19404 82ND PL W.PDF111111111111
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19404 82ND PL W
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ADDRESS: 1&42�L—
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: C] Conditional Waiver E] Study Required F] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMIENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: — LID #:— Iqq
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: W-12=
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DSrs\Fomis\Sbwt File Checklist.doc
APPLICATION
ffREET FILE for
The City of Edmondl� SIDE SEWER PERAUT
NEW CONSTRUCTION REPAIRS EASEMENT No.,.... .........................
L-1 C�l A -:FSF2�1
OWNER.... ................................................................................... ..................... CON -TRACTOR ..... F30.-SS ...... .................... PERMIT No:4
.................. ..............
ADDRESS .... 7� ----- . .................................. W.: ................................ .
LEGA-L, DESCRIPTION: LOT ........ BLOCK
. . . ... .......
NAME OF ADDIT
ION ........... .........
4:�,
DATE ........ ......
............................ v...
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CITIY� OVE "PE
DII MAP11010,401 S11041, W t ER R! Mv I IT'
WATEWSEWER EliEPANP646ii:
RMAIT
411
ST EET'rIL.I 2
7164,1011 for side sewer, inspectionsi BEFORE' c6vering; 'any,,, 5p_9�ki6w','dV, the const�u.cf!?n,�,y
k-Inspectibn wilil,b6:.pr(>vided�,w,ith'in'�'241,h- , N0)'Sat:,, �Sun.,, �6e,�holida
durs� after request.. o a 1,
y inspledti n
�"PRE§S;L OcknoN, OYCONSTRU, C.T.16N.'..) 94., A
-PI
.. ..... ace'_West
.. ........... ... ....... M ........
...... .... .............. . .
:� ..............................
PROPERTY- LEGAL,' L o t:7- �` 1, . 1. 11 '_ �- � I.- . - , ..
SC RIPTION ............. . ......... -:, � - ". , , .
_DE' M'. e'o
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7� ...........
Home
N rd
.... ..................................... .............. OMWEIV ANIVOR-ifILDER .... ...... S.,
................... ... .... ..... ......... .......
.............
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-6 R
&NAIMK�&-ADDRESS..,... USS''Johhson Sewer�.Ajlumbln4' t 009'.
............................... ..................... m ..................................... ........... for KMLmdQWdAI.e -Rbad
....... ............................
Perjni�sionls,,,granted, .......... -1 ...... ..... .... for re'
...... pa r'and/,,or 'Ponhection 'OU&: side sew6r:fo�,the; d�j,- 4anit
s3�*-t�6m�;in,ac�oidancolwith:"Cfty"�of Edlfidnds:ordihances. . ary, SqWer
/"'�NTION; IS' CAILLED,TO, THE
�FOLLOWING:'
1!9�. r—The !owners,,of the- Property may obtain a Permit to 'cdngfruct sew'WI
inside:pr6perty llne�� 'A tlicensedt Side Sewer �Contidctor 4must
sidit.,sewer in street,arew. Do not cover�ank'port16rt, ofl:sewer'before,it hisr;be�n:lnsjiecfed,' be,�cmp)6yedl construct
NOTE NO� 2—AIII work perform' Invaefon of PJ*ght,-6f' n'-kbl�,ii;om� the 'City Engineer's� office.
ed, in city right -cif -way req 'Ires an, -Way)Permi
NOTE,No. 4—Obtain: full; information regarding I OrdiniLncelull.1'6.030;--��dt'.Reguiations,.'go�'�r�in�,,iiae�sewe'rai�'*' sn�'7you;,gei
1wh , . permit.
NOTE No. 4---Top,of side.,gewer',must have;at, least- 30 inches, coverage.at, Property jine'�aj�'d, �12--inldkies indldet;Prop
§h&rper-than Ijfi- willibe permitted� erfy, 41ne;' minlrfibrn� grade,of;.2,�6. 4No!;bendsAn grade-
-�Trenchesjn�,street,muse',be water -settled,,and surf ace� of .�street restored �'or g.''ar conditiow. !Con . fia;c-tors.sball,be .
NOTE No. 5
work which may:develop,within'. one, -year of,compfetioM -to: I In esponslbW f -to improper
or, failurelf�due�
work� than-As.,j) royided,6 in.
2, 1 * .. " ' ' i
NOTBI-No!:,6�.It -is- unlawful, to�;alteror.do, any,other r -th or,,'oildo,anye-��o main'aew,
sert ithe� pipel into, the wye.' n except.t6Un-'
j
DISAPPROVED'_Q bite ........ 7,
........... ...... ..............
APPROVE.1Y., E . . ..... ...... ..... 'BY .......
.............................................
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,a
....................
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............................... .............. .................. ............
.... ........... ........
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..- . I - 1, 1 '.., -,,7 ........
BOT I Pe- `Cbpi' M ormin-g','�Cbmtr" ' '
'S ed:' wftdr�,bf Ffrm Perf bnst tucti n, PRIOR t��'Req*uesi'Foi_lrisji�dtj
ign BY, .0 0,
YL
w 'od
te ........
Y......
k Owner, of CoR ...... .................. hereby;,certii�j �thatlh -ild6�ls�W-6r'in'stE�ll�tib'n�,corist 6ted�,,ijifa
penol u9p ing, Firm Pe forming Conidructlon)) ru �r.Abis,,perniit','
n j. -!7
with;a`II,.gPvernihjwdi
nd&I, I
Dated' thist, ........ Oayl�d.
............ ...... I .......
-Telep o 6wer
v cfieck "BEFORE'- you'..digjoi v W, It h n,
ater.,E]` .."Ghs,
7�
NOTICE:
Nb warranty. of accuracy.
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants,
The City of �Edm.onds does not ' warrant the
accuracy of anything set forth on these
map(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the informat'on shown on
-map(s), including, but not limited to,
the loc'ation of any sewer stub shown. Such
sewer stubs may or may* not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
e rn p-l- o-y e e-s o -r o ff i C, e -r S) -s h. a. I. I b e Hl a. b.-Ie f o r -,I h e
information given on this map(s), nor for
ation provided based
any one represent
upon said map(s).