18904 86TH PL W.PDFIIIIIIIIIIII
8198
18904 86TH PL W
NOTICE:
Nb warranty OT-'aCC-u--r1a
The information shown on the attached
Map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
k n
Th.e City of 'Edm.onds does not - wa rra nt t,
accuracy of anything set for.th on these
map(s). Any person or entity -requesting
copy should conduct an independent
inquiry regarding the inform . ation shown on
tF�e -map(s), including, but not limited to,
th . e loc'ation of any sewe r stub shown. Such
sewer stubs may or may not exist and may
or may not exist at the location shown.
Neither the Qty of Edmo'ndS nor its
1�
e m pl- o-y e e-s o -r o ff i -c e,r s *s h- a- I. I b e !..*,I a. b'Fe f o r -41- h e
information given on this map(s), nor for
ov'ded based
any one representation pr I
upon said map(s),
t4
IDS �-SEWER`-`PERf MAM
M
-CITY `OF E MON, �:SJDE
7 4C4, 7
96.
17 .5
PERM
.(Cal�l' 775-2�25 f9 r 'side� sewer insp�ations.-lil�F6RF-.-co,'�,ing', any 'portion of the -construction.
'within 2��;hours afte'r. req6sj.
will. be provided, NO Sat., Stin:,,,or holiday Inspect
In spection ions.
ADDRESS)�EOCATION:'OF CONS . ......
TRUCTION ..... . . ........................... ......... ................................................. ......
PRO'PE Y'LEGAL'DESCRIPTON ............ ... %
RT�
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . .. . . . .
. .. ...................... OMWER A_ND/OR BUILDER ........ . . . .............. ............. I ........ ! ..............................................
,ON CTOWSWANIK& ADDR N.A.I!,
C TRA ESS ....... _j
.......... . ....... ..........
..........................................................
4—
..... ............................... 119.1 .. L, for repair and/or connection of a; Side sewer to the city sanitary sewer
_�accqr Ani*
,With,C�ty of- Edmonds'ordinances.
A dNTION�IS CALLED TO THE FOLLOWING:
NOTE 'No. IL -The" o��h�ra` of the property'm&y obtain. a -permit to construct sewer 'Inside property line. A -licensed Side,Sewer Contractor must be employed to construct
side ise;;�er';in street 'area" Do not cover any portion of sewer before it has been inspected.
-';In ci ty right-of-way requires an Invaslon of Right-of-WaLy Permit obtalinable from the City Engineer's office.
NOTE No. 2�MlLwork�pbrformed
N6TE No.,- f L ull
Anform ' ation regarding Ordinance 11.16.030 and Regulations governing side. sewers when you get permit.
NOTE -No.- have at�l t 30,inches coverage at property line and 12 inches . inside property line; 'minimum grad6. I of 2%. No"bends In grade-'.,
4h&rperAhkh._1A-*,w�iII be permittedea's
-NOTE N6.-5�L'I�renc�eslr.'�treet .'must. be water settled and surface of street restored' to original condltion'� Contractors shal'I be responsible foir fallure due to Improper
work whi0i�rnay� develop w ithin one year of completion.
NOTD.N6. &�LA to aiter or do any other than Is provided for, in the permit, or, to do any work on the main sewer. pr its appurtenances 'except to in-.
�qir�'.the pipa,intoAhe ;Aye;
D11SA,.PPR6VED"-'F'J_,_ -D'ate..`_.*... ........................ . By ................ Date ... ......... By ................ Date ..................................... By ............
APPROVE6'," 5 'Dat
........ 2-1Z ...... .......... By ............. . ......................................................................................
7
......................... : ............................................................................. : ............................................... ................................... ................
.................................. ....... ........ ...................................................................................................
. ..............................................................................................
MUST Be Signed By Owner, of Firm Performing -Construction PRIOR To Request For Inspection
I,z: . ..................... ... ....... ........ .......................... hereby certify that'the side sewer installation�cofistructed under t1fis permit
............
(Owhe� 'of -Contm' ti
rming Constru`ct'1'on*)
�,.,':ting irm. 'Perfo
u�tll all�6d-irracc'ordaifdemith'all'governing�drdinaiices of the.City of'Edmonds.
