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21010 WOODLAKE DR.PDF11111111111111 13763 21010 WOODLAKE DR APPLICATION AV for The City of Edmonds SME SEWER PERNEIT EASEMENT No . .......................................... NEW CONSTRUCTION REPAIRS 0 OV,`NER ........ t4C)—L—.60.N ...................................................................... CONTRACTOR .. L—%%0Nt"4W.-.PPlP ... MapTle---TNt4Vl PERMIT No. -4 a ADDRESS ..... %NPCPL&.VIF . .......... PR I V.M LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................. NAME OF ADDITION F�4�7 .......... CDf= ........... W ... .................... 0 0 0/414 /-.c ............ %-. ITY OF EDMONDS - SIDE SEWER PERMIT WATER -SEWER DEPARTMENT PERMIT N? Cal 5-2525 for side sewer inspections BEFORE covering any portion of the construction.% Insplec7t7ion will be provided within 24 hours after requst, NO Sat., Sun., or holiday Inspections.) 4550 ADDRESS LOCATION OF CONSTRUCTION ..... VO.O..Koodlake ... Drime ................................................... . ..................................................... PROPERTY LEGAL DESCRIPTION ...... Wt..� PlAt ... o.f ... W.o.oOlAke ............................................................................................................................................................................................................................................................ ........................................................ ........ 01%NERANDJOR BUILDER ....... ROLM .................................................... CONTRACTOR'S NAME & ADDRESS ...... �yqpwood Septic..Tank ... I ... 81st N.E., Bothell . ................................ ........... ................................................................................................. Permission Is granted ... ...... De.cembpar ... Ia .................. 19.13., for repair and/or connection of a side sewer to the city sanitary sewer system in accordance with City of Edmonds ordinances. AT- "TION IS CALLED TO THE FOLLOWING: NL " :o. 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 btalnable from the City Engineer's office. NOTE No. 3—Obtain full information regaxding 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 than % 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. 6--It is unlawful to alter or do any other work than is provided for In the permit, or to do any work on the malin sewer or Its appurtenances except to In- sert the pipe Into the wye. DISAPPROVEDM APPROVED Date ... .................................... By ................ Date ......... 0, k . ........ ..... .. .... ....... Date .......... .... ....... Date ............... . ................... . By ................ By ...... ....... ................................................................................... Remarks: ...................................................................................I .................................................................................................................................................................................................. _ .......................................... I ......... BOTH,�ermit 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 V.� (Owner of (�cn wp, *-istalled in accordance with all -governing ordinances of the City of Edmonds. Datedthls�) of ........................................ I ....................... V V Check BEFORE you dig for: Water 0, Gas E], Telephone Ej, Power Ej, Sewer Ej, Other E] -V V 0 The City of Edmonds APPLICATION for SIDE SEWER PERNaT EASEMENT No . .......................................... NEW CONSTRUCTION 0 REPAIRS 0 I OWNER ............. CONTRACTOR .... PERMIT No. ................ .... --------------------------- ---------- ------------------- Ile? ADDRESS ..... C� ...... ...... ---- 10 ............... ...... LEGAL DESCRIPTION: LOT No. -------- ----------------------------- BIA>CK No . ............................................ NAME OF ADDITION ..... . .... .... ..................................... 21 Approved: DATE................................................ By ...................................................................... CITY of EDMONDS --- PUBLIC WORKS DEPARTMENT Routing of Buildifig Permit Applications Proposed Property Address of Application: 21010 Woodlake Drive 1�1�/-01,11 61,S-- DEPARTMENT COMMENTS DATE W A T E R 0/31- S T R E E T 4�1 S E-W E R J� .0 f N 0 T E S &C/ A2 BUILDING DEPARTMENT COMMENTS N f, 1- BUILDING DEPARTMENT AppBeant FIU inside Heavy Unei; PERMIT APPLICATION UnN PERMIT ZONE NUMBER JOB ADDRESS C7 iolo yo-16�,A" NAAM (OR NAME OF USINESS) 0 &AILING PERMISSIBLE % ACTUAL LOT COVERAGE LOT COVEIAGE ADLmESS PERM1881BLE HEIGHT PROPOSED HEIGHT CITY EDty0Aj TELEPHON 14UM13ER 77 ACTUAL LOT AREA TOTAL BLMQ. AREA z REQUIRED YARDS PROPOSED YARDS FRONT SIDE REAR FRONT SIDE REAR NA� i I Afrfll- 70 1,' A-5j I -A-BDRESS _7Z -- (4 e-e LEGAL LOT VARIANCE OR CONDITIONAL USE 0 YES NO PERMIT NUMBER PLANNING DEPT. APPROVAL DATE: CITY E�jo^) AJ TELEPHONE NUMBER WY -- 6,Kq STREET R/W EXISTING STREET R/W .......... . FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W ............ FT. ............ FT. A NAME < -, 7VAY �lf REMARKS RE88 CHECKED By CITY TELEPHONE NUMBER METER SIZE SERVICE SIZE CLEARANCE CHECKED BY STATE LICENSE NUMBER CITY LICENSE NUMBER REMARKS Legal Description of Property (8 Below or Attach Four Copies) TYPE CONNECTION VERIFIED BY PERC. TEST PERMIT NUMBER REMARKS FIRE ZONE TYPE OF CON13TRUCTION 13TREET IMPROVED YES NO SPECrAL INSPECTOR REQUIRED OCCUPANCY GROUP C] YES 0 NO Q pe GAS NEW RESIDENTIAL LINE NON-RESIDENTIAL El SIGN ADD L;-- -- -- I RETAINING F� DEMOLISH WALL ALTER EXCAVATE PENCE F� OR FILL ( .......... x .......... Ft.) F� REPAIR PRE -MOVE swim El 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 7- NUMBER OF DWELLING UNIT13 NATURE OF WORK TO BE DONE Plan Check No ..................... Valuation Fee Receipt N% BUILDING PLUMBING PLOT PLAN (Indicate Building setbacks, abutting streets) tRETAINING N HEAT & GAS LINE PENCE SIGN WALL SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL