20429 81ST AVE W.PDF111111111111
7410
20429 81 ST AVE W
ADDRESS:2042-9 S1%t,2kq c, W
TAX ACCOUNT/PARCEL NUMBER:m(pAq=t(Q[)(-)
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: El Conditional Waiver E] Study Required Ej Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER): =QF)ZjS(MeZ.R)
PLANNING DATA CHECKLIST DA'
SCALED PLOT PLAN DA'
SEWER LID FEE $:
LID #: w
SHORT PLAT FILE: LOT: Un BLOCK:
SIDE SEWER AS BUILT DATED:- dut! �k JQ
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DS'rs\Foffns\Street File Checklist.doc
APPLICATION
for
,The City of Edmonds PLE SIODE SEWER PERMIT
NEW CONSTRUCTION E] REPAIRS F]
OWNER 44.1!vii� ........
ADDRESS....... V ...................................................
a
41
Q
EASEMENT No . ................................ .........
�o 7 2-
CONTRACTOR ............................. ...................... .............. ... PERMIT No.
LEGAL DESCRIPTION: LOT No . ........... 16 ............................ BLOCK No.
NAMEOF ADDITION .......... �0 ............................................................................
Approved: DytE
17/17' 01111
77-
DATE....... ...... By ....................................................................
NOTICE:
----,--------N--o---w-a-rr-a-n--t--y--of --- accu racy... _- --- ---------------- -
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of Ecim.onds does not warrant the
accuracy of anything set for.th on t hese
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 I 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
empl-o-yee-s o-r officers sh-a-111 be Hla-b-11-e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
CITY OF EDMONDS,
CIVIC CENTER — WATER -SEWER DEPARTMENT Can PRosPect 6-1107 when work
Is ready for Inspection. (No Inspec-
SIDESEWER PERMIT tions Saturday, Sunday or holidays.) N2 1804
ADDRESS ...... 20426 - 81st Avenue West I
. . ............................................................................. -------------------- * ---------------- * ------------- : ............ .................................. ...........
Wi3liam L. Mellon
OWNER ................. ...... ...................................... Bwner
... . ...................... CONTRACTOR ............... ..............................................................
Perinission is granted .... ... Marcb --- 17 ................. I jLg.§.7--, 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 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.
V�TE No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
E No. 3—ToP of side sew�r 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.
No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shalf be responsible for
failure due to improper work which may develop within one year of completion.
NOTE No. 5—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 ap-
purtenances except to Insert the pipe Into the wye.
L