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20818 72ND AVE W.PDF111111111111 5697 20818 72ND AVE W ADDRESS: �20619 7ZA)9 4y9-- U) TAX ACCOUNT/PARCEL #:,0039�0'106006 603 BUILDING PERMIT (NEW STRUCTURE) #: COVENANTS (RECORDED) FOR: CRITICAL AREAS #: DETERMINATION: Conditional Waiver E] Study Required E] Waiver CRITICAL AREAS #: DETERMINATION: Conditional Waiver F1 Study Required El Waiver DISCRETIONARY PERMIT #S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORD FOR: PERMITS (OTHER — list permit #'s): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE/ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: OTHER: L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc A8MING DATA SINGLE FAMILY RESIDENTIAL TFILE Name: V fo 0 Date: —to —_0 -9 Site Address-. Plan Check #: 00 Project Description: COA *0 n re,)l ocu Reduced Site Plan Provided. (9/ NO) Zoning-. Map Page: Corner Lot: (YES Flag Lot: (YES Critical Areas Determination ff: 11 Study Required El Waiver SEPA Deter-mination: &�_+xempt El Needed (for over 500 cubic yards of grading) El Fee 0 Checklist 0 APO List wij� notarized forrn Street: e: Side: SJ 10 /0 l 5 ___ Actual Setbacks - Street: de- Side: MDetached Structures: (e 11 Rockeries: -t A g(� 9 C4 El FencesfTrellises: 11 Bay Windows/Projecting Modulation. - El Stairs/Deck: flulldin He Datum Point: exis in Daturn Elevation: Maximum Height Allowed: 1_1� U V1 VVII Actual Height: Other Parking Required: 2— Parking Provided: 2 Lot Area: 7,31 q Maximum Lot Coverage: 35% Proposed: Lot Coverage Calculations: ADU Created: (YES Subdivision. - Legal Nonconforming Land Use Determination Issued: (YES NO) — C0rnMn71-T1,i?n )Ir could 4 (�_o (J 5e� &I C/ k 5 fo r S r t 4 V r-) o .0(00 J Of �M -2,orC (Sk�ree�k r Plan Review By: e_ 2 - f 0 Phiam -9 Oata fbm 04 -11 065.doc -Fe n C. e,,' v*,15e-A + P�po—n POO? City of Edmonds B i d le- Department "W% V% Ian rLAN APPROVED BY P L !w� v td'j I Stdrr Comer Flag, Zone Setbacks hNu�ree, Actual T�!.b mar Front Is- Sidesv/5 Rear Other /T\ Cox Car rlo b cV -no,-e, lied fto JeC L7 I V L;r r) py-lydwn A FEB 0 5 2009 REET FILE DEVELOPMENT SERVICES cpt CITY OFEDMONDS re- 6 CITY OF EDMONDS FOR INSPECTION CALL Permit NID PUBLIC.WORKS DEPAR*T 775-2525 Ext. 22.0. Issue Date :SIDE,, SEWE.R.'PERMIT,* SI/ I R P ER.MI,.T MUST BE - POSTED ON JOB SITE EFA�AMW�W�r 1:. :�'..Address,6f,.C.oris-truction Property LbgA1 Description (include all, easements) 3. Single Family Residence 1-� Multi -Family No. of Units Commercial 4. Owner and/or Builder tp r V 4'c_ _iv-zeze—r�1 106,� Aa e, Ra— 5. Contractor & License No. 6. Invasion into City Right -of -Way: way Construction Permit Required excavation). No L,— Yes (If Yes Right -of- - Call Dial Dig (342-5344) before E-4 7. Cross other private property: Yes No L-,*""' Easement required L) attach legal description and county easement number. �4 9L4 READ THE FOLLOWT.NG AND SIGN: a4 a. Property owners must obtain a permit to install side sewers on their property. A licensed side sewer contractor must be employed to construct side sewers in the public' right-of-way. b. The side sewer contractor assumes full reponsibility for each E-1 installation for one year. :�4 C. Commercial establishment requires a minimum of a six inch (6") P4 side sewer line. 0 d. Side sewers may not be installed closer than thirty inches (30") U to any structure. 0 e. Side sewer lines must be laid at a minimum grade of 2% (1.15 0 and.maximum. grade of 100% (450). E-4 f. No turn in side s8wer greater than 450 (1/81bend) is 0 allowed between cleanout. All 90 turns must be constructed of a 45 (1/8 bend) and Wye with removable cap. g. No down spouts, footing drains or floor drains can be connected to side sewer system. Pea gravel is required for bedding when installing sewer lines through other than granular soil. i. Cleanouts are required at 30"-60" from each plumbing exit line and At minimum intervals of 100' along sewer line run. j. Trenches within City right-of-way must be restored to original conditions. Contractors shall be responsible for right-of-way,failure due to poor compaction of fill. k. Side sewer must be left uncovered until inspected and'approved b the.City. �y 1, Inspection during normal working hours only. Two (2) working .'-days notice required. �DAT E:, I bertify tKat I hav-T read and shall gomply With the above PE'RMI T FEE: DISAPPROVED BY: Date: F4 U W. � - I B Date: I CON By : N --QN—REE APPROVED ate �BC PERMIT MUST BE POSTED ON JOB SITE 0 c ga 4 ot)?o lld�Wtf 07 Kli. I 'am t: -ad Mm 44� Side Sewer Drawing '�� &0,/ The City of Edmonds, EASEMENT NO. — ----------------------------------- ------ NEW CONSTRUCTION E] REPAIRS LID NO - ------------------ ASMT. NO . .................. OWNER .... AL&U-04) I --------------------------------------------- CONTRACTOR ............. ... PERMIT NO. X-7-74? JOB ADDRESS .-gqelg .... ................................ LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO. - ............. .................... - 0 4' f PWW-0001-1 1/75 (REV.1 1/78) ------------------------------------------------------------------------------------------------------------------------------------------------------------------ NAME OF ADDITION --- AgOAI ..... 111cl ----------------------------------------------------------------------------------- Fl� N Approved: DATE --- A Oz ------------------------ By ---------- -----