19918 88TH AVE W.PDF111111111111
8443
19918 88TH AVE W
SIDE SEWER REMIT
"',,CjTY" 0F;;EDM0N&j '-T
WATER -SEWER DEPART--NEF--\
PERMIT
for side. sewer inspections BEFORE covering any portion of the construction.
(Call l.',5-2525 equst. NO Sat., Sun.,' or hoi I iday in,speq . tions.)
inspection will be provided within . 21 hours after r
.................................................
............ ........................
.........................
OF CONSTRUCTION ........
ADDRESS LOCATION .................................. I .......
. ............
.......... ........................................................ I ......
PROPERTY LEGAL DESCRnMO1 ..........................
........................... ................. .......
.......................................
.......... I ..................... . .......... I ............ . ....... ........................... ................
.................. ......... ............................................
............. OWNER AND/OR BUILDER- ........................... ......... .............
.................................. I .............. ................................... ...........................................
....................................
.............
& ADDRESS ---- ................. .......
CONTRACTOWS NAME for,repair and/or connection of a side sewer to the city sanitary sewer
......................
permission is granted ............................
system in accordance with City of Edmonds o I rdinanees.
ONTION IS CALLED TO THE FOLLOWING: A licensed Side Sewer Contractor m ust �e employed to construct
obtain a permit t construct sewer inside property line
NOTE No. I —The owners of the property may cover any portionoof sewer before it has been. inspected.
Do not e city Engineer's.,off I ice.
side, sewer in street area. Invasion of of -way Permit tobtairrable from, th
ed in city right-of-way requires an Right- governing, side! sewers when y . ou get perrnit.�
mation regarding Ordinance 11.16.030, and Regulations a of, 2%' No,,bends. in grade
NOTE No. 2—All, work perform
NOTF,'No. 3—Obtain full infor ge at property, line said, IZ� inches-insilde property. line; minimum, grad
NOTE No. 4—TOP Of, side sewer must have at least 30 inches covera, for failure due to improper
shaxper than % will be,permitted. surface of street restored to originalitcondition. Cmitractors shall be responsible
NOTE No. 5—Trenches In street must be water ;settled a�nd
develop within one year of completion.
work which may provided.ior in the permiV, or to� do �any work on the main sewer or its� appurtenances) except to in
NOTE) No. 6—It is unlawful to alter or do any other work . than is
sert the pipe into the wye.
'BY ................
.. ......... By ................ Date.. ...................................
? .......... .... By ................ Date ....... I .. 7 ... �
DISAPPROVED E3 Date....� .............
441��
.............................................................. .................
............. ----- ----- ........ .............. . ........
Date ... .......... v.:". ....... By.
APPROVED...... - . . ' 0 .......................................
............................................. I ............
.............................................. ..........
Remarks: . .................... : ....... .............. I ......... ....... I .........
.... ............. ............. I
...........................
BO�THermit
10, stalled
1` ... ***
.......................................
.......................
...... . ........................................... M Perf6rming:ConstrUctiOn-pRj[OR To� Request For Inspdction,,
pie S Be Signed'13Y owner,of Fir
instalta:,tion',Const�uctedunder this permit
............ hereby certify that* the, side, sewer
........... Z .................
V Perfqphng Construction,)
eg of the City oEEdmonds.
jj�g�rning.ordinaiic 111A
Dated
7V�Ch6BEIMRE you'dig for: Water n, Gas 0,
...... : ........ day, 01
.10, .. r Sewer C Other
Po.
.............
.......... ................
The City of Edmonds
APPUCATION
for
SIDE SEWER PERMIT
NEW CONSTRUCTION x
" 5 t5 te Y06
OWNER�4 ........ ------------------------------------- ----------
-------- --- A -------- ------------------
JOB ADDRESS ---
EASEMENT NO - ------------------- ------------------
REPAIRS E] LID NO. 1-6. ... / -------- - ASMT. NO. -T — ----------
CONTRACTOR--------------------------------------------- -------------- -------------------- — PERMIT NO. ------
LEGAL DESCRIPTION: LOT NO - --------------------------- ---------- BLOCK NO - ------------------------------------
.........................................................................................................................
NAMEOF ADDITION ................ ----------------------------------------------------------------------------------------------------
Approved:
f&j c--�>
DATE-------------------------------------------- By
a
NOTICE:
N'o---w-a r-ra n
on the attached
The information
map(s) was compiled for use by the CitY Of
Edmonds'l its Employees and Consultants.
