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19214 94TH AVE W
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REOUIRED. CALL 7714235
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ROVED
P G 1�-, "' WI
LEGAL DESCRIP-nON
THE SOUTH 90 FEET OF NORTH 180 FEET OF
TRACT 60, PLAT OF EDMONDS SEA \AEW TRACTS,
ACCORDING TO THE PLAT THEREOF RECORDED IN
VOLUME' 3 OF PLATS, PAGE 76, RECORDS OF
SNOHOMISH COUNTY, WASHINGTON.
EXCEPT THE YVEST 150 FEET THEREOF.
SITUATED IN THE, COUNTY OF SNOHOMISH.
STATE OF WASHINGTON
BENCHMARK
R.R. SPIKE IN POWER POLE LOCATED AT
THE NORTHEAST PROPERTY CORNER
ELEV. = 200-00
DATUM_
ASSUMED
PROJECT REVIEW CHECKLIST
PROJECT NAME: 5"Ck kcay
PROJECT ADDRESS: 11?211 14 * h/
PLAN CHECK #:-
RECEIPT DATE: —
- . " T R
PLAN. lWTE'" '
Setbacks/Variance/Setback Adjustment
...... .. .
. . . ..... . ---
Conditional Use Permit
.. ...........
........... ....... ...
...........
.......... .... ......
............. . .................... I
........ . .............. ...
ADB Requirements
................. .
... ................. .
3
Other Zoning Requirements
4
Underground Wiring Required
X�X
Lot Slope 15%
6
SEPA Environmental Checklist/Hydraulics Permit
....... ..... X..
7
Tree Cutting Plan
Plat/Subdivision Requirements
Legal Description Verification 6w—
.......................................... ................................. .......................
Quit Claim/Street Dedications
Easements - Public/Private X
. ........
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. .......
12
Engineering Storm Drain Review Fee
-0
A 3-
Engineering 2.2 Inspection Fee
. . . . . . . . . . . . . . . . . . . .
14:1
Drainage Plan (On -Site)
.... .....
15
Setback - Top of Bank, Stream, Water Courses
Setback - Storm Drain Line
...........
Open Ditch - Existing
.. .. ...
1
Culvert Required
�8,
Culvert Size
.. . ..
...... ....
. ... ...... ...
..
...
Shoulder Drainage/Shale Open Runoff
Catch Basin Required
..::::: ............... . . . . . . . . .
Driveway Slope & Vehicle Access or_
. . . . . . . . . . . . . . . . . . .
Sidewalk Required A-b
OA::i
Curb & Gutter Required
. . . . . . . . . . . . . . . . . . . . . . . . . .
Curb Cut For Driveway Required xia
....
, " **..**..**..**.** ..:
..... . . . . . . . .....
.. ........
26:�
Street Paving Required ^-Io
1
...........
-27::..
Right -Of -Way Construction Permit Required lJo
2 5(:::
Street Name Sign Required
........ .
29
Other Signing Required
............
......
Bond Required For Public Improvements
....... ...
. ......
...............
.... ...... I
FEMA Map Check/Water Table
:32::�-
Side Sewer Availability
Calculate Sewer Connection Fee If No LID #
..
..........
�::33A
Create Street File tie
--- ---- ---------
Existing Water Main Size
Water Meter Size
..... ---------
............................... .... ....
.... ....... .......
... .......
3T
Service Line Size
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ------------- ..
-xxx -:
38
Water Meter Charge Required
. . . . . . . . . . . . . .
:a
Hydrant Required
..........
Hydrant Size Existing
Fire Line Charge Required - Sprinkler
2 .
Street Cut
- 4 . 3...��
IMiscellaneous
xxo-1--
AA
Reviewed By:
FIRE PLANNING
ENGINEERING
PUBLIC WORKS
- lw-----
R E C 0 R D OF C 0 N T A C T S
1
21
2
22
3
23
4
24
5
25
6
26
7
27
8
28
RW PERMIT # DATE ISSUED RECEIPT #
9
29
10
30
11
31
12
32
13
PAID $ RECEIPT # DATE
33
SS PERMIT
DATE ISSUED?/-"5"- RECEIPT A?.-d
14-
PAID $ RECEIPT # DATE
34
15
35
16
36
1�
37
METER SIZE PAID $ DATE RECEIPT #
18
38
19
39
20
40
f
8 9 0
CITY OF EDMONDS
Address of Construction:
lz�_5
gfrp/ 1/0 1-')�'V_5
SIDE SEWER PERMIT
F_ /-6//
PERMIT f\12 8711
Property Legal Description (Include all easements):
'!�Ep 0 5
RIP/ I -
Owner and/or Contractor: 6ew <, 7—,
State License No. Building Permit No. 9:�-Z 7
ER"S'ingle Family
0 Multi -Family (No. of Units—)
0 Commercial
El Public.
