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18315 HIGH ST.PDF11111111111111 11500 18315 HIGH ST CITY of EDMONDS RECF.A0.11) E MI, co CD -0 a) a) Q: For Inspection Call 771-3202 Address of Construction: 13 -�l OCT 27 1986 aRT,7- S E W E R P E R M I T PERMIT NO. 07589 Property Legal Description (Include all easements): 107- #1 _'Z 2- Owner and/or Builder: to c" A (L 034,� S 47 Contractor & License No: TREATMENT PLANT Single Family Residence Multi -Family (No. of Units Commercial (No. of fixture Units Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way Construction Permit required. Call One -Call -Center (1-800-424-5555) before any excavation.) Cross other Private Pro attach legal description an No Yes I�Yes, easement required, 0 V. D P, 'N>Rop. WoTirkEb 3fV-J '80- �KIGEJZ -T If nip r'.� T o S( PLE�ASE—READ THE ITEMS LISTED ON THE BACK 'E14"-seme to-3 /C) -;z I c I rtify that I have read and' shall c'Emply Date /e W jth the items listed on the back. Permit Fee: W.0o Issued By: �T Trunk Charge: 25�00 Date Issued: 1012419b Assessment Fee: Receipt No.: Partial Inspection: Comments Date Initial Final Inspection Approved: JF X, Date 'Initial Rejected: Reason —ff-a—te Initial ** PERMIT MUST BE POSTED ON JOB SITE ** Wh.ite Copy - File Green Copy - Inspector Buff Copy - Applicant Side Sewer Drawing The City of Edmonds EASEMENT NO - -------------------------------------- NEW CONSTRUCTION REPAIRS LID NO. -.15-1 ..... ASMT. NO.... -------------- OWNER .... C0.+d!5_r.% ................................ CONTRACTOR lK 7 S '85 _IaPi kkC-F ....................... PERMIT NO. I:D K: 4�10NDSI-. JOB ADDRESS A.S3AS ------- 14-1-G-11A ---- S � ------------------------ LEGAL DESCRIPTION: LOT NO. _-'a --------------- $-- 13BLOCK NO. EAT CKTr�_PUNT PROPeft I � I cost"cok ....................................................................................................................................................... ---------- Vop. I 12, GlIco. - -a P. 1 21 ...... . ...... ... ................ . ........ 4511 Isemo-i0ow-1*4 C-0. CPLP 1.510P. 565 2.5' 9314 OLt�MP%C I EW DRIVE '*4,,, _ _ _ 11/75 (REV. 11/78) NAME OF ADDITION ------_------_----------- ------------------------------------------- 3' 1.51DR 41r.14M W 3F_ 2.0op. IS3Q) M I GIA ST. -rc. mmm Approved: DATE6".21 86 . ..... By .... ................................. J-19 8 707060 114 PIPELINE EASEMENT AGREEMENT -7i-his agreement is made this, _ day of 19 between the following parties: a. Grantor. FlkftwK De WV%" e- an Grantor herein, and b, Grantee, Grantee herein. 1. Recital of Circumstances. a. Grantor is the owner of land commonly known as D which is legally _,described as follows: which for the purposes of this agreement shall be cailed OParcel An. b. Grantee is the owner of land commonly known as 193 15 1-� I a L., -S+txe-.e,-r I which is legally describea as f6llows: which for the purposes of this agreement shall be called "Parcel B". The� W els are adjoining,, having a common boundary line on the side of Parcel A. 2, Nature, Purpose of Easement. The parties desire to create and hereby do create a formal agreement to establish an easement to constructr improve, maintain and repair a subsurface pipline for the conveyance of Pipeline Easement Agreement -1- effluent (commonly called a uside sewerO)j, having not more than a inch inside diameters, across, under and upon_th following described portion of Parcel A: -rke. lk� &+-L., �I 0 Te #J P-e-,-t 0 F A'Itc'el #'+ . A portion of this pipeline easement shall be a single pipline used in common by the parties from a point of juncture at rn %A LAA OP )4ame, &a*- on Parcel A to the public trunk sewer line ly ing alongside the