20126 81ST AVE W.PDF111111111111
7381
20126 81 ST AVE W
APPLICATION
The,,'City of Edmon --* I sop for EASEMENT NO - --------------------------------------------
tTREUVIU: SIDE SEWER PERMIT
NEW CONSTRUCTION E REPAIRS F-1 LID NO. - ......... ------ - ASMT. NO - -------------------
OV/NF UD e--
JLX---------------------------------------------------------------------- ------------------------- CONTRACTOR ------------------------------------------------------------------------------------ PERMIT NO. V"
------------------
JOB ADDRESS T EGAL DESCRIPTION: LOT NO - -------- ------
------------------------------ - ------------------------ BLOCK NO - ------------------------------------
- -5H�
NAME OF ADDITION ....... , - % `4 -7-7
.... .. ............ ............................................... ------------------------------------
r7 N-t--
APPUCATION
71�e'City of Mmonds for EASEMENT NO. -.— -------------- ------------------------
SIDE SEWER PEWff
NEW CONSTRUCTION E] REPAIRS 0 LID NO - ------------------ - ASMT. NO - ----------- ------
CONTRACTOR
-- --- ------ ------------------- - ------- PERMIT NOS ---
OWNER -------- ------ --------------------- j ....................
JOB ADDRESS ------------------------- LEGAL DESCRIPTION: LOT NO. '9 ------------------------------ BLOCK NO - ------------------------------------
---- ------------- --------
---------------------------- --------------------------------------------------- -------------------
NAME OF ADDITION ....... ------ ------------------------
I xt
Approved:
--------------------- 1— ---------
RECEIVED
mAy 1 o 1977
Public Works DePL
DATE-------------------------------------------- BY ---------------------------------------------- ---- i . UVE
NOTICE:
----------N-o---w-a-r-r-a-n-t-y--o--f-a--c-c-u- -r-a-cy,
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of �Edrn.onds does not warrant the
accuracy of anything set forth on these
map(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information sho.wn on
-map(s), including, but not limited to,
th . e lociation 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
ernp'foyee-s o-r offi-cerS Shall be Hab-l-e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).,
S - SIDE SEWER PERMIT
CITY OF EDMOND
WATER -SEWER DEPARTMENT
PERMIT
Call 715-2525 for side sewer inspections BEFORE covering any portion of the construction
(Inspection will be provided within 24 hours after requst. No sat., Sun., or h . oliday inspections
..............
ADDRESS LOCATION OF CONSTRUCTION ......... Z!Dj:Z6 .... n-ALRt
LotB.. s-14-7- ... 7 -------------------------------------------------------------------------------------------------------------------
PROPERTY LEGAL DESCRIPTION ---------------------------------------------------------------- .......................................
...................... . ........ I .................. . ..... .... . .......... . ............................................................................ I ............. ................................................
OWNER ANDIOR BUILDER --- ---------------------------- - -------------------------------
..................
--------- ... ... .. . ... .........
CONTRACTOWS NA31E & ADDRESS ..... sewer to th e c ity sanitary sewer
- ------------ 19.77, for repair and/or connection of a side
Tnission is granted ---------- B47 ... M
-.,,i,Wn in accordance with City of Edmonds ordinances.
oyed to construct
A_F,NTION IS CALLED To THE FOLLOWING: contractor must be empi
rty may obtain a permit to construct sewer inside property itnei-- A licensed Side sewer,
NOTE No. 1—The owners of the prope portion of sewer before it has been inspected.
side sewer in street area. Do not cover any Rjght_of_Way permit obtainable from the City Engineer's office..
NOTE No, 2—All work performed in city right-of-way requires an Invasion of
NOTE No. 3—obtaln.full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. of 2%. No bends in grade
NOTE No. 4—ToP 3f side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade allure due to improper
a
sharper than % will be permitted- and surface of street restored to original condition. Contractors shall be responsible for f
NOTE No. �,-Trenches in street must be water settled 0
work which may develop within one year f completion.
NOTE No. 6--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 appurtenances except to in
sert the pipelinto the wye.
.... Date --------------- - ------------------- - By ----------------
DISAPPROVED
APPROVED
Remarks
...... �, By ----- ....... -;,000L ............
........... Da . ...... ........
Date--- - ---- ------- ------------ ')a
.aff%Date ... . ... V
41 ............... BY . ....
......... oe .... . ....................................... ...................
.... ...........................
-------- ---------------------- I ..... *-"-"- 4
........................ .............. . ......................................................................... ::�� . etion
Signed By Owner of Firm Performing Construction PRIOR To Reques . t For Inspe
BOTM Permit Copies MUST Be
.... 6.0 .............. .... hereby certify that the side sewer installation constructed under this per . mit
0 g s rur on)
c in.-
n
. .... i'ffl of the City of Edn�onds.
i6;�er o co ! rm. &r -r,;
tailed in accordance with all governing ordinances
%N --nis
Dated this ----- ---- - ---- kf-k�
..... ........... day of 4
4 4 Check BEFORE you dig for: Water 0, pm 0, Telephone [3, Power 0, Sewer 09 other C] -4 -J
MEI'10 TO: , Harry Whitcutt
Buildinq Official
FROM:
SUBJECT:
L-0 T LOT C " L-yr f)
S OTREET. FILE
DATE:—M/--.-.irn P20 212,19
Richard H. Allen
Assistant City Engineer INC7
!�;- 14---71
After review of the subject building permit application, we.have the following
c om.9i e n t s :
L
ILAW-P.241ff Mi TAA
� A "41
Ew"NWEV-41
�4ftr
I .111w a a 6W.W
& 3046"1
Mum,=! lu
WON Mwi 40,11 ELS17 9 k"N"'Effiff"'AL 611 MIN, I w a UNINIMIS
w a V
L I -
IL
0
4
MEIXIO TO: . Harry !,!hitcutt
Building Official
FROM: Richard H. Allen
. Assistant City Engineer
SUBJECT:- Q--QF12-GA2-nJ2B1?0)S
LOT S 'LOT C' Lor D
0
DATE: 1"-.Sf n ism 2Z, 19,11
!�;- 14---71
After review of the subject building permi,t application, we have the followi . ng
c omm e n t s :
tin, ar-- �-�noeia
�401411T,rLj&" "IL
.M.JLt
- ME
r
F *
oil
't 4�
07 . L9 W 1 11 ML I
0.004 -RILm- -1 A
MOM
[,,,Nava
IMMAIAN41615- mn SWIM
J
. LL K-1
MW
PUBLIC WOUS D!TT. 0970, LTST
BUILDING PITNIT PEArIP.1
7
Street Right -of -Way 1.7xisting
N
Access Easements Fxistinf,,16R) zmt)
PEOD
istin",
Utility Easement Ea
Assessor llm)
Lot Per Subdivisime 14-- -7 Plat
-ed for Accuracy
Site. Plan Mock
u)
i -,
Undcrgromd Wiring Rood.
RCvi Cl." b Date
,F
Existilizo fiatcy M111in Size— 0
1'1�atcr �!ain Requi rod
li"(1m,"t Size Existing 0
I lydrant JZcquired per FI(e. Code Size eo'
Detector (1cck- 111 ter Rcouired /j
;C
Fire Ileparti-aent (701n,71clits
W _61 ej J
SC'ptiC Tanl, Desip Approved Date
,Tn.i.t T.To.
Septic Tau: Permit Rcnluired
Sanitary labil.iVi
.,ov.,or Av,,i-.L Pro.j. L
Drawing NTo. File �!O.
Side 5oi,.,or Availabilit..,
j,
Smit'lly Sewer Connection Fee Pcouired
11 1 A L-1 /-) I -) /--)" — ..�
Review b_
upen nitcli Existing Require(l.
Culvcrt 11equired YIF r, 6a.,�me
0 / - " " C.,
Catch Basin Renuired Indicate on '�if.e Plan
I V.-r
16n' In 5LLCL1r-__ 7V—
lif
Opp
NmiholL ro(juircd— Indicate OTI Site PIM,
Soil Conditions F, Ground Water Field (Iocked
Review, hN,
` Ald
-7E
Street 11aving Required 14
Curb mid Gutter Rcouircd �j
S'idamll equired
CUT!) (lit for Driveway Required
Pi.olit-of-Ilav Construction Permit Rcmiireci��5
mpgc
Bond Required for Public Improvement.-,
Street Name Sign Requirecl.
Other Si,7,ing Pequired Xf-*Af ef
Pre PeiTait Site Inspection made on
BY: Sewer
Water
Street
Fnf�inccrins,__
Special Requirements listed in InelTio to Buildina JN-.pnrtmcnt
By L --Ratc,
All items, filled in on Building Pcmit Application
By- --Ritc
Drawings St,-uT,)cd md 'Notations 111adc
By AJ Dato
Approved by Public 1',lorhs Department