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20712 86TH PL W.PDF111111111111 8239 20712 86TH PL W APPLICATION rZ= for The City of Edmonds cll E SIDE SEWER PERMIT EASEMENT No . ......................... ................ NEW GON��TRUCTION REPAIRS E] ::Nlz OWNER. .......................... ..................... ................................... . ........................... CONTRACTOR ... ......... E Na PP�� R T-N.. 4 .......... ADDRESS LEGA-LD-ESCRIPTION:LC)TNo.*iAE6.0*-,V..'�!""-, N- ...... .. ..... ........................................ ...................... .................. ............ -BLOCK No . ...... .. .......... ............ .............. C=i NAME; OF ADDIT ............. Fk=X=P, Ll m—vrtl$�:Mh Approved DATE."-;.,".....C�)�� By ............ 0 ITY,; -SEWER' PERMUTT,' �C F�,-E D, MONO$ �1,,SIIDE 4!:7 �6 Wktk�§EWEW DEPART31i NT, a E AIT �'N-�'! 43 RM 7 yCall 71q-11K. for, :sId ewer inspection's BEFORE cov'ring� any. portion' 'of the --con�truc�!on.y S e hours, after 'request. NO "Saf., Sun., or."holida Inspectionsj y pction,.will.b . e ;pr ovj ded within.'24 AI)DRESS�-LOCAT)[ONDF �CONSTRUCTION:�..'­ ................. ..................... .................................... ...... ................. ................. ............... P..� ........................ < _-line �-!, � . I " . - , PROPERTYLEGAL DESCRIPTION ................... .................... ................. ................ ........................................... s ................................. ....................... . ........ ........... ............ ............................. ........................... ............................ ......... .................. .......... ............. .............. ............................. .......... I-.---,- ....................................................... �OWNER AND/OR. .............................................................. ....... *­ .......................... I ..................... ....... ictioa 44'04' 2�,?M I a'pe SK; Ao u i: t 1. n e o M L � ITRA-CTOR,S�NAME,& A_-DDRES&.!-, .................... ......... �..: ................................................................................................................................... )Ila-S " Vi ri C. ton Permission,'Is -gran . .............................................. ; ............. 11R� ......... for'r�oair.aiid/or;..�connection 0 a: sidesewe�, U,�,Ahel City sanitary. seWer' system inaccordanc4B, with City,of'Edinonds,pNinancesj ATTENTION IS CALLED TO THE FOLLOWING: NOTE No. I —The owners. of the property.may obtain a permit to 6onstiudt sewer. inside property line. -A licensed Sewer Contractor n�iust 'be, employed, to construct side:sewer in.street, area.,- Do,mct cover.any- portion: of'�sewbr 'before It.- has,been inspected� NOTE No. 2—A,11,,work performed�in city ri gliCof-w�.Y.rdquiresran I I nvasion-of Permit ob�tal . nable- I Ir I om. . the;City, Engineer's offic - e:.' NOTE No. 3—Obt&in*_fu]I:Jnfo�his.tIon rega-rdi . ng Ordinanc . e, 1-1.16;0 1 3 1 0A1 ."y t "Regulatlons..�governliig side. sewers when ou�,ge permit. NOTE Vo. 4—Top �of side sewer must. have- ai. -least 30.7in'-ches coverage at property. line and- 12 -,Inches I Inside property line; minimum" grade lof 2%. No bends In gr�afe sharper than 1/s will'.be permitted. 'NOTE No: 5--Trenches in street must be water settled andl:surface of.strect restored to original 'condition. 'Contr"tors shall be reib��nsible for 'failure' due to. Improper work which ma Idevelop- within one year of;completlon� NOTEY No. 6�11; i&',unIawftLl to,alter or.,dolAny, othe4 work 11 than: Is provided for.,in the -permit, 'or to,dorany Work,bn the mafnr sewer or, its. appurtenances except to in- sert,the'pipe,intd�tfie.wye. DISAPPROVED; E] Date .... . ............................... ......... 