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20128 81 ST AVE W
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NOTICE:
-M-y----o-fa-cc� 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 �Edmonds 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
tKe -map(s), including, but not limited to,
th , e 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 City of Edmonds nor its
emp-l-o-yee-s o-r offi-ce.rs -shalfl be I.Ja-b-l-e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
CITY OF EDMONDS - SIDE -SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT ��-
Call 775-2525 for side sewer inspections REFORE covering any Portion of the construction.N
Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.1
ADDRESS LOCATION OF CONSTRUCTION ......... 20!Za --- - ----
PROPERTY LEGAL DESCRIPTION ........................ Lot-.0 S-14-77 ............... . ..................................................
. ......... ..... �: ..................... � ..................................................................................................................
.................................................. . ...................... . ......................................................................................... ................................... ..................................................
............. 7 -------------------------------------------------- OWNER AND/OR BUILDER ....... GRMGER
CONTRACTOR'S NAME & ADDRESS ...... ------- -------- * - - -------------------------------------------------------
. ... ........... . .... - - -- ------- ------ - -- ... ...... .. ....
F�Bl,,slon Is granted ........... . . ....................... for repair and/ or connec tion 0 f a side Sewer to .. the .- city ..............................
S.6,= In accordance with City of Edmonds ordinances. sanitary sewer
A*�,CENTION 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—All work Performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office.
NOTE No. 3--Obtain full information regarding Ordinance 11.16.1030 and Regulations governing side sewers when you get permit.
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 originaJ condition. Contractors shall be responsible for failure due to improper
work which may develop within one year Of 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 pipe into the wye.
DISAPPROVED E] Date ... . ...... ----------- By ................ Date ..............
---- BY --------_----- Date .............. . ................... 'By ................
APPROVED Date ... . ..... --ob, _07/0*j B
y. ... . ..... . .. . .. . .......................................................................................
Remarks: ....... . ...... . .......................... . .. . ....................................
..................................................................... . ............ ........................................................................... . ....... . ......................... ........................ .................... .........
ROTH Perinit Copi ST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
- - - --- -------- i___
.. ... .. .. ... ..... ... . .... .
ract I
�6";'r'_.i�conl I ng P - erf . rr . Ming .. Con . str - u . ctio - n herebi certify that the, side sewer installation Constructed under this permit
Enstalled in accordance w1ith �Tgv ,�jr
governing ordinances of the City of Edmonds.
Dated this ....... 167 .......... day of --- --------------
e ...........................................
V V Check BEFORE you dig for: Water Gas E], Telephone 0, Power[], S' er
1 12 [], Other E] V V
.4
4
The City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT
EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION El REPAIRS F� LID NO . .................. ASMT. NO - --------------- _
OWNER .. ----------------------------------------------- CONTRACTOR __LY - _V�, . .......................... PERMIT NO. - 74 ------
JOB ADDRESS A ol.2�3 ---- ------ .............................. LEGAL DESCRIPTION: LOT NO. _C_
----------------------------- BLOCK NO - -------------------------------
Li
.................................................................................................. ----------------------- -------------------- ..................
NAME OF ADDITION ? ................................................... RECEIVED
.........................
MA
.,Y to 1077
f
ptiblir wor4s De'Lot.
Approved:
DATE............................................ By ............................................................
11/75
The' City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT EASEMENT NO . ..................... ......................
NEW CONSTRUCTION 0 REPAIRS E] LID NO. - ............... . ASMT. NO . ..................
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OWNER................................................... ---------------- ------------------ CONTRACTOR .......... ................................................................. PERMIT NO.
------ LEGAL DESCRIPTION: LOT NO - ----- .....
JOB ADDRESS ... ........... 2 -------------------- .............. - -------- --- BLOCK NO - --------- .....................
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Approved:
DATE..... ...... . .. . .....
