18120 ANDOVER ST.PDFiiiiiiiiiiiiii
10174
18120 ANDOVER ST
30-5�- oqql(-)
....... . ... ......... Dist*Al a MAR 2
W'd bnds --- Water Department
TAP CARD.,
C200#00 Date ........
Meter..... Tap I No ..........................................
I Size ... �11.1'1"A .... ��a Size .... :�� ................. —
Mfgrs. No.
For ...............
Style...
LotNo ........................................... Blk. No .................................... ....
Add. ................................. *'*'**** ..... - - - ------- *"'*"*"*-,****"* ........................ . ....... . ...........
ServiceLocation ................................................... - ------------------------- - -----------
........ . ........................................ . ..... 1 .......................... ................. ..........................
Meter Location ..... J.? . .... B.LGH..r ... 01H. -. F- C....
. S. Z E.7 r ........ . ................ . ....... . ...... . ..........
W. . ..... OE .....
MakeTap ........................................................... . ....... ........ .................. . ..
................................................................... .................. ........ ............... ....
Pressure .......... 7.0 ... 1?%s. Test ........ . ........................... %
SendBills to ............................................................................... ..........
Dateof Wor ..... ...................... . ........... .................
...........
....... .................................... Foreman
Guar. Voucher No ......................................... $ ................................... . .....
Remarks:
......................................... . ....... . ................ . ............... . ................ . .......
.................................................. . . ofte "A-
.... . ................ . ....... . ....... . ....... . . . . . ..... . ..
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............................... wow ,Pie
OUTGOING Index ......... Reg ...... Route Bk ...... . . StenciL ..... Card --
INCOMING. Index .... . ... Reg ....... Route Bk ....... Stencl..—Card.—..
aterial Chargeable to Instal eters
—NO.-
SIZE
DESCRIPTION
RAT AMOUNT
..............
...
Metelm ......................................
............ .
- - ------ --
-------- -
------ ......
----------
Meter Box ..............................
..... --------
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Meter Plate . ................. ....................
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Check Valve ..........................
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----- : ---
Pipe, Galv. Screw ..................
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Nipples ....................................
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Bushin ......................
gs - --------
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Plain Ells ................................
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St. Ells ..: .................................
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Tees ............ ............................
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11 ............
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'7
Ma-te'rial Chargeable to Taps Connected
NO. SIZE '- DESCRIPTION
RATE
AMOUNT
..' ............
...........
Pipe, Black Screw .............. ...
.............
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.........
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Pipe, Galv. Screw ..................
..............
--- - --------
---------
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Lead Connections .......... -------
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:
Curb Cocks ............................
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Corp. Cocks ...........................
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Unions ....................................
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Saddles ................................ ...
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Nipples .................................. ...
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Bushings ....
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Plain Ells ................................
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Street Ells .......................... ...
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Tees ..........................................
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Curb Boxes ............................
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S. 0. Extensions ....................
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Gates ........................................
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Plugs . ........................................
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Couplings ...............................
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Gate Boxes ............................
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Hours Time —Day Men ........
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Hours Time —Monthly Men ..
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---- * -------
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. Hours Tim'e—Auto ............. ...
..... I .........
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7"
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Superintendence: ............. : --------
-- " -----------
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ROUTING SLIP
NEW SERVICE INSTATIAUft AM
ADDRESS:
DATE:
DIAL A DIG#
U.D.
TELEPHONE
ILE
CABLE T.V.
GAS
FOREMAN
STORM SEWER
OTHER
FUTURE SERVICE INSTL: (YES,,,/ NO
BORE: CUT:
SURCHARGE:
NO
LOCK
CREW
DATE..-- INITIAL:
INITIAL:
ACCOUNT NUMBER:
METER SHO',
SUPPLIER:
TREATMENT!PLANT,
SIDE -SEWER
PERMIT
,CIVIL ENGR.
DRAFTSMAN
B L T
#
SUPERINTENDENT
INITIAL: DATE:
TAP CARD
M,ETER-SHEET
APPLICATION/
UTILITY
DISPATCH
BILLING
7/76
`EWER PERMIT
CIT... OF EDMONDS - SIDE � )
WATER -SEWER DEPARTMENT
PERMIT N? . .5405
Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.N
Inspection will be provided within 24 hours after requet. NO Sat., Sun., or holiday inspections.1
ADDRESS LOCATION OF coNsTRuCTION ....... 1�1 2.0 ... Andover ... Street
.... .. ..... ............. ...............
PWPERTY LWAL DESCRIPTION ........................ Lot C. Jones Addition
.............. ....................................................................................... . .......................................................
...... * ... OWNER AND/OR BUILDER ...... R..& ... $SQT=T� . .................................. . .........................................................
A & ADDRESS .................. liYM 4 ... .......................... ;
Pet 1, ..... . . Marchj, ..... . .. . ............ M.M., for repair and/or connection of a side sewer to the city sanitary sewer
ty d*m-o,nds ordinances.
system in accordance with Cl
AlOTION IS CALLED TO THE FOLLOWING:
NO 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-wav requires an Invasion of Right -of -Way Permit obtaJnable 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 1/8 will be permitted.
NOTE No. 5--Trenches in street must be water settled and surface of street restored to originaJ condition. Contractors shall be responsible for failure due to Improper
work which may develop within one year of completion.
NOTE No. 6--It istu-1awful 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-
.1 he pipe into the wye.
DISAPPROVED Date...-... .. ..... By ................ Date ........... . ... ...... . By ................ Date ............... . ................... By---
.. .........
APPROVEDDa�.- ........ .......... BY-----. . .. . ... .......................................................................................
Remarks: ....... . ................................... .. . .......................................................................................................................................................................
WBOTH it COPIV-WST- Be Signed By Owner of Firm Performing Construction PRIOR . To Request For I I nspection
Be
..... . . ..... . ........................... ... hereby certify that the side sewer installation constructed under this permit
ne'r
;w' o'if ... Cor`tra*i*ing Fi e ming Construction)
(0
w0talled in'accordance with all governing ordinances of the City of Edmonds.
Datedthis ............................ day of .................. .............................................. 19 .........
V V Check BEFORE you dig for: Water E], - Gas 0, Telephone C], Power E], Sewer 0, Other E] -4
C110 OF
PERMIT N? 5 4 0 5
Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.
Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday Inspections.)
ADDIC16 LOCATION OF CONSTRUCTION ........ 1§12.0 --- Andover ... Str.eet .................................................. ..
.... .. ..... ............. ....... .......
PROPERTY LEGAL DESCRIPTION ........................ hot --- C . ...... Jorie.s ... Addilign .................................................
.. A ....... .. .. .......... .. .... ..
EDMONDS - SIDOEWER PERMIT
WATER -SEWER DEPARTMENT
OWNER AND/OR BUILDER ...... R..& ... a..Constr ... ................................... .......................................................
............. * ..... .. ....... .
& ADDRESS .................. !�YMN994 ............................ . .................................. . .......................................................
...... ... M ... a-T. c h ... 1-1 ..... . .. ............. 19..M., for repair and/or connection of a side sewer to the city sanitary sewer
system in accordance with City of Edmonds ordinances.
ATTENTION IS CAIJ D 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 Rlght-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 at property line and 12 inches Inside property line; minimum grade of 20/,. 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 main sewer or its appurtenances except to in-
sert the pipe into the wye.
DISAPPROVED0 Date ... . ................................... By ................ Date .................................... By ................ Date .............. . ................... . By ................
APPROVEDDate ... . .......................................................... By .... .............. . .................. . ... .......................................................................................
Remarks: ........ ...... . .......................... . .............................................................. . ...................................... . ...................................................................
---------- --------------- I ------------------ I -------------- --------- ........ - -------------------------------------------------------
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection —
....................................................................................... ... , hereby certify that the side sewer installation constructed under this permit
(Owner of Contracting FIrm. Performing Construction)
was installed in accordance with allgoverning ordinances of the City of Edmonds.
Datedthis ............................ day of ................................................................. 19 .........
