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Side Sewer Drawing
W ly W 1111W49 a EASENIENT NO. - ...... ------------- ... . . .....
NEW CONSTRUCTION REPAIRS LID NO. ASMT. NO . .. ........... ...
iE�a . ....... ....
OWNER ---------------------------------- CONTRACTOR ...... P;Lln�2> ..... - ------------------ PERMIT NO.
JOB ADDRESS LEGAL DESCRIPTION: LOT NO. - ................................ ... BLOCK NO . ....................................
4,
PWW-0001 -11/75 (REV. 11178)
.................... ............................... ................................................. ............ -
NAME OF ADDITION ..... ...... �.-ALA-45a-
I'aft
Approved:
DATE ...... �Zn.7�51 ....... By ---- . .............. ..........
0
CITY OF EDMONDS
FOR INSPECTION CALL0 0
't)UBLIC WORKS DEP%A. NT Permit NO
SIDE SEWER PERMIT 775-2525 Ext. 220 Issue Date
P
PEP -MIT MUST BE POSTED ON JOB SITE
1. Address of Construction jYj&,P5jQ_ JjAJ76e� OV- 9 9'0 LD
2. Property Legal Description (include all, easements) LCM No. -7
U)a en,"(=vf AA d.
3. Single (Family Residence W-111, Multi -Family No. of Units
Commercial
4. Owner and./=o-r—B.u-i-l-der,-40—t�l-L,4, ee)Ok�Lqev
5. Contractor & License No. evrs Zrnb&�O&) (010
T
6. Invasion into City Right -of -Way: No Yes (If Yes RightLof-
way Construction Permit Required - Call Dial Dig (342-5344) before
_F r
-t eo -
e
excavation). I
E-4 7. Cross other private property: Yes No L,�,�'Easement required
attach legal description and county easement number.
READ THE FOLIOWT-.NG AND SIGN:
a4
a. Property owners must obtain a permit to install side sewers on
�H their property. A licensed side sewer contractor must be employed to
construct side sewers in the public' right-of-way.
b. The side sewer contractor assumes full reponsibility for each
E-4 installation for one year.
W
�4 C. Commercial establishment requires a minimAAR,4$M0UW (6")
:4 side sewer line.
0 d. Side sewers may not be installed closer t4ffQRfrX,0&(WA5 ('30")
to any structure.
e. Side sewer lines must be laid at a minimum! �§21§47�., 0
and maximum grade of 100% (450). acTe. 15
0 0
f. No turn in side s8wer greater than 45 (1/8,bend) is 0 allowed
between cleanout. All 90 turns must be constructed of a 45 (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 lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 1001 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
days notice required.
DATE:
I certify that I have read
and shall comply With the above
P PERMIT FEE:,_5E;-Q0
H -r —
ru 0 141 c_4
CONNECTION FEE:
44 (9
PERMIT MI
DISAPPROVED BY: Date:
By: Date:
APPROVED By: Date:12
T BE POSTED ON JOB SITE
Side Sewer Drawing
The City of Edmonds EASEMENT NO - -------------- ----------------------------- -
NEW CONSTRUCTION Fj REPAIRS F7, LID NO - --- ----------- — ASMT. NO. ............
OWNER----------------- ----------------- -------------------- ....................... CONTRACTOR .............. ----------------------- ........................ -------------- PERMIT NO - --------------------
JOB ADDRESS ---------------------------------- ---------- ------------ ----- -------------- LEGAL DESCRIPTION: LOT NO . ......... ....... -------------------- BLOCK NO - -------------- ---------------------
.................................................................................................................
NAME OF ADDITION ..... --------------- ----------------------- ...................
Approved:
W
01
PWW-0001 .11175 (REV. 11/78) DATE . ............................................ By ............
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CITY OF EDMONDS
PUBLIC WORKS DEPARTMENT
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. *Address o cinA of Construction
"IeU
�Cmq _ JiM (N-, 9902
Owner: �-JQLA-
Name a V
244 za - i i wjA Ave.
N.", 'rig Address
Faj;i� 9 ?102-0
city� State, Zip Code
'41PPermit No. )6u— 11 b
Issue Date
0 Permit Issued To: K, VIC-C Ili 0 M so AJ
T f W rk to be Done: &L+UJ (0
Mcofj &vk 19CJTWsr..
in Connection With:
I
Su b or Plat 0 Single Family
0 Comml. / Ind. 0 Apt. Condo.
0 Pavement Cut: 0 Yes &IN'o
Contractor:
Name
Mailing Address StaTjjcgr= Nurn&r.
q3
City, State, Zip Code 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. §xxtef —tore Ze,)—( t all times. A 24 - hour notice is required for inspection by Engineering. Call
775-2525, extension 40. T��
I understand that th
I
Signatu
* * THIS
C. Issued By:
be availa e at the job site for inspection purposes at all times.
