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STREET FILE
CITY OF EOMONOS
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SINGLE fAliILY IlULT I PLE CO�IMI;C IAL
ENGINEERING & PUBLIC WORK8
P R 0 J E C T
C H E C K
R E V-1 E W
L I ST
PROJECT NAME 601—t� I At7F--C, CONTACT Nkll[ & TELEPHONE NUMBER
ADDAESS
ACCESS SLOPE AND VEHICLE ACCESS
DRAINA6E PLAA
STREET FILE
LEGAL DESCRIPTION VERIFICATION
QUIT CLAIM/1)(DICATIONS
EASEMENT - PUGLIC/PRIVATE
CALCULATE SEWER CONNECTION IF No LID j
STREET PAVING RfQUIREo
CURB AND GUT -TER REQUIRED
SIDEWALK REQUIRED
CURB CUT FOR DRIVEWAY.REQUIRED
RICt'T-OF-wAY CONSTRUCTIOm PERMIT REQUIRED
BOND REQUIRED FOR PUBLIC IMPROVEMENTS
STREET NAME SIGN REQUIRED
OTHER SIDIING REQUIRED
NITIAL DATE
C6-1
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(ADOITIOUL COMMENTS ON &A(
[XI STIRC WATER ILAIll SIZ[
WATER f%AIH R(QUjR(o IV/If
SERVICE Ll.%E R[QUIp[O
woRAur sizE Exism,G
HYDRART Rf9UIR(0 PER FIRE COE SIZE
CROSS CONNECTION INSPECTION
WATER 11HER CMARrE RE IPED
.
REVIEW BY DATE (AMITIOtLAL COPKXTS On 9)
SANITARY SEVER DUiIXG llLv.BER FILE WIBER
w SIDE SEWER AVAILABILITY SAXITAAY SEWER COTIECTI011 FEE RIQUIR.ED
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OPEN DITCH 111ST111r,
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
Publ ic Works Department
SUBJECT: le IZ6 e�YAIL)
DATE : / - '?
ZA)
After review of the subject Building Permit application, vie have the following
c o mim a n t. s :
1. Connection to City water system required.
2. Connection to City sanitary sewer s ystem required.
I Right-of-viay permit required for any work on City property.
4
4. Drive,.,tay slope not to exceed 14%
5. -Back,..ia'er valve r equired if dovinstairs plumbing is below elevation oil
upstream manhole.
6. Water and sewer lines to be separated by 10 foot minimum.
BO 6/82
USL
ZON NUMBER
F EDMONDS
CONSTRU TA N'. PERMIT APPLICATION OB
NAME (OR NAME 0 SS) ADDRESS
LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID No.
F)n Ill i .3 10 0- it.
W MAILING ADDRESS
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8 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
CITY 6" �TELIEPHONENUMB R -49
EXISTING.-6 REQUIRED DEDICATION
xa, PROPOSE6-Z-ZL_
NAME
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RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0 W
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C_ Lck e STREET USE PERMIT REQUIRED -7
wo ADDRESS
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SEE ENGINEERING MEMO DATED j
TELEPHONE NUMBER SEE PIW DEPT. REVIEW CHECK LIST DATED
�LXJCITY REMARKS
NAME
IS
ADDRESS
METER SIZE
BUILDING SUPPLY SIZE
UNITS
L)
IFIXTURE
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CITY
TELEPHONE NUMBER
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REMARKS
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STATE LICENSE NUMBER
CITY LICENSE NUMBER
SIGN AREA
ALLOWED PROPOSED
ENV. REVIEW
COMPLETE EXEMPT
ADB NO.
117)
�n ic
IF
L! al Description of Property - include all easements
(S ow below or attach four copies)
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SHORELINE N
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'VARIANCE OR CU
PLANNING REVI�W By
DATE
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YARDS
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LOT COV!�
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FRONT
SIDE REAR
FL
ry
L—^J
NEW RESIDENTIAL
ADD/ALTER NON-RESIDENTIAL
REPAIR RETAINING WALL
EXCAVATE
DEMOLISH OR FILL
PRE-MOVE INSP.1
COMPLIANCE INSP.
OPOOL
PLUMBING
MECHANICAL
SIGN
FENCE
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CHECKED BY
C1
TYPE OF CONSTRUCTION
CODE
HEIGHT
PECIAL INSPECTOR
R
REQUIRED
C YES C: NO
AREA
OCCUPANCY
GROUP
OCCUPANT
LOAD
SIDE SEWER 0
WATER LINE
REMARKS
E]
NUMBER
OF STORIES
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NUMBEROF
Dvvt:LLIN(i
I UNI I zi
NATURE OF WORK TO BE DONE (ATTACH PLOI�P�N)
VALUATION FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY. GRADINGIFILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials.
employees, and agents from any and all claims for damages of
whatever nature. arising directly or indirectly from the issu 'ice jpla�r e C k-
of this permit. Issuance of this permit shall not be deeme - K i 0 —0
�d to
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OTHER
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RECEIVED
CITY of EDMONDS SIDE SEWER FERMIT
For Inspection Call 771-3202 PERMIT NX 07266
V1 fflf' WAR _J
ED N '8
Mo
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Address of Construction: TREATMENT PLANT
Property Legal Description (Include all easements):.
