18218 ANDOVER ST.PDF11111111111111
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18218 ANDOVER ST
CITY OF EDMONDS
CIVIC CENTER — WATER -SEWER DEPARTMENT Call PRospect 6-1107 when work
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SIDE SEWER PERMIb 'o.,
*ESS ------------ 1.82.18 ---- And.ovd-r ... Road .............................................................................................................................................
... .... .... ....... ....... .. ..... .....
Gordon F. Esterberg owner
OWNER.............................................................................................. CONTRACTOR ................................................................................
April 19 68
Perrnission is granted ......................... .................... 19 ......... 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. 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—Obtain 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. Contractors shall be responsible for
failure due to Improper work which may develop within one year of completion.
NOTE No. 5--It Is unlawful to alter or do any,other work than Is provided for In the permit, or to do any work on the mam sewer or its appur-
I
,.enances except to insert the pipe into the wye.
ADDRESS: AAd n up,�P/IAV-D-�
TAX A�COUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW
COVENANTS (RECORDED)
CRITICAL AREASV
DETERMINATION: F] Conditional Waiver E] Study Required 0 Waiver
DISCRETIONARY PERMIT #'S:AIP 14-11,API. 9?,
DRAINAGE PLAN DA
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
Iq
SEWER LID FEE $: LID #: 101
SHORT PLAT FILE: LOT:&i&1-10- BLOCK:
SIDE SEWER AS BUILT DATED: ta
SIDE SEWER PERMIT( S) #:
GEOTECH REPORT DA
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DATED:
LATEMP\DS'l7s\Fomis\Street File Checklist.doe
7 .71i
ey
USE R.IT
CITY OF EDMONDS IONli��[;) 'U.BE R 90663
CONSTRUCTION PERMIT APPLICATION i .
AME OF SU u.HF.. IY7193 A44M_e,_C
N INESS)
LEGAL OESCAFPTION CHECK FIDIVISION NO LID NO,
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15� �BER
P ILIC FIGHT Or WAY PER OFFICIAL STREET MAP,
RDIED.1
6Z
E STING___ REQUIPED DEDICATION
PROPOSED—__
erAME
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RIGHT OF WAY CONSTRUCTION PE RMIT REOUIRED..
r
ADDRESS
STREET USEPERMIT REOUIRED.'
Z
i
REVIEW BY
SEE ENGINEERING MEMO DATED
CITY
NUMBER
ITILIPIONE
REMARKS
NAME
Ar
ADDR
0
(A
METER SIZE
SUPPLY SIIE
UNITS
T
CITY
"UMB111
JIUILDING IFIXTURI
Z
ITELEPIONE
REMARKS
STATE LICENSE NUMBER
SIGN AREA ENV EVIEW ADS NO.
ALLOWED PROPOSID
COMPLIT I EIEMPT
De ch ptio n of Property- include all easement$
Let's, 3
(sho. below or attach fcurC6pI0S)
I
SHORELINE 0
0
VARIANCE OR CU
PLANNING REVIEW BY
JDATEL
YARDS
ILOT COVERAGE
FRONT SIDE REAR
Z
REMARKS
HE
RESIDENTIAL
PLUMBI NG
0 W
.ODIALTER
COMMERCIAL
MECHANICAL
El
REPAIR RETAINING WALL SIGN
EXCAVATE Ej FENCE
L_ x—
CHECKED BY
TYPE OF CONSTRUCTION CODE
HEIGHT
OR FILL
i /_,�M 0
PRE,M VI I�NSPI SWIM
RFMODEL OANC F POOL
S ECIAL INSPECTOR JAREA PAICY
GROUP
OCrUPA T
COMPLI NSP
JOCC
RPOUIRED
L', NO
LOA�
F�WOOD TOVEI —1
RENEWAL
r" . YES
REMARKS
INSSERT APT.BLOG
PROGRESS INSPECTIONS PER LIBC 305
2
FF
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NUMBER OF STORIES
NU.BEA OF
'WELLING
U NITS
0
NATURE OF WORK TO BE DONE (ATTACH PLOT PILAN)
VALUATION
FEE
1,
PLAN CHECK FEE
0,
10.
BUILDING
PLUMBING
MECHANICAL
Z
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any constructinn on the public domain (curts, sidewolks,
Y - 'q
driveways, marquees. etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: I Year - Provided Work is Started Within 180 Days
ENERGY CODE
��, At,4�.,
"Applicant, on behalf o I his or her spouse. heirs, assigns and
successors in interest. agrees to indemnify. defend and hold
armless a City of Edmonds. Washington. its officials.
n in
mployees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance
of this permit. issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
mod ty. waive or reduce any requirement of any city ordinance
'.5
nor Ilimil in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
p.ovision."
I hereby acknowledge that I h3ve read this application: that the
ATTENTION
APPLICATION APPROVAL
information given is correct; and that I am the owner. or the duly
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
This application is not a permit until
S tate laws regulafling construction: and in doing the work authoriz-
ed thereby, no V son will be employed in violation of the Labor
AUTHORIZES
ONLY THE
signed by the Building Official or his
of the S Washington relating to Workmen's Compensa.
Code late of
WORK NOTED
Deputy; and fees are paid, and receipt Is
tion-Insurance.
E tOWNER O-A T, I.TE SIGN 0
INSPECTION
DEFIRTME,,,T
acknowledged in space pro vided.
CITY OF
DATE
EDMONDS
771-3202 L'PELEASMBY:�.,/
DATE
41
ATTtNTION
,
IT IS UNLAWFUL TO USE OR OCCUPY A 13UILDING OR STRUCTURE
UNTIL A F�NAL INSPECTION HAS BEEN MADE AND APPROVAL
OR ORIGINAL —,File YELLOW — Inspector
A . CERTIF CATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
PINK — Owner GOLD — Asses
#14
APPLICATION
The City of Edmonds for
SIDE SEWZB PERMW
NEW CONSTRUCMON 0 REPAMS EASEMENT No . .........................................
OWNER..,
.. ............................ CONTRACTOR ................
.......... .... 'RIM N
....................... ph 0.
ADDRESS ............................. LEGAL DESCRIpTION: LOT ,To.
-A k/ ............. BLOCK No.
NAME OF ADDMow .... -r,, Pr/
.......................................................
2
Api
APR,
Approved:
DATE ..... !Y-2-0
........ 7. .. . ; By*�..
......... ------ ....
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