-Date leo
5 /POSTED AT
E AJE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DI
Time Authorized: Voi7l after
Special Conditions:
Ammendments:
OR TO BEGINNING WORK
Permit Fee: I -c- .
Security Deposit: &J
Receipt No.: 0
Fund III Fee:
Street Cut Dimensions
X
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. Div. December 1978
CAFILENO.
Critical Areas Checklist
--------------------------------------------------------------
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location:
2. Property Tax Account Number: 61,M
3. Approximate Site Size (acres or square feet): -X
4. Is this site currently developed? yes; no.
7 If yes; how is site developed9 /
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site generally less than 15 % (a vertical rise of I 0-feet over a
horizontal distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of
10-feet over aliorizontal distance of 33 to 66-feet).
Steep: grades'of greater than 3 0% present on site (a vertical rise of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: 2� _; Approx. Depth:
7. Site contains areas o f seasonal standing water: Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? Flows are seasonal? (What time of year?
10. Site is primarily: forested meadow ;shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site:
�Ye
Aa.�chk.doq Ray 10/03/97
0
ity of Edmonds
I
CRITICAL AREAS CHECKLIST I
The Critical Areas Checklist contained on this form is
to be filled out by any person preparing a
Development Permit Application for the City of
Edmonds prior to his/her submittal of a development
permit to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas. are. 'or
.may be, present on the subject property. The
information needed to complete the Checklist should
be easily available from observations of the site or
data available at City Hall (Critical Areas inventories,
maps, or soil surveys).
An applicant, or his/her representative, must fill out
the checklist, sign and date it, and submit it to the
City. The City will review the checklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a devel'opment
permit application.
Please submit a vicinity map along with the signed
copy of thi.s. form to assist City staff in finding 'and
locating. the specific piece of property described on
this form. In addition, the applicant shall include
other pertinent infor m-ation (e.g., site plan, topography
map, etc.) or studies in conjunction with this Checklist
to assist staff in completing their preliminary
assessment of the site
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below). RECEIVED
Owner/Applicant:
Name
"Iq�,Alm al-,-e
tic
Street Address
e�yel"5 /
City State Zip
Telephone
Signa�e6/
Date
=eceptionVanakad.doc
MAY 2`5
Applicant Representative:. 3 1999
PEWIT COUNTER
Name
Street Address
City State Zip
Telephone
Signature
Date
(over)
1-r? C. 1 sq",
Betty R. Goobie
19914 Maplewood Drive
Edmonds, WA 98026
Subject:
Dear Applicant:
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
June 3, 1999
Determination regarding Critical Areas Checklist # 99-152
BARBARA FAHEY
MAYOR
Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City
is located on the reverse side of the form (bottom of page).
It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records.
IMPORTANT INFORMATION TO. BE NOTED:.
PLEASE EXAMINE THIS"DETERMINATION11 FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENWRONMENTAL—CHEICALIST OR CRITICAL AREAS STUDY.
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
Enc: Determination
* Architectural Design Board
C:ReceptionUana\CRLTR.doc
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit applications.
Thank you.
Planning Secretary
Incorporated August 11, 1890
Sister City - Hekinan, Japan
DATE:- Nov.- (3-11980
MEMO TO: John B. Mitchell, Supt.
Water/Sewer Division
FROM: James E. Adams, P.E.
City Engineer
SUBJECT: SEWER CONNECTION CHARGES
(Street Addres's,
(Leg I OwiT-er)
e.
o (k'I IAA - CY
HLE
Single Family Residence Subdivision Plat
PRD Multiple Commercial
LEGAL DESCRIPTION:
L -7 (t
OT Vj0,--tKeVr
\jj
IV)
Z.F.F. Calculation:. Lib I(ol G4�-7 - 3
x :73s.166—Connection Fee
Lateral x(-, $ Lateral Charge
$ Equivalent Count
(when applicable)
Units(s)x( $25.00) $ Trunk Charge
$ 10.00 Permit
$ --7 10 - /bt-, -TOTAL
j ak 63+37
CC: Owner
fiP&-I 1010/so
FULIC WORKS DEPAMO
----Z G*J-IST
BUILDING PEMIT REVIEW
0
0
Z
14
W
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(addre��) (date)
Street Right -of -Way Existin���/
c, RE'D
Access Easements Existin REQD—
Utility Easemmt Existing___��_
Z4g4� REQD
P1
PJA
Lot Per Subdivisi0n---,a4 -7 �- at W4!�,,,je;e
_5 Assessor Map
Site Plan Checked for Accuracy
Underground Wirixig Reqd._
Check Accuracy of 1;�gal
Review by____,,& ,�scription
Date
Existing Water Main Size 41,5
Water Main Required
Service Line Required
Hydrant Size Existing______,,LN
Hydrant Reqd Per Fire Code All) Size
Detector Check Meter Reqd.
