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609 ALOHA WAY.PDF11111111111111 10145 609 ALOHA WAY PIND APR 4 1.96VIdo 0 0 District 00 City of Edmonds --- Water Department TAP CARD N-D APR 4 1960 Date ................ No............................... No .................. ..... . Meter Tap � Size .............................. I Size ................. ..... ................ Mfgrs- 0 ............ Sty For LotNo ............................................ Blk. No ............. ................................... Add. ........................................................... ....... ....... ................... ......... ...... Servlce Location .. .... . ....... . . ............ . ..... . .......... . . .......... ........ . ........................................ ............................ hi ............... *E* ...... ........... . . Meter Location ............. ..... AU ...... . .............. ...................................................................................... . ......................... . . ..... . .............. MakeTap ...................................................................... ................................ . ...... - ......................................... . ....... . ....... . ......................... . ....... . ....... . ...... . ................ . Pressure .............................. lbs. Test ................................... % SendBiHs to ............................................................... .............. .................... Date of Wark ....... / ..,Ll 0 '. Foreman Guar. Voucher No ........................... . .............. $ ........... . ..... ..................... Remarks: ........................................................ ................. ................. . .............. ..... .................................................. . .................................. . ................ . ....... . ........ .......... ...................................................................................... . ....... . ....... . ....... . ........ .......... ......................................... ......................... ................ . ..................... . . ................ .................................................. . ............. . . . ...... . ....... . ....... . ....... . ..... . . . . .......... OUTGOING Index ......... Reg ....... Route Bk....—StenciL ..... Card -- INCOMING Index .... . ... Reg ....... Route Bk ... . .. StenciL.—Card.— Matela Chargeable to Installation Metee NO. aIZE DESCRIPTION RATE AMOUNT Metet..... . ............................... Meter Box ......... . ... —2 6 ....... ..... . ....................... .............. . . .. .......... . ... .......... Meter Plate .... .............. . ......... ------------- ---------- Check Valve ..... . ................... ............. . .... . ... .......... .............. ......... Pipe, Galv. Screw .................. .............. . . .... . ... .......... .............. .......... Nippl�s .................................... .............. . .... . ... .......... ........ .......... Bushifig§ .: ................................ .............. .. . ......... .... ............... ...... m ... Plafti Ells � ............................... .............. .. . ........ . .......... . . .......... St. Ells .;;� ................................ .............. ..� .... .......... .......... . ... .......... Te - --------------- —* - --------- ------------- ... . ........ .......................... ------- * ------- ----------- .............. ------- ....... ... ............ ............ — ---- ... 3� ........ ----- *;��-.---- S' ------------ ---------- ............... ..... ..... .......... . a-.. ...................................................... . ... ......... .............. .... ------ 11 ------ ....... . . .. .... . --------- .......... Material Chargeable to Taps Connected *-- -No. -, SIZE� DESCRIPTION RATE I AMO NT J.- ... . ......... - - . ... ; ... Pipe; Black Screw ....... ........... ............. .... . ... .............. .......... Pipe, Galv. Screw .................. ............... ............. ......... .............. .......... Uad Connections .� ................ .............. .......... . ......... Cb Cocks ....... z .................... Co"'p- Cocks ................. . ........ .............. .............. -------- /"4? .............. .......... Uniohs -.—� ............ . ............... ............. .............. .......... Saddles ................................ ... .............. ..... . .. .............. ....... :.. Nipples ................. . ................. ............... ......... . ......... ............... .. ...... Bushings .............................. ; ... .............. .... . ... — ---------- ............... .......... Plain Ells ..... . ......................... .......... - ............ .......... .............. .......... Street Ells .......................... ... .............. .. .......... ....... Tees ...... z ------ ........ i ................. .............. ......... . . .......... .............. .......... Curb Boxes ............................ ............... .1 ............ .......... ............... ........... S. 0. Extensions .................... .............. ............ .......... .. �..; .... ; � ........ W.. Gates ........................................ ............... ............ ........... .............. .......... Plugs ........................................ .............. ------------ .......... .............. .......... Couplings .............................. .. .............. ..... . ...... ....... .. .......... Gate Boxes . ....... ................... ............... ........... .............. ......... .......... ........... . ......... . ............................. .... . .... . ........................................ ........................................................... .............. .............. ......... — - ---------- -------- /.- 4-- ---- .............. .............. .............. .......... .... ..... . . ; ------ ........................................................... - ...... . . ........ ; ...... ..... ....... ...... .............. .............. .............. . ........ .......... ... .......... .. . ............................................. ......... ........................................................... ....................... .......... ; ...................... . ........................................................... .............. ............ ............. .............. ------ ------- .............. .............. ---------- ..... -..jL .... . ---- 7 .......... ........................................... ...... m ................. ....... z ......................... Hours T, ime—Day Men ........ Hours Time�Monthly Men..I:Y� .............. . ............. ........ Y .... ............ ....... . ... ...... - — . ........ . .... . .. ------- 4.. Hours Tiffie—Abto .... ... ... .... . . .... . . . .......... ........ I Superintendence ...................... t6tal I --- - --- ---- "Tt) .............. .......... . .................. I .......... ... .. /0 7 e, r-- ADDRESS: TAX ACCOUNT/PARCEL BUILDING PERMIT (NEW COVENANTS (RECORDED)TOR: 660 CRITICAL AREASIJ — DETERMINATION: E] Conditional Waiver E] Study Required n Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DA PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PLANNING DATA CHECKLIST DATED: SCALED PLOTTLANDATED:. 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 #: WATER METER TAP CARD DA OTHER: LATEMP\DS'Ps\Forms\Street File Checklist.doc 0 M.. 77 'APPLICATION BUILDING..T Wit _7 ER C,1 CITY* OF EDMONDS 7, .77, Buildint.Deipairtment . . . . . . . . . . . . . . . AP PUCATION: is hereby made for a permit to cor-6truc� the following work,. in - accordanci �vith panyin g plans and specifications. Two sets are'submitted hermith for approN��L new,-- alter Off -St., Work addn .......... ..... .. Parking ....... Occupancy ................ zone . ...... I ................ . Const. type .............. ... .... ....... Usc. Address A!�.l . . . ............................ - - ------- Blk ------ Add, Lot frontage Arta ...... ... ......... Sq:lc tank .. ................. Bldg. 4� side.' 0. Own', .. ... ........ Address. ... ... ... ........ No. Tel-" Builder ......................... ................. . ........ ........ Addrm ....................... -'rcl. No.:-, Plans by .................... .................. ... ... ............ Addrm..__.. ................... . ....... ... No_ Remark& ............... ...... ...... ----------- The above is a correct statement, and I agree to comply' w-'ith A ipplicab!e. Codes arid, State'. laiwt` rieguli Signed Owner/Ager PERMIT for the above work is hereby approved, "ject; EO the above ccmclidon'� -and to- comp'lianci with'tlia'p-r/'�=' proved plans and 3pecificatkms, and Building Department notations dxri(XL A Valuation *_1+_.:.d.-_d.-.-.0 .......... Permit fer_*.__��ff_�_:_. R'ecd., by -.- Building. Department, By .. ............. Date� INSPECTION. RECORD Fdn, OK .... .... ......... ..................... Frame� OK Final Oy. . ....... 4i, This Permit does not cover Piumbing., Sewei, or Electrical iristoll L&Ions.* M A. 9 Ld JUL 11 IC184 ZONE SETBACKS: FRONT c2- Sl REAR /,5( OTHER HEIGHT (9b9,',ffi0h0,ut STREET FILE K03 T�os ED ir DscK CA X4-6 Elk I Tri f4c. 24 WAY TLOT 'PLAIA LOT 15iziK5sQWs fliDD r104 ActoPlott46 To PLaT -THvjL.50F 1),j ItcoAts OF S�,)46mlsti COU19TY � WA SH - APPLICATION The City of Edmonds for EASEMENT NO - -------------------------------------------- SIDE SEWER PERMIT 214-095SO NEW CONSTRUCTION [:) REPAIRS Ej LID NO . .................. ASMT. NO . .................. OWNER ............ R. L. Arestad CONTRACTOR ----------------------------------------------------------------------------------- . PERMIT NO - -------------------- ... ..................... ---------------------------------------------------------- JOB ADDRESS ...... 609 --- Al.oh.a._Wqy ---- ---- -- .................................................. LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------ L jUl ,' n F/I NAMEOF ADDITION ----------------------------------------------------------------------------------------------------------------------- DYE TESTED ON SEIVER - May 6, 1976 By Jim Jensen Approved: DATE............................................ By ...................... ..................................... 11/75