610 SATER LN.PDF11111111111111
12970
610 SATER LN
ADDRESS:
-7 0 Ft4 aAio A.)
TAX ACCOUNT/PARCEL NUM13ER: c2 03,,-),,q 00 209403
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:- Nur
ly/
CRITICAL AREAS: DETERMINATION: F� Conditional Waiver E] St . udy Required><Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
I/
7:�
PLANNING DATA CHECKLIST DATED: 1156
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED: b
SIDE SEWER PERMIT(S) #: -1�1; 0�3
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DA
OTHER:
LATEMP\DST's\Fomis\Street File Checklist.doc
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Top OF CATCH BASM LOCAIM APPRO)I(IMATELY 75 FEET WEST OF THE
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ELEVAI 100.00
LEGAUT DESCRIPTION
THE WEST 100 OF THE EAST 385 FEET OF THE FOLLOWING DESCRIBED TRACT:
'D
BE INNING AT THE NORTHEAST CORNER OF GOVERNMENTLOT 2, SECTION 24.
G
TOWNSHIP 27NORTH, RANGE 3 EAST. W.M.;
THENCE WEST 30.00 FEET;
THENCE SOUTH 30.00 FEET TO THE CORNER OF.:.THE PAVED HIGHW.AY AND THE i
WEST LINE OF 7TH STREET PRODUCED;
THENCE SOUTH ALONG THE WEST, SIDE Of- -7-TH ��TlRtt�,kb;UCED. A DISTANCE 0
OF 385.67 FEET TO THE TRUE, POINT OF. BEGINNING-i:�4.-
T M j
THENCE WEST 696.35TEE RE�011l LEtS..�,TO'THE:.:EA.,STMARGIN.OF 3RD
AVENUE:.
THENCE SOUTHWESTERLY ALONG"SAiD EAST-SIDE'OF 3RD AVENUE A DISTANCE
OF 87.16 FEET:
THENCE EAST ALONG THE NORTH. LINE OF THE OSCAR L. KLINE TRACT (NOW
PLATTED AS.ERIKSSON'S ADDITION)� 739 FEET MORE OR. LESS JO THE WEST
LINE OF SAID 7TH AVENUE PRODUCED:
THENCE NORTH ALONG SAID WEST MARGIN A DISTANC.E'017.. 76.00 FEET, MORE
OR LESS TO THE TRUE POINT OF BEGINNING,
SITUATE IN THE COUNTY OF SNOHOMISH. STATE OF WASHINGTON.
SUBJECT TO EASEMENTS, RESTRICTIONS AND RESERVATIONS OF RECORD .
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RECEIVED
AUG o 3 2010
DEVELOPMENT SERVICES CTR-
CITY OF EDMONDS
0 PLANNING DATA 0
11 STAEETF=ILE I
SINGLE FAMILY RESIDENTIAL
Name:
Date: 9— , L)
Site Address:
Tax Parcel
Project Description: V-,-Q-V CL V,
Plan Check #:
Reduced Site Plan Provided: NO)
Zoning: FS— L
Map Page:
Corner Lot: (YES
Flag Lot: (YES / (0)
Critical Areas Determination #! r�z� .1 oc,,,) 0 o q s
11 Study Required
OrWaiver
SEPA Determination:
bR,-�Exempt
El Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist 0 APO List with notarized form
R� 5etbacks
Street:
Side:
1 Side:
Rear:
Actual 5etbacks
Street:
Side: IS—Ir
Side: A —
Detached Structures:
Rockeries:
El Fences/Trellises:
11 Bay Windows/ Projecting Modulation:
g'Stairs/Deck:
Height
Datum Point:
Datum Elevation:
Maximum Height Allowed:
Actual Height:
Offier
Parking Required:
Parking Provided:
Lot Area: %
Maximum Lot Coverage: 35% Proposed:
Lot Coverage Calculations:
ADU Created: (YES / NO)
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES NO)
Comments
A-0 A rer Or -
Plan Review By:
Planning Data Form 07-14-09.doc
0 PLANNING DATA 40
11 STREET=FILE I
Name: Margoo(f* ToVa-aref+ clarv-
Date: ,a
SiteAddress: (pIC) 5Cki-exL011VIC,
Plan Check #: BLD-201 OLHO (.0
Kocw Pt a ri,�, , z-of YD o4� P-evisia
Project Description: � a vrvt.-wa 1A (4 1 w 41 y I
4A-A CVI�;, ( rCL11*C,, i OVI i-D a vl ad &4-ftM
Reduced Site Plan Provided: (YES / NO)
Zoning:
Map Page:
FCorner Lot: (YES 49
Flag Lot: (YES /8
Critical Areas Determination #: C, -;-c> 0
11 Study Required
X waiver
SEPA Determination:
Exempt
Needed (Requires: (1) Fee, (2) Environmental Checklist, and (3) APO List with notarized form).
d Setbacks
Street:
�,o
Side: 5J.
