18118 85TH PL W.PDF111111111111
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18118 85TH PL W
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ADDRESS: E I Is R, W
TAX ACCOUNT/PARCEL NUMBER: —CD [03150000 6 00
BUILDING PERMIT (NEW STRUCTURE): —
COVENANTS (RECORDED)
CRITICALAREAS: - DETERMINATION: F] Conditional Waiver F]StudyRequired DWaiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER): 1�1 JU —
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE
SHORT PLAT FILE: LOT:
SIDE SEWER AS BUILT DATED: 120) -� 6
SIDE SEWER PERMIT(S) #: 32<,2,,5o I
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
LID #: C25 1
BLOCK:
LATEMP\DST's\Fomis\Street File Checklist.doc
POSTED ON KROLL MAP
BUILDING DEPAIMENT Applicant Pill
Inside Heavy Lines —ioaD
PERMIT APPLI
NAM
E
MA —No —D rr-N
07-0 (:� — /,— � USE
CITY
10,
GAS
;�.M..1-TIA1
IAL
NON-RESIDENT SIGN
EJ... F-I RETAINING
DEMOLISH WALL
A.T.. FENCE
.;-CAVATF
[]--FILL (- x ... P)
F� REPAIR 0 PRE- OVE
N1 El
IINSP. POOL
NUMBER OF STOIIIIE8 NUMBER OF
DWELLING
UNITS
PERMIT
,tT SETBACK
REAR TAR SETBACK
AREA
VAQ*�� I'll
YYES NO
DING AREA
'VARIANCE NUMBER
LOr Wit-) Irr
NT 13LrXr- Uwe -
STREET
H/W
EXISTING STREET R/11 4 Al. DEFTCIZNCbTH1,8. PROPERTY
X ST. 7
COMP. PLAN R/W45f,
Z
REMARKS
Driveway slopes not to exceed those
indicated on Standard Drawing #103.
Pl.. Check N...
BUILDING
PROPOSED
PLUMBING
PLOT PLAN (Indicate Building setbacks, abutting strects)
N
HEAT & GAS LINE
17ENCE
SIGN
RETAINING WALL
SWIMMING POOL.
DEMOLITION
IIZS]n.CTIOX
EXCAVATIO.X OR FILL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the In.
, I
formation giv Is correct; aund that I ant the owner, or the duly author.
JJe4 age,' 11 'no 0wrel. 1 -11, to comply with city and state laws regu-
luting coninructtni: and In doing the work authorized thereby, no person
ATTENMON
T
will be ' loyed In violation of the Labor Code of the State of Washington
TIUS PERMIT
relating to Workmen's Compensation Insurance.
AUTHOR.17jES
NOTE: Permit Limit Orie Year (Fxcept DEMOLITIONS which
ON
' Ly T, E
ahAl: be comple!ed In ninety days; MOVED-LN BUILDINGS shall 17t corn.
WORK NOTED
;,W- 1. st. months.)
UGNATU JUWNf-
DATE SIGNED
INSPECTION
DEPARTMFNT
CITY OF
EDMONDS
NOTE: Applicant Subject to Plan Check Fee
PR 6-1107
This P mit covers work to be done on private property ONLY.
Any mostruction on the public dornain (curbs. Idewslks, 1rive-.ys,
nasurq—., te. I will r".Ire ,p—te pe,rau.5—
FA
Valuation
I
;CKED
Z
:CKEDIBY
R
'ET IMPROVED
YES NO
7
OUP
Fee Rnelpt N-
[w,
mm
7
APPLICATION APPRO�7A-L
This application is not a permit until
signed by the Building Official or hisDep
uty; and fees are paid, and rv.:cipt Is ac-
knowledged in space provided.
NOTICE:
Ity ... 0 f
No-w a r.r a n
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 t ' hese
map(�_). Any person or entity -requesting a
copy should conduct an independent
0 -ation shown on
inquiry regarding the inf rm
_ff�e -map(s), including, but not Hmited to,
th . e lociation of any sewer stub shown. Such
exist and may
sewer stubs may or may not I
or may not exist at the location shown.
Neitheir the �ity of Edmonds nor its
ernp,l*o*yee*s o*r office-rs -sh-a-11-1 be 111a.b-Fe for the
s ma p(s), nor for
information given on thi,
ov'ded based
any one representation pr I
upon said map(s).
CITY OF EDMONDS
CIVIC CENTER — WATEPSE"MR DEPARTMENT
SIDE SEWER PERMIT
CaJj PROSPect 6-1107 whe. Work
Is ready for inspection. (No inspec.
tiOns Sat —day, Sunday or hoildays.)
3850
ADDRESS ------------------------------- 8-5th .. Fla-ce ... West
OWNER .............. --------------------------------------------------- CONTRACTOR ------- Tu.cke.r ... ConS.t_ruq_t.i.q_n ......................
I Permission is granted ........ PIZt9bg�:r --- ZQ ---------- 19 --- !M 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 ployed to construct side sewer in street area. DO not cover any portion of sewer before it has been Inspected.
NOTE No. 2—Obteamin 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.
NOTE No. 4—Trenches in street must be water settled and surface Of street restored to original condition. Con ors shall be responsible for
failure due to improper work which may develop within one year of completion. tract
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.
STREET FEE APPLICATION
The City of Edmonds for
SIDE SEWER PERMIT
0�5 f� 33 NEW CONSTRUCTION REPAIRS
EASEMENT No . ..................................
OV*rNER ........... 7
............ ........ CONTRACTOR ......................... /:z
....................
......... .............. I.- ......... : ............ ....... PERMIT N
0 .............
ADDRESS .... LEGAL DESCRIPTION: LOT No . ...............
------ --- ............................... BLOCK No . ............
..... .....
NAME OF ADDITION ................ -(/e.
----------- I ............ .............................
RECEIVED
OCT 2 0 I!Ro
u
Approved:
DATE
By ...
....... .....