20615 81ST AVE W.PDF7422
20615 81 ST AVE W
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NOTICE:
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants,
The City of �Edm.qnds does not warrant the
on these
accuracy of anything set forth
rn a p Any person or entity'requesting a
copy should conduct an independent
inquiry regarding the information shown on
tf�e -m a p (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
ernpl-o-yee-s o-r office-rs shall be lia-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
Call PROSPect 6-1107 when work
CIVIC CENTER — WATER -SEWER DEPARTMENT Is ready for Inspection. (No Inspec-
SIDESEWER PERMIT tions Saturday, Sunday or holldays.) N2 2338
ADDRESS ............... 2.jQ.6.j_5_._-_8
.1,s_t..,A_ven.u_e --- Wes-t
OWNER ............. 111QMO�$ ------ .................................. CONTRACTOR --------- S rViCe
.-q ............................
Permission is granted ..... !�p ' e 9 ------------------- 19 ... §.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.
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.
3 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 appur-
tenances except to insert the pipe into the wye.
t , -% APPLICATION
9R FILE for NN PLANT
The City of Edmonds SIDE SEWER PERMIT LY EASEMENT No . ...... ........................ ..........
NEW CONSTRUCTION Ej REPAIRS F1 ( - �7
4 es
OWNER........... !� laP .................... ........ ... ..... ..
ADDRESS ...... ...... k Ak-'* ........ 4-4 .................. ... —
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CONTRACTOR ....... ...... ...... PERMIT No.
LEGAL DESCRIPTION: LOT No. .................................. BLOCK No . ................ ...................
VAMP nP AnT)TrPTnT%T .5 -7- Rdrel-16V M .2
Approved:
DATE ............. By -.�; . .......
.. .............. ...............
CITY OF E-." '. !"01ND3
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CITY OF EDMONDS
-CONSTRUCTION PERMIT APPLICATION
OWNER NANIE;NAME OF BUSINESS
I �(, -.- -�I) 0, e Y, f A " r1f4k ke
W MAILING ADDRESS
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CITY ZIP I tLtPHONE NUMBER
L 0 iis CjqtZ(j G11'2-&o52_
NAME
ADDRESS
CITY
TELEPHONE NUMBER
ubt PERMIT
ZONE NUMBER
JOB
ADDRESS 2, 06 45 /3-,r
FF—GALDESCRIPTION CHECKI SUBDIVISION NO. .11.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCP Approved
R ermit Required
EXISTING — REOU 1, ED DICATION.
St=t Use Permit Req'd
0
ll'i . /I
I
Inspection Required
PROPOSED
Sidewalk Required
0
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
I
1
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I
YES 0 NO 13
NAME
100-
ADDRESS
,� (oo Ail*
CIT —Zli P TELEPHONE NUMBER
91,go q
3-
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STATE LICENSE NUMBER E PIRATIO T
-To Ur R 01 1: 0 If 2- I< 49 71-7? 6d
Lecial Description of Property - include all ease - mbnts
II IN/ MEM ED REVIEWED BY
) DAT
4
SIGN AREA I COMPSEPA REVIEW . ADB NO.
ALLOWED I PROPOSED. LETE IEXEMPT I
cc
W
0
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III
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0
6
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2
EXP
VARIANCE OR CU
PLANNING REVIEW BY
DAT�7
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SETBACKS — FEET
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HEIGHT
LOT COVERAGE
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FRONT Sl DE REAR
REMARKS
4
Property
Tax A Count
ParcelcNo. 01i
NEW RESIDENTIAL PLUMBING/MECH
COMPLIANCE OR
CHANGE OF USE
ADDITION COMMERCIAL
F� APT. BLDG. SIGN
CHECKED 13Y
STRUCTION
7- r..r_
CODE
94V
OCCUPANT
REMODEL
GRADING FENCE
Ful 11 CYDS. x
_F1)
L6j REPAIR
SPECIAL I PECTOR AREA
—WRIED
OCCUPAtr�r
LOAD
SW M POOL
INSERT TUB/SPA
DEMOLISH F-1 WOODSTOVE F HOIT
ISCn.;GARAGE - �RETAINING-WALLI- - 14ENEWAL
L/N CARPORT ROCKERY
(TYPE OF U SINESS 05 ACTIVITY) EXPLAIN:
SE.AJ
YES
C13
REMARKS
PROGRESS INSPECTIONS PER UBC 108
U
0
W
0
to
NUMBER NUMBER OF CRITICAL W4 I'Vo
DWELLING AREAS
OF N R
STORIES UNITS UMBE
91 DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
FINAL INSPECTION REOUIRED
mfflpgmnm� VALUATION
PLAN CHECK FEE
BUILDING
HEAT SOURCE:
GLAZING
%
PLUMBING
Plan Check No.
MECHANICAL
GRADINGIFILL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewPiks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
ENG. INSPECTION FEE
'.'Aoplicant, on behalf of his or her spouse, heirs, assigns and
successors -in interest, agrees. to. indemnity, defend and hold
harmless the City of Edmonds Wasfilngton,�Itsofficials,-
employees, and agents from a,ny �nd all claims for damages
< whatever nature, arising directly or indirectly from the issuance
M of this permit. Issuance of this permit shall not be deemed.
0 any city ordinance
E modify, waive or reduce any requirement of
0 nor limit in any way the City's ability to enforce any ordinance
X
of
to
PLAN CHECK DEPOSIT
TOTAL AMOUNT DUE
provision."
A.k; 11—fl— that the
251
I hereby acknowledge that I have rea . FF v
information given is correct; and that I am the owner, or the duly
ATTENTION
APPLI(,AIIUN Ar-r-MUVML
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
This application is not a permit until
state laws regulating construction; and in doing the work authoriz-
AUTHORIZES
signed by the Building Official or his/her
ed thereby, no person will be employed in violation of the Labor
ONLY THE
WORK NOTED
Deputy; and fees are paid, and receipt is
Code of the State of Washington relating to Workmen's Compensa-
acknowledged in space provided.
tion ihsurance and ROW 18.27.
1 NSPECTION
1EPAAThANT
IGN,�TURE (OWNER OR: A DATE SIGNED
OFFICIA IGN77 DArT
CITY OF
It
EDMONDS
CALL FOR
ELQ%SED BY: EIAT , E, .
ATTENTION
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771-0220
- - ----
ORIGINAL — File YELOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
PINK — Owner GOLD — Assessor
SECTION 109