20036 82ND AVE W.PDF111111111111
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20036 82ND AVE W
0
NOTICE:
N�0-w-arrantyof accuracy.
The -information'shown on the attached
map(s) was compiled f . or use by the City of
Edmonds, its Employees and Consultants.
The City of �Edm.qnds does not ' warrant the
accuracy of anything set for.th on these
rnap(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
tFe -map(s), including, but not limited to,
the 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 City of Edmonds nor its
-.1 a. b-t-e f o r t h e
empto-yee-s o-r offitce-rs --sh-a-1.1 be ll I
information given on this map(s), nor for
ion pr 'ded based
any one representat* ovi
upon said map(s).
.11 APPLICATION
The City of Edmonds for EASEMENT NO - --------------------------------------------
SIDE SEWER PERMIT
MEET FILE,
NEW CONSTRUCTION REPAIRS F� LID NO . .................. ASMT. NO . ..................
OWNER ...... 71�� -------- ............. CONTRACTOR ----
---------------------------------------------------- ---------- ---------- PERMIT NO.
JOB ADDRESS ...... W- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
--------------------------------------------------------------------------------------------------------------------------- I ......................................
NAMEOF ADDITION -------------------------------------------------- --------------- ....... --- ---------------------------------------
M!
11
Approved:
DATE ........... By
I , 11/75
E MR
Y �AEDMAGN % tPERY AT"
W,
WATMEWSEWEW EPART E T,'
M, 14
C
40
PERMIT;,
tv
5,'; 1 side,..sew -coverin iof the- co I
e�.,.'Inspe&joni, FORE* i-any port I on,� r�struct on
r �,ftliin�,2�'�hours: after rdqust�,, -N'0';Sat:, h�11�16Y iins'ect
b p �Vid�� u or.*.l p lons�,
o"
V
CONSTRUCTIGN." ...... >
.AMDRkSSr,L,6CMa0N. ...... .,e ... ...... A..J ..................
.............................. ..........
'PROPERTV�L EGAEZDESCRIPTION� ................
. ...........................
.... .................
7
....................... ....... ............ ........................................................................................................................... . ........................................................................ .........
0 WN E 'DEIV.
...... ................................. . WANDY,.O&SUIL . ....... zJ7
......................
7
ONT]t�ICT.OR'S"*.-NAM-E,�&,�ADDRESS.. ...............
. ....... ........ .............................. ........................... ---------
.............. -or,-:connect on;,of.4'side sei�eito--
....... Ahe, �ianit r.y,;.,seWer
1ty,df*'tdMo*n'ds ordina
�,Aern;in,a,ccordinc�, wtfh7t nces.,7
:f�TTENTION!4S*;CXLL;ED1'TO! THE',FOL
LOWING:`,.
may a de�pro' y-line.,'.' nsed*tSide'§�r.-�Contracto , r,must ;be,,e'
NOI�E..No�,��17-Thew 6wners.,of tihe,-propell�*y% -bbtairi: &..permit^.to -cons ruct ;sewer - In 'I' pert' A -lice mplojed, �to;!consfrdct
.."Ide,sewer.'In!,si�eet�:area.�, Db not cover, any. port ion�. o f*1sewerl:be fore It has be�n,';nspecte&�,j
VOTD'No: 2' ' All: -work performed: In city right-of-way 'requlres,a.� nvasiofi�:of. Right* -of -Way Permlt,lobtii�able, from the, City,�Englneer! a. office�
-14'0T 'IN6�'i—'6bt�tn-fu'll',I*n'formati'*on'*.r,�gai-di�g!O;dln�nce,'Ii-.16.0301 and,j R egula . tioris �- P"it.
governlng��slde':sewers-,when, you, get
must':have.,at, -least 30,' es�cov���gel,,�Lt���ro�erty,'��line�'4&nd:'121�incheg,,;fniidi��,13r6�ertyZiin�:;,�iinir�ill�kikri�d'� of j2,%.,, VM.Ibends; An,,,irad
NOTE,,,No� ;4'—`TopAof.,'s1`a6ae, er I -
�'sharper,�tha�f% ..will. be* perni1ttid'.
V
NQTE' No' 5�Trenci�es.,in�sire6t;,'mu*sf:be- water s4ttled� aztd'.,surtf&c' t 'streeC restored,'� tc:.oil gin ij I c'ondi'�lo.�:�,i6,6'�trapt6ri.-sh�ll:,�eI 'fsli�ur.-.due�to improper
work -which, rnay,dev6lop within one�jyear�, of.�completibn�_'
ap�is:-prbvidedi,forAn. the..permlt; or,to�d(5,any-,A!brk-orL�the'�m
..NOTE&,No., �6--ItAsj�unlawful, to-,alt�r�.br,,%db, any, ot�cr� work :th aJn,, sew r,or� its,av`�drierfances;;except to,jin-
-ser�ti�e:plpel into the� wye
'J6...% ............. "Dait -J
B ..... "By ...............
. . ........ .......... .... .. .........
E .. .... .. ....... .... ..
�PPROV D'�* Mat;��
... .................. .. . .............. .....................................................................
S V 77:.
..... .. ...... ........ * ...................................................................................................................................................... .................. ........... ............ .
Al.
......... ............... .... ............... ......... ......... ......... ................................. ........ ................ .................. I ............. ....... ...... ........ .........
�!B P. e, t:i! pies/ PR10R.:To,,R6 ue 7
st0Forjn'specd
Be�igned, Perfqin�iink, 10
q,
77
. .. ... ... ................ ...... ri-ify-,thiit,,the,�,"sid6�sew� constructed.under this, p rmi
Be
7 ..........