'By ................. Date ............ -f ...... ...... By... ......... Dat ............................... ... .......... APPROVED . �4 .1:1 : - .:' By.,_ . .... .. ... ................... .......................................................... 'ail Relylarks': . ........... .... ... z................. 7 ---- -- 7 ......... ...... ........... ................................................................................... ....... .............. I .......................... ........... .............................. ------ ------- ........................ ........................ .................................................................................. BOT T�,B 1,,Signe, T Iisped ion i� S, d'!,B 0'Wne*r`."o`f Firm Perfbrming.:iCois ruction PRIOR,,�, 9:vAequest Or, MU 'y ate... .............. ert fy �thatjh� Side -sewer -in§talla�t�'io'n�.,;coifstructed under this. permit hereby e i (.6 *ner- of.,C nt cting,�Firm� Peftorming C onstrue tio n,) , 'd e vt �Lil-,-,gOV6rhihz,�6rdinailces,6f, the -C wa8jnst911'ed.1n..ac1cbr.'d Dated,titil .... �. ZZO ---------- 7 (1 .. . . ...... . ........ .............. ........ I . I- le city 4*-V'jF EdwTmc3onds APPLICATIOly for SIDE SEWE NEW CONSTR C 0 R PERMT u TI IV 0 REPAIRQ Ar nse-r- ucnc+ 4 0 ruCL on VNM----- - - - ---------- --- - - - ------------ - ----------------------------------- ........ place Ijes- )�DRES-S .............................. .............................. rx'5TItk EA -t"ENT No . ........... . .......................... CONTRACTOR ........................ -- .............. .............. ............ LEGAL DESCRII-TION: — ---------- ----------- - PERAffT No. U �; LOT No . 'K NAME.. .......... ......... OF'ADD.rT.jON..'-"'- 100' of At 201 ..... - No . ...... ............ e'as-emnerrt .... F0-r ... TtI.0f Lot. 14 ............... �>rl I - - -7.++- - . � I ne D ........... I LIS -,O-V- .- -t 1 uge e"r ,�-L ly 113 1 an w .841 thereof ... of'-plu .............. 134 4�:-)� DATE................................................ 13Y ........... NOTICE: — -a c cli ty ... . X ­ u rary. '0..War.ra�...of -N' The -inform atio n'shown on the attached map(s) W3S cOmPiled for use by the City Of Edmonds/ its Employees and Consultants. Th.e City of Edmonds does not warrant the accuracy of anything set for.th on t . hese rnap(�-). Any person or entity -requesting a copy should conduct an independent ation shown on inquiry regarding the inform tRi�� -rnap(s), Including, but not limited to, -h th . e lociation of any sew-er stub shown. Suc sewer stubs may or may, not exist and may or may not exist at the location shown. Neitheir the City of Edmonds nor its empl-o-yee-s o-r office-rs -sh-a-1-1 be 11a.b.-Ife for the information given on this map(s), nor for any one representation provided based upon'said map(s). '11hy 0 C Y of EDMONDS RLLSIr\JFSS'LICENSE APPLICATION IT Edmonds, Washingt Cipic Center // City Clerk Phone 775-2525 STREET FILE TYPE OF BUSINESS J Mr. -EC._D_A_T_E_rA_FAqr 11r. NnIqPFrI LW(A) HOME OCCUPATION LICENSE NO. ANNUALFEE AFTER FEB. 15 $15.00 $ 22.50 4STRUCTIONS: fl],�, I I I I I I I I I I I I I 1 0 (B) BUSINESSWITH $20.00 $ 30.00 All iterns must be completed RECEIPT NO. DATE PAID A- 1 TO 3 EMPLOYEES or application will not be ac- D]31� / /I /1 /1091 PRINT'X' " SPEC. BOX El (c) BUSINESSWITH $22.00 4 TO 9 EMPLOYEES $'33.00 CE�pted. I'T FOR ISSUE OF FEE PAID PENALTY,PAID CORRECTED 0 (D) BUSINESS WITH 10 $75.00 $112.50 Sign and return application