18812 92ND AVE W.PDFiiiiiiiiiiii
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18812 92ND AVE W
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ADDRESS: /'S?/ �2- ql)- "'�'P A V E- IJ
TAX ACCOUNT/PARCEL #: 00 56e (V 0006o &or)
BUILDING PERMIT (NEW STRUCTURE)
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: log- DETERMINATION: El Conditional Waiver wStudy Required El Waiver
CRITICAL AREAS #: DETERMINATION: [:1 Conditional Waiver 0 Study Required Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #s):
PLANNING DATA CHECKLIST DATED:
—�
SCALED PLOT PLAN DATED� )L
0
SEWER LID FEE $:
LID#:
SHORT PLAT FILE:
LOT:
BLOCK:
SIDE SEWER AS BUILT DATED: —7
SIDE SEWER PERMIT(S) #: 31Lp
GEOTECH REPORT DATED:
STREET USE/ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
0
NOTICE:
-rani:y.--ut
N'O"*w*a r
The in . ormation shown on the attached
map(s) was coMplied for use by the City Of
Edmonds/ its Empl.oyees and Consultants.
Th,..e City ofEdm.onds does. not. warrant the
n these
accuracy of anything set for.th o . -
map('�_). Any person or entity -requesting a
copy should c:onduct an independent
inquiry regarding the infc')rm'ation shown or
-map(s), including, but not limited to,
the location of any sew-er stub shown. Suc
sewer stubs may or may- not exist and may
or may not exist at the location shown.
Neither the City of Edmoinds nor its
empJo*yee*s o*r office-rs -shal-1 be 1-Ja-b-1--e for the
information given on this map(5), nor for
any one representation provided based
upon said map(s).
APPLICATION
for
The City of EdmoncGlwR FILE SIDE SEWER PERMT
NEW CONSTRUCTION 1p REPAIRS E]
OWNER FDNUL FROM -
............................................................................................................
ADDRESS --------------
0
EASEMENT No . ......................
CONTRACTOR PERMITNo...4M.b%& ......
LEGAL DESCRIPTION: LOT No . ............... 0-:2. ... 2-k. ...................... BLO CK-No . ............................................ -
NAME OF ADDITION .........
-47
4-21
-.I/& -eva-mj(41
(wump)
NXI E. W,
C140(2-% MOM
Approved:
DATE 9 ......... ....
0
0
Z.0 li$
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT
Call.7-76-1107 for side sewer Inspections BEFORE covering any portion of the construction.)
Insp ction will be provided within 24 hours after request. NO Sat., Sun., or holiday inspections.
ADDRESSLOCATION OF CONSTRUCTION ........................................................................................................................................................................
PROPERTYLEGAL DESCRIPTION ......................................... : ..................... ....... I ........................................................... ...................................................
...... ** ...... ------ OWNER AND/OR BUILDER ............................................................................ . .......................................................
CONTRACTOR'S NAME & ADDRESS ................................................................................................................................ ...................................................
Permission Is granted .......................................................... � 19 ...... .., for repair and/or connection of a side sewer to the city sanitary sewer
system in accordance with City of Edmonds ordinances.
6TTENTION IS CALLED TO THE FOLLOWING:
1E 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.
'WOTE No. 2—All work performed in city right-of-way requires an Invasion of RJght-of-Way Permit obtainable from the City Engineer's office.
NOTE No. 3—Obtain full information regaxdlng Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 4—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 1/s will be permitted.
NOTE No. 5—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. 6—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 appurtenances except to in-
sert the pipe into the wye.
DISAPPROVED R Date ........................................ By ................ Date ..... . ....... Ily --- ...... Date ..................................... By ................
Xj-
A-- By_ I ......................................................
APPROVED Date .......
.. ...... V. . '. ...............
.10
Remarks: .................................................................................... / ................................................ ............... 11 ............ .............................................
BOTH Permit Copies MUST Be Signed By, Owner of Firm Performing Construction PRIOR To Request For Inspection
... .... hereby certify that the side sewer installation constructed under this permit
_c.iracting Firm Performing Construction)
-as installed in accordance with all governing ordinances of the City of Edmonds.
................. day of. ..........................................
Dated this ... 19 .......
V V Check BEFORE you dig for: Water [-], Gas 0, Telephone [], Power E], Sewer E], Other (] V V
�~
---
�APPLICATION
forThe City of
__ __ __._ EASEMENT No ------'
NEW CONSTRUCTION REPAIRS 0
MUL
LYNN
Arm
-'_-_' -----------_------_-__-............ ---__----__-----' ^-�..._.-------~ PER,I^N~^......................
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ADDRESS '-lC=$=av e .o.nuv---.. LEGAL : LOT No ................................. EzOxzm
9"
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F,S CA ILTF,
ADD afss
'M OLI V 91D �L6VL R�A-<,Y_ f ww_ Ltvwvc,
I UG?- - qaYd- A4e, A, EAMOVId-S 9,302-0
00 SIMI 000 00�1 60
-SMP_0A �51(20TS 1,30 3 13LY- 000 ID-00-
�.Dr � SQ t Ot4P;�iIT
V—SIE -ro _PUD i
?-r 13 -f gq( -f-k
1,3 (60 say +V
3m-5 _" (�P,-Licoivia is 4701K)
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1q, JS
A�v I�n ?cv q
'Nothing in this permit ipproved proc
interpreted as allowing v permitting I
maintenance of any cu,-ren.tly existing
nonconforming or unpei-mitted buildu
or site condition whieh is outside -the i
rrmit application, regardlesis of whet
uilding, structure or condition is sho,
s ite Ian dra ng. Such building, st
i 'or wi
cOnTition may be the subject of a sepa
enforcement action."
70'
I
0
Zone _45_'(0 - Comer Fla&_
Setbacks I�e uired Actual
Front C 7,jr >2-5-
Sides HO =(01 0 T-1 0 _/I
Rear W zo
Other
BoAt
AIIPPR VED
4)
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�I�WFLOPMENT �EAVICES CTS.
CITY OF ED"Ao"�Ios
'-2 0 OFc -7 c(,�-
le�
8- &- / 2-- '7 2- -c*.e 0
c-4 l< ia / C(- 41
STREET FILE
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
[STREET FILE
Name -. Mod
Site Address: Plan Check #:
Project Description:
6CC 60 0 4 4,&k- 13
Reduced Site Plan Provided: NO) Zoning:- /o
Map Page: 3 5-q Corner Lot: (YES Flag Lot.- (YES /0
Critical Areas Determination #:
Nf-Study Required 4) r e qct (e s 1"Z 5'(fiCC no ��5 ow —
El Waiver
SEPA DSWmination:
L&-Xempt
Needed (for over 500 cubic yards of grading)
EJ Fee El Checklist F-1 APO List with notarized form
RequIti-ewd lbacks
Steet: Side: (0 R
/D ZD
Actila.1 -,1;e1bick,;
Street: Z5- 4- S, �d- to Side: Rear:
Detached Structures:
El Rockeries:
Fences[Trellises:
Bay inclows/Projecting Modulation:
,�Stairs dro �% :
X20
Datum Point: Datum Elevation:
Maximum Height Allowed: Actual Height:
Other
Parking Required:.. Parking Provided:
Lot Area: Maximum Lot Coverage: 35% Proposed: y- 3
Lot Coverage Calculations: NO 5-e + NAI�- 6& GL 13 6 3 9 S--s -t�
ADU Created: (YES //ft,�
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES
Plan Review By: �?o
Vlannifq Data Fom 04-11-045AOC