�,O
nerlof:. ontrac� ng.Tirm;�Perfor g.iConstruction),
Tj�
ing, ordina ices �of'the -City of,�Edihoiidi3�.:
was'Inst d-A abcor aiq�e`
-6.. .19
hi
Ditb �_t S:... ....................
7 f
-7
:01� for*'.-, ater.,Ej GIL, V616�h'66::
''.Check BEfQRE! you. W oth
4
f C
_-A
APPUCATION
The --x of --'-----~ for
��S2&{�I�3I�{)
SIDE SEWER P0RN�� '-------- ------ '---------
3 0 910
PUBLIC VURKS DEPARTMENT
, ICKLIST 79'
-LDING PERT-1IT REVIE1 tol r,-O) -n
(date)
BUI 5 T K' Er.20 D I @-i Zu kid-reAss :*0
0
Street Right -of -Way Existing
REQD
Z
Access Easements Existing
QD
::MH
p4
Utility Easement Existing
REQD
W
Lot Per SubdivisionS-3 1-1 -7 Plat
Assessor
Site Plan Checked for Accuracy_ 1017.91)1-7-1
Underground Wiring Reqd. *X,
Check Accuracy of Legal Description-
Z
Review by
Date
Existing Water Main Size
Water Main Required
Service Line Required '61V
Hydrant Size Existing
P4
Hydrant Reqd Per Fire Code Y-a-::�,
Size (40
Detector Check 14eter Reqd. /Q 0
Cross Connection Inspection "0
Fire Department Comwnts
Water �16ter Charge Reqd. 0,40
Review by. A�fIJZZ44--
Date
Septic Tank Design Approved Date
Septic Tank Permit Reqd._
Permit No.
Sanitary Sewer Availability L- Proj.
Drawing No. i
File No.
Side Sewer Availability—T-C-2
Sanitary S T:F r Connection Fee Reqd.
:ii:
Review by C-:�Wttl &
Date- IOZ3 1 /-7-7
Open Ditch Existing___&,F
Reqd.
Culvert Reqd. f
144,5Z
Size
P4
Catch Basin Reqd. &14
Indicate an Site Plan
0
Shoulder drainage maintain collection on
swal e open runoff ,�7
T-tmhole reqd.
Indicate an Site Plan
Soil Conditions and Ground Water Field Checked
Review by
Date Z",- gz-zz�
�j
I
Revised: lvlO-1977
%
BUILDMIG DEPARTMENT- ApplicantFill
I -s. PHIll
ZONE NUMBER
PERMIT APPLICATION Inside Heavy Lines
JOB
'ADDRESS nd
NAME (OR NAM OF BUSINESS)
LEGAL LOT
SUBDIVISION NO.
m
W
RESS
WYES NO
jt-REA
z
:9
2 /L/,4L�)/5 6./
STREET R/W
0
/4�
EXISTING STREET R/W 6C*-7 F-r. DEFICIENCY THIS PROPE . RTY
COMP. PLAN ST. R/W 50 FT. (0 FT.
CITY
I "
Ally
ELEPHONE NUMBER
A
I,_
NAME
-2
/ ,
REMARKS
W
u
W
t
ADDRESS
/J
'�
CHECKED BY
W
z
x
U
Z 0 6 Z - / Y?.l
13
M
CITY
TELEPHONE NUMBER
zzg-z8V1
STREET AND/OR UTILITY WORK
REQ*D. 9YES El NO
R/W PERMIT REQUIRED
4aYES El No.
z
III
NAIME
UNDERGROUND
x A
WIRING REQ'D. 45YES C3 NO
0
ADDRESS
TYPE CONNECTION 4RYE S
VERIFIED BY
I-
u
/,/ -Y-- f.5
SANITARY SEWER No
It
CITY
TELEPHONE NUMBER
SEPTIC SYSTEM El YES
PERMIT NUMBER
z
APPV'D BY CITY ENG.
ISNO
I
0
-
STATE LICE SE NUMBER
CITY LICENSE NUMBER
REMARKS
-w
on perty ,epw or Attac7hF C
Legal Descripti f P (Show B ur S
METER.151 E
3k
I
ING SUPPLY SIZE
I
y
W
W, MARKS
z
SIGN AREA
SNV. REVIEW
ADB NO.
it
U
ALLOWED PROPOSED
COMPLETE EXEMPT
I
REMARKS
W
J
VARIANCE OR CU
PLANNING REVIEW BY
DATE
YARDS
FRONT S I D E /R EA
LOT COVERAGE
.1
GAS
NEW RESIDENTIAL
FIRE ZONE
TYPE OF CONSTRUCTION
LANE
ADD NON-RESIDENT]IAAL SIGN
M DEMOLISH RETAINING
WALL
1COD
I
SPECIAL INSPECTOR' AREA
REQUIRED
OCCUPANCY
GROUP
-
OCCUPANT
ALTER EXCAVATE FENCE
F-1 OR FILL
1:1 1— X—F"r)
YES 0
0 N I
I
LOAD
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
0 REPAIR PRE -MOVE swim
INSP. POOL
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
NUMBER OF STORIES
NUMBER OF
REMARKS
DWELLING
UNITS
z
W
NATURE OF WORK TO BE DONE
121 7)
L
W
PLAN CHECK
NO.
VALUATION
FEE
z
0-
z
PROPOSED USE
PLOT PLAN (INDICATE BUILDING SETIACKS.
ABUTTING STREETS)
BUILDING
L
0
W
J
W
>
PLUMBING
HEAT ec GAS LINE
0
FENCE
SIGN
RETAINING WALL
0
SWIMMING PO�L