21003 83RD AVE W.PDF11111111 lill
7697
21003 83RD AVE W
-SIVE "SEWER, PERI MAW
UTYOF E.DMONIDS:..
DEPARTMENT!
_t of h t -d
7..76 1 0 Jo de sewer nspee ons,.-BEFORE covering.- any'.por ion t e cons ruc ion.
ti,
(,Call,,
Inspeefion will, be -provided -*ithI!n'. 24, hoq�s:after, request.- NO', Sat., Sun.,:. o.r."holiday Ihsli6etions,
2-100-
A
-�it-ESS���LIOCA'nON,'OF'CONSTRUCTION,.� -
............. .................. .................. ... :777 ...................... ...................... ............. 1,.."...`71* ..............
7
W. 00 6f E.. 160-1 61f: L-')t-- 175
Pl�OPERTYX`LEGALr DESCRIPT A, 4,11�iwbbd -'Mano I
ION ........................... 7* ........... .............. .................... ................ .............. : .................. ...................... : .......
......................................... ...................................... . . ............................................. ................................... .... ...........
M
-Ol Al KLU A, 1`11SE
. .............. . .... WNEW BUIL DM ............. : ............... ...................... ................ ..............................................
j.......... ............ ..................
're 4 S Cyli % "613 jj(37
WACTOWS WAME & DRES .............................. I T11 - . I - . � �9 8 0 43'
I, PONT S.....- P
................ ..................................... ............ ............................ ............. . ................... ............
e c e- r,.) i; e
.......... : ............... r ........ ................ : 1 9 'Jor, repair. and/or�� connection: of -.,a -sidb-seweir jo.�'.the;,,6it -.saA tarv, Isewer
y
'accordance, withiCitpoft Edmonds- ordinances.
LED
-�`iON!rS�CAIL ::TO'THE_F6LLOW1NG:
ewer, Inside property line. A,Iicensed actor, must -be ;emp oyed, �o constiuct
i No. 1�Thc; owne'�s of%the4roperxy may'pbtain-a.permit,tto�,construct'!s �Ieen Inspected. Sid,e Sewer'd I on . t , r
sIde,:sewer'In straeftai:ea�.' Do not,cover any',porfion- Vs6wch before it. fias -
0
NOTE'�No. .2—*A,ll w6rk performed in city -right-of-way requires"an4riva'sion-of. Right -of -Way., Permit' obtain -able -from the City -Engincer's. office. -
.,NOTE -No.. 3' Obtdinitfulll, Information rega-�ding',O�dinance.'I.l�,1'6�-030x and -Regulations 'governing, side, sewers'.whew youlget pei-mit'.-
;:,m nimum
NOM.-Ne. must have:at',1,.ea:st_36 ihcfies� coverage- &V property line a.,id'12'ifiches -inst ro y ilne�' a:d e of - No;bends In grade,
iA will �be permitte
NOTE No. 5�'iT�-n"�We.'in -street must,be'water settled- and su'rfa6e 'of st�eet restored to original. -condition. :-C . ontractori shall 'be responsib . le.�f or': u 6 due to 'Improper.
w,rk-�Yfiibh� may develop within one year of completion..
NO . TE No:, 6--It is 11 unlawful to �alter -or -do. any oth . er. workthaxi: is pr . ovided' fo . r 1 1 n, the PC I rmit, or' to, do any w6r�- ory &P-pil` ri�n-awAces�except to'. ln-�"
Bert ihe �pipe WW.the wye.
-By ................. ......
I at .... ........................ ................................ BY ........ .......
DISAPPRO,_YED1_,- F-J,',- D _77 Byt.� ........
.............. ..... ..
APPROVEU.- .'224 Date .... _21 .. ... ............. Jay.
........... ......
. ...............................................................
................................ ..................................... ............................................
.............
------------------- ........ ........... ......
.................................................... ....................................... ..........................................
MU ST Be
...... I ............... ..............
tracting, Firm �& V
, forming,,
ce, with. allzllrlerninz�
O,Xrner,of Firm Performing Construcijio'n PRIOR: TocReques oF,6r Insoection,
-this-.,
.............. hereb� certify that the side sewer installation constiucted! under- permit:
istruction-)i
linaiic-es�bf:�t,he�,Cit'y.'g'f-
Edmo S.
. ...........
Dated ............ .... 0
-J, -,,Check BEFORE-yoti dig. for:_,Water, o%yer,.E3, . Sewer E],_.,
APPLICATION
for
The City of Edmonds tmcff F LE SME SEWER PE T
NEW CONSTRUCTION �� REPAIRS
ONVNER .. ........................
ADDRESS ............. 5�
, ------------------- - ....................
TR E, A TIM EN T K A -V T
EASEr—T I
—7 11
Ar-
CONTRACTOR ............... — .... F)70�,
!� �- ...................... PERMIT No.,...; ........ .........
r
LEGAL DESCRIPTION: LOT No . ..... / ...... ............................. BLOCK No.
......... .......
NAME OF ADDITION ....
...... ......... .......................................................................
I -c'.0
.�j
Approved:
DATE ... ................. 13 .... ?.
NOTICE:
Nb warranty of acc-u-r-a-c,y--
The -information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The city of �Edm.qnds does not . warrant the
accuracy of anything set forth on these
map(§-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the inform-ation shown on
tFe -map(s), including, but not limited to,
th'e 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 c'ity of Edmonds nor its
ernpto-yee-s o-r office-rs -sh-a-1-1 be 11a-b-'Fe for the
information given on this map(s), nor for'
ion provided based
any one representat'
upon said m1ap(s).
77
..CITY of EDMONDS PUBLIC WORKS DEPARTMENT
Routing of Building'Permit Applicati
lons
00
Proposed -Property Address of Application: 21003 -,83rd Ave. W.
7
;7/
N 0 T E S
BUILDING
DEPARTMENT COMMENTS
EK& *-- . mmmmm=mmmm.
P 11 L elOW'�19MIMMILMON
No.
BUILDING DIPARTMENT Applicant M
PERMIT APPLIC Inside Heavy Lulave
i GIN,
k- /j " I
)N KROLL MAP NO.: PXR341T
"UMBER
39-
Ob, .3 -
LD SETBACK STREET SETBACK REAR TARS SETBACK
WAILINQ A4)1)IWUU
/o/
t :�?o l'
0
xl_�
-WE-
100 R tv.
zorric
LATr A.KMA
VAU"T ""Iff
CITY
0 VMS NO
M 0
—776-6035
T"I"'
VARIANCE NUM
HAA99
PLOT -PLAN APPROVED
-ADDHZIJS
"Tas", 81W
TSLEF2101M .1103=
XXISTINO STREET It/w
1". I)XVICIENCY THIS PROPERTY
COMP. PLAN OT, R/W
RKKARKO
............ rr. ............ jr4r,
NA.ME
AMDUES9
.
�? 9 & ;�� 0 0
CITY
6
STATIC LICENSE NUMBER
;ITT "'r 14UMON
"No" "u"B"
METER, SIZE
OSHVION
SIZE LEARANCIS
CHZCKED BY
0
L-SSJ D41=11,119ft Of Property (Show Below or Ali h Fo Copleet
LJ Y�-
TYPE CONNEEMN
VER.IFIED BY
7-
PERMIT NUMBER
:z 1:
REMARKS
FIRM ZONE TYPE OF CONSTRUCTION STREET IMPROVED
0'YEG 13 NO
aP9CI L INaPS.CTOn ItxQU
OC=ANCT-OHOUP.
RESIDENTIAL
GAO
0 VMS 0 NO
NEW
LINE
NON-REIIII)ENTIAL
mison
THIS S:TF 1,; 1 1,N) THE
ADD
Cry.
A
Y11' 1 1 1 4'A I US
RETAININM
DrVOL1811 WAL"L
a
TAX LJIGULD Ul: 31.04.
ALTER EXCAVATE rMNCM .
OR FILL
( ........... z
0 IMPAIn PRE-blovil OWIld
IN"P.. POOL
TDWELLING
UNITS
Valuation
Fee
I" Chu* No 7 ..........
BUILDING 11
PLUMBINO 4
PWT PLAR Ond!c.t. Builditis "back., "LAUPS Site$ 4)
BEAT & GAS LINE
PENCE
OWN
RETAINING WALL
OWIMAUNG POOL
RECEIVE�j
DEMOLITION
P E 2 2 19.71
PRX-MOVIC INSPECTION
EXCAVATION OR FILL
TOTAL AMOVNT DUE
I hereby "it owledge, that I have read that application; LbmA the in.
al
formation given Is correct; and that I am the owner, or the duly author.
,sets
agent Of the Owner. I agree to COMPIr with city &04 *tat* law reau-
ATTENTION
APPLICATION APPROVAL
tatubs construftfou; and In doing the work authartzed thermilly, no go
will he 40,00irld In violstfou of the Labor Cod* of We state of Wavatogton
TMBrXMaT
This application to not a pamit until
foisting to Worknica's Compen"tion JumulLang.
AUTsoatz"
sl�ped by the fluilding Official or his Dep-
NOTE: Permit Unlit One Yea (xzew onmoLmoss which
ONLY TRA
W03LX NOTED
uty; and fees are paid, and receipt to ac-
Malf be co"Plet 4 in ninety days; MOV90,4211 BUILDINGS $hall to com.
knowledged in space provided.
vl.totl In mi.
alum TUBE _(OWRM OR AGENT)
DA?"QNJW
INSPECT'ION
7URN
DxPARTMzxT
CUT or
EDMONW
DATE
NOTE: Applicant Subject to Pidn Cbeck Fee
Thin 11'emil e9ven work to Ime &me on private pmpwty ONLY,
PR 0.1107
Any volistruc$10"I on the pubtle -fornmin (Cwte, adew"am. "veeta,%,
que". fit.) will - -quim amparalle perwel"Itel.