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19323 84TH AVE W
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CITY of ED I M 0 N D S R L C; i V 'E'D
AU G 7
For Inspection Call 771-3202
PUBLIC WfQRKSC
Address of Construction: �� - X(�P �'
S I D E SEWER PERMIT
PERMIT NO.
REET FILEP7,1571
Property Legal Description (Include all easements): /-� 2
5/fo/'�_r /, (—/ /_ E
Owner and/or Builder:
Contractor & License No: 122- /-0
Single Family Residence
Multi -Family (No. of Units EDMONDS
[JTREATM,�ENT PLANT'
Commercial (No. of fixture Units
N
Invasion into City Right -of -Way: No I'< Yes (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No Yes (If Yes, easement required,
attach legal description and county easement number.)
P - ; ;7.
LyfASE'READ;THE TLEM_ LISTED ON THE BACK
P'eertify that I
,4have �ead and shall comply Date
with the items listed on the back.
005
IF A oil IPA 154 1 FA FA FA FA 105 05 OA, OA, OA, 051 FA 0S — — — 05 04, 0A, 05, Ar W W 'J�
Aird 1515 IPA, IPA 'A IF
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Permit Fee: f2, 2, V issued By: AIL212A,
Trunk Charge: bate Issued: F// 71,T /_7
Assessment Fee: Receipt No.: 0
Partial Inspection:
Comments
Final Inspection Approved:
Date Initial
00 Rejected:
CD
eason
** PERMIT MUST BE POSTED ON JOB SITE **
ffa—te Initial
—Tn —i
Date tial
cl� Wh.ite Copy - File Green Copy - Inspector Buff Copy - Applicant
The City of Edmonds Side Sewer Drawing EASEMENT NO - ------------ - ------------- ---------------- ?
NEW CONSTRUCTION REPAIRS F-1 LID NO - ------------------ - ASMT. NO - ------------------
5 OWNER ----------- ( -------- ----------------- CONTRACTOR -- -------------------------------------- ------------------------- PERMIT NO - --------------------
OB ADDRESS -------- ------- W ----------- LEGAL DESCRIPTION: LOT NO - ----- ---------------------------- BLOCK NO - ------------------------------------
c-- V -, 0 VI), .......
---- ----------------------- --------------------- .........
..................................
qlc� d4" �'.D,&pYAME OF ADDITION -----------------------------------------------------------------------------------------------------------------------
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EDMONDS
TREAD,IENT PLANT
I I
Approved:
DATE ................ By,� �-eAll a,"
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NOTICE:
-a-c-C Ill..
wa-cy
No- wa rra nt
The information'shown on the attached
Map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
Th,,e City of �Edm.qnds does not . warrant the
accuracy of anything set for.th on these
rnap(�_). Any person or entity -requesting a
copy should conduct an independent
-ation shown on
inquiry regarding the inform
i ited to
tfi-e -m a p (s) . including, but not
-er stub 'shown. Such
the lociation of any sew
sewer stubs may or may- not exist and may
or may not exist at the location shown.
�;ty of Edmonds nor its
Neither the 1� I
e m p-l- o-y e e-s o -r o ff i c e,r s -s h. a. I- I b e Vi a. b.-Ife f o r t h e
information given on this map(s), nor for
any one representation Provided based
upon . said map(s).
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0
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
NAME (OR NAME OF BUSINESS)
51VAkE 7-10/j
MAILING ADDRESS
112-7—)4t— 5-r AJf
CITY TELEPHONE NUMBER
"LjjJ&—r0jQ — I &g 2-66�j
t7
Icc ADDRESS
0
CITY
z
8 STAT LICENSE NUMBER
51,/EAIZE C 1 112- LO
TELEPHONt: NUMULK
(,/I IF-7
easements
of= T7+G .57u) '14 or--n+e 5G t]q 0
TvV P 7-77 �J F-6c 4+c- WM 'N
�5A) 0 A rO U �JTV VJA
F PAPe-EL 2 FRG-4 5 -.-)0- 96)
NEW RESIDENTIAL PLUMBING
*PERMIT
USE
ZONE
NUMBER
ADDRESS J41- W&ST
LEGAL DESC9IPTIOWZREC-`Rf—SUBDIVISION
zor
NO.
LID NO.
PUBLIC RIGHT Of WAY PER OFFICIAL STREET MAP.
' - 6�e? REQUIRED DEDICATION
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED
STREET USE PERMIT REQUIRED 0
SEE ENGINEERING MEMO DATED
REM7
"O� o"
METER SIZ
BUILDING SUPPLY SIZE
FIXTURE UNITS
/3
R!Emp�f/
----?
SIGN AREA
ALLOWED I PROPOSED
ENV. REVIEW
COMPLETE I EXEMPT
ADB NO.
