21906 84TH AVE W.PDF111111111111
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21906 84TH AVE W
CITY OF EDMONDS
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PUBLIC WORKS DEPA Permit N? 6647
.1-MENT
K.;
SIDE SEWER PERMIT I ssue Date
PEP -MIT MUST BE POSTED ON JOB SI
1. Address of Constr7717n3w—F1 .... . .. .. .. . me.wl';
2. Property Legal Description (include all easements) S- 30-79
6DTS -2 - 3 4-
3. Single Family Residence L--' Multi -Family No. of Units,
Commercial
4. owner art&/wr Ba± der
5. Contractor & License No. (so
"'. Am
6. Invasion into City Right -of -Way: No V"**'Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation).
7. Cross other private property: Yes V-' No Easement required -
attach legal description and county easement number. 3
READ THE FOLLOWING AND SIGN XEaSeMOtt,
t ArpVc Vd,
* -0y 40
a. Property owners must obtain a perm.&r- to iA�all side sewers on
their property. A licensed side sewer contractor maLbe%MM to
construct side sewers in the public right-of-way.
b. The side sewer contractor assumes full repcAE[Q& tYPYojDLAjch
installation for one year '
C. Commercial establishment requires a minimuml JOO - 56276418
a six inc (611)
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 (1/8,bend) 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 ho: rs n 0 (2) working
days notice required.
DATE:
I Lcertlfy
that I have read
and shall
comply With the above
PERMIT FEE: /0. 0o
DISAPPROVED BY:
Date:
U
94:=)
CONNECTION FEE: �j
By:
APR�ROVED By:
Date:
Date:
0
PEP141T MU St
BE POSTED ON JOB SITE
STREET FILE
; 0
DATE'
HEIMO TO: Bu-Llding Division
CommLinity Development Department
FROM; Engineering Division
Public Works Department
SUBJECT -
After review of the subject building permit appliclLion, -...,-e have
the following comments:
'IT
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'7
PUBLICUORKS DEPARTMENT CHECKLIST
BUIIDING PERMIT REVIEW L16
(address)- . (date)
0
Street Right -of -Way Existing*A. jM4�11;
Z
.
Access Easements Exist* 9- - 10,VnT%
H
g4
Utility Easement Existing S-JO -20 REQD
Lot Per 'Subdivision 3o!:�e -- Plat Assessor MRP—f�
Site Plan Checked for Accuracy--,.
Z
Underground Wiring Reqd. L), ncA
Check Accuracy of Legal Description
Z
Review by Date
Existing Water Main Size
Water 1,14in Required A1114
Service Line Required
Hydrant Size Exist
94
Hydrant Reqd Per Fire Code Size
Detector Check Meter Reqd. 1YI14
Cross Connection Inspection
Fire Department Comments
Water Meter Charge Reqd.
Review by. 51� Date ZZ
Septic Tank Design Approved Date
Septic Tank Permit Reqd. Permit No.
Sanitary Sewer Availability Proj.
Drawing No. File No.
P4
Side Sewer Availability
N
Sanitary Sewer Connection Fee Reqd.
:3:
Review
Open Ditch Existing ____Reqd.
Culvert Reqd._ Size
94
Catch Basin Reqd. Ae A(Z Indicate on Site Plan
0
Shoulder drainage maintain collection on swale open runoff
Manhole reqd._ Indicate on Site Plan
Soil Conditions and Ground Water Field Checked
Review by r Datei,7
Revised: lvlO-1977
Page 2
Street Paving Reqd.
Curb and Gutter Reqd.
Sidewalk Reqd.
Curb Cut for Driveway Reqd.
c4 Right -of -Way Construction Permit Reqd. Vzr,, -AV P4�6-
Bond Reqd. for Public Inpravements
Street Name Sign Reqd.
Other Signing Reqd.
Pre Permit Site Inspection made on
z
0
BY: S94ER
WATER
PL4
(n
H z STREET
ENGINEERING
Special Requiren-ents listed in mem to ConT=ity Development Department,
Building.Division
BY Date
o All items filled in on Building Permit Application
BY Date
PL' Drawings Stanped and Notations Made
P4
BY Date
-4
Approved by Public Works Department
Revised: 1v 10-1977
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CITY OF EDMONDS FOR INSPECTION CALL -1 H@
PUBLIC WORKS DEPARTMENT Permit il�ioo 00 V
SIDE SEWER PERMIT 775-2525 Ext. '-2�2-0 Issue Date
I]MM jj2XUj&TwPOSTED ON JOB SITE
1. Address of Cons truc7ir7n
2. Property Legal Description (include all easements)
3. Single Family Residence Multi -Family No. of Units
Commercial
4. Owner and/or Builder
5. Contractor & License No. L1,S0_ �OLJ f�f- njr rr
DO
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 �,,, Easement required -
U attach legal description and county easement number.
READ THE FOLLOWING AND SIGN:
P4
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")
04
:E: side sewer line.
0 d. Side sewers may not be installed closer than thirty inches (30")
U
to any structure
N 0
M e. Side sew;r lines must be laid at a minimum grade, of 2% (1.15
0 and maximum grade of 100% (450). 0
E-4 f. No turn in side s8wer greater than 45 (1/8,bend) 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:
I certify E�hatI have read
and shall comply with.the above
PERMIT FEE:
62-0— DISAPPROVED BY: Date:
U J4 �A 0 A By: Date:
CONNECTION_�FEE: PP—
P4 APPROVED By: Date:
0
PERMIT MUST BE POSTED ON JOB SITE
Side Sewer Drawing
The City of Edmonds EASEMENT NO . ............................................
NEW CONSTRUCTION REPAIRS E] LID NO.. /Y.gs .... ASMT. NO . ..................
. . ........................ PERMIT NO. 74�9
OWNER .... �5 .. --- L
........................ . ..................... CONTRACTOR
LEGAL DES
JOB ADDRESS ......... CRIPTION: LOT NO . ..... -3 .......................... BLOCK NO . ....................................
.......................................... .......................................................................................................................
NAME OF ADDln0N .... S--3o-76
........... 0 ........ -Pp ....................................... .............. i .................................
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PWW�OWI-11175 (REVAU78i DATE ...... ....... By ................................
The Citv of Edmonds
Side Sewer Drawing
EASEMENTNO . ............................................
NEW CONSTRUCTION C] REPAIRS LID NO... 2 . ...... ASMT. NO . ..................
OWNER ....... ... n .......
...... ......... . ................................. CONTRACTOR ........
.................................. PERMIT NO.
JOB ADDRESS ... ........... ....................................... LEGAL DESCRIPTION: LOT NO. ................ BLOCK NO . ..................
..................
............................ '78
.......................... .. . ...........................................................................
NAME OF ADDITION
0�6w-0001-11175 (REVAirm
ApproY4
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P,- 6 1'. PY/\,V -
NOTICE:
N'o- wa r-ranty--OT
The information *shown on the attached
map(s) was compiled for use by the City Of
Edmonds'. its Employees and Consultants.
Th,,e City of *Edm.onds does not - wa rra nt t, ie
accuracy of anything set for.th on t hese
Map(�-). Any person or entity -requesting a
copy should conduct an independent
o -ation shown on
inquiry regarding the inf rm
-map(s), including, but not limited to,
t
th . e lociation of any sew-er stub.shown. Such
sewer stubs may or may- not exist and may
or may not exist at the location sh - own.
Neither the �ity of Edmo-nds nor its
emp-11-o*yee*s o*r offi-ce-rs -shall] be Via-b-Ife for the
information given on this map(s), nor for
tation provided based
any one represen
upon said map(s).
CITY OF EDMONDS
NEW
ADDITION
RETIREMENT
ASSET INFORMATION SHEET
STREET FILE ASSET NO.
ADDITION TO ASSET NO. -
DESCRIPTION
4 i- --i 1Z 12 t
SERIAL NO.
LOCATION DEPT. NO.
"PURCHASE ORDER NO. *PROJECT NUMBER 0
PURCHASE ORDER DATE PROJECT COMPLETION DATE 11 3 v '5 1
COST COST
B.A.R.S. ACCOUNT NO. C0
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
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
4PRIFIED BY
PROCESSED
iBATCH NO. I
G.L. ENTRY
REFERENCE DATE
Kp
INITIAL
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