Cross Connection Inspection A'1A
Fire'- Depar tmen t Conrents
:3:
Water Yeter Charge Reqd. --0' (/j 15"--
Review b Date
Septic Tank Design Approved
Septic Tank Pern-Li.t Reqd.
Sanitary Sewer Availability
IMA
r13
Date
.Permit�96.
Drm,7ing No. File No.
Side Sewer Availability
14 Sanitary Sewer Connectic9l�e4eF-Aeq/9>
Review by.
Date
Open Ditch Existingk.J1
. Reqd.
Z Culvert Reqd. h )V Size
0. Catch Basin Reqd.--- k I I"
0 Shoulder drainage nuintain colic Indicate on Site Plan-
ction on swale open runoff
En
�lanhole reqd.
dicate an Site Plan
Soil conditions and Ground Water Field Checked
Review by Date
M-
M
��3
Revised: lV10-1977
Alh
BUILDING DIVISM
Applicant Fill
Ust:
ZONC-'
PERMIT APPLICATION
Inside Heavy Lines
JOB
NAME JOR NAME OF BUSINESS)
ADDRESS f-)*Pl_� A
LEGAL DESCRIPTIOW
SUBDIVISION
013 N6
r,
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET
MAP
r,,k I
YLLVVHQNE NUMBER
EXISTING
NAME
r-
DEFICIENCY OF RIGHT OF WAY
U
W
I.
70DRESS
PUBLIC IMPROVEMENTS REQUIRED
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U
DRAINAGE IMPROVEMENTS REQUIRED 0
DRAINAGE PLAN REQUIRED
It
CITY
TELEPHONE NUM13ER
UNDERGROUND WIRING REQUIRED
0
NAME
CONNECTION TO SANITARY SEWER 1251�
- '5
SEPTIC TANK PERMIT REO'D Ej No.
ELEVATION OF PROPERTY CORNERS
0
ADDRESS
U
4
& FOOTINGS RECI'D
CITV
TELEPHONE NUMBER
Z
SEE ENGINEERING MEMO DATED
0
V
STATE LICENSE NUMBER
CITY LICENSE NUMBER
CHECKED BY
r
Legal DeiCription or Property (Show 6elow or Art Four Copies)
METER SIZ
REMARKS
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2.
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SIGN AREA
ENV. REVIEW
ADS NO.
ALA_OWEO
PROPOSED
COMPLETE
EXEMPT
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SHO 4ELINE
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<
REMARKS
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VARIANCE On CU
PL.ANNING REVIEW BY _rTE.
YARDS
COVERAGE
jLO
ElNEW
L,��J-_RESIDENTIAL
GAS
FRONT SIDE REA
LINE
FIRE ZONE
OF CONSTRUCTION
HEIGHT
ElNON-RESID9NTIAL
SIGN
1:1
ITYPE
1CODE
ADD
.
RETAIP41114G
DEMOLISH
11 WALL
SPECI AL INSPECTOR
REQUIRED
OCCUPANT
ALTER EXCAVATE FENCE
0 YES 0
C]
JAREA
JOCCUPANCY
GROUP LOAD
OR FILL I- __ .,
1:1 1:1
PLAN
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CHECKED BY
THIS SITE IS LOCATED IN THE CITY
REPAIR PRE -MOVE swim
EIINSP. POOL
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
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NUMBER OF STORIES
NUMBER OF
REMARKS
2
DWELLING
I
I.
UNITS
2
NATURE OF WORK TO 13K DONE
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to
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PLOT PLAN
PLAN CHECK FEE
VALUATION
FEE
BUILDING
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PLUMBING
MECHANICAL
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FENCE
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In
"Applicant. on behalf of his or her spouse. heirs, assigns and
SIGN
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successors in interest, agrees to indemnify, defend and hold harmless
.1
I
the City of Edmonds, Washington, its officials. employees. and
RETAINING WALL
a
agents from any and all claims for damages of whatever nat
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arising directly or indirectly from the issuance of this permit. luc:
MING POOL
0
ance of this permit shall not be deemed to modify, waive or reduce
BUILDING DIVISION
J) 11 j
Msr I- PVT
L
plicarit Fill
-TERMIT APPLICATION
Inside Heavy Lines
j oB
NAMK'�(OR NAME OF BUSINESS)
- - ------
ADDRESS —
LEGAL -DESCRIPTION'
j
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MA41LING ADD ESS-
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
0
CITY
EPHONE NUMBER
C7-i-
ka �, � y )�—
EXISTING
NAME
PROPOSED_
1�er
DEFICIENCY OF RIGHT OF WAY
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PUBLIC IMPROVEMENTS REQUIRED 0
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ADDRESS
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DRAINAGE IMPROVEMENTS REQUIRED
0
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CITY
NUMBER
DRAINAGE PLAN REQUIRED 0
U
rHONE
UNDERGROUND WIRING REQUIRED 0
NAME
CONNECTION TO SANITARY SEWER e
IL
SEPTIC TANK PERMIT REQ-0 Cl NO.