SHORELINE 0
VARIANCE OR CU
PLANNING REVIEW BY
JDATE
YARDS -7
FRONT SIDE REAR
HEIGHT
LOT COVERAGE
REMARKS
ADDIALTER
COMMERCIAL
MECHANICAL
REPAIR
RETAINING WALL
SIGN
CHECKED BY
Jwfi
EXCAVATE FENCE
DEMOLISH OR FILL x -FT)
I
PRE -MOVE INSPJ
SPECIAL INSPECTOR
REMODEL
-COMPLIANCE INSP.
REQUIRED
WOOD STOVE/
INSERT
APT. BLDG
RENEWAL
REMARKS
L9 NUMBER OF STORIES NUMBER OF
fELLING
2— DIA
UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
6 / F /?F- 5 1 P E-1i -f E I
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLT GRADING/FILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission. STATE SURCHARGE
Permit Application: 180 Days ENERGY CODE
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days
'�Appllcant on behalf of his or her spouse, heirs, assigns and
successors I� Interest, agrees to Indemnify, defend and hold
harmless the City of Edmonds, Washington, Its officials,
employees, and agents from any and all claims for damages of]
OF CONSTRUCTION CODE HEIGHT
Al
J96— 1
OCCUPANCY OCCUPANT
GROUP LOAD
7�— I A ----) I -
W ffij,5&k &)e46jYei)A9E.
VALUATION
30-5-
STANDARD'DR'AINAGE PLAN
U P P r- R.
r_ A,-rc H
BAS t N DETEII(TION PIPE LENGTH
(vrwr) ir
2' mAx CovEk
17 5LOPF--
SYSTEM CROSS SECTION
COV47ROL LATCH
Bk3 % N --I
SEE PAGE 3 FOR OUTLET CONTROL DETAIL
0L,rTLQ7
coqTROL�
70 OUTLET
(RIP RAP OR
P,UNOF F
SPREADER,)
T077
2' G" DW--, At 16. SPALLS
2' S, CAUSWED ROCK
CL;7LE7
RIPRAP OUTLET
0Lr--;764W T'RENCH, MIN 10' LONC30
T`0 P 4 .4- PWF;L F P'PE -rO 15C LAEVICL,
F;;z %(i
L.'7-
CZ -N —, AC L
4:' ?!EqF PIPIE WITH CAP-S
RUNOFF SPREADER OUTLET
r,
�Pl
DETENTION SYSTEM
PAGE I OF 3
to, r C-11-j OF Fbmo�JDS
) c a t i on i c? —2 4V—Av-F �T
— I5F-bM0MDS
pa n by .. Q UJ K) 01�-
phone. te; -x -4. o 3 , ":, -IZTF—
date- 'I 'T
DESIGN DATA
System
Imperm Pipe Pipe Orifice
Number
Area Diam Length Diameter
11323
412(-
C ST
0
a IQ POW
WMF"Lt
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the reSDonsibility
of the property owner(s). Material
accumulated in the storage pipe must
be flushed out and -removed from catch
basins to allow proper operation. The
outlet control orifice must be kept
open at all times.
CITY OF EOMONDS
I Iko
Vc)w
CAV
tbAS I t�
17
'bAS
-�A
6 4X4
(A
(F
P GIL
C,or, �OA6 i t�
Aj V20 L.
SITE PLAN,
SCALE:
STANDARD DRAINAGE
PLAN
.DETENTION SYSTEM
NOTE: DO NOT USE
RUNOFF SPREADER ON SLOPES
OVER 15 PERCENT (WITHOUT SPECIAL
DESIGN
PAGE 2 OF 3
MEMO TO: Building Division
FROM: Engineering Division
SUBJECT:
After review of the subject building,permit application, we have the
following comments:
1) Connection to City water system required.
2) Connection to City sanitary sewer system required.
3) Right-of-way permit required for"any work.on City property.
4) Driveway slope not to exceed 14%.
5) Back water valve required if downstairs plumbing is below
elevation of upstream manhole.
6) Water and sewer lines to be separated by 10 foot minimum.
7) Builder/owner responsible for containing all temporary runoff and
erosion on site and may not impact neighboring properties in any
way.
8)
Construction hours from 7:00.a.m. to 10:00 p.m. on weekdays and
10:00 a.m. to 6:00 p.m. on weekends and holidays.
P
rim
CITY OF EDMONDS ASSET INFORMATION SHEET
M/NEW
1-1 ADDITION
El RETIREMENT
ASSET NO. 5173
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION DEr NO
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
PROJECT NUMBER Ozzo /0 �� -
PROJECT COMPLETION DATE
COST -;A16-
b.A.R.S. ACCOUNT NO. -ee)& eo, 4z
ESTIMATED LIFE
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE
(vp) INITIAL
DATE
VERIFIED BY
PROCESSED
BATCH NO.
DEPARTMENT FIL71