20825 80TH AVE W.PDF111111111111
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20825 80TH AVE W
NOTICE:
No warranty of accuracy.
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of �Edmonds does not warrant the
accuracy of anything set for ' th on these
map(�-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
t e -map(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
employees or offiCers --)hall be Hila-b--I-e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s),
lot APPLICATION
for
The City of Edmon& 9 4-4 SIDE SEWER PERMIT EASEMENT NO - ------ ---------------------- --------------
NEW CONSTRUCTION REPAIRS F� LID NO. .— .............. ASMT. NO - ----------------
OWNER ----- ..... ------------------------------------------ CONTRACTOR ---- ........... PERMIT NO.
JOB ADDRESS .2CD�ES2-c5 .. 95��t S�-4 E--- ---------------- LEGAL DESCRIPTION: LOT NO . ........... '7
--------------------------- BLOCK NO - ------------------------------------
rl
..................................................................................................................................................................
NAME OF ADDITION ------- F.-k=E=—.
...................................................................
ved:
DATE ...... By 4A;e-�
11/7 5
7
IME11 -W t M
EN-DEPARTMENT-1
PERMIT 7.
t bover*i'�g -'s, constr�ctlon.,Ni
n ny portion
a 1,752525,: for, side, :sewer Anspections, IBEFOR
y
holida inspections.14,
Inspection, wilP be provided within:, 241;hours after, requst.. NO�- Sat., i Sun., or
A
...... . ................................. ...
........ . ...... . . ........................... . - . I . 1. ."', %
N. ........... . ...... Y .......... Z,.V.
4I)DRESS L C O��,'OYCONSTRUCTIO -.4
.......... .. ...........
-)7
.................. ........... ...............................
6PERT-Y-IL EGAL MESMIPTION ............ ....... ........
o
...................
.................. ........................ ..... I
. ......................................................
....................
.... . ..... ............................. ....... ......
W. -B ILDER.... 'T
I ........................... . XND/OR U ... ... ........ ........
................. .... Ow"NER_
................ ......
AV�T_ .............
.....................
1,6-., ii&tioni,of,,iLsid6'sewer-::to,'tiie�el'tY,"
for, repair and r, -6on
.....................
W _jd` 'Wit
�),iQ ity,,pfEdmonds ordinances....
�kTTENT'ibN, IS.CA�LLED-, TO,' THE, FOLLOWING: . tbt.c6n I struct
�Tust.be'. employed,�
0 h y, obt �w if nied side Se e donfraetor
NOTF;N A-�'-`The,,6wners"oj, e,*�propert ain t6�'c9nstiuct.sew'6r,'1nslde. property line;
t y/ me. 0
�sidio-.-Sbwer �ifi,'str6et-'area., Do not c ver: any. portion of sewer before it has, beewdns�e.pte&
f-ivay tiOnabI4,from. the C ty'Engineer's"offic
'6f'way -requires, aw Invasion'.0fr,yught2o Permit oli,
�70 '-All' worWper onn M9 t
NOTE , .12 f ed;'in -city Y,
NOTE -,146�,,3'—Ob'taid;i�Iii;infi3rma . tlon� regarding � rdinance, 11.16.030,�.axid Rei;uiations '.govern ingside 'sewsrs,wfien� you get permit..
�o "No 4 iwlgrade"V:
io� inches c(?vq*r-age at property line and. .12 jncfies.-inside�;properCy line minifiiumi griLde oC2%. b6ndst.
N&rl@� No-' niuit have:at least-
4
ahar�erlthan,,'A 'du
will' be �ermittedl. for failure
n
NOM No.�5_.Tre`n6hes�ih,,streei7 rhusC be'water settled, and sujf&ce.of;'stre,et restoredL-to. origins . 11, co. dition. 'Contraz I tors sball,'be resl I >onsible
work'which, may. develop within,one year of completion.,'.. )f 6*4n.
on? the main- seweror: its appurtenances,,excej
'niiewful �to,
;u
iter or do, any�. other.,work. than.is provided,for in the. perm1V'6rjo,d6�:iny1woik
NOTE�No�L�C.
w he�,pii�.e; into. the wye.
Date�............ Date .......
I)ISAPPROVVED, ;E],� -Date ... . ......... ....... .
...........
.............. ................... .................
. . ......... .......... I ..........
_'AIPPROVED, Date:; ---- A. .................
.......... ..............
.................. ....... ..............
.................... ............. ................................... 4:,,.� ...........................
. . ..............
........ ... ..................... ... ...
..................... ... ......................... ..................... ......... ...... .................
.................. ................ ........
min o sf*ructibn PRIOR -To e
Request ForInS cti6m'
opie -:1P, g,
B U'Per-mit''C ST
Perf or
B ii§ignedl,By�Owner�of Firm.
Y2 hereby I certify that',the,side* rseW.er- installation; constru. -Per-'Mit��;
ct6d! UiiderAhisi'
...........
................ .......................
.7. .............
By
.(6*w**n"e*r':-*c*;'f*'*Contracting Firm�,PerfGr4iing�'Construction.)I
qVi he.City Edmonds.'�
�,�,as§ lnstilled,in;Ew� ordsnce
c With,,�all'..goyerning,,.ord,inaiice,s t 4.
Oated�-thls-.. ......... ....................................... .......... ......
7
P ewer,E],.' Other:j
-:BEFORE you' -dig for:.- Water ,Gas-�,E], Telephone, o.wer. jE],
APPLICATION
The City of Edmonds for
SIDE SEWER PERMIT EASEMENT NO - ----------------------------- --------------
NEW CONSTRUCTION REPAIRS E] LID NO - ------------------ - ASMT. NO.
OWNER---------- ------------------------------------------------------------- CONTRACTOR ------- - ------ — ---------------- PERMIT NO Z
JOB ADDRESS -------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
--------------------------------------------------------------------------------------------------------- --------------------------------------------------------
NAMEOF ADDITION -------------------------------------------------------------------------------------
-67c) t-t-
Approved:
DATE-------------------------------------------- By ------------------------------------------------------ 7TE
-STREET R. 77
P I M I. 1`�! P,"PT. OTC!, LIST
PI'll',IT PT-.VTF.-'
Strcet Pdpht-oF-11-7ay ExistinF 4=b pjify) N-
Access Easemcnts Existing UnD
NE N A
Utilit.? Eascmciit Rxistins, N La.. __izr-.O!) NA
Lot Per Su:Ddivis.ion Ylat Assessor 'liap
Sitc Plan rl:cc!�-C.d for Accuracy
1,11(lor-rcund 1"cod.
w Chac �- Rajwati s,1*'Le.qtd
C* v i C!
Existin- 1*.'atcr Si-�,
"ain ME
Ilvdirant
A ZO
IkYrzint 1'erl"'in-.0 pCr rire C�),,-!C,
Ptector (-J�Ccl, ":ctcr
W
I
Scptic Tan'. ,'\,-tproved 1"Itc
'Cptic T.-If. Pen,"JA pCottired Pomit �!O. I-%.