N1 Check BEFORE you dig for: Water C], Gas E]q Telephone C], Power [], Sewer E], Other E] V N,
ADDRESS: A-movow f�b/-Ut
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):..---,-91
COVENANTS (RECORDED)
CRITICAL AREAS:. DETERMINATION: 0 Conditional Waiver 0 Study Required Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS
PLANNING DATA CHECKLIST DATED: .9
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE:S -2,,,,-� Is LOT: BLOCK:
SIDE SEWER AS BUILT DATED: 31 ( 1-1�0
SIDE SEWER PERMIT(S) #: P� , 5
GEOTECH REPORT DA
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
( q
LATEMP\DSTs\Forms\Street File Checklist.doc
8 'M ��.7;
,01
7
BUiLDING DEPARTMENT
Aprlic..t Fill
USE
He
PERMIT
NUMBER 750598
MMIT APPLICATION
Inside Hr3yy Lines
50a
9%
—
A .... ss alAd
- 7
N E (ON NAME OF SUSINCSS) -7
49Z,4
LE��L '...T I LOT ARE^
YES C NO i+V0V
91�) 7,
CQ, — L"
M�Lf.G ADDRESS
--R.A-.. OR
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No*
o
c Y
1J. L/ &--�Odb
-7 0
PROPOSCD YARDS
ZDf
FRONT SIDE REAR
U1
SIGN ARE.
AREA
ADDRESS
OTHER
M
CITY
ER
Ft. ... I.GORFT. VAL DATE I
NAME
STREET 'r'
E DEFICIENCY THIS PROPERTY
XISTING STREET Rj.W/(,0
DDRK55
o
u
COMP. PLAN ST.
4
CITY
TELEPHONE
ur veway slopes not to exceed those
Z
o�
indicated on Standard 21g. No. ]Q3
2 -7-2 7k
Leral Delzription of Property (Show Below or Allach Four Copift� STREET AND/OR UTILITY YES
WORK REO'D 13 No
UNDERGROUND Y-YES
WIRING REO'D 0 No
0
TYPE CONNECTION
St"dic SYSTEM U YES
.1"0 .1 CITY END. C3 NO
5!
11TIE" I
I
SIDE. T'I.L 1[j GL
1I.E. zo.L ryelor
SIGN
A --
_All
....... D
El ALTER C-.A-A-. . [],W_C.
PILL 0""CE
(-X-rn
0 YES 916
"AN C..
..FAIR Ej
Do L
1.51. OOL
NUMDER OF STORIES
�01
U.ELLI.G
U.IT5
WOR� TO or, DONE
)OF
r-; A=--� ) I -lb
I'LAN CHECK
o PLOT PLAN I'H I. ATE OUILDING St-ACKS. No.
i ADUTTIN C STREETS)
u
�LUJM-'.0
HEAT & GAS LINE
RETAINING WALL
l-IMMING POOL
It
z
z
occ-
OCCUPANT
"
GROUP Lel^o
, 3.:--
Y
SIT E I S LO CATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SH LLD BE CODED 31.04
to
y
00
—e
th. In. TOTAL AMOLINT DU
ve Iced thbI application; UoLL E
�Imby 1�00.ledge that I bal
t_1
U.. .1- i. end th.t Ium th. -e- - .h. 4.1, eutb-
or In .... r. I -N, 10 comply �.U% IIj and .� 1- Mru-
T
latl,g In d�tnL the work ambort,I,H! th-by. on ;HH- ATT ENTION APPLICATION APPROW
mP y"' M Lbe, C�. of U� 9- 1 W�&Iez� THIS PERMIT
r
N1.1t.g to Work...,. C-l'. ... I... I-u- This application Is not a permit until
A.T. R.-
I Y
NNOTE P it Limit One Yaar (E—pt DzxuLtrzovs �msul ON1. THE Rigned by the Building Official or his Dep-
to We OVED4N bZ7FLDI.%G8 hI01 b. �ORK NOTED uty; and fees are paid. arul receipt is ac-
�I', knowledged In space provided.
'WN DATE SIGNED INSPECTION
1. URE 10 DEPA RTMENT
CITY OF
EDMONDS
DATE
.4p,plican't Sllbj'��a to Plan C Keck R(c 775-2525
This Permit cove . work to be done on printe property ONLY.
ArIy on the p.bli. d.-i.. t-,b,, id-allut, di -ay., File -YELLOWI-Yis�-�:a,
m7qu�, etc.) will require wpm" permksion. PINK- CMey COLD�'
Z!5;. o
T-- 10
A
OV
IDL
fA
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ol
00.0
60
. D
17A -2
96A
1-7,5 -7
17-5
59L tb LAe,
all 5
FL i z 5,
&-ff P-
61 ZO A-*J 5-15--to
57.
