20410 MAPLEWOOD DR.PDFIIIIIIIIIIIIII
14241
20410 MAPLEWOOD DR
CITY of EDMONDS --- PUBLIC WORKS DEPARTMENT
Routing of Building Permit Applications
Proposed Property Address of Application: 20410 Maplewood Drive t;-
DEPARTMENT
COMMENTS
DATE
t
W A T E R
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S T R E E T
S E W.E R
N 0 T E S
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BUILDING
DEPARTMENT COMMENTS
'tit.
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'BUIC61ING DEPARTMENT APPIleant FIU
Inside 10avy Unes
PERMIT. APPLICATION
USE PERMIT
ZONE NUMBER
YOH 0
ADDRESS
PERMISSIBLE % VUAL
LOT COVERAGE COVEIAGE
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AbIE (OR NA910 OF BU-8314108111)
-MAILIN(VADDRESS
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PERMISSIBLE HEIGHT PROPOSED HEIGHT
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CITY
,--- -A 4 4",�
—
TELEPHONE NUMBER
ACTUAL LOT AREA
REQUIRED YARDS PROPOSED YARDS
FRONT SIDE REAR FRONT SIDE REAR
NAMI-1,
ADDRESS
LEGAL LOT VARIANCE OR CONDITIONAL USE
YES NO PERMIT NUMBER
PLANNING DEPT. . APPROVAL DATE:
CITY
TELEPHONE NUMBER
STREET R�W
EXISTING STREET R/W ............ FT. DEFICIENCY THIS PROPERTY
COM`P. PLAN ST. R/W ....... ....
04
z
8
NA10 E
REMARKS
ADDRESS
CHECKED BY
TELEPHONE NUMBER
-7 74 qFr-::�,W
METER SIZE
SERVICE SIZE
CLEARANCE
CHECKED BY
STATE LICENSE NUMBER
3 --o/- 7
CITY LICENSE NUMBER
REMARKS
z
12
Legal Description of Property (Show Below or Attach Four Copies)
TYPE CONNECTION
VERIFIED BY
PERC. TEST
PERMIT NUMBER
REMARKS
FIRE ZONE
TYPE OF CONSTRUCTION
STREET IMPROVED
0 YES NO
SPECIAL INSPECTOR REQUIRED
E] YES NO
OCCUPANCY GROUP
RESIDENTIAL GAS
FINEW LINE
NON-RESIDENTIAL SIGN
ADD, RETAINING*
DEMOLISH D WALL
ALTER EXCAVATE FENCE
OR FILL .......... .......... Ft.)
REPAIR' PRE -MOVE swim
INSP. POOL
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. , L&AL SALES TAX
SHOULD BE CODED 31.04.
REMARKS
NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
-9-A—TO—RE OF WORK TO BE DONE
�T
Plan Ch"'k No .....................
Valuation
Fee
MEN
No.
—Recelpt
BUILDING
PLUMBING
PROPOUED Uaz
PLOT PLAN (Indicate Building setbacks, abutting streets)
RECEIVED t
N
JUN 1 9 1974
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION -
PRE -MOVE INSPECTION
V.Vf1AvArTArJ nP vmv.
The City of Edmonds
APPLICATION
for
SEDE SEWER PERAHT
NEW CONSTRUCTION [3 REPAIRS 1:1
EASEMENT No . ..........................................
OWNER oP.a..�!..A ... & ............ T-x ............................ CONTRACTOR ...... 2 ...................... PERMIT No.....
..... ..............
LEGAL DESCRIPTION: LOT No . ........ --------------------------------- BI.4C)CK No . ..............................
ADDRESS ... . . .....
.....................................
NAME OF' ADDITION ..0 ....... ........ �A .. ... . ..... ..... ..
01
,4A —, , L1 -7-0 1,
105
Approved:
DATE./ ...... By
.. .... .... .........
MY
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�..'v 4 z li�
1 7 A AU
. ... .... .. . ...
L
CITY OF EDMONDS
Call PRospect 6-1107 when work
CIVIC CENTER — WATER -SEWER DEPARTMENT Is ready for Inspection. (No Inspec-
tions Saturday, Sunday or holidays.) N? 3471
SIDE SEWER PERMIT
ADDRESS ----------------------- * ....... _19410 ... Kap-lew-w-d --- Arive ...... --------------------------- --------------------------------------------------------------------- ........
0 ER ... Donald Jensen
WN - ------------------------------------------------------------------------------------------- CONTRACTOR ...... �yp!��qod_._Sewer ....................................
Permission is granted $!ppj.emb.er ... 2.3 ........ for -------_-------------- days to REPAIR or CONNECT a side sewer
with City Sewers In accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. 1—The owners of the property may obtaln 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—Obtain full information regarding Ordinance 11.16-030 and Regulations governing side sewers when you get permit.
NOTE No. 3—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. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to Improper work which may develop within one year of completion.
NOTE No. S—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 appur-
tenances except to Insert the pipe into the wye.