21016 80TH AVE W.PDF11111111 lill
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21016 80TH AVE W
ADDRESS:2- DI L " m . � ':).
TAX ACCOUNT/PARCEL NUMBER: M37362MLO-O&I
BUILDING PERMIT (NEW STRUCTURE): lq&:z
COVENANTS (RECORDED)
CRITICAL AREAS 05AL DETERMINATION: F
] Conditional Waiver E] Study Required A'0�aiver
DISCRETIONARY PERMIT #'
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR: I SDOUN -oas, siuoeit.
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED: 0-r3-cD5
SCALED PLOT PLAN DATED: n. I I .
SEWER LID FEE $:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED: C4 - W5
SIDE SEWER PERMIT(S).#:
GEOTECH REPORT DA
STREET USE / ENCROACHMENT PERMIT #- *
WATER METER TAP CARD DA
OTHER:
LID #: i M
LOT: C5 BLOCK:
LATEMP\DSTs\Fomis\Street File Checklist.doc
CATIOW, BUIL. 0111&:�� PERMIT,, Ap 1'. -�16.
Peimit, limit,' o'n
vildin'g' Depcirtment
94
v4
Or
f4
CATION"-'." W.hereby`made f' ct the follb*ing work, ir. kc&rdanci!�
..or a permit. to. constfu,
p �;:ian'd"-*s"p'ecifications'...-T*o sets,are su'bmided herewith for a'pprv�-A
a t Off'st
d er
rk pair
- I ...... I ___ ...................
re .......... .. ........................................................... �.. Pa�.kin
.................. ire zone. .............. ill .....
CY.'. .......... Const. type ................................. Use zone ..... .......... F*
A,
A&__n..
ad ..... ........... Lot .......
..................................................
tage ............ ..................... ......... Area ........ Cv. (1.
....... Septic tanic
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;.,:,Bldg.. set -backs front ......... 1. side ........ ..... rear ..... 0- ................
-;1:9111 ..... - side .............................. ..................
-.Tel. N
................
Addr 0.
Own ....... 42 ess
Builder,
Address ....... ........... Tel. No .............................
Plansby .................................................................. Address .................................................... . Tel. No ...............................
............................................................................................................................................................................... V
. ................................................................................................. ...... ..........................................................................................
. ................................................................................................ . .......................................... ...................................................
_i_�e abuve is a rorrect statement, and L agree to co m*ply with A applicable Codes -and ..State law* s regulatint
work..
r/Age;n3� e."
Signed Owne ddress.; ........................................... D at
PEWIT'. for the above work is hereby approved, subject- to the above conditions, and to compliance vvithdie�ap
proved and specifications, and Building Department notations thereon.
Valuation .......... .............. Pem-dt.fee ........ :�V .............. Recd. by . ...... . ...... ...
Building Department, By ................................................. . ... Date.. ......................
This Permit does not cover Plaribing, Sewer or Electrical finstalldtions.
V
AkS, NOIEL"
B y E ft,) N' FE E R IG
PLOT PLAN
SCALE 1 20. 00'
Da!e.
K'K Nl%lYICE'RFQ-.
