21035 80TH AVE W.PDF111111111111
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21035 80TH AVE W
CITY OF EDMONDS ASSET INFORMATION SHEET
STREET FILE
IRK NEW ASSET NO. oo 2.k L17
ADDITION ADDITION TO ASSET NO.
RETIREMENT
DESCRIPTION
SERIAL NO.
LOCATION
DEPT. NO.
*PURCHASE O.RDER NO. -
PURCHASE ORDER DATE
COST
Q
*PROJECT NUMBER uid
PROJECT COMPLETION DATE
COST �2,�'7
n _ r3
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE
.INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
DEPRECIATE VERIFIED BY
MONTHLY DEPRECIATION AMOUNT PROCESSED
ANNUAL DEPRECIATION AMOUNT BATCH NO.
G.L. ENTRY
REFERENCE DATE
INITIAL
DEPARTMENT FILE
glix OF EDMONDS
PUBIjC WCPM - ENGINEERING
ACTION REPORT
81fi-EET FILE N9 2477
ri it! v
Date: Time: Attachments: =Yes
=No
SUBJECT: 57 to,� /C$44., f
REQUESTOR: NAME: -11
ADDRESS:
PHONE:
REQUEST RECEIVED By�V 7�42-
TELEPHONE
CONTACT IN OFFICE
OTHER:
RECEIVED BY:
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"TAT
1.21MM
ACTION:
All Concerned Notified
Action Completed/File
F.
CITY OF EDMONDS
P IC:.WORKS.DEPAR , 1T
SIDE SEWER PERMIT OF
FOR INSPECTION CALL Permit 171J? 66
D
775-2525 Ext. 220 or Issue Date
PEP -MIT MUST BE POSTED ON JOB SITE
Address of Construction
2,'.�.Pr6perty Legal Description
M09=ft .
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SingleFami-ly Residence
Commercial
Owner and/or—Buildex.
Contractor & License No.
IdEwlaw'dow'dw,alwI�.ANWIMWI�lmom - T'k
2_c'� 2.10 _7j .5 - 2 11 () I - -2. 11 C) 3 -<:,,�,"o A,,C. Lo
(include all. easements) C�jctj-ol
Multi -Family No.,of Units
Car) d 0
I - -7— —
Invasion into'City Right -of -Way: No J,,,��es Yes Right -of -
Way Construction Permit Required - Call Dial Dig (342-5344) before
excavation). 'e.
Cross other private property: Yes Nol.-- 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
e. Side sew;r lines must 0 be laid at a minimum g JS150)
and maximum grade,,of 100% (45 ). . 36 Abd
f. 'No turn in side s8wer greater than 450 (1/8 * W, d
All 90 turns must be constructe 4
between cleanout. NIME 11 (1�w
bend) and wye with removable cap. 1- 800 - 562-6478
g. No down spouts, footing drains or floor drains can be connected
side sewer system.
h. Pea gravel is require d 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.
Inspection during -normal working�hours onlyi,--.Two_,(2) working
days notice required.
DATE: _hR irn
f?
I certify that I have read
and shall comply With the above
",'PERMIT FEE:_1(),r)() DISAPPROVED BY: Date:
-TV �) 0 V-'-- Ck By: Date:
P4 CONNECTION CFEE: 00 APPROVED By —rZ!Z__Date: 7,/
PERMIT -,-MUST BE POSTED ON JOB SITE
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LID NO.':. K*.� ........ . ASMT.
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-- -------- ----------------- PERMIT NO
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-t`.'J-OB ADDRESS
LEGAL DESCRIPTION: LOT NW---,',--, BLOCK NO . .........
........... . ...................
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NAME OF ADDITION .......
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_77
..........
CITY OF EDMONDS
FOR INSPECTION CAW-i;'
PUBLIC WORKS DEPW-J�ENT Permit N? 6 * 6.36
SIDE SEWER PERMIT 77 1 5-2 . 525 Ext. 2-2-0 Issue Date
1. .
