18232 ANDOVER ST.PDFIIIIIIIIIIIIII
10178
18232 ANDOVER ST
District pd-&So
Itty of Edmonds — Water Dipartment
TAP CARD
Reading- eOO Date (9 1 Z,-X � 69 1
Meter No. " 62 Tap No. I
{Size :/4" ' { Size3/4-
Mfgrs. No., 3,F32 0 7 style R \,.hl S R
Purchaser: 510!�yl 4&umat�
Serv.Add. lsa3,;� outa&V,01�:+
Lot No. Blk. No.
Add.
Residential:
Other:
Meter Location 01f T- EX Al
(7/9 oe Altrg 0,,r- /Y 0 VSZ�-
Service Material:
11 1P.S. R.E. -
Pressure—lbs. Test
Date of Work 7,--
Guar. Voucher No.
Proj. No: Wq TS 9(6-0
Remarks: K;�cuka)r-m mezTTyn-sP-oP
Foreman
OUTGOING index— Reg.
INCOMING 16dex—Reg.
Route Bk.—Stencil —'Card—
Route Bk. — Stencil— Card—
ROUTING SLIP
SERVICE INSTALLATION
ADDRESS: 9;L3;� N(kdWJ--4-
DATE:
74 F"k&r C-
St S-r DIAL A DIG #990 4 If- 2- 0
P.U.D.'
TELEPH 9UREET FILE
CABLE T.V. 1-17
GAS
FOREMAN
19D
STORM SEWER
OTHER
FUTURE SERVICE INSTL: YES
BORE: CUT:
LOCK
CREW
INITIAL:
DATE: -2/4'j INITIAL.7t/-f,
METER SHOP
-305r- a 1146
ACCOUNT NUMBER: 1�1 -2� 7:� 2-In
SUPPLIER: lq-tz)
TREATMENT PLANT
FOREMAN
B L T
FOREMAN
INITIAL: DATE: -2
TAP CARD
METER SHEET
APPLIC TION
UTILITY
DISPATCH
BILLING
7/76
0.
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER: 910,L-ROO I Q2,Qb0
BUILDING PERMIT (NEW STRUCTURE): �\ 1w b m—IA
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:,./ DETERMINATION: E] Conditional Waiver Ej Study Required [] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED: *AT4
31(�Jclv
SCALED PLOT PLAN DATED: . 00
SEWER LID FEE
LID #:— 1.39
SHORT PLAT FILE: C's - Z- 9 w LOT: 2.�, BLOCK:
SIDE SEWER AS BUILT DATED: .11 7=u I r--g
SIDE SEWER PERMIT(S) #: 0 1 q r-04
GEOTECH REPORT DA
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DSrs\Forms\Street File Checklist.doc
11 '11% el"I
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CITY OF EDMONDS
-)SE PERMIT
ZONE "UMBER
CONSTRUCTION PERMIT APPLICATION
NAME JOR NAME OF BUSINESS)
Sigve H:�Iloran Const.
0'
ADORESSIga3a P—T jper
AL DESC-1
C—EG "15UBDI—ION
NO, LID
110
1 MAILING AOCIRESS
15920-68th AvE W
TESCP
PUBLIC RIGHT OF WAY PER OFFICIAL '-(REET MAP. APPROVED
EXISTINO-16-.I� nEOUIREOUEDtCATIOU
PROPCSED:j5��_
BY
CITI
Edmonds
TILEPIIII"E.NVMBER
7427623
NAME
Design Consultants
RIGHT 01 WAY CONSIFIJCTION PERMIT REC`UIAEDj/'
STREET USE PERMIT REOUIREO
ADDRESS
731 2nd ST.
REVIEW BY
SEE ENGINEERING MEMO DATED
CITY
Mukiltco
TELE HE UMBER
77 4f"50- 6 5 6 9
R
0
0
0
SAME Sigve Helleren
'04y
/lz-
ADDRESS
15920-68th AVE W
ME
M
JIUIL
=TYPPLY SIZE
IFIXTURE UNITS
CITY
Edmonds
JE NUMBER
.76231
STATE LICENSE NUMBER
SIGVEHC206MN
R
F117
SIGN AREA
ENV. A "'E'
D
ADS NO.
