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18117 85TH PL W.PDF111111111111 8045 18117 85TH PL W 0 9 1';� 11 -7 '\A TAX ACCOUNT/PARCEL NUMBER:-10-m BUILDING PERMIT (NEW STRUCTURE):__j COVENANTS (RECORDED) CRITICAL AREAS: DISCRETIONARY PERMIT DRAINAGE PLAN DA' PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DA SEWER LID FEE $: SHORT PLAT FILE: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: q5q� GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT WATER METER TAP CARD DATED: DETERMINATION: E] Conditional Waiver F] Study Required Ej Waiver LOT: LID #:— c5z� / BLOCK: LATEMP\DSrs\Fomis\Street File Checklist.doc V-p APPLICATION for The City of Edmonds SIDE SEWER PERNUT EASEMENT No . .......................................... NEW CONSTRUCTION REPAIRS 0 *%rNNwc=)m OVVNER.............................................................................................................. CONTRACTOR L .................................................................................................. PERMIT No. .4 ..................... ADDRESS 74 --- ................... LEGAL DESCRIPTION: LOT No . ............... !9�k --------------------- BLOCK No . ............................................ .. .......... ................ 7� .............. CITY. -OF EUMOIRPS S,1DE;4,-,,SE\, R. P E RM A vil I TT 49iTER#sEwwER bEPARTMENT.. "PERMIT J? 4 3,919, BEFORE: covering any'�Portlon- of 'the 'construetl?,�- 7,76-1-107 for side '�sewer inspections; 'No, Sat_ �S i(IC-11-111-ction will, be provlde(Oivlthln.�24�, �hours- after request., un., =,iholidayAnspections.1' 18117-- -85th.Place�wles-t ADDRESS� L OCATION OF-CONST4,`Ul CTION .................................. .................................. ............................................................... .................................... PROPERTY LEGAL, DESCRIPTION ............. Lot .8, S P. o Vi L.W Addi ti on ........................... . .............................................................. 7 .......... I .............................................................. ...................... .................................. ................. ..................... ............................... I .................. I ......... .......................... I ..................... ............. ....................................... Paul Frjt!�-;, .................................... . ...... ........................................................... ............ .................................................. le . .... ....... ..... .. .... .. .. .. .... .... .... .. .. ....... CONTRACTOWS,-NAME & ADDRESS on.; �.'42'14 Ma'p' R piwood i. Lila' h'. ................ ... Ly ........................................ 7-3 98036 PenWAsion4s,iranted . .......... U-Y ..... ? ............................ ........ for.repalrand/or of'a'-side sewer IfO7`41i6i'�'cl-ty sanit ry isewer -s�� in-accordance,\wlth,clt�!of Edmonds ordinr�nces. a A' ITTION, Ifik.CAILLED TO THE -FOLLOWING: N Mo. 1—Thesowners of ti�eL,pidperty,.may obtain a ipermit.'to construct sewer Anside Peopeky,lind;'.k,,ilcen�ed,61d�'S , ewer--,C ritract6r,,m��tAbe,;employe&,,to,,consfruct 0 ;slde��sewerJn street aire&.� �D o,not,co 'i�ibdfore It �has-,been Inipe6tedl.',—, yer�.any,portion jof a. -Way. Permit, ob aina, NOTE, No. 2�All, ivoylk"performed.lin :city, right-of-way xegpIre9j,aq Inv gion oURIght-of- ble,,from, jthe,�!City, Enginee�,Is.,offjce� NOTE. No. .3'—Obtaln full,:information*, regarding 'Ordinance, 1,1.16.030 and -Regula:tions, side,4 governing se;�ers en you get permit. NOTE No. 4—Top. of !side sewer must have al least 30 inches Coverage at ;prolierty ',line, and 12 :I�cb Aine;, minimum -grade:�of�2%. No -,bends, in,,grade sharper than 1/8 will be,permitted'., es.Inside pFoperty NOTE: No. 5—�Tren�hei, in'street must be water,settled and',surface.,of street restored ;to original, conditiom .,Contractors shall-be,,responsible for, fallure,,due, �to, Improper ,work,�Which,�may,develop,within one year �ofl,completion�. NOTE No. (6-1t,;is,,unlawful to -alter,L6r.,do ' any),Iother work,,thwi Is proyIded:1;i'4n.jhe P�rmlt,or. oAo,�any work,on the,l'�rnafiljsewer =.36 iappurtenances,,bxcept-ft n-' '4serUth6L pipe; into the wye;11 o ............................. .......... ,,D11SAT.PR0VED,-,n,, 'Date ... L7.-1B I.. ........ ................. .... . :)By.-:..: .... Date ............. .. . ............ ....... . B ................ y ..... ......................................................... APPROVED-', J), 'BY Renlarks: . ............ ........................................................................ ..................... ........... ................................. ................................................ ....... ........................... ........................... ... .............. . ............. ............. .............. .......... - ........ ................................... .................. ........................ 6k -T-,6�,�RiBquest�,Eor-ldsP�ctibn..—"-- omii-, ng-�Qoni;txpci on PRI U, 03, fy,L' iherdby cer.ti tha6thel gia6:s�w6r.,ins.,td.11-a,tibnicon'stru��'qd,-Iun'der Ifibigermit, ontr`.d1tij---,- 92'.-P f.r.ing:,Coniiruc6o*n*�),' (,6wner of,,WC6":,- n P'P w: -'nstalled:'in,,a�cor.dan6.6.,With�4a-Itg,,�,errning,ordinalices,.of'.t.he;.City of -Edmonds", 7 119i. �d 1his! ......... Dat of: ......... ek BEFO V X fie UvAig, f om "Wal 6th ;Gas, 1E], 61ephone, !E3tj iPo�v,'er,,iE]I,�-'!S'ewer�IE]�, *, - —L�S:--:J: N\ 7��I-DN --Ic� ", Pro afsaa APPLICATION for The City of Edmonds SIDE SEWER PERNaT NEW CONSTRUCTION 0 REPAIRS 0 EASEMENT No . .......................................... Tff OWNER .......... ............................................................................... CONTRACTOR ...... C�4�AO- PER T No. . ...... J-,r ADDRESS .... ........ .... 4 ------- q/..,: ........... LEGAL DESCRIPTION: LOT No . ....... C9 .................................. BLOCK No . .......... ................................. NAMEOF ADDITION ...... S .. ... L/V ......................................................................................... 0--- Approved: DATE..... .......................................... By .................................................................... _ NOTICE: -7y- .... 0 T 7-t _. 7a -N'o w-a - n The inform ation'shown on the attached map(s) was compiled for use by the City Of Edmonds/ its Employees and Consultants. Th,.e City of �Edm.qnds does not - wa rra nt ti il�_- accuracy of anything set for.th on these rnap(�-). Any person or entity -requesting a copy should conduct an independent inquiry regarding the inform'ation shown on _tHe -m a p (s) I including, but not limited to, -h th*e lociation of any sewer stub shown. Suc sewer stubs may or may, not exist and may or may not exist at the location sh * own. Neither the city of Edmo-nds nor its ernp-l-o-yee*s o*r offi-ce-rs -shal] be 11a-b-[e for the information given on this map(s), nor for any one representation provided based upon said map(s'. U= ERMIT BUILDING WARTMENT ZONM NUMBER 0'27 0 Applicant Flu 'CATION Inside Heavy Lines jog PERMIT..-APPE 1 1 1 1-7— YS CL-1-r TELEPHONE NUMBER Zy �,j $4/0 LP 2,;7 7 NAME % IQ ADD.I.EdS I- FXKMIk,!IILJLE 0/0 LOT A CTUAL COVERAGE LOT COVEWAGE PFRMISSIBLE HEIGHT PRM H 7T AREA TOTAL BLDG. AREA 0040 ;�, 2:t:jW /& 4 REQUIRED YARDS FRONY' _SIVE REAR 1PROW." SIL-11. REAR ?< /0 Ar —��/o 63 ��:, L.To I'. lA.IANCE OR CONDITIONAL USE 9 PERMIT NUMBER Z Z . I I A L 'r.NG DE PROVAL CITY TELEPHONE NUMBER e;,? ZE 'W :TISTIV/STREET R DEFICIENCY TIUB PROPERTY Z NAME COMP. PLAN ST. R/ cc REMA-a" Driveway slopes not to exceed those DRESS nGicated on Standard Dwg.. No. 103. CITY TF "PHONE NUMBER CREC Kul. METER SIZ E SERVICE SIZE CLEARANCE CH D By 15wanz STATE LICENSE NUMBER CITY LICENSE NUMfER V -9 Legal Description of 7rop.,ty (Show BelOv- Or Attach Four copies /V1 C7— k�l /911 /770 Z TYPE CON14ECTION VERIFI _Z- P--T,3 REMARKS -17 0 -J--/ .4 FIRE ZONE I TYPE OF CONSTRUCTION STREET IMPROVED CI YES No SPECIAL INSPECTOR REQUIRED UQUUFANCY GROUP RESIDENTIAL 'AS El C] YES NO I NE W L INE PLI.N C.Et;�D xjY THIS SITE IS LOCATED IN THE CITY NON-RESIDENTIAL SIGN OF EDMONDS. LOCAL SALES TAX 9Z_n11__ 0 ADD [] RETAI DEMOLISH WALL NINO SH"tIL P BE CODED 31,04- MEMARKS 17 ALTER EXCAVATE 12,70 OR FULL Ft.) 0 R.IAIR P"-M'— El swi TINSP. POOML —INUMBER _TF_ 70 0, /V DWELLING UNITS NATURE OF WORK TO79E —DOWE V.ftiati.n Fee Tterelpt N PIS. checl, —U8�1 9UILDING ld4,j 7Zr FROPOSED PLUMBING PLOT PLAN (indicate Building -W.11,1, butting strcets) HE1,T & GAS LINE FENCZ SIGN, RETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE I hereby acknowledge t!,.t I hall ,ad this application; that ib. in for=a',Ion gtv n is correct: and that I am, the owner. of the duly author' I Ized agent of owner. I agrze to comply with City and state law. regu: lating constructloo; and in doing the work authorized thereby. .0 Person ATTENUION APPLICATION APPROVAL will be employed In violation of the Labor Code of the State of Washington THIS PERMIT relatlor to Workman'. Comoenxatlon Inji—ce. AUTHORIZES This application Is not a pernilt until N OTE: Permit Limit One Year ONLY THE eigned by the Building Official or his Dep- (Except DEMOLITIONS which shall be completed In ninety days: MOVED -IN BUILDINGS shall be com. WORF NOTED uty; and fees Eire Paid, and receipt is ac- knowledged in space provided. _pl,l,d R AGENT) D E GNED INSPECTION DEPARTMENT I CTO 'S ION TURE 73 CITY OF EDMONDS DA E NOTE: Applican� Subject to Plan Cbeck Foe . PR 6-1107 Thl, Per� A c—cre work to be d... on Private property o-rF.y. Any eoogt�uctlon on the public doen n (curb., olo—alks, driveways, nutrquals, etc.) will rezalt Bep�te k,_�...Ibn. PZLE q