B17E PLAN
20,
LF(�AT r
1/14,
A OV BY KMNINP/
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SITE PLAN
I' = 20-
LIEGAT
A �_08404/1997
15:09 20677 AC 5OFTWARE/DESIGN PA6E 02/02
Oical Areas Checklist
Site Information (soils/topography/hydrology/vegetation)
1. Site AddressfLocation: _zezzo ia+.d� aao, t)��
2. Ptoperty Tax Account Number, 1 ?2 7.- OP/-
3. Approximate Site SIze (acres or square femt)- L#L-
4. Is this site currently developed? _Zyes, no. V
If yes: how is site developed?
5. Describc the general site topography. Check all that apply,
Flat- less than 5-fmt elevation change over entire sito.
4uG5,
Qtp
Lol"' Rolling: slopes on site generally less than 15% (a vertical rise of 10-fed over a
horiz*nW distance of 66-fed).
HMY* 31OPC3 prestnt on site of ame than 15% WW less than 307a ( a vertical rise
Of 10-fcd vvcr a 11914011W 01=Ce Of 33 to 66-feet).
Steep: grades of greater than 3U present on site (a vertical rise of 10-feet over a
horizontal digtarice of less than 33-fect).-
Othex (please describe):
6. Site contains arew of year-round standing water Aj 0 Approx. Depth:
7. Site contains areas of seasonal standing w2w: M Approx. Depth;
What season(s) of the YW.
8. Site is in the floodway )J 0 floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Fiow3 are y=-
round? - Al o Flows are seasonaI7 (What time of year?
10. Site is primarily: forested k� ; R11!2dow _: shrubs mixed
urban landscaped (lawn,shruhs etc) _jg_ .
11. Obvious wedand is pre5crit on site:
---For City Staff Usq only-- ED
I Site is ZonW. R 5 — I Z
2.. kS frapped soil (yps(sp __A1 w..A - (k bAn (A^A 5±rglo
3. Wetland inventory or C.A. map indicates wetland Present on site?
4;; :jCritical Are" inventory or C.A. muP indicates Critical Area on site? No
5. - §it e withi� designated earth subsidence landslide hazard area?
6. 4ab designated on the Envirearnentally Scmittyr. Areas Map?
DEMRAMATrQN
"STUDY REOUIRED CONDMONAL WAIVER
WAIVER
Reviewed by: ot4W.--
pvner Date
4-0144*4
0S./04/1997 15: 09
AC SOFTWARE/DESIGN
PAGE 01/02
4',
2067766
City of Eftionds
Critical Area S- Checklist
T11e Critical Areas Checldist, contailned on
this form is to be filled out by any person
preparing a Dovdopment Permit
Application for the City of FAmond3 ptior
to histher submittal of a development
permit to the City.
The purpo of the Checklist isto emable
City staff to determine whether any
potential Crifical Arm am or may be
present on the subject property. The
information needed to complete the
Cheeldist should be easily available from
obwxvatiom of the 3itC cr data available at
City Hall (Crifical Areas inventories, m;aps,
or soil surveys). -
An applicant, or his/her representative,
must fill out the Checklist, sign and date it,
RECEIVED
AUG 0 4 1997
COMMUNITY SERVICES
and submit it to the city. no City will
XvAew the checldi3t, make a precursory site
visit, and make a determin ition of the
sub"uen't steps necessary tO complete a
development Permit application.
with a signed copy of this form, the
I should also submmit a vicinity rn a . p
or p�
PL�
or jn�
1vi lots of t-he parcel
with edoush detail that City staff mn rind
and identify the subjwl parcel(B). In
additiOne the aPPlicant $hall Include
other PertWnt Infornwtion (e.g. site
Plant tOPOgraPhY map, etc.) or studies in
CO"junWon with this Checklist to auLst
Aaff In completing their preliminar-j
assemment or the site.
I have completed (he attAChCd Critical Area Checklist and atlest that the ah5wers provided are
factual, to the best of my knowledge (fill Out the 213PTOPTiale column below).
