20904 WOODLAKE DR.PDF11111111111111
13755
20904 WOODLAKE
DR
APPLICAT104'-
for
EASEM9NI No.
the Cit�, of idittoods
------- . ....................... -----------
SIDE $EWER PERMilr
NEW CONSTRUCTION REPAIRS LID NO. ------------ - ASMT..-N,O.
*7trM
CONTRACTOR
OWNER L' . ............... ............................. ........................................ ......... .. ......... �. PERMIt 140 . ....................
JOB ADDRESS �� . . ..... LEGAL DE§tRIPTION: LOT -NO.-, .......... 77 ... ....... -BLOCk --NO. .............
........... ............................ ...... . ............... . ................ .......... ........ ..............................
NAMEOF ADDITION .......... -. ...... ------- .............. . ............... . ....................
4a. cesp
ITi
Approved:
DATE - - - - - - - - - - - - - - 7
7
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'ED
TTY," 0 F" 1DEF,'-,S -PW?,;EW--,,P
4
IT
MI.
75-2525 ;for 'side sewer Inspections BEFORE covering any 1)
of the construction,
(Call 7 0
Inspection will be rov�lded within 24 hours's ns.
NO SaL,, So or, holiday inspecti
''�,ADDRES&IOCATTON OF
.............................. . .......................................................
10 ...............................
'EGALPESCRIPTION ................
L .......................... T.� t ... 7:,, AW ..................
..................... ................ ............................ ............................................... ... . .............................................
........................................................... ......
............
............ ......... ........................ ONVNERANDIOR BUILDER-rg;
................................. . .... . . ............................. .........
........................................................................................................... .......................................................
CONT4'. OR`$NAME1
19. for repair and/or: connection of a side sewer to the city sanitary sewer
Permission ls,kisknted ... 11"., IV ?5. 4 ................... ............
Sys em4n, adq
. ...... ofdance with City of Edmonds ordinances.
A--,INTION IS, CALLED TO THE FOLLOWING:
NOTE�Nd-l��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,,eewer,in street area. Do not cover any portion of sewer before it has Peen Inspected.
-NOTE No. 2—,Alllwprk performed in city r�ght-of-w&y r6quires an Invasion of Nght-of-*Sy PerrnJt obtainable Irom the City Engineer's office.
NOTF'No, 8—Qbt&fii full Information �regarding Ordinance 11.16,0�q and Regulations govern rig side sewers when you get permit.
NOTE,'No., 4��`r6p. of' side sewer must have at least 30 inches coverage at property line and 12 inches I id
sharper than 'A will be�permitted. ns I e j�operty line; minimum grade of 2%. No bends In grade
NOTE, No.', 5—Trenches In street must be water settled and surface of street restored to original condition. Contractors shall be responsible for fa.1lure due to Improper
-workwhich may develop within one year of completion.
NOTE No, is. unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or its appurtenances except to. in.
'pert the pipe Into thewye.
DISAPPROVED B ................
Date ........... By .............. Date. .. -y- .... ... Date .................................... By
ByAPPROVED Date ................. .............................................. . . ... . .. .. 7-9- ... ....................................................................... -
Remarks: ....... .................................................................................................................... .........................................................................
............
. ....................... .......... m .........
................................................................................. I ......... I,— . ............ I--, ...... ............... .........
"Tel,
Check BEFORE you dig for: Wate Pi,
0,, Ow -sewero, Other[]
Pi
The City of Edmonds
OWNEP - -------- A)-Ze�(, — --------- C
JOB ADDRESS —:26 .. 9-0_# .....
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APPLICATION
for
SIDE -SEWER PERMff EASEMENT NO. � --------------------- ---------------------
NEW CONSTRUCTION REPAIRS E] LID NO. -------- - ASMT. NO.,.
------------------------------
CONTRACTOR ----- ------------------------- PERMIT NO.
r-� '
... tr�-..Aa,4,<LEGAL DESCRIPTION: LOT - ----- ----------------------------- BLOCK NO. JVC-t�--"
-------------- I -------------------------------------------------------------
1.4AME OF ADDITION ... W.-&.1- �.I- �--
Approved:
DATE
By--- * --------------------------------------------------------
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CITY of EDMONDS --- PUBLIC WORKS DEPARTMENT
Routing of Building Permit Applications
Proposed Property Address of Application: 20904 Woodlake Drive
DEPARTMENT
COMMENTS
DATE
W A T E R
3
V
S T R E E T
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S E W E R
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N 0 T E S
BUILDING
DEPARTMENT COMMENTS
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BUILDING DEPARTMENT ApplIcant Fill
Inside Heavy Lines
PERMIT APPLICATION
USE PERMIT
ZONE NUMBER
JOB
ADDRESS
C;� 09 g)
NAME (OR NAME OF BUSINESS)
-'V-- A x-
PERMISSIBLE % ACTUAL
LOT COVERAGE I OT COVERAGE
MAILING ADDRESS
0 /A
PERMISSIBLE HEIGHT PROPOSED HEIGHT
z
CITY
lc� F_ L
TELEPHONE NUMBEa
-7 Q
ACTUAL LOT AREA TOTAL BLDG. AREA
z
REQUIRED YARDS PROPOSED YARDS
FRONT SIDE REAR FRONT SIDE — REAR
W
P
CC
NAME
ADDRESS
LEGAL LOT VARIANCE OR CONDITIONAL USE
0 YES NO PERMIT NUMBER
PLANNING DEPT. APPROVAL DATE:
CITY
TELEPHONE NUMBER
STREET R/W
EXISTING STREET R/W ............ FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............ FT. ............ IT.
0
NAME
m cm-
REMARKS
ADDRESS
HECKED BY
CITY
TELEPHONE NUMBER
METER SIZE
SERVICE SIZE
CLEARANCE
CHECKED BY
STATE LICENSE NUMBER
9
CITY LICENSE NUMBER
REMARKS
Legal Description
of Property (Show Below or Attach
:Z
Four Copies)
hF -PRILIF
TYPE CONNECTION
VERIFIED BY
PERC. TEST
PERMIT NUMBER
C9
REMARKS
FIRE ZONE
TYPE OF CONSTRUCTION
STREET IMPROVED
[] YES NO
SPECIAL INSPECTOR REQUIRED
0 YES 0 NO
OCCUPANCY GROUP
7
GAS
RESIDENTIAL
NEW LINE
NON-RESIDENTIAL SIGN
ADD RETAINING
-.e"19 DEMOLISH WALL
ALTER EXCAVATE FENCE
OR FILL (-p _x
REPAIR PRE -MOVE swim
INSP. POOL
PLAN CHECKED 137 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.
PROPOSED USE
RECEWFE:
BUILDING
PLUMBING
PLOT PLAN (Indicate Building setbacks, abutting streets)
MAR 3 19
It
HEAT & GAS LINE
PENCE
SIGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL