19729 81ST PL W.PDF11111111111111
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19729 81 ST PL W
NOTICE:
N-o warranty. of -accuracy.
The information 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-reque sting a
copy should conduct an independent
inquiry regarding the information shown on
tFe -map(s), including, but not limited to,
th . e 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
ern pl-o-yee-s o-r offiCe-rS --')h.a III be Hia ble for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
APPLICATION
STREET FILE for
The City of Edmonds S11DE SEWER PMMT LYNN -LANT EASEMENT No. —47z. !�Z3 ...........
NEW CONSTRUCTION REPAIRS (3
OWNER .......... ....................................... CONTRACTOR .............. 12�� ...... ............ .......................... PERMIT No.
....... .... . .......
ADDRESS ............. ............ ................ LEGAL DESCRIPTION: LOT No . ................ 14 ..................... BLOCK No . ............................................
NAME OF ADDITION ...................... .............. ...........................................................
0
APPROVED
AUG 4 1967
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Approved:
r,A
DATE . ..... ............... B
_71�
VITY.-OVEDMONDS
Call PRospect 6-1107 when work
�,.WATER-SEWER DEPARTMENT
CIVIC Is ready forAn8pection. (No Inspee—
tions Saturday, Sunday or holidays.) N2 2419
-II'DE'SEWER PERMIT
............................. 1.9.7.2.9 ... ..... 81.s.t ... Plaqe ... We.st ........................................... ....................................................................
.. .. .... .. ..... ....
_/0WNER..'.'_'__R;Lchar.d ... RQ1?.i.n.s.qtP .......................................... CONTRACTOR ...... T3Aq�.e.r ... CoAsIr.uplign ........................
Per'inission is granted .... August ... 4 ................... 19 ..... 6.7, for ........................ days to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ord4nances.
ATTENTION -IS CALLED TO THE FOLLOWING:
NOTE No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must
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 Bide sewers when you get permit.
NOTE No. 3—Top of side sewer 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 % will be permitted.
NOTE No. 4—Trenches In street must be water settled and surface of street restored to original condition. Contractors Bhall be responsible for
fail are due to improper work which may develop within one year of completion.
NOTE No. 5—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.
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7483
19729 81 ST PL W
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ADDRESS: r
TAX ACCOUNT/PARCEL #: 06
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: DETERMINATION: Conditional Waiver El Study Required E] Waiver
CRITICAL AREAS #: DETERMINATION: El Conditional Waiver Study Required Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE P LAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit Vs):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE:
LOT:
BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USEIENCROACHMENT PERMIT#:
FOR:
WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
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APPROVED AS NOTED
BY EN'GIWEERUG
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APPROVED BY G
P"MN
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'Q�� Pln
414
Zone Comer
-Setback Re
quired Actual
Front c,.,/ -7- J_
SidesA// 7z I - 3o 3
RearjE—!
NOV —o 2013
Offier
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' T FILE rr
STRE ,ucL Y omszg.
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
I=STREETF=ILE I
Name: 0 Z)
',00601'TOOOO t6"
Date:
Site Address:./ q-7 E' (
Plan Check
Project Description: e C VAJI-(C�
Reduced Site Plan Provid E NO) Zoning:A0
Map Page:
Corner Lot: (YES
Fla ot: (YES/ 0
Critical Areas Determination ff:
Study Required
aiver
SERK Determination:
,wixempt
El Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist 0 APO List with notarized form
Requited 5;?tbacks
Street:
Sid I
Side- —7
_S
R r:
ActualSetibacks �-o �rojore
Street:
Side: 0
Side: 7 -3
Rear: -4
El Detached Structures:
Rockeries:
El FencesfT'rellises:
El Bay Windows/Projecting Modulation:
El stairs/Deck:
Height
Datum Point:
Datum Elevation:
Maximum Height Allowed: -Z 5--
Actual Height:
Other
Parking Required:
Parking Provided:
Lot Area: q', 6?'(4>
Maximum Lot Coverage: 35% Proposed:
Lot Coverage Calculations: 0 S-6 0
*-',
AV_
z— /8864S
cg-69
ADU Created: (YES to
Subdivision:
-11aLn, '1!tetermination
Legal Nonconforming I Issued: (YES
CoMments
54-�4�.e TV q C I
PlanReviewBy: Ith 1(�>
PlannUiq Data Foon 04-11-06.doc
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