L)eS-7— boundary of Parcel A and a portion shall be used separately by the parties consisting of branch lines from said point of juncture to the respective residences of the parties on Parcels A and B. The Grantor may make all normal residential uses of the surface of said easement area and construct fencing and landscaping. The Grantor shall not build any permanent structure or cause any construction which will restrict access for construction or maintenance of the pipeline. The Grantee(s)s, may pass over said easement area to cause repairs and extensions as necessary, providea that full restoration of landscaping improvements is effected. The parties wish to formally dedicate and confirm in writing the establishment of said easement and to state the terms and conditions of its use and maintenance in a manner that will meet the needs of each of the parties and a'pportion the obligations of the parties in a reasonable manner. 3. Grant of Easement. The parties agree that the easement described above shall be f orever a pipeline easement for the joint and mutual use and benefit of the parties as owners of their respective properties or for their heirs, successors or assigns. Grantor hereby grants and conveys to Grantee all such easement rights, privileges, authority and interests in the above described portion of Parcel A as is necessary to carry out the purposes of this agreement. Howeveri, each of the parties disclaims,, waives and relinquishes any claim of fee ownership interest in the land Pipeline Easement Agreement -2- _;p of the other upon which said easement lies. 4. Maintenance. The reasonable cost of any necessary maintenancer repairs or upkeep of the improvements or facilities located on the described easement pursuant to the purposes of this agreement shall be shared or allocated between the parties as follows: (a) As to all common portions, the use of which is shared by the partiest the cost shall be shared equally. (b) As to portions which serve and benefit only one parcel or the other the cost shall be borne solely by the party whose property is so served and benefitted. (c) As to any improvements and modifications to the facil- ities that are desired by- one of the parties but not agreed to by the other party, such expense shall be the sole obligation of the.party desiring same. STATE OF WASHINGTON COUNTY OF THIS IS TO CERTIFY that on this 9 day of 191�_' before me,, a' Notary Public in and for t1a State or Washingtonp duly commissioned and swornp personally came to me known to be the individual(s) described in and who executed the within and foregoing instru- ment, and acknowledged to me signed and sealed the 'r same ae—ZZ�6/-/z free and voluntary act and deed for the uses and purposes therein mentioned. WITNESS my hand and official seal the day and year in this certificate first above written. Notary gublic i� and eor the State of Wash�in 0 resid- n, ing at pipeline Baamprit Agreement -3- ECT REVIEW, CfMCKLIST ADD z�PROJECT FMX wv- 4APPLUJIMATION RECEIPT DATEr. 'K tg Reviewed by: (initial/date),: ING,'�., rR ENC-bMG:-" w /SWR:- 1:, STREET.' IDING, /M , /////// INGLE, I/M 11IN-WIj TBACKS.kCBBCKEDA:-4 1 �SE P anning q�m -7T777-777 a11111111 Ali W-VARIAN�E/SFMA&TADJ��,�� 777777777 7 L Us 94, comj�ri %JSE PERmiT 2 Nyj ADB 3 W 2:� 7 T77 T77 7 T 7 7 7 T77 77 7 7 T1 T7 77 77 4 IWREQUIREMENTSW I.- 4a ENVIRONMEWAI; FEATURES �'�P 5 6 ;ACCESS-- SMPF'I'VEHICIE �ACCESS -T 111771 2777777777 7 6 PLAN (On4 Si 7 7 7 7 TTF1 TTrff 7 TTFF1 TF1 7 T F77777 7 'All �FILE 1-1, " "r k 777777 777777777177777777 8 LEGAL DESCRIPTIM VFRThC'AT'ION-: /////W/l //// 77 7 7771 17T 9 aJI7;'C1AIM/DEDICATICN "'44 T77777777 10 EASDMM PUBLIC/PRIVATE 777777777 W/77A4. CAtruLkTE SBM CONNECTICN'IF NO LID # 11111777777777777777T7777T 12 777TIl PLAT/SUBDIVISICN REQUIRDONTS 13 7T"U 77777TIT 7777177 RICJIT-OF-WAY CONSTRUCTION PERMIT REm 14 - 777777777 11117771 BCND REOD FOR PUBLIC IMPROVW�M , , - ///////// ///////// //////// I / . 15 SOTIS OOMTTTaIS &, GRDUND 1177777777MI1111 /////M WATER FIETD CHEMD 16 STREET PAVING REOJTRED 77 7T777TI777TIT17777, 17) 11 7 11177777T CURB AN6 GLYMIER R6QUI6ED STD6MLX RID�UIRED' 19 CURB CUP FOR DRIVEWAY R 777T/T/77////////1 7 7 T7TTTP7 20 - --fff 7 PT 7 777T17T17 SITM NAME SIGN REQD, 4 21 OHEM SIGNTNG'RFM 777777 7TITIT177 7T/777777 111177F 22 STDE'SEWER AMIABILITY. 77T/7 77 1111711 TITT17777 7777777 - - 23 777777777 EXISTING WATER MAIN SIZE% 0 �.M. -,/,6 P, s. r. 24 WATER NOM SIZE.. f 111117777711111 77TT17TI77 25 SERVICE LINE SIZE 77 777�� 26 HYDRAN'r REQUIRED 7 777U 7772 27 HYDRANT SIZE EXISTING 7 7 77 T1 7 T17 TTF1 T1 T 28 777777 7777TITIT CROSS'CONNECTICN INSPECTIM REM 29 777777 7777777777 VMTER MMTR CHARGE REOD 30 FIRE LINE CHARGE REQD -��.'SPRINKLER'� 31 STREET CUT 32 opm DITCH EXISTING 33 . . . ........ CITY OF EDMONDS ZONE . NU . M . B I ER -CONSTRUCTION PERMIT APPLICATION ice NA� (OR NAME OF BUSINESS) ADDRESS EGAL DESCRIPTION CHECKI SUBDIVISION NO. mATEING DRESS -7 L C) z1+Aj e- CITY TELEPHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET. MAP. 9 & d IS43 s33---,, EXISTING REQUIRED DEDICATION NAME PROPOSED C-kL-Id< Le--e RIGHT OF WAY CONSTRUCTION PERMIT REOUIRED 4;-*, ADDRESS I STREET USE PERMIT REOUIRED L1 SEE ENGINEERING MEMO DATED LID NO. 0 z ir W z 0 z W July TELEPHONE NUMBER FIE NAME Rol "i 2L(-& rfjilll� k-� ADDRESS C) a e— METER SIZE 1 BUILDING SUPPLY SIZE FIXTURE 1 UNITS a: W CITY t-j 4-S TELEPHONE NUMBER 671 REMARKS STATE LICENSE NUMBER SIGN AREA ALLOWED PROPOSED ENV. REVIEW COMPLETE EXEMPT ADS NO. z z 0. Legal Description of Property - Include all easements (show below or attach four copies) SHORELINE # 5 VARIANCE 08 CU PLANNING REVIE�W BY 14-- DATE zL --7 IZO/- 7-71-45 YARDS FrONI-.-' SIP REA HEIGHT, ;;2 LOT COVERAGE REMARKS NEW 21.8ESIDENTIAL ADDIALTER COMMERCIAL REPAIR RETAINING WALL EXCAVATE E] DEMOLISH E] OR FILL C PRE- OVE INSPJ REMODEL CONIMPLIANCE INSP. Ej PLUMBING E] MECHANICAL SIGN FENCE x —FT) SWIM POOL CHECKED BY I TME OF CONSTRUCTION I CODE HEIGHT z SPECIAL INSPECTOR REOUIRED 0 YES 0 NO TREA JOCCUPANCY GROUP — OCCUPANT LOAD EWOOD STOVE/ ] INSERT APT.BLDG RENEWAL REMARKS S I A.) I TO - Pr, NUMBER OF $tORIES .2— NUMBERYF DWELLIN 1UNITS WATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) C--b A) .94-r� C+ 10-e- L,) Pi B 011W PLI )2 ME', This Permit covers work to be done on private property ONLY. GRI Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STA B P P L M E GR �ermit Application: 180 Days STA ' i Permit Limit: 1 Year - Provided Work is Started Within 180 Days ENE "Applicant, on behalf of his or her spouse, heirs, assigns anck successors in interest, agrees to indemnify, defend and hold i harmless the City of Edmonds, Washington, Its officials, 0 employees, and agents from any and all claims for damages of MEMO TO: Building Division FROM: Engineering Division SUBJECT: lg3k5 &14,& After review of the subject building permit application, we have the following comments: 1) Connection to City water system required. 2) Connection to City sanitary sewer system required. 3) Right-of-way permit required for any work on City property. 4) Driveway slope not to exceed 14%. 5) Back water valve -required if downstairs plumbing is below elevation of upstream manhole., 6)., Water and sewer lines to be separated by 10 foot minimum. 7) Builder/owner responsible for containing all temporary runoff and erosion on site and may not impact neighboring properties in any way. 8) Construction hours from 7:00 a.m. to 10:00 p.m. on weekdays and 10:00 a.m. to 6:00 p.m. on weekends and holidays. I /to - e - A r J/1 C XTCH IS A,5 I X: xM5 - 1 S-30 (OIL WOUAL) 1 % L. TKr.r4CW L5CNr.-rH ..................... Ni 'or -n C.4T U W K ­` LrVX-L Tlk=NC-4 ,'�FEkF PIP9 ,/ CAP -rF=r= W/ 4'LONG Lr--r-s SYSTEM CROSS-SECTION MiPArl 500X F:�' --, " 1, / r— I = L 1--r T0 BfF_�� L/-'-,'ED � W&115�4ff D K0__K 'TP,F_j,C" COVER 3/4'- 0/2." WAS9Z0 GPAVEI 4"01AM FE;tF P so -0 a TRENCH CROSS-SECTION IN. STANDARD DRAINAGE PLAN INFILTRATION SYSTEM PAGE I OF 2 for 4-e R__ 6b aRik location plan by !TA�4 phone ____544L date — I (am (a DESIGN DATA Trench Perc LF per Imperm Trench Number Rate 1000 sq.ft. Area Reg. I J. I -,q- I 7ai. -_ 131-590`�M-d 4"ItIr'l NOTES 1. Call Engineering Division (771-3202) for prebackfill and final inspections. 2. Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property owner(s). Preventive .maintenance consists of preventing soil and other materials from entering trench during construction as well as after construction. Catch basins should be cleaned of floating material and sediment at regular intervals (at least twice per year). CITY OF EDMONDS -4,0 07AO� Peel- 10 tile- pjc-k 3006 9 74p- 1 ED:)p PR kc- " —kk e,4.) C- F)L 46 Aj dd /93, /To 0 6 CO ,3 70.0 41 acl�-O C.44 10 1 SLL. 0 CITY OF EDMONDS ASSET INFORMATION SHEET R�NEW 1:1 ADDITION El RETIREMENT ASSET NO. ADDITION TO ASSET NO. DESCRIPTION SERW 41F' LOCATION D E P,71 NO. PURCHASE ORDER NO. PURCHASE ORDER DATE COST B.A.R.S. ACCOUNT NO. ESTIMATED LIFE INITIATED BY DATE PROJECT NUMBER Z-6�7�� PROJECT COMPLETION DATE /c;2 COST APPROVED BY "SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY R-DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT G.L. ENTRY REFERENCE DATE ttnp INITIAL DEPAnTMENT FILE VERIFIED BY PROCESSED BATCH NO.- CITY OF EDMONDS ASSET INFORMATION SHEET ZNEW ASSET NO. /-_5 -3 ADDITION ADDITION TO ASSET NO. RETIREMENT DESCRIPTION SERIAL NO. LOCATION DE�Z NO. PURCHASE ORDER NO. PURCHASE ORDER DATE COST B.A.R.S. ACCOUNT NO. �Wl- ESTIMATED LIFE PROJECT NUMBER I � L; zs e" " PROJECT COMPLETION DATE -7 COST a.,, INITIATED BY DATE APPROVED BY **SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY 2"DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT G.L. ENTRY REFERENCE DATE VERIFIED BY PROCE�SED BATCH NO. INITIAL up3l FINANCE C ATC-�4 is As I X: xM5 46IS30(ok WOUAL) L4 i 4! -n C-W�u W x - 4!IIEKF PIPG, -`0 TEE W/ 4'LONG LEr-s 1411t-'711 -5,r- TPLCf4CW LMrNr--rH W > r"ENCH cavam 2LL L rV K-L. TX = N C-4 CAF SYSTEM CROSS-SECTION M I RAF I r-,o 0 X 1%./r-1 =L r-r T0 IM L-A-,EC) 'MEI,C4 COVF—R 3/46— 1'/2" WAS$AE:D r-PAVEt 4"01AM FF;ZF P L I. - 0. --� TRENCH CROSS-SECTION kl))�j Z��7- IN. STANDARD DRAINAGE PLANL- INFILTRATION SYSTEM PAGE I OF 2 for location plan by phone S4 4L da te DESIGN DATA Trench Perc LF per Imperm Trench Number Rate 1000 sq.ft. Area 1Aq., 1. 1 -,q. I 7A�L-,- NOTES 1. Call Engineering Division (771-3202) for prebackfill and final inspections. 2. Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property owner(s). Preventive .maintenance consists of preventing soil and other materials from entering trench during construction as well as after construction. Catch basins should be cleaned of floating material and sediment at regular intervals (at least twice per year). ZW, (31z- CITY OF E01VIONJOS iu.c s- C- ov Pe kc 7k—keAj C-1--1 3 Ck Ed V..k( 41 .11, -2 0 I C-H L-0 -T &C- To ,, , c / c, , 3,u PQ- re- C- -r-p-e. ro c-Ll- Lv-�--3 ------- H C- H 57 sTfjEET FILE LO-T (OF e—Olt^�N30S 4:�o KIO %4 - C-4� � W & c- — i , *, --- — %