338 8TH AVE S.PDFlill 11111111
8711
338 8TH AVE S
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: E] Conditional Waiver _.E] �tudy Required E4-W'aiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DA'
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):
V
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED: z7o*A�-
SEWER LID FEE $:
LID #:
0
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
FOR:
WATER METER TAP CARD DATED:
LATEMP\DS'l7s\Fomis\Street File Checklist.doc
i3loak Wc(//,�
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APPROVED BY PLANNING.
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An� request for modification, variance or other
I
administrative deviation (hereinafter IqLM01K.
WED
must be specifically. � called out and identified.
Approval of any plat or plan containing 0C)jij07js2005
which do not comply with city code and for which a
variance has not been specifically RU&M&X�IDEPT.
requested and considered by the appropriate cit
official in accordance with tho appropriate provis* y
ion
of city code or state law does not approve any items
not to code specification.
�Q r e, �P STREET FILE
APPROVED BY PLANNINGO
�:-b AS NOTED,
By ERING _-#7
INEE
Date:
0 44 - -
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6TREET FILE CITY C)F EOMONDS
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OCT 1 7 2005
BUILDING DEPT.
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STREET FILE DEVELOPMENT SERVICES CTR,
CITY OF EDMONDS
PLANNING DATA
NAME: Qb,, A las A - H e cv— DATE: 2_171z..5
SITE ADDRESS: Q 336" R-Avt.S- PLANCHK#: 01�'-012-
PROJECT DESCRIPTION: ..o� 58-k.'
REDUCED SITE PLAN PROVIDED?: N
MAP PAGE- 2`03 CORNER LOT: &e_� / No) FLAG LOT:
,%Z:7p—
ZONING:- LL 6 . CRITICAL AREAS DETERMINATION #:
Ll Study Required:
U"Waiver
OConditional Waiver
/SEPA DETERMINATION:
Ll Fee
LJ Checklist
LlAPO list w/ notarized form
4 -7, '7
Ll(Needed for 500 cubic yards of &ading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
U"Exempt
SETBACKS:
Required Setbacks:
street: 24, Left Side: 2-v' Right Side: Rear:
Actual Setbacks:
Street: 2-0, Left Side: �o, Right'Side: 10' 4 Rear: 1/'
Street map checked for additional setback required? if-e-SW No / DNA)
Ll DETACHED STRUCTURES: No"t
LJ ROCKERIES:
LJ FENCES/TRELLISES:
LJ BAY WINDOWS / PROJECTING MODULATION: _"f 4�4�-41
STAIRS / DECKS: Daw Pu, 5-1-c-1 3' _��qr
PARKING: Required: Actual: -7-
LOT AREA: a EGO
LOT COVERAGE: 3o, 5 3 9. -
Calculations: LA vo
BUILDING HEIGHT:
Datum Point:-M&O-44 6 'r--v- Datum Elevation: 28
Maximum Allowed: 7-5' (Z31.1-7)'Actuall-leight: 3a, 45-) )1-
A.D.U. CREATED?: (NoY Yes) Fbv,;. b,.+ 16
SUBDIVISION:
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: (Yes / 00
k'� i. 30 . Orr.WLA no,� 6C;4 R?� J,� tN r&11- Z7!;- 'W4 A it.-W ./. Lei( r-�, f " -,X
f- I I" j�4 K*4 2,o& , ?,0ft 205', 9 �. 7-o4, 9 ?-4.4 4 4 2-
Plan Review By- -
2 5-
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21
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ALL EXPOSED SURFACES -TO
BE tOVERED WITHIN 2 DAYS
OWNER/CONTRA—
PONSIBLE
Is RES
FOR EROSION CON FhOL AND DAMAGE
APPROVED AS NOTED
BY EN(SINE PNG
r
Date:
RECEIVED
FEB - 12005
w4. Como
RE I, JE
I or 1 v-
PERMIT COUNTER f!J"
C, k jL P
4
Imc,
-LOT COVERAGE: Records of Snohomish County, ashington.
2687 SQ. FT (30-53%) Situate in the County of Snohomish, State of Washington.
LOT AREA: JAN 14 2005
8800 SQ.FT. TAX PARCEL #:
LOT SLOPE: — 7.85% 00434209002100/0434209002300 PERMIT COUNTER
C40
Zone_.. Corne�,Flag_
APPROVEU AS NOTED V 16so,0 Wv
i I red A t I BY E EE IN 11099VIdUs'
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Sid es Date; vs,
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335 8'" AVENUE T7.