ALLOWED PROPOSED
COMPLETE EXE MPT
Le a, De scriptlonofPro erty- include all easements
s,,
0. below or atta,�h fopur copies)
N RELINE
S
VARIAIICE OR CU .
PLAN BY
YARDS
R FRONT SIDE FIE.RS�
LOT COIERAG
I D..LHI;FAL I — - i I-- - , — -- - LI lip
L—! MECHANICAL
EIJ RECIA:R RETAINING WALL SIGN Aa�ne.A
AVA�-F CHECKED BY TYPE OF Co.sT CTION
OR
DEMOLISH EXCF1UL FENCE 110 "EIGHT
L— x —FTj
CPF I-/
REMODEL .1 E 1PAL0, VE INSPI AREA
. AM. NSP SPECIAL INSPECTCR OCCUPANT
w L REOUIRED uPA LOAD
ODD STOVEI IJ YES C NO
INSERT [] APT.BLDG RENEWAL P EMAMKS
PROGRESS INSPECTIONS PER UBC 305
NUMBER OF ST RIES 27611L- 4e,-1171
NATC�RK,:VjONE (ATTACH PLOT PLAN)
Ze yla�wa
EE� VALUATION FEE
PLAN CHECK FEE
BUILDING
71 /-.;? 19�'
PLUMBING —za
MECHANICAL
7-
This Permit covers Work to be done on private properl
Ty 0 —NL Y. GRADINGIFILL
Any c Ons t ruction on the public domain (Curbs, Sid "Woll A
driveways, Marquees. etc.) will require Separate Per-I.SiG`;. STATE SURCHARGE
Permit Application: 180 Days I I ---.?
Permit Limit. I Year - Provided Work is Started Within 160 Days ENEP.GY CODE
r H
P
E
E C "
C
o
A
L
RE
CSRD
IN
U
ES
MARKS
PROGR
su"Appl rant, On behalf of his or 'let spouse. heir Assigns and
C cesSorS in interest, agrees to Indemnify, defe'rid and hold
harmless the City of Edmonds, Washington. i!S officials,
i employees, and agents from any and all claims for.darn3gon of
Whatever nature 101111, dlrBdl Or Indirectly from the Ns- ance
of this permit. ;.,u.nce �f t,."�p ,,uance
ermit 0all not be d,, led to PLAN CHECK DEPOSIT
modify, waive or reduce any requirement of any Clly Drdina.ice tlzoo
I nor limit In any way the City's ability to enforce any ),dln3jt
provision." TOTAL AMOUNT DUE
I hereby acknowledge that I have read this appllcatio,�: t`hat 17he
in formation given Is correct; and that I am the owner, Or the duly ATTENTION APPLICATION APPROVAL
authorized agent of the owner. I agree to Comply with c, ty and THIS PERMIT
state laws regulating construction; and in doing the Work �U Ihorlz- oFIZES This appliCdtion is not a permit until
ONLY THE signed by the Building Of
ed thereby, no Phrson will be employed in vlolation of the Labor AUTH
Parise
Code of the State of Washington rel3ting to Workmen's Corn WORK NOTED Deputy: and fees are paid. and r1e'ceirph:.s
tiq_n Insurance. acknowledged in space provided.
SIGNATI "E�� A' INSP CTI I Ed
R
LSIGNATU� 111TI SIGNED GIPIR'T�E`N'T OFFICIAL'S SI T A
T'
CITY OF DATE
EDMONDS
ATTENTION 771-32 IT ATE
IT.IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A F:NAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIF CATE OF OCCUPANCY HAS BEEN GRANTED. UBC ORIGINAL — File YELLOW — ln4oec for
CHAPTER 3. PINK — Owner GOLD — Assessor
10287
01
STRElf
FILE
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NNDOVER 'ST.
STf*tr"lv* FILE."
BASIN
DETENTION PIPE LENGTH COWrIkOL CATCH
(vp4T) BASIN
MIN wu COVE&L
—OLrrLrLT
10 -COwTROLn
rM
-SLOPFE-w
4
S
70 OUTLET
(Pj F PAP OR
kONOFF
SPREADEX)
SYSTEWCROSS SECTION
fAl
S E L.'PAG E-.-�S FOR DETAIL
2.1 x (6-1 ==F, At. (6" sPALLs (01tWOU^L)
Vx 2- x 5 EEP CRUS"Ev ROCK
OLML
;e
co It
RIPRAP OUTLET
OLITFLOW TRENCH MM 10' LON G
&RAVEL
-rop A- PEFLF P4 PE "TO BE' LJZZ V e L
4
FROM
oLrrLr=T
COt4TR0J!
4 .?F-RF -PIPE WITH, ckps J.."
RUNOFF SPREADER �'t'OUTLET
a ki: I v E F-) - -
v
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16 19.88
.PERMIT COUNTER,
STJOARD DRAINAGE"
DETENTION
PAGE I OF 2.'
for
lodation_QAr4Mqr,C A?
NZ-3 7- A-ndUARJ-
plan by
phone
date
DESIGN DATA
System Imperm
Number Area
Pipe "Tipe Orifice.,
Diam Length,. -Diameter,:.
0
Nzz 17
CITY OF EDMONDS,*l
I
rrf
- 1 7'
+ 7'
io!
Ora
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Dowt, 5P"C�'
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16
11988
coy-I'lliz?,
NNDOVER ST.
CITY of EDMOjes
.For Inspection Call 771-326TREET FLE
S1* SEWE ' R
PERMIT No
P E R-M, I T
0 7 9
Address of Construction:
Property Legal Description (Include all easements): LOT
Owner and/or Builder: C_ & r-'-s+
Contractor & License No: 51 Q E,
Singl:e Family Residence V/
'i�)' )�DS
EL
TREATMENI IL 11T
Multi -Family (No. of Units
Commercial
(No. of
fixture Units
Invasion into
City Right
-of -Way:
No V__�
Yes (If Yes,
Right-of-Vay
Construction
Permit
required.
Call One- Cal I
-Cent'er. (1 -800-424-5555)
before any
excavation.)
Cross other Private Property:
No L/"" Yes
(If Yes, easement required,
attach legal
description and
county easement
number.)
PLEASE READ THE
ITEMS
LISTED ON
THE BACK
LID
0
Q=�
JAN
I certify that -I
have'
-Fe —ad an-d'shal-F-comply
Date
with the items
listed
on the back.
PUBLIC WORKS
Permit Fee: 26) issued By: TZ
Trunk Charge: 2-5- bate Issued: 2
Assessment Fee: - Receipt No.: J? -7 2 -
Partial Inspection:
Comments Date Initial
Final Inspection Approved: La�'
Date Initial
Rejected:
t4'
Reason Date -!—nitial
PERMIT MUST BE POSTED ON JOB SITE
Wh.ite Copy - LF;i I e Green Copy —Inspector Buff Copy Applicant
Side SewerDrawing,
Thw, City of Edmonds EASEMENT� NO. ......................................
NEW CONSTRUCTION,' REPAIRS, Eh LID.- NO.:� ..................... WSMT. NO . ..................
0, 1 c
OWNER ................................................................................................ CONTRACTOR ....................... PERMIT NO . ...........
JOB A '2 ....................... ................................... LEGAL DESCRIPTION: LOT NO - ---------- .................... ... BLOCK NO - ------------------------------------
DDRESS Alp.3-:2 . ....... 0 Q 5>� -
EDl%!,,0,\lDS
........................................................................................................................... TRE-AflMENT --- PLANT
-T
rNAME OF ADDITION ------------------------------------------------------------------------------- - ---------------------------------------
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Approved:
f
PWW-0001.1 1/75 (REV.1 1/78) DATE A .... ZED ..... 8.9 ............. By ........
ropert�-,�ofi
C , Ift, 10F� * &MONDS- 1 1 )MONDS ASSIOIN FORMATION SHEET
-'N 2�-,- 58-25- STREET FILE
NEW ASSET NO.
ADDITION ADDITION TO ASSET NO.
F-1 RETIREMENT
DESCRIPTION
SERIAL NO.
LOCATION
L-9,,5�,7 Al>o L45- e--
D E PVT. NO.