Side:
W
Rear:
-N
Actual Setbacks
Street: 4-
Side:
Side:
Rear:
Detached Structures:
El Rockeries:
El Fences/Trellises:
Bay Windows/Projecting Modulation:
Stairs/Deck:
Parking Required:
Parking Provided:
LotArea: 43()C)C)t�
Lot Coverage:
Lot Coverage V &, e,
Calculations: es 5-16 0 �h -cyl
Building, Height
Datum Point:
Datum Elevation:
Maximum Height:
Actual Height:
ADU Created: (YES NO)
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES / NO)
Other
Plan Review By: g�f;w 6&0�
�LCr
01
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24 fiR tiOTIC EQ. L 0 T C 0 V e FZ A4- E : 2.4 1 "A -t, - ja"yo, 307o
FOR IqSp
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114EAW 14 0055 � QArL_ 1531f 96
4,X57. 0 cworc� vaive �kw^v�K 4310
W-Ax PrzorD txvr,,n-m),j 858,0
ACCEPTABL T16RMINEPrlvr-ikwA,;.K-4—'-!�Z-.0
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AT R M16W *lD0rU00, I Meeeffia"BLg
SDR 35 , -D 74ZCM
RIGHT-OF-WAY CONSTRUGPOWERIVIFF-- SCH 40 l(,wli& ck favo
AND INSPECTIO . N REQUIRED N - I�Mc*j�!jj� JL
AT E R . LAW E- 00*
BENCH MARK CD
WMAIM 4WP=MUTMY 75 FUT WW OF
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TOP Of C-47M 9"N
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LEGAL DESCRIP'nON lk
to Ila
THE WEST 100 OF THE EASI 385 IILLI OF THE FOLLOVANG DESCRISEO TRACT:
BECLNINIING AT INE NWTHEAST CORNER OF COV8b4AENT LOT 2. SECnO" 24. ro k
TOWNSHIIP 27 RORTiC RANCE 3 EAST. W.M.; tt
THENCE WEST 30.00 FEET; N
m
THENCE SOUTH 3o.00 rEET TO DIE CORNER Or THE PAVED NIGHWAY ONO THE
WEST LINE Or 7nI STREET PRODUCED;
THENCE SOUTH ALONG THE WEST WE OF 7TH STREET PRODUCED. A DISTANCE X w
OF W5.67 FEET TO WE TRUE POINT OF BEGINNINQ x
THENCE WEST 696.35 rETT. UORE OR LESS. 'TO THE CAST mARGtN OF 3RD 4.
AVENUE.
THENCE
SOU114WESTERLY ALONIC SAID EAST SIDE Of 3RD AVENUE. A DISTANCE
OF 87.16 FEET;
i THENCE EAST ALONG THE'NORT14 LINE OF THE OSCAR L KLINE TRA T (NOW .31
C
PLATTED ALS ERIKSSON'S ADDITION) 7jg FEET MORE OR LESS.TO THE W.EST
LINE Of SAID 71M AVENUE PRODUCE&
THENCE NORTH ALONG SAID WEST MARCAN A MSTokNCf OF MOD FIEFT. mORF+
OR LESS TO TmE ' TRUE POINT OF (WONMNC. �,REVHSION
SITUAIr. IN THE COUNTY OF' SNOHOMISH. STATE OF WASHINCION.
';IIR.]Fr.T TO FASEMENTS, .. RESTRICTIONS AND RESERVATIONS OF RECORD. JAN 2 9 2007
ERCONTRACTOR IS RESPOWIIE T
A. F. No. 210 03 0 11 2- 5 00 1 FOR EROSION CONTROL AND DAMAGE RECEIVEDUILDING DEPARTMENT
CrTY OF EDMONDS
E T) R C-,A R E T C L �&% R K
0 A t4 E APR 2 7 2004
STREET FILE Ff RvrD A NOTEDIr 7 5- 776- '100 1 p,"-,e4 tv-dL
COUNTER Tl
NNEERIN APPROVED BY PLMNINF"' REVISED
AtIV4/A— 0'-"l 0-4- 6jXjo DATE- 14?11,�_'7,
D 1001e.-
,a te 0'7
APPROVED AS NOTED
BY ENGINEERING
A 10-1,6 . L 0 T C OV F fz Mr F 4; - 35-.ql5j/. 3d Vo
1:� lol-I Date:---- sl4lzw4
C 10 14. �l
V *- 10 4. 0 1 �-,i n, r \r i v u c�, so ti r kc r.
10 3.1 MrA Ex 15 r'G 14 o e- --', G A rt., 1,57 96
4 15'.0 rxi-,T6 vtow-
F, fl v r , r-
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I)ATVM r--I-. - ACCEPTABLE TIGHI�ANF -T 01- A I-
RIONT 101-1 MATERIAL - -
RIGHT-OF-WAY-Cr,NSTR40:RQNPOWR--�-- SDR 35 ft0qtdtQ')
AND INSPECTION REQUIRED WgMVAVU:,� =r, tsw(o
SCH 40 1;,dF-cAk pe4A.3 Is"
)ILD . I
54NTER LAtJE- I-
F81 OJ HANCOR
RENOi MARK, 1-0
W OF CAM SAM L=10 NPROW"MY 7& FM,'IM OF IK
mml*nT pmprm cawn
FLEVAT= :, 10CLOO
S ITE. PLN"
LEGAL DESCRIPTION
T04E "EST 100 OF THE (AS) ILL f (* THE FOLLOWNC. DjSCRtqfD TRACY:
BEGINAONG A] IK NORiWASI CORNER OF GOVER"UNY LOT 2. SECTION 24.
TOWCHIP 27 NORTK RANGE 3 EAST. W.M.;
THENCE VIEST 30-00 FEET;
THENCE SOUTH 3D.00 FEET To 041 CORNER Or 74 PAVED HIGHWAY AND THE
WEST LINE OF ?TIl STREET PRODUCED:
THENCE SOUT" ALONG W, WEST SIDE Of 71W STREET PRwucrD,, A OKTANCf
OF 365.67 FEET TO THE MUE POINT OF SEGMM:
THENCE WST 696-35 fffT. MORE OR LESS TO TW CAST AMGP41 OF' 3RG
AVENUE:
MINCE SOUT14WSTERLY ALONG SAID EAST SIOE (Y JW AVEWC,, A DISTANCE'
OF $7.16 FEET:
T14EMM EAST ALONG THE* NORTH LINE OF THE OSCAR L. KOHL, TRACT (NOW
PLATTED AS ERMSSWS ADDITION) 739 FEET MORE OR IESS.10,'THE WEST
LINE OF SAO FTM AVEME PRODUCED.
T04ENCE NORTH ALONG SAID' WEST NAAAGIN A fITSIANCF OF, WOO FFCT� ktORF
OR LESS' To THE TRUE POW OF 11FOINNING
SIfUAtr IN THF COUNTY Or SKOHOWSH., STATE, OF WASHOGION!
Sliffil'Cli 10 CASFMFWTS� RESTRICTIONS, A04D RESERVATIONS OF RECORD.
A.F. No.
PROVE y PLANNING
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Vilkell, TO
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2
:1 510257
FOREROSION�, CLOK .