- - - -- - - - - - I �kl-
s 21 thru 23, inclusive, block 90, City of Edmonds, according
to the Plat thereof, recorded in Volume 2 of Plats, Pages 38 and 39,
M = t-1 = I
0 0
PLANNING DATA
NAME: Pm,� les A . 14 e 4,u— DATE: 2_171z.!�
SITE ADDRESS: Q -3.38' 9 f. A vt . S - PLANCHK#: 01;;,-012-
PROJECT DESCRIPTION: AAo,,4, 4 5S-k" 1, bel-I
o/ "- 6 1 1-77) -,.�V. AJ 393
REDUCED SITE PLAN PROVIDED?: (�ii) No)
MAP PAGE: 2,0-5 CORNER LOT: (Y" / No) FLAG LOT:
1Z::;_
ZONING: ?-� - (,� CRITICAL AREAS DETERMINATION #:
Ll Study Required-
UXWaiver
(3 Conditional Waiver
SEPA DETERMINATION:
LJ Fee
Ll Checklist
Ll APO list w/ notarized form 47-7 c— Tot,
Ll (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
U"Exempt
SETBACKS:
Required Setbacks:
-Street: 2-0, Left Side: Right Side: 5P Rear: 5f
Actual Setbacks:
Street: 2-0, Left Side: 2o' Right Side: 10' 4 Rear: /1'
Street map checked for additional setback required? 99�0 I No / DNLk)
Ll DETACHED STRUCTURES: No'a �
L3 ROCKERIES:
Q FENCES/TRELLISES:
LJ BAY WINDOWS/ PROJECTING MODULATION:
0 STAIRS / DECKS: Dx�i m-0- * 51-S" siepi A't 5 -,w OL 3'
PARKING: Required: ?_ Actual: -7' L Geo
LOT AREA: a goo 4
LOT COVERAGE
Calculatinns- 30. 5 3 9-
BUILDING HEIGHT:
Datum Point:_M&Ak%64 (R &' 1�11-(Atr 'r-,*v- Datum Elevation: 28
Maximum Allowed: 2�5' (Z 31.1 -7) Actual Height: � x 3o, 45-)
A.D.U. CREATED?: 66Y Yes) P111,6.6k-i � k-1- /,zrrh&, �e- -0. "OOV" "t A,11V'-1k Aj4,-,U,,4- b
SUBDIVISION:
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: (Yes
Plan Review By:
P.�' f ' -'X
Z4-444- 2�-&,
Z5'
Z 31. 1
NewBPPIanningDataForm.D0C 10� m 'a- ijy bfW 15' Z �o. AS-) I w4op&\ �v oh-ti..
A
c
R . ECEIVED REET FILIF
APR 10 2000
DEVELOPMENT SERVICES ClR
CITY OF EDMONDS
731 ALDER PROPERTY
1101- ol
ALDE,' ST RIGHT 11 PROPERTY OWNED BY RON BORDV[[ & ROCHELLE GOLDBERG
2' /-- PROPOSED DE[K
20' - 2' ---j
1'- 0,
3, - 0�
10'- 11 112"
L7�)
RONALD BOROVEC
33B 8TH AV S
EDMONDS WA 9B020
-13'- 11 3/4'
HOUSE AT 33D BTH AVE S
33D OTH AVE S N
OWNED BY PON BOROVIC & ROCHELLE GOLDBERG
8TH AVE RIGHT OF WAY
iNrz STAKES MUST
02 IN PLACE AT TIME OF
FOUNDATION INSPECTION
30' - 0'
ALLEY RIGHT OF WAY
501- ol
(425) 778-0423 ( HOME 9 APRIL 2000
(425) 487-3157 (DAY) SEALE: I INCH i 20 FEET
OLE NO. CA_ _0D —44
tPritical Areas Checklist
---------------- -------------- -- ----------------
Site Information (soil s/topography/hydrology/vegetation)
_,4\
1 . Site Address/Location: A�)E , 'S , ft— m
2. Property Tax Account Number: L -- C5:7D — 0 2
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed?
yes; no.
If yes; how*is site developed? i�bcN T i 0-L— ck c "(1-u fZ&-
5. Describe the general site topography. Check all that'apply.
Flat: less than 5-feet elevation change over entire'site.
Rolling: slopes on site generally less than 15% (a vertical rise of I 0-feet over a
horizontal distance of 66-feet).
V___—Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of
I 0-feet over a horizontal distance of 3 3 to 66-feet).
Steep: grades of greater than 3 0% present on site (a vertical rise of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: WART, Approx. Depth:
7. Site contains areas of seasonal standing water: - 1110 04F_ Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain_ A114 of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? Flows are seasonal? (What time of year?
10. Site is primarily: forested meadow ;shrubs mixed
urban landscaped (lawn,shrubs etc) v-'
11. Obvious wetland is present on site:
-wmv.
UD Y n.
j
cw
le�v
'=..;hk.dK Rw 10103M
5
& %*- to
City of Edmonds
NIW.F CRITICAL AREAS CHECKLIST
The Critical Areas Checklist contained on this form is
to be filled out by any person preparing a
Development Permit Application for the City of
Edmonds prior to his/her submittal of a development
permit to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are, 'or
may be, present on the subject property. The
information needed to complete the Checklist should
be easily available from observations of the site or
data available at City Hall (Critical Areas inventories,
maps, or soil surveys).
An applicant, or his/her representative, must fill out
the checklist, sign and date it, and submit it to the
City. The City will review the checklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application. -
Please submit a vicinity map along with the signed
copy of this form to assist City staff in finding and
locating the specific piece of property described on
this form. In addition, the applicant shall include
other pertinent infor mation (e.g., site plan, topography
map, etc.) or studies in conjunction with this Checklist
to assist staff in completing their preliminary
assessment of the site
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below).
Owner/Applicant:
Name
Street Address
city . State Zip
Telephone
Signature
Date
Applicant Representative:
Name
12-4 1 02— Vi"bii 7/2,0 L-7Y tDAY 3alr/
Street Address
V ee
city S tate Zip
12-'
Telephone
Signature
/2 6 lc',6
Date
creceptionyanakcad.doc (over)
0 - �59' Vo, AV (5.
When recorded mail to:
City Clerk
City of Edmonds.
121 Fifth Avenue North
Edmonds, WA 98020.