0
i-
ADDRESS
ELEVATION OF PROPERTY CORNERS
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& FOOTINGS REO'D
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CITY
TELEPHONE NUMBER
tLle 40
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SEE ENGINEERING MEMO DATED
0
SYAYE LICENSE NUM13ER
CITY LICENSE NUMBEIii
CHECKED BY
Re) 11 1 C ac) R
--')
Legal Description of Froperty (Show Below or Attach Four Copies)
ME SIZE
TER
W
e-
REMARKS
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0
SIGN AREA
ENV. REVIEW
ADO No.
ALLOWED
PROPOSED
COMPLETE
EXEMPT
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1-4
SHORELINE
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<
REMARKS
13
W
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VARIANCE OR CU
NNING REVIEW BY
DATE
YARDS
FRONT SIDE REAR
LOT COVERAGE
I
IM
NEW RESIDEN GAS
V1, TIAL LINE
ID ID
FIRE ZONE
TYPE OF CONSTRUCTION
HEIGHT
NON-RESIDENTIAL SIGN
ADD
R TAINING
DEMOLISH
WALL
ALTER EXCAVATE FENCE
OR FILL
E]
I
ICODE
SPECIAL INSPECTOiT--F
REQUIRED
0 YES 0 No
0
-
AREA
I
OCCUPANCY
GROUP
I
OCCUPANT
LOAD
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
ElREPAIR PRE -MOVE swim
1:1 INSP. POOL
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
z
REMARKS
z NUMBER OF STORIES
2
NUMBER OF
OWE LLING
UNITS
W
W
NATURE OF WORK TO BE E
Ir
U /Je 14-C Af�
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U0
a
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PLAN CHECK FEE
VALUATION
FEE
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BUILDING
CL
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PLUMBING
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MECHANICAL
FENCE
SIGN
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"Applicant, on behalf of his or her spouse, heirs, assigns and
W successors in interest, agrees to indemnify, defend and hold harmless
i i the City of Edmonds, Washington, its officials, employees, and
< agents from any and all claims for damages of whatever nature,
x arising directly or indirectly from the issuance of this permit. Issu-
a ance of this permit shall not be deemed to modify, waive or red.uce
J
any requirement of any city ordinance nor limit in any way the
3
RETAINING WALL
r
0
SWIMMING POOL
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COY
ip OL Ck ce rl, TK c W
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ILC60A.Clect .
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40 Vol. rh
So 7�6.7 Tke-�e aa . "r 5c
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6L aA -s E 10- 36 5 4
1% 06 L 0 G-611 To T%% A:�- rk 0 ic xec, wr %),w
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'cds
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ZONE- RSL_lD-
SETBA C K
FRONT_'
s I tE
REAR
V.
OTHER
HEIGHT
--- - - - -----
e--
C11 Y OF. EDmbNDS
T
BLDG.. DEPT.
"CONDITIONAL. PERMIT
NOR
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PDRESS M 4P)F- W
A J I qq
�on j )et6
&NER-
IF
F TE
APPROVED; DA,
ly
BY
BLbG.:::
!'OFFICIAL';
�E
KEtP'THESE "StAmko
PLANS ON JOBSITE FOR
ALL INS ECTI NS
URMIT.N.
-S E
OF:'.
PUBLIC UORKS DEPARM= CHEMIST
BUILDING PER1,,ffT REVIEW '0/1- Ile F—d
(addreft) (date)
0
Street Right -of -Way Existir�������REQI�__
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Access Easements Existing_
REQD
c4
Utility Easement Existi
_REQD
94
Pt A, r 0 L) PC.
Lot Per''Subdivisi -,c 0
on_a,4 Plat tv4�tAffx
S Assessor Map_,��r, Z4�.
94
Site Plan'aieck'ed for Accura
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Underground Wiring Reqd.
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Check Accuracy of -galDescr3.ption,,.
Z
Review by_
Date
4115T
Existing Water Main Size
Water Main Required
Service Line Required
Hydrant Size Existing
in4
Hydrant Reqd Per Fire Code.
—Size
W
Detector Check �leter Reqd. 411A
Cross Connection Inspection &A
E-4
Fire Department Comments
Water Itter
SL Res-tnraf;Dn /5'6"9
Review by
�te
Septic Tank Design Approved
Date
Septic Tank Permit Reqd.
Perpli9b.
Sanitary Sewer Availability
Proj
Dr"ing No. 4 4a 44'1
File No.