Ile -
Invasion into City Right -of -Way: El'N'o 11 Yes
RW Construction Permit No.
Cross other Private Property:Q�No 11 Yes
Attach legal description and copy of recorded easement
I certify that I have read and shall comply with all city requirements
as indicated on the back of the Permit Card.
—, e Irl't 7
Date '/ /
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
OFF USE ONLY:
FOR I.NSPECTION CALL 77141M, PUBLIC WORKS DEPT.
OA_-)!��
Permit Fee: Issued By
Trunk Charge: Date Issued:
Assessment Fee: Receipt No.: Z02,45o
Lid No.:
Partial Inspection: Date —Initial.
Comments
Reason Rejected: Date —Initial
Final Inspection Approved: Dat�__" �_ lnitiaK��
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File Green Copy: Inspector Buff Copy: Applicant Revised 3190
NOTICE:
N &--w- a r-r a n t-Y-.-0_T__2C_CT-FF:_d_�1 Y
'
formation on the attached
The -in
for use by the City Of
map(s) was c0M ' Piled
Edmonds/ its Employees and Consultants.
Th,..e City of. 'Edrn.onds does. not. warrant the
f anything set forth on these
accuracy 0
M a P ('S-'-). A n . V person or entity requesting a
copy should conduct an.independent
orm . ation shown* o
inquiry regarding the infi
t FT�e -m a p (s), Including, but not i1mited to,
c ion of any sew-er stub shown. Suc
the lo' at'
sewerstubs may or may- not e.xist and may
or may not exist at the location shown
Neit-heir t1he Gty of Edmo-mr-J's nor its
I yee-5 o-j- off rce,rs -shal-1 be a-b-1--e for th(
emp,fo
I n on this map(5), nor for
information give d
any one representation provided base
upon said map(s'
The City of Edmonds
Side Sewer Drawing
NEW CONSTRUCTION
EASEMENT NO . ............................................
REPAIRS F� LID NO . .................. ASMT. NO . ..................
C) —7 /./
OWNER.................................................................... ----- CONTRACTOR * ....... * ...................... ........ * ................ * .............. PERMIT NO.(�, --- / ----- .....
JOB ADDRESS ... LEGAL DESCRIPTION: LOT NO. ..................................... BLOCK NO . ....................................
u
PWW-0001 -11/75 (REV. 11/78)
------------- ** --------------------------------------------------------------------- * ----------------- -----------------
E VD
47 TREA _;
T
4
0
Approved:
DATE... . .......................... By .................................
CITY OF EDMONDS ZONE
CONSTRUCTION PERMIT APPLICATION
OWNE�NANIE NAME OF BUSINESS
PERMIT
NUMBER 9 S o'2� 4?
SUITE APT
I . , J, p, —
F;
LEGAL
DESCRIPTION CHECKI
EGA L D E
SUBDIVISION NO
LIP W
MAILING ADDRESS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING � REOUIRED DEDICATION
E X 'ST' No
TESCP App,o�ed
:W P—d Rwl-ed
�Ilelt use Per -I FleQ'd 0
CITY zip
TELEPHONE NUMBER
6
<9 62
PROPOSED 1k, 1,,7,L —" -/
PROPOSE
Irsp"I,on Requirea
S, dewalk Requi,ea 0
NAME
I
If
MET E,
METER SIZE
LINE SIZE
NO OF FIXTURES
PRV REOUIRED
Z3
YE)< NO 0
AD2RESS
REMARKS If
RE. ARKS
ZI
LLLPHONE NUMBER
/4 1
�Z'27,,f
2,11�- �I�L[
1A I
e
UP
TATE LICENSE NUMBER 7) r_
EXP15A hl DATE
.egal Description of Pr arty - include all easements
Pr* d-If -Mo*r &C
rr* ,/A, _?d
DA, #,v III> 9 Idf:�
pr-14 R5
r/Y tk) Pjj4 rf Pq 74
d I SNOH e' o
IAIIR�, 142711 1 ��%
L
Properly
T-i AC ounl
_V6 0
7
Parcel IN.
rg
IJE* RESIDENTIAL
PLUMBING
aADDITION El
19---ECHANICAL
COMMERCIAL
D'AEMODEL APT. BLDG.
SIGN
El REPAIR CYOS,
FENCE
_FT)
OSTOVE
DEMOLISH WINGSEORT
SWIM POOL
HOT TUS/SPA
RETAINING WALL/
ROCKERY
RENEWAL
MEMO DATED 5 A1#1 q5
SIGN AREA
SEPA REVIEW
ADB N 9
ALLOWED OPOSED
COMPLETE
' �` '/'
JEXEMPT
SHORLME 4
EXP
VARIANCE OP
Py.�NNINq�tVl EW By
SETBACKS,ff FEET
I GHT ILOT
COVERAGE
Z
FRONT SIDE REAR
201A
(3 YES &aOl P15D ILTV"Flif
REMARKS
PROGRESS INSPECTIONS PER UBC 305
N NUMB
0 OF
NUMBER OF
DWELLING
CRITICAL
AREA
F
STORIES
0
UNITS
NUMBER
DES
.URI E WnA- 'I'I RE DONE (ATTACH PLOT PLANI
FINAL INSPECTION REQUIRED
VALUATION
FEE
PLAN CHECK FEE
-r
BUILDING
HEAT SOU RCE:
ING
p`e
'1�
/?--%
PLUMBING
ZZ
Azzi
Plan Check No.
MECHANICAL
This Pe rMit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curts, sidewplks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 160 Days
STORM DRAINAGE FEE
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days
"Applicant. on behalf of his or her spouse, heirs, assigns and
ENO. INSPECTION FEE
successor 5 in interest. agrees to indemnify. defend and hold
harmless 'he City of Edmonds, Washington, its officials.
employees. and agents from any and all claims for damages of
whatever nature, arising directly or Indirectly from the issuance
PLAN CHECK DEPOSIT
of this permit. Issuance of this permit shall not be deemed t
modify. waive or reduce any requirement of any city ordinance
nor limit in any way the City*s ability to enforce any ordinance
TOTAL AMOUNT DUE
provision."
I hereby acknowledge that 1 have read this application; that the
ATTENTION
APPLICATION APPROVAL
information giyen is correct; and that I am the owner, or the duly
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
This application is not a permit until
late laws regulating construction; and In doing the work authoriz
AUTHORIZES
signed by the Building Official or his/her
:d thereby, no person will be employed in violation of the Labor
ONLY THE
WORK NOTED
Deputy: and fees are paid. and receipt is
Code of the State of Washington relating to Workmen Is Coml---
acknowledged in space provided.
finn Insu ance and RCW 18.2
INSPECTION
143�4 1 0
75
LL �-
DEPARTMENT
CITY OF
EDMONDS
07tiAL 5 SIQNATUQE C7E
— -
CALL FOR
OV DA11
ATTENTION
INSPECTION
IT S UNLAWFUL TO USE On OCCUPY A BUILDING OR STRUCTURE
1'
INSPECTION HAS BEEN MADE AND APPROVAL OR
ORIGINAL YELLOW — inspector
771-0220 — F,.e
UNTIL A FINAL
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. USC
Pr //—/I] PINK GOLD — Assessor
r.WAPTFQ .1
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D 01 JNJ D E A V I E \N
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N 00019'27" E
,oL
90-00
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90.00
N 0019*27" E
WATER SERVICE INSPECTIC S
7 REQWREL QLL ;740,f
M
-A D IM I R -rl-\ L T Y V I E
v . 0 L 2 2 P G 6 4 APPROVED
L 4� %X� Pl
LEGAL DESCRIPTION
THE SOUTH 90 FEET OF NORTH 180 FEET OF
TRACT 60, PLAT OF EDMONDS SEA VIEW TRACTS,
ACCORDING TO THE PLAT THEREOF RECORDED IN
VOLUME 3 OF PLATS, PAGE 76, RECORDS OF
SNOHOMISH COUNTY, WASHINGTON.