FILE
CONFORMED COPY
2007121@0719 6 PGS
12/1012007 3:39r 1.00
SNOHOMISH COUNT , ASHINGTON
SPACE ABOVE THE LINE FOR RECORDERS USE
Assessor's Parcel No.: tXA3JJQQ3 InA
Applicant:JDn,Q1n,, A WfeL4,'RAMflrz:t 1kck
1J
ENCROACIIMENT AGREEMIENT
This ENCROACHMENT AGREEMENT ("Agreement") is entered into between the
CITY OF EDMONDS. C'City") and �D�
("Owner[s]"), in accordance with Chapter 18.70 of the Edmonds Community Development
Code.
The Prope Owner is the owner of that certain real property located at
:3_3'd Ave-nige- M=n'5 WA 01VQa0 within the City . of Edmonds,
Washing,ron, Assessor'isarcel Number D.09=20D
and more particularly described as follows 14-r, -11 4-In" I -N-2 I ^Mt " mo W^n L, an 0 �,I,
r11 - .
aLs desdib.eTin Exhibit "A"
hereto and incorporated herein
or
2. The Easement. . The City right-of-way adjacent to owner's property or an,
existing easement used for (strike those that d*on't apply) [street, road, alley, trail, sidewalk,
bikepath, pedestrian easement,. sanitary sewer, water, storni, other
3. The Encroachment. The Owner desires to enc
roach upon the public
-easement and the City hereby covenants and agrees and grants its -permission to Owner to
allow reAmnln
to remain in a portion of
the -City right-'of-way/eas6ment. A'Parthd site plan, scaled'l":�:20% showing the location of the
encroachment is attached -as. Exhibit 'W' and . inc
orporated by reference. This Agreement is
subject to the following ten.ns and conditions:
- I c&4-
a. On behalf of themselves, their successors and assigns, the Owner promises to
maintain, repair, remove and/or replace the encroachment located in the easement
at their sole expense to the standards established by the City. All maintenance,
repair, removal and/or replacement shall be conducted solely at the Owners'
expense.
b. The Owner, on behalf of themselves and their successors and assigns,
acknowledge that the City had no obligation to approve the encroachment within
the easement for -the sole benefit of the Owner' and'the agreements contained
-.herein, provide sufficient consideration for the Owner and their successors and
assigns to maintain, repair, remove and/or replace said encroachment, located in the
easement at their sole expense in perpetuity.
c. The Owner promises to indemnii fy and. hold harmless the City, its, officers, agents
and employees from any loss, claim or liability of any kind or nature arising from
or out of its promises contained within this agreement, including any damage that
may be caused to the encroachment by the City's operation, maintenance, repair,
replacement or other work related to construction activity within the easement
This promise to hold harmless and indemnify includes defense by counsel of the
City's choosing, the payment of' reasonable attorney's fees and court costs.
Nothing herein, however, shall be interpreted to require the Owner to indemnify
the City from the -negligence or intentionaf tortuous act of its employees, officers,
or agents.
d. The Owner shall at the request of the City, promptly remove, repair, reconstruct,
and/or replace the encroachment at the Owners' sole expense. Upon receipt of
notification from the City that the City requires removal of all or portions of the
encroachment from within the easement, the Owner will promptly remove those
portions of the encroachment from within the easement area as required by the
City at their sole expense. If the portions of the.encroachment required by the City
to be removed are not timely removed by the Owner, they shall be removed by the
City at the expense of the Owner, and the Owner shall reimburse the City for the
costs of removal ofthe encroachment and disposal of materials as well as f6r any
increased construction costs or co - damages incurred.by the City due to
nsequential
the Owners' delay'. -In the- event that portions of the encroachment must be
removed to facilitate utility and/or construction activity by the. City within the
easement or other requirements of the City, the Owner shall be solely responsible
for replacement of the encroachment at their expense upon completion of the
utility and/or construction or other activity by the City.
e- Whatever rights and obligations
were acquired by the City -with respect to the
easement shall remain and co, * nue ..
.11ti in full force and effect and shall in no way be
affected byCity's grantof permission'to construct
and maintain the encroachment
structure.
- 2 of 4 -
0
f The property owner is required to provide and continually maintain during the
term of the permit a certificate of insurance naming the City as an additional
insured, with respect to liability, and providing that it shall be primary as to any
other policy of insurance. A copy of the insurance certificate shall be provided to
the City at the beginning of each calendar year, no later than the 21" day of
January.
4. Entire Aereement. This Agreement constitutes the entire agreement between
the parties with respect to the subject matter hereof and supersedes and replaces all other
agreements, oral or written, between the parties with respect to the subject matter. This
agreement may not be amended except in writing in a document filed of record with the
auditor of Snohomish County, Washington.
5.. Notices. Any notice which is required or may be given pursuant to this
Agreement shall be sent in writing by United States mail, first class, postage pre -paid,
registered or certified with return receipt requested, or by other comparable commercial
means and addressed as follows:
kto the CLty:
City Engineer
City of Edmonds
121 Fifth Avenue North
Edmonds, WA. 98.020
jLto the Owner.
-.U0 1 Uo f,
ff girl a eTwe
mn-MI-MOM
which addresses may be changed from time to time by providing notice to the other party in
the mariner described -above.
61. Waiver. City's consent to or approval of any act or omission by Owner shall
not constitute a waiver of any other default by Owner and shall not -be deemed a waiver or
render unnecessary City's consent for approval to any subsequent act by Owner. Any waiver
by City of any default must be in writing and shall not be a waiver of any other default
concerning the same or any other provision of the Agreement.
