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21025 76TH AVE W
*-.,CITY OF EDMONDS
FOR INSPECTION CALL
-PUBLIC WORKS DEPARTMENT Permit
SIDE SEWER PERMIT 775-2525 Ext. . 220 Issue Date 311
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PERMIT MUST BE POSTED ON JOB SITE
2.
0
4.
Address of Construction
Property Legal Description (incl ude all, easements) Zo�
i7e J 1 -'71
Single Family R69idence
Commercial
Owner and/or Builder
5. Contractor & License No.
Multi -Family 'K No. of Units IP5-
�S'
6. Invasion into City Right -of -Way: No �< Yes (If Yes Right-of-
way Construction Permit Required - Call,Dial Dig (342-5344) before
excavation) .
7. Cross other private property: Yes' No X Easement.required -
attach legal description and county easement.number.
READ THE FOLLOWING AND SIGN:
a. Property owners must obtain a permit to install'side sewers on
their property. A licensed side sewer contractor must be employed to
construct side sewers in the public' right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year.
C. Commercial establishment requires a minimum of a six inch (6")
side sewer line.
d. Side sewers may not be installed closer than thirty inches (30")
to any structure. 0
e. Side sewer lines must be laid at a minimum grade. of 2% (1.15
and maximum grade of 100% (450). 0
f. No turn in side s8wer greater than 45 (1/81bend) is 0 allowed
between cleanout. All 90 turns must be constructed of a 45 (1/8
bend) and Wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100' along sewer 'line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k. Side sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working . hours only Two (2) working
days notice required.
DATE: ��W4
1/ certify/that I have read
/and shall comply With the above
PERMIT FEE:4,�,30, Q0— DISAPPROVED BY: Date:
—;-p �A n A e ho rn e- :fl-q S By: Date:
P4 CONNECTION FEE:
APPROVED 1�����Date:
0
rZ4 PERMIT MUST BE POSTED ON JOB SITE
The City of Edmonds Side Sewer Drawing -VIA B�LLINGJER
Ll �N *
TT sTATION E SEMENT NO . ..................
.......................... .
NEW CONSTRUCTION REPAIRS E) LID NO..//.? ........ . ASMT. NO . ....................
OWNEP . ..... 1771i�'Ilz._..� ...... 4/,0 1-0-1 e_�,
...................................................... CONTRACTOR .................................... PERMIT NO.
JOBADDRESS.. tA,)
. ........................................ . ...................... LEGAL DESCRIPTION: LOT NO . ....................................... BLOCK NO . ....................................
PWW-0001-11175(REV.1.1/78)
........................................................................................................... t ........................................................
NAME OF ADDITION
99JY,4
MGER
VIA
LIFT Su(1014
Approved:
DATE
, � sl
. ET FLE
DAIT:
.10
FROCI;
1, u li) e 11
S U B J E ('T
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CX,
OH - :(OST Date
.01'RS DEPA!""
Pue LDI Y11-1-1
BUT M PER:-(i'*.0 lul
�k 9 S=
Street Right-of-14ay ExIs Uing RFQD
Access Easements Existing k-)tQ REQD
Utility Easement Existing REQD
Lot per Subdivision Plat Assess -or NLTip K
Site Plan Checked for Accuracy
X
L�-iderground Wiring Reqd.
r4 51 Check Accuracy of Legal Description !-23
e,) EnvironmenLally Sensitive Area
Environmental Check -list Rcqd..
Flood Hazard Zone
Shoreline Manaaa-vent Area 1 1:
:1 Slope, Soil, Vegetation
Streaoi, Creek, Drainage Basin 9j C C—
E-cist-inc, Zoning Per Code
�f'( Am,-nities Design Board Approval Reqd. -R�— ADB Approval
K,
Board of Adjustment Approval Reqd.
Revien-7 Bv: Date:
6 1-2 A
Existing Water ',Main Size 1.q d 11 - '7,/1'-V-)
Water Kiin Reqd.
�'o'.'-Service Line Reqd. '12
W Hydrant Size Existing
E-4 KI Hydrant Reqd.-Per Fire Code IVIA Size
Check 'Meter Reqd.
'14 Detector
Cross Connection Inspection �41
Went Co�m.ients
Fire Depar
jcl
4
Water Meter Charge Rqqd.