Da............
ted this.. ......... . day f .... ..............
, . , 9 ..................... 19�
E],M� yow,dig -for: Water �E], Ga�s E3, , Telephone Power E], Sdwerb,
Otficr.F� V V
APPLICATION
The City of Edmonds for EASEMENT NO . ............................................
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS LID NO. ...... ASMT. NO - --------------
L_ F= I V=F P2; Cx:�W'ST- 13
OWNER --- ---- ---- - ------ - ---- ------ --- CONTRACTOR ----- EVE
- ................................... I ERMIT NO . ..............
JOB ADDRESS ---- --- — ------ \" - ---------------- LEGAL DESCRIPTION: LOT NO . ....... 4 ----------------------- BLOCK NO - ------------------------------------
0
..................................................................................................................................................................
NAME OF ADDITION
Approved:
DATE. ...... By . . . . .................. . ........
11/75
The City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT
NEW CONSTRUCTION 0 REPAIRS [:1
EASEMENT No - --------------------------------------------
LID NO - -------- -------- ASMT. NO - ------ -------
- ---------- ......... -22 ----- ----- --- /t--- PERMIT NO. 76
OWNER ---------- - -- -------- -------------------------------------------- CONTRACTOR.��
JOB ADDRESS aa.��-` --------------------------------- LEGAL DESCRIPTION: LOT NO - -----
- --------------------------- BLOCK NO - ------------------------------------
----------------------------- ------------------------------------------------------------------------------------------------------------------------------------
NAMEOF ADDITION --------------- -------------------------------------------------------------------- -
Approved:
DATE-------------------------------------------- By --------------------------------------------------- yj
C I T Y 0 F E D M 0 N D� S C) 7
"t E- PUBLIC WORKS DEPAR�MFWTU I ti ;ET FICE cP- 77
Routing of Building Permit, Plat, or Subdivision Applications
Proposed Property Address: 18904 - 86th Place W.
DEPAR'DT2qT
CON�TNTS
INITIAL
& DATE
IVA T E R
77
S E W E R
74-
S T R E E T
B U I L D I N G
0 R
P L A N N I N,G
ADDITIONAL INFORMATION:
10/11/76
A;2 q-f7,
BU11DING DEPARTMENT Applicant Fill
USE
ZONE
PERMiT 99.
NUMBER
REC60t
PERMIT APPLICATION
Inside Heavy Lines
JOB
ADDRESS/
14j� FEB
a
NAME JOR NAME OF'BUSINESS)
-CA.
VARIANCE OR COND. USE NO.
J/4
D B No.
nri(r
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HE I G HT/
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MAILING ADDRESS
PROPOSEDZ�R
COVERAGE
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0
CITY
TELEPHONE NUMBER
!r q-r;Fr e"
0 REAR
11_�
I "o
SIGN AREA
ENVIRONMENTAL REVIEW
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ALLOWED PROPOSED
0 COMPLETE gXE IPT
NAME
MARKS
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ADDRESS
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PLANNING DE PT. A.PPROVA*L
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CITY
TELEPHONE NUMBER
LEGAL LOT
n' El
ILOT AREA.
P
SUBDIV�ISION 140.
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NAME
I YES N
STREET R/W
EXISTING'ST REET R/W
FT. DEFICIE -NCY THIS PROPERTY
0
ADDRESS
COMP. PLAN,ST. R/W
FT. FT.
0
U.
-C
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CITY
TELEPHONE NUMBER
REMARKS y
nriveiva.
slopes Om not to exceed
z
103
0
V
CHECKED BY
STATE LICENSE NUMBER
CITY LICENSE NUMBER
Legal Description of PropertV (Show Below or Attach Four Copies)
STREET AND/OR UTILITY WO RK
R/W PERMIT iiEQUIRED
W
W
REQ'D. El YES
ff3-,N
0 YES 0
UNDERGROUND
.
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W
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WIRiNG REQ'D.
T2YES ONO
TYPE CONNECTION
YESIV
ERIFIED BY
SANITARY SEWER
0 NO
U
En
SEPTIC SYSTEM
0 YES
PER MIT NUMBER
W
APPVD BY CITY ENG.