7. Terniination of AUeement. In addition to any other remedy provided for by
law, the City reserves the right to termin '
ate this agreement in the event the encroachment
negatively impacts or damages the City's easement and/or underlying utility systems or
Violates any condition of service adopted by the City, at its sole discretion, as may be
necessary to prevent damage to the City's utility. system, or -any other public* facility which
may be impacted by. the Owners' failure to properly use the easement.
8. Successors and Msigns. This Agreement shall be binding and inure to tile
benefit of thepartiesheieto'and their respective legal representatives, successors,, and assigns.
-Owner agrees to incorporate this agreement by reference in any subsequent deeds* to the
property, but any failure to do so does not.invalidate this provision.
-3 of 4-
9. Capacity. Each party represents that the person(s) executing this Agreement
on behalf of such party has the authority to execute this Agreement and by such signature(s)
thereby bind such party.
IN VaTNESS VaffiREOF, the parties hereto have executed this Agreement on this -2.-4-A,
In -) day
of
OWNER(S):
By: t
STATE OF W
COUNTY OF SNOHOMISH
This day, personally appeared before me, --Dd" I@.<.
'o be tne the and foregoing document and that
to me kno to be the person(s) who executed th
Ir
6elsheli e signed the same as (his1h free and voluntary act
e eir)
and deeFr tihe�uses and purposes therein mention
0 '0
% s%ON"*
4W..
N�V Not P&Iic
)T AR),
*60
'ZI /V'0 .09
P U B %-\cl Typed or Printed Name
-Cak e 0
My Commission expires:. 3-/ o,(n
P-41
..CITY OF. E*
�By- .06
; 0"..' .' 9"- - <—' --::, �ze
94�;&EERRIRG DIVISION
A of4 -
0 0
-MM �Md
!F MP-
Ays S
R-ETAININ&I WALL
9:Vc9OPle-'ff M-;F-M 7
0 M-J
undeveloped
Alley - way
154
0
CITY 0 PWATOFk& S'
P.UBLIC WORKS DER.A..RTMENT.
TO:
0
SUSPENSE DATE:
SUPERINTENDENT
Investigate
and Report
Take Appropriate
Action
Prepare
letter/memo
for my signature
For Information
Previously Ref'd
Status of Action?
Return to: VOA
OFFICE ADMINISTRATOR
BUILDINGS & GROUNDS DIV. SUPERVISOR
EQUIPMENT RENTAL DIV. SUPERVISOR
STREET DIVISION SUPERVISOR
A
WAUR/SEWER DIVISION SUPERVISOR
!TREATMENT PLANT DIV. SUPERVISOR
SECRETARY.
WORK ORDER COORDINATOR
-COMMENTS:'
FROM- DATE:
CITY OF EDMONDS
250 5th AVE. N. - EDMONDS, WASHINGTON 98020 - (206) 771-3202
m
I COMMUNITY SERVICES
June 10, 1986
Mrs. Carol Cummings
331 8th Ave. S.
Edmonds, WA 98020
Dear Mrs. Cummings:
LARRY S. NAUGHTEN
MAYOR
PETER E. HAHN
I DIRECTOR'
,9,CCk,/ V
IV ZIP
This Monday, June 9, 1 set out on the course of action we discussed on
the telephone the previous Friday. I called Bill Robinson to set up a
time when we could meet to discuss the fence. In the middle of a
fairly calm and factual description of the recorded survey Mr. Robinson
said to me "you can take a flying leap at the moon" and hung up. He
had also said that if the City wishes to do anything with his fence, it
would have to be done through our respective attorneys. This was not a
pleasant conversation.
This is exactly what had transpired about one, year ago. The City's
positi ' on was then, and.is now, that it is willing to cooperate -in
getting the access road back into the correct alignment, but it is very
reluctant to spend.either construction or legal funds in accomplishing
this. This means,that the City is perfectly willing to relocate its
minimal road and perhaps even remove the fence. The legal costs and
the staff tiJIe required to deal with what is almost a guaranteed legal
battle is not something we are anxious to.take on.
The City Attorney believes that upon some noti.ce to Bill Robinson, and
to the fi"rst house (his mother's I believe) we could actually remove
the fence. We would almost certainly be involved in a legal battle the
outcome of which could possibly be City assumption of costs of fence
removal, fence replacement, landscaping relocation and restoration.on
the Robinsons' side of the fence, and perhaps even legal costs for
Robinson (this is not as likely). As you know from our conversationsi
while the City can claim adverse possession against a private
individual (e.g. the City and you), the reverse is not true (Mr.
Robinson and the City). However, the City could, and most likely
would, still be involved in legal proceedings.
Misalignments such as the access strip are fairly common in Edmonds,
and most of the time people live with them. Sometimes they are
amicably resolved between neighbors. Rarely are they pursued in the
scenario which I described above.
PUBLIC WORKS PLANNING PARKS AND RECREATION a ENGINEERING
Mrs. C. Cummings, Pg. 2
If you are willing to reimburse the City for all its potential cofts in
pursuing removal of the fence and relocation of the road, the City
might consider going further. Perhaps it would be easier to live with
the present alignment. That is a judgement I prefer to leave to you.
Please let me know what you think.
I am sure that this is extremely frustrating to you and I empathize
with you. I hope something can be worked out.
