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CITY OF EDMONDS
SITRE ET
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11 ADDITION
11 RETIREMENT
SUINFORMATION SHEET
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ADDITION TO ASSET NO.
DESCRIPTION n
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SERIAL NO.
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LOCATION
DEPT.
.00,4v
"PURCHASE ORDER NO.
'Al 'Y
A
TROJECT NUMBER
PURCHASE ORDER DATE
PROJECT COMPLETION DATE -,3,0 4,s
COST
4 4..
'14
B.A.R.S. ACCOUNT NO .
EST
IMATED LIFE
'APPROVED. BY:_.
INITIATED BY UAI c
A
"SUBMIT ASSET INFORMATION SHEET.WITH'Fl.
*SUBMIT ASSET INFORMATION SHEET UPON, CLOSE OF PROJECT:" -
ACCOUNTING ONLY
VERIFIED BY
0"DEPRECIATE
MONTHLY DEPRECIATION AMOUNT, '_`06CESSEDI�"
ANNUAL DEPRECIATION AMOUNT C
BAT H NO.
C� G.L. ENTRY
REFERENCE DATE
INITIAL
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SYSTEM CROSS—SECTION
MIRAFI Eoox
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TO f5r-- LA�(ED e
\IV--11%E-!'-:E:0 Flo--K
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TRENCH CROSS—SECTION
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STANDARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE I OF 2
for
location
plan by
phone
date
DESIGN DATA
Trench Perc LF per Imperm Trench
Number Rate _1000,sq.ft. Area Req.
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)
aAA11" a4
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CITY OF EOMONOS
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TEE w/ 4 it LONG LEGS
SYSTEM CROSS-SECTION
/;,-I = L r-r
TO 15F_:� L/-YED e
W_."NeL-:EfD Fcy--K
COVER
3/41- WASWED
G P-,kv E I
F'E;ZF P
N,
TRENCH CROSS-SECTION I I
STANDARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE I OF 2
for
location
plan by
phone
date
DESIGN DATA
Trench Perc LF per Imperm Trench
Number Rate 1000 sq.ft. Area Req.
[ i. 1 8 IM490ag- 1.?45n 1 -75
NOTES
1. Call Engineering Oivision (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
sail 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)
C,.4 �A" �'
CITY OF EOMONDS
of . IV 0 K-r ti -
LeGiA i It 16
121,
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CITY of EDMONDS P E R M I T
'*,,19I�410E SEWER
For Inspection Qal-L*Vf t-11.Vv p-gg—ffe- W6# Kg- PERMIT NO.-O 7259
EIA ALLINGER
LIFT STATION
Address of Construction:
Property Legal Descrip tion (Include all easements):
Owner and/or Builder: Z-0 (ZV6 CO^%
Contractor & License No:. 6/4<_Lkd".'E SP_fV)C_R_ Z_Jz�s 13 S,
Single Family Residence
Multi -Family (No. of Units
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No 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 Yes (If'Yes, easement required,
attach legal description and county easement n'umber.)
PLEASE READ THE ITEMS LISTED ON THE BACK
I certify that 1-have read and shall comply. Date
with the items listed on the back.
Permit Fee: o
Trunk Charge:
Assessment Fee:
Issued By:
Date Issued: Z11A ScIr
Receipt No.:
Partial Inspection:
Comments Date Initial
Final Inspection Approved:
A-0--E C�A ZA"em -
Date I n Vi a 1 IRSp. 8,
j a4di-AND
J. S-rV*IPF
00
Rejected:
Reason Date Initial
V)
**,PERMIT MUST BE POSTED ON JOB SITE
d)
Wh.ite Copy File Green Copy Inspector Buff Copy - Applicant
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JAN NOV 16 1984
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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 Edmonds does not warrant the
accuracy of anything set forth on these
map(s). Any person or entity requesting a
copy should conduct an independent
inquiry regarding the information shown on
the map(s), including, but not limited to,
the location 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
employees or officers shall be liable for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
Side Sewer Drawing
The City of Edmonds EASEMENT NO . ................................... ------
NEW CONSTRUCTION REPAIRS LID NO. J08 ....... ASMT. NO - ------- .......
OWNEF . ............ JORV-F ------- ��O M S-T ------------- ----------------------------- CONTRACTOR ArnUTZS ...... BAAC,-KH-GE . ........................... PERMIT NO. -.72,5-9 ...
-rH
JOB ADDRESS 1 .1-4 --------- 76, ---------- ASAE� --------------------- LEGAL DESCRIPTION: LOT NO . ....... Z ................ --------- BLOCK NO - ------------- ......................
NAMEOF ADDITION ---------------------------- ---------- I --------------- -----------------
2?)(o 14 7G TH -604 F— W.
I - -------------------
[�,VIA �BALUN,)I],R
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C.G.Cokp Vbp Gr
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Approved:
DATE By-4L4--f.
PWW-0001 -11/75 (REV.1 1
.................................
CITY OF EDMONDS
USE PERMIT
NUMBER
11Z ^
CONSTRUCTION PERMIT A
J5 n
OB
NA NAME OF BUSIN S
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ADDRESS
-Z-36 14 -7 L, AVEVAUE
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LEGAL OESCRIPT15N C11111 SUBDIVISION NO. LID NO.
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MAILING ADDRESS
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Po'
CITY TELEPHONE NUMBER
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
L-r,,4 &t 1--) 1 -7 -39 -Z_ Z
EXISTING 4 0 REQUIRED DEDICATION
NAME
PROPOSED--662-
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RIGHT OF WAY CONSTRUCTION PERMIT
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ADDRESS
REOUIREq"'
STREET USE PERMIT REQUIRED El
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W
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SEE ENGINEERING MEMO DATED. &714
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FITY TELEPHONE NUMBER
SEE PIW DEPT. REVIEW CHECK LIST DATED
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ADDRESS'
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METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS
CITY TELEPHONE NUMBER
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REMARKS
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STATE LICENSE NUMBER CITY LICENSE NUMBER
273--ci Winouc t L- F,
SIGN AREA ENV. REVIEW
ADB NO.
Legal Description of Property - include all easements
ALLOWED PROPOSED C014PLETE EXEMPT
(show below or attach four copies)
SHORELINE
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VARIANCE OR CU PLA VIEW"&
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YARDS
LOT COV��AGE z
FRONT SIDE REAR
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REMARKS
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NEW 21 RESIDENTIAL PLUMBING
1:1
ADDIALTER NON-RESIDENTIAL MECHANICAL
REPAIR RETAINING WALL SIGN
EXCAVATE FENCE
CHECKED BY TYPE OF CONSTRUCTION CODE
I I
HEIGHT
DEMOLISH OR FILL L_ x _FT)
PRE -MOVE INSP.1
COMPLIANCE INSP, PQ`01ML
SPECIAL INSPECTOR AREA OCCUPANCY
OCCUPANT
REQUIRED GROUP
LOAD
SIDE SEWER
11YES I NO
REMARKS
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WATER LINE
El El
0
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NUMBER OF STORIES NUMBEROF
0
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0
DWELLING
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0
UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
VALUATION
FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ON
GRADINGIFILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
Termit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
"Applicant, on behalf of his or her spouse, hei , rs, assigns and
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
5E
employees, and agents from any and all clairn� for damages of
PUBLIC WORKS rEPARMIM CHEacusT
I
4 76 7-111,4 tl
(address) (date)
0
'Street Rig�it-of-Way ExistinF.
Z
Access Easements Existing
REQD
0-4
Utility EaseT*nt Exist'
REQD
Lot Per Subdivision Flat
Assessor Map
Site Plan Checked for Accuracy
Z
Underground Wiring Reqd.
0-4
0
Check Accuracy of Legal Desci/iption L-2A
Z
Review by ��45�r
Date 6
Existing Water Main Size
Water Main Required
Service Line Required -3/-�,
Hydrant Size ExistLT-Z,
0�
Hydrant Reqd Per Fire Code
Size
Detector Check Meter Reqd.
Cross Connection Inspection
Fire Depar=xmt Comnants
_q Reqd.
Water Meter qia5g-,
Review b
Date
Septic Tank Design Approved
Date
Septic Tank Permit Reqd. Al
Permit No.
Sanitary Sewer Availability (ej!,
Proj.
Drawing No.. V
File No.
Side Sewer Availability Z- /,0 /05--
Sanitary SewW Connection Fee Reqd.
Review by
Date
Open Ditch Existing
Reqd.
Culvert Reqd. M11AI
",10 Size
W
Catch Basin Reqd.
I / Indicate on Site Plan
0
Shoulder drainage maintain collection on
swale open runoff
Manhole reqd.
Indicate on Site Plan
Soil Conditi vlai�nq_C
,yound Water Field Checked
Review b
Date
P',
evi-ed: lvlO-1977
,�/ _/Z
DATE
MEMO TO: Building Division
Planning Department
FROM: En'gineering.Division
Public Works Department
SUBJECT: 2-36 14
After review of the subject Building Permit application, we have the following
comments-
1. Connection'to-C-ity water system required.
2.