Owner i Applicant:
ck�
Nam ' - V
/ RI 7- 0 . .
Stteet Address
kJA '7 7S"-.9-T tz
eity, Stide, ZIP Phone
Signature Dee
Appl;cant kepmentgtivc:
j Ej
-3.3-o
btfflU Address v
F 7,%, -;7
671 , state, Zip - h114 70leo Phone �3 7-7
A�Zh7
Date
PLANNING DATA
NAME: IVInn
' / -7
SITE ADDRESS:— p DATE: . '9
ZONING:
P - tz-
PROJECT DESCRIPTION:
I
LAN CHK#: 0177-
CORNER LOT 90
-(Yes/No) F L A (Yes/No)
SETBACKS:
Required Setbacks.
Front: , Z5 Left Side:— /0 Right Side: Rear:
Actual Setbacks-
Fr='I�Left Side: 19 Right Side: 7Z Rear.
Street map checked for additional setback required? —(Yes/No)
V,
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED - (Y/N)
LOT COVERAGE: 3,5"x
Maximum Allowed: ---_Actual:
B UILDING HEIGHT: X /
-LA Maximum Allowed: ---.Actual Height:
Datum Point: Datum Elevation: 100
F
A.D.U. CREATED?:
SUBDIVISION:
CRITICAL AREAS #: 1-7-KI - W A � V67L
SEPA DETERMINATION: P" )e-e-h-,4"Y I
LOT AREA: I -� I � 2,5 a rj -,
OTHER:
Plan Review By: 0,,,j -111(�Cvl
c:Ti1eskpermit%Ap1&ndaLdoc
APPLICATION
for - F= — I
The City of Edmonds EASEMENT NO. m - ---------- -- ------
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS 0 LID NO - ----- ----- ASMT. NO.
CONTRACTOR PERMIT NO. E5 -
OWNER - - ----------------- -= --------- ------------------ ---------------------- -- ---- ---------------------------------------------------------------------------- ------
JOB ADDRESS -1 -M — ----------------------------- BLOCK NO - ------------------------- ----------
LEGAL DESCRIPTION: LOT NO - ------ c--
-------------------------------------------------------------------------------------------------- ---------------------------------------------------------------
NAME OF ADDITION ------- ------------------------ ----------------
1
�4
U-
APPLICATION
The City of Edmonds for EASEMENT NO. J
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS LID NO. --------- . ASMT. No. -----------------
, IF—
--------------- ----------- R ---- ZY ---- PERMIT NO.
OWNER CONTRACTO
JOB ADDRESS 4L LEGAL DESCRIPT ':'LOT NO.
--------- ---------- -------------------------------------- BLOCK NO - ---------------------------
------------------------------- ----------------------- -------------------------- ---------------------------------------------------------------
NAME OF ADDITION ------ �l �!�
RECEIVED
;44
MAR 1 19N
Pulk %ft Dopt
COD
4!
Approved:
DATE........ ----------------------------------- By ------------------------------------------ ....... ---------
STREOWDRESS F17 E
CITY OF. EDMONDS
BARBARA FAHEY
MAYOR
7110 - 210TH ST S.W. - EDMONDS, WA 98026 - (425) 771-0235 FAX (425) 744-6057
COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION
117 C-
.is
February 17, 1998
Mr. & Mrs. Geoff-rey Nunn
18120 — Andover St.
Edmonds, WA 98026
Subject: Water Leak Credit (#333125)
Dear Mr. And Mrs. Nunn:
I have reviewed your account and will allow a credit for the billing period between
November 20, 1998 through January 22, 1998 in accordance with our City policy. The
policy states that the customer will be billed at the retail rate based upon the average water
consumption for the same period during the previous year. In addition, the excess water
lost from the leak will be billed to customer at the City's wholesale rate with a 15%
surcharge added for administrative cost. Only one leak credit will be granted in any three-
year period.
Should you have any additional questions after you receive your new billing, please
contact Ilene Larson, Utility Billing Clerk, at 771-0241.
