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