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
PROJECT NUMBER Z6 j
PROJECT COMPLETION DATE
COST
B.A.R.S. ACCOUNT NO. 00
ESTIMATED LIFE
INITIATED BY DATE APPROVED BY
**SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT'
ACCOUNTING ONLY
2ZDEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
0 G.L. ENTRY
REFERENCE
&P) INITIAL
DATE
A�e�
VERIFIED BY
PROCESSED
BATCH NO. -
DEPARTMENT FILE
PROJE)CT REVIEW CH]=-,IST'
sr
MR= MA4 Lb 11trC6 A
I'TV-A PFO= ADDRESS: NL52, Aii�ntrr5t-
APPLICATION RFJ=IPT DATE:
cta I CA IQQQ
'I'll
f
Reviewed by. (initial/dat
-43�1
COMMENTS
PLANNING
WrR/SWR STREET I ENC24MG
FIRE
BUILD G
SINGLE FAM:rLY/K1LTrPLE/CObq4ErC1AL (Circle One)
11�N
SETBACKS CHECKED - Planning
777 TTI -//
7 /-/T/ -//
VARIANCE/SMMCH ADJ.
CY)NDITIONAL USE PUMIT
T 77
7
ADB RE)QUIREMOM CHECKED
777T/7-
OFMER ZONING RMUIREMENTS
777777
ENVIRONMEtTrAL FEATURES
11111111177777ff
ACCESS STME 6 VEHICLE-, ACCESS
/////////
DRAINAGE PLAN (On Site)
/ , f
777777777
<EFr FI1F
MT
..
//////
...
/////////
/////////
JF.CAL DE-SCRITIMN VERTI-11CM11ION
ItrIff
//////
Tf771-717T
/////////
-UlTI-uu
/////////
I/ /I
////////
777777777-777R7
////////1777-//77
QUIT CIATM/DFI)TCATIONS h/9
j
777777T/777777777
FASEKM - PUBLIC/PRIVATE
CAJjCMATE SMIER CONNEMION IF NO LID#
7TT17
ITITRTIT
7777TIT
77TT7 7 7
PUT/SUBDIVISION REQUIRRIE7M
77TR7
777777TIT
RIGHT-OF-WAY CONSTRLCPIC14 PERMIT PFYY)
T717-1 _7
7-/-/-/TT/77
7 7 7 7 7 7 7 7
FMD REM MR PUBLIC IMPROVEMENTS
Soil's OCNDITIONS & GROUND
7T17Tf
/T/7T/T/7777-777777
WATER FIEM CIIECKED
TIT117
77T/�7777
11111117T
STREET PAVTNr3 REQUIRED
77/TF7
777/77/77
CURB AND GU11,11ER REQUIRED
//////
/////////
777777
/7//f/7777////////
SIDEWALK REQUIRED
/////I
/7T/7T/77
CURB CUP FOR DRIVEWAY REM
//////
/////////
7777TITIT
1111711111
NAM.' ST(N REC.0
7777/7
R777TF17
7777777T/7
MER SIGNrNG REC0
/////////
777777777
STDE SEWER AVAILABILITY
milul
11177T11
EXISTING tMER MATN SIZE
77F///////
WATER MEMM SIZE
T/7-7-77
T197-1-1-177
TfFI-177
7777TITIW
SE11VICE LINE SIZE
/////////
*V,
////////
JfYDRMT REr-)UIRED
1111111IT777777777
/////////
/////////
77777777-
////////
777,777
/////////
//.
////////
777777T/77
HYDRANT SIZE EXISTING
//////
/////////
k5-f/1,
////////
CROS.13 CONNECTION INSPECTION REQD
T/777-7
T77TRT17
77T/77777
7717
////7//77/////////
VO�TM METER CIVJCE: REM-
777777777
FIRE LINE CHARGE REQD SPRINKLY-M
STREET cur
I
/W/M/1�4
OPEN DITCH EXISTING
T/777
77T/77/-/7
7-1-177TUT
tZ
REQD
77777777777777-7
-11-ITIII-ll
CULVEJZr REQD
/////////
//////
/////////
TIM077T71-11
SIZE
//////
/////////
/////////
CA70f BASIN REQ0
Tf7T17
777T/7T/T
77 7 / 7 7
/////////
1117TI771
INDICATED ON SITE PLAN
/////////
SHOULDER DRAINAGE MAT AIN
/777777777
SHJhLE OPFN RUNOFF
117TI777T
MISC:
REVIEWED BY:
1� e
PLANNING MGR. ENGINEERING MGR. PUBLW WORKS MGR.
LIC AAS
-2
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