Th,.e City of Edmonds does. not. wa rra nt the
these
accuracy of anything set for.th on . *
map(s�. An I y person or entitY,requesting a
opy should conduct an independent
inform-ation shown on
inquiry regarding the
--th� -map(s), including, but not limited to,
er stub shown. Sucl-
the lotation of any sew
not exist and may
sewer stubs may or may
or may not exist at the location shown
Neither the City of Edmonds nor its
ernpl-o-yee*s o*r offi-ce-rs -shatl be 1--ia-b-1--e for the
information giveh on this map(s), nor for
any one representation provided based
upon said map(s).
APPLICATION
The City of for EASEMENT NO . ............................. ..............
t: I FILE SIDE SEWER PERMIT
NEW CONSTRUCTION 0 REPAIRS 0 LID NO. .......... ASMT. NO - ----- �5 ........
OWNER ..... --------------------------------- CONTRACTOR ------------- ............ PERMIT NO. . d:A-c::EI - -7.4- . t
.................
JOB ADDRESS LEGAL DESCRIPTION: LOT NO - ---------- :';�> ----------------------- BLOCK NO. - ..................................
----------------------- -----------
E
---s-
NAME OF ADDITION ------- �r-= ......... ..........................
Approved: vVi
.............. By
DATE ---------------
I
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME NAME OF BUSINESS
LAR P.Y V06,F- L
MAILING ADDRESS
om
j,,t'j C.5
1 TELEPHONE
00 774- M1
NA.EA
ADDRESS
3-30 J>t"Aj
CITY d02 C, I TELEPHONE NUMBER
EDM 04>5 Zip
NAME
KINISV R , 0 e I, � C,
11001 keo-ITI,- ov"E /V155
CIT'11Z 9 "1 TELEPHONE NUMBER
STATE LICENSE NUMBER EXPIRATION DATE
NrSVIKe- * 1100& 1 Ih< lu
Le6al Description of Property - include all easements
Property
Tax Accou," Iq
Parcel No.
27 0 Y oq 2 - oo(:)o
NEW
RESIDENTIAL
PLUMBING
(ZADDITION
COMMERCIAL
MECHANICAL
E] REMODEL
APT.BLDG.
SIGN
FENCE
D REPAIR
CYOS.
I x _FT)
DEMOLISH
W OODSTOVE
INSERT
El SWIM POOL
HOT TUB/SPA
GARAGE
RETAINING WALL/
CARI�ORT
ROCKERY
ED RENEWAL
7TYPE OF USE. -BUSINESS OR TY) EXPLAIN:
, <7 14:,
7 ,f / .0
NUMBER
OF
BER OF
DWELLING
I'U' UN
CRITICAL
JAREAS
STORIES "2
IKT, S
NU..ER_
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
�84 PERMIT
NUMBER 3 61 OV6 9
JOB ( - , SUITE APT
ADDRESS
&
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Appro�ed 0
AW Pe
EXISTING REQUIRED DEDICATION
—I RIKI-ee
Sj,eej USe p0_1 Reqo
P R OPOSE
Inspecl;enlleauued 0.
Ssdea Requ,fed 0
METER SIZE
LINE SIZE
NO OF FIXTURES
PRV REOUIRED
I
YES 0 NO 0
REMARKS
tol-I
ENGINEERING MEMO DATED JA j 1716
AE BY
I SIGN AREA SEPA REVIEW I ADS NO
ALLOWED I PROPOSED I COMPLETE IEXEMPT
EXP
VARIANCE OR CU PLANNING REVIEW BY �ATE
I c '.. , V. " 1� -,- �6
ACKS -FEET EIGHT LOT COVERAGE
Z
FRONT SIDE -7 �j REAR I )_ I -, I - y 7. .
REMARKS af
REQUIRED I I-
_1�4,*e. _2A IL
0 YES _ �j
I HF1MO'Gr,51RE,S INSPECTIONS PER USIC 305
FINAL INSPECTION REOUIRED
VALUATION
PLAN CHECK FEE
1Y
70 2�16�nAA!l ASf_-k
BUILDING
HEAT SOURCE:
bi/14 Uilill!btft
-LAZ'..