Sanitary F;u:c,- Avai I ald I i Illy
Sidc sm-ey vailabidt-
Er 11
Y 4rize (I
Sanitan C(x"nection 7.. rwl
(�)(nl )i tdi Y_N�J 'Aciln-� Ren.-L.,ired
('111vort Peouired Size
C) &49
lire Indicate oil Cite Plan
14 Cat-C), B".1sill Petit
C,
gi7
11,11i'lole required
__111dicate '011 Sitc P j, rul",
Soil Conditions F, Growid l'i'ater Field Giodlcd
Revic.i.; 1)), Zi�
A�
cl:
Strcet llivl'j),(,, Rcqui rcc
E-4
(lirb wid Glittcr 1"Couired
Sidcv.?all� 11ccl.uircd &Ows
Cueb Oit for J)rivc,,.,a%, Rmid rcd
Pj-llt-ojl-lv:m- Construction Pcn,.dt Rccluirc C, e-
0 1 —k4&
Bond Rcquirc(l for Riblic Improvements - &&,K
Strect si.0-JI Requircd 1,111Iq
Othcr PCquired
TITC Iler"."it Sitc Inspcction nacic on
c
13) Y Scwer
Water
strcct
Dlginccrillp
Pe(:Ilircr�cllts listcd in to Buildin(, lk-pni-trient
Uatc,
f.j_11.CCI j, I on ],,,14 1 Cli ]1,(, I)CII, it �I)T I j C,
p _I On
Patc
I ravdn"�!-, Stulpod an(l 'Notations
Date
r- Approml II)y Public 1.7orhs Rpart",lent
10Y.
70MIL"DING DEPARTMENT
Applicant Fill
USE 111!6re
ZONE NUMBER
PERMIT APPLICATION
Inside Heavy Lines
JOB
ADDRESS .4 0
NAME (OR NAME OF BUS SS)
X&Z
LEGAL LOT
9ffYES ONO
I =--T AREA
SUBDIVISION NO.
0
NG ADDRESS
'V
STREET R/W
EXISTING STREET R/W 6� FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W 150 Ir. FT.
CITY
ELEPHONE NUMBER
UI
u
1
<
NAME
4nu- #/
REMARKS
W
W
z
W
_4
Ali -DRESS
LV 73
ICIM
CITY
I
TELEPHONE NUMBER
I Al 7 2-3
STREET AND/OR UTILITY WORK
REQ'D. El YES 19 NO
R/W PERMIT REMUIRED
YES NO
NAME
UNDERGROUND
WIRING REQ'D. It YES ONO
0
I-
U
<
M
Z
0
ADDRESS
-70,5-4 Al
TYPE CONNECTION *YES IVERIFIED
SANITARY SEWER
ONO
13Y
law
CITY
-
TELEPHONE NUM13ER
7P >
SEPTIC SYSTEM 0 YES
APPV'D BY CITY ENG.
UNO
PMMIT NUMBER
U
STATE LICENSE NUMBER
CITY LICENSE NUMBER
REMARKS
22-3— A / 4e 71 VV 21)
e7
Legal Description of Property (Show Below or Attach FoZTr__Copies)
M SIZE M7G SUPPLY SIZE
z
E Ile
7
REMAFIKS
W
SIGN AREA
SNV. REVIEW
ADB NO.
U
W
0
ALLOWED PROPOSED
COMPLETE FXEMPT
REMARKS
W
VARIANCE OR CU
PLANNING REVIEW BY
DATE
YARDS
5'1 1 X5.
FRONT SIDE R.ARI
LOT COVERAGE
PNEW ErRIESIDENTIAL GAS
1:1 LINE
ID
FIRE ZONE
TYPE OF CONSTRUCTION
ADD El NON-RESIDENTIAL SIGN
El DEMOLISH RETAINING
1:1 WALL
MALTER EXCAVATE FENCE
OR FILL (_ I X—FT)
REPAIR PRE -MOVE swim
INSP. POOL
I
ICODE
SPECIAL INSPECTOR AREA
REQUIRED
0 YES 1:1 N 0' 1
OCCUPANCY
GROUP
1
OCCUPANT
LOAD
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
z
W
NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
REMARKS
NATURE OF WORK TO BE DONE
ILI
PLAN CHECK
NO.
VALUATION
FEE
z
2
z
W
PROPOSED USE
Ir
u
0
W
PLOT PLAN (INDICATE BUILDING SETBACKS,
ABUTTING STREETS)
-e At..41
BUILDING
I
12
CL
0
J
W
>
PLUMBING
HEAT & GAS LINE
10
0
III
FENCE
z
SIGN
RETAINING WALL
u
SWIMMING POOL