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559 FORSYTH LN
CITY EDMONDS - SIDE SEWER PER
WATER -SEWER DEP#,1R MENT
"AN
PERMIT
_7. -
Call 7,76-1107 for side sewer inspections BEFORE covering any portion of the conLgtruct'(
Inspection will be provided within 24 hours after request. NO Sat., Sun.,' or holiday inspec�k)n I
ADDRESS LOCATION'OF CONSTRT�CTION ....................................
....................................... ................ ........... .... . .................... ........................ ..... . ..
PHOPER`iY LEGAL DESCRIPTION ............... .......... I ............ 1. ...................
................................................ ........................................................... .
.................................................. . ................ ................................................................................ .............. . ............................ .........................................................
. ................................................................ OWNER AND/OR- BUILDER ....... ...................... .......... . ..................................... ............................. ......................... .
CONTRACTOWS NAME & ADDRESS ................................................. --------------- ....................... . .. . ...... ............................. ...................
------------------- - ---
Permission Is granted ................... ....................... ........... 19 .. for repair and/or connection of a. side sewer to the city sanitary sewer
system In accordance with City of Edmonds ordinan66s.
ATTENTION IS CALLED TO THE FOLLOWIN6:
"NOTE No. I —The owners of the property m . ay obtain a permit to construct se wer ' ins We property line.. A license d Side. Se�ver Con tractor must be employed to construct
side sewer in street area. Do not cover any portion of sewer before it has been Inspected.
No. 2—All work performed In city right-of-way requires an 1hvasicn of Right -of -Way Permit obtainable from the.City Engineer's office.
No, 3--Obtain.full Information regarding OrdinaAce 11.16.030 aud Regulations governing side sewers when you get permit.
NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 inches Inside property line; minimum grade of 2%. No ben03 in gr
. sharper than Y& will be permitted.
NOTE No. 5—Trenches in street must be watei settled' and surface of street restored to Originai condition. Contractors shall be responsible for failure due to Improper
work which may develop within one year of completion.
N I OTE No. 6--It is unlawful *toalter or do any other work than is provided for in the permit, or to do any'�vorl� on 6W maln sewer,or Its appurtenances except to jn�
sert the pipe into the wye,
OVED . ...... By Date— .................................... By ................ Date .................................... By-
DISAPPR ... -42/ ...... ........
APPROVED Date ......................................... . ...............
....... ......
- - ----------- ;-
. ... ........................ ....................................... ........ ....................
Remarks: . .......... 15 ...... ........... 7
.......... J0000".
................
BOT)RPyfit Co)Ypj10,ST Be ��ed By Owner of Ffrrn Performing Construction PRIOR To Request For Inspection
... . ................. ... I hereby certify that the side sewer installation constructed under this permit
g -6 on8 ruction)
0
P
..... fdance-with--a-;�--�
gi6 r
was insied in �-rclrld�llce wi�thl o,eri,,. ,rditnances of the City of Edmonds.
1.9;7
Dated. this .... /,.7 ............. day of.�X ..... ................................. ..
N/ Check BEFORE you dig for: Water E], Gas Telephone E], Power E], Sewer [:], Other
The Soutn 95.JO leat oll ti�e, fol lowing describod tract; Deginning at , point 533.50
feet East .3nd 6'Q.)O li-eet South ,-)f lhe iortimest c.,)rnor of thc-, "'outhwest quar-',,�r of
the clort'iwes, -.,.u,--!rtc;r ol, �,,-Jction 2"', Town:sIlip 27 '.jurth, Pat,�,_-je _3 Llast, -11-hence,
runring Souilh, 1.7�.Jl-- foct; Nh�,nc,:_-, L',-:ist -to liie i!i�_irjin of an cxi,.-.-Jin.j slr��et
right-of-way; ti,.�nco :;crth, ali.)n-; ;fwr�-�in, 275.00 foot; thence 'Jest to the
Point of 3eginriinj.
I
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The' City of Edmonds
APPLICATION
for
SEDE SEWER PERMT
NEW CONSTRUCTION lg REPAIRS 0
OWNER ---
C C� --K T L-NVQ F--
ADDRESS —';M ............
...................................................................................
I
F-*K (S-r IN <5
0
Lu
--A
L-L-
ME
t-�m---: <:�nt-Awrrae--nc�t-i Pow
uNt�)E-:R M= N-r
11MF— nF INSpa--710N
EASEMENT No . ..........................................
74
CONTRACTOR ........ F��usc--A
........................................... ....................................... PERMIT No.
LEGAI, DESCRIPTION: LOT N . . ............ ..<= .......................... BIA)CK No . ............................................
NAME OF ADDITION ....
-440 PL-?�,�rlC
F- I DESEE-ip
FORSYTH
Approved:
DATE ... ......
el�
4 APPLICA10N
for
Tho City of Edmonds SIDE SEWER PERAM
NEW CONSTRUCTION REPAIRS
OWNER ... !�� ... A ... san-!&�, ...Inc ---------------------------------------- CONTRACTOR
. ........ .. ....... .. .. -------- -------------- -----
ADDRESS ..� ... Fonyth ... Low ......... ...................... ............................ LEGAL DESCRIPTION:
.................. — .......
EASEMENT No. ............
J------- ---------- PERMT No..J�q�
0 - ------- f ............. BLOCK No
--- --------- . ..........................................
Ittadwd ( - )� !Z-
. ...................
Approved:
DATE --- -------------
BY------------------------------------------------------- .... I ... -----
Date: August.19, 1971
Memo to: Ron Whaley
Assistant Public Works Director
From: Leif R. Larson
City Engineer
Subject: Sewer Connection Charges
Legal Description: Lot '.'C" on drawing attached.
(Individual legals description not available at this time and
would not be until building permits are applied for.)
(vacant property on Forsyth Lane,
Commonly known as:between 5th and 6th Aves.) Owner: Mrs. Mace A. Gay
Z.F.F. Calculation:
88.46 Z.F.F. x ( $7.50 $ 663.45 Connection Fee
1 Unit x ($ 25.00) $ 25.00 Trunk Charge
$ 10.00 Permit
$ 698.45 TOTAL
cc - Mrs. Mace A. Gay
CITY OF EDNONDS' PIAMIXG COWSS-lot APPLICATION 41U-
ki'
EDNONDS9 WASHINGfON
LOAM 145.4—m
SUBDIVISION (4 lots *or less; fee is $10,600)— "Hearing 0,66 C. - /z
PLAT (5 lots or more; fee is $6.00 par lot, or 1/20 of
one cent per square foot of lot area. in 1bb-1plat
whichever is greater. This fee.is applicable to
both preliminary and final plat submissions.)
APPLICANT:____ MM A. -Gay ADDRESS: 542 Pine St, P9=: PR 8-IM
7
Indicate type or dogma of interest in the property: Owner`,*
OWNER: Same ADDRESS: PHONEt
A
REQUEST THAT THE FOLLOWING DESCRIBED PROPERTY BE DIVIDED INTO 4 LOTS. (Indicate nmber)
LEGAL DESCRIPTION OF ENTIRE PROPERTY: BAAP 514.5-Pt. and E. and 60 Ft. S from MW car SV.V
KV 1/4 TH S 300 ft..Th West 123 rt, Thence N 300 Ft. thence Z 123 No to FOB* MMMR
WITH the following descr. prapeW: LOW big. 5 ft. E and - 240 rt. S� V NV W Sw 1/4 -
4MM &I— &94W"%� W J60%f &%.e %"WU%i" AO L.L%Pe%0 LL* %.UVUWV 0 &AV V V. * ILUMMM, MOIL "a 10a rz 0 to EV64
All ro-c-a-M in See B." ?27119 jt3E* W.N.
To be Completed by the Plantking Department
Use ZONE: es-4 LEGAL-DESCRIPTI CHECKED Alq�ROVED
Kroll Map No. : I W By. IV- --Pate A !r4'd
CERTIFICATION: I do hereby outffy that I own the above lega.11y des�ribed property, and
further, that all contiguous property which I own, which has not mceLv"
a previous subdivision approval, is in
_qluded heroin.
Property Own6w4-
SKETCH: Show below or attach a sketch of the proposed subdivision drawn to -a scale
similar to the example shown -on the reverse side. On subdivisions, where possible,
indicate location of existing septic tanks and drain fields. Include vicinity sketch
of the area per example shown on the reverse side. If sketches are attached$ please
submit six copies. On subdivi*L"pg attach,a statement of reasons why property is
divided in the manner shown, *UA,ag 'topdgraphy-s at- iny other pertinent information
not apparent on the sketch.
NOTE: This subdivision takes into account the 251 additional r/w indicated
on the Official Street Map for Forsythe Lane.
//515'
A P P F
As Submitt ed
AUG 2
"rP/Aft
SM El
'- - - 7'. 1 - -- �
OVED
10 Conditional IN,
Date
ED DS PLAI MING COMMISSION
i I ': "- ' - .. . I- -�
J2,3,0
V//
OOF
0
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- - -- -- - I -- - -
150
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