19925 MAPLEWOOD DR.PDFIIIIIIIIIIIIII
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19925 MAPLEWOOD
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49
The City of Edmonds
APPLICATION
for
SIDDE SEWER FERNaT
EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS 0 LIM 14=-i C�:D
OWNER --- - ----- .............. CONTRACTOR C)lwNaF::L-, 44212
...................................................... ........................................... . ..................................................... PERMIT No . ......................
-r BLOCK No . ......... ..................................
ADDRESS tg:�) . ... -------------- ...... CPF�- LEGAL DESCRIPTION: LOT NON ... M ...... LO ......
--Ar--r NAME OF ADDITION .... ..........
.......................................................
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Approved,
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DATE ..... . ... ..... ....................... 0..
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APPLICATION
for
The City of Edmonds SIODE SEWER PERMIT EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS 0
LL�� rl_-Iz- PERMIT No. Aq"?
OWNER ....................... -S ........................................... ... . ....... . CONTRACTOR ..................................................... I ....... ----- ...... ------
............
71�1 ... :7.t.! ...... .......... > ....... :�e .............
.................... X...
ADDRESS LEGAL DESCRIPTION: LOT No . ............... * ...... .................. BLOCK No . ............................................
*7 19- Cl-,� �, 0
NAME OF ADDITION ................................ k .... 94 ... t ......................... co . ............
......... .. ........ . ..........................
0
Approved -
DATE.............. ................................. By .......
31
IN
CITY OF EDMONDS SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT
7?S"-2T25'
Call 716=1-1071 for side ewer inspections BEFORE covering any portion of the construction.)
Inspection will be providsed within 24 hours- after request. NO Sat., Sun., or holiday inspections.)
ADDRESS LOCATION OF CONSTRUCTION .................... 1.99.21; ... MR.R1.01400r] .... n P- 1.% In .................................... . .......................................................
of Lot 3& Ma lewood Hills
PROPERTY LEGAL DESCRIPTION ....... W ..... I ... 2 ... 0 .......................................... D .........................................................................................................................
................................................................. OWNER AND/OR BUILDER .... JL.! ................................... . .......................................................
CONTRACTOR'S NAME & ADDRESS .............. Own.*e.r ...... & ................. ................................... .................................. . .......................................................
....... .. ..
Permission Is granted ....... J1JV _' 2 * 5 -------- : ..................... 4.7-3., for repaIr and/or connection of a side sewer to the city sanitary sewer
system in accordance with City of Edmonds ordinances.,N
6 NTION IS CALLED TO THE FOLLOWING:
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 6f sewer before it has been inspected.
NOTE No. 2—All work performed in city right-of-way requires an �nvaaion of RJght-o'f-Way Permit obtainable from the City Engineer's office.
NOTE No. 3—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
I
NOTE No. 4—Top of side sewer must have at least 30 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. 5--Trenches in street must be water. settled and surface of street restored to original condition. Contractors shaJI be responsible for failure due to Improper
work which may develop within 6ne year of completion.
NOTE No. 6--It is unlawful to alter or do,ahy other work than is -,provided for in the permit, or to do any work on the maln sewer or Its appurtenances except to in-
sert the pipe into the wye.
'DISAPPROVED E] "Date ... . ..... .. ............... ...... By ................ Date ..... .. ... ................... By . .......... Date ............... . ................... By ................
APPROVED ate.__ By .... ... ..........................................................
-Arp
Remwks: ............. ................. 4-1 ........................................ .................... . ...................................... - -------------- - ---------------------------------------------------
.............................................................. . ............................................................................................................................. . .......................................................
— BOTEJA-qrmit qWes " BeAjj�ded By Owner of Firm Performing Construction PRIOR To Request For Inspection —
- — — ------ ................... .... hereby certify that the side sewer installation constructed under this permit
.er .I Firm PerfGrming Construction)
1( 'accordance with all governing ordinances of the City of Edmonds.