............. A i k
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Laft� I-D I(:--) L) 2.0
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Street ldplit-of-lt.lay Existing —Unj)
Access Fasoinents Fxistinp,2,
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Ut.ilit\r Easenimit ixistinfl, -/]'\MD
IN LOr fp
Lot Assessor I %m
Site Plan (liccl-od for Accu'racy
UndergroLmd Pend.
chek-'�� ofLoqai CX
PCV.:1 Cli by
1'..ill-cr "ain ro�juirod
Hydrattt Si---c j'xistin- A-.j p A�).r,—
SYL 1p
:-L: 11
Hydrant I'cquired per Fire. Cocj(7, Size
f., 11
III Dc-tector (',-(,ck �'Ctcr Rcquircd
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Lr,^6,; )ntie ibnfho�;C'
Fire
I Rovi c"... 1;,., -1,,-
41 /10
0
SC,')tic Tanll- ',Lsifm. Approved T):Itc-,,
Sc,,-.tic Tan: Permit Penuired "orni t '10.
CY
S a I I i ta ry 40,)
File
Side %-.-er Availabilit.-
Sevier (70"Illoctioll Fee Penuired
Lj t��
nat
Review 11)), 0-
llitdh Yxistjnf�
Renuire(l.
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Culvert Pe(inired Y,� t
Catc]" plcquircd Indi- cate m cite Plan
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In 5L(" V,- r
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NrOiolc requircd— bidicato OTI Site "IM.-
Soil co..,.diticlls F, Ground Water FiCIC! (,7jxcf,C(!
Rovi m I - hv. Tbto
Ald
RUILDING DEPARTMENT
I
Applicant Fill
USE PERMIT
ZONE NUMBER
PERMIT APPLICATION
nside Heavy Lines
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ADDRESS
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)OF BUSINESS)
INAMPR NAN��
VARIANCE OR COND. USE NO. ADB
NO.
HEIGHT
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AILI ADDRESS
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PROPOSED YARDS
COVERAGE
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CITff ELEPHONE NUMBER
oSIGN
FRONT SIDE REAR
ILOT
AREA
ALLOWED PROPOSED
ENVIF ENTAL REVIEW
0 COMPLETE 1:1 EXEMPT
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NAME
REMARKS
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ADDRESS
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PLANNING DEPT. APPROVAL DATE
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CITY
IONE NUMBER
LEGAL LOT
0 YES C:1 NO
L AREA
_�SUBDIVISION NO.
NAME
STREET R/W
EXISTING STREET R/W 6,(::) FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W GO FT. FT.
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ADDRESS
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CITY
TELEPHONE NUMBER
REMARKS
Driveway slope not to exceed
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those indicated on Stnncin Drnw- #1L
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STATE LICENSE NUMBER CITY LICENSE NUMBER
6
p !_qnj f Prop
Legal Descri ti o erty (Show Below or Attach Four Copies)
45A/4"
CHECKE
STREET AND/OR UTILITY WORK R/W PERMIT REQUIRED
REQ'D. aY E S ONO 11YES 0 NO
UNDERGROUND
WIRING REQ*D.
MYES NO
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TYPE CONNECTION
4k, YES
VERIF(D BY
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SANITARY SEWER N 0
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SEPTIC SYSTEM
APPVD BY CITY ENG. YES
1�t N 0
ERMIT
NUMBER
0
REMARKS
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METER SIZE
SERVICE SIZE
CHECKEDBY
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ICLEARANCE
W
GAS
NEW RESIDENTIAL LINE
ADD NON-RESIDENTIA SIGN
DEMOLISH RETAINING
WALL
ALTER EXCAVATE FENCE
OR FILL
(— - —"I
REPAIR PRE -MOVE swim
INSP. POOL
REMARKS
FIRE ZONE
TYPE OF CONSTRUCTION CODE
SPECIAL INSPECTOR rREA
REQUIRED
ED YES NO
OCCUPANCY
GROUP
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OCCUPANT
LOAD
PLAN CHECKED BY THIS SITE I; I 6-CATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
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NUMBER OF STORIES
NUM 8 ER 0
DWELLING
UNITS
REMARKS
NATURE OF WORK TO BE DONE
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PROKOSED U s1r,
PLAN CHECK
NO.
VALUATION
FEE
OT 0- LANINDICATE BUILDING SETBACKS,
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(A
ABUTTING STREETS)
BUILDING
PLUMBING
W
HEAT & GAS LINE
0
FENCE
SIGN
11RETAINING
WALL