Uj 2.
LL. 3.
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5.
6.
N JOB
PERMIT MUST BE POST—ED-0 7iT
TO
Address of Construction
Property Legal Description,-,,- include all easements) �2,&E 10 IQ-:f- 0
'Single Fa
y Res idence�-�:,._"-:, Multi -Family
Commercial
Owner andZG_- zul
Contractor & License No�.
Invasion into.City Rig of-W!,yv:
way Construction Permit Required
No. of Units it
- Call Dial Dig (342-5344) before
excavat,jon).
E-4 7. Cross other -private property: Yes
No L-"-'Easement required -
U attach legal description and county easement number.
READ THE FOLLOWING AND SIGN:
a4
a. Property owners must obtain a permit to install side sewers on
>4 their property. A licensed side sewer contractor must be employed to
M
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")
P4 side sewer line.
0 d. Side sewers may not be installed closer than thirty inches (30")
to any structure.
e. Side sewer lines must 0 be laid at a minimum d f 2% (1.150)
0 and maximum grade of 100% (45 ). CAH WHOU
E-1 f. No turn in side sswer greater than 450 (10 wed
between cleanout. All 90 turns must be construAgwa'AAP 08
bend) and wye with removable cap. I
4ZR
-800
g. No down spouts, footing drains or floor drains c�§2& Umnected
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.
3. 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 un inspected and approved
by the City.
1. Inspection during normal workin hours (2) working
days notice required.
DATE: J-2-1 I � Ign
certi
iz y, t at I have read
and shal-I comply with the above
PERMIT FEE: /()-00 DISAPPROVED BY:
By:
00
eftHgeTNT w8N GF E E : APPI�OVED By:
tej Oki C�t ) lovcze_ )
0 is (VV9t
ryA A-eu�*LVsll (� PERMIT MUST BE OSTED ON JOB SITE
Date:
Date:
Date:
0 i:
C, C. o rf I i f: 1-3 g k.; -�.0 - 11
Cl
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AOL Fj--� §1w9F r- a Ill r- - ,
BU I L�) I DIVISIO
Applicant Fill
USE
ZONE C C r
" 's- NUMRE0
PERMIT\ IAIPUCAVON
Inside Heavy Lines
JOB
ADDRESS S 5 Aft*we�T
N A M E R N A<�Ir_,,�OF BUSINESS)
.(0
LEGAL DESC"IPTION I
SUBDIVISION
V-- I
[SH�O�R�TSUIDI NO.
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1:
0
MAILING ADDRESS
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING:nL)j6/jT
I?A
PI7OrOSED
DEFICIENCY OF RIGHT OF WAY
CITY
TELEPHONE NUMBER
U
NAME
W
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ADDRESS
PUBLIC IMPROVEMENTS REQUIRED
DRAINAGE IMPROVEMENTS REQUIRED
DRAINAGE PLAN REQUIRED
UNDERGROUND WIRING REQUIRED
CONNECTION TO SANITARY SEWER
SEPTIC TANK PERMIT REQ'D 11 NO.
ELEVATION OF PROPERTY CORNERS
& FOOTINGS REQ'D
0
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CITY
c
TELEPHONE NUMBER
o
ir
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0
U
NAME
T_
ADDRESS
CITY
TELEPHONE NUMBER
-17
SEE ENGINEERING MEMO OA
/7
_5T_A_TV —LICENSE NUM 13ER
CITY LICENSE NUMBE-R—
CHECKED BY
A_ s
Eegal Description of Property (Show Below or Attach Four Copies)
MET1711 SIZE
ITUILDING SUPPLY S17E
W
REMARKS
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SIGN AREA
ENV. REVIEW
ADB NO.
U
W
ALLOWED I PROPOSED
CO.PIET] EXEMPT
S.C.ELI..
