20513 78TH PL W.PDFlill 11111111
6768
20513 78TH PL W
NOTICE:
No warranty of accuracy.
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 for ' th on these
map(s). Any person or entity-reque sting a
copy should conduct an independent
inquiry regarding the information shown on
the -map(s), including, but not limited to,
the 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-loyees or officers ,-)hall be lia-b-le for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
CITY OF EDMONDS
Coil PROspect 6-1107 when work
CIVIC CENTER — WATER -SEWER DEPARTMENT is ready for Inspection. (No inspec-
SIDESEWER PERMIT tions Saturday. Sunday or holidays.) N2 1957
ADDRESS..................................... ... . ...
OWNER ........... M& ... Robexts .......................................... CONTRACTOR ------- M-CW-.-1.D.r . . ..................................................
Perndssion is granted ....... 4pril 7
................................ 19..!�Z, 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.
NOTE No. 2—Obtaln 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.
E 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. 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 all-
purtenances except to Insert the pipe Into the wye.
The City of Edmonds
15 -D _U D 0 �D
APPLICATION
for EWN PLART
E SEWER PERMIT ASEMENT No—/ ..............................
376 rIEET FW, ... 3;;V-5-6e7
NEW UCTION 0 REPAIRS F1
QOWNER ......... J1. ... .... ..........................
.—/%g _7 P,# - -- - -
ADDRESS ..... =�-S ........................... ........ /-Vov ......
Pi
0
CONTRACTOR Z�'04& ... ------------------ * ........... PERMIT No. �11
------------ * ..... ..
LEGAL DESCRIPTION: LOT No . ........ A;;;� ..............
............ ........... BLOCK No . ................................ ...........
'0
NAME OF ADDITION leew-eo . .... pg� .....
----------------
__j
"I
DATEdp�� By ................. ..........
AUG-2--2-1995
PERMIT OtR
'CITY
c
(01
. ........... .
TIF
RECAft
AUG 2 2 1995 -
PERINITCOUIVVO-
^
US E
Z PERMIT
ZONE
PERMIT APPLICATION
.CONSTRUCTION
OW NERNANIE NAME OF BUJINESS
JOB SUITE:APT
ADDRESS
LEGAL DESCRIPTION 1-HFCKI SUBDIVISION NO LID NO
W M—A LING ADDRESS
EXISTING —. REQUIRED DEDICATION -it Req'd 0
Use
NAME
§iPpyitailk Required cc
METER SIZE
ADDRESS
REMARKS
lslz6- L
Z
[,:AM"
0 efi
ENGINEERING MEMO DATED REVIEWED BY
Zip
CITY TELEPHONE NUMBER
.2
sm
FIRE MEMO DATED REVIEWED BY
STATE LICENSE NUMBER Exi�inATION DATE
Legal Description of Property - include all easements
ALLOWED PROPOSED COMPLETE EX�Mpl
SHORELINE a
EXP
VARIANCE OR CU PLANNING REVIEW By DATE
0
-----7HEIG
SETBACKS — FEET HT LOT COVERAGE
w� Properly
Account
REMARKS
Parcel No.
El
NEW RESIDENTIAL PLUMBING
F
Liaj ADDITION COMMERCIAL MECHANICAL
APT. BLDG. SIGN
REMODEL
GRADING FENCE
OR
REPAIR
DDEMOLISH WOODSTOVE SWIMPOOL
11 INSERT El HOT TUB/SPA
SPECIAL INSPECTOR AREA OCCUPANT
REQUIRED LOAD
I
GARAGE RETAINING VVALL/
RENEWAL
13 YES
REMARKS
CARPORT ROCKERY
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
cr
W NUMBER NUMBER OF
wj
ICRITICAL
0 OF DWELLING AREAS
aft STORIES UNITS NUMBER
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
FINAL INSPECTION REQUIRED
VALUATION FEE
PLAN CHECK FEE
BUILDING
Z
HEAT SOURCE:_
%
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curts, sidewalks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE ID
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work 13 Started Within 180 Days
STORM DRAINAGE FEE
-Applicant, on behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE
successors in interest, agrees to indemnify. defend and hold
harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
modify, waive or reduce any requirement of any city ordinance
nor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
provision."
NZIF213111=
I hereby acknowledge that I have read this application; that the
ATTENTION APPLICATION APPROVAL
information given Is correct; and that I am the owner, or the duly
authorized agent of the owner. I agree to comply with city and
THIS PERMIT This application is not a permit until
state laws regulating con§truction; and in doing the work authoriz-
AUTHORIZES signed by the Building Official or his/her
i, ed thereby, no person will be employed in violation of the Labor
Code of the State of Washington relating to Workmen's Compensa-
ONLY THE
WORK NOTED Deputy: and fees are paid, and receipt is
I and RCW 18.27.
INSPECTION acknowledged in space provided.
-tion.insurance
SiGNAT RE (OWNER OR AGENT) DATE SIGNED
OEPARTME,4T
CITY OF .75
ATTENTI-6-N'
t/?ASEDV DATE
CALL FOR i, A
INSPECTION I.
IT IS UNLAWFUL TO USE OR OCCUPY' A BUILDING OR STRUCTURE
HAS BEEWMADE AND APPROVAL OR
771-0229 ORIGINAL — File YELLOW — Inspector H
U TIL A FINAL INSPECTION
A - CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
s7,3TFQ 1. L
, PINK — 0,wner GOLD — Assessor