,,.lT,P.Q,l-AND DAMAGE'
E: D � KA, R CA R E T- C LA, R K
6�110 5ATE'R L-AME E Dmbw US; V-A, IJ8020
12 T- 778- 70o I
STREET FILE
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R,EcEllVED
APR 2 7 2004
PERMIT COUNTER
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Critical 'Areas Checklist
Site Information -(soils/topography/h ddr,,Iogy/v�e',cre'tafion)
1 Site
Address'1,66ati6ni
2. Property TaxAccount Number: 2 70
CA File No:
3. Approximate. Site Size (acresor sqx�are feet):
4. Is this, site ttirrently devell op . e d? yes; no.
If yes;,how is. site developed?
5. Describe the general site topography. Check all that apply.
Flat less than 5-feet elevation', change over entire site.
Rolfing-.! sloped �on -site generally less than 15 % (a vertical rise of 10-feet over a horizontal
diitAh,ce of 66-feet).
Hilly: slopes Fesent.;oh site of,more than 15% and less than 30% (a vertical rise of 10-feet
p I � . I . I
over. a, horizontal distance. of .33 to 66-feet).
Steep; grades,of grea.ter.than 30%, present on site (a vertical rise of 10-feet over a horizontal
distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: Approx. Depth:
7. Site contains. areas,of seasonal standing water: 4D ;Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain of a watercourse.
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 shrilbs mixed
urban landscaped (lawn, shrubs etc)
11. 9"o,�',s,"fiand.ip,presmt on.site:. X�t
is I
For City S6A Use Only
1. Plan Check Numba, if applicable? 4��-
2. Site is Zoned? P�_"�>_ cl�'
3. . SCS mapped soil qpe(s)?
4.
671
Critical Areas,mve*ory.PrC.A.�map indicates Critical Area. onsite?'�-�,_'R_
Ctw
- I r_1 4- V V"71 CNW-e-) -4- e
Site within designated earth bfib.sidence landshcTe hazard area? V-),,4--
e-74 _P
DETERMINATION
RED
STUDY REQUI -WArVER
#P20
City, ofEdnwds
Development Services DepWZO/
�Ylanning Division, Ap
Phone: 425.771.022
Fax: 425.771.022��
Ile Critical Areas Checklist contained on this form is to
be filled out by any person preparing a Development
Pennit Applicadon for the City of Eftonds prior to
his/her submittal of the application 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).
Date ReceMed: Ir'l -11 Uq fl, a I -A
City, Receipt #:
,'.Criti6al 'Area's File
qa reas' Chhec, list Fee: $135.00
Date Mailed to Applicant -
A property owner, or. his/her authorized representative,
Musf , fill` 6 u, f the"checklist,.'sign and date, it, ' andiubmit it
the Ciq% 7he City will review, the. checklist. make a
prebuitbry site visit, and xn�ke a : d etermination , of the
subseiluent steps necessary to,�coinplete a development
permit application.
Please submit a vicinity map, along with the signed copy
of this fdim to assist City staff 'mi finding and locating the
specific: piece:of property described �on this form.. In
addition, the applicant shall include other pertinent
information (e.g. site plan, topography map, etc.) or
studies in . conJ -unction with this* Checklisfto assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and assigns, 'in consideration on the processing of the applic a*tion agrees
to release, indemnify, defend and hold the City of Ed ' monds harmless from any and all damages, including, reasonable
attorney's fees, arising from any action or infraction based mi whole'or'part upon false, misleading, inaccurate or
incomplete information finnished by the applicant, his/her/its agents or employees.
By my signature, I cer* that the information* and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to file this application on the behalf of the owner as listed below,
SIGNATURE OF APPLIcANT/AGENT. DATE �/Z X
Property Owner's Authorization
By my signature, I certify that I have authorized the above Applicant/Agent to apply -for the subject land use application,
and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and posting attendant to this application.
SIGNATURE OF OWNER DATE
Owner/AppUcant: Applicant ]Representative:
Name Name
.
Street Address
ZW7—^0-,�1d_5 ZZ, /5 7- ?g6Zn
city State Zip
Telephone: -w�Z.5� — 7 �;'
Street Address
city
Telephone:
State
Email address (optional): A7c_4X,<,,_ Email Address (optional):
zip
PLANNING DATA
NAME: MgrAafe-i- ToKotf-�� clovk DATE: q/.' 1/0 q
SITE ADDRESS: b1Q 547t.- k4e PLAN CHK#: Oq- Id-0
P e M A(k,- JA
,�04ECT QESCftIPTION: _f&wov-4j a+ e) O,'r*(,7 11 ^ 0+
Yc"'\ ,taw%-Y14 roo----, J�j er I "Iiwwy rhreZ decKS.
REDUCED SITE PLAN PROVIDED?(�No
MAP PAGE: CORNER LOT: FLAG LOT: (Yes
ZONING: 6 CRITICAL AREAS DETERMINATION #:,
L3 Studv Reauired:
Wal)Ler
Conditional Waiver
SEPA DETERMINATION:
L3 Fee
L3 Checklist
L3 APO list w/ notarized form
L) (Needed for 500 cubic yards of grading, Shoreline Area- site within 260 ft. of Puget Sound or Lake Ballinger)
AExempt
SETBACKS:
Required Setbacks:
Street: U' Left Side: Right Side:— Rear:
Actual Setbacks: f Al. a.
wt$T- Street: �kLf Left Side: —R*t Side: ftkr:-
Street map chocked for additional setback required? s No DRA)
DETACHED STRUCTURES: A/d/lt
ROCKERIES: AloAe Prop) CJ -
FENCES/TRELLISES: No14- profd3J.
BAY WINDOWS / PROJECTING MODULATION: 00 K.
STAIRS/ DECKS: �-evfral Ott,, - prdp'"�'tj — 0.
