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20832 88TH PL W
CITY OF EDMONDS STREET FILE ASSET INFORMATION SHEET
[VNIEW ASSET NO.
E] ADDITION ADDITION TO ASSET NO.
El RETIREMENT
DESCRIPTION
SERIAL NO.
LOCATION DEPTAO
Vo
"PURCHASE ORDER NO. *PROJECT NUMBER
PURCHASE ORDER DATE PROJECT COMPLETION DATE
COST COST
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
2/DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE DATE
4�cj
VERIFIED BY
PROCESSED
BATCH NO..
INITIAL
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DEPARTMENT FILE
CITY OF EDMONDS STREET ADDRESSAFIte
7110-210TH ST.S.W. - EDMONDS, WA 98026 - (206) 771-0235 - FAX (206) 744-6057
COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION
4C�' S t . I S 9 \j
May 15,1996
Mr. Lee Tyson
20832 - 88th Pl. W.
Edmonds, WA 98026
Dear Mr. Tyson:
I would like to thank you for your participation on the lead and copper compliance
testing done at your home.
The results of your test have been received from the lab and are as follows:
Maximum Contaminate Level
by D. 0. H.
Copper: 1.3 mg/L
Lead: .0 15 mg/L
Your Home
Results
0.046
0.001
This is not the end of our sampling and hope we can use your home again when
required samplings are needed. Again thank you for you assistance.
Sincerely,
0"
Ron Holland
Water/Sewer Supervisor
wordaWwateAleadsam 0 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
,CITY, OF EDMONDS
PUBLIC WORKS DEPARTMENT FOR INSPECTION CALL Permit
III///// /if
775 2525 Ext. 220 Issue Date
SIDE SEWER PERMIT 771-3702
PEP -MIT MUST BE POSTED ON JOB SITE
1. Address of Construction
2.
Room=
3.
Uj 4.
5.
6.
Property Legal Description (include all, easements)
Single Family Residence Multi -Family No. of Units
Commercial
Owner and/or Builder 7
Contractor & License -No.
Invasion into City Right -of -Way:
way Construction Permit Required
excavation).
PLANT
No >C� Yes (If Yes Right -of-
- Call Dial Dig (342.=.%53.4.0 before
1-800-424-5555
7. Cross other private property: Yes No Easement required -
attach legal description and county easement number.
READ THE FOLLOWING AND SIGN:
� a. Property owners must obtain a permit to install side sewers on
their property. A licensed sid&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
installation for one year.
c. Commercial establishment requires a minimum of a six inch (6")
side sewer line.
d. Side sewers may not be installed closer than thirty inches (30")
to any structure.
e. Side sewer lines must be laid at a minimum grade of 2% (1.15 0
and maximum grade of 100% (45'). 0
f. No turn in side s8wer greater than 45 (1/8,bend) 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.
h. Pea gravel is required for bedding when installing sewer linds
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 1001 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. N
k. Side sewer must be left uncovered until,.i-n-cpected and approved
by the City.
1. Inspection during normal working hours only. ��Q (2), working
days notice required.
DATE:
-I- certify tha:t IzhAve read
4-," and shall comply with the above
PERMIT FEE: -0, '_� 0'
DISAPPROVED BY: Date:
B y/,t Date:
0
CONNECTION FEE: APPROVED By:,,) q.;
P4 .11. Y"j Date: 1-ic J�R4
PERMIT MUST BE POSTED ON JOB SITE
The City of Mmonds Side Sewer Drawing EASEMENT NO - -------------------------------- ---------
NEW CONSTRUCTION REPAIRS 0 LID NO - ----------- I ------ - ASMT. NO - ------------------
OWNER .-B-cia ---- 4o-vz>-F -------------------------------------------------- --- CONTRACTOR RUSS --------- �A.Oktt Is ---------------------------------- PERMIT NO.7-1-00.-
JOB ADDRESS .2-0.822, PL. \A/ ......
- ------- - ---- ----- LEGAL DESCRIPTION: LOT NO. ----5 ----------------------------- BLOCK NO.
