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20723 86TH PL W.PDFIIIIIIIIIIII 8242 20723 86TH PL W APPLICATION The Cify of EdmorSTREET FILE for EASEMENT NO - - -------------------------------------------- SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS LID NO . .................. . ASMT. NO.... ............... OWNER CONTRACTOR PERMIT NO.'-cE��=—�I.7� ---------------------------------------------------------------------------------- ------------ JOB ADDRESS LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . .................................... --------------------------- -------------- ................................................................... .................................. ----------------------------------------------------------- NAME OF ADDITION .......... V-4 ------------------------------------------------------------------------------------------------------------- F2LI C:� L-- = 00 t �,7 6) \9 -4 V.c. a... z2— Or + V. d-1 J) �—td 0 Approved:'4-r--7-'Gcs DATE ..... � fly P:� ........... 11/75 APPLICATION 0 The Clity of Edmonds for EASEMENT NO - -------------------------------------------- SIDE SEWER PERMIT NEW CONSTRUCTION E] REPAIRS 0 LID NO . .................. ASMT. NO - ------------------ 7 jl� OWNER . ............................................. CONTRACTOR PERMIT NO. JOB ADDRESS ...... ---------------------------------------------------- LEGAL DESCRIPTION: LOT NO. BLOCK NO. - ---------------------------------- ...................................................................................................... -- ........................................................ NAMEOF ADDITION ............................. - ---------------------------------------------------------------------------------------- Approved: DATE............................................ By ............................................................ 11/75 A pl OD p L 0 1- J-D � r-co) p 17.3 tar. 3 XS W4 C) MULTIPLC- E As L�m c- "T-' &TZ E A., 0 0 CITY OF EDMONDS - SIDE SEWER PERMIT WATEWSEWM DEPARTMENT PERMIT Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction' Inspection will be provided within 24 hours after requst. NO Sat., Suh., or. holiday inspections.) ADDRESS LOCATION OF CON STRUCTION ------ 2 '_1 ..... -- �__ --------- -------- ---------------------------- - -------------- ............................................. PROPERTY LEGAL DESCRIPTION ................ ................................................... ................................................................................................................. . ................................... .................................................. ................................................................. OWNER AND/OR BUILDER ............. .... . . ... . .................................. . ....................................................... CONTRACTOR'S NAME & ADDRESS ............ ............. ......................................... --- - --------------- - .............................................. 1 iission Is granted ....... V9 ............ 19 for repair and/or connection of a side sewer to the citj sanitary sewer ---------- — ------- ---- *.6em In accordance with Cit)r of Edmonds 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—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit b from the City Engineer's offiee. NOTE No. 3—Obtaln full information regarding Ordinance 11.16.030 and Regulations governing side e X., 1hen you get permit. NOTE No. 4—Top of side'sewer must have at least 30 inches covera'ge at property line and 12 inches inside property line; minimum grade of 2%. No bends in grade sharper than % will be permitted. I NOTE No. 5---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. 6--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 appurtenances except to in- sert the pipe into the wye. DISAPPROVED0 Date_ By ................ Date ............... . .. ... ... By ---------------- Date ............... . ................... 