PARKING: Required: 31 Actual:- 0-t, +
LOT AREA: '9k 0 0 0 J2(
LOT CO EKAUL: )"
Calculations: 3q�,Iqaao = 30 oko' — Ok vAk,- 35' Zo vA#-x. cdlc,�,e-j
BUILDING HEIGHT: C
Datum Point: JV(Vtj 5*t Lo 104 ef!?4- tdf4l' Datum Elevation:
Maximum AJlowed:' Actual Height:
A.D.U. CREATED?6NoLYes)
SUBDIVISION: NIA -
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: LYO—S /15;D
OTHER:
NewBPP1anningDataForrn.D0C
APPLICATION CARD No - --------------------------------------
for
The" City of Edmonds iSlIDE SEWER PERMT
OUTSIDE INSIDE REPAIRS E] EASEMENT No . ......................................
01 WNER ..........
-----------------
------------------------------------------------- — ------------------------------- CONTRACTOR ................. — ..... ...... ................................................................ . PERMIT'N6 . .....................
6/a STREET
�HOUSE NdT.: ........... .. ....... AVENUE LOT No. .-- FAR--� �BLOCK No . .................................... ----------
. ..... .. ....... ------ -A .............................
NAMEADD - ----------------------------------------- - ------------------------------- - ---------- ---------------------------------------------------------------------
Lu
LL
I �oe
Lu
x
CO
APPTR�Q'Vl-
OCT �27
A
TA
Date
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT,
SEWER WORK ORDER ISSUED ..........................................
Approved:
DATE ... ...... By
7!:� 77—
M
y
, VIV
F I_L,c No, 3387
SEPTEMBER
5, 19,67
7
I.."LEGAC-bCs"to I PT I'ONS FOR: THOMAS E.-BELT
-Z
PfiRC-EL, A,
THc YEST 100.00 FEET OF THE 'EAST 385.00 FEET OF THE FOLLOWING
-DESCRIBED TRACT OF L A N D : BEGINNING AT THE NORTHEAST CORNER OF GOV'T.
LOT 2, SECTION 24, T27N, R3E) W.M.; THENCE WEST, 30.00
SOUTH, 30.00 FEET -FEET; THENCE
TO THE CORNER OF THE: PAVED HIGHWA-Y AND THE WEST LINE
OF- 7TH STREET PRODUCED; THENCE SOUTH ALONG THE W
PRODUCED EST S I DE OF 7TH STREET,
) 4 DISTANCE OF 385.67 FEET TO THE TRUE POINT OF BEGINNING'
�THENCE WEST, 696.35 FEET
MORE OR LESS) TO THE EAST MARGIN OF 3RD
"A' ; -
�VENUE THENCE SOUTHWESTERLY, ALONG SAID EAST SIDE OF
3RD AVENUE, A
011STANCE OF 87.16 FEET THENCE CA
ST) ALONG THE NORTH LINE OF THE
R L. KLINE TRACT PLATTED A
OSCA
NOW
S ERIKSSON's ADDITION) 739.00 FEET
M J�E OR LESS, TO THE WEST MARGIN OF
SAID 7TH STREET PRODUCED; THENCE
R T H_ I ALONG SAID WE
ST MARGIN) A DISTANCE
OF 76.00 FEET
'TO THE TRUE POINT OF BEGINNING. MORE OR LESS,
T E
OG THER WITH AN EASEMENT FOR INGRESS AND EGRESS AND FOR UTILITIES
A
0 AND ACROSS THE NORTH 16.00 FEET OF THE A
W-R
BOVE DESCR'IBED TRACT
F.'R,6m THE EAST MARGIN OF 3R�o AVENUE TO THE'WEST LINE OF SAID W) EXTEND-,
-T,EET OF
I�Ob..,OO 385.00 FEET. EST
EAST
C 1,7Y OF EDMONDS
CIVIC CEN . TER WATER -SEWER DEPA_RTrMj-jT Cajl PROsPect 6-1107 when work
18 ready for Inspection. (No inspee,
Sli D-E SE W ER PERMIT tionsSaturday, Sunday or hoijdays,) N -0 2503
............. 5,IQ --- Thir Av
........ inlue. Nq;�tjj
.... ..... __._ ....... 0. ........................... ............................ I ............ n .............. - .......
R ...... olmes
..........................................................
CONTRACTOR.-..,B & M Contractors
Pernii� .................................................
� ssion is granted .... October ... 2.7 ............... ig.61., for
with City Sewers in accordance witjj application .... daYs to REPAIR or CONNECT a side sewer
oil file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No; I—Tbe owners of the Property may obtain a permit to construct sewer inside pro erty line. A licensed Side Sewer Contractor must
be employed to construct side sewer In street area. Do not cover any Portion ofpsewer before it has been Inspected.
NOTE No. 2—Obtain full Information regaxding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 3—Top of side sewer must have at least 30 inches verage at Property line and 12 Inches Inside property line; minimum grade of 2%.
No bends in grade sharper than % will he permco
I tied.
NOTE No. 4—Trenches in street Must be water settled and rface of street restored to Original condition. Contractors shall be responsible for
failure due to Improper work which may develsOUP within one year of completion.
NOTE No. 5—It is unlawful to alter Or do any other work than Is provid . ed for In the Permit, or to do any work on the main sewer or Its appur-
tenances except to Insert the Pipe Into the wye.
.0
D
The City of Edmonds
APPLICATION CARD No . ......................................
for
SIDE SEWER PERMT
OUTSIDE F-1 INSIDE [] REPAIRS Fj EASEMENT No . ......................................
............................................................................................... PERMIT No.
OWNER ------- i?.T-Jr ...... 1-f .. A-M .... .......................................................... CONTRACTOR ..... 4- AA
4) 0 T b-l' d A V c- /V & I, T-h STREET
HOUSENo . .. .......................................................................................................... AVENUE LOT No . ...................................................................... BLOCK No . ..................... L
NAMEADD . .............................................................................................................................. .........................
BACKFILL WORK ORDER ISSUED
SEWER WORK ORDER ISSUED .......
Date
........................ DEPOSIT, $ ......
........................
Approved:
....................
DATE................................................ By
9
Ly
Street Right-of-1-:ay ExistinF_ REQT)
Access Easements Fxistinr
Utility Fascinont Rxisting REOD
Lot Per Subdiv;sjon PI at Assessor I
Sitc Plan (1-cd:cd for Accurac.-v PEE>
u
.,1011,1C
71
rXistill", 1*1'atcr Sin
or "ain Pocl,.ircd
r "'�i"
I ivdni! I t z C J: i 5
11,.Ynint r h re C,�)(.!c !�ize
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C, .,I i T C, (I
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It dc-; f.
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SOil Conditions F, Gi
-ioll �'
tor Field Oloched
-- Rffiu i. 0
Size
2catc oil �ii:c Plan
�Ll 15 �11 In I (--t
11"dic'Ite oil Sitc
Rate
Stroet. 11,1vill R%Cquirod
ftirb in(! C,,it-tcr Rco.idrcd
si'd�s �Ylh Pcquircc�__
Wrb Put for Privo,�,
Pj-)lt-oj,-1,:Zly Construction Pcn,.lit C, d
Bond Rcl-1111ircd for TV) m1l)rovulel-ts
or Si-nirg Pcnui a -cc!
'itc ' nspcction on
TIC
Pre TIC Sitc Inspcction T-.,,i0c on
C cr
Scwer
u h"ziter
StaqO_t__
'71
Pcm;ircr�cnts listod in to 11.uildin,,� jl,-prtmcnt
lb t 0
Ut—
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.0
Sta:.1�pc(! mn(' "., t'itions �!",Oc 77
P))'-- R'l t
P_ Apprcvc(l 11)". Public Worh's Pop'll-triclit
`^
|
DOR0THY DRDBNER
Utility Bi| / ing
''.
~
�R. 4'~'I "'^~=~
SUG)JEC-F: Change of sfroof addresses
~/�
DA
'
���� January9
| ���--
FROM Dui|ding Department
'
r
np� '
�^
o/u
/
^`'
.
'
'604-3rd
Ave.
No,
/
604 Safer
Lane
606-3rd
Ave,
No.
John Stenger
606 Safer
Lane
608-3rd
Ave.
No.
No|fer Sherman
608 'a -ter
Lane \
610-3rd
Ave.
No.
R. Suran !
6|0 Safer
Lane \
.''
O|4�3rd
Ave,
No.
R. M. Murphy
611 rater
Lane '
616-3rd
Ave.
No.
Bruce Fyfe
615 Safur
Lane /
618-3rd
Ave.
No.
Roy E. Jones
617 3ntar
Lane
Today |
am mailing
letters to the
above in -regard
to the change of address.
A copy
of one
is attached for your
information.
Thanks
Ann
7`;
EXHIBIT A
SHADED AREA TO
BE REMOVED FROM
x \
THE OFFICIAL
STREET MAP
N
WA
rM
29
CASPERS STREET
SCALE 1" 80'
GE
Uj
w
A
cn
T R 10'
P 0 i/T 0 F
3 11.3 5' 5
_S _A __E R -7 L_A_N E_
N.E. COR. GOV'T LOT 2
0
ml
Lli
W/ <
P-
AMENDMENT TO THE OFFICIAL STREET MAP
ORDINANCE NO. 160 PLANNING COMMISSION FILE NO. ST -3-72'
ORDINANCE DATE 7o;&
M A Y 0 R CITY CLERK
A-4
-5,j4-1!r
BUILDING DEPARTMENT Applieman 10111
Inside Heavy LIzies
PERMIT APPLICATION
USE PERMIT
ZONE NUMBER 7 5 U 0
-S,6
-j-0-T-
ADDRESS
NAME (OR 14AME OF BUSINESS)
-RoNAL n- R-A 1\1
Tr
% A AL
L40T COVERAGE LOT COVEWAGI
MA�NG ADDRESS
o, — s 2- 4 lvl---
PERMISSIBLE HEIGHT PROPOSED HEIGHT
z
CITY
TELEPHONE NUMBER -
3 9 �lk
ACTUAL LOT AREA TOTAL BLDG. AREA
z
REQUIRED YARDS PROPOSED YARDS
FRONT SIDE REAR FRONT SIDE REAR
CA
NAME
ADDRESS
LEGAL LOT VARIANCE OR CONDITIONAL USE
0 YES NO PERMIT NUMBER
PLANNING DEPT. APPROV DATE:
CITY
TELEPHONE NUMBER
STREET R/W 1
EXISTING STREET R/W ..... M, P11F.FICIENCY THIS PROPERTY
COMP. PLAN ST. R/W ............ FT. ............ FT.
04
CC
NA -ME
R&MARKS z
z
ADDRESS
CHECKED BY
CITY
TELEPHONE NUMBER
METER SIZE
SERVICE SIZE
CLEARANCE
CHECKED BY
a
5;
STATE LICENSE NUMBER
CITY LICENSE NUMBER
REMARKS
Legal Description ot Property (Show Below or Attach Four Copies)
a
fit. salof
A
TYPE CONNECTION
VERIFIED BY
PERC. TEST
PERMIT NUMBER
REMARKS
7 76 --1 ZJO
FIRE ZONE
I TYPE OF CONSTRUCTION STREET IMPROVED
0 YES NO
SPECIAL INSPECTOR REQUIRED
YES 0 NO
OCCUPANCY GROUP
Q
NEW 1ZRESIDENTIAL GAS
LINE
El NON-RESIDENTIAL SIGN
DADD I - 1:1 RETAINING
E-1 DEMOLISH WALL
ALTER EXCAVATE PENCE
E] OR FILL a( ... /Ae'-5
REPAIR PRE -MOVE swim
1:1 INSP. POOL_
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
REMARKS
Fence requirements - section 12.14.040.
attached.
NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
A%kC N
NATURE OF WORK TO BE DONE
Plan Check No .... /
Valuation
Fee
Recelpt
BUILDING
PLUMBI
PROPOSED USE
PLOT PLAN (Indicate Building setbacks, abutting streets)
c
1<
'; -If
HEA/GASLJNE
F/CE
IGN
RETAINING WALL
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
Pilchuck Contractors, Inc
Job# 107021555
October 4,2004
Sheet 1/1 Rob Inglis
f%A00C0 QT
, ��O-xz�
4
Z
R IT
4 // t
W
Notes:
1. All signs and spacing to conform
to the City of Lynnwood Traffic Control specs.
