 2
RE CO VIME N DAT 10 N S
File No. S-23-75
Recommend approval subject to tree cutting restrictions, replacement of.any trees
8-inches in diameter or over which are removed and subject to all Engineering
Department requirements.
PLANNING DEPARTIMENT
BY Mary Lou Block
DATE OF REVIEW:— 10-21-75
. ######--Iui##########14t####
COMMENTS AN6 ADDITIONAL REQUIREMENTS ATTACHED IF APPLICABLE:
0
ENGINEERING DEPARTIMENT
BY:
DATE:
PUS
BY:
DAT
FIRE DEPARTMENT
BY:
DATE:
Planning Secretary:
(Note: Send Preliminary Plat and Report form.to Public Health Department, Everett)
Report from Health Oept. must be included with final plat report to 'Council.
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