NO
J
REMARKS
W
METER SIZE
SERVICE SIZE
CLEARANCE
CHECKED BY
RE7*R,KS...
El NEW
RESIDENTIAL
GAS
LINE
FIRE ZONE
TYPE OF dONSTRUC ON
1CODE
NON-RESIDENTIAL
SIGN
M
73
ADD
El
DEMOLISH
RETAINING
SPECIAL INSPECTOR
REQUIRED
AREA
CCUPANCY
GROUP'
OCCUPANT
LOAD
F] ALTER
EXCAVATE
OR FILL
WALL
FENCE
I— X—FT)
YES NO
.10
0
PRE -MOVE
0
swim
PLAN CHECKED, B-1
F IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
rd
0
REPAIR
INSP.
POOL
SHOULD BE CODED 31,04..
0
REMARK
z
NUMBER OF STOR17ES7�NUMBER
OF
DWELLING
UNITS
NATURE. OF WORK TO BE DONE
VALUATION
FEE
PROPOSED USE
z
1-,
PLAN CHECK
NO.
2
IL
PLOT PLAN (INDICATE BUILDING SETBACKS,
ABUTTING STREETS)
BUILDING
U
In
W
PLUMBING
0
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMI.NG POOL
'y 9 0 - 1 9 9.-
City of Edmonds
LKMRIW-WAYCONSTRUCTION
PERMIT Permit Number:
Issue Date:
A. Address or Vicinity of Construction: 18904 86 Place West
B. Typeof Work (bespecific): Install New Service
C. Contractor: Waghimton Natilral Ly C
?ntact:
1. ..Fran,k Swan
Mailing. Address: 815 MprLer Street Phone:_ 224-2278
State License #: Sea ttl e Wa' 98111 Liabili . ty Insurance:. - Bond: $
J
D. Building Permit # (if applicable):
Side, Sewer Permit # (if applicable):
E. Commercial El Subdivision El City Project JN Utility (PUD, GTE, WNG, CABLE, WATER)
F] Multi -Family E] Single Family Other
INSPECTOR: INSPECTOR: K'VJ
F. Pavement or Concrete Cut El Yes KRNo G. Size of Cut: - x H. Charg�
APPLICANT TO READ AND SIGN
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmlessfrom injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeen, that may be made against the City of Edmonds, or any of its departments or employ-
ees, including or'not limited to the defense of any legal proceedings including defense costs, and attorneyfees by reason of granting this permit.
THE COMM CTOR IS RESPONSIBLE FOR WORKMA NSHIP A ND MA TERIA LS FOR A PERIOD OF ONE YEA R FOLLO WNG THE FINAL INSPEC77ON
AND ACCEPTANCE OF THE WORK ES77MA TED RESTORA77ON FEES WILL BE HELD UN77L THE FINAL STREET PATCH IS COMPLETED BY
C17Y FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work required with perm it application.*
A 24 hour notice is required for inspection; Please call the Engineering Department -
Work is to be inspected during progress and at completion. 0.
771-0220
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City reig�fations as required by the City Engineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NOXXCEPTIONS.
Lhave read the above statements and understand the permit requirements and the pink copy of the permit will be available
on site at all timesfor inspection purposes.
�X'Signature:C�_,_Y�- X0 T',t Date: May 12, 1992
(Contrktor or Agent) A10
U
CALL DIAL -A -DIG PRIWR TO BEGINNING WORK
.J
�:_ DATE: JSSUED BY-..
MAVA
Engrg. Div. 1991
FIELD INSPECTION NOTES
(Fund I I I - Route copy to Street Dept.)
7�1
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July 1985
V&shInqtqn=:�-
NaturalGas'
A vyavwVm E, a gy Ccff=m
WNG to window
Water main depth
unknown
(14k" gas main
Addendum to City of Edmonds
Right of Way
Permit Application
Submitted by: Kerry Walsh
Engineering Aide
Washington Natural Gas
622-6767 x2761
pager
r%ey:
-w- water
-g- gas
-ss- sewer
water hydrant
815 Merca St. (P.O. Box 1869), Scanle, WA 98111 (206) 622-676" ,
I