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21215 92ND PL W.PDF111111111111 9026 21215 92ND PL W -1 0 f EDto,_ 6 CITY OF EDMONDS WATERLINE AS -BUILT A c:� ADDRESS SCALE 21215 92ND PL W N T.S HOMEOWNER CONT ACTOR DO LITTLE SOUTH CO. PLUMBING DATE DRAWN ERMIT 3/l/2006 BY 1. ABILA NO, 2005-0146 12-12-15-00� R-66 Cq v Pq r/o 07- Al 7-4 12 Ile ISE IE vlmwc llzc,�,/ le�Qokk 8 1, / I- JO / 416- / ,.Z�Jo rl JON Aj xv r# /v. 28 1994 -o 121vele o r 77j- 6d-3.1 cow PgoprRry 1-1/vfS roe cto W" -vo wl, 3 0 —96 A r OVA i OAM Pp) Po S F 4 po J) 7�/ o /v L Is J!A%� cr 47.. S Ali JI 0 0 Ala IV fq An 6 tR ig io ri. z- RECEIVED" n, /mn DEC 0 8 1994 —*�--/F PERMIT COUNTER Voo ld- No Aol je Y4 T- S L 40 Q AOP PLA IN 9 DEC3 0 T34 0 F-91, po*WOL, 40 611& !: v I 22-1 INFILTRATION 45— CONM PL WORKSHEET STANDARD DRAINAGE PLAN CATC34 BASIN: M15 I* IS-30(01� WSUAL) H ri k TKGP4CW Lsr#4r.-rH lot . ............................. JI- M&W-rumir 4!rEF-F P%P%' TEE W/ 4�LONG LEGS LCVFL TIkWNC.N CAP SYSTEM CROSS—SECTION cr IR 5. . I %I F, 0 MIRAff I .600X /-,vP =Lt—r TO 6F—:�� L/-\YED e W4,'---44EfP K(Dr--K TP,ENCR COVER WASIAED GRAVEI 4!DIAM PEQF P TRENCH CROSS—SECTION JV FOOTING DRAINS SHALL NOT BE Page 8 of 9 CONNECTED TO THE DRAINAGE SYSTEM INFILTRATION SYSTEM for /2kRK 4 III -*?A Z40?)�AC4''l I location A I a I -S Ra, ' rl- k,- plan by A1211K I-W (/ "LLI/C IV phone -7 7 6 - C X 5 date r,- jj? - qj DESIGN DATA Trench Perc LF per Imperm Trench Number Rate 1000 sq.ft. Area Req. YJ 46J' x NOTES 1. Call Engineering Division (771-3202) for prebackfill and final inspections. 2. Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property owner(s). Preventive maintenance consists of preventing soil and other materials from entering trench during construction as well as after construction. Catch basins should be cleaned of floating material and sediment at regular intervals (at least twice per year). 144% .3, 'r r/o IYA 12 (0 7o Aeof PY 07`0� Al RF-CE:'VED rA','- j 04 d9,C oe-D ZAI f I.Z. JUN 2 -/71- 6.13 a PERMIT COUNTER PITOeCR?- -11vf-s — --------- -- ..... .... oto 0 S.4 410 H Allf, 30 o /V f,:"V,�L t ton pr. 0 p 1) r 17�i o,,V ;L Q-V r/.-14- Af R A pr, S. r., AVC U!� 4-3�5— ^AIL DEC 08 1994 j rE C-i "Ovr.0 'o ve It PEROT COIJArrtp ,n' jv W�A` A - 'A fV �V,/ r FA/ it 3 0 31 N AppjR E B PLANNIN Ort a r "Illiff COO! "'771. U CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/N*MeeFe03tNM WITA MAILING ADDRESS ;L I I I S CITY ZIP UMBER IL"M N PDkolvios q96a 0 IT 77 11 6 t - 114 D 3 Z NUMBER iclude all easements 4 Z ILI 0 Tax Account Parcel No. 3 7 R- oos- olo- 010 NEW RESIDENTIAL PLUMBING ADDIALTER COMMERCIAL MECHANICAL REPAIR APT.BLDG. SIGN EM.LJS. EXCAVATE. FILL OR GRADE IENCE I— x —FT) REMODEL r—j CARPORT L_j GARAGE swim POOL WOOD STOVE/ RETAINING WALL/ INSERT ED ROCKERY F-1 RENEWAL UD WN16TLL'NG(/?,6j -1 T1 0,A1 WORK TO 139 DONE (ATTACH PLOT PLAN) USE ;"'PERMIT ZONE NUMBER JOB A�RE.SS / I q A W 7EG—ALQESCR—IPTION CHECK BDIVISION NO. LID NO. RI-2-3-8-5 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP APPROVED BY EXISTING REQUIRED DEDICATION PROPOSED RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0 STREET USE PERMIT REQUIRED 0 SEE 'ENGINEERING MEMO DATED FIEVE METER SIZE 113UILDING SUPPLY SIZE IFIXTURE REMARKS SIGN AREA ENV. REVIEW EXEMPT ALLOWED APROPOSED I COMPLETE I V/ SIDE REQUIRED GROUP 41�/- 13 YES NO REMARKS x PROGRESS INSPECTIONS PER UBC 305 IMAL, A�:k RIP WS64!!