506 9TH AVE S.PDFiiiiiiiiiiii
9900
506 9TH AVE S
ADDRESS:
TAX ACCOUNT/PARCEL Mooq?��7?�01700
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: DETERMINATION: Conditional Waiver 0 Study Required E] Waiver
I
CRITICAL AREAS #: DETERMINATION: Conditional Waiver E] Study Re�uired Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
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:
OTHER:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
Nothing in this permit approval proem 8]
interpreted ap. ej a!'- I
zone_j?� Corner k Flag, Or permitting the
maintenance of A r3-,
lmntly existing illegaL
nonponform ij-�e or L. rl O'er,
Setback R ired Actual - -.r i '�f x>(
lgea,, or site condlti�.; 'tted bll�ilding, structure
u a
u
.3 '70 utiide the scope Of the
a! =2_0 6 e- ermit application.
Front 0/ C- guild* r('?ardlm of whether such
SideS5 I'd W 1 'Ib
site I g' St-ructure' Of '� - ndition is shown on the Q�
. . or d,awing. Such building, structure or V%
Rear e I ion may be the bjet Of a separate
Other rcement actlon." 'Z -V
Ba
Lot
co
ezifffni
A;PPROVED PL N�NING
0�
Oq
Fence must be, located 08 Pri vste Property -
property owner responsible br determining
property fines -
Fence 0aU not enclose or pt event access to
any City maintaftied utililtle�,
24 HR. NOTICE REM 7—/,
FOR INSPECTION
0 ttl-� X
OWNER/CONTRACTOR IS RESPONSIBLE APPROVED BY EKIGNEER1
=mow— FOR EROSION CONTROL AND DAMAGE
- Moment I-OIZ-01eq
%at C7 -
Inua "us
F 07;10 00 ;1 - Ism
FLAN
Appileant-shall repair/replace all damage to
utilities or frontage improvements in City
right-of-way per CDN!standards that is caused
or occurs during the permitted prf6ject.
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61
RECEIVE
C-C"T 13 2/'G;@9
DEVELOPMENT SERVICES
CITY OF EDMONDS
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B2006 Edition IRC vvl. AC Afhon-0m,
wAVAC Amendments
132006 Edition IBC
j E32006 Edition UPC Nk,/VIAC Amendm. ents
and Appendices A, B, Q I
02006 Edition 1110" w/NVAC Amendments
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0' �'DP 5 Ed i t i on IF G C w/ VVAC Amen d raen ts
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CITY OF EDMONDS
BUILDING DEPARTMENT
WORK e-nCe
_F
ADDRESS-
GVVNER— us-
APPROVED�--�,- —.0
r G. OFFICW�l ./
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E R71 I
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STREET FILE.
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'rig"
Oct 1 OL
0 -PV SERV,C,-=S CTIRL
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT
NEW CONSTRUCTION E] REPAIRS 0 EASEMENT No . ..........................................
108-05500
OWNER............ JaMeS --- Rams.ay .................................................................. CONTRACTOR .................................................................................................. PERMIT No..... ..................
ADDRESS........ 50.6 ... er --- 9-th ... Ave.-S. - -----------------------------------------------------
40'
0
40
LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAME OF ADDITION
Dye Tested On Sewer 1972
Approved:
DATE...................................... ......... By ...........
r%EET Fll F
rf"lr Y �O F E D M 0 N D'S
SEWER DEPARTMENT
STOPPAGE OF SANITARY,.SEWER'MAIN REPORT
DATE -
LOCATION OF STOPPAGE:
TIME CALL RECEIVED: \O%C�C=)
eeb LaTEeALl
TIME OF ARRIVAL ON THE JOB SITE: I cs L- LA -
TIME NORMAL-FLOW,OF SANITARY SEWER REESTABLISHED: kA
CAUSE -OF STOPPAGE:. G-V -tILE WJ-0EZ
L-� k. lEa-c-) A-4-, 1E C >
RAL:
AC;TIZON IRE N- AN-D/,OR LATE
_4,TO CLEAR
r
616 *-1 -L-c-
CITY.':CREW ON STOPPAGE-CALL-OUT,.(Personn . eljnvolved).:-- C—, Lc
4-4,� r-> e
LOCATION OF RESIDENCE AFFECTED:
NAME, ADDRESS, AND -PHONE NUMBER OF PROPERTY OWNER:
DESCRIBE DAMAGE TO PRIVATE PROPERTY:
REMARKS: L-LA. I
initial Date
From: Date:
E-7-72* A�7
"ITY OF EDMONDS PUBLIC WORKS DEPART11ENT
B:jl A
FFICE of the DIRECTOR
ADMINISTRATIVE SECRETARY
BUILDING MAINT. FOREMAN
EQUIPMENT RENTAL FOREMAN
PARK DEPARTMENT SUPT.
