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313 CASPERS ST.PDF
10566 313 CASPERS ST -5 TAX ACCOUNT/PARCEL NUMBik: 2A 1) 02.14 -7 () BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: CRITICAL AREAS DETERMINATION: E] Conditional Waiver Ej Study Required 0 Waiver DISCRETIONARY PERMIT #'S:V -21 - tA ff&d a A0 DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: (L -be d PERMITS (OTHER): 19 � �a � - i q mNq4 (Awcr� I � n U-75 I wo n q -7 7p4p b*L�p' Vt- jq9j0-zAj PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: q 19 SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: � b,5-1 q 5' - SIDE SEWER AS BUILT DATED: . , \�w -7-z_ SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: ke OT14F.R; LATEMP\DSrs\Foffns\Street File Checklist.doc . 4 re -Y ilk, ',5 90 419 CITY OF EDMONDS SIDE SEWER PERMIT 18 9 0 19 9z PERMIT 8 7 G 8 Address of Construction: ST C;&OZO Property Legal Description (Include all easements): C� yo�, M Er�,r PLAIVT. ____,JRECE1VED AUG 2 5 1995 PUBtIC WORKS ikpj lr�_ Owner and/or 6,ontrqct )14�MN Swill"It,AASOAd Q-10 64,v I m i T-* LIU miix AJ State License N 10. be"Im i 0-1-7 C-tN Building Permit No: A) h7 19 Sing)p Family .0-1 0 Multi -Family (No. of Units—) 0 Commercial 0 Public Invasion into City Right -of -Way: M No 0 Yes RW Construction Permit No. .Cross other Private Property: 5 No El Yes Attach legal description and copy of recorded easement I bertifyfhat fe-re-id ehfd sl�dll 66mply with all city requirements as in( Vie back of the Permit Card. Date' CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION OFFICE USE ONLY FOR INSPECTION CALL 771-SM PUBLIC WORKS DEPT. Permit Fee: Issued By Trunk Pharge: Date Issued- Asses'sment Fee: A) 1,4 Receipt No.: Lid No.: Partial Inspection: Date —Initial CorTiments Reason Rejected: Date —initial Final Inspection Approved: Date_, —&—Init ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy: File Green Copy: Inspector Buff Copy: Applicant Revised 3!90 il The City of Edmonds Side Sewer Drawing NEW CONSTRUCTION F] OWNER................................................................................................ JOB ADDRESS3) 3 -S7F . ...... ................ ....... ............................................. S o- f e4''P-v.c- t- to, (e If - PWW-0001-11175 (REV. 11/78) EASEMENT NO - -------------------------------------------- 'I LID NO . .................. ASMT. NO . .................. CONTRACTOR.................................................................................... PERMIT NO . ................ REPAIRS LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . .................................... NAME OF ADDITION .......................................................... .............. Approved: DATE P -2- By ...... ...... .............. ............................... 's 0 114N: IT-y -CO 8a py T FILE JREE CPU I Sia� SEP 9. APPLICATION for The City of Edmonds SEDE SEWER PERNaT EASEMENT No . .......................................... NEW CONSTRUCTION C] REPAIRS 0 115-05750 OWNER ............ Roberts ............... .................................................................................................. PERMIT No . ...................... ... 91.11s .... W ........................... ......... .................... CONTRACTOR ADDRESS ... 3.1.3 .... qg��per St. .................................... ... 0 �j 0 ....................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................ NAME OF ADDITION ............... Dye Tested On Sewer 1972 Approved: 15ATE................................................ By ...................................................................... ... ............... ... ... Distri City of Edmonds --- Water Department TAP CARD Date&.Y.ZK.�f No... .. . ........................ I No ................ . ...................... Meter Tap Size.. ............................ Size ................ ................... Mfgrs. No ......................... Style ............... ......................... For Fla vd .... z ................................. ....... ............................... 7 ... . .......... . ... ............................... . ....... . ....... . ....... . ...... . ........... . . .................................................. . ................ . ................ . ............... . ...... . . . . . .......... LotNo ............................... ........... Blk. No ........................... .. ................ Add . ........................ * ...... ............. . .... ....... . ....... . ....... . ........ . �4 �.,v ........... ...... S&rv-lce Location =;..13 ....... ............ . . Meter Location Make Tap ........................................................... . ..... .. . ....... . .......... . .......... . ..... ................................. ................ . .......................... Pressure .................... . ........ lbs. Test ................. ............... ..... SendBills to ........................... .......................................... .................... . ... ..... .................................................. . .......... .. ... ........... . ...... ............... . ....... . ......... .. - -,5 - , .�, - Date of Work .......... ..2 ... I ... ..... C� - kX ................................ . . ............................. Foreman Guar. Voucher No .......................... ............... $ ................. . ................ . ..... . -Remarks: ............................. . ......................... . .................................. . ...... . ... Mater hargeable to Installation Meterr� NO. ' SIZE IMeter W DESCRIPTION ....... ., RATE ............. A"MQ . —a-(q - NT /0 . .......... ---------------- Meter Box ---- - ----- -------- -------------- ------- .......... ... .......... Meter Plate .................. ---------- -------------- ------- ---- --------- Check Valve ........ -- - ------------- Pipe, Galv. Screw ------------------ ---------- - --- -------------- - - ---- _V. .............. .......... Nipples ------------------------------------ _------------ . ......... .......... ............ * .. .......... Bushings . .................................. ... . ......... ------------- — -- --- ------------- ---------- Plain Ells ----------------------- I .......... .............. .. . ........ .......... --------- ......... St. Ells ------------------------------------ -------------- -- - -------- ---------- ----------- . ... -------------- -------------- ------------- ............... --------------- --------------- -------------- .......... ---------- ---------- ---------- .......... ---------- ---------- ---------- Tees ------------------------------------------ ------------------------------------------------------ ......... ...................................... ------------------------------------------------------ ...................................................... ----------------------------------------------- ...... ------------------------------------------------------ --------_- -------------------------------- ------ --------------- --------- -------------- ----_------- ............... .............. ---- ----- ------------ ----------- ------------ 11 ------------ ------------ I ------------ ---------- -- ----------- ------------- .......... ......... ---------- -------- ----------- ---------- ---------- I ---------- Material Chargeable to Taps Connected NO. SIZE DESCRIPTION RATE, AMOUNT .............. .......... Pipe, Black Screw .... i ............. ----------- ------------- --------- ............. .......... Pipe, GaIv. Screw ---- ............. ............... ------------ --------- .4 Lead Connections ................... Cur� Cocks ---------------------------- -------------- * ------------- ------------ ...... 0;2 - --- Corp. Cocks --_----------------------- -------------- ------- .............. .......... Unions ------------------------------------- ------------ ------------- -------- - . .............. .......... Saddles -------------------------------- f. - ---------- ----------- - ---------- ------------------------- Nim)les ......... -------------------------- --------------- ------------ ---------- - ............... .......... Bushings .......... ----------------- -------------- ------------ ------- ............... ......... Plain Ells -_-------------------- ....... ............ .......... r .. ........ .............. ...... --- Street Ells -- ----------------------- --- ------------- - - -- T ---- ------ ----------- .......... Tees I ------------- ------------ 4N --------------- -------------- ------------- --------- ............. .......... Curb Boxes ------------ - ---------- -------------- ... 7 --------- ------- ...... -------- ---------- : 8. 0. Extensions ..................... --------------- - - ---------- ---------- 1, ........... .... ........... Gates ------ ---------------------- --------- ............. ........... . ................ .. Plugs . ......... -------- - ---------- Cou plings -- -7 ------------ ----------- ------------ .2 ---------- ............. .......... Gate Boxes -------------- ------------- --------- ---- - - --------- -------- -------------- -------------- -------------- .. ---------- - .... ---------- ............................ .. 4 -- ----------- Cal 11 ------------ -- ................. ------------------- - ------- -- f --- ...................... .................................... 1 ...................................... .............. ------------- ---- --------- ------------- ------ ------- ........... ............ ---- - ------- ............ ....... ------ . ------------- --------- -------------- . -will 44 r.. ............... ................. I— - - --)- --------------- --------------- ------------- ---------- .. ................... ............... ------------ - -------- ------------- ------------- ------------ --------- r M- en .............. rithly Men .. .............. ................ .........