Connection -to
City
sanitary
sewer system
required.
3..
Right-of-wiy
pe.rmit
required-f22,
any work
on City property.
4. Driveway slope not to exceed 14%
5. Backwater valve required if downstairs plumbing is below elevation of
ups�ream manho e.
G. Water and sewer lines to be separated by 10 foot mi-nimum.
7. Builder/Owner responsible for cont
__SL_ cLra r Y unoff and Q.Lgsi
on site and ma
T-�Y not impact_11ei hborin -ties i
_____q__propet in
� 'e
14
41
BD 6/82
CATcm BASIX:
AD3 0 1 S-30 (0 k
WSUAL)
TRl;r4CW L.WNGTH
.............................
-n C.Wt U W K --' LKVWL 7RUNC.N
4PSILF P%PV CAP
-rr=E W/ 4'LONG LEGS
SYSTEM CROSS—SECTION
MIRAFI 14OW
(-,'F- L-" %J I V L- L-F-�-
TO LAYED e
WA5Ht:P KCY--K
TfLEW-14 COVER
3/40— 0/2" WASWED
GRAYEI
4'01AM FERIF P
Lq-, - Cr -�
TRENCH CROSS—SECTION
-� fy-
STANDARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE I OF 2
for
location
plan by
phone
dat4
DESIGN DATA
Trench Perc LF per Imperm Trench
Number Rate 1000 sq.ft. Area Req.
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).
CITY OF EDMONDS
WOWS EYRIrNq
23423 HIghway 99
SSOCIATES, INC. Edmonds, WA 98020
(206) 778-3101 P.O. Box 32 Lynnwood, WA 98036
May 6, 1982
Planning Department
City of Edmonds
Edmonds, WA 98020
Re: Short Plat-Variance-Bonipart
S-5-82 - V-5-82
Soil investigations have been completed upon the property involved
in the above stated actions. Percolation tests were conducted in
accordance to Edmonids City Code Chapter 18.30 to determine the
feasibility of using the Infiltration System for Drainage Control.
The property is generally level except for a drop in the westerly
portion of the southerly proposed,lot. A bench area exists in the
southwest corner that is of sufficient size to be used for back
yard purposes and will accomodate an -infiltration system (see plan).
There are no known concentrations.of surface water or streams on or
through the subject proposed to.face 76th West, which is 1* to 21
lower than the property. The driveways of Lot 2 and 3 are proposed,
to be continguous and will slope into 76th,with the.drainage being
directed into the existing curb and gutter.
The sizing of the infiltration system is based upon the elements and
directions found in the "Drainage System Standard Plans, City of ,
Edmonds". The calculations for Lot 2 and 3 are as shown on the Plan.
The lots are of sufficient size to allow a reserve area in the event a
failure occurs after years of use.
Respectfully submitted,
M. B. Mey
President
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CITY OF EDM_0,NDS
CONSTRUCTION PERMIT APUX*T4
NAME (OR NAME OF BUSINESS)
To PV S C,,,U.--,
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CITY ELEPHONE NUMBER
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NAME
u0i ADDRESS
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< CITY TELEPHONE NUM B ER
NAME
Ir ADDRESS
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Z
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STATE LICENSE NUMBER CITY LICENSE NUMBER
7e, av E:zr -;? a 9 P 0
Legal Description of Property - include all easements
(show below or attach four copies)
Z
01
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12 NEW 'R RESIDENTIAL PLUMBING
11 ADD/ALTER El NON-RESIDENTIAL MECHANICAL
ElREPAIR 1:1 RETAINING WALL El SIGN
EXCAVATE FENCE
DEMOLISH OR FILL n ( x _ FT)
PRE -MOVE INSP.1 f__1 swim
FJSIDE SEWER
EIWATER LINE
E]
U) NUMBER OF STORIES
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NUMBEROF
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4
UWtLLINU
$M 0
LIN"b
ATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
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USE
NUMBER
VIDUHIZ55 .2, -5 4o 114 -7 to �-h Avf-, W
.EGAL DESCRIPTION CHECKI SUBDIVISION NO. LID NO.
La-F 3, �* - 5--,g -�,_
PUBLIC RIGHT F WAY PER OFFICIAL STREET MAP.
EX W REQUIRED DEDICATION
PROPOSED-(,,6?
RIGHT OF WAY CONSTRUCTION PERMIT REQUIREDP-*"'
STREET USE PERMIT REQUIRED 0
SEE ENGINEERING MEMO DATED
SEE PIW DEPT. REVIEW CHECK LIST DATED
REMM
METER SIZE
UNITS
REMARKS
SIGN AREA ENV. REVIEW
ALLOWED PROPOSED COMPLETE i EXEMPT
VARIANCE OR CU PLANNING REVIEW BY
YARDS LOT
FRONT SID REARI
HECKED BY ITYPE OF CONSTRUCTION I CODE
SPECIAL INSPECTOR
REQUIRED
E) YES 0 NO
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to.be done on private property ONLY.
GRADING/FILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180bays
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors In interest, agrees to indemnify, defend and hold
i harmless the City of Edmonds, Washington, its officials,.
employees, and agents from any and all claims for damages of
P/ez
whatever nature, arising directly or indirectly from the Issuance
of this permit. Issuance of. this permit shall not be deemed to
modify,,walve or reduce any requirement of any city ordinance
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; hat I am the owner, or the duly
ATTENTION
authorized agent of t he 711tag ree to comply with city and
THIS PERMIT
state laws regulatin t on; and In doing the work authoriz-
AUTHORIZES
ed thereby, no son e employed In violation of the Labor
ONLY THE
fn
Code of the S :e of ington relating to Workmen's Compensa-
WORK NOTED
�M
tion Insura e. , , . __ _ . J* .
INSPECTION
DE PARTMENT
ER 0 ENT)
DATE SIGN D
, �/e
CITY OF
EDMONDS
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL VV
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, U
CHAPTER 3.
102-78
771-3202
OCCUPANCY
GROUP
VALUATION I FEE
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ADB NO.
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OCCUPANT
LOAD
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APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his
Deputy; and fees are paid, and receipt is
acknowledged in space provided.
OFFICIAL'S SIGNATURE
DATE
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1984 ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD — Assessor
K P,.�q . E.. 775 9�01
D A T E 'IZA151wk
MEMO TO: Building Division
Planning Department
FRO14: Engineering Division
Publ ic Works. Department
SUBJECT: 77?1-
After review of the subject Building Permit application, vie have the following
comments:
1. Connection to City water system required.
2. Connection to City sanitary sewer system required.
3. Right-of-way 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 of
upstream manhole.
6. Water and sewer I ines to be separated by 10 foot minimum.
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CITY OF EOMONOS
QVIC CAftlill . dQk-C.,0S. WA4...GJC� &*an
SIN GLE FAMILY MULTIPLE COMCICIAL
PROJECT AAME
ADDRESS
.ACCESS SLOPE AND VEHICLE ACCESS
DRAIRACE PLAA
STREET fILE
LEGAL DESCRIPTION VfRIFJCATION
QUIT CLAIMIL)CPICATIONS
EASEMENT - PUBLICIPRIVATE
CALCULATE SEWER COILNECTIon if 110 LID I
SIRM PAVING REQUIRED
CURB AND G.UT-TER REQUIRED
SIDEWALK REQUIRED
CURB CUT fOR DRIVEWAY REQUIRED
N
ENGINEERING A
P R 0 J E C T
C H E C K
PUBLIC WORK8
R E V I E V
LIST
CONTACT kkfl( & TELEPHONE NUMBER
I — p mm. - - I
RICJil-OF-W,kY CCINSTRUCYIM PERMIT REQUIR"ED
BOND REOUIRID FOR PUBLIC IMPROVEMENTS
STREET NAME SIGN REQUIRED
OTit1R SIGIIING REQUIRED
WATCR HAIII SIZE
WATER MAIN REQUIR[fl
%- .5-1 5�- -4
,/fp lor
(AJ)DITIOUL COMMENTS ON BA
SERVICE Ll.%[ REQUIRED
11YORANT SIZE EXISTING
-5
HYDRANT RfqUIR(O PER FIRE CODE 00,
461 w
SIZE
CROSS CONNECTION INSPECTION
WATER lIfTER CHARGE EQUIRED
REVIEW DATE (AMITIOILkL COPKN7S O'N
S)AITARY SEWER WHING IIUXBER
FILE WIBER
SIDE SEWER AVAILABILITY
SMITARY SEWER C0111ECT1011 FEE REQUIRED
OPEN DITCH EXIS1111r,
REQUIKED
CULVERT R[9UIRfD �zl
CATCH BASIN R[OUIR[.0 INUICATED ON SITE PLA?(
SHOULDIR DRLAIRAGE IVINTAIR COLLECTI011 ON SHALE OPEX WrlOff
'LM"Lf REQUIRED / i ) I / I / ) — INDICATED O.N SIT[ PLAX
SOIL CO�Ojjj S OUND IR FIELD CHECKED
REVIEW by �VA 7 E
(ADDITIONAL COWNTS ON BAC