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18222 ANDOVER ST.PDF11111111111111 10176 18222 ANDOVER ST PAID APR 1. r,1975' A, .......... District City of Edmonds ... Water Department TAP CARD N o. S6 6 -c:-- Meter 34- I Size .. . ............... mfgrs. No ... 2,37.2,51C For ...... '. 6 9 1 �".. ........... L2 Date ........ 0/—Z Tap No.3.0..L.- ...................... .......... 6.v.. ....................... .............. i�, ....... . ..... ... ze ......................................... ...... . .. ...... —7 .......... LotNo ........................................... Blk. No ........................................ Add................................... F1 L .. E .. . .... . .... .. . ........... Serv*ce Location .... S-*-*..R'E ... . .... . .......... . .. .................................................. . ...................... �4-1 .................... Meter Location . ...... Make Tap ...................................................................................... . ................. ....... . .. . . .... . ... Pressure .............................. lbs. Test .................................... % SendBills to .................. ......................................................................... . ... ........................................... Date of Work .... Foreman Guar. Voucher No .............. ............................. $ .................. ............... . ..... Remarks: kex.okzp�v ... C ..... 1.0 4.. .9- ...................... . ....... . ....... . ....... —7 --------------- ...... ... . ................ . ....... . ....... . ....... . ....... OUTGOING Index ......... Reg ....... Route Bk ........ Stencil ..... Card. — INCOMING Index .......... Reg ...... Aoute Bk .... . ... StenciL ...... Card ....... Iftrial Chargeable to 1wtallation MWO NO. ME DESCRIPTION RATE_ .............. .......... Meter . ........ .................. ......... . ... . ............. I .......... Meter Box ................. . ........... ............... . .... . ... . . ....... ............... .......... Meter Plate ........ : .................... .............. ............. .......... Check Valve ... il"." .......... .............. . ... .......... .............. ......... Pipe, GaIv. Screw .................. .............. . .... . ... ........ ?? ............. .......... Nipples .: .............. : ................... .............. .... . ... .......... .............. .......... Bushings .................................. .............. .. . .... . ... ... T ..... I ............... .......... Plain Ells ................................ .............. ..... .. .......... .......... . ... .......... I St. Ells ................. itt ............ ... .............. . . .......... . ... .............. .............. ............... ............... ............... .............. .............. .......... .......... .......... .......... .... ..... .......... .......... .......... Tees .......................................... ........................................................ ..................................................... ........... ...................................... ...................................................... ...................................................... ..................................................... ....................................................... I .............. .............. .............. .............. ............... .............. .... ......... .............. .... . ..... .... . ...... .... . ...... .......... . ....... . .......... .............. ......... .......... .......... .......... .......... ........... ..... Material Chargeable. to Taps Connected NO. , SIZE DESCRIPTION RATE- AMOUNT .............. I ......... Pipe, Black Screw .................. ............. ............. .... . ... .............. ....... 7.. Pipe" Galv. Screw .................. ...... : ......... ..... . .... . ......... .............. .......... Lead Connections .................. ............... ......... . ......... .............. ........... Curb Cocks ............................ ............... .......... . ......... .............. ........... Coip.'Cocks ............................ .............. ........ 7 .... ......... .............. .......... Unions ................... ................. .............. ............ ........ .............. .......... Saddles ................................ ... .............. ... .............. .......... Nipples .................................... ............... .... . ... ............... ......... Bushings . ......................... : ........ .............. .... . .. . .......... ................ .......... Plain Ells ................................ ............ ............. .......... .............. ........... Street Ells .......................... ... ............. .... . ... — z, ......... ............... .......... Tees ............................................ ....... *-.,: .... ... . ... . . ......... .............. .......... Curb Boxes ............................ .............. ........... ......... .............. .......... S. 0. Extensions .................... .............. ....... . ... .... . .... ............... .......... Gates ......................................... ............... ............ ........... .............. .......... Plugs ........................................ .............. ........ .... ......... ............... .......... Couplings ............................. .. .............. ..... . ...... ... . .... .............. .............. .............. .............. .............. .............. .......... .......... .......... .......... .......... . ........ Gate Boxes ............................ .................................................... ........ t ........................................... .......................................................... ........................................................... ........................................................... ........... .. .......... .. .............. ............. ......... ......... . ... . ... . ...... ...... . ... ...... t—. . 1 . ......... ............. .... . ........... .......... .......... . ! .... . .............. .............. .............. .............. .............. .............. .............. . ........ .......... . ........ .......... .......... . ........ . ........ ........................................................... ................................................. !! ........ ........................................... I ............... ........................................................... ........................................................... .......................................................... Hours Time —Day Men ........ .............. ............... ......... I ............... ............. ............... ............... ............ ............. ....... . ... ------- - --- ------ ...... . ... . ..... . r,MT? ...... . .. . ........ - ---- - -- ........... ............ -t ...... Hours Time —Monthly Mq� .. .............. ....... ! . ... . .... .... ........ 7 ..... .......... Hours Time —Auto ............ ... .............. —.. . ... ....... .. .............. . ........ Superintendence .............. ." ... ............. ...... .............. .......... I I :. Total .................. I ...... . —.1 "UT EOMONDS OF WATER/ SEWER CHECK LIST CALL AND FIELD CHECK BEFORE DIGGING ADDRESS 11NAMEIDATE1 DISPOSITION V) nn w 2 0 w -3 eD w W. tn j L# C K ............. ... . . ... . ... act City of Edmonds —Water Depar*tment TAP CARD Date .... /: i.. Z /,:,, ...... No .................. . ..................... Meter Tap Size........ ....................... Size ......... / . . .................. Mfgrs. No.. 30-303 S e.. 1A14L. For ........... . 2 Z- 2, t. ........................... If.,;z V;;�. ... ..... .... ...... ... ... . ................ . . ........... . . ............................. .. .. . ... .. . . . .. ................... .... LotNo ............................................ Blk. No ------ ... . .... Add. ................. . ............................... . ....... . ... ServiceLocation ................................. ........................... . . ................................................. i ............ T ..... Meter'Location .... .................................................. . .................................. . ....... . ....... . MakeTap.. ....................................... . . .... Go.m.g....0 ......... . .......... . . .. est....... ............................ % , Send Bills to .................................................. . .................................. . ....... . ...... . ....... Date of Work ..... Z — 45m.23 ..................................... ..... . . . . ................. Guar. Voucher No ........................... . .......... 7:1 ...... Cj .................................. Remarks: Amo—K.D.P.D .... ft,--rTSA ... $,hm"A . ......... ...................................................................................... . ....... ........ . ....... . . . . .......... . . OUTGOING Index ......... Reg.....�.-Route Bk ..... . . Stencl.—Card.— INCOMING Index ......... Reg ....... Route Bk .... . ... Stendl.—Car&—.. "Arial Char* le to Installation N&S NO. ME ..... .... DESCRIPTION RATE AMOUNT .............. Meter .............................. I ........ . .............. .......... Meter Box ............................... .............. .. . ......... .......... ............... .......... Meter Plate ............................ .............. .. . ......... .......... .............. .......... Check Valve .......................... .............. . . ......... .......... .............. ......... Pipe, Galv. Screw .................. ............... .. . ......... .......... * ----- ---- ----------- Nipples .................................... .............. . . ......... .......... ............... .......... Bushings .................................. .. ........... ---------- ............... .......... Plain Ells ................................. q .............. -------------- ............ .......... ................ . ........ St. Ells .................................. ............... .............. .............. ............... ............... ............... -------------- : ............ I .......... .......... .......... .......... I .......... .......... ............ .......... ... Tees ........................................... ...................................................... ..................................................... ...................................................... ...................................................... ......... ............................................ ....... 7 ----------------------------------------------- ...................................... . . .. ............... I .............. ............... .............. .............. .............. .............. .............. ------------ 7' .............. ............ ............ ............. ............ ............ ...... ----- I- ...... .......... .......... ......... .......... ----- .......... ........... ........... ...... . ' Material Chargeable to Taps Connected NO. SIZE DESCRIPTION . RATE AMOUNT .............. ... 7--.. Pipe, Black Screw . .................. ............. ............. ... . ... .............. ........... Pipe, Galv. Screw .................. .............. ............ ......... .............. .......... Lead Connections .................. ............. .......... . .......... .............. .......... Curb Cocks ............................ .............. ............ ......... .............. ........... Corp. Cocks .: ......................... ............. ............. . ....... .............. .......... Unions .................................... ......... .... ............ I ........ ............. .......... Saddles ................................ ... .............. ........... . .......... .............. .......... Nipples .................. ................. ............... .......... . ......... ............... ......... Bushings .................................. .............. ............ .......... ............... .......... Plain Ells ................................ ............ ............. .......... ............... .......... Street Ells .......................... ... ............. ............. .......... ............... .......... Tees .......................................... .............. I ......... . . .......... .............. .......... Curb Boxes ............................ ......... .... ............. .......... ............... .......... S. 0. Extensions .................... .............. ....... . ... .......... ............... .......... Gates ..... * ................................... ............... ............ ........... .............. .......... Plugs ........................................ .............. ............ .......... ............... .......... Couplings ................................ .............. ............. ......... .............. .............. .............. .............. .............. .............. .......... .......... .......... .......... .......... .......... Gate Boxes ............................ ............................... ................... ..................................................... ........................................................... ........................................................... ........................................................... ........ "I ... ............. .............. ............. ............ -------------- .......... ... ............ ...... . ... 7 . ......... ............. - ........ ........... .......... .......... . ....... ................ .......... ........... .............. .............. .............. .............. ........... .......... .......... .......... .......... .......... . ........ ........................................................... ..................... ** ..................... ------- ........................................................... ........................................................... ........................................................... ........................................................... Hours Time —Day Men ........ ............. -------------- .............. .............. .............. .............. ............... -- ............. ------- . ... ............ ............ ............ — ------ .......... .......... .......... ...... ; ... ........... .............. .......... Hours Time —Monthly Men .. ............... ............ . ......... .............. .......... Hours Time —Auto .-,, ......... ... ............... ....... . ... .......... .............. I ......... C, Uuperinteridence ...................... .............. ............ . . ....... ............... 1* --------- Total ............... ... .......... -*..-. ....... . ... .......... -;:-"SEWER PERMIT 4j CITY OF EDMONDS, C17 WATER-SEWft liLlAf �T;ENT PERMIT -y' 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. -2 �:t, ADDRESCOCATION OF CONSTRUCTION ......... ..... ...... .......... t.... ................ . .................................. !:� ......................................... . N PROPERTY LEGAL DESCRIPTION ....... . fza——� ....... t! --,- r.- Vs—.—. �A F F � ........................................................................................................ .......................................................................................................................................................................................................................................................... &------- ......................................... OWNER AND/OR BUILDERX�� .. ..................................................................................... A OWS NAME & ADDRESS .......... ------- - -------------------- ** ------------- ------------------ ------ P%gession Is granted ........... (M ......................................... 19.1�!�for repair and/or connection of a side sewer to the city sanitary sewer sw in accordance with City of Edmonds 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—All work performed in city right-of-way requires an Invasion of Right -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 2%. No bends in grade sharper than % 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 is unlawful to alter or do any other work than Is provided for in the permit, or to do any work on the madn sewer or its appurtenances except to in- sert the pipe into the wye. DISAPPROVED E] Date ........................................ By ................ Date ...... .. -12 . ...... By ................ Date .................................... y ................ APPROVED Date..... 60,.wy ............................. B3 ----- . ...... ...... ................. .. . ....................................................................................... 04 'ry,71" .. .... - ARemarks: .................................................................................. - — --------- - --------------------------------------------------------------------------------------------- * -------------- ......... I ................................................ . ............................... ............................................................................................ . ....................................................... B:IMerm�it ST e Signed By Owne.r. of Firm Performing Construction PRIOR To Request For Inspection P COPI hereby certify that the side sewer installation constructed under this permit of _.�,nn n n nt;ac er or was installed in accordance with all governing ordinances of the City of Edmonds. Datedthis ............................ day of ................................................................. 19 ......... N1 V Check BEFORE you dig for: Water [], Gas E], Telephone E], Power 0, . Sewer E], Other E] V V CITO OF EDMONDS - SIDEOEWER PERMIT 44 WATER -SEWER DEPARTAMT PERMIT N? 5173 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. ADDRE CATION OF CONSTRUCTION ........ .......... ----------- GZAMI&A= ..................................................... PROPlay LEGAL DESCRIPTION ......... =59jam ...... ................................................................................................................. . ............. ........................... . ...................... . ........................................... . ............................................................................ .................................................. ......................................................... 0VV11,'ERALND/OR BUI1 ........................... . ....................................................... ACTOR'S NAME & ADDRESS ........ LAgn.rwaac-i ......... '5� .... ................................... ....................................................... t1lon Is granted ........... Vkitw --- 240 ................ 19-?.:",Pqor repair and/or connection of a side sewer to the city sanitary sewer systeffn in accordance with Citylof Edmonds ordinances. ATTENTION IS CAM D 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—All work performed in city right-of-way requires an Invasion of R.Ight-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 2%. No bends in grade sharper 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. DISAPPROVED E] Date ... . ...................... APPROVED Rema rks ................ C] Date ... . .......... . .... By ................ Date ...... ...................... By --- - ---- .. By ................ Date ............... . ................... . By ................ BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection — ....................................................................................... ... I hereby certify that the side sewer installation constructed under this permit Twner of Contracting Firm Performing Construction) was installed in accordance with all governing ordinances of the City of Edmonds. Datedthis ............................ day of ................................................................. 19 ......... Check BEFORE you dig for: Water E], Gas E], Telephone E], Power E], Sewer E], Other C] V V ADDRESS: TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) CRITICAL AREASV/ DETERMINATION: [] Conditional Waiver Ej Study Required 0 Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: 161 SHORT PLAT FILE: SUS-12) LOT: D) BLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: 41 t 51 -75- OTHER: LATEMP\DS'Ps\Fomis\Street File Checklist.doc in 7777-7 J It % PER3XIT r"Ims"t 750040-., DfpARTMENT PERMM APPLICATION Az>DPJMMB NAME (Olt NAlly Or '3UE"N—' -y-PR—RMISSM LOT CO LOT COVERAG-- PROFI�ll A Out ED V.;LDS r-"A" rml*r RrAR NAME ONO 'UMBIM A 7 W C"CMCCy Tilts PROPCRTT ccurrims vrffl= 1-4 COUP. MAIC sr. ft NAME -,zRw;uawD—rivevay slopws not to exceed vhos- W A Su indicated on Dw No. 103 -Z— A. RESI =MAL E" vm 0 0 A RXIAwl" DEMOUNIT 0 I 0 WALL E] F-- ALTXn r-1 ZXCAVATZ 7 , on VILL LL t PR E] =L ", It E, A, [3 , INJ�TMOVZ CIL E I e— o- I YPE trrkLXLT IMPROVED 090 0 J P lw�t, E3 YES PLAIN ln� SM IS LOCATED IN THE LIJT OF EDMONM LOCAL SALES TAX 06Z.0— 272, 616C nw cbe* ve, HF�T A GAB IJX� rr_ncc 1� -- c T L tnErAI.%-IlVG WALL DEvoLaTION — u - PRr,3!OVE LVSPECTIO. FU,L r—E—XC-A,-,--TI-N OR. T(yrAL AY.OUxT DCZ 0"' h' 7 &�—ledt. �t I thle WMD�—: "'at the h' d U— ct— te .—t; thA, th. d.], f Me —r. I — t- � -Ply e'tt4 -1 etAte lee'. AITENMON' te"., co�-: A� M dMag the —ft etttb-tted O—b7- - ot th� Lat� Code � the fKAte Cd WUWW� �i THIS rinum te� P10"d In t3 W��-, C=p*�tl- Lff— 17,5 AL'7BOz3zz9 O�Lr T= NOTE: Permit Li�it One Year (—A Dewo—ON's WOVO, myrlw shot h, � -d M ninttir dAre; NOVED-1.1 WVMMLC3 '%'a be pl,t,t M =tta-) INEPZ=O.N SIGNATUR� (U-NEK UK A-1 DEPARTXF-%"f 17-2,1 - crry OF .NTOTE: ApPlicant Subject 10 Pl� Cbeck Fee 775-2525 Tw. P—lo "b2- '04 114� 06 APP1,1CATION APPROVAL , This sppucatierl is not a permit until eigned by tho Building OfflclW or his DeP- .ty; d fees am Paid, and rec4lt Is k1lowledged in sl—e provid0Z FIL11 APPLICATION for The City of Edmonds SIDE SEWER PERMIT EASEMENT NO - ----------------------- -------------------- NEW CONSTRUCTION REPAIRS LID NO. -V5.1 ------ . ASMT. NO.-,?(-fP ----- OWNER ----- MFr-, L NU�S�EU-4 CONTRACTOR ---------------- ------------------------------ ------------- -------------------- ---------------------------------- ------------------ ---- PERMIT NO. JOB ADDRESS ---------- ---------- LEGAL DESCRIPTION: LOT NO. L-X=3T' -------------- BLOCK NO - ------------------ ----------------- ------------------------------------------------------------ ----------- ------------------------- --------------------------------------------------------- NAMF OF AT)T)ITIC)N pf ----------- A00 DATE .. ....... _ By ------------ APPUCATION Tlks, City of Edmonds for SIDE SEWER PERMff EASEMENT NO - -------------------------------------------- NEW CONSTRUCTION REPAIRS 0 LID NO - -------------- --- �ASMT. NO. 7- _r;l --7 OWNER ------- - - --- -- - -------- ---- ------ ---- - — ------- ............. ........... ------------ ---------- ......... CONTRACTOR ------- PERMIT NO. ------------ JOB ADDRESS -------- -- --------------- LEGAL DESCRIPTION: LOT NO - ------ A -- -- ------- -------------- ------------------------------ BLOCK NO - ------------------------------------ uj U. F-- uj w cr ....................................................................... I ----------------- -------------------- ............................................. NAMEOF ADDITION ---------------------------------------------------------- Approved: DATE------------------------------------------- � By