Sincerely,
1:1, Jim Waite
Water/Sewer. Supervisor
JW/lk
cc: Ilene Larson
Utility Billing Clerk
wordata\water\credit98\#333125
* Incorporated August 11, 1890 *
Sister Cities International — Hekinan, Japan
so
Geoffrey and Gail Nunn
18120 Andover St.
Edmonds, Washington 98026
February 5, 1998
John Waite
City of Edmonds Combined Utility
P.O. Box 2008
Edmonds, WA 98020-3163
Re: Acct. Number 3-33125, 18120 Andover St., Edmonds
Dear Mr. Waite:
R CF
.1'V50
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F E B 0. 6 1 *' �,918
PUBLIC \NORKS DEPI
I am writing to ask for a reduction in my water bill that is due on February 25, 1998.
The balance owing is $219.96. Our normal water/sewer bill is between $70.00 and $90.00.
Our meeter reading was high this time because on Christmas Day we discovered a leak
under our driveway. We were unable to obtain a contractor to work on the leak until the
Monday after Christmas. Enclosed is a copy of *the invoice we received ftom Chermak
Construction documenting that we had this leak and that it has been repaired. Although the
invoice is dated the 12th of January 1998, the work was done on December 29th and 30th, 1997.
We attempted to minimize the damage by turning our water off at the meter. We have no idea
how long the leak was there before we discovered it.
Please advise'as to what kind of adjustment can be made to this bill.
Very truly yours,
unn
4, . - . t.
Geoffry and Gail Nunn
18120 Andover St
Edmonds, WA 98026
Ph. (425) 775-9383
INVOICE
Invoice Date
1/12/98
go
Customer No
9792
Invoice No.
9792.03
Insurance: Allstate, Market Claim Office
PO Box 34688
Seattle, WA 98124
Ph. (425) 489-2200
INVOICE:
Completion of Time and Material work on Water Line Repair:
Demolish and dispose of section of existing concrete stairs and driveway and uncover break in
water line. Saw cut driveway and jackhammer existing concrete and dispose of debris at
proper disposal site. Repair water line, backfill, compact and pour new exposed aggregate
stair and driveway.
MATERIALS / LABOR (supplies, rental equipment, labor, conc. pour) $1,151.38
DUMP FEE: Concrete recycle
$ 27.89
Subtotal 1,179.27
Wn. State Sales Tax 104.42
Grand Total. $1,280.69
THANK YOU!
HOWARD CHERMAK
Payment terms: Due upon Receipt
1.5 % Monthly Finance Charge on all overdue accounts.
# CHERM C1 11 ONU
(425) 776-1367 9 FAX: (425) 774-4993
7526 Olympic View Drive, Suite C - Edmonds, WA 98026
REMODEL AND ROOF SPECIALISTS
-7
0
17i
City of Edmonds
Plan Review Corrections
Plan Check # —Date -7
Project Name/Address A11141V IAZO 4
Contact Person/Address �&J -730 DCI,41�
ReviewerJfttJ loacrgatri Department
L-//(( Ahe"
I ) //e/v� C. It,-c_ M7/- zvzw" 4 4/. plea;,_ re.,- -�, 4e
a AA4 7
DATEFAXED (Attach fax transmittal) PAGE OF
01STREEMMILE 'City of Edftion�
CTION-1
RIGHT-OF-WAY CONSTRt
PERMIT
Permit Number:
4, Issue Date: �;-12J3
A. Address or Vicinity of Construction: 2111236 Andover St.(9308354)
90 1 9 C) B. Type of Work (be specific): Install New Sekvice
C. Contractor: Washington Nat'l. Gas Co. Contact: Frank Swan
Mailing Address: 815 Mereer St.Seattle,Wn .. Phone: — 224-2278
State License #: 98111 Liability Insurance: Bond: $
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. f! Commercial El Subdivision F! City Project J&Utility (PUD, GTE, W`NG, CABLE, WATER)
F1 Multi -Family El SingleFamily F! Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut: � IR Yes E]No . G. SizeofCut(Q2 x 4 Cut H. Charge$
7:5 ESa ?>J;_L0AJ APPLICANT TO READ AND SIGN In Paving
INDEMNITY: Applicant understands and by his signature to this application, agree. Id the City of Edinonds haimless.TAM,
in ges, or
claints of any jUnd or description whatsoever, foreseen or unforeen, that nuty be njad�- Aagat t the City ofEdinonds, or any departments ernploy-
ees, including or not limited to the defense of any legal proceedings including defe �osq, and attorney fees by reason of granting this pennit.