Sincerely,
Peter E. Hahn
CC.
Mayor Naughten
Hal Reeves
Bobby Mills
file
0 --- - 0 STRUT FILE
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDSWA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
'. I a,
STATUS: APPROVED
Pernit Number: ENG20070646
Address of Pubfic Use/Encroachment: 338 8TTI AVE S, EDMONDS
13 1101" ERINOWN Ell BUSINESS ONVNE11
DOUGLAS& PAMELA HECK
338 8TH AVE S
EDMONDS, WA 98020-3412
REFAINfNG WALL ENCROACUMENT fN UNDEVELDPED ALLEY
ENG20070646
STREET USE: Placement of anv temporary or movable objects in anv portion ofpublic space or Citv right-of-wav
shall meet all code requirements as setforth in thefollowing chapters of the Edmonds Community Development
Code.
ENCROACHMENT. Permanent structures encroaching upon any portion ofpublic space, City right-of-way or
easement area shall meet all Code Requirements as setforth in thefollowing chapter of the Edmonds Community
Development Code.
CODE APPLICATION. Chapter 18.70, 17.65, and 17.70.040 of the Edmonds Community Development Code. All
terms of the adopted ordinance are incorporated herein as if setforth infull and this permit therefore is subject to
the terms of those chapters.
FOR THE TERM IN WHICH THIS PUBLIC USEIENCROA CUMENTIS INEFFECT, THE OWNER SHALL COMPLY WITH
THE PERMIT COADITIONS SET FOR TH B Y THIS PERMIT.
NOTE: The issuance of this permit is understood by the owner to be of a temporary nature, shall vest no
permanent right and shall be issued and may in any case be revoked at the sole discretion of the Citv per ECDC
18.70.040. Applicant is responsible to provide a copy of the insurance certificate to the City at the beginning of
each calendar year, no later than the 21st day of January.
INDEMNITY. The Applicant understands and agrees to hold the City of Edmonds harmless from any injuries,
damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the
applicant or the City of Edmonds, or any of its departments or employees, including but not limited to the defense
of any legal proceedings including defense costs, court cost, and attorneyfees by reason of granting this permit.
In addition, the applicant understands that helshe shallprovide and continually maintain during the term of the
permit a ceritificate of insurance naming the city as an additional insured, with respect to liability, andproviding
that it shall be primary as to any otherpolicy of insurance.
THIS APPLICATION IS NOTA PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED.
Printed: Uonday, Decen-ber 31, 20(
RE -EASED
DA
I!IL ECOPY F-1 INSPECTOR COPY [—] APPLICANT COPY
0
0
STATUS: APPROVED
ENG20070646
• The proposal will not adversely hTact public space open to vehicular or pedestrian travel.
• Architectural Design Board Approval has been granted or the process has been adrn�nistratively approved.
• The proposal will not unreasonably interfere with the rights of the public.
• The proposal either benefits the public interest, safety or convenience (e.g., supports or protects the city street)
or is an accessory structure such as fence nonnally associated with residential use of the property as My
complies with the requirements of criteria 3 above.
0 None
APPLICATION
or
ILE
The City of Edmonds
SIDE SEWER PERAHT
...... EASEMENT. -No.
NEW CONSTRUCTION REPAIRS 0
wuo K
'OR .................................... -PERMIT Voi . ........ .............
ONVNER .......................................... .................... .......... -CONTRACT ..............
ADDRESS. ......................................... __ ................ ................ ........ ....... ............ --------LEG7A:L-DESCRII:ITION:--LOT No.., ............................................ BLOCK No ------- *-..'.* .....................................
NAMEOF ADDITION ..................... ............................................... .....................
The City of Edmonds
APPLICATION
for
SIDE SEWER PERIkHT
NEW CONSTRUCTION 0 REPAIRS
#_0 a's-c / 4 Z_
.......... . ............ .................. __ ............
OWNER ...... 'Z7
ADDRESS
.................................... I ...................................................
CONTRACTOR ....
.................
EASEMENTNo . ..........................................
PERMITNo.....'
LEGAL DESCRIPTION: LOT No. ............ BLOCK No._.-,J---* � ..........
NAME OF ADDITION.C-.! .... 41�....
1973
'5yg�/,4" J:- Approved:
DATE................................................ By ......................................................................
j
'TATE RECEIVED
$[PERMIT
EXPIRES
CITY OF EDMONDS
USE
ZONE
PERMIT
CONSTRUCTION PERMIT APPLICATION
WMBER zool4s
JOB
ADDRESS 7
:997
SUITEIAPT#
fix IS
OWNER NAMEINAME OF BUSINESS
T,,01VAL 13 �R 0 vr— C__
PLAT NAME/tUBDIVISION NO..
LOT NO.
LID NO.
LID FEE $
LM
U
z
31:
MAILING ADDRESS
k
-4 v S
PUBLIC RIGHT OF WAY PER
OFFICIAL STREET MAP
TESCP Appmed 0
0
(6-C
EXISTING — PROPOSED
RW Pennit Required 0
Street Use Pennit Req'd (3
Inapectio Required C3
Sidewalk Required 0
CITY ZIP
E-DW
01
TELEPHONE
REQUIRED DEDICATION
FT
Underground
Wiring required D
NAME
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
_TDDRESS
YES C3. NO 0
REMARKS
uj
z
OWNEWCONTRACTOR RESPONSIBLE
FOR EROSION CONTROUDRAINAGE
z
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CITY ZIP
TELEPHONE
NAME
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ENGINEERING
REVIEWED/DATE
ADDRESS
FIRE REVIEWED BY
DATE
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z
CITY Z17TELEPHONE
0
LL
ENSE NUMBER EXPIRATION DATE
CHECKED BY
VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
BOND
REO'D
POSTED
0 YES 0 NO
SERA REVIEW
COMPLETE EXEMPT
SIGN AREA
ALLOWED. , PROPOSED
HEIGHT
ALLOWED PROPOSED
_j
PROPERTY TAX AffOUNT PARCEL NO.
