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Aerial (2010) City of Ed monds
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City of EdmondSRGB C .1 City of Lynnwood
Ild: Band 1 City of ountlake Terrace
121 5th Ave N
Green: Band 2
:j. City of Woodway
011uo: Band-3
Edmonds, WA
-98020
This document is for.general information purposes only and is provided on an 'as is'
and 'as available' basis. The data used comes from a variety of public sources and no
warranty of any kind -is given as to its accuracy. Users of this document agree
to indemnify and save harmless the City of Edmonds, its officials, officers,
.1 inch 31 feet
N
3:11:22. PI
NOTICE:
No warranty of accuracy.
The information shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of'Edmonds does not warrant the
accuracy of anything set for ' th on these
map(s). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
the -map(s), including, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may'not exist and may
or may not exist at the location shown.
Neither the'City of Edmonds nor its
empl-oyee�s or officers) -*)hdall be liabl-e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
Thp City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT
IR`Eff FM
ONSTRUCTION REPAIRS
OWNER/#:Pt ------ .................................
ADDRESS.... ....................................
L-14
LMN PLAFfr
EASEMENT No . ............................... ..........
CONTRACTOR ............... ....... . ............................................... PERMIT No.
LEGAL DESCRIPTION: LOT No. ............. BLOCK No . ......................... ..................
NAMEOF �ITION ................................................................... .....................................................................
vl�— Approved .1149
V\ '21� t .21c � ',�o ....
DATE . ................... / ... / ...... ...... E Y .........
.............
CITY OF EDMONDS
, Civic Can P"sp4r�1-.erilI07- wl�en_ work
CENTER —WATER-SEWEP. DEPARTMENT.. 0
Is -ready
tions Saturday, Sunday.-dr-hol days.)
SIDE-'-- SEWER -PERMIT
79th Place West
ADbREss ......... 1.8.4.15 ......................... ......... ........................................................ .............. ............................................ ......
Kt ... 4.�_jen ... :.D
............. TRACTO ....
OWNER.�., ...... ........ . .am:.... ......................... CON R . ...... OW.aer ........ ..............................................
Pe . ri Issi -February
n on is:granted ..... .................. A... . . -1 "1 da s, to REPAIR or CONNECT a side sewer
19.�:7 f ... ...................
y
With- City -Sewers in-tiecordance with applicition on file".and governing ordii
nances.
ATTENTION IS CAL ED TO THE FOLLOWING:
". TP 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 constrdet side sewer ln.streetlarea. Do not cover any portion of sewer before it has been inspected.
__.1TE 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 �ln grade -sharper than % will - be permitted.
_1TE.,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-i mproper work which may develop within one year of completion.
_,PE No. &—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 ap-
purtenances except -to Insert the pipe Into the wye.
pin0
P, -1 -) / J 1A171
CITY of EDMONDS BU*CSS LIP.FN-SF APPI ICATION
DAA� �9� LICENSE NO.
Civic Center - Edmonds, Washin ton 9
9
City Clerk Phone 775-2525 STR E FILE
TYPE OF BUSINESS ANNUALFEE AFTER FEB. 15
YEAR
CLASS LIC. EFFEC. DATE IREASG..LIC. NO.ISPEC.1 (:1 A OCCUPATION $15.00 $ 22.50
4STRUCTIONS: E] BUSINESS T $ 30.00,
All items must be completed RECEIPT NO. DATE PAID PRINT'X' A- 1 TO 3 EMPLOYE
or application will not be ac- IN SPEC. BOX (C) 13USI NESS WIT,>H 129 $ 33.00
cepted. 1 1 1 " I I 'I I I FOR ISSUE OF 4 TO 9 EMPL�P ES
FEE PAID PENALTY PAID CORRECTED (D) BUSINE43!9'�;ITH 10 $75 112.50
Sign and return application LICENSE WITH QR-MORE EMPLOYEES -00�.
with fee. Renewals re,ceived I ri 'LC'ACTION. 0 NEWAPPLICATION (LA)
after February 15 must pay
penalty in addition to fee. 0 RENEWAL (LB)
NEW BUSINESSES AFTER 0 CHANGE (LC)
JULY 31, 1/2 FEE. (PLEASE MAKE ANY NECESSARY CHANGES) 0 DELETE (LD)
NAME OF FIRM BUSINESS PHONE NO. OF EMPLOYEES
0 TcciLl aY-1-za-14,r - 1,40 CjvFa,, lvso 7 7 7 7- If
MAILING ADDRESS NATURE OF BUSINESS
19 7A- P1.
A:.
E'�" C,,yqS 9LP020 V I e9
BUSINESS ADDRESS INDIVIDUAL PARTNERSHIP CORPORATION
EK (S) (P) (C)
/7 _f - -7,1 4� Zd
OWNERS NAME HOME ADDRESS -7 -7 7q
A01076�. 7' JOSS.
HOMEPHONE DATE OF BIRTH PLACE OF BIRTH SOCIAL SECURITY NUMBER
or r_ %3 ? &JA 92F- :;'Z,- 961'15r'
7 7 6, - �--7 -Z-/ 7 1 1
EMERGENCY NOTIFICATION (1) NAME& TELEPHONE (2LO
72.? —0/ 7cie
(PLEASE LIST TWO) (2) NAME & TELEPH6NE U01V4 0
WASHINGTON STATE TAX NO. (f 600 APPLICANT'S SIGNATURE
DO NOT WRITE BELOW THIS LINE
STAFF REVIEW: FILL IN LAND USE CODE, UFIR NUMBERS, ZONING, ETC. CHECK
APPROVAL OR DISAPPROVAL,, DATE, AND
SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT" SECTION. ROUTE TO NEXT DEPARTMENT ON LIST.
PLANNING DEPARTMENT
DATE
X APPROVE 0 DISAPPROVE
LAND USE CODE ZONING'CODE
SIGNATURE
I I I I I Af 161 - 1 -8-1
CONDITIONAL USE PERMIT
COMMENTS
FU70 E� KE
BUILDING DEPARTMENT I'
DATE
D--A-PPROVE 0
Building D Hotel/Motel
(L)
DISAPPROVE j
SIGNATURE
Permit 0 Apt. Bldg.
(A)
ETI I I 1 0 Office Bldg.
(0)
COMMENTS:
Occupancy 0 Restaurant
Group El Hosp/Nurs'Home
(R)
(H)
CAPACITY: (NO. UNITS, APTS. OFFICES, SEATS, BEDS, STUDENTS)
El School
(S)
Fl��E DEPARTMENT DATE IlAij�z-
U. F. 1. R.
V APPROVE El DISAPPROVE SIGNATURE
COMMENTS:
PO E DEPARTMENT
DATE SIGNATURE....
�APPROVE 0 DISAPPROVE
COMMENTS:
PUjBLIC WORKS DEPARTMENT
VAPPROVE 0 DISAPPROVE DATE 1-34 SIGNATURE
COMMENTS:
PLEASE RETURN TO CITY CLERK