STREET DEPARTMENT SUPT.
TREATMENT PLANT SUPT.
WATER/SEWER SUPT.
)ecial Co4ments/Instructions
SUSPENSE DATE
For Info.
Investigate and
Report
Invest/Prepare
ltr/memo
for my sig.
Take Appro priate
Action
Previously Ref'd-
Status of Action?
11
J. HERB GILBO
Director
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CLAIM'FOR DAMAGES
NOTICE cc 100 E 0 MZD 6
Claim MUST be� presented to the City Council and filed with the RE—
Y
from the date of Accident or Accrual of Damages.
TO THE CITY COUNCIL OF THE CITY OF EDMONDS:
w
PLEASE TAKE NOTICE, T HAT Wl�m
(if married, give husband's name)
WHO NOW RESIDES AT 171,
State present actual address by street, number tnd city)
AND WHO FOR SIX MONTHS PRIOR TO DATE OF ACCIDENT -HAS RESIDED AT
(Give residence by street, number and city)
CLAIMS 'DAMAGES OF AND FROM THE CITY OF EEt4b-NbS. IN THE, S . UM OF S_
arising out of the following circumstances:
Describe Claim, gi�lng
DATE and TIME injury or
damage occurred, PLAC . E
ind full.particulars.
Accurately lo6atie'and
describe I defects 'caus-
.ing i ' njury or'da.mage
and.all,acts of riegli-
gence claimed.
Accurately describe
injukies or damage
State item's of damage
claimed. Itemize all
expenses and losses.
79', ;-3
Aw -
(Claim must be sworn to by claimant)
(Signature of Claimant)
SUBSCRIBE;) A�W SWORN TO
-222,gl-
before.me thi6 day of 119 �Xv.
tary Public i� d' h e of
,for t 1K,,S tat
Washington,- residiag at
WORK ORDER
OW CUST 94ARGI
DATE
0 NEW CUST. &'CASN A
5108
PLUMISING OF LYNNWOOD, INC.. PROMISED AM.
PHONE 743-9000 DATE . P.M.
P. 0. BOX 1021 LYNNWOOD
WASH 98036
7 DAY"-.'2-4 HOUR SERVICE
NAME_:�,'
&
HOME PHONE2?"�
US. PHONE
ADDRESS
I Ty —
WORK AT
LABOR TENAN
HOME PHONE
DAY !',FRO TO URS MATERIAL ONL
77 AMOUM
44
TOTAL HOURS
FLAT RATE SERVICE
CALL
TO OUR CUSTOMERS: Service bills or* due
PLEASE PA OM THIS INVOICE'
TOTAL LABOR $ iOTAL MATERIAL
thorized to receive payment for some. 11 $'a CPoyablo upon cOmPletlon of work,09d 9,1
a Is not satisfactory In any way, p eas ph
Immediately. d hisatin, r onto* Aplhv�,-, OTAL LABOR S_
�drgtt In the removal of foreign object$, backup floodllnj� breakage, fraodnures at r*azlng. Now fixture. Instollitions are 9 a n o4o; ainst'
Work Porforihod on or'abouj plumbing fixtures, su . pply linsts,'drolnoge, systems, sewers, etc.. is not guor
a Ity m _s. d
ClOricls or workmanship (or ci period of ONE YE from date of installation. a.. PEPA41TS
to In,
Highest 10901 role of Interest. charged after maturity. If, however. this account is not po ;11
,rlrno% a reasonable ottorno f h id as agreed I (we) Ogre*
to? I n to 4" fare.
Y s too, -or I I Is account. Is Placed In. the hands of a collection agency, I (we) ackn a that you wl S
I or V to the-extond of the collection charge against rowand I (we) I orefore a . groo to po Ow 2n SUB TOTAL
U I c l.be damo ad
olsoo 0 ldco [action agency. not Y to IOU. as liquid d omal;ej, on amount UO to SALES TAX
the m nt charged you On sold collection by st, h
reasonable attorney's fee. At the Option of the holder hereof. the exceodl:p,, hdw`,av6;j,,I tgoplarcent oatt0he amount un
irtarum anus at ;pold ther,7
ant. at d In the county sea . I, a . the holc I ni 01his
MC?Otl BUSINESS FORMS. 111C.—M AUTHORiZED CUST T
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WHILE YOU- WERE OUT
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TELEPHONED,
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PLEASE:
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WILL A,N.
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MESSAGE
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SIGNED
lIfTLE,'SOFFIC'ESUPPLIES I " F7NE7.82- 1050