Side Sewer Availability
Sanitary Sewer Connectio&n/$FfeMq"F
o�
:3:
Review by
Date
Open Ditch Existing
__�eqd..
Culvert Reqd.
Size
C4
Catch Basin Reqd.
Indicate an Site Plan
0
Shoulder drainage maintain collection on
swale open runoff
H
C, �lj!n *7
U)
�anhole reqd. ,X.z
M
___7Kdricate on Site Plan
Soil Conditions and Ground Water Field Checked —
Review by
Date
Revised: IvIO-1977
Page 2
Street Paving Reqd. 41&
Curb and Cutter Reqd. )V9
Sidewalk Reqd.
Curb Cut . for Driveway Reqd.,&&
i3d Right -of -Way Construction Permit Reqd Aj
Bond Reqd. for Public Tnpravements—*,
En Street Nam Sign Reqd. hir
Other Signing Reqd.
Pre Permit Site Inspection made on
z
0
BY: SEWER
WATER
Hz STREET
FM4 ENGINEERING
Special Requiremmts listed in mem to Comn-mity Developnr-nt Departnent,
Building Division
BY
Date
0 All items filled in on Building Permit Application
P4 BY Date
Drawings Stanped and Notations Made
PL4 BY Date
<4
Appro-ved by Public Works Department
I(evised: 1v 10-1977
DAT F, :
MEMO TO: Building Division
0
Community Development Department
FROM: Engineering Division
Public Works Department
SUBJECT:
I
After review of the subject building permit application, we have the
following coaments:.'
1. Driveway slooe not to exceed 147.
2. Right-of-way construction permit required for any work on City property.
3. Backwater valve required if downstairs plumbing is below elevation
of upstream manhole.
4. Sewer and water service lines to be separated by 10 feet
5. The Contractor is required to keep the abutting streets clean of dirt
and debris caused by the construction.-
70
SKETCH SHOWING PROPOSED PROPERTY LINES ADJUSTMENTS FOR: WILLIAM WAGNER
Lots 3, 4. 5, 6 and 7, Wagner's Addition, according to the plat thereof recorded In Volume 24
of Plats, on page 94, records a f Snohomish County, Washington.
ALSO the West 94.57 feet and the South 16.67 feet, LESS the West 94.57 feet, of Lot 18,
Raplewood Hills, accor4ing to the plat thereof recorded In Volume 10 of Plats, on page 121,
records of Snonomish County, Washington.
Scale: I" - 50 feet 4%. September 24, 1970
N89' 4'28*W
2 1 99f —H —ST RE -ET S—W. — — 84.57' 1 (;7�
100-00, 137.00' 13 5.00' 75.24- 10
464 Ln 6
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0
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45 Asphalt
0 5.00' - 75.14- 84 7-
32
GRESS. EGRESS AND UTILITY EAsEmr-.�R-
25" 25 100.00 k /4 — 34' .43- Vw�
N 89' 34'28"W 473.43
S,4w yawo�-- C-jxfl. 30- 30'
;,Poe RECEIVED
FOUND MONUMENT SEp 2s 970
SET IRON PIN
i-J
FILE NO.25438
F. S. 286, P. 57
September 10, 1970
File No. 2543B
UE.'AL D-ESCRIP-1 ION' FW: WILLIAM WAGNER
Pi,
C �'REV I SED LOT 6)
Lo.- u �nd The 10.00 feet of Loi- 7, Wagner's Addition, according to the
pla-?.- -,hcrool rocor�ad in Volume 24 of Plats, on pago 94, records of Snohomish County,
EXCEPT 11hat portion of said Lot 6 described as follows: Beginning at
Sjuthwosr cornor of said Lot 6; Thonce 11 36*49'23"W, along the Westerly I Ine of
s3ic; Lot 6, a distance of 1,12.14 feet- -thence S 53'37'30"r7, a distance of 68.56 feet;
-11'25"E, a distance of 92.24 feet to at) Intersection with the south line
.hence S '7"2
of sai(i Loi* 6.; thence N 8903412811W, along said soutt) line, a distance of 26.00 feet
-to --he Point of Beginning.
TOGETriER WITH an easement for ingress, egress and utilities, over, under, across,
i-hrough and upon the South 16.67 feet of Lot 18, Maplewood Hills, according to the
plat recorded In Volume 10 of Plats, on page 121, records of Snohomish County,
sh i ngTon.
ALSO TOGE-THER' 141 TH an easement for ingress, egress and ut! I ities over, under,
across, TI-rough and upon the easterlymost 32.00 feet of Lot 5 and that portion of
Lo-,- 7, oil ir, Wagner's Addition, according to the plat thereof recorded in Volume
24 o' Plats, on page 94, records of Snohomish County, Washington, described as
follows: Beginning at the Southeast corner of said Lot 7; thence N 89*34128"W, along
the Soulh line of said Lot 7, a distance of 75.24 feet; thence N 0*35150"W, along a
line drawn parallel with and lyirfg 10.00 feet Easterly of the West line of said Lot
7, a dis-rance oil 15.00 feel; thence S 89*34'28"E, along a line drawn parallel with
al'id lyk-.C, 15.00. fOOT Northarly of the South I-ino of said Lot 7.' a distance of 45.00
feeT;.thence Southeasterly in a straight line, to the 'Point of Beginning.
September 10, 1970
File No. 2543B
LEG,�L DESCRIPTION' FOR: WILLIAM WAGNER
P1-'%.'.,C1EL D (kEVISCD LOT 7)
Lot 7, 'viagnor's Addition, according to the plat thereof recorded in Volume 24
Of Plats, on page 94, records of Snohomish County, Washington; EXCE P T the West 10.00
f,_,ot Thoroof.
TOOLTHER WITH t1he West 10-00 feet of Lot 18, Maplewood H11,15, according to the
plat TheroofTecorded in Volume 10 of Plats, on page 121, records of Snohomish County,
Washington; EXCEPT The South 16.67 feet thereof.
TOGETliErN WITH an easement for Ingress, egress and utilities over, under, across,
ro u r
.)h and upon -the South 16.67 feet of Lot 18, Maplewood Hills, according to the
plat thereof recorded in Volume 10 of Plats, on page 121, records of Snohomish
County, Washington, and over, under, across, through and upon the easterlymost 32.00
feet of Lot 5, Wagner's Addition, according to the plat thereof recorded In Volume
24 of Plats, on page 94, r�-ecords of Snohomish County, Washington.
wiiiiiiiii-00010
SUBJECT TO an easement for ingress, egress and utilities over, under,. across,
through and upon that portion of Lot 7, Wagner's Addition, according to the plat
itioreof recorded in Volume 24 of Plats, on page 94, records of Snohomish County,
Wa,-hington, described as follows: Beginning at the Southeast corner of sa'id Lot
7; Thencc-, N1 89'34'28"W, along the South line of said Lot 7, a distance of 75.24
f0c-:t; Thence N 0'35'50"I.q, along a line drawn parallel with and lying 10-00 feet
Easleriy of the West line of said Lot 7, a distance*of 15.00 feet; thence S 891
._"28"E, along a line drawn parallel with and lying 15.00 feet Northerly of the
�1
Sou-,h line of said Lot 7, a distance of 45.00 feet; Thence Southeasterly in a
straight line, to the Point of Beginning.
�Pno Lill. publ
Gi
BUILDING DIVISIO %=11 U
101f. I Applicant F�hl"'�
PERMIT APPLICAT Inside Heavy Lines
INAME (OR NAME OF. BUSI,"ESS)
W
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0 CITY ELCPHONE NUMBER
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INAME
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a ICITY TELEPHONE NUMBER
NAM
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UlCVA a I�PINI�V NUFAREP
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Legal Description of Property (Show t3elow or Attach Four Copies)
Z
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JOB
ADDRESS
LEGAL DESCRIPTION
SUDDIVISI N
ORT SUB
NO.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING
PROPOSED
DEFICIENCY OF RIGHT OF WAY
PUBLIC IMPROVEMENTS REQUIRED
1:1
DRAINAGE IMPROVEMENTS REQUIRED
11
DRAINAGE PLAN REQUIRED
0
UNDERGROUND WIRING REQUIRED
11
CONNECTION TO SANITARY SEWER
1:1
SEPTIC TANK PERMIT REQ-0 Cl NO.
-
ELEVATION OF PROPERTY CORNERS
& FOOTINGS REQ*D
SEE ENGINEERING MEMO DATE
CHECKED By
SIZE I BUILDING SUPPLY SIZE
SIGN AREA
ENV. REVIEW
ADS NO.
ALLOWED PROPOSED
COMPLET EXEMPT
U
0
SHORELINE #
-
W
REMARKS
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13
W
VARIANCE OR CU
LANNING REVIEW BY
1P
DATE
I
YARDS
FRONT SIDE REAR
LOT COVERAGE
New
RESIDENTIAL
GAS
LINE
FIRE ZONE
TYPE OF
CONSTRUCTION
HEIGHT
^00
ALTER
ElNON-RESIOENT.AL
DEMOLISH
XCAVATE
OR FILL
SIGN
R TAINING
1:1 WEAL L
FENCE
El (_ X_F-r)
ICODE
SPECIAL INSPECTOR
REQUIRED
0 YES 0 No
JAREA PANCV OCCUPANT
lOccu
GROUP LOAD
LAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
REPAIR
PRE -M-OVE
INSP.