IJ A 142. D� 0
I
I
EXP
0 NEW RESIDENTIAL PLUMBING MECH
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (FT.)
FRONT SIDE REAR
PROPOSED SETBACKS (FT.)
FRONT UR SIDE REAR
AUDITION COMMERCIAL o COMPLIANCE OR
z
2
CHANGE OF USE
z
PARKING
REMODEL 0 APARTMENT Cl*.SIGN
REO'D PROVIDED
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GRADING o FENCE
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REMARKS
DtM OLISH TANK
GARAGE C] RETAINING WALL
CARPORT ROCKERY C] RENEWAL
(TYPE OF USE, BUSINESS OR ACTIVI�jt!��
CHECKEDBY
OCCUPANT
jTYj;CON*TFU
GROUP
NUMBER
OF
3
NUMBER OF
DWELLING
CRITICAL
AREAS
w
SPECIAL INSPECTOR AREA OCCUPANT
0
STORIES
UNITS
NUMBER
REQUIREDE:] YES
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D
42
.a_vv,A_;cv\-gj P*,'e�re,
c
Aja--r 0.-
OL V da—c— k
VALUATION
FEE
PLAN CHECK FEE
A
HEAT SOURCE ,GLAZING,% LOT SLOPE %
BUILDING
on)
PLAN CHECK NO: VESTED DA TE
PLUMBING
10-
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUB LIC
GRADING/FILL
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
.j
1W
SEPARATE PERMISSION.
STATE SURCHARGE
PERMIT APPLICATION: 160DAYS
UAV v tkm
CL
PERMIT LIMIT, 1 YEAR - PROVIDED WORK I S STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
I
—
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
ENG. INSPECTION FEE
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
LANDSCAPING
2
EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
INSPECTION FEE
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
x
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
PLAN CHECK DEPOSIT
IRECEIPT
0
DEEMED TO MODIFY. WAIVE OR REDUCEANY REQUIREMENT OF ANY CITY ORDINANCE
0
NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
R CEIPL4j
TOTAL AMOUNT DUE
Sul
?I
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
Building Official or his/her Deputy: and Fees are paid. and
FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S COMPENSATION. INSURANCE AND RCW 18.27.
TE
,"ATURO
WN DATE SICPEQ
19��b
(425
O�W
gEN�n
oneukA-le—
771-0220
I'M
RELEASEQBY E
ATTENTION
EXT 333..
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL -FILE YELLOW- INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK - OWNER GOLD - ASSESSOR
DATE RECEIVED
7// PERMIT EXPIRES
L
USE PERMIT
CITY OF EDMONDS ZONE NUMBE
JO SUITE/APT#
CONSTRUCTION PERMIT APPLICATION ADBDRES83—
OWNER NAMEINAME OF BUSINESS
-D6f,kG1_4S A.R . PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
r57CK'. FaL laoiffas Z3 LID FEE S
MAILING ADDRESS ovri��'v- TESCP ApprZd
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Perrnit R uIred
Street Use Pennit Req'd
CITY EXISTING h5KJAtrPROPOSED Inspection Required
ZIP TI 7 Sidewalk Required
REQUIRED DEDICATION Underground
'r --g—I Wiring required Ell
NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED 13
YES13 NO
U
ADDRESS REMARKS z
x OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
.40-0. Al I
CITY Z TELEPHONE
_SNeliAal(sk 134:50 S-62S AW 10SPWAMS 9451AW
NAME CBL 11
EN IkEERINO REVIEWED BY PATE
it ADDRESS VA Eziu(�
_e ,FIRE -,REVIEWED By DATE
CITY TEdPkO_NE
M
0
OR'CU;*' SHORELII4E'OR ADB11 JINSPECTION BOND
S7Z; nCINSE NUMBER EXPIRATION. DATE/ CHIECKE
POSTED
Y S No
7z7 71
HT
SIGN AREA HEIG
','qOM��E! -EXE
PROPERTY TAX ACCOUNT, PARCgLNO. 4IDi \PROPOSED LLOWED PROPOSED
!2 5,
�'!;,,j CO . T-:COVERAGk.. REQUIRED, SETBACKS (FM)Z 146POSED SETBACKS (Fr.)
496NT,'��;SIDE,,,�y R
NEW RESIDENTIAL'. PLUMBING'/ MECH':'- " ��;' FRONT LIR SIDE REAR
ALLOW '.,,OR a
ED,, OPP�E VIA to
z
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COMI�ERCI��:;
ADDITION CH�NGE 6F,IJSE z
OT;'AFIE��, 'OLANNING'FIEVIEWOD
DATE
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muLnFAMiLy
REMODEL A0 so,
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X N KS
0
REPAIR CYDS REMAR _4
'41
DEMOLISH TANK OT�ER
L_j
GARAGE FlEtAINING
M,
z
11:ROCKER'6;;,1J FIRE ALARM,`
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(TYPE OF USE, BUSINESS OR ACTIVITY]i EXPLAIN:
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REMARKS---�:),., z
PROGRES�'IWSPE�MO'i4S�OEhIU13C;166/FINAL INSPECTION REO'D
_d,
1 1 t A J V Ij &I I. AU
T-16&1 Tb _119a:9:5
rtoto 0 f�
7,
FEE
,--,,-D,scriotion..,7�-;,-,,FEE Description
J.16. A
/,y State Surcharge
Plan 6heci
T SOURCE GLAZING % uIldi ermi City Surcharge
*� LjSNkj��j 1B
511!5 NO' VEStED DilTs
PLAN CHECK klumb
Mechan ical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: 180 DAYS
LIMIT! 1 YEAR - PROVIDED WORK 15 STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
APPLICAK ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
dc
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, AFUSING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT $HALL NOT BE KA4JAW
Landscapelnsp. Total Amt. Due ZA970
9 DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
01 NOR LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
x Recording Fee Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECt- AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC_ CALL This application Is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or histher Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknovAedged In space provided.
WORKMEN'S COM�EASATION INSURANCE AND RCW 18.27.. 1 S ISIGNAT E DATE
SiGe#TURE "ONEh,6 DATE SIGNED (425) A
771-0220 R ED BY ___IATE
ATTENTION EXT 1333
I I A AIA. , :�?,&�V JA&C_
I
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL .=gjW""144LJ1 444=-4-144 - I
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- AGINAL - FILE YELLW- INSPE046R
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
MAILING ADDRESS
CITY
NAME
ADDRESS
CITY
ZIP TELEPHONE
Mck 14D.S. '179,03V
71A9 �11* [PERMIT EXPIRES
If ERMIT
NUMBER
JOB SUITE/APT#
ADDRESS�
,F
PLAT NAME/SUB DIVISION NO.
LOT NO.
LID NO.
I
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
RW Permit Required
Street Use Perntit Required
EXISTING PROPOSED
Inspection Required
Sidewalk Required
REQUIRED DEDICATION FT
Underground
Wiring required
METER SIZE
LINE SIZE
NO. OF FIXTURES_
PRV REQUIRED
1 .11-10 1
YES13 NO13
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDIRAINAGE
DATE
FIRE REVIEWED BY -14, ce .�111 '14 DATE
T TELEP�
ELEPHONE
VAR SHORELINE i SEPA
STATE LICENSE NUMBER EXPIRATION DATE' CHECKED BY IANCE OR CU OR ADS#' -'INSPECTION I
kQ'D EXPA T
I COMPLETED
'CIYES
- 2 'NO
PROPERTY TAX ACCOUNT PARCEL NO CA# 91X� 44' ZONE SIGi4 AREA', HEIGHTjo.
wAwEF� 13 ALLOWED OPOSED] ALLOWED PROPOSED
CBL#
ENGINEERING REVIEWED BY
UJI
w
Lu
iz
LL
S.
C011120bm too
11
STUD Y
o . .
RESIDEN IAL: E]: PLOMBIl'
NEW T . 4G MECH
COMMERCIAL
ADDITION COMPLIANCE OR
MIXED USE CHANGEjqF.USE.
REMODEL
MULTIFAMILY.� SIGN
FENCE
n REPAIR GRADING CYDS X FT)
DEMOLISH TANK OTHEFt-
GARAGE RETAININGWALL.' F:RE SPRINKLER
CARPORT ROCKERY REALARM
LOT COVERAGE
ALLOWED PROPOSED—
-!4 1 .1-
REQUIREDSETBACKS (FT)
FRONT SIDE 'RE�R
. Zo
PROPOSED SETBACKS (FT)
FRONT L/RSIDE REAR
0
z
___—Z
z
PARKING.
REQ*D PROVIDED
7-
LOTAREA
PLANN . ING REVIEWED BY DATE
i2y, 1/1�r
REMARKS
A;�A
3
ut:c, I's. hAlm
(TYPE OF USE, allSINESSIOR ACTIVIT-Y) EX IN
TYPE OF ION
U 7T
CODF_
OCCUPANT
GROUP.
NUMBER
OF
STORIES
um" OF
tic
DWELLING
UNITS
SPECIAL INSPECTION
REQUIRED 13Y
CONSULTANT
OdCUPANT
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
CL 1A A�
GEO,
�51 H RE
BY* ; ERIA Cr FF I 1,4_f)
STRUCTURAL DESIGN
BY*
&M -011,fb
A-/
VALUATION
be'sicription
d-,FEE
Description
FEE
Plan Check
I'll �; A
State Surcharge
HEAT SOURCE
LOTSLOPE%
`.',,VESTEIJ'DATE
\,it
V :�e.
ifluildingfPiarmit
vt
L4 J ftA
7/
City Surcharge
PLAN CHECK NO: 0
4
I u m b i n%g
Base Fee
Mechanical
nc
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Grading
Engr. Review
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
PERMIT LIMIT. SEE ECDC 19.00.005(A)(6)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
APPL CANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
C
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
I
Fire Review
Plan Chk. Deposit
r* 2C4
Fire Inspection
Receipt #
LandscapeInsp.
Total Amt. Due
Z::;;7
Recording Fee
Receipt #
I HEREBY ACKNOWL )G THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
L
GIVEN IS CO YAN�THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
RRECI . I
THE OWNER. I ACJ EE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
TION; AND IN DOING THIlk WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION 6F THI5`LABOR CODE OF THE SIATE OF WASHINGTON RELATING TO
WORKMEN'S 615MIRfiNiATION INSURANCE ANDJiCW 18:27.
CALL
FOR INSPECTION
APPLICATION APPROVAL
This application is not a permit until signed by the
Building Official or his/her Deputy: and Fees are paid, and
receipt is acknowledged in space provided.
- -A-
DATE SIGNED '425
lo - IIA - 05 771-0Z CO --
BY
ATTENT ,, F
,�PN — I/ EXT. 1333
IT IS UNLAYVFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
ORIGIJI Fit F Ypi I ()W
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 if IBC110 / IRC110. PINK -OWNER GOLD
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
'SIDE -SEWER. -PER MAET,`,,.---------
�,;C .�EDM
ITY-OF. V',0NSiQS,',:,1.
EWDEPARTMENT'
PERMIT.,,
I de� sewer 0 -:any�, portion' *of he !00*n�'tructl
I 'T7�j]1107 f oi,:'s i�,alid,�tloni aii HE,
_:,coverlrfj
Inspectioh� wifi beip'r�vtd�d.wit'�l��i4�.'�oir;:3 after -request. NO,Sat.,-Sun.,,or holiday lnspectlons)�11-,,'
ADI)RES&�LOCATION,'OF::CONSTRU.CT]ION:...,.T 33,1, Fighth venue-,S6vth
............... 77 .................................................................... ................. ........................ ...........
'ty� bf fdmon6:
'RIP4
",.4qts 21 0 G
PEATi!�LEGALAjESC —1014 ... ... ...... .............. .................... ...... ............................................. ..... ............
.7,
. ... ..................................................... ............................
........... .................................................................. ..................................... ............... ......................
-LDE
Ral ph
.. ......... ....... .............. OWNEA, it, �: , SchL ck ......... �.:�
........ .... D/�OWBUI .....
................................. ......
-M Septtc: Tai*: Co,;.-� � 7M 210th SW. Edmo Sh.
L �::WA .
. ... .. ............... ............................ I ..................... .................................. .. .......................................... .
2 b-
'"ted ...... ep,wsber
'is,kr
........................ ltf�ry
...... ..... 1.19 ........ :,.,,for repair and/or onnection, 6f:,a side sewer it th �an
-)system -int-Accordance- With �Cit�,V'Edmo :ordinances� -V
'A rION_I9-CALLED!:TO THE FOLLOWING:
_AT.—The�own I ers,,of. I the p . rope . rty -may -,,obtain wv I ermi . t to, const uc
ruct,�sbwer Anside,-property'Jine. AAlcensed Side Sewer Contractor�must'lbe`
side sewer* Do not cove'r �ny,portlon of sewer -before it ',his, been inspected... , bT I .t I
in stree.t.area
in, city. right -of -way.r
e�ulrei.an Invazion.-of-1;6ght-�f!W�,y',P6rmit,.6bCa�niLbl* -hngineer's- offic�;�
e from:the. City
ormation.regarding.10 .11.16!030*.and I s werv,when you'.-ket
.'3 Obtain.ful! �inf
rdinarice -'.Regulatl6.ns, goi�err�ing,, de, e permit.;,
NOM No iside�'a�wer mdst'li e at: le�zt� 30%jnches-',
av cov4rage at.property Alne,and,12 inches. inside property �line;'..minimum:'grade� 6f �2`-/_' No �blends::ln,��rad.
aliaxper,than. -A �wlll%be p
ermitted.
�'NOTE,Wo in.�*�ireet` must be-wat6r'settledland surf ace.. of 'street. restored �to,original';�6nditio�...-,Cbnt�aetors,.shall- be �resj I >onsible%.:iof4a'ilure per
due Impro
.�,'�work Which... may.d6ielo'p withineoriiyeaF-'
,of �Idoffipletlon.'..
--orAoi any other wPrk, the, vided-.ior�in'the.,perinit,'or.*t.'I
'n P�o- t `u ""n il'�x6pt ib.jn.;
nliwfu1qtoi'alter oAo.any work �on�the main sewer or, i s**app rtena
..:2e h6j�ipeAntd-*th6'Wke.
'ate
ZOVED �',E3, Dait ........... 1 ...... By�!: ... ......................
'�-DISAV-Pl ....... ...... .
Pate Date!
7...
0-0,
..........
APPROVED .. ......
......................
......................... .......
V.
........... ......... ..............
.............
............ ... ....................... ................ ... ............ ..................
................. ................................... ..................... . 7 ........
............. ................................... ...... ............ ...........
ftj PRI
BOTH''�Te I pie :M- ST'Be Sigp6d.B�'.Qwn6i�*6f'F�irm-,.Peri*or'm'*l*n*:g-,-too"n,str*�u,�.qti,on,,,, nspec Jon
................ thatith6sidelsew6r -ins la ion-'cioi permit'--
P� . "�. eby'--certifyz' tali''t" nstructe&uridb�r,`t�i�i:
........... . - . /�
.......... ... .......
wneriof C ntracting rrm
m g� Construction)
3talle&im,,ccordance with all -governing.-ordinances;6f- the City of'Editond6:,
ir' Perf in"
..... �.7 ........
o% r 1S6%�e
T p one�� Ve
ther.
_-L-7