I � %
PLUMBING
Plan Check No. 2C_2M1=__t
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewpiks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Applicaflon: 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
ENO. INSPECTION FEE
successors in interest, a rees to indemnify. defend and hold
City 2dmonds, Washington, its
x
harmless the of officials,
employees. and agents from any and all claims for damages of
'A
5
whatever nature. arising directly or indirectly from the issuance
X
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
or
modify. waive orreduce any requirement of any city ordln:nc:
nor limit in any way the City's ability to enforce any ordin nc
TOTAL AMOUNT DUE
provision."
I hereby acknowledge that I have read this application; that the
ATTENTION
APPLICATION APPROVAL
information given Is correct; and that I am the owner, or the duly
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
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/her
Code of the State of Washington relating to Workmen's Compensa.
WORK NOTED
Deputy: and fees are paid, and receipt is
ion insurance and RCW 18.27.
INSPECTION
acknowledged in space provided.
IGNATURE (OWNER OR AGENT) JOAIE SIGNED
1A/ 5 6
DEPARTMENT
CITY OF
OFF /DATE
EDMONDS
ATTENTION
CALL FOR
INSPECTION
�I&�A ev
IT S UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTUR E
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL 0 R
771-0220
ORIGINAL - P-:e YELLOW - inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
PINK - O,ne, GOLD - Assessor
M IIIIIIIIIIII0
I
a
CA FILE NO.
Critical Areas Checklist
Site Information (soils/topography/hydrology/vegetafion)
1. Site Address/Loc'ation: I It f SO .4,)e- W fro 2! C.
2. Property Tax Account Number:
Approximate Site Size (acres or square feet): /0 0 S-,T - Iq
4. Is this site currently developed?.--,< -yes; — no.
If yes; how is site developed?
5. Describe the general.site topography. Check all that apply.
Flat:' less than 5-feet elevation change over entire site.
S,� Rolling: slopes on site generally less than 15% (a vertical rise of 10-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 a horizontal distance of 33 to 66-feet).
Steep grades of greater than 30% present on site (a vertical rise of 10-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
Approx. Depth:
6. Site contains areas of year-round standing water:
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?.
8. Site is in the floodway floodplain V-"S e, of a water course.
9. Site contain's a- creek or an area where water flows across the grounds surface? Flows are year-
round? t-,� 0 Flows are seasonal? (What time of year?
10. Site is primarily: forested ;meadow _;shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious weiland is present on site: 10
7
P-V OMNI
8
690 -191-
VEPT.
City of Edmon&
Critical Areas" Checklist
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
informa ' tion 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
development permit application.
With a signed copy of this form, the
applicant should also submit a vicinity map
or plot plan for individual lots of the parcel
with enough detail that City staff can find
and identify the subject parcel(s). In
addition, the applicant shall include
other pertinent information (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 Area Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
Name
/ of 9 t J GiOT Ave
Street Address
. I �— k — &,is - 6
City, State., 'ZIP Phone
Signature Brate
Applicant Representative:
Name
193
ICA1 -2.
2L-
Street Address,
f V-1
City, State, ZIP -Phone
Signature '��Dte
dew CPcv-..,j
PWI.A"
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WIMP LAoiol,
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SITE PLAN
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C,I-WAPJ6� N)tN 44ATrS"
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AVPROVED BY PLA NING
sum
ILE
PLANNING DATA
SITE ADDRESS: 19 7 1 k - 6 r L-/DATE: I— 'S
ZONING: p S . 65K PLAN CHK#: 76- 01
0
PROJECT DESCRIPTION: IV-d
SETBACKS:
Required Setbacks:
Front: 'L 5- Left Side: 7. 5- Right Side: 7* �_ Rear:
Actual Setbacks: / V
Front: 32 ' Left Side: 5 '7 —Right Side: Rear: 3
CORNERLOT Al —(Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED IVI (Y/N)
LOT COVERAGE:
Maximum Allowed: Actual: -z
BUILDING HEIGHT:
Maximum Allowed: Actual Height: z
Datum Point: Datum Elevation: -
SUBDIVISION:
CRITICAL AREAS #: CA � le?", — Z� I
SEPA DETERMINATION: L
LOT AREA: q7 7
OTHER:
Plan Review By:
PEI
ASM
99
All
re
ty
JIM do shaft-Nill
ow of I ^%.L Alf
to
01" 1 31,
Ixt
Id
ALW
STREET FILE
REGARDING: 19918 - 88th Avenue West &o,?- 06000
Ta—dTr—e —ssT -
R E C 0 R D 0 F C 0 N T A C T S
NTAMP WfINM XTn F_
DATE
.1 COMMENTS
ADDRESS of CALLER
ACTION TAKEN
5/l/74
John Br-kdges Certified Letter No. 406258
sent
Letter received.
requiring hook-up within 60
days.
