Loading...
18826 88TH AVE W.PDF111111111111 8370 18826 88TH AVE W 'rITY Op,,,, CITY of EDMONDS BUSIN NSE APPLICATION DATE LICENSE NO. ,A 4 Civic Center * Edmonds Washinnton 98020 &IFCT City Clerk Phone 775-2525 rlLt ANNUAL FEES o� PENALTY AFTER FEB. 15 — HOME OCCUPATION INSOCTIONS: CLASSIYEA LIC. EFFEC. DATE JREASG. LIC. NO. Sotc, I I $10.00 (A) ADDITIONAL $5.00 0 0 , ems must be completed 0 SMALL BUSINESS or application will not be ac- RECEIPT NO. DATE PAID PRINT'XI A- $15.00 (B) ADDITIONAL $7.50 0 cepted. IN SPEC. BOX FOR ISSUE OF El Business with 10 or o Sign and return application FEE PAID PENALTY PAID CORRECTED more employees ADDITIONAL $25.00 0 with fee. Renewals received L LICENSE WITH 'LC'ACTION. $50.00 (C) after February 15 must pay 5d: NEW APPLICATION (LA) penalty in addition to fee. 0 RENEWAL (LB) NEW BUSINESSES AFTER 0 CHANGE (LC) JULY 31, 112 FEE. (PLEASE MAKE ANY NECESSARY CHANGES) 0 DELETE (LD) NAME OF FIRM BUSINESS PHONE NO. OF EMPLOYEES A� A 4 MAILING ADDRESS NATURE OF BUSINESS (0" "A rc�, BUSINESS ADDRESS 65 '--4 5�_ INDIVIDUAL PARTNE RSHIP CORPORATION I R P,-) TL = (S) (P) P OWNERS NAME HOME ADDRESS tm HOME PHONE DATE OF BIRTH PLACE OF BIRTH SOCIAL SECURITY NUMBER > EMERGENCY NOTIFICATION: (1) NAME & TELEPHONE (PLEASE LIST TWO) (2) NAME & TELEPHON.E :t� o; -7,-? 6- AWASHINGTON STATE TAX NO. APPLICANT'S SIGNATURE AA114P DO NOTWRITE BELOW THIS, LINE -- STAFF REVIEW:- FILL IN LAND USE CODE, LIFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR DISAPPROVAL, DATE, AND SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT" SECTION. ROUTE TO NEXT DEPARTMENT ON LIST. PLANNING DEPARTMENT DATE LAND USE CODE ZONING CODE APPROVE 0 DISAPPROVE SIGNATURE CONDITIONAL -!!SE PERMIT COMMENTS BUILDING DEPARTMENT mIZ-3 180 DATE 13--;!�PPROVE El DISAPPROVE SIGNATURE Building Permit El 0 Hotel/Motel Apt. Bldg. (L) (A) 0 Office Bldg. (0) COMMENTS: Occupancy Group 0 El Restaurant Hosp/Nurs Home (R) (H). CAPACITY: (NO. UNITS, APTS., OFFICES, SEATS, BEDS, STUDENTS) 0 School . I (S) FIRE DEPARTMENT DATE 41 U.F.I.R. APPROVE 0 DISAPPROVE SIGNATURE COMMENTS: PUBLIC WORKS DEPARTMENT 0 APPROVE 0 DISAPPROVE DATE SIGNATURE COMMENTS: 3 Oq - 0 4 -3 50 I'll r- A *-- r%"**rf11­Nk1 - - �1 ­Z ;9 APPLICATION for "FAIAMW oLmr The City of EdmarPTRM FVJE Ell SIDE SEVVER NEW CONSTRUCTION 7MTREPAIRS 0 EASEMENT No . ....... OWNER ............ W".F-.4 .................. ------------------- ............. CONTRACTOR ------ C.6,vs'l . ........ PERMIT ADDRESS ---- - ----- ... AK6 ------- P� --- 45-41MAWS LEGAL DESCRIPTION: L0TNo....aq..:? ..................... ........... BLOCK No . ............................................ NAME OF ADDITION ....... .. 7-1 .......................................................... "D W 0 6A Y9 RBCEIVW JUL 12 14`71, Approved: # A 0 DATE .... ------- By*� .*.# --- /01' " !�x NOTICE: -N'o...W,. a'r-ranty ttached The -information *shown on the a Map(s) was compiled for use by the City Of Edrnondsl its Employees and Consultants. Th.e City of Edm.onds does not. warrant the �th on these accuracy of anything set fo map(�-). An I y person or entity -requesting a copy should conduct an independent orm-ation shown on Inquiry regarding the inf -map(s),, Includin6l but not limited to, wer stub shown. Such the location of any se sewer stubs may or may, not exist. and may hown. or may not exist at the location s . . . Neither the C;tyc)f Edmo-nds nor its emp'-o*yee*s o'r office-rs -shal] be 11a.b.-IF-e for t-he information given on this map(5), nor for any one representation provided based upon said map(s). 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.) Inspection will be provided within 24 hours after request. NO Sat., Sun., or holiday inspections. ADDRESS LOCATION OF CONSTRUCTION ..................... ...... :26 ........... .............................................................................................................................. PROPERTY LEGAL DESCRIPTION ............. oz 'n, :;2 . ­­ ........................................................................ ................................................................................ ................................................... O1VNER,,kND/OR BUILDER ..... ................ ............................................................................... ---%NTRACTORIS NAME& =-,, - '­r­'­' . ............................................................ -----------­- ...................... a_.- ............................. ! ........ ........... �_,i.�sionls granted.. --------- 1 19-71., for repair and/or connection of a side sewer to the city sanitary sewer systeffn in accordance dm­o­_n­d,`s,_or'dinances. ATTENTION IS CALLED TO THE FOLLOWING: NOTE No. 1—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. No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office. 1, ­CE No. 3—Obtain full information regaxding 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 % 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. DISAPPROVEDDate --- - ----------------------------------- By ................ Date .................................... By ................ Date .................................... By ................ APPROVEDDate ... ................. e,� ------ ,--w ---------- . ...................................................... It4mnarks: ................................................................................ I ................................... ................................................................... ........ ......... ­.­ ............................................................................................................................................................. 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 ;r K' G" i _n'struci ---- irac ;W , i i� n� 41ft;7"o on ing r �r­ �c was installed in accordance with all i0verning ordinances of the City of Edmonds. I Datedthis ............................ day of ................................................................. 19 ......... Check BEFORE you dig for: Water E], Gas [], Telephone E], Power E], Sewer E], Other E] V V PERMIT Call 7.76-1107 for side sewer inspections BEFORE covering any portion of the construction.) Inspection will be provided within 24 hours after request. NO Sat., Sun., or holiday inspections. ADDRESS LOCATION OF CONSTRUCTION ..................... ...... :26 ........... .............................................................................................................................. PROPERTY LEGAL DESCRIPTION ............. oz 'n, :;2 . ­­ ........................................................................ ................................................................................ ................................................... O1VNER,,kND/OR BUILDER ..... ................ ............................................................................... ---%NTRACTORIS NAME& =-,, - '­r­'­' . ............................................................ -----------­- ...................... a_.- ............................. ! ........ ........... �_,i.�sionls granted.. --------- 1 19-71., for repair and/or connection of a side sewer to the city sanitary sewer systeffn in accordance dm­o­_n­d,`s,_or'dinances. ATTENTION IS CALLED TO THE FOLLOWING: NOTE No. 1—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. No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office. 1, ­CE No. 3—Obtain full information regaxding 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 % 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. DISAPPROVEDDate --- - ----------------------------------- By ................ Date .................................... By ................ Date .................................... By ................ APPROVEDDate ... ................. e,� ------ ,--w ---------- . ...................................................... It4mnarks: ................................................................................ I ................................... ................................................................... ........ ......... ­.­ ............................................................................................................................................................. 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 ;r K' G" i _n'struci ---- irac ;W , i i� n� 41ft;7"o on ing r �r­ �c was installed in accordance with all i0verning ordinances of the City of Edmonds. I Datedthis ............................ day of ................................................................. 19 ......... Check BEFORE you dig for: Water E], Gas [], Telephone E], Power E], Sewer E], Other E] V V