20821 HILLCREST PL.PDFIIIIIIIIIIIIII
11668
20821 HILLCREST
PL
CITY OF EDMONDS - SIDE SEW
jR PERMIT
WATAU-SEWM DZPW!tWZNT
PE R MIT
(,Oal,l .7t76-2525 for side sewer inspections oFFORE covering any portion of the construed
.. '.. will be provided Within 24 hours after requxt. No S&t.. Sun., or holiday inspectioon)
ADDV&SS LOCAM01V OF C0N8=UCnoN .....
........................ . ...................... . ........... ...........................................
PROPERTY LEGAL Dzscwmm ...... U ... 75' Qf ... 5 .. 1.5.Q ...... rif..
Alderwood Manor No. 9
........ . .......... . .......................... . .......... . .......... . .................................................... . .................. . .. I ........... . ...... . .......................... . ................................... ..............
.. ... ................... . ........................... ........ ONYVNER JIND/Ols RUnMER ....... dl� ELAE-HER ...... ....................... . .. . .......................................................
corqT"CTWS NAym & ADDRESS ...... � OWNER
...... . ............................................... . ..... . ............... .............................. . .. . .. . ...................................................
June ... I 7.1 ................ ............ 1914�, for repab swor coaxim"On of a side Sewer to 'the city sawtary sewer
V8*00i fig 11806rdGAM WMI .... iiWof 0rdW&nt*s.
AJILNTION 18 CALLED TO THE FOLLOWING:
NO. 1--7be owum, 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 bow jn�.
NOTE No� 2—All work Performed In city rtght-of-wav requires an Invasion Of lUght-ot-W&Y Permit obtainable from the City Engineer's office.
NOTEWo. 3---Obts4tL full Information regarding Ordinan" 11.1&030 and Regulations 90"Mug side seWen when you got permit.
NOTE No. 4—Top of aide sewer must have at lesist. 30 inches coverage atproperty line and 12 Inches Inside Property line; minimum grade of 2%
sharper ti�kn % will be permitted. No berids In grade
NOTE No. 5—Trenches h!1 street must be water settled and surface of street restored to original condition. , Contractors sball be responsible for failure due to Improper
ork which m&y develop within one year of completion.
NOTE No. ll—It In unlawful to after or do any other work than is Provided for In the permit or to do any work on the Main sewer or its appurtenancen except to in -
sort the pipe into the wye.
W
DISAKEAKIVED 0 Date .. . ....... ........................ 13Y ........... Date ...... . .. ............... . Date .......... . .. ... . ............... ]3y ............. I
APMOVED
Date_-
.. . ............ ..... � . . ............................... ........................................................
....... . .. .. . ....... .... ......... ... ................ ..........
.......... . .......... . .......... . ...... . .. . .. . ...................................................
. .. ........... ............. . .... ......................... . .. . ....................... ............... _ -4,
............................... .. .............................. ...... ...................................... .........
', %
Performing
Permit Copies xtjST Be Signed Ery Owner',`
CQW4rUC P21039 To R
equest, For Inspection,
.. .... ........................ .......................... eartify tbut the side sewer bigtanation constnwted under this permit
Of Contmeting Firm Perfa
(OWIRO struction)
th accorderice with &U gov=9 ordinances of the'City of Edm(m(bL
tkis.. ....... ....................... I .......... .... .. ILli ........
A4
"J,
_W
4
DATE RE277
0
EP :ER:M :EX
I:T I R E S
CITY OF EDMONDS
S
USE
E
ZONE PERMIT
Z 0 N E
NUMBER (go
OLON3
CONSTRUCTION PERMIT APPLICATION
IACATION
0
JOB
B
ADDIR
SUITFJAPT0
ADDRES
S
s7 j0,/
OWNER NAME/NAmE 9F BUSINESS
rA-�,i Fili-clic
PLAT NAMEISUBDIVISION NO.
LOTNO
LID NO.
L D FEE 3
W MAILING ADDRESS
z
3:
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING — PROPOSED
TESCP APW..* 0
i R.qu...
0
CITY ZIP
I TEL
TEL PHONE
W
7;7,/
REQUIRED DEDICATION_ FT
NAME
METER SIZE
LINE SIZE
1O.OFFIXTURES
U A
I
I
Y.PRVIIE.UIR12.
so No Cl
9
ADDRESS
REMARKS
R //j
OWNER]CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
MARSHAL
ry ZIP
TELEPHONE
FIRE
2T BE PRr-SFNT FOR
NAME
Co
UNK E111, -REMOVAL. OR CAP
1,.V tZ IT111le
ENGINEERING REVIEWED/DATE
m ADDRESS
FIRE REVIEWED BY DATE
Z CITY ZIP
TELEPHONE
0
STATE LICENSE NUMBER EIPIRATIONDATE
VARIANCE OR CU
SHORELINE OR AOBN
INSPECTION
,
'D
80 D
c /a 101'lelr
j_,6�1C1111y
o
REG
OYES ONO
POSTED
PROPERTY TAX ACCOUNT PARCEL NO.
COMPLETE EXEMPT
SIGN AREA
ALLOWED PROPOSED
HEIGHT
ALLOWED PROPOSED
'�77 —
- )117 5-00coos
P
,
NEW -<RESIDENTIAL
col MBING / MECH
LOT COVERAGE
REQUIRED SET ACKS (FT.)
PROPOSED SETBACKS (FT.)
LL
A OWED PROPOSED
FRONT SZ REAR
FRONT UPSIDE REAR
C
C3 ADDITION [3 COMMERCIAL 0 COMPIL ANCE OR
CHANGE OF USE
PARKING
REOID
PROVIDED
LOT AREA
PLANNING REVIEWED BY DATE
[3 REMODEL C3 APARTMENT 0 SIGN
Is
C3 REPAIR GRADING [3 FENCE
I
F
CYDS ( _ X FT)
DEMOLISH TANK 0 OTHER
oGARAGE
CARPORT RETAiENING WALL 0 RENEWAL
ROCK RY
�JsZ�Ess
7tACT�
CHECKED BY T�4_QE
L
CONSTRYSTION
qS�l OCCU
G RoUg
14
NUMBER
N EROF
U
CRITICAL
OF
DWELLING
AREAS
SPECIAL INSPECTOR PANT
OCCUPANT
0 STORIES
UNITS
NUMBER
JARIA
REGUIRED C) YES LOAD
DESCRIBE WQHK TO HE DONE
REMARKS
PROGRESS IN PECTIONS PER UBC 10atFINAL INSPECTION REG -0
m
P
LAT 0A c i
r , t 7-,-, -)I;,z' 7 1 cl P-7;11--4
jEIL'-f
at, /
VALUATION
FEE
PLAN CHECK FEE
HEAT SOURCE GLAZING 1%1 LOT SLOPE % BUILDING
PLAN CHECK NO: JVESTEII DATE PLUMBING
MECHANICAL
THIS PERMIT AUTHO IZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
L BE DONEON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GO GRADING/FILL
:5 MAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
STATE SURCHARGE
PERMIT APPLICATION: 1800AYS
PERMIT LIMIT. I YEAR - PROVIDED WORKS STARTED WITHIN 150 DAYS ENG. REVIEW FEES
SEE OACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS ENO. INSPECTION FEE
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
X FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT IRECEIPT
I
G EEMED TO MOD FY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAYTHE CITY S ABIL TY TO ENFORCE ANYORDINANCE PROVISION.'
I
RETI�
T
IHEREB ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION� THAT THE INFORMATION
Y APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This ap p""'t Zil "'"T" py""'
CALL his0hor
It
TION; AND IN DO NG THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED BOd,ng OIIPC'ielo`f Deputy: ..d F..,.,. p. a,a
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION p—d.p
WORKMEN'S COMPENSATION INSURANCE AND ACIN 18,27.
(OF ICIALS SIGNATUR
11 TIE
AGE:�� A E (425)
ofv
771-0220
ATTENTION EXT 333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL 08 A CERTIFI-
ORIGINAL -PILE - YELLOW- INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR
sla
REGARDING: 20821 Hillcrest Place
(address)
R E C 0 R D 0 F C 0 N T A C T S
NAME PHONE NO
DATE
31 . I COMMENTS
ADDRESS of CALLER
ACTION TAKEN
INITIALS
5/l/74
Michael Neher Certified Letter No. 406352
sent Letter received.
TE
requiring hook-up within 60
days.
6/17/74
Came in and -obtained permit
#4865.
TE
7/1/74
Certified Letter No. 406584
sent Letter received.
TE
requiring response by July
12.
7/10/74
Connection completed'.