'BY ---------------- E7&Dat APPROVED By --------- ......... ...... .. . .. . ....................................................................................... -7 ----------_---- I � Remarks: ....... . .................................. . ....................................... . .................. . ...................................................................................... ...................................................................... ........................................................................................ . .................................. . ............................................. ......... BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection hereby certify that the side sewer installation constructed under this permit V wnr o - tracting Firm Performing Construction) ;,40 f &n .. .... was installed in accordance with all governing ordinances of the City of Edmonds. Datedthis ............................ day of ................................................................ 1 19 ......... V Check BEFORE you dig for: Water F], Gas E], Telephone 0, Power 0, Sewer E], Other E] V -V OM Z- WE AOPEc -rinA) STREET FILE /< ,-7/7 /7 /-9 - S C-�3 P L, PL POUSLI� : qfo�tco P PLJ ic, 6AP-A-Z-' I P,,o72 3 OA I 7,61 NOTICE: ached The Jnform ation'shown on the att, map(s) was compiled for use by the City of Edmonds/ its Employees and Consultants. Th.e City of �Edrn.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 ation shown on inquiry regarding th�e inform ot limited to, tf�e -map(s)l Including, but n -h -er stub shown. Suc the location of any sew sewer stubs may or may- not exist and may or may not exist at the location shown. Neither. the City of Edmo'nds nor its emp]-o-yee*s o*r offi-ce-rs.sh-a-1] be 11a.b.-Ife for the n on this map(s), nor for information give. e representation provided based any on upon said map(s). EET 1B]"T C.": LIST M ! T L11 P1T'::TT ITY-P-71: P&t I I LzT 21 Lo T izolil=) 'CX-A-2-0 3/3 a Street Right-of-WaN I'a.i.sting MCM)L pJ7 Tj Access E-aseli'vits Exist Utilitv 17ascnicjit Fxistijio— 1.5 ETA Lot Per 77G-T,lat Assessor "IM Site Plaii (leded for Accuracy U thidergrowid ilmd. Pcv.ic"" by 'to f"'Iter tl a: 1,,'nter -,0,11 P(-quired -S Hydr;!1--t S'i�:C' Emsti;1*�'---- P-drzri* J'cmi�red pk,�-r Fire Cod,, Size - t- . . . �' A) ew Is — Detector (-,,icck �'ct Co 11 Sc!itic Tzml� '-)C'S1J03! jAe Septic Tal"', Permi.t P(-mit it), ro. -L-1. 10. Ilp-1— S i, Ava-il.,iHiAt- i(-1 Ile r r c, i. an Mw(�Cti'oji )'Cc Poullired 'I, P�"Vic�: hY--- I)Ite Remii.re(l A— N(m ")�tch Culvert P quire C, (';it(jj P�nF,.jjj !��O.rqlirod li)dicato oil !�itc PIMI co in �Lvcdc S749--t-eT Tjidi.cato. oTi Site Mai) soil, Fich! 01C.C1,C(I X1.1 M S-77 )--Y 0 �F- BUILDING DEPARTMENT PERMIT APPLICATION NAME (OR NAME OF BUSINESS) ir //;v fffewhES -7-1v, W MAILING ADDRESS z 0 U 11 U MICITY 4 USE PERMIT Applicant Fill ZONE NUMBER Inside Heavy 1_7ines JOB —cx- z2 A rDp R ESs c� 7 )� 3 VARIANCE OR CONE). USE NO. JADB NO. —TH WEI G I- ITELEPHONE NUMBEF *51V 7 NAME 0 ADDRESS u4c CITY TELEPHONE NUMBERF Z 0 !U STATE LICE 7 CITV—LICENSE NUMBE Le al De -z 15- FRONT SIDE SIGN AREA -_ tENVIRONMENTAL REVIEW ALLOWED PROPOSED E OCO e COMPLETE El EXEMPT REMARKS NING DEPT. APPROV DA LEGAL LOT LOT AREA ISUBDIVISION NO. WYES aNO STREET R/W EXISTING STREET R/W 60 FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W (,0 FT. C> FT. REMARKS Driveway slope not to exceed those indicated on Standard Drawing #103. 1 CHECKED BY- scr pt on o roperty %Snow Below or Attach Four Copies) STREET AND/OR UTILITY WORK I R/W PERMIT REQUIRED R E Q'D. eYES ONO VEYES 1:3 NO z UNDERGROUND WIRING REQ*D. lia-Y ES ONO TYPE CONNECTION Fm YES ERIFj11ED BY U SANITARY SEWER N 0 rif tk)!5 V 0 Ll SEPTIC SYSTEM - I PERMIT NUMBER APPVD By CITY ENG.' YES bNO &/N REMARKS W J METER SIZE SERVICE SIZE CLEARANCE CHECKED BY /I REWARKS NEW RESIDENTIA GAS "FIRE ZONE TYPE CONSTRUCTION C06-DE -L LINE NON-RESIDENTIAL SIGN ADD DEMOLISH RETAINING SPECIAL INSPECTOR j0F OCCUPAN OCCUPANT WALL REQUIRED GROUP LOAD ALTER D EXCAVATE OR FILL FENCE YES 13 NO El PLAN CHECKED BY .... . S SITE IS LOCATED IN THE CITY REPAIR E] PRE -MOVE INSP. swim OF EDMONDS. LOCAL SALES TAX POOL SHOULD BE CODED 31-04. NUMBER OF STORIES NUMBER OF REMARKS V-5 DWELLING 1UN I N�ZTURe_ OF WORK TO BE DONE PRO Z 0 cL PLO' ir U 0 ILI 0 D USE N (INDICATE BUILDINGS ABUTTING STREETS) PLAN CHECK NO. BUILDING PLUMBING HEAT 8, GAS LINE FENCE SIGN RETAINING WALL VALUATION FEE z z IL Lm L, (� t z W ILI z W It W z