A - 11 '�' 1 2
ite:
Review by: D,
Oa*Ee
11'.; SepLic Tank 1-�pproveci
Permit No.
Septic Tank Permit Reqd.
Sanitary Sewer Availabilit� Proj.
Drmring No. File No.
Side Sewer Availability
-ee 1�6qd.
Sanitary Sewer Connection I-
Revie,7 By Date:
-2VV
A "USINESS)
HILLIS HOM ES, INCAS
I EGAL DES,CF?I SULOISION SHOHT SUB NO.
ir
- —
A
�MAILANG ADDRESS 'qqlw� mw
Z
�-826
S. BROADWAY
1'UnLIC RIGHT OF WAY PER OFFICIAL STRECT.MAP
0
CITY
E NUMBER
ITELEPHO
EXIST,ING
EVERETT, WA. 98204
355-4492
NAME
PROPOSED
U
KINDERFATHER CB'�FTOS DUNN PS, INC.
DEFICIENCY OF RIGHT OF WAY
W
ADDRESS
PUBLIC IMPROVEMENTS REQUIRED
201 FIFTH AVENUE SOUTH
DRAINAGE IMPROVEMENTS R EQUIRED
U
(t
CITY
NUMBER
DRAINAGE PLAN REQUIRED
EDMONDS, WA. 98020
ITELEPHONE
775-9396
UNDERGROUND WIRING REQUIRED
NAME
CONNECTION TO SANITARY SEWER
HILLIS HOMES, INC.
SEPTIC TAN . K PERMIT REQ-0. NO,
0
ADDRESS
ELEVATION OF PROPERTY CORNERS
I'_
& FOOTINGS REQ'D
u.
826 S. BROADWAY
it
CITY
TELEPHONE NUMBEiT
27
I-
SEE ENGINEERING MEMO DATEO_
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o
WA. 98204
355�4492
U
&V 'TUT,
�N SE NUMEJtLH
CITY LICENSE NUM.BER
CHECKED By
223-01-HI-LL-IH-337L6
—
Legal Description of Property (Show Below or Attach Four Copies)
METER SIZE4B;UILDING
SUPPLYSIZE
LOT 9, BLOCK 4
REMARKS C)
C �L
Z
SEATTLE HEIGHTS
SIGN AREA
ENI. REVIIW
A 11 N
ALLOWED
PROPOSED
C. MPLET]
EXEM
-- 1 2
U
DIVISION NUMBER 4.
SHOI?C1_INE V
W
I 1JI F.
J
_]PLANNING
VAF41ANCE OR CU
HEVILW By
DATE
YARDS i
COVERAGE
FRONT / c SIDE C>�_l
�LOT
NEW
RESIDENTIAL
GAS
LINE
IRE ZONE
Typx—.aF CONSTRU
CODE
NON-RESIDENTIAL
SIGN
WE
HEIGHT
21 -1�,
ElADD
DEMOLISH RETAINING
SPECIAL INSPECTOR
REQUIRED
AREA
OCCUPANCY OCCUPANT
WALL
ALTER EXCA,VATE FENCE
0 YES NO
^)Q
GROUP LOAD
OR F I_ x F-r)
LL
—
PLAN CHECKED BY
THIS.
IS
REPAIR PRE -MOVE swim
INSP. POOL
SITE LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
Z
NUMBER OF STORIES
NUMBER OF
REMARKS
0
DWELLING
3
UNITS 5
NATURE OF WORK TO BE DONE
tut)
CONSTRUCTION OF A 5 UNIT CONDO-
W
MINIUM BUILDING.
PLAN CHECK FEE
VAL.UATION
FEE
PLOT PLAN
(BUILDING GROUP 3, SEE SITE PLA14
J 1 10
ATTACHED.).
BUILDING
PLUMBING -�eI7 Y211
MECHANICAL
FENCE
"Applicant, oil behalf of his or her spouse, heirs. assign- and SIGN
V,
W ccessors in interest. agrees to�indcmnify, defe'rid and hold harmless
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E the City of Ednionds, Washington, its officials, employees, a nd RETAINING WALL
agents from any and all. claims for damages of whatever natille,
x I arising directly or indirectly from the issuance of this permit. Issu- SWIMMING POOL 06�
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