18515 85TH AVE W.PDFIIIIIIIIIIII
8027
18515 85TH AVE W
TAX ACCOUNT/PARCEL NUMBER: 06 0000 SOO
BUILDING PERMIT (NEW STRUCTURE): 3
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: [] Conditional Waiver [:] Study Required E] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DATED: q I I / a
OTHER:
LATEMP\DSTs\Fomis\Street File Checklist.doc
NOTICE:
-Nb---wa rra nty..-OT -a--C(U _,T.. .
The information 'shown on the attached
Map(s) was compiled for use by the City Of
Edmonds� its Employees and Consultants.
kn
The City of 'Edm.onds does not * wa rra nt ti ie-
accuracy of anything set for.th on these
map(�-). Any person or en.tity -requesting a
copy should conduct an independent
n shown on
Inquiry regarding the informatio
tF�e -map(s), including, but not limited to, -h
er stub shown. Suc
the lociation of any sew
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-o-yee-s o-r office-rs -sh-a-11 be 1--ia-b-IFe for the
n on this ma p(s), nor for
information give'
tation provided based
any one represen
upon said map(s).
APPLICATION
for
The City of Edmonds SIDIM SICUMB PERM"
NEW CONSTRUCTION 0 REPAIRS
OWNER: ------
ADDRESS
A
EASEMENT No.
CONTRACTOR ....... . 01-d4w- ------- .. . ............................... PER30T No. . ..,a?
-;No
LEGAL DESCRIPTION: LOT NO ......
. ............................... ....... BLOCK No . ............................................
NAME OF ADDITION e.� ........... ........
............... ��q
................................
� --7 � 74
Approved:
DATE
�7
C�r C'7
----------------- * I
CITY OF EDMONDS
CIVIC . CENTER — WATER -SEWER DEPARTMENT
SIDE SEWER PERMIT
Cal I PRospect 6-1107 when work
Is ready for Inspection. (No Inspec-
tions Saturday, Sunday or holidays.)
I N 0
2708
ADDRESS...................................... 18.515--m ... 85t� ... AvenUe—Reat ..................................................................................................
OWNER --__-_--- L...X.Schulstad ............................. ........... CONTRACTOR ...... MCK._111C..-L ..................................................
Permission is granted ....... Fe-brua.:py .. 2 ........... 19..U., for ..... .................. days to REPAIR or CONNECT a side sewer
with City Sewers in accordancewitli application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE 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 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.
Nt &o. 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 main sewer or its aPpur-
tenances except to insert the pipe into the wye.
81P.. E E T. E L E25'
SEWAG DISPOSAL PERMIT
Septic Tank .......... gals. No . ........ .......
CITY OF EDMONDS
Disp. Field,... .... sq. f t. Department, of Public Works
Other--- .......... ....... ---------------- ---------
N ame .......................... ....... ...... -------- . . ............................. is hereby authorized to install/
repa-ir sewage disposal system at
. ......... .
......................................... ................
............. ............................ I �/
. J
Date issued on .........
---------------
Permit expires one year fro'i�a", :ss.
t I e
DO NOT COVER BEFORE,APPROVED BY DESIGNER OR SANITARIAN
I hereby certify this system was installed under my supervision and control and complies with all'provisions of the City
of Edmonds Resolutions.
Signatureof Installer ............................................................................ Date ...................................
ApprovedE] Disapproved F-1 Date ........................................ ....................... By ................................................................. I ..................
ks: .......... ................... ...... ... ...... .1, ........ 1-1 ................ ....... ................................. m .......................................................................
Remar ----- ......
SANITARIANOR DESIGNER.. ................................................ ........... ................... I ................. Date ..........................................................
This permit shall be -posted in a reasonably conspicuous place on the job'until- inspection has been completed.
CITY OF EDMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT
(Submit 3 Copies)
Permit to be issued to: ...... 9 h e r.1 s ... U pm. .9.e n
For installation at: (street address) ...... ............. ................
Addition or Subdivision... ... --- w ------- F. o...r e a ... #
....... t ... !� -------- - ------- .................. ............ Lot ......... 5.... Block ................
Type of Building: New ... X ...... Existing -----_---- Single family residence ... X � ....... Number of bedrooms --- 4 .................
Other: (specify type or use) ....... ------------------_ ___ --------_------------_---- ...... _ ....... ...................................................................
Builder ..... Qbar�&.,q ... Nj9AAen
. .......... ......... .. 111 ............... Address ----- !.U.2 7-8.14 t. _'V. _.E.dA3_ p_nAs ....................
Designer. S e.p, t.�.Q ... ... Address.... .52Gel-
... ..... _!'..,j�yn.nw.o_od .........
Soil Log Hole No. 1 ................... 0." _- -2 4 ........... 1 24"'--40" sandy loem/ciay..