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Owner and/or Builder: K 60 tj 17-:> +yz_
Contractor & License No: k?>6 D, T -S
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) bef ore any
excavation.)
Cross other Private Property: No Yes (If Yes, easement requ'ired,
attach legal description and county easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK
I ceftif,� that I have readc-6nd shall comply
witK the items listed on the back. '
P e rmit Fee: �?o OC) issued By: (/1 R 1�1
Trunk Charge: Date I�sued: _9
Assessment Fee: Receipt No.: ljqo�
Partial Inspection:
, lel /8 o: -
Date
Comments Date Initial
Final Inspection Approved: r-A . R. 19,K 141sP. Si E. AKAu
fa—t—e ------ InitiAl
Rejected:
Reason Date Initial
** PERMIT MUST BE POSTED ON JOB SITE **
Wh-ite Copy - File Green Copy - Inspector Buff Copy - Applicant
Lot 1. Bollinger description for a building permit
The East 145 ft. of the South 100 ft. of Tract 44, plat of Edmonds Seaview
Tracts as recorded in Vol. 3 of Plats, page 76 records of Snohomish County.
Subject to a permanent non-exclusive easement for ing , ress, egress, utilities
over, upon, under and across the South 15 ft. thereof.
Lot 2. Bollinger Ownership
The South 100 ft. of Tract 44, plat of 'Edmonds Seaview Tracts as recorded in
Vol 3 of Plats, page 76, records of Snohomish County, Washington, except the
East 145 ft. thereof.
Together with and subject to a permanent non-exclusive easement for ingress,
egress and utilities over, upon, across and under the South 15 ft. of the East
200 ft. of said Tract 44.
NOTICE:
0
..War-rant.y...
No
The information on the attached
for use by the CitY Of
map(s) was com * piled
Edmonds/ its Employees and Consultants.
Th,,.e City of *Edrn.onds does. not. wa rra nt the
n these
accuracy of anything set for.th o . *
Map('�). An'y person or entity -requesting a
copy should conduct an independent
inquiry regarding th*e info'rm'ation shown- or
_tFiE? -map(s), Including, but not limited to -1
er stub shown. Suc
the lociation of any sew
sewer stubs may or may not e.xist and may
or may not exist at the location shown.
Neither the City of Edmoinals nor its
empJo-yee-s o-r office-rs -shal-1 be 1-1a-b-'Fe for the
information given on this map(5), nor for
any one representation provided based
upon said map(s).
The City of Edmonds
Side Sewer Drawing
EASEMENT NO - -------------------
NEW CONSTRUCTION REPAIRS Fl LID NO. /51 ------ � ASMT. NO. — ------------
OWNER ------------------------------ CONTRACTOR ------------------------------------------ PERMIT NO.
JOB ADDRFSS --- 1.972
----------- 92 F-At.4, ------ LEGAL DESCRIPTION: LOT NO. -) ----------- ------------------------ BLOCK NO - ------------------------------------
------- -------------------------------- - --------------------------------------------------------------- EDMONDS ---------- - ----------
NAME OF ADDITION ------------------ ------------------------------------- TREATMENT .. PLANT - -------------
...... .............
ND
1872% 9ZANE.W
92 ND r�,qF-.\4q -
PWW 1-11/75 (REV. 11/78)
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DATE ------ By 4�� ......................
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STREET FILE
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STANDARD DRAINAGE PLAN
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lot
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CAP
SYSTEM CROSS—SECTION
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TRENCH CROSS-SECTION
INFILTRATION SYSTEM
PAGE I OF 2 '
for
location
plan by
phone
da te
DESIGN DATA
Trench Perc LF per Imperm Trench
Number Rate 1000 sq.ft. Area Req.
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 clean�d of floating material and
sediment at regular intervals (at least
twice per year).
CITYCIFEDMONDS
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20 � S) Ze- I -� 3 ZS 51 12�- 00+ ell.) -f-
ECT APPLICATION
for
The City of IldmonclZ IRL;vl. I FILE SIDE SEVV= PFAIM"
NEW CONSTRUCTION V/ REPAIRS
OWNER Jet�;�09/0:� ......... Z�
ADDRESS ------- ------ q2-406 ........... 14/ .....
...... ...... . ... .... ....... ........
EASEMF2%?T No . ................. ...................
..... CONTRACTOR ..... 6.4 AQE� ........... ..................... PERAHT Nou----.
