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12764
529 PINE ST
APPLICATION
for
The City, of Edmonds
SIDE SEWER PERMIT EASEMENT NO . ............................. -------------
NEW CONSTRUCTION E REPAIRS E] LID NO - ------------------ - ASMT. NO - --------- --
CONTRACTOR --------------------------------------------------------------------------------- PERMI NO. .................
OWNER ------ -----------------------------------------------------------------------------------------
--------------------------
JOB ADDRESS — ---------------- .......................................... �EEE:�L--T LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ---------- -------------------------
----------------------------------------------------------------------------------------------------------------------- ------------------------------------------
NAMEOF ADDITION ...............................................................................
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CITY OF EDMONDS SIDE SEWER* PERMIT
WATER -SEWER DEPARTMENT
PERMIT
Call 775-2525 for side sewer inspections BFFORE covering any
Inspection will be Provided within 24 hours after requst. NO Sat., Sun., or holiday inspectform.)
Portion of the construction.
ADDRESS LOCATION OF CONSTRUCTION.
king---
......... . ......................
PROPERTY LEGAL DESCRIPTfON ... .................................
..................
7 .....................
......................................................................................................
...................... ............................ ........... .......... . ....................................................... ................ . .............. . ......................................................................................
................................................................ OWNER AND/OR BUILDER.
................................ . .......................................................
CONTRACTOR'S NAME & ADDRE'slyn
S ..
a
-..,k Permission Is granted ... April 4. .......... ...........
........ . ... ----- --------- - --------- ........ ---------- ----------
in accordance with cl '_ 0 ............ 1977 for repair and/or conneti.
ty ordinanees. of a side
sewer to the city sanitary sewer
ATTENTION IS CALLED TO THE FOLLOWI
NG:
NOTE No. I —The Owners of the Property may obtain a PernUt to construct sewer Inside Property line. A licensed Side Sewer Contractor m
side sewer in street area. Do not cover any Portion
NOTE NO. 2—All work performed in of sewer before it has been Inspected. ust be employed to construct
city right- of --ay requires an Invasion of Right -of -Way permit Obtainable from the City Engineer'. office.
NOTE No. 3—Obtain full information regarding:.Ordinance 11.16.030 and Regulations X
NOTE No. 4—Top of side Be governing side sewers when You get permit.
NOTE No. % will be Permitted...
5—TrenChes In street m No bends In grade
sharper than wer must have at least 30 Inches coverage at property line and 12 Inches Inside property line; minimum graAde.of 2%.
ust be water' settled and surface of street restored to original condition. Contractors Bhall be responsible for failure due to improper
Work Which may develop with
TE) No. 6--It Is unlawful to alter or do any '6ther Work than is Provided for in the Permit or to do any work on the Main sewer or its appurtenances excep
n Onj year Of completion.
NO
Bert the Pipe into the wye.
t to in
77
DISAPPROVED E] Date ... . ....... j . ......
. .................... By ................ Date.
........ BY --------_--_- Date .............. . ........ By ................
...........
APPROVED
----------------------- By..
..........
Rernwks: ....... . ................................... .. . .......... ----- ------ - -- -- --------------------------------------------------------
................................ ............. . ...................................... . .............. ............................................
............................................................ ........
......... . ........................................................................................ ................................... . ....................................... ..... .........
BO ermit Co
pies
ST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
(Owner _.o1i'_C"o'ntra_c ------
ing Ons r ....... .... hereby certify that the side sewer installation constructed under this permit
ting Arm Per _uction)
was installed in accordance with all governi 0
on!
ng rdinances of the City of Edmonds.
Dated this ...... .... . ....
------- day .........................
V V Check BEFORE You dig for: Water Gas E], Tel ............................... 19
ephone
Power El, Sewer[], 0
ther 0
7 DIS
AP I
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APPLICATION
The- City of Edmonds for EASE ENT 0
SIDE SEWER PERMIT . .................................. ---------
NEW CONSTRUCTION [:] REPAIRS LID NO . .................. ASMT. NO - ------------------
OWNER ---------------------------------------------- CONTRACTOR
--------------------------------------------- PERMIT NO.
TOB ADDRESS - — ----- i ................................ LEGAL DESCRIPTION: LOT NO - ------------------------------ BLOCK NO -
NAMEOF ADDITION ------------------------------------------------------------------- _
------------------------------------
---- RECEWED -----------
-APR ------ 11977 .......
Works DePL.
A
Lt
Approved:
DATE
................................... By ------_------------------
..dd
.......................
11/75
"�,PACA
THAF PORTIOOF THE NORTHWFST QUAPT�Re THE NORTHWEST QUARTER OF,
?5, T0V-"',I!lP ?I N()kTH,l"RAN*GL- 3 E 7 AST W.M..., DF-SCRIBED AS
r u L LuW S
BEGINNI'NG AT A POINT 270 FEET I -AST OF THE SOUTffl4EST �ORNER OF THEI
NORTHWEST QUARTER OF 'THE NORTHWEST QUARTER; THENCE NORTH A DISTANCE
.OF 88 FEET TO THE 'TRUE POINT OF BEGINNING; THENCE CONTINUE NORTH
A DISTANCE OF 88 FEET; THENCE EAST ' A DISTANCE OF 90 FEET; THENCE
SOUTH A DISTANCE OF 88 FEET; THENCE WEST A DISTANCE OF 90 FEET TO THE
TRUE POINT OF 8 ' EGINNING. EGRESS AND
TOGETHER WITH AND SUBJECT TO AN EASEMENT FOR INGRESSJ*
.UTILITIES OVER, UNDER AND ACROSS THAT PORTION OF THE NORTHWEST
QUARTER OF THE NORTHWEST QUARTER, DESCRIBED AS FOLLOWS:
BEGINNING AT A POINT 264 FEET EAST OF THE SOUTHWEST CORNER OF THE
NORTHWEST QUARTER OF THE NORTHWEST QUARTER, THE TRUE POINT OF
BEGINNING; THENCE NORTH A DISTANCE OF 176 FEET; THENCE EAST A
DISTANCE OF 6 FEET; THENCE NORTH A DISTANCE OF 6 FEET; THENCE
EAST A -DISTANCE OF 20 FEET; THENCE SOUTH A DISTANCE OF 6 FEET;
THENCE EAST,A*DISTANCE OF 10 FEET; THENCE'SOUTH A DISTANCE OF 20
FEET; . ,THENCE, WEST A DISTANCE OF 16 FEET; THENCE'SOUTH A ' DISTANCE
OF 156 FEET TO THE SOUTH. LINE OF SECTION �5; THENCE WEST A DISTANCE
OF 20 FEET TO THE.TRUE POINT Of BEGINNING.
770! 4 3
V141 e��Ilv
C I T Y 0 F E D M 0 N D S 0 0 41-2-.3 0
STREET FlLt: - PUBLIC WORKS DEPARIMM
.77
Routing of Building Permit, Plat, or-Subdivisim Apr)lications
Proposed Property Address: 529 Pine Street
DEPARDENT
CO,\MFNTS
-7 7NI T I -,%L
& DATE
IV A T E R
S E W E R
77
S T R E E T
B U I L D I N G
0 R
P L A N N I N G
ADDITIONAL INFORMATION:
10/11/76
BUILDING DEPARTMENT. Fill
USE PERMIT rN C
ZONE NUMBER
Inside Heavy Lines
PERMIT APPLICATION
JOB U
ADDRESS Z_
OF
NAME (OR NAME BUSINESS)
W
- 4 . t
MAILING ADDRESS
VARIANCE OR COND. USE NO.
A:DB 0.
HEIMI-1, r�r.-
z
PROPOSED YARDS
LOT COVERAGE
0
FRONT SIDE REAR
CITY
e #t-LA /1/'It�,5_4
ELEPHONE NUMBER
SIG. AREA
ALLOWED PROPOSED
ENVIRONMENTAL REVIEW
0 COMPLETE El EXEMPT
z
NAME
U
-W
REMARKS iz
CL
ADDRESS
PLANNING DEPT. APPROVAL DATE
Ul
M
CITY
UMBER
ONE NUMBER
<
LEGAL LOT
LOT AREA
SUBDIVISION NO.
[:1 YES QNO
NAME
STREET R/W
EXISTING S TREET R/W FT. DEFICIENCY THIS PROPERTY
-n
ADDRESS
0
U
COMP. PLAN ST. R/W FT. Ft..
CITY
TELEPHONE NUMBER
REMARKS
z
0
STATE LICENSE NUMBER
CITY LICENSE NUMBER
D BY
13
z
W
z
Legal Description of Property (Show Below or Attach Four Copies)
STREET AND/OR UTILITY WOR
R E O'D. El YES DNO
�rp
ERMIT REQUIRED
0 YES 1:1 No
W
UNDERGROUND
WIRI NG REQ'D. YES El NO
z
2
.
TYPE CONNECTION YES
El N
SANIT A.RY SEWER 0
ViERI FIED BY
U
SEPTIC SYSTEM
APPVO By CITY ENG. El YES
0 'NO
RMIT.NUMBER
REMARKS
ILI
.j
ISERVICE
SIZE CLEARANCE
CHECKED BY
W
JREmARKS
NEW RESIDENTIAL GAS
EILINE
ADD NON-RESIDENT]IAL 11 SIGN
DEMOLISH RETAINING
EIWALL
ALTER EXCAVATE FENCE
OR FILL El !_ X—F'r)
FIRE ZONE
TYPE OF CONSTRUCTION
CODE
-FOCCUPANT
SPECIAL INSPECTOR
REQUIRED
El YES El N
JAREA
JOCCUPANCY
GROUP 'jLOA
D
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
REPAIR PRE -MOVE swim
INSP. El POOL
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 3.1.04,
REMARKS
NUMBER OF STORIES'
NUMBER OF
DWELLING
7
UNITS
NATURE OF WORK TO BE DONE
Al
PLAN CHECK
VALUATION
'FEE
z
PROPOSED USE
0
NO.
PLOT PLAN (INDICATE BUILDING SETBACKS,
ABUTT ING STREETS).
BUILDING
U
W
PLUMBING
HEAT & GAS LINE
M
0
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
THA r PORTION OF THE NORTHWFST UARTER OF THE NORTHWEST QUARTER OF
?5, .?7 NC)�,,TH" ?RWGL 3 LA S TP W.M..,.Dl--SCRIBED AS
F U L LUW S
BEGINNING AT A POINT 270 FEET kAST OF THE'SOUTHWEST CORNER OF THE
- f ''TH A DISTANCE
NORTHWEST QUARTER OF THE NORTHWEST QUARTER; THENC&NOR
NORTH
OF 88 FEET TO THE TRUE POINT OF BEGINNING; THENCE CONTINUE
A DISTANCE OF 88 FEET; THENCE EAST A DISTANCE OF 90 FEET; THENCE
SOUTH A DISTANCE OF 88 FEET; THENCE WEST A 'DI.STANCE OF 90 FEET TO THE
TRUE'POINT OF BEGINNING.
TOGETHER WITH AND SUBJECT TO AN EASEMENT FOR IN'GRESS., EGRESS AND
UTILITIES OVER.- UNDER AND ACR.OSS THAT PO ' RTION OF THE NORTHWEST
QUARTER OF THE NORTHWEST QUARTER, DESCRIBED AS FOLLOWS.:
BEGINNING AT A POINT 264 FEET EAST OF THE SOUTHWEST CORNER OF THE
NORTHWEST -QUARTER OF THE NORTHWEST QUARTER, THE TRUE POINT OF
BEGINNING; THENCE NORTH A DISTANCE OF 176 FEET; THENCE EAST A
DISTANCE OF 6 FEET; THENCE NORTH A DISTANCE OF 6 FEET; THENCE
EAST A -DISTANCE OF 20 FEET; THENCE SOUTH A DISTANCE OF 6 FEET;
THENCE EAST-A'DISTANCE OF 10 FEET; THENCE'SOUTH A DISTANCE OF 20
FEET;*;THENCE. WEST A DISTANCE OF 16 FEET; THENCE�*SOUTH A DISTANCE
OF 156 FEET TO THE SOUTH. LINE OF SECTION 25; THENCE WEST A DISTANCE
OF.20 FEET TO THE 'TRUE POINT Of -BEGINNING.
DATE:
MEMO TO: Harry Whitcutt
Buildinq Official
STREET
FILE
FROM: Richard H. Allen
Assistant City Engineer
SUBJECT: -5 1
After review of the subject building permit application, we have the following
comments
-A
CCATIM ZF-
r—AMA-0571 YLW�P—�
PEPMIT ADDRES,6,5121�)
LEGAL DESCPI14Pr1 1 04-- 0en
Liam Ve!!!
BUILDING PER141T RFVIEW - ENGINEERING DEPARTMENT CHECK LIST
Instruction:
Check Accuracy of Legal Description
Check Against Assessor's Map for Lenal Subdivision
Does it conform to City Approved Subdivision?
Re v i e%,,,e r' s
Initials
1. This lot included ino bdivision Plat No.:--
2. Site Inspection made 50nz:]�)
3. What are oround water and soil conditions?vw!6 asmlon Idpopt.
4. Site nrainagp Checked?
5. Storm Sewer Availabillity:_m- Of No. No. P ro e c
- —0—S1kt , — —
Roadside Ditch
6. Grading & Final Contours:
7. Septic Tank System Design Approved. 4
8. Sanitary Sevier Availability, Sroj S I, t--. Of rh./C ProjectL i 0 —7, C4—
.1.
Side sewer availability:
9. Sanitary Sewer Connection Fees?
10. 11ater Mains A Fire H ' ' tdrants (Indicate Size Maina/Mmk4aYD-MM
Check Fire Dept.'s Comments I
Si e insnection shows conditions of sidewalks as follows)
11. Si dewal VS: ' i
r NO I
12. Curbs: NOW Curb Cuti� (�Z for safety, location,
gra de a6d 1-11(ftF):
13. Underaround 11irinq: Street Lights:
.1
14. Street Right-of-way & Bldg. setbacks W?T, —Sht. of r)fficial Street Map.
15. Existing Utility
16. Access Easements:
17. Site Plan checked
18. Special Requirements listed in Memo to Bldg. Dept.
19. Commercial & Apt. Requirements form completed?
20. Drawings stamped & notations made? 02-
21. All Items filled in on Dldg. Permit Application?
,e2
22.
Bonds posted
for site work?
23.
Right-of-way
Invasion Permit required?
COMINNTS:
a
C I T Y 0 F E D M 0 N D S
PUBLIC WORKS DEPARTMENT -
Routing of Building Permit, Plat, or Subdivision Applications
Proposed Property Address: 529 PINE STREET
DEPAZYMEN'l'
CONVENTS
INI AL
& DATE
W A T E R
7
S E W E R
17—
S T R E E T
Ale
B U I L D I N G
0 R
P L A N N I N G
ADDITIONAL INFOFMTION:
AD
10/11/76