19505 81ST PL W.PDF111111111111
7459
19505 81 ST PL W
NOTICE:
The information'shown on the attached
ap(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of �Edm.onds does not warrant the
n these
accuracy of anything set forth o,
Any person or entity -requesting a
map(�
copy should conduct an independent
inquiry regarding the information shown on
,--tfi-e -map(s), Including, but not limited to,
the location 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
ernptoyee-s o-r officers -sh-a-11 be 1--i-a-b-IFe for the
information given on this map(s), nor for
ided based
any one representation prov
upon said map(s).
CITY OF EDMONDS
CIVIC CENTER — WATER_S.EWER DEPARTAIENT Call PROsPect 6-1107 when work
is ready for inspection. (NO Inspec-
SIDE SEWER PERMIT — Saturday, Sunday Or holidaTs.) 2497
ADDRESS ----- --------------------- 1950
OWNER......... J. B. ..................................................................
— ------------ We-ed ...................................................... --- CONTRACTOR ....... pn!�r ..................................
'Perniission is granted ---- Qc�t0b-er ... 2-4 ------------ , 19_6 .......................................................
vith City Sewers in accordance with application _7_ for ........................ days to REPAM or
ATTENTION.IS CALLED To THE pOLLOWING: 11 fill and governing Ordinances. CONNECT a side sewer
NOTE NO. I—Tbe owners of the Property may obtain a Permit to construct sewer Inside Property line
be employed to construct side sewer in street area. Do not cover any Portion Of sewer be' A licensed Side Sewer Contractor must
NOTE No* 2—Obtain full
Information regarding Ordinazee 11.16.030 and Regulations fore it has been inspected.
e sewers when YOU get permit.
NOTE 110. 3—Top Of side sewer MuBt have at least 30 Inches Coverage at Property line and 12 inches inside property line; minimum grade of 2%.
No bends in grade �haxper than 14 will be Permitted. governing aid
'No. 4—Trenches In street m
1; fallUre due to imp ust be water settled and surface Of street restored to original condition. Contrato
roper work
OTE 1%10' 5-1t is unlawful to alter or do a which may develop within one
tenances except to insert the Pipe into the wy.. Ovi Year of completion. shall be responsible for
ny Other work than is Pr ded for In the permit, Or to do Eu`� Work on the main sewer Or I Its appur-
5,41"R'm
VILLAGE "'OD,101SION
3E"%W
72.7.v It4E
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--------------
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APPLICATION
'Ytj�j' PLA.NT
for
The City of Edmonds Wc Inv-, SIODE SEWER PERIVHT EASEMENT No
(3�,7 . ..........................................
NEW CONSTRUCTION,0 REPAIRS
gel frIlt
OWNER ....... .................................................... CONTRACTOR .................... t A? . ........................................... PERMIT No
....... ... .....
...................... 6 1 F— LEGAL DESCRIPTION: LOT No . ..... k.-3 ......................... BLOCK No . ............
ADDRESS ... la'EO'C .. ...... ---------- ................................
NAME OF ADDITION .... ........ .......... 9.k U.-t.Z .......................................
A P
OCT �14 1967
Approved:
Y .......
B
DATE .................
STREET FILE
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L�CLTY, OF EDMONDS FIL
PUBLIC WORKS DEPARTMENT PI�EE E
- OF - WAY CONSTRUCTIO T
AIGHT
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A. eAddress or vicinity of Construction
61 Placc �1 ?la�t 161—OrWo
9 Owner:'C,'aShJnai-r)n Co
Name
605 136 All X P
Mailing Address
3allevue, rj�a. 38007
City, S ta te, Zip Code
Contractor: Sallie As �,bove
Name
Mailing Address
City, S ta te, Zip Code
Permit No.
Issue Date
0 Permit Issued To:
• Type of Work to be Done: (;ee
41 (11 ':i,! i i
• Work in Connection With:
El Sub or Plat E Single Family
El Comml. / Ind. El Apt. Condo.
• Pavement Cut: 0 Yes El No
State License Number
Telephone Number
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
B. APPLICANT TO READ AND SIGN
INDEMITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless
from any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made
against the City of Edmonds, or any of it's departments or employees, including or not limited to the defense of any legal
proceedings including defense, costs, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
following the final inspection and acceptance of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance -with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call
775-2525, extension 220.
I understand that this perm4_w�e a
Signature:
Owner 6r Agent
job!f# I
Lot inspection purposes at all times.
Oct 2'-), 19 321
THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By:
Time Authorized: Vold after days
Special Conditions:
Ammendments:
Permit Fee: 4,-� n. on.
Security Deposit:
Receipt No.:
Fund III Fee:
Street Cut Dimensions
X
NO WORK TO BEGIN PRIOR TO.PERMIT ISSUANCE
Eng. Div. December 1978
FIELD INSPECTION NOTES (Fund 111 - Route conv to Street-T)e-,.A-;-)l
Comments:
Diagram:
Contractor called for inspection Yes NO
Work DisaPproved By: Date: Bv: Date:
Work AL)proved By: Date: -2
----------
Inspector:
EncT. Div. December -197P
W a
N�atGa
AWaSt9Vt0nEr1eWaffV0V
Gentlemen:
STREET FILE
Washington Natural Gas Company hereby applies for permission to:
Permission is requested to install a 2" Plastic Gas main in Sierra Dr.
from 141 East of the centerline of 80 Place' West to 35' West of the
centerline. of 81 Place West. & in 81 Place West from 151 to 5401 South
of the centerline of Sierra Drive. To serve the address of 19408,19421 &
19505 & 19414 81 Place West.
Per Attached Drawing: 833-010
We would like to begin construction about �6v 82 and will require
approximately. 90 days to complete'the wo If we have your
approval to proceed, �—lease sign and return the original of this form.
(Please enter any. special conditions.)
Application Date Oct 29, 1982
WASHINGTON NATURAL GAS CO.
Tony P. Tessitore
Distribution Engineer
Eastern Division
I
Washington Natural Gas is hereby authorized to perform the work
described abovel in accordance with their franchise responsibilities
and are further' subject to all applicable federal, state, county and/
I
or municipal ordinances and specifications,
Approval Date A lg,;2,- Y
9,2 -SOV
805-156th Avenue North East. Bellevue, Washington 98007 Telephone (206) 285-9101
Critical AUREUNLE
Site Information
Project Name: ermi, Number.
Site 1,ocation: tlsb5 2�tl w (��-P44.) Property Tax Account Number. 5796-&OD-015-bbb 'CO,,,rf
L
Approximate Site Size (acres or square-fbet): t
ore? NO
Have you filled out a Critical Areas Cheddisl for a project on thissitp bef
General Site Conditions
1. Has the site been cleared or logged? Date of most recent action:
Soils / Topography
2- In the Snohomish County Soil Survey, what is the mapped soil type(s)?
3. Describe the general site topography. Check all dw apply.
q
FUt less than 5 feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of 10 feet over a
horizontal distance of 66 feet.)
Jffilly . - slopes present on site of more than 15% and less than 300/,* ( a vertical rise
of 10 feet of horizontal distance.)
Steep: grades of greAW than 300/a present on site.
C:6mments
Hydrology/Vegetation
HAI I- 'I
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City of ]Edmonds
Cr*t
i ical Areas Checklist
ne Qitical tx= (Mocklist co ntained on
this fonin is to be filled out by any person
pt paring a Development permit
Apoication for the City ofEdmonds prior
tO his1her submittal of a development permit
to the aty-
Ile Purpose of the Checklist is to amble
City staff to detamiiie whether any potential
Qitical Areas M or may be present on the
$ubjcd PrOPcdY- 11ic information neoded to
`cWV1eW the ChwHist should be casily
ailable filom observations of the site or
alm
data available at City Hall (Critical Areas
invCntorics,maps, or soil surveys).
An applicant� or his/her representative. must
fill out the cheddist. sign and date it, and
submit it to the City- lie aty Will rc;vicw
the chcddist, make a precursory site Visit,
and make a detamination of 1he subsequent
steps nccessaxy to complete a development
permit application.
With a siMed copy of this forna, the
applicant Should 21SO submit a icinity
of the parccl with enough deta-1 aw City
staff can find and identify the subject
Parc&(s)- In addition, the applicant is
encouraged to include any othm pertinent
information or studies in Conjunction with
this Checklist to assist staff in completing
their prellmln3xY assessment of the site -
I have 'Completed the attached Oitical Area 'Checklist and attest that the answers providedare
f*aclual, to the best of my knowledge (fill out the appropriate column below).
