19920 83RD PL W.PDF111111111111
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19920 83RD PL W
NOTICE:
N-o..wa rra ntyOT aC(,Ul dt.-Y.-
The -information on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
Th,e City of �Edmonds does not. warrant the
accuracy of anything set for.th on these
map(§-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding.the inform-ation 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 rll�ity of Edmonds nor its
e rn p"l* o'y e e's o'r o ff i c e -r S) -s h. a- I- I b e 1--i a. f o r -11L h e
information given on this map(s), nor for
ion provided based
any one representat'
upon said map(s).
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT
.7�) ID- C)D A Ot NEW CONSTRUCTION REPAIRS
OWNER ..... VNIf ZIN'..
ADDRESS ... 11152j��.O .............. 4W-.r . ............... .............
A 4*1
If
rl
LYNN PLANT
EASEMENT No/-F.34e,.4�72-40
41
CONTRACTOR ------- 'o J-a
........................ IN ......... PERMIT No.
LEGAL DESCRIPTION: LOT No . ............................................. BLOCK No . ..................... ......................
Allr7 /i/ /—, i - I —r—
RT. 4 9 .. C.6� .......................
Approved:
DATE .. :B .. , .. 40_7.... By
....... ... .......... ........ .......
.CITY OF. EDMONDS-
Plt;mpect 6-1107 when, work
CIVIC CENTER WATER-SEWMDEPARTMENT (No Inspec-
Is ready -for inspection.
tions Saturday, Sunday prholidays.) N2, 18-64
SIDE - SEWER�-'PEIZMIT
ADDRESS .................... !��929 ... 83rd
............ ..... ..................................................................................
OWNER.. Layrq=e Fra inklin .......................... CONTRACTOR .............. RUS.Se.-II-Johris.on .........................
Pernflssion Is gran . ted ... . ..... Malrdl..219.'.19.6.7, 196.3 .... for ...................... days, to REPAIR or CON14ECT 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 Regu lations governing side sewers when you get permit.
NOTE No. 3—Top of side -sewer must have at least ZiO 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 shall be responsible for
,failure 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 ap.-
. . pu rtenances except to insert the pipe into the wye.
USE
PERMIT
CITY OF EDMONDS ZONE_ NUMBER
_. ro
CONSTRUCTION PERMIT APPLICATION joa
OW�,NER A INA�/OFBL17SIS JADDRESS 0
LC -_ F,3f d S UW,
LEGAL DESCRIPTION 1t1t:(.;Kj SUBDIVISION NO. LIO NO.
Cc h _77
1� MAILING ADDRESS
k
0 / 16�2 C>
4c"
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCP Approved Cl
CITY
ZIP
TELEPHONE NJUMBER
WtED
RW Permit Required
ZY 3 1/-f
EXISTING — DEDICATION
Street Use Permit Req'd 11
PROPOSED
Inspection Required 0
NAME
Sidewalk Required 0
REMARKS
ADDRESS
CITY
ZIP ITELEPHONE
NUMBER
_6,
2L 3
NAME
ENGINEERING MEMO DATE"
REVIEW BY
ADDRESS
0 N ?"Z 0
METER SIZE BUILDING SUPPLY SIZE
NO. OF FIXTURES
CITY
ZIP
TELEPHONE NUMBER
0,�26 1
7 1*1f- YVr -3
REMARKS
U STATE LICENSE NUMBER
SIGN AREA SEPA REVIEW ADS NO.
Legal Description of Property - include all easements
ALLOWED PROPOSED COMPLETE
EXEMPT
Z
SHORELINE #
EXP
VARIANCE OR CU PLANNING REVIEW BY i te DA E
SETBACKS — F�5`r
HEIGHT
LOT COVERAGE
0
FRONT IDE —7 REAR
W
Tax Account Parcel No.
REMARKS
NEW
14S.1 RESIDENTIAL
El PLUMBING
nOTER
COMMERCIAL
MECHANICAL
APT. BLDG.
REPAIR
SIGN
DEMOLISH
GRADING
— CYOS.
FENCE
I— x _FT)
CHECKED BY
TYPE OF CONSTRUCTI91,11
I
CODE
I
HEIGHT
/,V/
(:)
_S/
REMODEL
CARPORT
GARAGE
swim
POOL
__jZ
SPECIAL INSPECTOR -
REQUIRED
JAREA
. -,
OCCUPANCY
GROUP R_3
OCCUPANT
LOAD
V�OOD STOVE/ RETAINING WALL/
INSERT
RENEWAL
13 - YES
REMARKS
ROCKERY
Z
0
;: (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
PROGRESS INSPECTIONS PER LIBC 305
2:
a:
0 -
W NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
0
'TO
I�DESCRIBE WORK BE DONE (ATTACH PLOT PLAN)
— FINAL INSPECTION REOUIRED
ho ?5— 61e— VALUATION "r*�FEE
FEE
7PLANCHECK
BUILD
BUILDING
I—IMT
PLUMBING
Plan Check No. MECHANICAL
This Permit covers work to be done on private property ONLY. GRADING/FILL
Any construction on the public domain (curbs, sidewplks,
driveways, marquees, etc.) will require separate permission. STATE SURCHARGE
r
[Permit Application: 180 Days
P p STORM DRAINAGE FEE
ermit Limit: I Year - Provided Work Is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE
successors in interest, agrees to indemn,ify, defend and ho)d
harmless the City of Edmonds, Washin t'dri/ its officiNA6,
employees, from fr60or
and agents an 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 reduce any requirement of any city ordinance
r nor limit in any Y/ay the.City's ability to enforce any ordinance TOTAL AMOUNT DUE
01
provision." b"// I/
I hereby acknowledge that I have read this application; that the
information given is correct; and that I am the owner, or th i e duly ATTENTION
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
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
tion Insurance. INSPECTION
SIGNATURE (OWNE OR AJXENT) DATE SI NED DEPARTMENT
CITY OF
/01/az
EDMONDS
CALL FOR
ATTENTION
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771 3202
APPLICATION 4PPROVAL
This applicati6n is not a permit until
signed by the Building Official or his/her,
Deputy; and fees are paid, and $ceipt is
acknowledgedk space proviVd.
DA
ORIGINAL — File/ Y.ELLOW — Inspec#
I
PINK — Owner GOLD — Assessor
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A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
102-67