7
7HE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWN7THE FINAL INSPEC77ON
AND ACCEPTANCE OF THE WORK EST[MATED RESTORA 77ON FEES WIZL BE H4LD,',4�Qji`tHE�FINAL STREET PA-JCH�SCOMP�ETED BY
CITY FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUA CEK"TOTHkAPPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Department
Work is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes. 771-0220
Street shall be kept clean at all times.
Traffic Control.and Public Safety shall be in accordance with City regul�ti'or" required by the --City ti4glfieek
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
I have read the above statements and understand the permit requirements,,an d the pink copy of the permit will be available
on site at all timesfor inspection purposes.
S "'ture: Date: Febr
igna uary 10, 1993
je7 (Contractor or Agent)*
CALL DIAL A -DIG PRIOR TO BEGINNING WORK
NO WORK SHALL BEGIN.PR.I0R TO PERMITJSSUANCE
Engrg. Div. 199 1.
N WS R
FIELD INSPECTIO n 11 oute copy to Street De'pt.)'—
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES ONO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July 1985
0
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Nabir5l &�iW
Addendum to :
Submitted by:
E D N D S
I r% "4'0"cJ
E] NEW 00i"IST.
E X I S T 11" IG
WNG to window
Water main depth
unknown
?— 11 gas main
City of Edmonds
Right of Way
Permit Application
Czqu,4L,�,- (IoQ
Engineering Aide
Washington Natural Gas
c5z-i- .15Z4e)
I (Z)(4� CJL�T\ I VA T�S-Q \ V-3C-7
Key:
-w- water
-g- gas
-ss- sewer
-E�- water hydrant
0 watervalve
815 Memer St. (PO. Box 1869), Seattk, WA 99111 (206) 622-6767
LAURA M. HALL
250 - STH AVE. N. MOMONDS. WA 00020 (2100� 771-0220 NAX (20a) "1-21
COMMUNt'rY SERVICIES 01F-pAR-rjAr=r4T
Q. P.blic Works - Planning a Parke ancl R—roation w lEngin—ring
0
40C)VIER PAAME
oA-ri=- -rRANSMI1=E=-0;
NUMBIER C)p P^Mes:
(InClUOIng Oc^fer Paoe)
FtOcflPlOnts -releccpler "Um6or:
-2 -:;7
PAC�SIMIL-E SC�UIPMa"-r:
Autornettic/CArc�Lmp if
(2.G mins.); (3rczup III
F=Rc�m:
it there are a ny pro6legms
cluring tranSrnisslom c�r
Cl�Ocurnents are recelved
Inco It lease call
A2 0 r-,cl ..k
Senclar's Tlelecc�plor Numb -or: (2043) 771-6221
i - I .4""ust 21. 1890 .
TRANSMISSION REPORT
THIS DOCUMENT (REDUCED SAMPLE,ABOVE)
WAS SENT
** COUNT
# 2
SEND
NO
REMOTE STATION I.D.
START TIME
DURATION
#PAGES
CCMMENT
11
2065215279
2-19-83 10:59AM
2-15"
2
TOTAL 0.02'15" 2
XEROX TELECOPIER 7020
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KEEET
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CITY of EDMONDS --- PUBLIC WORKS DEPARTMENT
Routing of Building Permit Applications
Proposed Property Address of Application: 18120 Andover St.
DEPA I RTMENT 1 1: Pill:
COMMENTS
DATE
V A T E R
S T R E E T
-4Z4;6-e�,"
S E W E R
PI
N 0 T E S
BUILDING
DEPA"HENT CONNOTS
1
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Recorded as an am_WEX�IBIT A na-; to conform to corrected legal and reJ
onds Engineeri� DeDt requir-16 as,.per Subdivision�kl
---�,�,turnround p
IZ " 0,
he'Company has not s veyed the pre, tises des
it SO crib%e
f assistinj
114-.--1-.1!The" sketch below is furnished without (Aiarge'solely for the purpose o
ating said premises and the Company assumes no liability for -inaccuracies theri
does :not purport to show ALL..highw ays, roads,. and ..easemer, ts adjoining or`,-`,aSf`e,.q,t
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