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1901-0"
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-,-----POWER POLE
31'-0"
WATER METER—, 0
FENCE ALONG PROPERTY LINI� FULL LENGTH
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0
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0%07"" DRAINAGE SLOPE
LESS THAN.5 %
2T-0"! Lu
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FENCE �LONG PROPERTY
C? LINE, TO HERE
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OWNER: DAVID & MICHELLE GWDER
-6
21016 80TH AVE W
_�" �pntw EDMONDS, WA. 98026
2V-0" '—POINT OZON
PARCEL NO. 0037300100301
STEP
CONCRETE
T-0
PROPERTY DESCRIPTION: ALDERWOOD MANOR 09 BLK 001 D-01
_4�4 i I
PROP. SIZE: 0.30 OF ACRE
.8
Zone� 5 - 9 Corner NO
c�
ON
m0A
4-5 i i., ELEVATIONS @ CORNERS
.0"
- ' T"I :3 Setbacks Reqwred
A-5"
it
B -5" Ffe�A 4 45
-4 _141i A" STUMP
c=-r
cl
151-0"
Til cdf;ps
)s
THIS CORNER 0=4
r LOWER AVERAGE 425"
YID
z 'r
Lu 'v
4W-0" 0 MAX HT. 2N4"
C P� 4��' --i —p a A
D 14" CTUAL HT. 14!-8"
lux, rc 20
0
Hei
41 ui
LL
ILE
FENCE ALONG PROPERTY LINE, FULL LENGTH
m- HEET F
4 DATUM DATUM POINTSAMM
<----SEWER LINE PMT 0 BY PLANNINO
100. 1 yl to V;ft Of +wW -e v-e v S tyi4 c ti4 re, r-t v" a
9vit ca I L c .0 a
Wfil UVj4<ey '2'1�j' IfMft at V'Q V 8 vi I � I E; '. It � C+10 A 6-V- c7 �, K D " arc. jvjW(aE-t
) lyl-cy 0i'(<' -4 0&0 (4 J-4 4�? nft4;Y&
PLANNING DATASTREET FILE
NAME: [)aVP
91tAICAICAlf (7jnCj-P_y- DATE: J010612_00fT
Sl TE ADDRESS: ().Th AVf, W PLAN C"K#: ()E5- +-!o
PROJECT DESCRIPTION: Addi+jpyl
REDUCED SITE PLAN PROVIDEW:
MAPPAGE: 2�()(p CORNER LOY: (Yes FLAG LOY: (DNo)
ZONING: 1�,S- 9 — CRITICAL AREAS DETERMINATION 9 - '�,() 0 E5 Of '� 2-
1j Study Required -
INWaivef
UConditional Waiver
SEPADEYERMINATION:
Ll Fee
U Checklist
U APO list wt notacized forat
LJ(Needed for 500 cubic yards of grading,'Shoreline Atea- site within 200 ft- of Puget Sound or Lake Ballingei)
is Exempt No gracifn3 PrDporvect ( 41�5 WLo(c- yard �, p-ex 47 (4c, p
SETBACKS: N )
Requi d4ethacks- W
Sir -Pat: RTgSide:
Actual Setbacks:
SW": lt_�Side- t Side: Rea& --
Street map checked for additional setback required? (Yes I No I rOTA7)-)
U DETACHED STRUCTURES: V1 D VIP, 6plow?,
Ll ROCKERIES: 0-yi 5 r f-r, P I A-,yl
0 (�ES RELLISEs:-zxi6rt!n_q arnw,4 I:P-..
U BAY WINDOWS I PROJECTING MODULATION: (L6yu, S ko tASvi oyi S)'-fr_ p I dill
M STAIRS 1(6`ECKS)e)((,�rt�Yj 6) - VV1_Ctf!� 5&10A CDVI CefL �" I'V-1
,7 - M -e a G K-17.
PARKING: Required: ',�- Actual: - Pq I C.- �&x I" V1 0 Kom e 1440 2.S2_c> V2
LOT AREA: 0. '�o 6C0-r_, -* "V 1.3, 0 ID S 91
LOT COVEIT AGE. P VV9 9 9 0
Calculations:
BUILDING HEIGHT: A
Datum Point: Owl CWM0 btrF Datum Elevation: 1190
Maximum Allowed: -Actual Height: !4, V
A.D.U_ CREATED?. (9_y_e_Sj_. OVIC 144ftMr4n Sh OWn D"-4
SUBDIVISION: k1clicrWood maylor ocl - DOI i)_01
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: ()�es I oNo)
OTHER: MA 61VII CA L V-2 if (
Plan Review BY: VYV#I/ MVVA�_
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IVI
NewlAPPlanningDatalTorm -DOC
#P20
CA File No: 14 1-
Critical Areas Chec*klist
Site Information (soils/ topography/ hydrology/vegetaiioli)
1. Site Address/ Location: -,2101(0 9V1"AVf-,W
2. Property TdxAccount- Number: 00 -� -7 3 6 (Doi oo3c) i
3. Approximate Site Size (acres or square feet)- 0.30 6(�f5
4. Is this site currently developed? V/ yes; no.
If yes; how is site developed?. I h'QUS�e
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site- generally less. than,15% (a vertical rise, of 104ek over a horizontal
distance of 66-feet). . Z d.,
�J�"j 'J"'. — 0;
a L*3 46/6 0 jd,.VeAda� '8V 16-feet
Hilly: slopes present on site f �jj" .1-
.0 m(jr
over. a horizontal distance oM MMI66t).
