19911 80TH PL W.PDF111111111111
7298
19911 80TH PL W
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 �Edmqnds does not warrant the
accuracy of anything set forth on these
map(s-). Any person or entity-reque sting a
copy should conduct an independent
inquiry regarding the information shown on
including, but not limited to,
t e -map(s),
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
empto-yee-s o-r offi(-Ier---) sh-a-111 be 1.,Iab-l-e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
CITY OF EDMONDS
CIVIC CENTER — WATER -SEWER DEPARTMENT Call PRospect 6-ILIL07 when work
Is ready for Inspection. (No Insper-
SIDESEWER PERMIT tions Saturday, Sunday or . holidays.) N2 1672
ADDRESS ....................... 19911 — 80t
................ ... h Pla West
... ...................... ce .................
OWNER .........
. .......................... .................... C0VrRACToR..A1_UeA..aqpUc
.... sjv.
pyjj;�e .....................
Pennission is granted __February 27 67
...................................... 119 ......... for ...................... daYS, to 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. I —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.
NOTE No. 3—Top of side sewer must have at least 30 inches coverage at Property line and 12 Inches Inside property line; nuallnum grade of 2%.
No beads in grade sharper than 'A will be permitted.
NOTE 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 within one year Of completion.
_E 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.
r
The City of Edmonds
24 1 -t-, 0,
APPLICATION
for PLANT
STREET FILE SEDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS
,00
OWNER..... IF-.1t ...... f ................ .....................
ADDRESS ............ oP j� .............. r/-O ------- 40 . . ..................
LJ
4,
a
EASEMENT No . ..........................................
PERMIT No.
CONTRACTOR A ...... 1.1?� ....... ... ........
LEGAL DESCRIPTION: LOT No. ....7 ..................................... BLOCK No . ............................................
NAME OF ADDITIOly IV ...... !�O/ ...... ........................................................
V1
Approved:
DATE e�.f .2... By ..................
Em
E�
Tyee Mc
r, 0. 1
Iqnnwoc
Gentlev
within
seweM
JENS je
July 16 1, 1969
10th Place West,
.ty of Edmonds
-ds.
iblic Works
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Q
USE JL I
ZONE g�J
_ 6 nr_rIRMkR
CITY OF EDMONDS M
CONSTRUCTION PERMIT APPLICATION joe
OWNER NAME/NAME OF BUSINESS ADDRESS /947// 4f
to A
cv� e', i�� lvf,� e�W_1:2 LEGAL DESCRIPTION CHECKI SUBDIVISION NO.
Lu MAILING ADDREPS
Z
3: 111 11
0 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
CITY zip LEPHONE NUMBER
_7) EXISTING —REQUIRED DEDICATION
M9 L-(��-7
I PROPOSED
NAME
L1(,M1H It), REMARKS
ADDRESS
12al 8W) W,
CITY ZIP NUMBER
:2t ITELEPHONE
,rt% L�� -7
161
NAME I
rj ENGINEERING MEMO DATED
SUITE/APT #
TESCP Approved 0
RW Permit Required 0
Street Use Permit Req'd 0
Inspection Required 0
Sidewalk Required 0
REVIEW BY
METER SIZE IBUILDING SUPPLY SIZE I NO. OF FIXTURES
E CITY ZIP TELEPHONE
NUMBER
REMARKS
0
STATE LICENISE NUMBER
7CIIIIIIIIIIIIIIIIII
/ �
SIGN AREA
SEPA REVIEW
ADB
ALLOWED PROPOSED
COMPLETE EXEMPT
Legal Description of Property - include all easements
Z
0
SHORELINE #
EXP
ir -a IQ 17
VARIANCE OR CU
LA ING REVIEW BY
DATE
s ETBACKS — FEET
FRONT 'SIDE REAR
EIGHT
LOT COV RAGE
Tax Account Parcel No occ->—
E]
NEW
RESIDENTIAL
PLUMBING
ADD/ALTER
COMMERCIAL
MECHAP41CAL
APT. BLDG.
REPAIR
SIGN
DEMOLISH
GRADING
CYDS.
FENCE
REMODEL
CARPORT
( X_ FT)
swim
GARAGE
POOL
WOOD STOVE/
INSERT
RETAINING WALL/
RENEWAL
ROCKERY
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
CL
rc r, om
—NUMBER
OF,6TORIE,
NUMBER OF
.0
DWELLING
UNITS
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
K11 1 Z+ 11 V, tl�
C, 1� tlml�f 11
11�
CHECKED BY
CODE
I .V- _/r I ee
SPECIAL INSPECTOR AREA OCCUPANCY
REQUIRED YES GROUP 93
REMARKS
PROGRESS INSPECTIONS PER UBC 305
FINAL INSPECTION REQUIRED
VALUATION
PLAN CHECK FEE
BUILDING
PLUMBING
Plan Check No.
MEC I HANICAL
This Permit covers work to be done on private property ONLY.
GRADING/FILL
Any construction on the public domain (curbs, sidewcqlks,
STATE SURCHARGE
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started*Wlthtn !Wbays .
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE
Y) 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 any requirement of any city ordinance
TOTAL AMOUNT DUE
0 'reduce
3: nor limit in any tway 1110,pity's ability to enforce 7ny ordinange
provision."
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
authorized agent of the owner. I agree to comply with city and
state laws regulating construction; and in doing the work authoriz.
THIS PERMIT
AUTHORIZES
ed thereby, no person will be employed in violation of the Labor
ONLY THE
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
tiQn Insurance.
INSPECTION
PARTMENT
SIGNATURE (OWNER OR AGENT) IDATE SIGNED
ATTENTION U
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFI"TE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
Inl A 7
ZZ
a:
Z
Z
HEIGHT
OCCUPANT
LOAD
'*f
APPLICATION APPROVAL
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.
CITY OF OFFICIAL'S SIGNATURE DATE
EDMONDS
CALL FOR R E Lih�fl Y�l DATE
INSPE( I �
�772ZY&10� /0/9//
771-3202
ORIGINAL — File YELLOW —� Inipector
PINK Owner GOLD Assessor
ONEET FILE��