WIM
[:]SPOOL
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
REMARKS
z NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
NATURE OF' WORK TO BE DONE
X
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In
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01PLOT
1,,PLAN CHECK FEE
VALUATION
FEE
PLAN
BUILDING
PLUMBING
MECHANICAL
FENCE
SIGN
"Applicant, on behalf of his or her spouse, heirs, assigns and
W
successors in interest, agrees to indemnify, defend and hold harmless
.J
rt
the City of Edmonds, Washington, its officials, employees. and
RETAINING WALL
agents from any and all claims for damages of whatever nature,
I
arising directly or indirectly from the issuance of this permit. Issu-
SWIMMING POOL
a
ance of this permit shall not be deemed to modify, waive or reduce
_J
0
any requirement of any city ordinance nor limit in any way. the-
I
City's ability to enforce any ordinance provision."
p—
I hereby acknowledge that I have read this application; that the in-
TOTAL AMOUNT D
formation given is correct; and that I am the owner, or the duly author-
ized agent of the owner. I agree to comply with city and state laws regu-
ATTENTION
lating construction; and in doing the work authorized thereby, no person
will be employed in violation of the Labor Code of the State of Washington
THIS PERMIT
relating to Workmen's Compensation Insurance.
AUTHORIZES
NOTE: Permit Limit One Y91111r(Except DEMOLITIONS and FILL
R E. CO' �N:-_ L`V T'--- f4r'E'
PERMITS without conditional use permit, which shall be completed in 90
WORK NOTED
days; MOVED -IN BUILDINGS' shall be completed in six months.)
-) I-) loon
S IN
SIGNATURE (OWNER OR AGENT)
0 TE SIGNED
�Spa
DEPARTMENT
Of 1CU10--
EDMONDS
This Permit covers work to be done on private property ONLY.
775-2525
Any construction on the public donsain (curbs, sidewalks, driveways.
nwrqueos, ate.) will require separsta per mission.
tic,
ATTENTION .
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 304,306.
102-78
APPLICATION APPROVAL
This application is not a permit
until signed by the Building Official or
his Deputy; and fees are paid, and
receipt is acknowledged in space pro-
vided.
DIRECTOR' 5 SIGNATURE
0
3:
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W
3:
Ij
ORIGINAL — File YELLOW — lnsp5) tor
PINK Owner GOLD.— Asses%v6r
6Q
EP
6b'
0
iN
a .
�Eld
modds,
RIGHT-OF-WAY CONSTRUCTIONTERMIT,
Permit No:"Ac= OXCI
Issue Date:
A. Address or Vicinity of Construction: 199 14 MAPPTYWOnn nR
PERMISSION REQUEST TO INSTALL A 2" PLASTIC MAIN TIE—IN FROM
B. Type of Work (be specific):
±1'N S P/L OFiI99 ST,SW & ±201'W CIL.of 91,PL W'MAPLWOOD.DRI, CONTINUE -WEST TO THE
END OF TRE'�MAIN, AT ±266'W. C,/L �TO SERVE TARGET,, 19914-MAPPLEWOOD DR
P9R'.JOB: #107008937
Cofitracti
Mailing
State License
D. Building Permit# (if applici�Q/-
Contac
�6 -*42'5!,356-nZ52O----
Liability Insurance: Bond: $
Side S�wer Pertnit.# I (if applicable):
C:
cial gubffli�isi
E. C6m�ie`r* ('�it�!pojedt*, ---EUC-`(E, 9-� GTE', PSE,CHAMBERS'.0�")-
Multi-Farni I Single Family F] Other
fNSPECTO.R-
F. PAVEMENT: E] YES Fi] NO /--.-G.- SIZEOFCUT x H. Charge: S
CONCRETE CUT: YES 011NO
APPLICANTTO READ AND SIGN
IDEMNITY. Applicant understands by.,hislher signqtyre to this application helske holds'the City qflEdTonds haimlessjr?m injuries,
Jbreseen-br unforeseen, I t at b ' �de against the City of Edmonds'or
damages or claims. of any kind or description whatsoever� h ay e m
any of its'Wepartments or employees, including . ut no I I limited to the defense of any'kj.01 proceedings including tl�fense costs and
attorneyfees b4�eason ofgranting th ermit—
istp
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANS . HIP AND MATERIALS FOR A PERIOD OF ONE. YEAR FOLLOWING THk FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS
COMPLETED BYCITYFORCES, AT WHICH TIMEA DEBITOR CREDIT WILL BEPROCESSED FOR ISSUANCE TO THEAPPLICANT."
* Traffic control and public safety shall be in accordance with City regulation's.as required by.-the,Ciiy Engineer. Every
flagger must be trained -- as required -by-(WAC) 296-15,5-305, and must have,. certification verifying completion of the
required trainin * in their possession.
9.