2. Channelizing devices are 28"
traffic cones.
3. All signs are 48" x 48" B/O unless
otherwise specified.
4. Alert affected residents.
5. Work to take place between 9 a.m.
And 4 p.m.
6. Work area will be477'S of C/L of CasperSt
And 28' E of C/L of Td Ave N.
7. &
0 A)
N.
. SATER LANE
WORK AREA Xx 5'
IN 10'WDE 4111111111110
GRAVEL SHOULDER
=00
;k
:04�
APPROVED AS NOTED
We:
CHANNELIZATION DEVICE SPACING
MPH
TAPER
TANGENT
50/70
40
so
35145
30
60
25/30
20
40
LEGEND
0
28* TRAFFIC CONE
WORK AREA
TRAFFIC FLOW
ARROWBOARD
FLAGGER
No
TRAFFIC LIGHT
44
A 1, 1r
rernur iNo:
Uity_oj�Edmonds
RIGHT-OF-WAY CONST,�UCTION PERMIT, Issue Date: 10
%
3c& L o, yie,
X Addr*e'ss or Vicinity of Construction
7EY) V\V)�V)*q, 0, q-77,5
-,,J3.11�, Typeof Work (be specific):
Y (9
P I I � -.4' 1 e,, %—na a g'f— ,.o- C� A J Ji
-Bow-- "OleHol '111,
C. �Contractor: Q�mk CV-,
Maili-ng Address: 1 0 ,_�oktQ U
State License 91 W,9 CJ- In I M �q
City Business License #:
,f D. Building Permit # (if applicable):
E. Commercial Subdivision
Fj Multi -Family Single Family
INSPECTOR:
F. PAVEMENT CUT: YES
CONCRETE CUT: YES
G. Mail Approved Permit
El NO
El NO
Aj AJ
/0 70
Coniact: &�Sko�%'Ck_
-Phone:_CQ0(0 -(4
Liability Insurance: Bond: $
Side Sewer Permit # (if applicable):
E] City Project [] EUC (PUD, VERIZON, PSE, COMCAST, OVWSD)
n Other
F-1 Call for Pickup
G. - SIZE OF CUT x
INDEMNITY.-..yApplicant understands by hislher signature to this application helshe holds the City of Edmonds harmless from
.. juries,,Im�g�s or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of
JEdmonds or any of its departments or employees, including but not limited to the defense of any legal proceedings including defense
1costs and,attorneyfees by reason ofgranting this permit.
A,
TI�E CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR XPERIOD OF ONE YEAR FOLLOWING THE FINAL
IW§PECTION A)0 ACCEPTANCE OF THE WORK. ESTIMA TED RESTORA TION FEES W1LC BE HELD UNTIL THE FINAL STREET PA TCH IS
CbMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
�TYffic 'control and public safety shall be in accordance with City regulations as required by the City'Engineer. Every
N'_iflagger must be trained as required by (WAC) 296-155-305 and must have certification verifying -completion of the
required � training in their possession.
'Rest et -cut trench work shall be patched with,,asphalt or City-
orition"is to be in accordance with City codes. All stre
a'oiovid material prior to the end of the workday - NO EXCEPTIONS.
p
h e . e s6ts.of construction drawings of proposed work are required with the permit application.
3 T t
CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK
I HA VE READ THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQ01REMENTS AND ACKNOWLEDGE
THATIMUSTMAKE THEPINKCOPYOF THEPERMITAVAILABLE ONSITEATALL TIMES FOR INSPECTIONS
Signature: Date: C,/
) . I N
(Contractor or Agent)
FOWCITY1 'ONL
:IJSE� Y
A -ppr J -h e:.
,ovedby: A' r'YIA tA )�t. _. I � i , . .1 -
F .6 f.-
Ti'me Authorized: Void After fp 6el
q1I
a! ATOJ
REQUIRED INSPECTIONS: 7'
C
Call 425-771-0220, Ext. 1326for a 24-hour voice-reco*d inspection request line.
PPROVAL OF PERMITTED WORK: DA TEO�
FINAL'A
)�Spector's Signature
CADocuments and Settings\CurtisWy Documents\Forms\Engnmg\ROWpemit_.doc Rcvised 10/01/03
RECEIVEDA
PERMIT EXPIRES
Mellon
CITY OF EDMONDS
USE PERMIT
ZONE NUMBER
, 9 S& gw�_
CONSTRUCTION PERMIT APPLICATION
.
JOB SUrMAPT#
ADDRESS
b
OWNER NAMENAME OF BUSINESS
PLAT NAMEISUBDIVISION NO.
LOT NO.
LID NO.
MAILING ADDRESS
Ck V-) e_
LID FEE $
PUSILIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING - PROPOSED
REQUIRED DEDICATION- FT
TESCP Approved
RW Permit Raquirvil
Street Use Permit Rotrd
Inspection Recitilred 13
Skowsk 4quired 13
UndeMmund
Wittrig r"utned 13
CITY ZIP TELEPHONE
rj
NAME
Lx r-
METER SIZE
LINE SIZE
OF FIXTURES
Po'
PAV REQUIRED
YES 13 NO 13
LE
5
E
x
ADDRESS
R Oo
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGC
z
z
I
CITY ZIP
-�ec>
ELEPHONE
NAME
-ow
CBL#
-Tt-) ca TfifjhL-
ENGINEERING REVIEWED BY DATE
ADDRESS
cc
457411tW4
FIRE REVIEWED BY DATE
Lu
me
M
1�c
R
ITY ZIP
TELEPHONE
STATE LICENSE NUMBER
EXPIRATION DATE CHECKED BY
VARIANCE OR CU
SHORELINE OR ADB#
I INSPECTION BOND
RE' POSTED
I
13YES f4o $ ..... .