'Oil P f
Steep: grades of greater than 30'k 6 L5 (a verti Atal
present T i
, Lq
3-feet),
distance of I
ess than .3
Other (please describe):
6. Site contains areas of year-round, standing- waten. Approx. De th:
p
7. Site contain�.areas of seasonal standing waten., Approx. Depth.
What season(s) of the year?
8. Site is in the floodway floodplain �J 0 of a water course.
3
9. Site contains a creek or an area where water flows across the grounds surface?,.: Flows are year-round?
0 Plows are seas onal? . (What time of year?
10.. Site is primarily: forested ;meadow shrubs mixed
urban landscaped (lawn, shrubs etc) X
Obvious wetland is present on site: N 0
---------- For City Staff Use Only
1. Plan Check Number, if applicable? D -LA-*a'(0 Arckch-hovi
2. Site is Zoned? P- 5 — '9
3. SCS mapped soil type(s)?. 5— 6rl At�WQ04 �LA.06ayj IOLnct W Vyl f44 I- + "w.-Iat'5
aA') Al ALVVV00d ay- A VEA W 4:�' a Q QW�Q am 1 5 -10 1/0 'b 11)
U -j
4. Critical Areas inventory or C.A. map indicates Critical Area. on�site? NWT, 6MWV1,
5. Site within designated earth subsidence landslide hazard area? W D 0 LA t P2LA i
OL-b(,(M -J-0 Vyj6JV-C/ f-inat Cj-U+-tVVY1jV)(A-h0n
DETERMINATION
STUDY REQUIRED WAIVER
-C. 167
p #.P20
City. o Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
The Critical Areas Checklist contained on this form is to
be filled out by -any person preparing a Development
Permit Application. for - the City of Edmonds prior to
his/her submittal of the application to the City.
Date Received: _t I L kk I U)
City Receipt#: -9-IR.
Critical Areas Fi le #: VO 0 ly ---� 0 1 44 7-
Critical Areas Checklist Fee:. \ $135.00
Date Mailed to Applicant:
A property owner, or his/her authorized representative,
musffill out the checklist,:sign and date it, and submit it
to the City. The City will review the checklist make *a
precursory site visit, and make a determination of the
The purpose of the Checklist is to enable City staff to. subsequent steps necessary to complete. a development
determine . whether any potential Critical Areas are, or p I ennit application.
may be, present on the subject property. The information Please, submit a vicinity map, along with the signed copy
needed, to ..complete t he Checklist, should be -I easily of this form to4ssist City staff'in findin and locating the
avai f data available at 'specific piece� of property described on this form. In
fts Wi_ dition, the applicant shall include other pertinent
Ci
s eys formation (e.g. site plan, topography map, etc-) or
ON plo U,� studies in conjunction with this Checklis t to assistant staff
.APPUCAP %��n completing their preliminary.a.ssessment o. f the site.
1) A _7\
The undersigned applicant, and his/her/its heirs, and assigns, 'in consideration on the processing ofthe application agrees
to release, indemnify, defend and hold the City.of Edmonds harmless from any and all damages, including reasonable
attorney's fees, arising from, any action or mifriction. based.in whole or part upon filse, misleading, inaccurate or
incomplete information ftimished by the applicant, his/her/its agehts,or employees.
By. my signature, 1. cer* that the information and cxhi6its herewith submitted- are,true'and correct to the best of my
knowledge and that I am authorized to file this application on the behalf of the owner as listed, below.
SiGNATuRE oF APPLicANT/AGENT DATE
Property Owner7s Authorization
By my signature, I certify that I have authorized the.above Applicant/Agent to apply for the subject land use application,
and grant my permission for the public officials* and the, staff of the City of Edmonds. to enter the subject property for the
purposes of inspection and posting attendant to this application.
IGNATUM OF OV;I-MR DATE
PLEASE PRINT CLEARLY
Owner/AppUcant.-
DO-VA/Mic)Ade
Name..
2_AO -ao, �64k�
y e-
A
Street Address
r-A mo t4s \AIA Z(a
city State Zip,
Telephone: Lf Z!;-- V7 0 0 70 k
Email address (optional): Ctn� . q_Ird e r P
. venzon.ne_+
Applicant Representative:
Name
Street Address
City
Telephone:
State
Email Address (optional):
zip
I
0
I
E
rn
C�'
CM
qc_
E A S E. M E N T
C5
C>
C)
:= -
For a good and valuable consideration, the grantoiis 0 Im
V-11an'be-ca-pr nnd -"wrplgn a- Kellpnhprger hereby grant
to the owners , - R on _q I ?I I r6�as s- an d np lor eg, 'Ri ess
and to future owners of:
South 100.00 feet of the North 500-00 feet Of Lot 3, Block
1, Alderwood Manor 9; less the South 70-00 feet of the North
500-00 feet of the East 117-00 feet; also known as 330
21st Avenue South, Edmonds, Washington.
a gas line, now installed, and
An easement
,Afor the installations operation and maintenance of a sanitary
sewer line over, acrosst through, under and upon the following described
property, situated in Snohomish County, State of Washington, to-wii
South 100.00 feet of the North 600,00 feet of Lot 3-s
Block 1, Alderwood Manor No. 9, according' ' to the plat
thereof recorded in Vol. 10 of Plats, page 6,-records
of Snohomish County, Washington, less the South 80.00
feet of the East 111.62 feet thereof; also known as
350 21st Avenue South, Edmonds, Washington
DATED this day of August 19 65
NO SALES TAX
REQUIRED
V
A U G 6 190 65
Deputy
STATE OF WASHINGTON
ss
COUNTY OF SNOHOMISH
s day pers
.On thi onally appeared before me
and to. me k 'duals
ye -- pown tb be the indiii
922��' 4 .
describedain and who-qxecuted tht with —ins and fore'goi nstrument, and
g 1*
acknowledged that signed the same as P' I A free and
voluntary act and dbed.7f—or the uses and 'purposes t
Femin mentioned.
GIVEN under my hand and official seal thi4,,*" day of
19
6ee.. 41
M A')
otary Pub-ri-c kh and for We
S ' tat f Washington, residing
af
�A A!
,-" —,j � %
APPLICATION
for
The City of Edmonds SEDE SEWER PERYaT
-6:'
OUTSIDE 2- INSIDE E]
17 C-?
REPAIRS C]
CARDNo . ......................................
EASEMENT No.
. ...............
"I
OWNER ... I
...... . CONTRACTOR ......
..... ........ . ......... .................................................................. ....... ....................................................................... PERMIT No/
-- ------ ------------
STREET
HOUSE No. .......... ��L -5c b LOC ..................................
......... ................. ............
j ----------- ..................... AVENUE LOT No ... I.... E K No . .......
?c 0 ss
......... Z� ------ il '7'
NAME ADD . .......... ......
4ui. tJe-sr ............. ... ------ .... ... . ...................................................................
... . .... .. ...........
7'
39
4,* T,
uj 1/4'
Er,
Ile
41-
-7
5
Date Approved:
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, ......... .............................
SEWER WORK ORDER ISSUED ------------------------------------------ DATE .... .......
,7 .... 7 --------
By
APPROVEO
"I
NOTICE:
No warranty of accuracy.
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of �Edmonds does not warrant the
accuracy of anything set forth o.n these
map(�_). Any person or entity -requesting a
copy should conduct an independent
regarding the information shown on
th-e -map(s), including, but not limited to,
h
the location of any sewer stub shown. Suc
sewer stubs may or may, not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
emp]-oyees or offi-Ce-rs -sh-a-111 be lia-b-11--e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
civic CITY OF EDMONDS
CENTER — WATER —SEWER DMIARTqENT
SIDE SEWER PERMIT
Call PP-OsPect 6-1107 when work
ready fOT Inspection. (No Umpec
r
UOR8 Sat -day, Sunday Or holiday,.) N2 1272
ADDRESS A 0
,3 .......... 21.n .. Annug
OWNER ......... J� ............................................................
