20902 WOODLAKE DR.PDF11111111111111
13753
20902 WOODLAKE
DR
APPLICATION
for
The City of Edmonds
EASEMENTNO. ..........................................
SIDE SEWER PERMIT.
A
NEW CONSTRUCTION REPAIRS F1 LID NO. ........ *" ------- SMT NO . ..................
PERMIT NO.
OWNER ----- .......
---------------------------------------- ----------- ------ --------------- ---- GONTRAtTOP - ----- ...........................................................
......... ....
JOB ADDRESS ................................................................. ....... LEGAL DESCRIPTION: LOT NO - --------------------------------------- BLOCK NO . ....................................
........................................................................ .........................................................................................
NAME OF ADDITION— ..... WC> -----------------------------------------------------------------------
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0
s-ruis (4., ct�)
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Approved:
.......... .
DATEC�./01/� . .......... ......... . .......... By ------
CITY OF EDMONDS - SIDE SEWER PERMIT'
;P�iw-ER DEPARTMENT
PERMIT
j Call 775-Z525� for side sewer inspections BEFORE covering any portion of the construction.)
(Inspection will be provided within 24 hours after requst.' NO Sat., Sun., or holiday inspections.
ADDRESS'LOCATION OF CONSTRUCTION-20902 tIgodlake, v ca�
......................................... ........................................................ ...........................................................
PROPERTY LEGAL DESCRIPTION .............. Lot ,.,T,, Houdlakv Dr;vo
.........................................................................................................................................................................
...................................................................................................................................................... ............... .................................... ..................................................
M1'R;'1,y MARYIN
................................................................ OIVNERAXDJOR BUILDER.!..�n ...................................................................... .......................................................
CONTRACTOR'S NAME & ADDRESS ..... U-INE R ........................... * -------------- * .......... * ........ * ..............
.......... * ............
Permission Is granted ............................................................ 19- ...... I for repair and/or connection of a side sewer to the city sanitary sewer
s—lern in accordance with City of Edmonds ordinances.
A INTION IS CALLED TO THE FOLLOWING:
NOTE No. I —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 obtainable from the City Engineer's office.
NOTE No. 3—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 4—Top of side sewer must have at least 30 Inches coverage at property line and 12 inches inside property line; minimum grade of 2%. No bends In grade
sharper thaxi 'A will be permitted.
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. &--It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the maJn sewer or its appurtenances except to in-
sert the pipe into the wye.
DISAPPROVED E] Date ................ By ................ Date ......
........... By ................ Date ................ ................... By ................
D ......... ............... By ......... i ........... . ........................................................................................
APPROVED ate"'
Remarks: .................................................................................... ....................................................................... ....................................................
..................................................................... ............................................................................................................................................................................ .........
BOTH Pemit 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
(Owner of Contracting Firm Performing Construction)
1�as'lnstalled in accordance with all governing ordinances of the City of Edmonds.
Datedthis ............................. day of ................................................................. 19 .........
Check BEFORE you dig for: Water E], Gas Ej, . Telephone 0, Power E], Sewer,E], Other E]
e
APPLICATION
The City of Edmonds for EASEMENT NO - --------------------------------------
SIDE SEWER PERMIT -----
NEW CONSTRUCTION REPAIRS E] LID NO. --16.-/----_ASMT. NO(�3..
OWNER--'.-- --1 -- -- --- --- --- �C�ONTRACTOR -------------- n—�
....................................... PERMIT NO.
JOB ADDRESS
Is
LEGAL DESCRIPTION: LOT NO - --- -------- 6— ------------ ------ BLOCK NO.
---------------------------------------------------------------------- ------ ..............
NAME OF ADDITION ---
---------------- ...........................
Lj
r
4 1 77-
-5 T OB
Approved:
DATE----------- .................... - ........ - By ------------------------------------------------------------
CITY of EDMONDS --- PUBLIC WORKS DEPARTMOT'i
Routing of Building Permit Applications
Proposed Property Address of Application: 20902 Woodlake Drive -9Q/- C,
DEPARTMENT
COMMENTS
DATE
W A T E R
7,e
;L 6 - 7/y/
9
S T R E E T
4e: deft a
S E W E R
N 0 T E S
BUILDING
DEPARrMENT COMMENTS
;11
9/1/71
m
LDING DEPARTMENT
PERMIT APPLICATION
AppHeant Fill
Inside Heavy Lines
USE PERMIT
ZONE NUMBER
JOB
ADDRESS
A0 0 A
0
4
A
z
NAME (OR NAME OF BUSINESS)
-P_P,t.jj AAM
F
PERMISSIBLE % A AL
LOT COVERAGE "gT%OVE& A rr
- -
MAILING ADYFRESS
PERMISSIBLE HEIGHT iEIGHT
CITY
rpm
TELEPHONE NUMBER
�51, —
ACTUAL LOT AREA TOTAL BLDG. AREA
REQ7U—IRZD YARDS PROPOSED YARD.
FRONT IDE REAR FRONT SIDE — REAR
NAME
LEGALLOT VARIANCE OR CONDITIONAL USE
(:) YES NO PERMIT NUMBER
W
ADDRESS
PLANNING DEPT. APPROVAL DATE:
CITY
TELEPHONE NUMBER
STREET R/W
EXISTING STREET R/W ............ FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W_ FT. ............ FT,
Cd
9
8
NAME
fs .4 m
REMARKS
z
ADDRESS
CHECKED
CITY
TELEPHONE NUMBER
METER SIZE I
SERVICE SIZE
CLEARANCE
CHECKED BY
STATE LICENSE NUMBER
CITY LICENSE NUMBER
REMARKS
Legal Description of Property (Show Below or Attach Four Copies)
IA-) 00 A,
TYPE CONNECTION
VERIFIED BY
PERC. TEST
PERMIT NUMBER
ar
REMARKS
FIRE ZONE
TYPE OF CONSTRUCTION
STREET IMPROVED
[3 YES C] NO
SPECIAL INSPECTOR REQUIRED
[-] YES [] NO
OCCUPANCY GROUP
I
z
EPROPOSED
GAS
NEW RESIDENTIAL LINE
NON-RESIDENTIJAL SIGN
EJ ADD RETAINING
DEMOLISH WALL
ALTER EXCAVATE FENCE
F OR FILL ( .......... x .......... Ft.)
F1 REPAIR PRE -MOVE swim
INSP. POOL
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31,04,
REMARKS
NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE
Plan Check No .....................
Valuation
Fee
Receipt No.
BUILDING
USE
PLUMBING
HEAT & GAS LINE
PLOT PLAN (Indicate Building setbacks, abutting streets)
R EC E I V rE 0
I
NOV 19 1914 N
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL