20034 82ND AVE W.PDF11111111 lill
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20034 82ND AVE W
.NOTICE:
No warranty of accuracy.
The -information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of �Edm.qnds does not ' wa rra nt the
accuracy of anything set for.th on these
map(§-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
He -m a p (s) , Including, but not I'm*ted to
th-e loc'ation 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 (Zity of Edmonds nor its
ernp-1-o-yee-s o-r office-r-s') she-11.1 be l',1a-bIFe for the
is map(s), nor for
information given on th"
any one representation provided based
upon . said map(s).
Ilk APPLICATION
The City of Edmonds FILE foe EASEMENT NO. — ............... .......... ------------
STREET SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS F� LID NO . .................. ASMT. NO - ------------------
OWNER ........ ..................... CONTRACTOR ...... ------ t-. .................. PERMIT NO.
................. -------------------- - ........... ..........
A
JOB ADDRESS .. ... ..... LEGAL DESCRIPTION: LOT NO . ...... E� I ....................... BLOCK NO - ------------------------------------
............................................ --- --- --------- .........................................
NAMEOF ADDITION .......................................................................................................................
0
E
.... By,
11/75
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P E RIM, I I T
MON1
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WATEP.�,SEWER DEPAR
5 ,,214.."
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C wer Inspections_ BEFORE,* coverIng:,:any.- �por Jor.;of -,constructi n
h0b. 175 2525. for side �se f the�
spection �will be provided, within, 24.
hours,
after �requst, NO�,Sat,, Sunz, or, holid y inspecii.0
a ns:
ADDRESS?�L OCAtION., OF`C:'_'
ONSTRUCTION ...... 7:�;�� . ........... . . ......................
...........
;PROPERTY -LA�GAL r__
ESCRIPhOV: ........ ��!P z
..........
...........
.................................................. ...........................
..................
. . ........ ................ ...................................
................................. ..................................................... ................. ..................................
.. ................. ................ .................. �.: ............. OWNER ANWORIBUI ILDER .......
O�
OWSPNAMIE -&, ADDRES
S . ........
NTRXQT
........................................................................................ .........
........... f9...,1"-71:for rePair and/or connection -of -a side er
tWision4is anted
ance',--wi, sew -to- the:city
'ih,,. accord' th City�bf Edmonds,ordinances. sAni'tary -sewer
ATTENTION' -IS- CAILLED�.TO THE . FOLLOWING:
NOTE-N6. I�T . he,, owners of the, property, may obtain a permit
side I to construct sewer inside property, line. A licensed Side Sewer Cont . ractor must be employed� to construct
_sqwer;�ih, street area. , Do not cover any portion 'of sewer before It - has been Inspected'.
NO=No. 2--Alf work`�pe�forme6!'in -city-: ri*g'ht-of-way requires an'Invasion of' RJght-'of-Wa'y Perait obtainable' from "the City Engineer's Vfflee.
:regarding Ordinance 11.16;030- and Regulations governiniside news
rs whem.you get penbit.
N`6il4N mu'st have at least 30� inches coverage, at property line and' 421nc'hes.lnside� property line; minimum griLde of 2 .,No, bends ln��grade
_6ii�ths:n%'A will -be permitted.
N8TON 6�` 5,L'-Tre�cibe-s',in, sfreet must be -water nettled an&surface, f street restored to. original' condition., Contractors, shall be responsible for'Jallure due to- improper
"work-whift'may develop within one year of'completi6n.
'�;fu]Ao alter
&o.-_6--It is'_U�fa or do,ELny other work thaii Is proyided',for In the permit, or to.do any work'on the ma4n sewer or its'appu"rtenances except to, in-
sert thepfpe,into�_thelwye.
�DISAPPAJO� bat
.......... .................... By ................ Date ........
'71, . .... ...... ................. Date; .......
....... . ................... By ................
...............
y,�-APPROV?iD',- D
Y_ ......... .. . .......................
...............................
............. .....................
r-k s ............
........... ................................................................................
.................................... .............................................................
......... ........ .... ............. . .............. ......................................................................... ..
...................................... .......
...................................... .........
e �c n
0 e M ST Be Signed
U By Ow I ner,of Firm, Perform , ing, 0 Structibn PRIOR To Reque'st For Inspection
... .. . ..... ... ............. ; ..... ..................................... ... hereby, certify tliat9the side, seWer installation constructed'under -this permit
0 of P ntr a cting F Performing Construction)
Was, in al.in" cco Clan , c e, wi ILgoverning ordinanc es of �the.City OfMdmo�
D d' t OAY
ate WS7 ......
V Clieck'11 I �VORE'you dig, -for: Water C];" Gas E],, 'TelephonoE1.',b',. '§bwer zl;l ther,,[],'�J�-V,,
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APPLICATION
The City of Edmonds for EASEMENT NO - --------------------------------------------
SIDE SEWER PERMff
NEW CONSTRUCTION E] REPAIRS [:1 LID NO - ------------------ - ASMT. NO - ---------- -------
CONTRACTOR --- T PERMIT NO - --------------------
"0.5-5 --------- 1146 /X- I
OWNER--]R -- - -------
- ---- -- --------- -- ----------------- --------------------
'A.EGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
JOB ADDRESS ....... c2��3 - ------------------------------- r�� ......
X- .................................................... ................ ------------------------------ ----------
NAME OF ADDITION --------- /ON. tec 6. e --------- / ................................ -- ------------------
Approved:
DATE--------------------------------
.......... By --------------------------------------------- * ----- YiWE
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,CIT-Y.OF EDMONDS Permit No. 7 L/
COMMUNITY SERVICES DEPART Issue Date
CTI
JOST
RIGHT-OF-WAY CONSTRUI
PEET FILE
A. Owner: Washington Natural. Gas Co B. 0 Contractor: Same
Na e Name
'8'OT , 156 AV NE
&Ji1&M8re I I Mailing Address
,ssWA '48007
City State Zip City _1 State Zip
44700700
State License Number Telephone Number
9 Address or Vicinity of Construction:, 1 20034 82 AV W
,--,Xew'gas service installation /lg
Type of Work to be Done:"
W�r, in t Fh: "11 s
0 Commercial 0 Multifamily R utility
Pavement Cut: 0 Y 0 N
N
APPLICANT TO READ AND SIGN
INDEMNITY: 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, forseen or unforseen, that may
be made against the City of Edmonds, or any of its 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.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE
YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed
by City forces, at which time a d 'bit or/credii will be processed for issuance to the applicant.
• A 24 hour notice is reqqir.ed fori in'specti6ii*;, Please call Public Works: 771-3202
Ir - - - 1 1, /�
• Work is to be inspected during pybgi6si and at completion.
• Restoration to be in accordance with City Code.
—* Street to be kept clean at all times.
0 Traffi� Control to be in accordance with City regulations.
.0 All stredi-ci&ditbh:e§'mii�t be patched with asphalt or City approved material prior to end of working day;
no exceptions.
I understand the above and that this permit must be available at the job site for inspection purposes at all times.
a7;"Signature: Date: 11/3/88
IOwner or Contractor
This Permit Must Be Posted at the Job Site For Inspection Purposes
Call DIAL -DIG Prior To Beginning Work
ISSUED BY: A ^-0 AA ^ en enr�
Time Authorized: Void after /I--. Y- Zo days.
Special Conditions:
Amendments:
PERMIT FEE: -ff__:5U_
Secd-rit' i eposit.,
11
Receipt No
Fund I I I Fee:
Street Cut Dimensions:
� X
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. July 1985
FIELD INSPECTION NOTES
(Fund I I I - Route copy to Street DeDt.) - �-
Z-1
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P. W.:
Work Disapproved By:, I
FINAL APPROVAL BY:
0 YES 0 NO
Date:
Date:
M1
Eng. Div. July 1985
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PUBLIC 157ORKS DEPARMAENT CHECKLIST
I I /-
'BUIlDING PER11,aT REVIEW
900?4
FILE (address) (ClAte)
Street OW Existing. REQD
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Access Easements Exist OD
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Utility Easement Existf REQD--N4L
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Lot Per Subdivis io6 -:S I -I-) Plat Assessor Map_�..