--- ---------------------- * ----------- * ------
.gess ....................................... CONTRACTOR --------- Owner
Permission is granted .... .... AUgust .. 6 ......
With City Sewers in accordance with applicati for ...................... days, to
On On file and governing ordinan REPAIR, or CONNECT a side sewer
ATTENTION IS CALLED TO THE FOLLOWING: ces.
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 ins
T3 No. 2—Obtain full information
' No. 3—TOP Of side sewer must have at least 30 inches coverage a Ons governing side sewers when you get Permit.
B regarding Ordinance mmm and Regulati Pected.
No bends In grade sharper than % will be Permitted. t Property line and 12 inches Inside property line; nUnimum grade of 2%.
'PE NO- 4—Trenches In street must be water settled and surface of street restored Original condition. Contractors . -be
NOTE No. failure due to Improper work which may develop within one Year of corntoetion, shall responsible for
5__'t 18 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 ap.
Purtenances except to insert the Pipe into the wye.
0
of E 1)jj,
ri
- In
CITY OF EDMONDS
121 5TH AVENUE NOR,rii - EDMONDSMA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERNHT MUST BE POSTED ON JOBSITE*
STATUS: APPLIED ENG20060184
SIDE SEWER PERMIT !(I -Single Family)
Permit Number: ENG20060184 Expiration Date: 9/29/2006
Job Address: 21016 80TH AVE W, EDMONDS
APPLICANT CONTRACTOR
ALPINE BUILDERS ALPINE BUILDERS
1>0 BOX 1804 PO BOX 1804
SFANNNIOOD, WA 98292
SI-ANWOOD, WA 98292
360-387-4480
LICENSE 4: ALPINBI979KN EXP 7/8/2007
N
N]GRINDE-RI"Ump
JOB DESCRIPTION
]REPAIR N PROPOSETORE'USELATERAI, LIDNIUMBER:
N 1PROPOSETO REUSE SIDE SEWER
SIDE SEWER REPAIR
EASEMENT INFOWNIATION
N
—
] PROJECT CROSSES OTHER PRIVATE PROPERTY
N
�,RIFICATION OF RE ORDED EASEMENTS COMPLEFE
IVF -C
INDEMNITY. TheApplicant has signed an application which states helshe holds the Cit ' v ofEchnonds harnilessftom injuries,
daniages or clainis ofanY k ind or description whalsoever,foreseen or unforeseen, that nia1v be inade againsf the City ofEdmonds or
any ofils deparintenis or emplo ' vees, including but not limited to the defense ofaiij; legal pruceedings including dqfense costs and
allorneyfees h1v reason ofgrawing this permit.
CALL DIAL-A-DIC (1 -800424-5555) BEFOREANY EXCAVATION
CALL FOR INS PECTION (425) 771-0220 EXT. 1326
24 IIOIJRNO'IICERFQIjIRED FOR ALL INSPECTION RFQUESTN
TIIIS A PPLICA11ON IS No,r A PERMITUN'111- SIGNED 13)''11112 C]T)' ENG) NEER OR I I IS/IIER DEPUIN: AND FEES ARE PAID. AND RFCEiP,r IS ACKNOWLEDGED IN
SPACE PROVIDED.
RELEA
FILECOPY
BY
F—] INSPECTORCOPY
Printed:Thursday. June 29
DATE
[] APPLICANTCOPY
• Reter to City of Ldrnonds Side Sewer I nibmiation h an dout fiorrequirernents.
• A 6" cleanout xvith 12" locking cast iron larnphole cover is required at the property line.
• Maintain 10'separation between the sanitary side sewer and the water service line.
• Call for required inspections prior to backfill.
