300 EDMONDS ST.PDFIIIIIIIIIIIIII
10951
300 EDMONDS ST
0
0
ADDRESS: �3m amcwn
TAX ACCOUNT/PARCEL NUMBER: 004,2f-W
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DX
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS
PLANNING DATA CHECKLIST DN
SCALED PLOT PLAN DATED:
DETERMINATION: 0 Conditional Waiver F] Study Required 0 Waiver
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK: 25
SIDE SEWER AS BUILT DATED:
—�7 & . ffs
SIDE SEWER PERMIT(S) #: 12ZL
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT ff:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LATEMPOSTsTomis\Street File Checklist.doc
LICENSE NO.
0"
CITY of EDMONDS BUS SS LICENSE APPLICATION
Civic Center Edmonds, Washington 9804
City Clerk Phone 775-2525
DAT
TYPE OF BUSINESS
ANNUAL FEE
CLASS YEA LIC. EFFEC. DATE ! REASG LIC. NO. SPEC. 0 (A) HOME OCCUPATION $15.00
3 (B) BUSINESSWITH $20.00 $ 30.00
RECEIPT No. DATE PAID A- 1 TO 3 EMPLOYEES
I PRINT'X' (c) BUSINESSWITH
I -Till I 1�61 12,11,913 IN SPEC. BOX 4 TO 9 EMPLOYEES $22.00 $ 33.00
FOR ISSUE OF
FEE PAID PENALTY PAID CORRECTED (D) BUSINESS WITH 10 $75.00 $112.50
-21a0101 I I LICENSE WITH OR MORE EMPLOYEES
I I 'LC' ACTION.
0 NEW APPLICATION (LA)
y
N RENEWAL (L B)
0" CHANGE (LC)
(PLEASE MAKE ANY NECESSARY CHANGES) 0 DELETE (L D)'
AFTER FEB. 15
$ 22.50
NAME OF FIRM BUSINESS PHONE NO, OF EMPLOYEES
TARTAN APARTMENTS -*4��5
;63.r 2c)1G R EeE I VED
MAILING ADDRESS X ) 2 NATURE OF BUSINESS
T 14 A t\4 5 u 1 L L IF, w P4, 17 13 410 APARTMENT FEB 2 .19 83
0 EDMONDS FIRE DEPT'L
BUSINESS ADDRESS INDIVIDUAL PARTNERSHIP CORPORATION
3 0;-, (S) (P) (C)
OWNERS NAME HOME ADDRESS
'DO V G I- rAS Ael A R -17 Y IV P-0,50'A 1 2 3 3-46�— �--
11 ANS Llll-tt, t.A�
HOMEPHONE DATE OF BIRTH PLACE OF BIRTH SOCIAL SECURITY NUMBER
cn— -- 1'. f
1.2,1 llia A c,-o ILL-
T 6,
xe. tr - 2
EMERGENCY NOTIFICATION (1) NAME&TELEPHONE FEF-*600014—P- 2 0 f) — N4���
(PLEASE LIST TWO) (2) NAME & TELEPHONE 'SPEEF2W 007-4-' 2 0 0
MAR,rYt4, Do(�OTUY t;, 3 Y - Z4, 16
WASHINGTON STATE TAX NO.. APPLICANT'S SIGNATURE
h"PREmp"T FILE
DO NOT WRITE BELOW TiS 41" t t
STAFF REVIEW: FILL IN LAND USE CODE, UFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR DISAPPROVAL, DATE, AND
SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT" SECTION. ROUTE TO NEXT DEPARTMENT ON LIST.
PLANNING DEPARTMENT DATE -1/ 4-2,
?----APPROVE 0 DISAPPROVE SIGNATURE 'd '
COMMENTS
BUILDING DEPARTMENT I . 67),-;
DATE
D, APPROVE 0 DISAPPROVE SIGNATURE
COMMENTS:
CAPACITY: (NO. UNITS, APTS. OFFICES, SEATS, BEDS, STUDENTS)
LAND USE CODE ZONING CODE
CONDITIONAL USE PERMIT
Building
El
Hotel/Motel
(L)
Permit
El
0
Apt. Bldg.
Office Bldg.
(A)
(0)
Occupancy
0
Restaurant
(R)
Group
0
Hosp/Nurs Home
(H)
0
School
(S)
FIRE DEPARTMENT DATE :7- -;z- U.F.I.R.
C4 APPROVE . El DISAPPROVE SIGNATURE E01015
COMMENTS:
ZV Z" Z--, ZIF
0 o
I'DEPARTMENT
DATE SIGNATURE
�F�j �APPROVE 0 DISAPPROVE
COMMENTS:
13LIC WORKS DEPARTMENT q /, A' 11
APPROVE El DISAPPROVE DATE ��-Z7 — SIGNATURE
COMMENTS:
PLEASE RETURN TO CITY CLERK
APPLICATION CARD No - ------------
for
The City of Edmonds S13DE SEWER PERfMT
EASEMENT No.
--------------------------
OUTSIDE INSIDE 0 REPAIRS F-1
:2
Cl<
CONTRACTOR ------------- /P&y ----- ----------- ...... ------ ----------
OWNER ... W4--,� -40--le ------- 271U. 40-/ - je. - � ---------- --------------- --------
.wo J%wjlEET
HO'LTSE No. ...... LOT No - ------------- - ----------- 7 ---------------------------------------- BLOCK No . ...... r ....... (-
mows,
NAMEADD . ..... ...... . oar--0/ml --- ------------------------- "I ----------------------- --
29
cm
6e,406 %A A 14 'S -4 ,
Date
BACKFILL WORK ORDER ISSUED � -------- --- — ----- ------- ..... DEPOSIT, $ ----------- ........... ------- -------
SEWER WORK ORDER ISSUED -------------- -- ----------- .. .......
Lu
.j
Lu
Lu
Approved:
DATE -Yll�-1 -
I
APPROVED
APR 2 � 19ffi
zeel ------------ -
YZWOF ERMONDS
0- oaji PRospect G-1107 when work
NT or In Pectl
!,,C�,yN�T.ipRt-7-k',,WgiTER-SEWER DEPARTME nspec,-
is ready IF s on. (No I
N2 1222
tions Saturday, Sunday or holidays.)
-,W
SIDE SE , ER PERMIT
ADDRESS ----- -- — --- ...... &.dwnd*.; ... $tnwt ...... Onpipx) .............................................................
dley.. RA
OWNER ........... . ..... li-arQld ... I)U ....................................... CONT CTOR ............ fty .. All.en ..........................................
Permission is granted --- - --- ApRtk.2 .................... jq.��.-, f.I . ..................... � days, to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING: '4
NOTE No. 1—The owners of the propert . y may obtaJn a permit to construct sewer Inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been Inspected.
Nr No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
M,�i4o- 3—Top of side sewer must have at least 30 1 , riches coverage at property line and 12 inches inside property line; minimum grade of 2%.
No bends in grade sharper than % ikfll be permitted.
s red to original condition. Contractors shall be responsible for
NOTE No. 4—Trenches in street must be water settled and surface of street re to
failure due to improper work which may develop within one year of completion.
for in the permit, or to do any work on the main sewer or its ap-
NOTE No. 5—It Is unlawful to alter or do any other work than Is provided
purtenances except to insert the pipe into the wye.
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