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19703 88TH AVE W
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88th W
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19703 88th W EDMONDS, WA
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STREET FILE
88th W.
UKKO
CITY OF EDMONDS
40 7@11@1 a
PUBLIC WORKS DEPARTW Permit M
$1mrT. Issue Date
DE SEWER PERMIT
PERMIT MUST BE POSTED ON JOB SITE
EDMONDS
of Construction
l.. A, TREATMENT PLANT,
.-Property Legal Description (include all, easements) P52
)OH I
3.
Single Family Residence Multi -Family
No. of Units
4.
Commercial
Owner and/or Builder
4
5.
Contractor & License No.
6.
Invasion into City Right -of -Way:,
No Yes
(If Yes Right-of-
way Construction,Permit Required
Call Dial
Dig (342-5344) before
excavation) .
7*.
Cross other private property: Yes No '><.
Easement required -
attach legal description and county easement number.
READ THE FOLLOWING AND SIGN:
a. Property owners must obtain a permit to install side sewers on
their -property. A licensed side sewer contractor'must'be employed to
construct side sewers in the public right-of-way.
The side sewer contractor assumes full reponsibility for each
installation for one year.
c. Commercial establishment requires a 'Minimum of a six inch (6")
side sewer line.
d. Side sewers may not be installed closer than thirty inches (30")
to any structure.
e. Side sewer lines must be laid at a minimum grade. of 2% (1.159)
and maximum grade of 100% (450). 0
f. No turn in side s8wer greater than 45 (1/8,bend) is:,allowed
between cleanout. All 90 turns must be constructed of a 45 0 (1/8
bend) and Wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer 1 ines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at mini ' mum intervals of 100' along sewer 'line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k. Side sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours only. Two (2) working
'A J"
days notice required.
DATE: __3 4-'>
I/kc'ertify--tha�jt,,-`I have read
and shall comply With the above
PERMIT FEE: DISAPPROVED BY.: Date:
A 7: Date:
CONNECTION FEE: -14 P 0 0 —
APPROVED By d Dai-P!
PERMIT MUST BE POSTED ON JOB SITE
The City of Edmonds Side Sewer Drawing EASEMENT NO. . . ..................... ........
NEW CONSTRUCTION REPAIRS I.ID NO . ....... .... .. . ASNIT. NO.
OWNER --�An-PAELAt4C� ------- 140ME-n 1KC . ......... CONTRACTOR ... -M.OWrE�
C;
Zj-jqG .... ................. PERMIT NO.
JOB ADDRESS --- �570-3 -------- - --- LEGAL DESCRIPTION: LOT NO - - ------- ------------------ --------- BLOCK
----------------------------------------------------- ----------------- --------------- ------------------------------------ Elj- FLA.',j
ZNAME OF ADDITION -------------------------------------------------- ................... ......
< 6N
M
PROP
C-OFkNrj�5
I RON IN
F
2.5, op
PWW-0001 -11175 (REV.1 1/78)
4W P.v.c-. 4!* PV-c-
2,0P
4"C-4P.WYE
4�'>IWRED.
Approved:
-4� -------------------------- -
DATE --- 9-1-0 ----- 3 --------------- By
NOTICE:
W' 'r-r a n ty ... 01
N o--- a
The information shown on the attached
map(s) was compiled for use by the City of
ds- its Employees and Consultants.
Edmon , Edmonds does not . warrant the
Th,,.e City of'
t these
accuracy of anything set for. h on . *
Map(s�. An . y person or entity -requesting a
copy should conduct an independent
inform-ation shown on
inquiry regarding th'e
tF -map(s), including, but not limited to,
er stub shown. Su&
the location of any sew
-not exist and may
sewer stubs may or may
not exist at the location shown
or may
of Edmoinds nor its
Neither the City
empto-yee's o*r office-rs -s-hatl be I-Jable for the
information given' on this rnap(5), nor for
any one representation provided based
upon said. map(s).
CITY OF EDMONDS
NEW
ADDITION
RETIREMENT
STREET FILE ASSET INFORMATION SHEET
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION DEPT. NO.
6 4-'o
"PURCHASE ORDER NO. *PROJECTNUMBER 4cJ3,j-,-,5� /-33'
PURCHASE ORDER DATE PROJECT COMPLETION DATE )2-31-5�-3
COST COST 26,-2-7
B.A.R.S. ACCOUNT NO. Coe —
ESTIMATED LIFE 2 5�,
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 —
0 G.L. ENTRY
REFERENCE
DATE
VERIFIED BY
PROCESSF
BATCH N6..'
INITIAL
(vp)
DEPARTMENT FILE
890 - 199 -
City. of Ed.mMids...
RIGHT-OF-VONTONSTRUCTION
PERMIT- Permit Nmbw.' /7 1
Issue Date:
A." Address or Vicinity Of Construction: 1��I& 19721JA�AJ�7-V --- z ( 9521593
B. Type of Work (be specific): inst� I a 1-1 -
/4' Plastic Gas main iu 88.
Av V at +- 535" N c/1 Maplewood Rd from +- 111W to E ROW Line
C. Contractor. —Washington Natural Gas
MailingAddress: 1122275 St SW Everett
State License #: — 98203
D. Building Permit # (if applicable):
Contact: Frank Swan.
Phone. 447-3284
Liability Insurance: Bond: $
Side Sewer Permit # (if applicable):
E. El Commercial Subdivision E] city Project 0 Utility (PUD, GTE, WNG, CABLE, WATER)
0 Multi -Family Single Family E] Other
INSPECTOR: 114SPECTOR:
F. Pavement or Concrete Cut M Yes []No G. Size of Cut: _Z' x ki. Cbargq>
APPLICANT TO READ AND SION
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City ofEibnonds harmless from 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 its departments or
employees, including or not limited to the defense ofany legalproceedings including defense costs, and attorney fees by reason ofgranting thispermit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PE , RJOD OF ONE YEAR FOLL6WING"THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH
IS COMPLETED BY CITY FORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
Work and material is to be inspected during progress and at completion.
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 regulations 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;
NO EXCEPTIONS.
Ihave read the above statements and understand the permit requirements and the pink copy of thepermit willbe
available on site at all times I p
_f&--Wspect r, oses.
to
8-22-95
Date:
Signature: Z . I
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE.ONLY
COMMEN IS:, RECIE IVr FEE:
DATE: I ISSUED BY:.
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANUE Eng. Div. 1994
f%'rREET MINE
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SUBDIVISIOAl F6R -
IN j� C 0 4 r- A� 67 01-11,IS 0 A/ L 0 7-
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61e C' /-//q
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ell
CXTC�H 15ASIX:
An5,*15-_V0(o1L
WUUAL)
TRENCW LW�4.GTH
7.
G.Wtu W ir -,, LKVrt- TRZNCH
G7 P E KF P I M I/ CAP
W/ &."LONG LEGS
SYSTEM CROSS-SECTION
'TP,Et4C;4 COVER-
3/4"- 1'/2." VYAS14ED
G PAV E L
6" DIAM FERF P1
0
TRENCH CROSS-SECTION
-1
Le)� P,17,$)V
STA,NDARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE I OF 2
for
location
plan by
phone
date
DESIGN
Trench Perc
Number Rate
DATA
LF per
1000 sq.ft.
Impe rm, Trench
Area Req.
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage system� on
private property is the responsibility
of the property owner(s). Preventive
maintenance consists of preventing
soil and other materials from entering
trench during construction as well as
after construction. Catch basins should
be cleaned of floating material and
sediment at regular intervals (at least
twice per year).
CITY OF EOMONOS
15 20 �l
lq(lcfs
SITE PLAN, SCALE**
NOTE: DO NOT USE INFILTRATION SYSTEM
ON SLOPES OVER 15 PERCENT (15
STANDARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE 2 OF 2
-7 -
8SE I I NiNIIIIIIIIIIIIII PERMIT
CITY OF EDMONDS ZONE)ZZS_ NUMBER
CONSTRUCTION PERMIT APPLICATION
DE, SUITE,
OWNER NAME/NAME OF BUSINESS ADDRESS )
.
Q,
I" I t
M a , 4 M Z'S. bvi<Ko LEGAL DESCRIPTIOJ�77 SUBDIVISION NO. LID NO�
MAILING ADDRESS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP
CITY ZIP BER APPROVED BY
EXISTING � REQUIRED DEDICATION
W6 t4 VS IiVO 77.
NAME PROPOSED
YJA 02 e4 LA fgJ RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0
ADDRESS STREET USE PERMIT REQUIRED [I
A)e REVIEW BY
0
a:
<
SEE ENGINEERING MEMO DA,7EO
___T_ /1.* C
CITY ZIP TELEFHONE NUMBER
R ARKS
NAME
6;Pwv
ADDRESS
0
t,- 91ZE
, /6 10L METER SUPPLY SIZE FIXTURE UNITS
CITY ZIP TELEPHONE NUMBER
z
0
REMARKS
STATE LICIENSE-NUMBER
SIGN AREA ENV. REVIEW ADB NO.
Legal Description of Property - include all easements i ALLOWED PROPOSED COMPLETE EXEMPT
(show below or attach two copies) SHORELINE#
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VARIANCE OR CU PLANNING REVIEW By
251 re fZ44 D6Tf
I)
Uj
C_:
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SETBACKS - FEET HEIGHT LOT COVER G�
A .
Uj
j
t FRONT SIDE EAR/��_ 7_�_ 3,�
Tax Account Parcel No. REMARKS
/9 20:z -.;2
0 NEW K RESIDENTIAL PLUMBING
ifSJ ADD/ALTER 1:1 COMMERCIAL El MEC'HANICAL
APT. BLDG
PA
RE IR SIGN
EXCAVATE, FILL FENCE CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT
OR GRADE' x_ -)
DEMOLISH (_ FT) n (7�
1
'.5
'?
CARPO`RT (::::2 rp
REMODEL GARAGE SWIM SPECIAL INSPECTOR RE OCCUPANCY OCCUPANT
POOL
REQUIRED GROUP LOAD
WOOD M YES 0 NO
STOVE/ RETAINING WALL/
INSERT D RENEWAL REMARKS
ROCKERY
(TYPEOFUS BUSINESS OR ACTIVITY) EXPLAIN: PROGRESS INSPECTIONS PER UBC 305
0
W
NUMBER OF STORIES NUMBER OF 5vej,�,,v e"04C
17141_4fAx ell
a
DWELLING
00
01
UNITS
�ATURE OF WORK TO BE DONE (ATTACH PLOTPLAN)
f7l- tz /C
FINAL INSPECTION REQUIRED
/24�0 ms >r VALUATION EE
4FEE
PLAN CHECK FEE
A/71
BUILDING Z3 eA3 2,
to S�_- 4L)4 L 44) "9 PLUMBING
7
Plan Chec k No. 3::�49 MECHANICAL
This Permit covers work to be done on private property ONLY. GRADINGIFILL
Any construction on the public domairi (curbs, sidewplks,
driveways, marquees, etc.) will require separate permission. STATE SURCHARGE
�J,
Permit Application: 180 Days . . —
Permit Limit: 1 Year - Provided Worl� is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its %officials,
2
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 PLAN CHECK DEPOSIT
modify,. waive or reduce any requirement of any city ordinance
6V
nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE
provision."
op
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
THIS PERMIT
state laws regulating construction; and In doing the work authoriz- AUTHORIZES This application is not a permit until
ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his
Code of the State of Washington relating to Workren's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is
tiQn Insurance. acknowledged in space provided.
INSPECTION
SIGN T RE 0 NER OR AG I DATE SIGNED DEPARTMENT
OFFICI#L'S SIGNA]-URE ATE
n7 CITY OF /4'
EDMONDS 4_M�,
RELE �9-f?b B DATE
CALL FOR
ATTENTION
INSPECTION r
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 0 R St* RUCTURE
771-3202
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL - File YELLOW Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN. GRANTED. UBC
CHAPTER 3. PINK - Owner GOLD - Assessor
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