- �l
T(MATMENT PLANT
P- 82-
----------------------------- - ---------------- -------------- - - - - -----------------------------------------------
I I NAME OF ADDITION --------------------------------------------------------------
-P'Rvv,^,-rc -[>Ptvc
PWW-0001-1 1175 (REVA 1/78)
rabp
4"WRED
WYE
J�,C-WATENR-
DATE ... SJAR� --- 10:) --- 1984-- By --
09,
00
U)
209'VL. �
NOTICE:
.0...W-a a
N tached
The information 'shown on the at
map(s) was compiled for use by the CitY Of
Edmonds/ its Employees and Consultants.
Th,.e City of Edmonds does. not.warrant the
t these
accuracy of anything set for. h on
Map(s�. An . y person or entity *requesting a
copy should conduct an independent
inform-ation shown on
inquiry regarding th*e
tF� -map(s)., including, but not limited to,
-er stub shown. Suc�
the lotation of any sew
sewer stubs may or may- not exist. and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
tzmp-1-o-yee*s o-r office-rs -s-hal-1 be I -Jab -l-e for the
information given on thi5 map(5), nor for
any one representation provided based
upon said. map(s)
nap 71
N� . pomq&I
Irric
F.
STREET FILE , I
I, locn-1-4 A --1 — P-2
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�4�-
STANDARD -DRAINAGE PLAN
INFILTRATION SYSTEM
CATCH BASIN:
Amts 0 1 S-30 (OIL
WGUAL)
U
AL
T Pt Q N C W L or o4wrH
:k
.......................... ..
'or -n w4T U V4 K -
4 F E KF P I PW
TEE W/ 4'LONG LEGS
LlrvWL TIMNC-N
CAP
SYSTEM CROSS—SECTION
L-I-..y I v I-
110 C —
Sf_:�
K'
-rp,FW_" COVER
GRAVEI
a
4 oiAm FERIF P
TRENCH CROSS—SECTION
6
�� CY,
PAGE I `OF 2
;4�
for
location 7_77_�
plan by
phone
date —
DESIGN
Trench Perc
Number Rate
'7
DATA
LF per Imperm Trench
1000 sq.ft. Area Re
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the responsibility
of the property owner(s). Preventive
maintenance consists of preventing
soil and other materials from entering
trench during construction as well as
after construction. Catch basins should
be cleaned of floating material and
sediment at regular intervals (at least
twice per year).
t_� J '.1 fl.. � 4"
I L2,1 /0-3:
CITY OF EDMONDS
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CITY OF E13MONDS'
LSE 116w72_1 PERMIT
ZONE NUMBER
CONSTRUCTION /PERMIT APPLICATION
JOB
ADDRESS 7
I
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NAYE �"AM�EF` BUSIINIE )
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0
LEGAL DESCRIPTIO N CHECK S SION NO,
IVI T"
U0 rad�
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING REOUI RED DEDICATION
bAAILING -ADDRESS
CITY
TELEPHONE NUMBER
NAME
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED I
STREET USE PERMIT REQUIRED I I
WL)
ADDRESS
X
4
SEE ENGINEERING MEMO DATED
SEE PIW DEPT. REVIEW CHECK LIST DATED
CITY
PHONE NUMBER
RE "KS
V2rl ZiVh
NAME
ADDRESS
METER SIZE
BUILDING SUPPLY SIZE
FIXTURE UNITS
0
n
L)
C
M
CITY 1/,
TELEPHONE NUMBER
z
0
REMARKS
STATE LICENSE NUMBER
CITY LICENSE NUMBER
SIGN AREA
ENV. REVIEW
ADB NO.
ALLOWED PROPOSED
COMPLETE EXEMPT
SHORELINE 0
Legal Description of Property - include all easements
(show below or attach four copies)
z
Ix
W
VARIANCE OR CU
PLANNING REVIEW BY
DA
YARDS7,_
_717-
FRONT SIDE REAR
LOT COVERAG-9
5 5�
Z
z
REMARKS
(L
NEW RESIDENTIAL -taj PLUMBING
ADD/ALTER El NON-RESIDENTIAL El MECHANICAL
RREPAIR El RETAINING WALL El SIGN
CHECKED By
TYPE OF CONSTRUCTION
I
CODE
HEIGHT
EXCAVATE FENCE
El
DEMOLISH OR FILL (__ x FT)
I
PRE -MOVE INSPJ swim
COMPLIANCE INSP. POOL
SPECIAL INSPECTOR
REQUIRED
t
AREA
OCCUPANCY
GROUP
OCCUPANT
LOAD
SIDE SEWER WATER LINE 0
!!YES I'NO
REMARKS
0
z
co
(0
NUMBER OF STORTES
NUMBEROF
DWELLING
I
UNITS
NATURE OF WORK TO BE DO7;NEACH PLOT PLAN)
Ne
VALUATION
FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
GRADING�FILL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
w
'Unj
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
m,
employees, and agents from any and all claims for damages of
whatever nature. arisino direct1v or indirect1v from the issuance
DATE, : 1"�Ilxl'f -3
14EMO TO- Building Division
Communitv Develonment Department
FROM: Engineering Department
7�y
SUBJECT: ZeE5 2-- cFff
After review of the subject Building Permit application, we have
the following comments:
1. Connection to City water system required.
2. Connection to Citv sanitary sewer system required.
3. Right-of-way Permit required for any work on City property.
Drivewav sloDe not to exceed 147�.
5. Backwater valve required if downstairs plumbing is below
elevation of uostream manhole.
6. Water and sewer lines to be separated by 10-foot minimum.
7. Builder/Owner responsible for containing all temporary run-
off and erosion on site and may not impact neiqhborinq
properties in any way.
4 Z//
signature
k--
9
ENGINEERING & PUBLIC WORKS
CITY OF EDMONDS PROJECT REVIEW
CjvjC CENIER - EDMONDS. WASHINGT04Y 98020
CHECK LIST
(S :IN �GL :E F A 14DI L Y MULTIPLE COMMERCIAL
PROJECT NAME FV10 1// 6jw— CONTACT NAME & TELEPHONE NUMBER
ADDRESS '0,57 3 -2 S:S�
ACCESS SLOPE AND VEHICLE ACCESS
DRAINAGE PLAN
STREET FILE
LEGAL DESCRIPTION VERIFICATION
QUIT CLAIM/DEDICATIONS
EASEMENT - PUBLIC/PRIVATE
CALCULATE SEWER CONNECTION IF NO LID #
STREET PAVING REQUIRED 4-,-/ �;/,
CURB AND GUTTER REQUIRED it
SIDEWALK REQUIRED /(-
CURB CUT FOR DRIVEWAY REQUIRED
RIGHT-OF-WAY CONSTRUCTION PERMIT REQUIR
BOND REQUIRED FOR PUBLIC IMPROVEMENTS
STREET NAME SIGN REQUIRED
OTHER SIGNING REQUIRED
A
7
t,
q
(ADDITIONAL COMMENTS ON BACK)
EXISTINP WATER MAIN SIZE
(ADDITIONAL COMMENTS ON BACK)
EXISTINP WATER MAIN SIZE
WATER MAIN REQUIRED
AI�IA
SERVICE LINE REQUIRED
HYDRANT SIZE EXISTING
HYDRANT REQUIRED PER FIRE CODE
YZA
SIZE
CROSS CONNECTION INSPECTION
WATER METER CHARGE PED
REQUI
REVIEW BY
DATE 14,1117-/,
-2
(ADDITIONAL COMMENTS ON BACK)
SANITARY SEWER DRAWING NUMBER
SIDE SEWER AVAILABILITY
FILE NU14BER
SANITARY SEWER C0114ECTIO14 FEE REQUIRED
nPElq OITCH FXTSTItir 'REOUTRED \
CATCH 5A51m:
4D5 a I S-30 (OIL TRr*NCW LQrNGrH
te
10' -rvkm%CH CDVWR:k
1� - .7-
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lj4
Ti
MCI UWK Lavg-L TIMNCN
m�NC-N
-7 - rL
4PEPLT P % PE, CAP
TEE VV/4"L04G LEGS
SYSTEM CROSS—SECTION
L/
-Tp,FW_H COVER
3/4 1 VI" WA S W E: D
G PLAV E I
4 01AM PERF P
TRENCH CROSS—SECTION
STANDARD DRAINAGE PLAN
INFILTRATION SYSTEM
----)PAGE 11,0F 2
-4 4�
for
location
plan by
phone
date le Z
DESIGN
Trench Perc
Number Rate
DATA
LF per
1000 sq.ft.
Imperm Trench
Area Req.
z
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the responsibility
of the property owner(s). Preventive
maintenance consists of preventing
soil and other materials from entering
trench during construction as well as
after construction. Catch basins should
be cleaned of floating material and
sediment at regular intervals (at least
twice per year)�
CITY OF EOMONDS
10
141- V"T
7 C,12
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