• F�Sanitary Side Sewer Inspection
• E-Engineering Final
PA WHA L INSPECI'ION DATE:
PA WHA L INSPECHON
FINA L INSPECHON A PPROVFD
0
INrrIAL:
DATE: INITIAL
DATE: 6
IN I T I A L:
NOTES:
NUFES:
ENG20060184
0
0
41 O�
CITY OF EDMONDS
121 5'r I I AVENUENORTI-I - EDNIONDSMA 98020
PHONE: (425) 771-0220 - FAV (425) 771-0221
*PERNUT MUST BE POSTED ON JOBSITE*
STATUS: APPLIED ENG20060184
SIDE SEWER PERMIT (1-Single FarWly)
Pennit Number: ENG20060184 Expiration Date: 9/29/2006
Job Address: 21016 80TH AVE W, EDMONDS
ALPINE BUILDERS ALPINE BUILDERS
PO BOX 1804 PO BOX 1804
SI-AN%%'OOD, WA 98292 SrANWOOD, WA 98292
360-387-4480
LICENSE #- ALPINBI979KN EXP 7/8/2007
NJREPAIR
N
1GRINDERPUMP
JOB DESCRIPTI ON
I N 1PROPOSETO REUSE LATERAL LIDNUMBER:
F—N—] PROPOSE -1-0 REUSE SIDE SEW FR
SIDE SEWE1Z REPAIR
EAS EqENT INFORINIATION
Nj
PROJECI- CROSSES
OTHER PRIVATE PROPERTY
N
] VERwICATION OF RECORDED EA SEM ENTS COM PLETE
INDEMNITY The.-Ilplicant has.�igned an application which states he,'�he holds the 01Y ofEdtnonds hartntessfivin it�wies,
damages or. clainis qfanli, k ind or description whalsoeverforeseen or uqf�reseen, that tnay be made against the Cify ofEdmonds or
any ofits departments or employees, including but not lintited to the dqfense ofany legal proceedings including di�fense costs and
allorneyfees by reason qj'granting 1hispermit.
CALL DIALA-DIG (1 -800424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NO110EREQUIRED FOR ALL INSPFC-nON REQUIES-I-S
1111SAPPLICA11ON IS NOT A PERMITLIN111- SIGNED BYTI I E CIn'ENGINEER OR HISMER DEPUTY: AND FEES ARE PA I D, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED.
Ptinted: Thursday, June 29. 20(
RELEASLD BY
DATE
F—] FILECOPY A] INSPECTORCOPY. F] APPLICANTcopy
0 SIDE SEWER -PERMIT (i-Single Family) ENG20060184
• Refier to City of'Edmonds Side Sewer Inforniation handout for requirements.
• A 6" cleanout with 12" lockine cast iron larnphole cover is required at the property line.
• Maintain 101 separation between the sanitary side sex\er and the water service line.
• Call for required inspections prior to backfill.
• E-Sanitary Side Sewer Inspection
• &Engineering Final
PARTIAL INSPEC—HON
PARTIAL INSPECTION
FINAL INSPECHON A PPROVED
DATE: INITIAL: NOTES:
DATE: INITIAL: NOTHS:
D ATE: INITIAL
117007]
rear
window window or
:door
0)
Back of Housi
E.0,1,0-_
4" C/O @
3.51
4" SDR-35 @ 2'
4" C/O Below
Existing Sewer
I
CITY OF EDMONDS SIDE SEWER AS- BUILT �
c) ADDRESS: PERMI
21016 80TH AVE W NO. ENG20060184
CONTRACTOR: HOMEOWNER: S ALE:
GINDER NTS
DATE INSPECTED: INSPECTED BY: DATE DRAWN: DRAWN BY:
6-30-06 JH 1 7-10-06 1. ABILA
0 1 T Y 0 F E D M 0 N D S
a E P T I C T A N K APPROVAL
TO WHMM IT MAY CONCERN:
This is to certify that the septic tank— for
�3 3o -- 2-,/
/,/ 60-1,gc� - 'o-1;�'r 'P,-- S- ?-
has been inspected and are according to City of Edmonds standards
DATE:
Inspected by: