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20204 84TH PL W
NOTICE:
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The information'shown on the attached
Map(s) was compiled for use by the City Of
Edmonds/ its Employees and Consultants.
Th.e City of �Edm.onds does not * wa rra nt t,
accuracy of anything set forth on these
Map(�_). Any person o'r entity -requesting a
copy should conduct an independent
orm'ation shown on
inquiry regard*ng the inf
_tf�e -map(s), Including, but not limited to,
th . e location of any sew-er stub shown. Such
-not exist and may
-sewer stubs may or may
or may not exist at the location shown.
Neither the city of Edmonds nor its
empl-o-yee-s o*r office-rs -sh-a-1-1 be 111a-b-'Fe for the
n on this map(s), nor for
information give -
any one representation provided based
upon said map(s).
Side Sewer Drawing
The City of Edmonds WkW EASEMENT NO. — --------------- I -------------- ............
CONSTRUCTION REPAIRS LID NO . ................... ASMT. NO - ------------------
OWNER ... �aEa--r .... H-ame-s- ------------------ .............................. CONTRACTOR --- a—XIA -------------- ----------------------------------------- PERMIT NO.
JOB ADDRESS .20-2-0-4 ....... S-4.774 --- P ------------------ LEGAL DESCRIPTION: LOT NO - ------ 2 -------------------------- BLOCK NO. 7 --------- EDMONM---_
..TREATMEN-E.PL-�N4
........................................................................... I ----------------------------------- ............. .. ............
84 T-H PL. W.
PWW-0001-11/75 (REV.11/78)
NAMF. OF ADniTToT%j
P-(-t ID.:F . ..... !Z- t --------------------
"M"
Approved:
DATEA' ABd--- By
440 wle.
71,,7eg;!5
'STREET FILE
WAY,
. T.OT67trNruvY
61
ZONE R 3
SETBACKS:
FRONT
SID!-.
I
REAR
HEIGHT
IN
STA!
41
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MAR 14 1984
CITY OF EDMONDS
[2/NEW STREET FILE ASSET . NO.
ADDITION ADDITION TO ASSET NO.
RETIREMENT
ASSET INFORMATION SHEET
DESCRIPTION
"77-,e,
SERIAL NO.
N
DEPT 0
"PURCHASE ORDER NO. -
PURCHASE ORDER DATE
. 0
COST
*PROJECTNUMBER
PROJECT COMPLETION DATE
COST �5�,
B.A.R.S. ACCOUNT NO. 41�--000 - 0 20' 6Z
ESTIMATED LIFE 4=a-�
INITIATED BY
DATE
APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE
DATE
VERIFIED BY
PROCESSED
BATCH NO.
typ)
INITIAL
DEPARTMENT FILE
CITY OF EDMONDS
0
j��_,PUBLIC WORKS DEPARTMENT FOR INSPECTION CALL Permit
7715HZPA,5 Ext. 40 Issue Date
SIDE SEWER PERMIT 71 -,??n?
PERMIT MUST BE'.'POSTED ON JOB SITE
1. Address of Construction
LU 2.
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U. 3
1B
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5.
6.
Property Legal Description (include all easements)
EDMONDS
Single Family Residence M'ulti-Family No. of Units
Commercial
Owner and/or Builder �&/ 7— z11AW cf,'5
Contractor & License No.
Invasion into City Right -of -Way No Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (A/4/2WA44/4) before
excavation). 1-800-424-5555
7. Cross other private property: Yes No>( Easement required -
f
attach legal description -and county easement number.
READ THE FOLLOWI.NG AND SIGN:
a. Property owners must obtain a permit to install side sewers on
their property. A licensed side sewer contractor must be employed to
construct side sewers in the public' right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year.
P. Commercial establishment requires a minimum of a six inch (6")
side sewer line.
d. Side sewers may not be installed closer than thirty inches (30")
to any structure. 0
e. Side sewer lines must be laid at a minimum grade, of 2% (1.15
and maximum grade of 100% (450). 0
f. No turn in side s8wer greater than 45 (1/8,bend) is 0 allowed
between cleanout. All 90 turns must be constructed of a 45 (1/8
bend) and wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 1001 along sewer line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
. k. Side sewer must be left uncovered until inspected and approved
by.the City.