EXCEPT THE WEST 150 FEET THEREOF.
SITUATED IN THE COUNTY OF SNOHOMISH,
STATE OF WASHINGTON
BENCHMARK
R.R. SPIKE IN POWER POLE LOCATED AT
THE NORTHEAST PROPERTY CORNER
ELEV. = 200.00
DATUM
ASSUMED
T.
A ts
22969
E)PRES 10-15-95
DR*
15' ROAD AND
UTILITY EASEMENT -
AS -BUILT SURVEY
FOR
ROBERT W. KETTE
IN SE 1/4 OF SECTION 13,T.27N.,R.3 E.,W.M-
e,
CITY OF EDMONDS
SNOHOMISH COUNTY, WASHINGTON
�LERLovell— Sauerland & Associates, Inc.
ft&"m/ftrv"orv/lq=ws/UTvaopment ConxWtants
INM 33rd Avomus T.. Sufts 200 Lynnwood, TA OW - (206)775-1591 - (206)340-0830
muwx T -a== DAn FA ac"
T�
MA J. T. T. 11 414,P.40+
0190 - 1911-
City of Edmon&
CrificalA' reas Ch
The Critical Areas Checklist contained on
this form is to be filled out by any person
preparing a Development Permit
WApplication for the City of Edmonds prior
q
0 his/her submittal of a development
permit to the City.
The purpose of the Checklist is to enable
City staff to determine whether any
-potential Critical Areas are or may be
present on the subject property. The
information needed to complete tfie
Checklist should be easily available from
observations of the site ord.ata available at
City Hall (Critical Areas inventories, maps,
or soil surveys).
An applicant, or his/her representative,
must fill out the checklist, sign and date it,
ftcei I � I
FEei7
1995
Fftirentlai17 �Ift
cklist
and submit it to th e City. The Ci I ty M
review the checklist, make a precursc
visit, and make a determination of th(
subsequent steps necessary to com
mplel
'development permit application.
1 With a signed copy of this form, 'the
I applicant should also submit a vicinitl
or plot plan tor individual -lots of the
with enough detail that City staff 'can
and identify the subject parcel(s). I in
addition, thel applicant shall includ
,other pertinent information (e.g I . si
plan, topography map,. etc.) or stm
J
conjunction with this Checklist io a
istaff in completing their prelimmar
assessment of the site.
site
D
in
I have completed the attached Critical Area Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriate
column below), -
Owner Applicant: Appi
epresentative:
Name
Name
el? Dle TiC7 laelell:) z/f/
Street Address wwk,� Street Address
City, State, ZIP
Phone
elt", Z) ?j9
ZIP Phone
ex;P-07
rSignature
P fiit
k�_ -.,z_�, �_,
Date
CA FILE NO.
Critical Areas Checklist
A -
Site Inf r ti 'fi
9 nfa 10 (Soils/topography/hydrol log /vegetation)
i ��74
n1,,,,-,1,,,
4ye�SALOCati
1. Site Ad on /,4
2. Proper-ty Tax Account Number:
3. Approximate Site Size (acres or square feet): 16 /.w, ;7
4. Is this site currently developed?
—yes; no.
If yes; how is site developed?
5. Describe the general site topography. Check all that apply.
Flat:' less than 5-feet elevation chalige over entire site.
Rolling: slopes on site generally less,than 15% (a vertical rise of 10-feet
horizontal distance of 66-feet)
Hilly: slopes present on site of more than 15% and less than 30% ( a i
of 10-feet over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise of 10-
horizontal distance of less tlian 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water:
Approx. Depth:
F
7. Site contains areas of seasonal standing water: 0 Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain of a water course.
9. Site contains a -reek or an area where water flo across the grounds surface? Flows
ws
round? Flows are seasonal? (What time of year?
10. Site is primarily: forested
meadow shrubs mix
urban landscaped (lawn,shrubs etc) ixe(
4i 11. Obvious wetland is present on site: _&0_1 -
For ty , taff Use Only—
Ci, S
L. Site isZoned?
SCS rnapped� soil type(s)?
Wetland invehtoryorC.A. nia indicates wetland prese t on site?