* Restorati6n is.. to be in ac'6rdance i�itNCity*�cddes. Al��street-clilirlt
r-,k:§hall,' .ed-with asphalt,oi,City
Yen patc4
approved material prior to the end'af the workday - NO EXCEPTIONS.
* T6ree sets of,constr-uction drawings of proposed work are required with the permit application.
IIIA VE READ THE ABOVE STATEMENTS AND UNDERSTAND THE PERMITREQUIREMENTSAND ACKNOWLEDGE
THAT I MUST MAKE THE PINK COPY OF THE PERMIT AVAILABLE ON SITE AT ALL TIMES FOR INSPECTIONS
-5/31/2000
Date:
(Contractor or Agent)
CALL DIAL -A -DIG (1-800-4;4-5555) PRIOR TO BEGINNING WORK
FOR U111
Approved by"
Time Authorize : "�oi-d' i er /1 60
Special Conditions: 40
'USE ONLY
Right-of-way Fee:.
Disruption Fee/Fund 111:
Restoration Fee:
Total Fee:
Rpceipt. Noi-,---,9-.
/,,&
Issued bx�;�
UPON COMPLETION OF PERMITTED WORK, AN ENGINEERING FINAL
INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THE EDMONDS
COMMUNITY DEVELOPMENT CODE. U651v\�
FINAL APPROVAL OF PERMITTED W,ORK.
INSPECTOR'SYIGNATURE 'DATE:
For inspection requirements see Engineering Information Handout.
NO WORK SI-IAIA, BEGIN PRIOR TO PERNUT ISSUANCE
P I NGH rIJ6i�
201 - W �-, I 'N — 6
�-OM -/-202'�W
OP 1)(9 /2-1 WOe I e9 W A i Ki
I�NQ
266'
7-7� -
co
01
co a-
n
= t)o
199 6*f 6w
U-)
Y61
co
01
(> LO
a-
01
01
a
GAS
MAIN
INSTALLATION RETIREMENT
WU
ID
SIZE
LENGTH
TYPE
MANUFACTURER'
2.
65'
MP6
GAS MAIN PRESSURE & TESTING
TYPE
TEST:
PRESSURE;
TESTED BY:
DATE
ON:
/ /
TIME ON:
DATE OFF: / /
TIME OFF:
DATE
ON:
/ /
T I ME ON:
DATE OFF: / /
TIME OFF:
DESIGN:
PSIGISYS
MAOP:
PSIGI
NOTES: -The City of Edmonds
1.
L,0GAT0- AW, UTIWT11�6)
GAL,L, 21 HOU96 WOK6 016;&IN&s 1-600-121-5555
2.
6URV6Y 16 NOT K60UIK60.
3.
MAINTAIN A MINIMUM Of 5' HOKIZONTAL, ANO 3' WKTIGAL,
Gl.,6AKANGi� fKOM AIL, GITY UTILIT166 ANO APPUKTONANG66
1.
GUf6 IN PAVIN& AR6 6HOWN A6
5.
0 GUT6 IN PAVIN& ANTIGIPAT60.
6.
PKOJ6GT MANA&lWs OOU& UOITALO 125-356-7520
Z.N
PRELIAMMARY OK;,�,_,y
No i for
Z) k o n
CALL 1 —800-424-5555
2 BUSINESS DAYS BEFORE YOU DIG
THTS�
-.KFTr.H NnT Tn RP7 Ppi Tp7n iipnki f7np PYArT i n(ATTnK] nr7 CA(Tl TTTC"Z
5
REAL ESTATE/EASEMENT
PERMIT
60MON05
4
3
FUNCTION
CONTACT
PHONE -NO
DATE
2
PROJECT MGR:
0. U6 I,T/�L-0
ct25) 356 -7520
05/ 26, 00
1
APPROVED BY:
I
REV#
DATE
BY
DESCRIPTION
ENGR - GAS'
v
COUNTY
6NOHOM16H
EMER SEC
Work Cenfer
N5NH&
DRAWN BY:
J. N&UY5-N
K 25 290 -7026
05/26/ 00
REVISED BY:
1/4 SEC
N6 —21—.27— 3
OP MAP
160.062
PLAT MAP
162. 067
APPROVED BY:--
FOREMEN 41:
U-MAP# (POWER)
CIR MAP#
CIRCUIT,#
FOREMAN #2:
MAPPING:
JOINT FACILITIES
ARRANGEMENTS
UTILITIES
1
CONTACT
J
PHONE,#
I
26 MPf IP MAIN OXTON610N
PUGET Q
SOU— TO 66KVfKz
ENERGY 199 1 4 MAPPLf W009 OR) f OMON06
INC IDENT#
DRAWING#
—AL
SAP SUPERIOR ORDER*t
107006937
FSC E 40 ,
1 1 / 1