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Site Plan Checked for Accuracy. En
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Underground Wiring Reqd.
FA
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Check Accuracy of Legal Description V019Z -71
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Review by Date_A 11-1
Existing Water Main Size -r
Water �lain Required G
Service Line Required
Hydrant Size Existing
P4
Hydrant Reqd Per Fire Code—"(��,5 Size 6
Detector Check Meter Reqd. ?40
Cross Connection Inspection 1,1D
Fire Department Convents
Water Meter Charge Reqd.�A ;oo Z
Review by, Date
Septic Tank Design Approved Date
Septic Tank Permit Reqd. Permit No.
Sanitary Sewer Availabi�li�ty
�Proj-
Drawing No. File No. I ?-S —7
Side Sewer Availability
Sanitary Sewer,Connection Fee Reqd._
Review by Da t e Z:2 -:Z
Open Ditch Existing Reqd.
Culvert Reqd. Size
c4
Catch Basin Reqd. Indicate on Site Plan
0
Shoulder drainage maintain collection on swale open runoff,�-"/,-
Manhole reqd. Indicate an Site Plan
Soil Conditions and Ground Water Field Checked
Review by Date/
F-- I
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Revised: lvlO-1977
OUILDING DEPARTMENT
Applicant Fill
USE PER
ZONE 0_1 N UMBER
PERMIT APPLICATION
Inside Heavy Lines
13
JOB
ADDRESS
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NAME JOR NAME PF BUSINESS)
'41e /k"?_ .4 /" e .6
!LEGAL LOT
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*YES 0
L.0 T AREA
SUBDIVISION NO.
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ADDRESS
/�xz D 1'jo y
CITY ELEPHONE NUMBER
-3
1,4 Id'a tjo 41 1 '.) V t
STREET R/W
EXISTING STREET R/W FT. DEFICIENCY -THIS PROPERTY
COMP. PLAN ST. R/W FT. 0 FT.
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NAME I
/'P 17111 Al, /4v'
REMARKS
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ADDRESS
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CHE)KE
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CITY
TELEPHONE NUMBER
STREET AND/OR UTILITY WORK
REQ'D. )*YES 1:1 No
R/W PERMIT REQUIRED
&YES ONO
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UNDERGROUND
WIRING REQ'D. &YES NO
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ADDRESS
TYPE CONNECTION li&VES
SANITARY SEWER
0 NO
VERIFfLTyA__M
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0
CITY
TELEPHONE NUMBER
SEFTIC SYSTEM 0 YES NUMBER
APPV'D BY CITY ENG.
WNO
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STATE LICENSE NUM ER
CITY LICENSE NUMBER
REMARKS
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Legal Description of Pr?perty (Show Bel W or Attach Flur Cop*e
X 7-'r AZ ,A1 /j
--E S ZE
3W,
BUILDING SUPPLY SIZE
W
EmAFIKS
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SIGN AREA
ALLOWED PROPOSED
ENV. REVIEW
COMPLETE EXEMPT
ADB NO.
W
REMARKS
VARIANCE OR CU
PLANNING REVIEW BY
iDATE
YARDS
I;k:w FRONT SIDE REA
RILOT COVERAGE
AS
NEW E/RESIDENTIAL GIN.
FIRE ZONE
TYPE OF CONSTRUCTION
ElADD NON-RESIDENTIAL SIGN
DEMOLISH RETAINING
WALL
ALTER EXCAVATE FENCE
OR FILL I— X—"
REPAIR PRE -MOVE swim
INSP. POOL
1CODE
I
SPECIAL INSPECTOR AREA
REQUIRED
ED y E S 0 No
OCCUPANCY
GROL
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OCCUPANT
LOAD
I
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
REMARKS
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NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
W
NATURE OF WORK TO 7B DONE
PLAN CHECK
NO.
BUILDING
VALUATION
FEE
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PROPOSED USE
LO`T PLAN (INDICATE BUILDING SETBACKS,
ABUTTING STREETS)
PLUMBING
HEAT & GAS LINE
10
FENCE
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SIGN
RETAINING WALL
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SWIM!ING POOL