P n �v
ical,
4 Crit' Amu inventory or C.A. map indicates Critical Area on site? Y47-
3.' Site withindesignited earth subsiden'
ce landslide hazard area?
'6. Sitedesgn
_ated on the Environmentally Sensitive Areas Map.
ID
STUDY REQUIRED CONDrrI0N
AL WAIVER
A I V E R
Reviewed by:7
i I Date
PWV 09nq/93
AL
rise
a
E
PLANNING DATA
SITE ADDRESS: pM4 fi
dDATE:
q,V�-!52
ZONING: PLAN CHK#:
SETBACKS:
Required Setbacks: 4 It I
Front: ;�*' Left Side: AD Right Side: /0 Rear:
Actual Setbacks:
Front: '30 Left Side:_1 Right Side: )3 -&'#Rear:
CORNERLOT �cl
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUE
LOT COVERAGE:
Maximum Allowed: J5 �>fyo,95 7 4tual: -�,V
BUILDING HEIGHT:
Maximum Allowed: &h JfActual Height:
SUBDIVISION:
CRITICAL AREAS #: q,5;
SEPA DETERMINATION:
LOT AREA: 11�0' , �'500
OTHER:
Plan Review By
PERMIT APPLICATION REQUIREMENTS
To: Applicant
From: Lyle Chrisman, Engineering Ifispector
Owner Plan Check No:
Address: Date. * k*tf 4T
After review of the subject permit application, the following requirements must be met:
1. Construction hours are:
WEEKDAYS — 7:00 A.M.-10:00 P.IVLWEEKENDS/HOLIDAYS — 10:00 A.IVL-6:00 P.M.
2. A separate RIGHT-OF-WAY CONSTRUCTION PERMIT is required for all work on public property. (ECDC 18.60)
3. Truck haul route plan must be submitted and approved prior to permit issuance.
4. Builder/owner is responsible for containing all temporary runoff and erosion control on site.
(ECDC 18.30.030d)
5. NO WORK SHALL BE DONE WITHIN 15 FEET OF STREAMS OR 10 FEET FROM ANY CLOSED DRAINAGE
FACILITY. BUILDERIOWNER IS RESPONSIBLE FOR IDENTIFYING CONDITIONS ON THE DRAWING. (ECDC
18.30-50G)
6. FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION.
(ECDC 18.30)
7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEMS, TIGHTLINES AND CATCH BASIN
INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFILLING. (ECDC 18.30)
S. Repair or replace all defective existing curb, gutter and sidewalk adjacent to the property. If an intersection is involved, a handicap ramp
may be required. Contractor shall meet with the City Engineering staffto determine the extent of repair prior to issuance of the permit..
(ECDC 1&90)
9. Driveway slope shall not exceed 14% without a wai ver. Every attempt should be made to keep the slope below 14%. Waiver granted to
%. (ECDC 18.90.060D)
10. Driveways must be paved from propetly line to City RIGHT-OF-WAY. A separate permit is required. (ECDC IU0.060C)
11. INSPECMONS ARE REQUIRED ON, DRIVEWAYS AND SIDEWALKS PRIOR TO AND AFTER POURING..(ECDC 1830)
12. No burning of construction refim without a permit from the Fire Department,
13. Connection to City water system is required. There is a separate charge for the water meter.
(ECDC 7-20)
14. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole. (ECDC 7.20)
15. Water and sewer main lines should be separated by 10 feet minimum. (ECDC I&10)
16. Conn the City sanitary system is required. A separate Lis required.
per
LID# Fees paid: Yes *'No lW
Charge 77. (ECDC 18.10y
17. Underground wiring is required on all new construction, and for additions, alterations, and repairs that exceed 50016 of the total assessed
value of the structure. (ECDC 18.90)
18. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCUPANCY
OF THE BUILDING OR STRUCTURE. (ECDC 18.90)
PRMIREQRDOT STREET FILE
PROJECT REVIEW CHECKLIST
PROJECT NAME: -Sck
PROJECT ADDRESS: 11721-V 674 1qw h/
PLAN CHECK
RECEIPT DATE:
JREVIEWFD
BY. (nitial/Dafe)
PLA N-
IWATER
7E
:,,.COMMENTS.
