219 SKYLINE DR.PDF11111111111111
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219 SKYLINE DR
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ADDRESS:
TAX ACCOUNT/PARCEL
BUILDING PERMIT (NEW
COVENANTS (RECORDED)
CRITICAL AREAS:
DISCRETIONARY PERMIT
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DA
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER)/-,K�
0 -7
DETERMINATION: E] Conditional Waiver Ej Study Required E] Waiver
�07 I q �/Z�
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DA'
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED: 7�5
Ila
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
LATEMP\DSrs\Fomis\Street File Checklist.doc
BUILDING DEPARTMENT
Applicant Fill
PERMIT
ZONE NUMBER
750416
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PERMIT APPLICATION
Inside Heavy Lines
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MAILING AUDRE55
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VARIANCE OR ADB
COND. USE No.
NO*
CITY
rPHONI1 NUMBER
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423 Ve!l
PROPOSED -ARDS OPT
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FRONTZI-5'J 7>0 SIDE -7 P-t REAQ�'t
R6j3dFf!;J C." Z 4,4,V �-X 1)
ALLOWABLE
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SIGN ARIFAI�
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ADDRESS
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OTHER
REQUIR E N TZ6,t
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CITY
ITELEPHONE NUMBER
7z16 — ?7/ 7
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'��rPT APPROVAL - E
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NAME
STREET R/W
/wWqk)`0 FICIENCY THIS PROPERTY
ExISTING sTR?khA
0 FT.
0
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ADDRESS-
REMARKS
Driveway slopes not to exceed those
indicated on StAndArd—Dw-1 No I(I
CITY
TELEPHONE NUMBE
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0
U
ICHECKE By
-9-T—Aye —LMENUE NUMBER
CITY LICENSE NUMBER
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Legal Description of Property (Show Below or Attach Four Copies)
STREET AND/OR UTILITY 0 YES
WORK REO. 0 NO
UNDERGROUND YES
WIRING REO'D 0 NO
2 ;
TYPE CONNECTION ve
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It
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3:
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0 YES FUMIT NUMSCR
SEPTIC SYSTEM C3
APPVO BY CITY ENG. NO
REMARKS
--rERVICE
METER SIZE
SIZE
:CKE
1
RrSID..T.Al
NEW EIGn.s.
-TI-L
E] -.N-..S... SIGN
FIRE ZONE
TIP. .1 C.NSIT CODE
7,3
F-] A--
E] .... L... RETAINING
WALL
ALTER E] E-C-V... E] FENCE
OR FILL
REPAIR PRr-MOVC WIM
INSP. _j POOL
11 L 1:15
I:
Is
SP ECIAL lhi;� �T. AREA
REQUIRED
YES NO
CUPA NCY
-r -
OCC PANT
LOAD
I
PLAN CH THIS SITE IS L CATED IN THE CITY
OF E.-D ' DS. LOCA L ALES TAX
ropFn 31
T1.1/ S.,ULD B'E 914
MAR
NUMBER OF STORIES
INU"o R OF
DWELLING
UNITS
Ut aUA-11,4
NATURE OF WORK TO BE DONE
VALUATION
Ire
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PROPOSED USE
PLAN CHECK
NO.
I,
PLOT PLAN SCTBACKS.
L '4
ABUTTING STREETS)
BUILDING
in
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hl�-'?�
PLUMBING
0
te
HEAT & GAS LINE
1211.
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
TOTAL AMOUNT Due
I hereby ackn-1,dc. that I have read this application; that the In'
formation given Is correct; and that I sum the owner. or the dolY authcs-
t 0 0
tied agent or� h,o,wner. fbagree to comply with city md state laws nothu ATTENTION APPLICATION APPROVAL
Whig con"t et ; and I doing the work authorlied thereby, no Moon
will be eMPIMY0 11 violation of the IAbo' Cod. of the State of Wasittletto. THIS IT
t�' Wo Jai This application is not a permit until
fk.en,s compensation Ineurmce. AUTH,=M ,
(Except nEMOLITIONS which ONLY THE eigned by the Building Official Or his Dep-
W
!0*�1i:i, '.t',!rmit Limit One Year
- :Q-. `,Ieted in nicety day.: MOVED -IN BVILDINOS .1haill be com. ORK NOTED uty; and fees are paid, and receipt is ac:
- Jr. months.) INSPECTION knowledged In spac- Brovided.
DIRE R-5 ss� A, 7
IU
CIT
OIr
EDMONDS DATE
NOTE: Applicant Subject to Plan Cleck ree
775-2525
Thi POTMit covers work to be done on private property ONLY.
Any ConstruCtion on the public d Britain (curbs, sidewalks, driveways, ORICINAL - File YELLOW - ImDector
marclurej, etc.) will require sopitrate permission. PINK - 0,,,r COLD - -, - - j
�50416
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1-2 t" S,
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APPLICATION
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The City of Edmonds for EASEMENT NO. - ----------------- -----------
SIDE SEWER PERMIT
NEW CONSTRUCTION 0 REPAIRS E] LID NO - ------------------ ASMT. NO - -------- ---------
OWNEp ---------------------------------------- CONTRACTOR --- ---------- PERMIT NO.
I- - ------ ----- ------ ---------------- ------- ---------------------------- I ..........
JOB ADDRESS -- - ----------------------------- ------------------------- --------------------- LEGAL DESCRIPTION: LOT NO - --------------- ---------------------- BLOCK NO - --------------------- --------------
a
0
I
------------- ............................. ---------------------------------------------------------- -------------------------------------------------------
NAME OF ADDITION
-------------------------------- ---------------------------------- .................. -------------------------------
0
"WI
Approved:
DATE Z ff By ----
------------ ---- ------
N191"2@0
—i.J
-!01 io
VM;Vf7� V3W32 F-CM
T �17, 9 -
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IT
CITY OF EDMONDS SIDE SEWER PERM
WATER -SEWER DEPARTMMM
gr
5343
PERMIT
$25 for side newer inspections BEFORE covering any portion of the construction-
r=7 2 No W., Sun., or holiday inspeCtiOns.
tt!u will be provided within 24 hours after requat.
. ...........................................
2—Sk ..................... . ................... .. . ..........
ADO*VM LOCAMON OF CONMUMON ................. zi
t C;2 pwrald Ad 11 s ... . .. . .............. . .. . ...... . ............. ..............................
................ . ................. . ..........
*%0#"rV LUML DESCRIPTION ....... - ---------- - ------- ---- --- .........
........... . .................................. . .....
. ............. . .......................
........ . ........... ......
............
----------- — --------- - ----------------------------- ........ ....... . ................... ................ . .....
..................... ... . .............
0 V TER
...........................................
TMN ally ................ . . ............... ................................ .. . .. . ...
ADDRESS------ ---- ------- --------------- -- ---
he city sanitary Sewer
tion of a side sewer to t
19.7�_ for repair and/or connee
ordinancm
wft city of MUM&
roployed to construct
.00noX Is 0AUAD,TO TRZ "LWWING: truct s . ewer inside property line. A licensed Side Sewer Contractor must be e
j_The,i*W= Of the.property may obtain a permit to con"
01" newer In street aria. Do not cover any portion of sewer before it has been inspected.
-of-way requires an Invasion of Right-of-W&Y Permit Obtabmble from the City Engineer's office.
lwn*pWorsxd,ln city ri t
A) gh Regulations governing side sewers when you get permit. of 2 %. No bends in gr&"
Sul, information regarding Ordinance 11.16.030 and
a. 4_'Top of� tide ssWer must have at least 30 inches coversge at Property line and 12 inches inside property line; minimum grade
shexpen'thea U Will be, permitted. Contractors sban be responsible for failure due to improper
d surface Of street restored to original condition.
No, &--Treneltio, in street taunt be water settled an
may develop within One Year Of completion' er or its appurtenances except to
work ork than is provided for in the permit, or to do sn$ work on the main sew
0. 6__jt 14 utagwfui to siter or do anY other w
Celt into the wye.
X
--- - -----------
By ---------------- . ... . ............. Date .............. .............. B
VED Date ---
PRO
................ . .......................
Vaft.-- ........................
A*-*OVJW
............. ..........
. .. . .. . .. . .................................................. ..
---------------------- ------------- 7
........................................ ................... .. ------------ ------------------------------- -- — -- --------------
..... .... . .........
1§0 PT Be Signed By owner of FIrm Performing Construction PRIOR To Request For Inspection
'00pies xUS
0-
...... ... hereby certify that the side sewer matallation constructed xw4er this permit
...............................
(owair"o, ing Firm performing Constmction)
�jstalied in,"
wifh all governing ordinances of the City of Edmonds.
Dated WS ..... ;�.r ........ day Of—j-Va-V --------------- -------- ........ . .......
for: Water 0, Gas n, Teleptione 0, rower 0, Sewer 0, Other 0 -J
cbeek "VeRm you
4.
APPLICATION
The City of Edmonds for
SIDE SEWER PERMIT EASEMENT NO., -------------------------------------- I ------- J
REPAIRS
NEW CONSTRUCTION [-I LID NO - ----- -ASMVTe j�----
0. '.�?3
OWNER ...... ........ IA.; �—O ............................ ----
.............. CONTRACTOR ..
.4.17)� ............... PERMIT N 7V ..... .
-------------------- LEGAL DESCRIPTION: LOT NO. ---------- —T� ........................ ......
JOB ADDRESS ........ BLOCK NO.
................ . ..... .......................................................... .............. ................... ................
N NAME OF ADDITION ------ T1074r)Thl�ef ........ .... V-5 ..................... ................
W
-----------------------------
AME OF ADDITH
RECEIVEID
419v-- 2 6
9is
40
MEMO FOR RECORD
October 16, 1980
MEMO TO: File
FROM: Lee Willeiksen
Water/Sewer Divison
SUBJECT: CROSS CONNECTION/IRRIGATION SYSTEM
AT
The irrigation system at the above address is in
compliance with the State of Washington and City of Edmonds
ordinances per Lee Willeiksen.
LEW/ainm
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Message
Operator
am m%nnnn Donnii" / rn �,mrM
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CITY OF EDMONDS
200 DAYTON ST. - EDMONDS. WASHINGTON 98020 * (206) 775-2525
DEPARTMENT OF PUBLIC WORKS
o e- b-r",
October 9, 1980
HARVE H. HARRISON
MAYOR
Account No. 220-02205
Mr. John Kelly 2- 4 - 96,6 eg
219 Skyline Drive
Edmonds, Wk 98020
Dear Mr. Kelly:
SUBJECT: CROSS CONNECTION/IRRIGATION SYSTEMS
An irrigation system located on your property may be in
violation of State of Washington and City of Edmonds ordinances
related to backflow prevention. To protect the potable, or
drinking water supply,an approved backflow device is mandatory
on all irrigation systems.
Please call the Water Department Cross Connection Inspector,
Lee Willeiksen, at 775-2525, extension 226, for information or
an appointment for inspection of your irrigation system.
Requirements to meet State and City Codes need to be com-
pleted within thirty days from receipt of this notification.
Sbinc rely,
LEE WILLEIKSEN
Cross Connection Inspector
Water/Sewer Division
LEW/amm