�,:A 1) f i3W AfW &A*71f 11 All-Tf'y 7.t / r FINAL INSPECTION REQUIRED 4,0,0 / 7-10,11 /,/,o VALUATION PLAN CHECK FEE Ann! 2 � ym (,.o : 64 s A& XD BUILDING , rA q4. — / I Z6,Lj &A PLUMBING 3k Plan Check No. (?4 /,3 �) MECHANICAL ThIS Permit covers work to be done on private property ONLY. Any construction on the public domain (curbe, sidewplks, driveways, marquees, etc.) will require separate permission. GRADINGIFILL STATESURCHARGE Permit Application: 180 Days Permit Limit: 1 Year - Provided Work Is Started Within 180 Days A < x 9 0 "ApplIcant, on behalf of his or her spouse, heirs, assig ns and successors In interest, agrees to Indemnify, defend .... h -of-Edmonds, Washington, its officials, an'tiless the City am ployees, and agents from any and all claims for damages of whatever nature, arising directly or indirectly from the issuance of this permit. Issuance of this permit shall not be deemed to modlfy,,walve or reduce any requirement of any city ordinance nor limit In any way the City's ability to enforce any ordinance provision." 19,0177mlit-?m ql!��eet- WIMWAL AeA140'" PLAN CHECK DEPOSIT TOTAL AMOUNT DUE I I hereby acknowledge that I have read this application; that the ,3, Informqtion given Is correct; and that I am the owner, or the duly '40 -rm4 or' I"he d- u ATTENTION APPLICATION APPROVAL Ut or" city and authorized agent of the owner. I agree to comply with city and u Z. statejaws regulating construction; and In doing the work authoriz. 1 0, 3rk a t' 0 r' THIS PERMIT AUTHORIZES This application Is not a permit until e a I f the Labor d�toereby, no person will be employed In violation ofthe Labor ONLY THE signed by the Building Official or his 06di of the State of Washington relating to Workmen's Compensa- a WORK NOTED Deputy; and fees are paid, and receipt Is Lah j if Insurgince. I INSPECTION acknowledged in space provided. N SIGNATURE (OWNER OR AG DATE SIGNED DEPARTMENT X CITY OF EDMONDS OFFt IAL'S I N TURE DATE 2--3-fS A17ENTION CALL FOR INSPECTION �EL OAT AT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE 771-3202 UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CA FH.E NO. Critical.Areas Checklist Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: I S 2. Property Tax Account Number: 3. Approximate Site Size (acres or square feet): &a Z) 4. Is this site cu&,.-.ndy developed? L/yes;—no. Ifyes;howissite'developed? kjlxe 5. Describe the general site topography. Check all that apply. i,/' Flat: less than 5-feet elevation change over entire site. Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet). Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater tha n 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): rfeP 0 ey 4 Y 1!57.*57— S- /,V /�r e),X- le /r,0 ",e IX 6. Site contains areas of year-round standing water: o —; Approx. Depth: 7. Site contains areas of seasonal standing water: Approx. Depth: What season(s) of the year? 8. Site is in the floodway oV d floodpla I in A/ 0 of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? W 0 Flows are seasonal? Al 1) (What time of year? 10. Site is primarily: forested meadow _; shrubs mixed urban landscaped (lawn,shrubs etc) 11. Obvious wedand is present on site: Al d RcV01/0V94 & 9 0 .194.- City of Edmon& Critical Areas Checklist 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 a development permit to the City. The purpose of the Checklist is to enable City staff to determine whether any potential Critical Areas are or may. be present on the subject property. The information needed to complete the Checklist should be easily available from observations of the site or data available at City Hall (Critical Areas inventories, maps, or soil surveys). An applicant, or his/her representative, must fill 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 subsequent steps necessary to complete a development permit application. With a signed copy of this form, the applicant should also submit a vicinity map or plot plan for individual lots of the parcel with enough detail that City staff can find and identify the subject parcel(s). In addition, the applicant shall include other pertinent information (e.g. site plan, topography map, etc.) or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site. I have completed the attached Critical Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner / Applicant: el /?,f AIC L4 Name a z,)- i s lo S Address Applicant Representative: Name Street Address ,,, J0 0-N I/ ^/ ?e g L Z) City, State, ZIP Phone- City, State, ZIP Phone ZP6 - 2-76,6-L sig-nai6r-e Date Signature Date PLANNING DATA SITE ADDRESS: 2/;Z 15 *A47&iJ.DATE: ZONING: PERMIT#: - PROJECT DESCRIPTION: &z7lnDj SETBACKS: Reouired Setbacks: Front: :Z* Left Side: -71z, Right Side: Rear: Actual Setbacks: Fron Left Side: Right Side: Rear: FLOOR AREA: LOT COVERAGE: Maximum Allowed: Actual: 1,416&15 6;2, BUILDING HEIGHT: t Maximum Allowed: )Actual Height: k1— SUBDIVISION: &jft�� awwhw —��z CRITICAL AREAS #:, V46 Wa2= SEPA DETERMINATION: LOT AREA: OTHER: Plan Review By: C ATCH 15 AS I X: Ax* 16 IV30 (0 WMUAL) L% L- , TKrLNCW LWNGTH COVIM r ?k W �kcw 'or -nCqTUWK '/ Lrl,9'1- TF,�"Cjl 4PEPIT P CAP TEE w/ 4'LoNG Lx--Gs SYSTEM CROSS—SECTION kAl MIFZAF=l SOOX QK MUI\/f_LF-�4_r iy- W T0 f5f_:�� L,,',YED �DW > K0__K' �� Q T9,Er-CVA COVER 3/48- 0/2" WASMED GRAVE i 4"01AM FF;ZF P TRENCH CROSS—SECTION '7 11-4 1 glvj Y17 I*j STANDARD DRAINAGE PLAN rL�_' )AJION SYSTEM R PAGE I OF 2 for Itl"A L( location 'Zl�- plan by p h o n e 17 -7 C", date 1-0- 95 .- DESIGN DATA Trench Perc LF per Imperm Trench ,Number Rate 1000 sq,ft, Ar,4_R 12,2 4V NOTES I . Call Engineering Division (771-3202) for prebackfill and final inspections. 2. Responsibility for operation and maintenance ofArainage systems on private property is the responsibility of the property owner(s). Preventive maintenance consists of preventing soil and other materials from entering trench during construction as well as after construction. Catch basins should be cleaned of floating material and sediment at regular intervals (at least twice per yeor). 11 CITY OF E13MONDS FL-07 FL,� C L P�N \/N E 5 T' -�RNNAG E: �-k E PRO= REMV CHMUST �7_Pra= ADDRESS: Ica PLICATION. RBCEIPT DATE:` /4 As; - Reviewed by: (initial/date) COMENIS PLANNING wrR/swR TREEr ENGNRNG FUILDING ///777T//7R7// FIRE ,nX3M 4jFAMILY/K3LTME/Ca4AEMCIAL - (Circle One) .;E7SACM4,qMCKED - Planning 7TTIT117T 17TfTF17 '�i,MARIANCE/SMMACK ADJ.