.1. Inspection during normal working hours only. Two (2) working
days notice required.
DATE: -0 &-,&—
I certify that I have read
and shall comply with the above
PERMIT FEE: on DISAPPROVED BY:" Date:
0 y U,f-j k C P, a 4f;2 B Date:
CONNECTION FEEO '00
P4 APPROVED By Wt7 �_..,Date:
0
PERMIT MUST BE POSTED ON JOB SITE*
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STREET.— FILE
CITY OF E13MONDS
CWC CIN71A - 10MONDS. WASOUNGTON IBM
SINGLE FA14ILY IlULTIPLE COMMMIAL
ENGINEERING A PUBLIC WORKS
P R 0 J E C T
C H E C K
R E V I E W
PROJECT NME CONTACT NNIE'& TELEPHONE NUMBER
ADDRESS
v
IUTTIAI
ACCESS SLOPE AND VEHICLE ACCESS
DRAINAGE PLAA
STREET FILE
LEGAL DESCRIPTION VERIFICATION
NQUIT CLAIM/DEDICATIDNS
EASEMENT - PUBLIC/PRIVATE
CALCULATE SEWER CONNECTION IF NO LID I
STREET PAVING REQUIRED
W&�m Mma
mm�-- - -
"ll �woffl 55 P2 I
CURB ANO GUTTER REQUIRED
SIDEWALK REQUIRED
CURB CUT FOR DRIVEWAY.REQUIRED 2/44e=
0
RIGHT-OF-WAY CONSTRUCTION PERMIT REQUIRED
BOND REQUIRED FOR PUBLIC IMPROVEMENTS
STREET NAME SIGN REQUIRED
OTHER SIGNING REQUIRED
(ADDITIONAL COMMENTS ON BACK
[XISTINf- WATER MAIN SIZE 7" -
WATER MAIN REQUIRED
SERVICE LINE REQUIPED
HYDRANT SIZE EXISTING
HYDRAHT REJUIRED PER FIRE COOE SIZE
CROSS CONNECTION INSPECTION
WATER ?IFTER CHARGE REQUIRED
REVIEW BY
?-m
DATE (ADDITIONAL COIKHTS ON BACI
cc SAMMY SEWER DIUVIING NUMBER FILE UMBER
W SIDE SEWER AVAILABIL17Y SANITARY SEWER CONUECTION FEE REOUIRED
OPEN DITCH EXIST1114
>- — REQUIRED
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SETBACKS:
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H E I G H T
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MAR 14 jq84
F7—,. F_- T
USE PERMIT
CITY OF EDMONDS ZO I NE NUMBER
'ONSTRUCTION PERMIT APPLICATION oS
'fl,ME tOR NAME OF BUSINESS) ADDRESS
t
LLUAL DESCRIPTION CHt:(;K �DIVISIJNO
AILING ADDRESS ISO I
�tl Lof
C,1 /,
TELEPHONENUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING. 'Ira REQUIRED DEDICATION L4
ilk PROPOSED -
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0
)RIESS STREET USE PERMIT REQUIRED F1
SEE ENGINEERING MEMO DATE
TELEPHONE NUMBER SEE PIW D . EPT. REVIEW CHECK L
ST DATED 1(
ME
f
5"gme- 4S
_)RESS
TELEPHONE NUMBER
TIE UCENSE NUMBER CITY LICENSE NUMBER
jal Description of Property - include all easements
ow below or attach four copies)
� PWW�
NO.
METER SIZE 11 G SUPPLY SIZE IFIXTURE UNITS
REMARKS
SIGN AREA ENV. REVIEW ADS NO.
ALLOWED PROPOSED COMPLETE i EXEMPT I
I I I SHORELINF
FVARIANCE OR CLI PLANNING REVIEW BY DATE
YARDS LOT COVERAGE
FRONT SIDE
NEW
RESIDENTIAL
PLUMBING
ADD/ALTER
NON-RESIDENTIAL I
El MECHANICAL
J.AEPAIR EJ RETAINING WALL
SIGN
EXCAVATE
-DEMOLISH OR FILL
FENCE
I- x _FT)
CHEC
OF C7
PRE -MOVE INSPJ
COMPLIANCE, INSP.
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POOL
SPECIAL INSPECTOR
REQUIRED
AREA
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[1YES l:NO
3ER OF STORIES NUMBEROF
DWELLING
7UNITS
JRE OF WORK TO BE DONE (ATTACH PLOT PLAN)
WeS / deed e__
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
3 Permit covers work to be done on private property ONLY. GRADING/FILL
�ny construction on the public domain (curbs, sidewalks,
iveways, marquees, etc.) will require separate permission.
nit Application: 180 Days
ilt Limit: 1 Year - Provided Work is Started Within 180 Days
Applicant, on behalf of his or her spouse, heirs, assigns and
�,.essors in interest, agrees to indemnify, defend and hold
less the City of Edmonds, Washington, its officials,
-yees, and agents from any and all claims for damages of
ver nature. 2risinn dirfirtiv nr infflra�flu f—m th� im—
GROUP
VALUATION
HEIGHT
OCCUPANT
LOAD
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DATE:
14EMO TO: Building Division
Community Develo.pment.Department
FROM: Engineerinp Department
SUBJECT:
r14 7K
After review of the subject Building Permit application, we have
the following comments:
1. Connection to City water system required.
2. Connection to City sanitary sewer system required.
3. Right-of-way Permit required for any work on City Rroperty.
4.. Driveway slope not to exceed 14*,'..
5. Backwater valve required if downstairs plumbing is below
elevation of uDstream manhole.
6. Water and sewer lines to be separated by 10 foot minimum.
7. Builder/Ownerresponsible for containing all temporary run-
off and erosion on site and may not impactneighboring
properties in any way.
'SriL"grnzaa t u r e
N
STREET FILE OCT 21 1981
Mr. Of Public vvotiis
CITY OF EDMONDS
CIVIC CENTER - EDMONDS, WASHINGTON 98M (206) 775-2525
COMMUNITY DEVELOPMENT DEPARTMENT
October 19, 1981
Belt Homes
c/o Thomas Belt
9808 215th S.W.-
Edmonds, WA 98020
RE: CHANGE OF ADDRESS; PERMIT #810362
HARVE H. HARRISON
MAYOR
Due to an error in assighin addresses,.the address
9
for the above permit must.bi� chanAed. You were
assigned the address of 20204 84th Place which will
be changed to 20205 84th Place.
We will notify oth6r city de'p artments and it shall
be your responsibility to notify all other concerned
parties.
cn
cc:. Utility billing
Harold Reeves
Building Offi,cial
Id tu�9 -Wzoz
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PUBLIC WORKS DEPARTMENT
4-Single Family
STREET FILE BUILDING PERMIT REVIEW Multiple
Commer
BUILDING ADDRESS RE8�1�ED
0 C/� hl P
BLDG. ))EPT. SUSPENSE DATE
INITIAL DATEAU G 19 19 81
JTE: 0'*2FFICE ADMIN. PUBLIC W6RKS '/LOG IN Dir. Of Public Wurks
ITY ENGINEER (check)
0 Access Slope and Vehicle Access C:)r- a- Z4 - 81
Drainage Plan
0Street File
[]Legal Description
OQuit Claim
[JEasement
Sewer Connection
OCalculate'
[3//WATER/SEWER DIVISION
i
DeterminelMeter Size 2r..6,- P5, 6/?/
C ;
omplete Building Permit Review
STREET DIVISION
OComplete Building Permit Review
LOG OUT TO BLDG. DEPI
[]OFFICE ADMIN. L
BUILDING PERMIT APPLICATION (COMPLETE) SI// C�Ar�
131 COPIES OF SITE PLAN
13 2 COPIES OF FIRE PROTECTION PLAN
(PREVIOUSLY REVIEWED BY,FIRE DEPT.)
0 3 COPIES OF DRAINAGE PLAN WITH CALCULATIONS
REQUIRED BY SUBDIVISION 0
GREATER THAN 2,000 SO. FT.
IMPERMEABLE SURFACE [3
LESS THAN 2,000 SO. FT. [3
HECK ZONING.REQUIREMENTS (SETBACKS)
1 COPY OFENGINEERING CHECK LIST
OPY OF PUBLIC 14ORKS MEMO
MULTIPLE OR C011MERC IAL
YES (ATTACH COPY OF ADB APPROVAL INCL. ALL DRX-TINGS)
NO
SUBDIVISION YES NAME
DATED RECORDED 61
NUMBER
NO�o (ATTACH COPY OF
MUIREt=S)
CHECK SE14ER DRA14ING AND ATTACH COPY
IS DEDICATION REQUIRED — YES (OBTAIN nUIT CLARI)
I
CITY CODE
NO 0
jffDOES CITY HAVE EASE�ENT ON PROPERTY
YES (ATTACH'.COPIES OF DRAWINGS)
NO
HECK LEGAL ACCESS INGRESS,[j UTILITIESLJ
YE�43 YES El '
NO [3 NO -C]
;3/�AS SEWER ASSESSMENT'BEEN PAID
YES
L.I.D ' NO.
PLAT fqo� -79
SUBDIVISION:iNO,
E3
IF MULTIPLE: INCLUD E' NUMBER 0 F UNITS
IF COMME'RCIAL: INCLUDE NUMBER OF FIXTURE UNITS
I
9,
121 *1 0
,_2 o �4- 1,V 9
(address) (date)
Street Right -of -Way Exist 11 FEQI�-
Z
Access Easements Existing REQD
H
cd
Utility Easement Exist D
94
Lot Per Subdivision Plat Assessor p
Site Plan Checked for Accuracy 0/1,
Z
Underground Wiring Reqd.
Check Accuracy of Legal Description
Z
Review by_ Date
r4-
Existing Water Main Size- 9 " Dh n6i. I'M
Water Main Required
Service Line Required
Hydrant Size Existing, WA n4t-I'M
P4
Hydrant Reqd Per Fire Code 5AI Size
Detector Check Itter Reqd.
Cross Connection Inspection 6VA
E-
Fire Department ComTients
:3
Water Meter Charge Reqd 9 ZS, 4-'0
Review by Date
Septic Tank Design Approved A/9 Date
Septic Tank Permit Reqd. Permit No.
Sanitary Sewer Availability_ Proj
Drawing No. ei,,,Jj�t _ _ File No.
Side Sewer Availability to
Sanitary Sewer Cormection Fee Reqd.
:3:
Review by Date
14
Open Ditch Existing____AL.�,�/ Reqd.
Culvert Reqd. Size
94
Catch Basin Reqd. Indicate an Site Plan
0
Shoulder drainage maintain collection on swale open runoff
E-4
�tmhole reqd. Indicate on Site Plan
Soil Conditions and Ground Water Field Checked
Review by Date
Revised: lvl&�1977
2A 1� W
Page 2
Street,Paving Reqd. x -e s
Curb and Cutter Reqd. 7�e .'e 5
Sidewalk Reqd.
94 Curb Cut for Driveway Reqd.
rd Right -of -Way Construction Permit Reqd.
Bond Reqd. for Public Inprovements
Street Nane Sign Reqd.
Other Signing Reqd._
Pre Permit Site Inspection made an
0
1.4 BY:. MIER
WATER
P4 - I I
En
F4 Z ST=
44 ENGUU=G
'4 Special Requirements listed in mem to Commmity Developn-ent Department,
Building Division.