7/1/74
Certified Letter No. 406538
sent
Letter received.
requiring response by July
12.
7/17/74
Requested ext. to 7/31/74.
Unable to
employ a contractor at this
time.
Also obtained permit #4974.
2/13/76
Certified Letter No. 406729
sent
Letter received.
requiring hook-up within 60
days.
per previous letter.
4/8/76
Connection completed.
Uj
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INITIALS
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CITY of EDMONDS
200 Dayton Street - Edmonds, Washington 98020 - Telephone (206) 775-2525
Department of Public Works
February 13, 1976
CERTIFIED MAIL 4-qo�-1.29
Mf. or Mrs. John Brydges
19918 —88th Avenue West
Edmonds, Washington 98020
Dear Mr. or Mrs. Brydges:
You previously received a Certified Letter which required the
sanitary sewer connection of your property located at 19918 .- 88th
Avenue West. As of this date, our records still indicate that your
property is unconnected.
You are hereby instructed to make the necessary sewer connection
within sixty (60) days from. the date of this letter. If the connection
is not completed within this time, water service to the subject property
will be terminated as outlined in City Code 11.16.240.
Your prompt response is requested.
Sincerely,
SIGNED
J. HERB GILBO
Director
JBM: j t
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C)
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RECEIPT FOR CERTIFIrn fifimp )n., f-,
PS Form .............. I ............ I
Ain. 197 1 3800 NO INSURANCE COVERAGE PROVIDED— (See other side)
NOT FOR INTERNATIONAL MAIL GPO: 19700-397-4E10
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RETURN.RECELIPT, REGISTERED, ANPY�MANU,CERTIIFIED iMAIL-
a 0
CITY of EDMONDS
200 Dayton Street - Edmonds, Washington 98020 - Telephone (206) 775-2525
Department of Public Works
July 10, 1974
Mr.. John Brydges
19918 - 88th Avenue West
Edmonds, Washington 98020
Re: Property at 19918 - 88th Avenue West, Edmonds
Dear Mr. Brydges:
In reference to your receipt of a Certified Letter of 1--lay 1,
I
1974, requesting you to connect your property to the Edmonds san ' tary
sewer within sixty days; due to the hardship stated by you and indicated
below, you are herewith allowed an extension to __._July 31 , 1974,
in order to make the sutkl'jject sewer connection, '
Time Extension Requested Because:
.Owner unable to employ a contractor to make the
necessary sewer installation until late July.
S4ncerely,
CITY OF. ONDS
qJ . 1)R B G IL 0
Director
JBM: te
ACKNOWLEDGED BY PROPERTY OWNER:
PROPERTY ADDRESS:
MAILING ADDRESS:
ACKNOWLEDGEMENT DATE:
41j�e fo folio Im
F URNIS14"'
-on other side
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...... . . .......... .... -loo .397,
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ON
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NO I -,
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-to —3& (plus POs
A SE
RECEIPT FOR CERTIFIED MAIL PO .1. RK
DATE DELIVERED A
F Art OR 1�A
I V
3083-06000
HERE DELIV
3 E ED BRYOG E S , JOHN 0/
OnI, if
reQu
estid. a ",�e 19918 88TH AVE. W.
Ode)� DMONID S vi WASHINGTON
98020,
ADPTIONAL SrRVICES Fijif ADDITIONAL FEES
�,,je �dejj,,eted ........ ... 15�_
:1. Shows to who. avid
ily 65d*
RET'IRN With delivery to addressee or d 35�
RECE "T 2: Shows to Whom, dale and where delivere
SERVICES � With delivery to addressee only .... ... 850
DELIVER TO ADDRE�SEE -ONLY ................. ...............................
SPECIAL DELIVERY (extra fee require " ........ ...
N S Form No INSURANCE COVERAGE PROVIDED— (See other side)
3800 IL GPO: 1970 0.397-458
Apr. 1971 NOT FOR INTERNATIONAL MA