LICENSE WITH 'LC'ACTION. OR MORE EMPLOYEES with fee. Renewals received I ----I NEW APPLICATION (LA) after February 15 must pay penalty in addition to fee. 0 RENEWAL (LB) NEW BUSINESSES AFTER 0 CHANGE (LC) JULY 31, 1/2 FEE. (PLEASE MAKE ANY NECESSARY CHANGES) 0 DELETE (LD) NAME OF FIRM BUSINESS PHONE NO. OF EMPLOYEES Z&4,t A //&c0orja�!q %50ilvt c- ot 2;78-- C., a 3 go M�ILING ADDRESS NATURE OF BUSINESS 4, J3 IDUAL PARTNERSHIP CORPORATION -77, (S) (P) (C) PTO 7/.? - r4. AM _1_�2 BUSINESS ADDRESS VV_ OWNERS NAME HOME ADDRESS zaz�7�lx - 06" C, A '047 411 7/17 - R6,r� )OX. ds 0... HOMEPHONE DATE OF BIRTH PLACE OF BIRTH SOCIAL SECURITY NUMBER EMERGENCY NOTIFICATION (1) NAME& TELEPHONE (PLEASE LIST TWO) (2) NAME & TELEPHONE WASHINGTON STATE TAX NO. f"Oe APPLICANT'S SIGNATURE DO NOT WRITE BELOW THIS LINE FILL IN LAND USE CODE, UFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR DISAPPROVAL, DATE, AND STAFF REVIEW: SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT" SECTION. ROUTE TO NEXT DEPARTMENT ON LIST. PLANNING DEPARTMENT APPROVE 0 DISAPPROVE DATE LAND USE CODE ZONING CODE SIGNATURE I I I I I a-lbl — 161 CONDITIONAL USE PERMIT COMMENTS Eaa IEU BU DING DEPARTMENT DATE Building El Hotel/Motel (L) ��APPROVE 0 DISAPPROVE SIGNATURE Permit 0 Apt. Bldg. (A) 0 Office Bldg. (0) Occupancy C3 Restaurant (R) COMMENTS: Group 0 Hosp/Nurs Home (H) F��� CAPACITY: (NO. UNITS, APTS. OFFICES, SEATS, BEDS, STUDENTS) F 0 School (S) FIRE DEPARTMENT DATE U. F. 1. R. APPROVE 0 DISAPPROVE -SIGNATURE -;:E_2�211�(2111-1­ COMMENTS: POLICE DEPARTMENT DATE . q)/ -- SIGNATURE APPROVE 0 DISAPPROVE e,­-­ r COMMENTS: PUBLIC WORKS DEPARTMENT 0 APPROVE 0 DISAPPROVE DATE 1Z-,2,3-j1 SIGNATURE COM PLEASE RETURN TO CHY (III-ERIK 777—"-. frATI 00, �WAOW cbuv�y 1, Stanley, I qW, . Ish Cam " f . ft; to", and "-pffld 4 cert* thik 6WJ�., OW LtOwAtrue*and"11,411A Ail IN j QD now on Rectird In this offi6� in Vol-,—,_. WITNES.s, my- Rand c nd officiol seal *&23__dqy A* r Mitor, Snohomish Lot A (20724 .86th P1. W., Edmonds to t'.�-z Lo t B (20712 86th Pl.. W. 'a n 'en v r. 2 r. t f o r C, Z i Ca 0�- of a cc-:ar J.jr.2. ev�:-, 4:!z_- tract CA' I r, d lociated In (Easement for Sewer line) 52 wide the .'center line.of said easement described as follows: Beginning at the Northeast Corner of Lot 14 plat of Fine Ridge in Sno. Co., (Volume 13, page 66); thence S 0' 21'2911 W., for 20.0 ft.; thence N 89016150" W., parallel to the North line of Lot- 14 for a.distance of 48.0 ft. said point'being the Point of Beginning for the center line of the 52 easement; thence Southwesterly along the center line to the'east line of Lot 14 and the terminus point of said easement, said point bears S 0021'29" W., 68.0 ft. from the Northeast'corner of Lot 14. 2 2nd o i 6-- C) SUNSET CONSTRUCTION Inc. A.' C. D' a ral 0 9r, �Lw K It C C C 1 i We' c-- A. C. ip n razio J President., to r.- to L: -In!; T. L to Sun s e4u 3.�3 Pre S 4 dent--o-f- Construction, Inc 22nd C n ry '::-�J c-nd r,�nl tlilu C .1arch- 19-73 Q) U I R. E D a, e1 3-1973 u* er Bv__ Deputy WW MIS. LOT 13 ASIP14ALT PRIVBAY 1w OF EXISTINS HOUSE HE16W CALCULATIONS 14 SF CONC STAIR [AV SF LIIANS AREA LOT 01 A= +qbD' 151 SF DECX 5= +qbD, 400 SF A GARA6E 0= +qb.ci I w p= +qlh, Zone Comer /-/Flag ------------------ Set§ack &ap-i �rd AVMtA&E V.15' I Fronte <7 e ---------- --------- I ? -2 Z AC13JAL GABLE TI;aM '! . L Sidese)v ---Zf�-1-7 (d 2- f3 MAXIMUM FIRST INT, TRM Rear P 17r)w -X*S TO BE REPAIR Z Other Heig CONC MAIN ht SLAB FLOOR 2% 8F c- - ----------- ---- - ---------- LOT 14 RESUB VE') FAI*'PLAHNING low -- 6 JUN - 6 2013 4-7-13 UILDING DEPARTMENT CITY OF EDMONDS —p 6 EX ROCKERY REET FILE