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18805 SOUNDVIEW
PL
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ADDRESS:
TAX ACCOUNT/PARCEL
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BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED: - / --
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER)
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
DETERMINATION: E] Conditional Waiver M Study Required [] Waiver
LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
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CJTY of EDMONDS SIDOSEWER PERMIT
For Inspection Call 771-3202 01, ERMIT NO.
Address of Cons trudti on:'az 5640YEW EDMONDS
ITREATMENT PLANT
Property Legal'Description (Include all easements):
C
7-
Owner and/or Builder:
Contractor & License No:
Single Family Residence
Multi -Family
(No. of Units
Commercial (No. of fixture Units,
Invasion,into City RigFt-of-Way: No Yes (If Yes, Right -of -Way
Construction Permit required. Call One- Cal I -Center. (1 -800-424-5555) before any
,excavation.).
Cross other Private Property: No Yes (If Yes, ease . ment required,
attach legal description and county,easement number.)
. QPLEASE READ TH I MS LISTED ON THE BACK
*M
v t g-haVe eeYd and shall comply Date
t
I certi y that I 1have kreSTd'
with the items listed on the back.
Permit Fee: Issued By:
Trunk Charge: Date Issued:
Assessment Fee: Receipt'No.':
Partial -Inspection:
Comments Date Initial
Final Inspection Approved: '"N.29,0E-
/0
Date Initial
Rejected:
Wh.ite Copy File
ason
** PERMIT MUST BE POSTED ON JOB SITE **
Green Copy � Inspector
Date —1—nitial
Buff Copy - Applicant
I
Side Sewer Drawing
The City of Edmonds EASEMENT NO. ----------------------------------------
NEW CONSTRUCTION REPAIRS LID NO. 15.1 ------ ASMT. NO - ------ --- -------
OWNER ........ CONTRACTOR ----------------------------------------------------------- PERMIT NO. -74457..
JOB ADDRESS --- 18-805 ----- soumrmve-w ---- Pl----, LEGAL DESCRIPTION: LOT NO - ----------------- -------------------- BLOCK NO - ------------------------------------
....... ................... ---------------------------- - -------------------------------------------------------------- ......
---- EDMONDS ---------
NAME OF ADDITI --------------------------- -------- ---------------------------------------- - TREATME - N . T P - LANT
----------------- -- - -- ---------
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PWW-0001 -11/75 (REV. 11/78)
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Approved:
DATE6Ak 9�. AaByYAtf . ... ....... .........................
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
=STREETF=1L
Name: 2-703 1 --<C0 L10 6
Site Address: '�,ULA, J (j C
Date:
Plan Check, #.(3L-D')_c,
Project Description:
Reduced Site Plan I Provided: (VES) NO)
Zoning -R5-
Map Page,___--
Corner Lot: (YES
I Flag Lot: (Y3E/ NO)
Critical Areas Determination 9: 0�
El �tudy Required
%-Waiver
SEPA Determination:
El Exempt
El Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist 0 APO List with notarized for
Required Setbacks
t: 10
Side:
Side-
c
Actual SeLbacks
S�Plet: 67 T_10�
�s I
Side:
Kar: /0
El Detached Structures:
Rockeries:
Fences/Trellises:
Bay Windows/Projecting Modulation:
El Stairs/Deck:
Height
Datum Point:
Datu m. Elevation.-
Maximum Height Allowed:
7--
Actual Height: ,X-
Other
Parking Required:
Parking Provided:
Lot Area:
0
Maximum Lot Coverage: 35% Proposed:
Lot Coverage Calculations: L) S-C-4- 6,/'CC YO
ADU Created: (YES / NqV
Subdivision:
Legal Nonconforming Land Use Determination Issued . :(YES/ 00
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'A Plan Review By:
PWnn4'q Data Form 04-11-06.doc
E.
City of Edmond
RIGHT-OF-WAY CONSTI#CTION
PERMIT
Permit Number- !Z3
Wue Date:
A. Address or Vicinity of Construction: 18805 Sounft.few P1 (M3218)
9 0 C) B. Type of Work (be specific): Triat.01 NAw Spryiep-
C. Contractor: —Washington Natural Gas CoaRan Contact: Frank -Swan
MailingAddress: 815 Mercer St. Seattle, WA Phone: 224-2278.
State License #: 98111 Liability Insurance: Bond:$
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. n Commercial E] Subdivision El City Project @ Utility (PUD, GTE, VING, CABLE, WATER)
F1 Multi -Family E] Single Family Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut: 0 Yes UiNo G. Size of Cut: x H. Chargq�_$
APPLICANT TO READ AND'SIGN
INDEMNITY. Applicant understands and by his signature to this application, agrees t e City of Edmonds harmlesvflont,�.. ez
.;; 16 1 jx__!apges, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be made qgainst the City of Edrhonds, or any of its departments or
employees, including or not limited to the defense of any legal proceedings including defenZe 7st, and attorney fees by reason of grantinphis permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH
IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PR(J!�F,�5FD FOR ISSUANCE TO
,JTHE APPLICANT.
Constid6tion drawing- of .proposed work required with permit application.
A 24 hour n4ice'l-sre'quired "for inspection; Please call the Engineering Division, 771-0220.
Work and material.is to be -inspected during progress and at completion.
Restoration 0 accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with Citygegulations as required byJbejQjty�,Engineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO -EXCEPTIONS.
Ihave read the above statements and understand thepermit requirements a nd thepink copy of thepermit will be
available >OA4e-a�a 1 times for inspection purposes.
Signature��,w Date: -November 23, 1993
(Contractor orNgent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: � � I wx�
TIME AUTHORIZED : VOID AFTER 4961(" DAYS
SPECIAL CONDITIONS:
COMMENTS:
RIGHT OF WAY DEPOSIT'
DISRUPTION FEE/FUND'111:
RESTORATION FEE:
0
PERMIT FEE -
TOTAL FEE: 36
RECEIPT FEE:
DATE:
ISSUED BY: i
NO WORK'.SHALL BEGIN PRIOR TO PERMIT ISSUANCE En&rg. Div. 1991