REMARKS
VARIANCE OR CU
PLANNING REVIEW BY
DATE
YARDS
LOT COVERAGE
GAS
NEW RESIDENTIAL LINE
NO'_4RESIDENTIAL SIGN
AD DEMOLISH RETAINING
ISPECIAL
WALL
ALTER EXCAVATE FENCE
F OR FILL I— -_. .,
FRONT SIDE REO
FIRE ZONE
TYPE OF CONSTRUCTION
I I
CODE
HEIGHT
INSPECTOR JAREA
REQUIRED
0 YES E) NO
OCCUPANCY
GROUP
I
OCCUPANT
LOAD
PLAN CHECKE By THIS SITE IS LOCATED IN THE CITY
PRE -MOVE swim
D REPAIR INSP. POOL
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
REMARKS
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0
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W
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F.
NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE
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P V11,
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PLAN CHECK FEE
VALUATION
FEE
PLOT PLAN
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0
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BUILDING
PLUMBING
W
hi
MECHANICAL
FENCE
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SIGN
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2
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold harmless
the City of Edmonds, Washington, its officials, employees, and
RETAINING WALL
SWIMMING POOL
M
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I
agents ftom any and all claims for damages of whatever nature,
arising directly or indirectly from the issuance of this permit. lssti-
U
0
ance of this permit shall not be deemed to modify, waive or reduce
-i
0
any requirement of any city ordinance nor limit in any way the
STREET FILE
PUBLIC UORKS DEPARM4EMWMIST
BUILDIM MR,= REVIEW 0 -�3 5- lk/ 2 -A. k
(address) (date)
0
Street Rig)it-of-Way Exist
Z
Access Easements Existing gne-- Kt 4-r
REQD
H
Utility Easonent Existing.'
1-
Lot Per Subdivision Platj 2- Assessor llap_;GE�/�.
Site Plan Checked for Accuracy 01 K
Z
Underground Wiring Reqd.
U
Check AccurF f Cral Des iption
�� 0 J
K
Z
Review by--V,,�)
Date
Existing Water Main Size ILI;
Water Main Required
Service Line Required
Hydrant Size Exist
P4
Hydrant Reqd Per Fire Code
Size
Detector Check �b-ter Reqd.
Cross Connection Inspection /�/A
Fire' DepartaLent Conuients
44
Water Meter Charge Reqd. a 6' Z
Review by.
Date
Septic Tank Design Approved- L)jt,-
Date wl*-
Septic Tank Pern-Lit Reqd. OIL
Permit No.___ jIt,
Sanitary Sewer Availability Proj'. L, I D
Drawing No.
File No. L
C4
Side Sewer Availability U4 I C=, a.=
FRZf-!) A, -
Sanitary Sewer Connection Fee Reqd.
a
:3.
Review by-
Date !>
Open Ditch Existing
qd.
Culvert Reqd.
Size
P4
Catch Basin Reqd.
Indicate on Site Plan
0
Shoulder drainage maintain collection on
swale open runoff
�Lm-ihole reqd.
Indicate on Site Plan
Soil Conditions and Ground Water Field Checked L,,-,--7-
Review by
Date
Z/
Revised: lvlO-1977
STREET FILE
DATE:
BLI i .1d ing DJ vis i oil
DCvCj0pMejjL
Deparcinenc
FP,O,'-I; E'n,gi.neerinp, Di -vision
PUblic Work's Deparmenc
SUBJECT: 210,25-ZiO35
2LI 4y
j _.gZrjv w.
After 01 Ll'-' "t'l)jecL building permit,
%-.-e have
rA
2 1
1, �-A
p
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 �Eclmoncls does not warrant the
accuracy of anything set forth on these
map(s-). Any person or entity -req uesting a
copy should conduct an independent
regarding the information shown on
_tFe -map(s), including, but not limited to,
the loc'ation 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 City of Edmonds nor its
-rs -hall be lia-b-le for the
empl-o-yees or office
information given on this map(s), nor for
any one representation provided based
upon said map(s)..