BY Date
o All items filled in an Building Permit Application
04 BY Date
r14 Drawings Starrped and Notations Made
PL4
BY Date
Approved by Public Works Department
CITY OF EDMONDS
BUILDING PERMIT APPLICATION
NAME (OR NAME OF BUSINESS)
4� 11 'Ir z
MAILI G DDRESS
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0 CITY TELEPHONE NUMBER
CA M 0 Al kVlqf 17'//, �_lvakq
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N AM
0 ADDRESS
U hI
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?6-47- T_ 63)OL7 I
Legal Description of Property (Show Below or Attach Four Copie
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LEGAL DESCRIPTION
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PUBLIC RIGHT OF WAY PtR OFFICiAOL STREET MAP
EXISTING 0
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DEFICIENCY OF RIGHT OF WAY/ W
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SEE ENGINEERING MEMO DATED Z
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EMARKS
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SIGN AREA ENV. REVIEW I A
ALLOWED I PROPOSED I COMPLETE1 EXEMPT
VARIANCE OR CU
YARDS
FRONT
REMARKS
NEW
RESIDENTIAL
El
PLUMBING
CHECKEDBV
TY
NON-RESIDENTIAL
MECHANICAL
ADD
DEMOLISH
SIGN
SPECIAL INSPECTOR
REQUIRED
ALTER
EXCAVATE
OR FILL
FENCE
0 YES N 0
REMARKS
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PRE-MOVECINSP./P.
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PLAN CHECK FEE
BUILDING
PLUMBING
PLANNING REVIEW BY
DATE
SIDE REAaF
LOT COVERAGE
F CONSTRUCTION
CODE
HEIGHT
AREA
OCCUPANCY
IGROUP
OCCUPANT
LOAD
VALUATION I FEE
MECHANICAL mm
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
FENCE
marquees, etc.) will require separate permission.
SIGN
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Within 120 Days
RETAINING WALL
Ul "Applicant, on behalf of his or her spouse, heirs, assigns and
U,
SWIMMING POOL
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successors in interest, agrees to indemnify, defend and hold harmless
.I
2 tile City of Edmonds, Washington, its officials, employees, and
it agents from any and all ckfims for damages of whatever nature,
<
I arising directly or indirectly from the issuance of this permit. Issu-
a ance of this permit shall not be deemed to modify, waive or reduce
TOTAL AMOUNT DUE
-1
0 all requirement of any city ordinance nor limit in any way the
I City I s ability to enforce any ordinance provision."
ATTENTION APPLICATION APPROVAL
I hereby acknowledge that I have read this application; that the in-
formation given is correct; and that I am the owner, or the duly author-
THIS PERMIT This application is not a permit
ized agent of the owner. I agree to comply with city and state laws regu-
AUTHORIZES until signed by the Building Official or
lating construction; and in doing the work authorized thereby, no person
ONLY THE his Deputy; and fees are paid, and
will be employed in violation of the Labor Code of the State of Washington
WORK NOTED receipt is acknowledged in space pro -
relating to Workmen's Compensation Insurance.
vided.
SIGNAI�U�REE JOWNER OR AGENT) DATE SIGN D
INSPECTION
DEPARTMENT DIRECTOR*S SIGNATURE
CITY OF
EDMONDS DATE
THIS SITE IS LOCATED IN THE CITY
775-2525
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
ATTENTION
ORIGINAL — File YELLOW — inspector
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
PINK — Owner GOLD — Assessor
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 304,306.
AUG 1 4 REOD
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DATE: 9--gl
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MEMO TO: Building Division
Corununity Development DepartmenL
FROM: Engineering Division
Public Works Department
SUBJECT: �29'
— '� 0,4- F-I F—le,
After review of the subject Building Permit application, we have
the following comments:
1.
Connection
to
City
water syst.em
required.
:2.
-Connection
to
City
sanitary_sewer
s tem required.
.3. Right-of-way Permit required
for
any work on City prop erty,
4, Driveway
5. Backwater
slope not to exceed
valve requ-ired if
147'..
downst..-airs
plumbing is below
el6vation
of uDstream
manliole.
6. Water and
sewer lines
to be
seT)arited_.by.. 1.0 foot minimum.
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