_o.em
Soil Log Hole No. 2 ....................
................................... I ............................................................................................... ................. .................................. .................
Elevation of Water Table, if encountered. (Distance from ground surface) . ... . ... .... ...............
Corrections to control surface water if needed ............................ ................. ........ ............. ...................... ..I ..........................
Specify if any removing or grading of topsoil in field area ... .................................................. ..............................................
....................
Percolation:
Test Hole No. I —Average Rate ...... ..... 20 .... .. ...... (Fall in inintites/inch-bottorn 6" test hole)
Test Hole No. 2—Average Rate ........ 22 -bottom 6" test hole)
..... .................................... ..... (Fall in minutes/inch
Test Hole No. 3—Average Rate ............ 27 ............... ........ .. - ------- (Fall in minutes/inch-bottom 6" test hole)
Average percolation rate on which to base drain field design ........ 23 ... ........... Date Taken....
Septic tank requirements based on present rules and regulations:
Septic Tank Size .......... !QQQ .... ...gallons. HOLD STUB OUT RIGH
Amount of Square Feet of Disposal Field ....... 888 ... . ..
Signature — Designer ... ..... ... .. ...... ............. ............ Date ........
31-_6.6 ....................
DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency)
Permit issued (date) ...... . . � -?..-. - 7 -..C. C ...................... Permit Number ---- ......... !P_34 ...................
Remarks: ......... .......................................................................................................... ................................. ........... ............. ---------
i'm f� '. vin Olson
51#00-10tb So vr:�
Lyrmwood, tMeb.
11on-besemen t
I �urlve
1000 Gal* Be To Per, Hole
'2W lino - ft. drsintils Soil Log
3"' vil-de trench* 4" Ight Line
Sq. ft. required, 40 Dripin Tile
SOLD ',"ATM OUT KIOU
V-201
-BUILDING DEPARTMENT. Applicant F111
Inside HeaVy Lines
APPLIC
NAME (OR NAME OF OUSINESS)
Lez ;�j �,qP_
4' _Z�GA.DDRESS
bi
-UT—Y �PHONE NUMBER
F_ Ct -S T
() V,� �) -�� V
(Z� ,,, �- e 11,
z
Legal Description of Property (Show Below or Attach I
0 L4
z
z
SICN
M13ER OF
NUI
NEW
m
IEJ
�
Ej ADD
DEMOLISH
Q ALTER
RESIDENTIAL
NUMBER OF
DREPAIR
DWELLING
NON-RESIDENTIAL
UNITS
I hereby acknowledge thAt I have read this application; that the In -
forma tIon giv n Is correct: and that I am tht owner, or the duly author-
Ized agent of �Z,) owner. I agree to comply with city and state laws regu-
lating construction; and In doing the work authorized thereby, no person
th
au
e I
th
n-
s re
_r�0.
will be.employed In violation of the Labor Code of the State of Waajhlngton
relatin to Workmen's Compena,.Ltion Insurance.
jal
o ons which shall
NOTE: Permit Limit One Year le'c`o'Mp'1e`teInd "in' ninety days.)
--61-GNATURE (OWITER OR -AGENT) DAEk;
-7
NOTE: Applicant Subiccl to Plan Cbrck Fele
This j,,n�t coeTs work to be done on private Property O'NLY.
emy construction on the public domain (c3rbs, %idewalks. drivewaym,
rnprq�ees, et") will mquire eparst, Perrn1)--.
--NO-: G
D ON KROLL MAP
PLw=
660043
NUMBER
DDRESH
YARD SETBACK EET SETBACK
YARD SETBAC
ZONE
LOT AREA
VACANT SITE
I .
[j YES [3NO 0
I - z
-7--
IT
I BUILDING AREA
UMBER
ARIANcis N 14,
TEkN —APPROVED
40
zA.,
o, q/
z
1713
ZONE I TYPE, Or
C] YES [:] NO
LBER
STREET iALPROVNl.1
YES [3 N`0
TOTAL
BUILDING
VALUATION
BUILDING PER.MaT
FEE
PLUMBING
3 PERMIT FEE
HEAT & GAS LINE
i PERMIT FEE
. .. .
. .... $
......... 11::��
SICN PERMIT
FEE;
DEMOLITION
6 PERMIT FEE
PLAN CHECK
FEE
81 AMOUNT DUE
ATTENTION
APPLICATION APPROVAL
THIS PERMIT
This application is not a permit,until.
AUTHORIZES
signed by the Director of Building �nspec-
ONLY TIEE
tion, or his deputy; and fees are paid, and
WORI; NOTED
receipt is acknowledged in space provided.