TE
APPLICATION
The City of Mmonds for
SIDE SEWER PERMIT EASEMENt NO. -------------
NEW CONSTRUCTION REPAIRS E] LID ASMT. NO, �7 �--
OWNER ---------- >
-------------------------- --------------------------------------------------------- CONTRACTOR --- .................. PERMIT NO . ....................
...............
2. k F'L-
JOB ADDRESS ---- ------------------------------ -------------------------------------------- -LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO - ------------------------------------
3cj or- L-OT(2)
---------------------------- ---------------------------------------------------------------- --------------------------------------------------------------------
NAME OF ADDITION -----------------------------------------------
-------------------------------------------------------
ls�ww
" j t I C-- 1p, I t---
Approved-
---- By ........................
DATE.. ------- --- -------------- G-4--- v
-7
APPUCATION
The City of Edmonds for EASEMENT NO. ��1-6 —21 ---------
SIDE SEWER PERMff
NEW CONSTRUCTION E] REPAIRS LID NO. J.W ------ - ASMT. NO.
OWNEF - ------ ------ -AC6
--------------------------------- CONTPLACTOR ....... — .......................................................................... PERMIT NO.
JOB ADDRESS j-jqg.;�j ...... k[jt��ST PI 4i4;WeW00,#
------------ ------------------------------ LEGAL DESCRIPTION: LOT NO - --------------------------------------- BLOCK NO - ------------------------------------
-0 F
or- 5 IS r OoC r 4—af. W -jo
14�,r ------------------------------------------ I -------------- ----------------------- ....... .......... ..........
Ar
NAME OF ADDITION
_j, c e-E-5 T
FM
Approved:
RECEIVED
JUN 17 1$14
DATE............................................ By
HOUSE
VAULT VWATH
SHUT-OFF AND
PRESSURE VALVE
GARAGE
9.5'
TR E E-//
16 Ff4'
3.9'
LLJ
LLJ
ry
LLJ
LLJ
n
o-
0
0
Qf
RE
n
TREE STUM
OLD LINE REMOVE
Q\--TREE
1" POLY 200
PSI TRACER
WIRE
NEW
LINE
2' DEEP
5'
3'
E
HILLCREST PL
UNKNOWN
DIRECTION/
ORIENTATION
CITY OF
EDMONDS
WATERLINE AS-BUIL
ADDRESS
WATERLINE
NO.
20821 HILLCREST PL
2006-0247
CONTRACTOR
HOMEOWNER
SCALE
NTS -
DATE INSPECTED
INSPECTED 13Y
DATE DRAWN
DRAWN BY
�%t.
1890
UNKNOWN
J. HAWKINS
6/29/06
J. BRON
RECEIPT -FOR CERTIFIED, -MAI L-30�,fp!4s,'posta eY
9
POSTMARK
422-09400 OR'D�TE
C\-j NEHERi MICHAEL
�Ln 20821 HILLCREST PLACE
EDMONDS, WASHINGTON
ca�. 980
V
�OPJIOWAL'SERVICES:. FOR ADDITIONAL FEES.
lRETURW I Shows Ito whom,and date delWered....,
RlfCEIPT*-� Zith. q�li�,p!y..lto addr�ssee b.nly
2. Showsito wh6m� date'.and where, deliver"60'
j.�ERYICES I e 8 0,
Xith,clelimy to.address 6 onlyt
i,'DELIVERtTO - ADDR ESSEEi-� ONLY- ..� ......... .. 506,1
S;i�(At�DiLIV�Ry (ektra fee required) ................... . ..... ..... .
PS, Form 'PROVIDO�;—'
3800. NO INSURANCU COVERAGE (See othiir side)
A��- 1071 UnT
R.ECEIPIT, FOR,.CgRTIFIED, MAILAo� 1plus'p9stage)
SENT TO
'AR
RTYATE��
'POR
CO.'
EET J�ND'NOJ
0 AP CODE
0
'OPTIONAL. SERVICESJOR ADDITIONAL, FEESz C)
.;0
:'RET6RN Shows to whom and date —delivered
�3
-RECEIPT:'_. v y 5
Sho. With' deli ery to�addressee oni
�afid -
w 16 vihdrn, date where deli,ered
With defivery to �adclressee on;y .........
--DELIVERJ0 -ADDRESSEE: ONLT 0
MA
�PECIAL DEVIVE Y (extin requi red)
PS
Fo-rm -
Apr. 19,71' 3iOO NO IkSbRANCt COVERAGE (See other side)
NOT FOR INTERNATIONAL MAIL
GPO: 19760-397-458