Owner I Applicant:
,W+w r--.-
Mme
Ow9ex—
Title
----------
Street Address
ODkt)ND5 qbc)2(p -7-71-1 jo)
Phone
Date
Applicant Representative:
Name
OLA-Kcy- [A -Ca' k
Title
Street Address
ca)ko"as %L)-)-(p .7-) 1- -7 101
City, State, ZIP Phone
4 W - ('61h 3
Siature Date
0..RT REET
ILE
F.
CITY OF EDMONDS
USE
ZONE
PERMIT
NUMBER
CONSTRUCTION
PERMIT APPLICATION
oa
ADDRESS
PT #
OWNER NAME/NAME OF BUSINESS
Cj)
t, el v
LEGAL DESCRIPTION CHECKI
SUBDIVISION NO.
LID NO.
Z
3:
MAILING ADDRESS
1
1'
.
0
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCIP Approved 13
RW Permit Required a
CITY ZIP
TELEPHON NUMBER
77t - lio I
EXISTING —
REOUIRED DEDICATION
Street Use Permit Req*d 0
PROPOSED
Inspection Required 0
Sidewalk Required 0
a
REMARKS
Cc
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'CJCITY ZIP ITELEPHONE NUMB
NAME
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0
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ENGINFIR 0 DATED Y
Iq Ab
ADDRESS
METER SIZE
BUILDING SUPPLY SIZE
NO. OF FIXTURES
CITY ZIP
TELEPHONE NUMBER
Z
0
1
REMARKS
STATE LICENSE NUMBER EXPIRATION DATE
SIGN AREA
SEPA REVIEW
ADB NO.
ALLOWED PROPOSED
COMPLETE EXEMPT
EXP
SHORELINE #
Z
2
Legal Description of Property - include all ea�sements
it 1, — I
71 , X (j!1;S L ji CAA A
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VARIANCE OR CU
PLANNING REVIEW BY
DATE
W
01
SETBACKS — FEET
FRONT SIDE REAR
T LOT
COVERAGE
Property
Tax Account C� - L) )
Parcel No. JI '92
REMARKS
7n 1", E
ONEW RESIDENTIAL 0 PLUMBING
ADDITION 0 COMMERCIAL 0 MECHANICAL
APT. BLDG. El SIGN
El REMODEL
CHECKED BY
TYPE OF CONSTRUCTION
1
CODE
91
HEIGHT
GRADING FENCE
M REPAIR M CYOS. x _U_5FT)
WOODSTOVE SWIM POOL
El DEMOLISH INSERT HOT TUB/SPA
0 GARAGE RETAINING WALL/
CA ROCKERY RENEWAL
SPECIAL INSPECTOR
REOUIRED
13 YES
AREA
OCCUPANCY
GROUP
OCCUPANT
LOAD
REMARKS
0
PROGRESS INSPECTIONS PER. UBC 305
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
Lu
0
M
0
71
NUMBER
OF
STORIES
NUMBER OF
DWELLING
1 UNITS
CRITICAL
AREAS
1 NUMBER
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
L D b, (C?
FINAL INSPECTION REOUIRED
VALUATION
FEE
PLAN CHECK FEE
13UILDING
HEAT SOURCE: tGLAZIIG
PLUMBING
Plan Check No.
MECHANICAL
GRADINGIFILL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewelks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Within 180 Days .
STORM DRAINAGE FEE
ENG. INSPECTION FEE
Cc
4
I
0
0
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"Applicant, on behalf of his or her spouse, heirs, assigns an
successors in 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
whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirement of any clty ordinance
nor limit in any way the City's ability to enforce any ordinance
provision."
PLAN CHECK DEPOSIT
'TOTAL AMOUNT DUE
I hereby acknowledge that I have read. this application; that the
information given is correct; and that I am the owner, or the duly
ATTENTION
APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with city and
state laws regulating construction; and in doing the work authoriz-
ed thereby, no person will be employed in violation of the Labor
Code of the State of Washington relating to Workmen's Compensa.
t' n Insurance.
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
I NSPECTION
DEPARTMENT
CITY OF
EDMONDS
This application Is not a permit until
signed by the Building Official or his/her
Deputy; and fees are paid, and receipt Is
acknowledged in space provided.
A
SIGNATURE (OWNER OR AGENTI OAT 7
OFFICIA/S� S R DATE
Z (:% /1_. — ? �
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CALL FOR
ATTENTION INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
ASED BY:
DATE
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ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD — Assessor