�t,;�' /TF/7//7T7TF///// 7777711111 )ONDITIONWUSE"PERMIT -//7////// 2 7777/7-77 lzmum�� c�D ////// -, ///////// 3 Mm MMING­-REQUIREMM Wrrff—TITT-111 ////// <�%� ///////// 11-all 1/7,11 //// 4 IF111111 iIMIRCNMENTPJ� FEATURES -71111111 5 ACCESS SLOPE & VEHICLE ACCESS 111,111777TWTUT 6 momaw"..". . " . - - , , I 1�..'I- ,44 777777 777777777 77777F77 DRKUIA�GE -PLAN (On Site) 7 STR EEr, FILE ;/0?A lzz�w //77T/77777777T/7 7TT177777 M11111 .Fi�-iT.l?nEsmp,r.TcN.vFRiFicATicN AIM 9 1177777777TF17TT17TTFf1-17T QVIT;i dLAIM/DEDICATIONS 10 77TT1Wf777T1777TTM1111 mMnATE SaM CMMCTICN IF NO LID# 111IT777T 77TfTTFT 7T= 12 111117TIT7TMIU 4AT/suBbivisioN I ReourhEmkins 13 Pd6fi:bP4Ay1bONSTRUC`PION PERMIT REQD 42-- nag;.. 7TI71TFIT 777/7777 REQD1WR'1�1JBLIC 'ZIMPROVIMENTS 15 :;OILS1 CONDITIONS'&: GROUND.1.,q 4ATE�CIETD CHECKED 77T17T ///7///// 111111H 16 ",A-VIV 31-R� PAVING REQUIREn /77 77 77177777 777777777 V/ 17 �GUMR,REQUIRED',?��:' TRIP 77777/771 TT7771111 AY1101 18 3IDEWALK REQUIRED —7T7777maTm 11177T 111117111 19 11;K\ FOR DRIVEWAY.REQD VW 20 777717T ..I,REET,.NAME SIGN REM., 1 21 YrHER�STGNING REM 777777 /Uff 7TIRMI 7 22 ;TDE�SEWTER AVAILABILTTY-�' 7 77F -RTT/7 ITITffT 7T 777TTTR7 7 7 7 y 7 23 OCISTING �WATEWMATN SIZEI� J I i 111117111 TURT" 24, — .illi� METER SIZE, 7/-7T/-/777T/7T/7 "77T7777 11111711 7T77777777 25 - .A�%* :*-, 0140 t 77777777U 26 11111111T 777777777 77777777 1117777777 IYDRANTIREQUI 27' mof Mr.. WDRANT,,SIZE 117111111M,;i 28 -7R1C6S 29 Opp, )A 101AME 77TFITIWI 30 FIRE Lr�m .64ARGE spqnmm !4A 777717777 ///// 31 00 ET Cul, .)TRE=.CLyr 771111111 EN., M17CH EXIST P N ING' 33 //7777 34 7777777T/77777 35 36 SIZE 11111111T -77 -77 -7 AMYX` 'BAS IN REQ6`11100fl lot 7T7T17 TTI T/T77 7 7 7 7 1 37 7/7777777/ ',�c.INDICATM ON ME7PM�Mt 38 3HOULDERiDRA,INAGE� 71-TI-1-1 W 3% p 77/77/777 7 0"7 4�� USE NWPERMIT CITY OF DS ZON NUMBER CONSTRUCTION PERMIT APPLICATION JOB NAME (OR NAME OF BUSI ESS) ADDRESS r Uv2 LEG AL DESCRIPTION CHECKI SUBDIVISION NO. LID NO, E CC— MAILING ADDRESSV ­T, 7 7,,-� CITY TELEPHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. 40�) ,/y1y,yW0 Od" EXISTING REQUIRED DEDICATION PROPOSED__30( NAME RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0 LOU ADDRESS STREET USE PERMIT REQUIRED 0 Z Z SEE ENGINEERING MEMO DATED Ui CITY TELEPHONE NUMBER REMARKS f NAME aln� DFtss SUPPLY METER S RE UNITS 3 1/ 9 ?7E IBUILDING 71TY TELEPHONE NUMBER cc "e -4 8 --"/ (0, 7 3 7 V---> E5" REMARKS STATRILICENSE NUMBER f SIGN AREA 'UNV. REVIEW ADB NO. TH-,-- 16 CAI ALLOWED PROPOSED COMPLETE.1 EXEMPT Description of Property - Include all easements (show below or attach four copies) SHORELINE 0 [ ZILegal rL cc VARIANCE OR CU PLANNING REVIEW BY DATf, S- 2 _j < YARDS_V Z HEIGH; LOT COVERAdi i a W FRONT SIDE REAR)!S-i Z REMARKS 2K M7NEW AL PLUMBING ADD/ALTER IAL MECHANICAL REPAIR RETAINING WALL SIGN ICODE EXCAVATE FENCE CHECKED BY TYPE OF CONSTRUCTION HEIGHT El I DEMOLISH OR FILL L__ x _FT) /t74F2 :T A/ �26 PRE -MOVE INSPJ SPECIAL INSPECTOR AREA OCCUPANQY OCCUPANT REMODEL COMPLIANCE INSP. ET =L REQUIRED I GROUP LOAD - 0 YES WOOD STOVE/ INSERT APT.BLDG El RENEWAL REMARKS Z 0 Z L_ Z4 9 ae) �yo cc 0 Uj NUMBER OF STORIES NUMBEROF DWt:LLINU co 0 ur" Ito NATURE OF WORK TO BE DONE (ATTACH PLOT PLA VALUATION FEE PLAN CHECK FEE BUILDING PLUMBING MECHANICAL This Permit covers work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. _j _�ermlt Application: 180 Days 1-4 Permit Limit: 1 Year - Provided Work Is Started Within 180 Days E_Aj:� �z "Applicant, on behalf of his or her spouse, heirs, assigns and _jr successors in interest, agrees to Indemnify, defend and hold 'n U harmless the City of Edmonds, Washington, its officials, 5 employees, and agents from any and all claims for damages of cc < whatever nature, arising directly or Indirectly from the issuance of this permit. Issuance of. this permit shall not be deemed to PLAN CHECK DEPOSIT modify,. waive or reduce any requirement of any city ordinance 0 nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision.' I hereby acknowledge that I have read this application; that the Information given Is correct; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL, authorized agent of the owner. I agree to comply with city and THIS PERMIT state laws regulating construction; and In doing the work authoriz- AUTHORIZES This application is not a permit until ed thereby, no person will be employed In violation of the Labor ONLY THE signed by the Building Official or his Code of the State of Washington rel ting to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is tign,insurance. INSPECTION acknowledged in space provided. S)NATUREffNER 0 AGE DATE SIGNED DEPARTMENT OFFICIjAL�'S �SIT DATE CITY OF EDMONDS 771-320 RELEASrD BY: A E T E NIT 10 N UNLAWFUL TO USE 08 OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. PINK — Owner GOLD — Assessor 102-78 DATE MEMO TO: Building Division Planning Department FROM: Engineering Division Publ ic Works Department SUBJECT: After reviea of the subject Building Permit application, vie have the following comments 1 Connection to City waterosystem required. 2. Connection to City sanitary sewer system -req0red. W 3. Pight-of-- ay permit required for any work on City property. 4. Driveway slope not to exceed 14". 5. Backwater valve required if downstairs plumbing is below elevation o.' upstream manhole. 6. Water and sewer lines to be separated by 10 foot minimum. 00 6/82 CATCH BA,514: A.D:5 0 1 S-30 (0 k TlkrNCW LCrNr-_rH -TFk W NCH 0vWR ............................. . ...... . .......... U W Ir LZ'VB-L TRZNCJ4 ,,�Prmr P%p AP TZ E W/ 4'LONG LEGS SYSTEM CROSS—SECTION 611r MIRAff I 50OX .-r L-Lv I V L_ TC LA�IrED e WL\_e)L;tfP K0__K TREKCVA COVER 3/4 'WA S V4 E 0 G P-AV E I 4 DIA-M F'FPF P TRENCH CROSS—SECTION STANDARD DRAINAGE PLAN INFILTRATION SYSTEM PAGE I OF 2 for location plan by /;7 phone da te DESIGN DATA Trench Perc LF per Imperm Trench Number Rate 1000 sq.ft. ArgL A RW..., . 12,2 NOTES 1. Call Engineering Division (771-3202) for prebackfill and final inspections. 2. Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property owner(s). Preventive maintenance consists of preventing soil and other materials from entering trench during construction as well as after construction. Catch basins should be cleaned of floating material and sediment at regular intervals (at least twice per yepr). CITY OF EOMONOS CONTINENTAL ENGINEERING CO. n!,23 ,,unorAA AVF.. N., SEA I*TL!: WG)3Q-7177 SU f Zj -IVEY FOR 14 50. '. w.poli I SECT-ICIN 2,5� T. 27 u., R-4F. V*� 0 �c I LOT C� VIOCK 5 c1l AL[)ErWOOL') MANC9 NO.9 %.--o Lum r io c r P4A r!� pAg a 0.'r�DAA/ 4 ;0z C. c Lj.A R ",00 4'K 4' Po, r r- 7 4 This is t-,) th,11 this i�.: a t.'UC,. arw 3CCUrate. S(Irvey ol SEZ Sti&! T 2 POR LC-644 DrzSCRIPTIOrVS and that stakes have been placed as inoiciled hereon. -Ul, I INEN I AL ENGINEEHING (:(). S14EE -r OF Z DATI: M A y -Z4, 1,1 65 13L'AR)?46-T = P4A-r SCALE-1- BLDG. KEEP CITY rr. 11 I .:;r 00 CD -RECEIYED -ATY of EDMONDS. For inspection Call 771-3202 DEC 19 1985 PUBLIC WORKS Address of Construction: 7 ( 2- 1 �S SIDE SEWER PERMIT ***fRMIT NO. 876H r FEDMONDS ITREATMENT PLANT Property Legal Description (Include all easements): 4/-/ .5-2 3 —&,5— Owner and/or Builder: Contractor & License No: Singlse Family Residence Multi -Family (No. of Units Commercial (No. of fixture Units Invasion into City Right -of -Way: No 6'1_� Yes (If Yes, Right -of -Way Construction Permit required. Call One -Call -Center (1-800-424-5555) before any excavation.) Cross other Private Property: No C�,___/Yes (If Yes, easement' required, attach legal description and county easement number.) PLEASE REA THE IrS LISTED ON -THE BACK �J I�L_ 1 16 11 la!�� tify[that I h`ave read and shall comply Date the otems listed on the back. ' Permit Fee: 30.00 Trunk Charge: 257� 00 Assessment Fee: issued By: J/4 Date Issued: 7-03 Receipt No.: Partial Inspection: Comments Date Initial Final Inspection Approved: /_ 16 lik I Date -Initial Rejected: Reason I -gate— —T—nitial PERMIT MUST BE POSTED ON JOB SITE Wh-ite Copy - File Green Copy Inspector Buff Copy - Applicant NOTICE: w N'o--- `a'r-r The -information on the attached lied for use by the City Of map(s) was com ' p Edmonds, its Empl.oyees and Consultants. Th,.e City of 'Edm.onds does ' not * warrant the accuracy of anything set for,th on these r e-nt'ty -requesting a rnap(s"). Any person o copy should conduct an independent orm . ation shown-o inquiry regarding the infi _ff�e -Map(s), including, but not limited to, c ion of any sewer stub shown. Suc the lo* at' sewer stubs may or may' not exist and maY or may not exist at the location shown. o n Neitheir the �jty of Edm ris nor its 1-� empl-o-yee-s 0-r off icers shal-1 be 1.1a-b-Ii-e for -41-h( I n on this map(5), nor for infor . mation g Ve ov'ded based any one representation pr I upon'sald map(s). LZ The City of Edmonds Side Sewer Drawing EASEMENT NO - ------------------------------ -- ........ AL 4L NEW CONSTRUCTION K REPAIRS E] LID NO - ---------- ....... ASMT. NO.. � ............... OWNER N-\%L.F-RP-.t-lAA.N.G ------ c- --- 0- ----- N --- 5m ------------------------------ CONTRACTOR ------------------------------------------------------------------------------------ PERMIT NO.7 2.5-- V40... - LEGAL DESCRIPTION: LOT NO. --A ------------- $-713-7�511LOCK NO - - ------------- ....... JOB ADDRESS Z121.5 ----- 9-2 . ....... 21-- ..... W ................ ------------ EDMONDS ........ ...................................................................................................................... I TREATURT.-PIAN-r NAMEOF ADDITION ----------------------------------------------------------------------------------------------------------------------- ..C-- V-1 C3 1P-'-V -�A Fb%M CR t-- VP,u 1--f 40.5 CAP 0 PROP. COR64CR E12-1-7 9 2, K' ` 2 - li 2- 11 � ! J--:, 9 Z N 0 P L. 2.5 5DP 147 15' 4.5�DP ibp &:�'% 4" W *J E if 4" TEST -TC& ro"C.0. c Fkj� 6"PV.c. - G- P.,J.c. -4-2' 1 - 42' %st'a Ew5-v%*4G P. 4-c. -I-ES-T -TEL- cm4c.wl-w- FOR PL. Im POL& PWW -000 1 - 11/7 5 (R E V. 11/ 78) 92- t4D ?L. W. Tb Approved: 1� DATE��. -16,19-8611,,Lke .... .................................... c