AP
pf
N 6]
Setbacks/Variance/Setback_ Adjustment
Conditional Use Permit
g,
ADB Requirements
------------. . . . . . . . . . . . . .
Other Zoning Requirements
Underground Wiring Required
Lot Slope 15%
SEPA Environmental Checklist/Hydraulics Permit
Tree Cutting Plan
Plat/Subdivision Requirements
Legal Description Verification J914:f-
10
Quit Claim/Street Dedications
Easements - Public/Private
12
Engineering Storm Drain Review Fee
Engineering 2.2 Inspection Fee
Drainage Plan (On -Site)
. . .
Setback - Top of Bank, Stream, Water Courses
. . . . .
... ...... ...
Setback - Storm Drain Line
18
Open Ditch - Existing
Culvert Required
19
Culvert Size
6...
2
Shoulder Drainage/Shale Open Runoff
Catch Basin Required
Driveway Slope & Vehicle Access ot-
..............
.23
Sidewalk Required ^�-j
...
Curb & Gutter Required
... 25.,-
Curb Cut For Driveway Required ol
............ . . . . . . . . . .
4:
;26-,
Street Paving Required
Right -Of -Way Construction Permit Required
Street Name Sign Required
Other Signing Required
Bond Required For Public Improvements
----- --- --------Z
31
FEMA Map Check/Water Table
Side Sewer Availability Ifi0-5-,;
Calculate Sewer Connection Fee If No LID # /5-/
................. 4-44 .......
...... .
............
3 4
Create Street File lVo
Existing Water Main Size
-
--------------- - -
Water Meter Size
--------- --
Service Line Size
. . . . . . . . . . . . . .
...
......
... ....
38:
Water Meter Charge Required
.
I . . . . . . . . . . . . .
Hydrant Required
............. . . . . . . ...
::46w.
Hydrant Size Existing
. . . . . .
41
Fire Line Charge Required - Sprinkler
.42
Street Cut
43_��
Miscellaneous
. . . . . . . . . . .
4
Reviewed By:
FIRE PLANNING ENGINEERING
STREET
PUBLIC WORKS
APPLICATION
87 for
The City of Edm.,., cT FU
.REr S13DE SEWER PERMT
NEW CONSTRUCTION ff— REPAIRS 0
OWNER ......
ADDRESS ........... / -----------
.......... ................
EAZEMPI-IT No.
A�l 0 In
CONTRACTOR tw��
- ---------
-------------------------- * ----------------------- PER]wlIT No.(��
LEGAL DESCRIPTION: LOT No . ... . ............................ BLOCK No . ....... ....................................
NA34B OF ADDMON
Roa-d
Approved:
DATE --- .. 13 .........
The City of Scimonds
OWNER ... ee
--- ;k14
ADDRESS...........................................................................
0
APPLICATION
for
SIDE SEWER PERBM
NEW CONSTRUCTION Ep--' REPAIRS 0 EASEMENT No.
...... CONTRACTOIC
............ ............................ PERMW No . ........................
....................... LEGAL DESCRIPTION: LOT No. � ............ ................................ BLOCK No . ............................................
NAMEOF ADDITION ..........................................................................................................................................
Approved:
DATE----- .......................................... By
X_
CITY'.OF EDMONDS Call PRompoet 0-1107 when work
CIVIC CENTER — WATER-L-SEWER DEPARTMENT 18 ready for Inspection. (No insper, N2 3029
tions Saturday, Sunday or holidays.)
SIDE SEWER PERMIT
ADDRESS ....................... 19 - 2 - 14 ..... ... 9.4.t.h .... Av-e.nu.e ... W.e.st .................................................................................................................
.... .. .... .... .. .... .. .. .. .....
R ............................................................................
CONTRACTO .... Northwest Sewer
OWNER ....... VAYP9� ...........
Permission is granted JUIle ... 7 ................... .... 19 ... H, for ........................ days to REPAIR or CONNECT a side sewer
with city Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLEI) TO THE FOLLOWING: er Inside property line. A licensed Side Sewer Contractor must
NOTE No. 1—The owners of the property may obtain a permit to construct sew
be employed to construct 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 serwer 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 Vs will be permitted.
NOTE 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.
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 appur-
tenances except to insert the pipe into the wye.