INSPECTION
"Wau --s 8
DEPARTMENT
CITY OF
DATE
EDMONDS
6-1107
C6
r,o
I
BUILDING DIVISION I u�L
Zo
Applicant Fill N 8 01D 0 4 1
PERMIT APPLICATICIN Inside Heavy Line -
NAME JOR NAME OF
—7—)
WX 0 LEGAL OE%CRIPTIOH S.801..SION
AODRIES
z 5
CITY 4
TF—ELTP - —ON E i;-L, PUBLIC RIC4T Or WAY PER OFFICIAL STREET MAP
E., S - N C.—
NA
P-OPOSCO
U
III AUDRES.5
e`rF1C1rNCY OF RIGHT OF WAY
PUBLIC IMPROVEMENTS �EQUIREO
U
r CITY
ORAINAGr IMPROVEMENTS PEOUI.Ec,
0
K NE NUMBER
DRAINAGE�
PLAN PEOUIREO
0
UNCERGROUNO WIRING RECU,pEO
CONNECTION TO SAP41TARY S��Wr R
0
C3
0
1-
U
SEPTIC 7ANK PERMIT REQ-0 C3
rLCV—I.N -1 1R.1EKT1
-K
C:.RHr.,
& FOOTINGS
CITY
�EO-C
TELEPHO E NUMBER
0 r
SEE ...... R I MEMO OATZO
STA
;TY LI _WU M WE R
CHECKED BY
z
0
A ul-
W
rip lien OF rrOPOrtY (Show Below or AitTc—hFcur Ccpies) METER SIZE 8U'LOI1G 50—L 1 517C
RE—R—
SIGN —EA Re,,l
ALLOWED �O"OSC. CO-PLISTJ I..M
SHORE LINE e
REMARKS
cu RCso`IEW BY
YARDS
RAGE
C] NEW LIS --II.I.TIAL
AS
FRONI
SIDE
L
-RE ZONE jTvM
OF CTION
ADD
CODE
HEIGHT
RETA MING
WALL
ALTER VATIE
REQU.— :."S"`ECTOR
IRE
J^RE
OCCUIaANCV
GROUP
OCCUPANT
O..C,
R ri LL
FENCE X--P TI
YES
L.0 AD
-.'Al. IE
ECKED 01
THIS SITE 0 ED IN THE CITY
F NS
EDMO D LOCAL SALES TAX
SHOULD
NUMBER STOR",
NU-48CR 01
KS
13E DDED 31.04.
DWELLING
LNITS
NATURE r WORK TO BE DONE
U
W
zt:. -
it
L
LAN CHECK FEE
0
VALUATION Fee
BUILDING
0
?
PLUMBING
J
MECHANICAL
>
W
i>t
0
FENCE
>
I,
Applicant. or, Ilchair of his or !r spouse, heir
j succe-sors in interest. agrees to indemnify,
SIGN
z
defend and hold harmle,5
I'le City of Edmonds. Wahingt,, its offictuis. emplovees. u,
from
RETAINING WALL
3 9Cnts ary and all claims for damages of whatev'
er nature.
0
arising directly of indirectly from the issuance of this permit. Is;u-
A—M--G POOL
U
erce Of this permit shall n,)t be deeme'd to modify, waive o., teducc
J
0 any requirement or zirw cit', ordinance nor limit in anv %,,jv the
City"S abiU*y to enforce anv ord;nanc,. pro,ision.
I hereby 3zlirnowledite .h3t I ha,,e read this applicatio
formation given is correct: and that I am the owner. or the duN' author
TOTAL AMOUNT DUE
izce agent �-f the owner. I agree to comply with cily ar.d state JaIxs regu-
luting construction; and in doing the -Ork authorized thereby. no person
ATTENTION
APPLICATION APPROVAL
Will be employed in violation of the Libor Code of the State of Washington
telating trF Workmen*s Compensation Insurance.
—Is PER.-
This application
. is not a
NOTE: Permit Umit One Year(Except DEMOLITIONS
AUTHORIZES
perrr.it
until Signed by the Building Official or
;1
and FILL
PERMITS without conditie)11,21 Use perm.i:, -hich shall oe completed in 90
L
ON I THE
his Deputy; and f,!s are paid, and
. , . ED-IN" ii -4rKNGS shall be completed in six months.)
%VOPK NO.-ED
reccipt is acknowledged in space
J,
—.-OR to C NT
NSPECTION
pro.
vided.
OIRLCTOR-S SIGN ^T
c,.T Fry OF
I Prenitli P-P-rtY ONLY.
F.'t
EDMONDS
OA,.
P., inu,b., .,dii d,iiellways,
775-25Zj
etc-) will require Partite perminion.
ATTENTION
IT ;S UNLAW FUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
ORIGINAL File YELLOW
Lj
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPFIOVAL OR
PINK - Owner GOLO - Assessor
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 304, 306.
102-11