18807 81ST AVE W.PDF111111111111
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18807 81 ST AVE W
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 forth on these
map(�-). Any person or entity -req uesting a
copy should conduct an independent
inquiry regarding the information shown on
tKe -map(s), Including, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may, not ex ist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
emp-l-o-yees o-r officers -shdall be 1--ia-b-11--e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
-) C - ITY,'OF EDMONDS C" PRO Peet 6-1107 when work
CIVIC CENTER — WATER -SEWER DEPARTMENT is ready f8.p, inspection. (No Inspee,
SIDE SEWER PERMIT tions Saturday, Sunday or holidays.) N? 2174
ADDRESS ................................... 18,810.7-fn --- 81s.t:-Av.eniie ... W-est --------------------- - -----------------------------------------------------------------------------
OVMER .......................... a4le Warren
---------------------------------- ---------------------------- CONTRACTOR -------------- Tucker
.................................................. ..............
Permission is granted ----------------------------- May --- 2 19--6.7-, for ........................ days to REPAIR or CONNECT a side sewer
with City Sewers in accordance with applicaty
ion 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 constru - ct 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%.
r No bends in grade sharper than % will be permitted.
M 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 Improper work which may develop within one year of completion.
NC "40 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.
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Applic INRI?6 f m
Applic.ation..�.#. 930005BLDG Dat.e.. 1/12/93 Permit #... 930005BLDG
Site AddreO..... 1,880.7'81s-,-. Ave W
.Job' Name-... . 'Flotte Unit # ..... .
-7 -7 — 7 -7 — — Owner information ----------------------------------
Name..... . ..' ..Maud' Fld.tt-e ATA# 4816 001 -014,00
Address-... . 19015 8.4th Ave- W
city i St / Zlp* Edmondb-, WA. 9802-0
Home:- Phone.-. -:776-0658 !7
Worfk4hcpe
-------- ---------- o n t�vAc t o r r on ----------------------------
Cont OWNER
Name. A
Address.......... Y
.City/Stat /Zi
�e P -
Contact....
Ph
---- ------ ----- - 'ite*ct��Jfifbrmataon �77`;"_� ------------- --------------
Name.' ............ . 6,.,.Archit6ct:A-ssiqne. Arch
Address. . .
City/State/`Zip.�,
e.
Contact...!�.
-----------------------
----------- 7-777.77, En'g-1heerj-, �nformatd6n,
-Engr,,# ...
No ngine,er'Ass.
Name.. 'E A'
Address
City/.Stat'e/Z,&p
Contact ... Phone ...
'ing Data
Building and?.Zon'
Zone. RS `112 L Hei4ht 25
overage�.'�5%,
Front.- Si., Rear. . 25
'4
3
'4eat .....
epair.-..
ki't on -1 erition. X' R
New. A& i t
Nature O:f work.,.- -Remodel.` E.x i st 4..n'g:"Gar'a'ge�,.'-t*&,- Bedroomi/ Bathroom
c
Occupancy. Group..V.-,.�"."),., qu.pant.-Load.
Building T yp e - C o'de . ';§FR VN 'ic s'
_qF.t!
Basement -1�t.",Story - d2rld�.,!�tor'y� 3rd Story
DeLd
Over 3.. Garage... ks.,....-. Shell .... N
'Bldg -T -5�95.00:
Total Sq.Ft.,*O - Tot.a'
Review Fee.. Fee*., f8�6 3-0 Fee's 307.40
This Permit covers work to be.done cn private pioperty 6MLY. Any �onstru . ction on public domain will require
separate permission.
Hold Harmless: Applicajit, on behalf of his or her apouse. heirs, assignes and succeavors in interest.,, agrees to
indemnify, defend and hold harmless the.City of Edmonds, Washington, its officli3ls, employees, and agents from any
and all claims for damages of %)hateve'l: nattire,. arJ1.6ing directly or indirectly from. the. issuance of 'Chis permit'.
Issuance of this permit shall not ba deeired to. modify, waive or reduce any requifeatent of" any, city ordinance nor
limit in any way the Citkla ability to enforce any ordinance provisir'll.
I hereby acknowledge that I have read this, applical-don; that the information given is correct; and that T am the
owner, or the duly authorized, agent of awn9r. I agree to comply with city and statp la*.js re�njjlating
construction and in doing the %jork -authorizsd thqrety. no person will- be. employeed in violtation of the labor Code
of the State of Washington Workman'z Compercation lrsurance.
1--sue
n
Owner/Age Date �-:�xpiration Dats
ITREET. FILE
C I T Y 0 F E D M 0 N D S
SEWER DEPARTMENT
STOPPAGE OF SANITARY -SEWER MAIN REPORT
DATE: TIME CALL RECEIVED.:
—LOCATION OF STOPPAGE:
TIME OF ARRIVAL ON THE JOB SITE:
TIME NORMAL FLOW OF SANITARY SEWER REESTABLISHED: a
i LA. L-4 -t> 0
CAUSE OF STOPPAGE:
ACTION REQUIRED TO CLEAR MAIN AND/OR LATERAL:
CITY CREW ON STOPPAGE CALL OUT (Personnel Involved):
- i V- 1&y.
LOCATION OF RESIDENCE AFFECTED:
NAME, ADDRESS, - AND PHONE NUMBER OF PR:PERTY OWNER:"IDAL� WhaZE"
c;' I &J � \A]
DESCRIBE DAMAGE TO PRIVATE PROPERTY:
00
NMI
ROUTING FORM
't'- Z -T j
,09 1 I-E I- 21�
41
SHEET NO.— OF
General Contracting Servi ' ces CALCULATED BY DATE
P.O. Box 20820 Seattle, WA 98102 CHECKED BY DATE
(206) 283-6205 FAX (206) 283-6112
SCALE— 2- C>
G,�W. Wis 01471. % 00� F,014E Tou FREE 1-&W-MQM
STREET FILE