SEPA REVIEW
SIGN AREA
HEIGHT
PROPERTY TAX ACCOUNT
761ig�
ry
2
COMPLETE EXEMPT
ALLOWED PROPOSED ALLOWED PROPOS
,
,
,
ii� lay
EXP
0A
1:3 NEW
SIRESIDENTIAL
1zP LUMBING / MECH
LOT COVERAGE
REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
COMMERCIAL
COMPLIANCE OR
ALLOWED PROPOSED
3�% 3041
FRO SIDE
51,
REAR FRO;4T PRSIDf- REAR
150,
it
LADDrriON
CHANGEOFUSE
lay..
z
1:1 REMODEL
MULTIFAMILY
SIGN
PARKING LOTAREA 11`��INGREVIEWEPBY OAT
REO`D I PRO'.�
VIDEO OL
FENCE
REPAIR
GRADING
CYDS
46
( _ X_FT)
REMARKS
DEMOLISHeA44M7-[:] TANK
OTHER
oGARAGE
FIETAININGWALL
1:1
F RE SPRINKLER
CARPORT
ROCKERY
FIRE ALARM
(TYPE OF USE. BUSINE
ACTIV7LAIN:
CHECKED BY TYPE OUqRUCTION COO� OCC�IUJPANT
M;. C, o nr
I
-o JAIA I
GRO P
NUMBER
OF
NUMBER OF
DWELLING
CRITICAL
AREAS
d
SPECIAL INSPECTION JAREA
kREMARKS
1`8CCU PANT'
STORIES C�
UNITS
NUMBER
5U
C 1 0
REQUIRED [] YES 11010
E5 6 ()/
LOAD
DESCRIBE WORK TO BE DONE
VkA
I
4,
P OG SS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D
09t=!!z_=
e!)
I I a, o
I I J(�
�h 1P ,,4 . o
— �;�-7-7 1
0 0AA,1 1),
1 /"!2 , 2.e a 10 LAO I
r
PLAN CHECK NO: j.V'j / I ---) , _ I VESTED DATE
THIS PERMIT AUTHORUMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PkRmrrAPPucATioN: isoDAys
PERMIT LIMIr I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'i
'APPLICA1`9 ON BEHALF OF HIS OR� HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
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 WHATEVE4 NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR L1Mrr IN ANY WAY THE CRYS ABILITY TO ENFORCE ANY ORDINANC E PROVISION.'
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
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
IC
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
SIGNATUn"IT DATE S,
7.1r
$ � I
Description
FEE
Description
FEE
Plan Check
State Surcharge
4:;(—
Building Permit
It) -72
City Surcharge
Plumbing
/17 b
Base Fee
Mechanical
Grading
Engr. Review
Engr. Inspection
r-Ire "eview
Plan Chk. Deposit
Fire Inspection
Receipt #
Landscapeinsp.
Total Amt. Du a
Recording Fee
Receipt # 101�
CALL
FOR INSPECTION
(425).
771-0,220
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.
OFFICIALS SIGNATURE DATE
glow
ON" E
—RELEASW
ATTENTION Off 1333 ( -
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 420 6 1� b
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 0
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 ORIGINAL - FILI
09/03 PINK -OWNER - GOL . D - ASSESSOR
PRESS HARD -YOU ARE MAKING 4 COPIES
6
44
I '�t
%D
CASPER ST
VY Y
ROPE MAIN AROUND
EXISTING POWER POLE
FROM 475'S CIL & 28'E CIL
TO 470'S CL & 32'E CIL
FROM (___.2)S CIL & L_.2)E C1
TO (—')S CIL & (—')E CIL
NOTE: OVERHEAD POWER
PHONE, CABLE
SATER LANE
BRUSH
ASPHALT
W-Bound Lane CIL E-Bound Lane
GRASS
N SHOU�1�1!_
b b A
VERIZON
1 VN CL PROP. 2" GAS
—EX. SEWER 9'S CL
EX. WATER ...... 9'N CL
1O'N CL
20' ROW
ROADWAY CROSS-SECTION A -A
N.T.S.
M
PTOT PLAN 9-S CIL (___:)S CIL
S&LE: f" ;; 50'
EOM
2" PIE CAP
9'S CIL & 460'E CIL
L_:)S CIL & (—')E CIL
FITTER (CHECK E30X IF COMPLETE)
Work area left in Clean & Safe ondition
Complete all Pipe Tables and Gas Pressure Stamp
Field changes Red —Lined on as —built
Material verified and Changes noted on paperwork
All Valve & Tie—in Locations noted on as —built
Note beginning of Main, EOM & Line of Main locations
Show Rope Locations & Cul—de—sac Radius
Foreman's Signature
Company -
Date
STANDARD GAS CONSTRUCTION NOTES:
1 . FIELD LOCATE ALL UNDERGROUND UTILITIES. EXCAVATOR TO CALL "ONE -CALL" TWO WORKING DAYS PRIOR TO
TO CONSTRUCTION, IN WESTERN WASHINGTON CALL: 1-800-424-5555. IN KITTITAS COUNTY CALL: 1-800-553-4344
2. NOTIFY APPROPRIATE PERMIT11NG AGENCY PRIOR TO JOB START (SEE PERMIT REQUIRMENTS).
3. ALL CONSTRUCTION IS TO CONFORM TO PSE GAS OPERATING STANDARDS AND GAS FIELD PROCEDURES.
4. EROSION AND SEDIMENT CONTROL SHALL BE PER PSE STANDARD PRACTICE 0150.3200 TECHNIQUES FOR TEMPOR.ARY
EROSION AND SEDIMENT CONTROL AND ANY ADDITIONAL LOCAL JURISDIC11ON REQUIREMENTS.
