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19812 81ST PL W.PDF7488 19812 81 ST PL W CITY OF EDMONDS USE ZONE PERMIT NUMBER CONSTRUCTION PERMIT - APPLICATION JOB ADDRESS / 9 IQ 1r2 —4\9 ITE/APT 0 WN 0 4 NAME NAME OF BU INESS A 4 4 so/� DESCRIPTION 1<dWIZrA LEGAL CHECKI SUBDIVISION NO. LID NO, MAILING ADDRESS Z Place 09 PUBLIC RIGHT OF EXISTING — WAY PER OFFICIAL STREET MAP. REQUIRED DEDICATION — TESCP Approved 0 RW Permit Required 0 Street Use Permit Req'd 0 0 Ill V4 1P S 11" CITY ZIP A �X& TELI:FHONE NUMBER -7 -f6 -.36 31�? t if loo inspection Required Sidewalk Required 0 0 NAME METERSIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 0 NO 0 LW) ADDRESS REMARKS a: W w tom; TY ZIP TELEPHONE NUMBER Z WI 1A ��P,OK e j a n v i M ADDRESS — 0 C'[ CITY OZIP TELEPHONE NUMBER , 1 STATE LICENSE NUMBER EXPIRATION DATE Legal bescription of Property - include all easements Property Tam Account P...I No. 03y na coog MNEW RESIDENTIAL PLUMBINGfMECH COMPLIANCE OR El COMMERCIAL CHANGE OPUSE FIREMODEL 0- APT. BLDG. SIGN GRADING FENCE REPAIR — CYDS. I x —FT) DEMOLISH WOODSTOVE SWIM POOL INSERT HOT TUB/SPA RETAINING WALL/ FGARAGE ]CARPORT ROCKERY RENEWAL 7YPE OF USE, BUSINESS OR _ACTIVITY) EXPLAIN CAL NUMBER NUMBER OF CRITI OF DWELLING AREAS STORIES UNITS INUMBER DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) CAL. I L­L I A )01-Ar-A= ENGINEERING MEMO DATED REV I EWED BY SIGN AREA SEPA REVIEW ADB NO. ALLOWED i PROPOSED COMPLETE EXEMPT SHORELINE N EXP I VARIANCE OR CU PLANNING REVIEW BY DATE SETBACKS— FEE T I HEIGHT IL . OT COVERAGE I FRONT SIDE REAR I CHECKED BY TYPE OF CONSTRUCTION CODE OCCUPANT GR99P 4A)r 9(/ K SPECIAL INSPECTOR AREA OCCUPANT REQUIRED DYES LOAD EMARKS 1111PROGRESS INSPECTIONS PER .. 108 FINAL INSPECTION REOU,IRED VALUATION FEE PLAN CHECK FEE GLAZING BUILDING 9-5 HEAT SOURCE: PLUMBING Plan Check No. MECHANICAL GRADINGWILL This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewpiks, driveways, marquees, etc.) will require separate permission. STATESURCHARGE Permit Application: 180 Days Permit Limit: I Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE "Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE ,n successors in interest, agrees to indemnify, defend and hold 2 harmless the City of Edmonds, Washington, its officials, 2 employees, and agents from any and all claims for damages of a: 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 0 X nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." ql 76 Is I hereby acknowledge that I have read this application; that the ATTENTION. APPLICATION APPROVAL information give * n is correct; and that I am the owner, or thp duly 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 T his 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/her Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is tion Insurance and FICW 18.27. INSPECTION acknowledged in space provided. SIGNA URE (OWNER OR AGENT) DATE SI NED DEPARTMENT I!!ap I 7 L- f c;, CITY OF EDMONDS DATE -z7z 9`70� '(�--d-:Zie N ATTENTION CALL FOR RELEASED BY: DATE INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK — Owner GOLD — Assessor 4 . ,a I- z U .4 0 U 0 z 0 0 CITY OF EDMONDS PUBLIC WORKS DEPARTMENT RIGHT - OF - WAY CONSTRUCTION PERMIT A. *Address or vicinity of Construction 19812 8 1 �&T W- e Owner: WASHINGTON NATURAL GAS CB Name <73')805 156 AV NE Mailing Address Bellevue, Washington 9 00 city, State, Zip Code 9 Contractor: WASHINGTON NATURAL GAS CO Name 805 1 56 All NE Mailing Address —Bellevuef Washington 98007 City, State, Zip Code Permit No. Issue Date 9 Permit Issued To: 9 Type of Work to be Done: Tn-,f--;; 1 1 New Sp-r-uri ce Work in Connection With: El Sub or Plat 1�1 Single Family El Comml. / Ind. 0 Apt. Condo. 9 Pavement Cut: 0 Yes El No State License Number 747-0650 ex 244 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 pe I Signature: Owner or be availabli; d dct,v V site for inspection purposes at all times. ate — THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES CALL DIAL - DIG PRIOR TO BEGINNING WORK C. Issued By: Time Author/ed- Vciid after 'It=�'_days Special Conditions: Ammendments: Permit Fee: — Security Deposit: Receipt No.: Fund I I I Fee: Street Cut Dimensions X — * * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * * Eng. Div. Dcccmbcr 1978 z el U 0 U W4 0 CITY OF EDMONDS `qwo I n E PUBLIC WORKS DEPARTMENT RIGHT - OF - WAY CONSTRUCTION PERMIT A. *Address or vicinity of Construction 19812 81 ST 11 0 Owner: T,1TASFTWaT0-w NATTIRAT, apip CD -Name *) %805 15 6 NY HE-, Mailing Address Bellevue, Washington 9 00 city, State, Zip Code 0 Contractor: �17A-51EINGTON NATURAL GAS CO Name R09; 1 9;6; Wy NE Mailing Address " __n- 0- 1 y 1) P,9 PlIN'rishin".nn 98007 City, State, ilp Code Fermit No. Issue Date * Permit Issued To: 9 Type of Work to be Done: Tn=�6a I I MenW 5:Zr%-v-xFJ - 3,03 • Work in Connection With: El Sub or Plat 4�1 Single Family El Comml. / Ind. El Apt. Condo. • Pavement Cut: El Yes 11 No State License Number I t 7A7-0650 Py 71-A 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 ge/mit must be availabig at thetJob site for inspection purposes at all times. ate / Signatu THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES CALL DIAL - DIG PRIOR TO BEGINNING WORK C. Issued By: Time Authorized: Vol after days ill Special Conditions: Ammendments: Permit Fee: Id.4,- Security Deposit: Receipt No.: Fund I I I Fee: Street Cut Dimensions - X NO,,.WQRK TO BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. December 1978 FIELD INSPECTION NOTES (Fund. 111 - .96—ute conv to Street Dept . Comments: Diagram: /r-,\ Contractor called for inspection Yes 01-01) T Bv: Date: Nork DisaPproved. By: Date: T Work Aporoved Bv: Date: Inspector: Encf. Div. December 1978 FILE Nr. 4ayne Jones Aeid, Middleton 4 Associates 324 Hain 6treet 4dmondso Oashin,3ton 98020 Dear Jayne: �isptember 249 1963 The property a�mers at 198049 19612 and 19818 Blot Place W. wish to lower the tile in their driveways to eliminate ponding of storm water in their area, Request a profile of drainage facilities alon�; the west side of 81st Place 4, north of 200th Street S.a. be established to determine if lowerirq; the tile in above driveways will alleviate their storm drainase problems. Very truly yourss CITY OY EDHOZWS JAI-ILij 11* CONWAY asst. City I;ngineer Xic/le NOTICE: No--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 �Edmonds 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 information shown on -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 ernp-to-yee-s o-r offic-e-rs -shall be Hlab-]-e for the information given on this map(s), nor for any one representation provided based upon said map(s). 0 APPLICATION rwaa goo for SEDE SEWER PERMT 160"Mm r" NEW CONSTRUCTION REPAIRS Z-,P I v � I t OWNER....... ----------- ...................... ADDRESS ....... ... ......... ................. The City of Ed LYNN PLANr DGMENT No - -------- .......................... CONTRACTOR A .. &-e . ...... PERMIT No. LEGAL DESCRIPTION: LOT No. It' ----- ll ............................... BLOCK No . .................. - .......... NAME OF ADDITION ..... V --- ......... AppkjVED I 4 Approved: . . ...... DATE .. ........... ..... r CITY OF EDMONDS Call P]Fti)qpi�ct 6-1107 when work .CIVIC -CENTER WATER -SEWER DEPARTMENT Is read*y'for''insp'ecilon. (No inspec- NO 1519 tions. Saturday; Sunday, or'holiday SIDE - SEWER- PERMIT ADDRESS ................... 1-9812. '81st -Place West .................................................. ....... ....................................................................................................................... OWNER .............. ....... .... Robert Allison TOIL .. P ... ... Q..Side SEwejoq ...................... ........ ............... ................ 7 ................................ ....... . CONTRAC .......................... Pern-iission is granted :-_Zanuary.�23 ............. 19..Z,7.1 for ..* .................... days, 4o REPAIR or CONNECT a -side sewer with City Sewers In'.accordance with.application on file.and governing ordinances. 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 side sewers when you get permit. N' , —E No. .3—Top of side sewer must have at least-30 inches coverage.at property line and 12 Inches Inside property line; minimum.gra,de of 2%._ No bends in grade sharper than 'A will be permitted. �­,E No. 4—Trenches In street must be water�.settled and surface of street restored to original. condition. Contractors shall.be responsible for failure due to improper work which may develop w1thin 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 ap- purtenances except to Insert the pipe Into the wye.