LEGAL DESCRIPTION: LOT No . ........... 954 -- ------------------------- BLOCK No . ........... cl> -2-
................. ---------------
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NAME OF ADDITION.. .'*� . a--- " m Z
.... !;;;!�A; -- ------------ ........ 4 .... A * .. ......
b-.:2 :S.-�00 I T�c Yl/
9
DATE .... 9?...7A5 .. :7�167 ----- By ---
..40.11!11111 0
!�W:� - - - -----------------
C1
T Y OF EDMONDS
CIVIC CENTER WA
TER -SEWER DEPARTMENT Call li`RoaPftt 6-1107 when work
Is ready for Inspection. (No Inspec-
SIDE SEWER PERMIT t""s Sat -day, Sunday or holidayll.) NO 3382
ADDRESS ............... 18726 -
................ 92nd
...... ............ Avenu west
............. ......................................... I ...............................................................
OWNER ................... Richard S. Marsh ...............................
...... I ........................... ... CONTRACTOR ............... Cascade Sewer,
Permission is granted A I .................................................................
... 1 ...... 1 19 ... P-9, for ...... days to REPAIR or CONNECT a side sewer
With City Sewers in accordance with aPP]i6ation Oil file and go - v . e . rn . n . g .. o . rdinances.
ATTENTION IS CALLED To T-HE 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 axea. Do not cover any Portion Of sewer before it has been inspected.
Inches Coverage at Property line and 2 ches ns de pro y
No bends in grade sharper than 'A will be Permitted. I
NOTE No. 2—Obtain full Information regaxdlng Ordinance 11-16.030 and Regulations governing side sewers When You get Pern it.
NOTE No. 3—Top Of side sewer must have at least 30
NOTE NO. 4—Trenches In street must be ter settled and �Ulface 1 In I I Pert line; Minimum grade of 2%.
,of street restored to original condition.
failure due to Improper workwawlUch may develop with n one year of completion. Contractors shall be responsible
6—It Is unlawflll to aJter 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. for
IL
"-Femit ifo-
Name
SSOHOKESH HEAT DISUFM
Division of Sanitation 9-,JTREET FIL
3012 Rockefeller Ave.,-ALpine
Everett., Washington Date
Address
Address of Proposed site
Block
Legal Des i ti j9t Additi6n
'10%. L
T
cr
Type of use =A --No. of bedrooms Lot size 1,�90
Septic tank Capacity
Disposal field length
s Sketch:
Remarks:
1'Ate Inspected by,
Armraloval_ Mailed to
Rec. #
Installer
1�6/
in:;-
I#-
. - 0
SNOHOMISH HFAM.Diast:0T
3011 Rockefeller #vp�q
$5-00 fee for Permit Everetto Wasblagtca
LOT APPR4VA SHEET
phone ALV&ne 9-2o6l
5;�2 Ave. Zz-1malo.'r
NAME
ADDRESS OF PROPOSED BUILDING SaI14-Z-f N
-S�Ocllk A�a 70!)",
LEGAL DESCRIPTION: LOT BLOCK
TrPE OF USE I&Xlale,17 NO. OF BEDROOMS _SIZE OF law
SOLECE OF DR==G WATER: PUBLIC SUPPLY V"
A. SURFACE ,,..�WATE WELL
.VWXAGE
1. Is disposal field site well drained?
Now
0 thro dito? Nj�'
20 Any water course (stream.. drainage dita�s etc I -
B. TOPOGRAPHr
1. Any heavy slopes in field area? NI)
2. Will present topsoil in field area be removed or gFa-ded U06tre field tilen
installed? Al-d,
3 - Will anat fill material be used in the dispogal field aite? No, If yes, how much�__
C. SOIL CONDITIONS
1. ft&_.&.hQk at least 4 feet deep beenA Jbthe (118POP-41 field area to determine
11W
the type of soil present? T
2. After hole is dug record the soil conditions a, the following depths. (Record
as sand, gravel., cla ked sand... loam,, etc.)
12 inches 30 inches _Gltl�
lts inch-'s 36"inches q
24 inches 48 inches 6
4. Any ground water encountered before reiching a depth of 4 feet?/Vo If so it
what depth?
D. WATER TEST
A simple water test All show haw well this soil will drain or percolate water. To
perform this test:
1. Dig a hole at least 36 inches deep. Use a shovel or post hole digger --
size of hole makes no diff arence --only depth.
2. Fill hole with water. Nae let all water run out of hole. This soaks the
ground and wi.U. give a more accurate rvr�ding.
3. Again pour water in hole to a height of 12 inches from the bottom. Let
water run out until there is just 6 inches from bottom left in hole.
4. Note haw many minutes it takes fbr this last 6 inches to seep away*
Record the time. Number of minutes for last 6 inches to seep away /W/o,
5. Divide this time by 6 to obtain the ratte per inch. /W/# 4K,
LLL_
6. Date water test was performed. lh,(g, __16 4
I hereby certify the above information to be correct and the above tests were per
formed by me as prescribed.
Signed
Al
Address Ifl 7 7,k
r
NOTE: A septic tank permit is issued on the basis of the above information. If tliexe
any changes or alterations in the above statedsoil conditions it may result id
t.ae. installation being rejected at the tim of inspection.