Vnstal ��n
Dated this ....... ......... day of ......... ................................... 1 10
V V Check BEFORE you dig for: Water E], Gas E], Telephone [], Power E], Sewer E], Other E] V V
TO
FORM 41 - LITTLVS
JOINTER -OFFICE COMMUWATIONS
FROM
H a rr tc�q_kt.'
BW Mg Official
SUBJECT: Henry Hahn - 19922 Maplewood Drive
DATE October 4. 1972 19
Bill Nims
Assistant Engineer
Adequate storm system must be installed to accommodate surface drainage
in swale ditch that drains to the north per Comprehensive drainage Plan.
WJN:mjf
T -�T RLE
r�, L Date: June 6.'-12Z3
Memo to Director of Maintenance.& peration Ptiblic Works
rrom: City Engineer
Subject: Sewer Connection CharFes
Legal Description: The West 90.00 feet of Tract 17, Maplewood Hill 1 s,.
laccording,to plat thereof recorded in Volume.10
of Plats, Page .121, records of Snohomish County,
Washington'.
.Note: Tract 17 potentially will have 3 lots with one lot receiving a free
connection -and the remainder of the connection charge'divided into
this -lot and the.one between 19922 and 19928 Maplewood Drive. A -subdivision,
.,(reference: S-29-72 attached),. will still have to be made on that portion which
has 19928 and future building lot.
Commonly known as: 19922 Maplewood Drive Owner:. Henry Hahn
z.rx. Calculation:
Z.F.r. x 500.25 Connection ree
Lateral x ($100 7- Lateral'Charge
Unit, x ($ 25 25.00" Trunk Charge
10-00 Permit,,
535.25 Total
2:rm�
cc:-
CITYW OF EDMONDS PLANNING COMMISSR APPLICATION File No.
EDMONDS, WASHINGTON rOR SUBDIVISIONS & PLATS bate
(Submit in triDlicate) Fee —2.0.
Rdclt Nv.
SUBDIVISION (4 lots or'less; fee.is $10.00,perjot). Hearing Date
PLAT (5 lots or more-, fee is,$5.00�p4r lot, or(i/20'of
one cent per square foot of lot area in the.plat,
whichever is greater. Minimum fee is $50.00.
This fee is applicable to both preliminary and.
final plat submissions)
APPLICANT:, K. HA4h) ADDRESS: jc4q 2X DR, HONE: 219-
Indicate type or degree of interest in the property:,
OWNER: HFUR� jj hW k) ADDRESS: Igg 2_K fyj ftp LF, tAjb()j2 pp_ HONE: 21 (e
REQUEST THAT THE.FOLLOWING DESCRIBED PROPERTY BE DIVIDED INTO LOTS. "(Indicate numbdr)'
LEGAL DESCRIPTION OFJENTTRE PROPERTY: Tpk_T 0 OF tM APLs iut�)rj 14 1 L_�.. Li SS THL WR-r4
iW Effy. ',T 14A R F;, r ATE, r)F \Ajk� H i
k1rV CIF
Qr_ ��(QQU(Wvii,caiA 'CQ01'QT-
To beiComplete�d by the Planning Department
Use Zone: LEGAL DESCRIPTION"'CHECKED & APPROVED
Kroll Map No.: By Date
CERTiriCATION: I do hereby certify that I own the above legally described property, and
further, that all contiguous property which I own, which
has not received
a� evLous subdivision approval, is included herein.
Pr`
I u I nderstand that street dedications may be required ih'conformanc'e with -
the Official Street Plan of the City of Edmonds..
............
erty Own
SKETCH: Show below or attach a sketch of the proposed subdivision drawn to scale similar -
to the example shown on the reverse side. On subdivisions,,where possible, indicate loca-'.
tion of existing septic tanks and drain fields. Include vicinity sketch of,the area per
example shown on the reverse side. If sketches arie attached, please submit six copies.
On subdivisions, attach a statement or reasons why property is divided in the manner -shown
such as,., topography, or any other pertinent information not apparent on the sketch.
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