5. NOTIFY PROPERTY OWNERS ADJACENT TO PROPOSED CONSTRUCTION ACTIVITIES A MINIMUM OF TWO WORKING DAYS
PRIOR TO BEGINNING CONSTRUCTION. USE iSI TO DISTRIBUTE FLYERS IF JOB IS LARGE, OTHERWISE HAND
DELIVER FLYERS BE SURE TO INCLUDE THE LIST OF FREQUENTLY ASKED QUESTIONS AND INFORMATION ABOUT
THE OPPORTUNITY TO PURCHASE AN EXCESS FLOW VALVE WHEN THEIR SERVICE IS INSTALLED OR REPLACED
PER GAS OPERATING STANDARD 2550.1600. ALLOW ADEQUATE TIME FOR CUSTOMER DECISION AND RESPONSE.
6. ANY CHANGE IN ROUTE, PIPE SIZE/TYPE, TIE-IN METHOD OR ADDITIONAL MAIN FOOTAGE MUST BE APPROVED BY
THE APPROPRIATE PSE ENGINEER OR PSE REPRESENTATIVE.
7. COMPLETE "PIPE CONDITION REPORT" ON ALL METALIC PSE FACILITIES. CHECK BOX ON REPORT FOR "RE
BOX (TEST LEAD) INSTALLATION.
8. PIPELINE MARKERS AND WARNING SIGNS SHALL BE INSTALLED AND RECORDED BY THE CONTRACTOR PER PSE GAS
OPERATING STANDARD 2525.2500.
9. INSTALL MAIN VALVES OUT OF TRAFFIC WHERE POSSIBLE. VALVE MARKERS SHALL BE INSTALLED AND RECORDED BY
THE CONTRACTOR PER PSE GAS OPERATING STANDARD 2525.2600 FOR ALL HP VALVES IF THE LOCATION IS
NOT READILY ACCESSIBLE, AND FOR ALL VALVES WHERE PERSISTANT SNOWFALL MAY OBSCURE THE VALVE BOX,
10. TO PREVENT ACCIDENTAL OVERPRESSURE OF ADJOINING SYSTEMS, NO TWO MAINS SHALL BE CONNECTED EXCEPT AS
SHOWN ON THIS DESIGN UNLESS APPROVED BY APPROPRIATE PSE ENGINEER OR PSE REPRESENTATIVE.
11. SYSTEM !AAOP DENOTED BY: ISYSTEM MAOP = -45- PSIG
12. GAUGE ANO MONITOR USE OF ALL STOPPERS TO ENSURE ADEQUATE FEED.
13. RESTOM ALL DRIVEWAYS SUBJECT TO OPEN CUT TO ORIGINAL OR BETTER CONDITION.
14. PURGE I "INTS AND PRESSURE TAPS TO BE INSTALLED PER PSE GAS OPERATING STANDARDS 2525.3300, AND 2525.1200.
15. MAINS A!"D SERVICES SHALL BE TrSTED AN D PURGED PER PSE GAS OPERATING STANDARDS 2525.3300 AND 2525.3400.
16. IF METALL!" PIPE IS INVOLVED, COORDINATE INSTALLATION WITH CP TECH.
-------- PHONE ---------
17. NOTE ALL W"TUAL FOOTAGE, LOCA-ION AND MATERIAL CHANGES ON THE AS -BUILT IN RED. DENOTES
FOOTAGE BF-AEEN FITTINGS.
GAS MAIN INSTALLATION/RETIREMENT
TypefWork
Pipe Size
Type
Estimated
Length
Actual
Length
Manufacturer
INSTALL
2$1
PE
430'
GAS MAIN PRESSURE & TESTING
TYPE TEST
PRESSURE
TESTED BY
DATE ON
TIME ON
DATE OFF
TIME OFF
TYPE TEST
PRESSURE
TESTED BY
DATE ON
TIME ON
DATE OFF
TIME OFF
Design Press 60
Sys mAoP 45
PROJECT, PHASE
NOTIF#
ORDER#
S,AP Superior
Service/Meter
Service/Meter
Service/Meter
Service/Meter
Servioe/Meter
Ind. Service
Ind. MSA
Dis. Reg. / FT
HP Svc/MSA
Relocate
Retirement
X072387401
1107021555
X825676990
106138456
X435885231
106138457
X875707300
106138458
X181243755
106138459
X332178596
106138460
Contractor CONSTRUCTION COST CODES:
041-103-1 1 1 T-
Project Manager Contact Infortnatlon:
KIM GRAY
CELL: 425-290-2678
EMAIL: kim.GRAY@pse.com
REV# DATE BY DESCRIPTION
. Wdinity Map
WORK SITE
�Nx
PU(I01 D
M�4.ifyil_n P
_Oindll)) U1
Spot L�t 524,)
Intn P1 1 -4
CD
T"
St <:1
Z It
Dq1.. .. .......
, _ies— ..... .. . .......
dMands �ot
Bell st
Z Z
Z:
<
t S t
. . ........ X,
Owner/ Developer Contact Info
MARGARET TOKAREFF
610 SATER LANE
EDMONDS, WA 98020
ATTN: MARGARET TOKAREFF 425-778-9009 office
CALL (800) 424-5555
2 BUSINESS DAYS BEFORE YOU DIG
THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF FACILITIES
REAL ESTATE/EASEMENT PERMIT
N/A CITY OF EDMONDS
FUNCTION CONTACT PHONE DATE
3
PROJECT MGR
KIM GRAY
208 18 233
9128104
2
ENGR- GAS
DRAWN BY
JOHN MOSS
206-418-4253
9130104
CHECKED BY
KIM GRAY
206-4'
Mk)19=0 -Qg=r%T
GAS WK CTR
APPROVED BYd -2
KIM GRAY
206-418-4233
lu
F-1
SNOHOMISH
5
MCNSEG
CP APPROVAL
El
1/4 SEC
OP MAP
PLAT MAP
MAPPING
El
NW-24-27-03
160.062
162.066
JOINT FACILITIES ARRANGEMENTS
1:1
UTILITIES
M
CONTACT
PHONE#
PUGET MARGARET TOKAREFF
SOUND
2" PE 1P MAIN EXTENSION (5 LOTS)
ENERGY
610 SATER LANE, EDMONDS, WA 98020
DESIGNED BY PILCHUCK CONTRACTORS INC.,"- _`%,
107021555
SCALE: PAGE
is, = 50' 1 1 /1