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613 ALOHA WAY.PDFiiiiiiiiiiiiii 10147 613 ALOHA WAY FAID APR 2 2 1960 City of Edmonds --- Water Department TAP CARD PAM APR. 2'2' 1960 Date ............. MeterNo ............................... Tap No ................. ....................... Sim....... ..................... Sim ................ ..... ................... . For Lot No ......................... Add. ............................. Service Location Meter Location ...... no, I .................................................. . .................................. . ....... . ........ ....... . .... ................ Make Ta .................................................................... ........ ........... . ...... ... . ........ p Pressure .................... . ........ lbs. Test. Send Bills to .......................... . .............. Date of Work 00 ...... . ............... . ................................ ry/ Foreman Guar. Voucher No ........................... . .............. $ ................................... �7 ..... Remarks: ............................. . ......................... ............... ... . ................ ! .............. ... . ................................................... .................................. . ................. ....... . . ............. — OUTGOING Index.. ----...-.Reg ....... Route Bk .... . .. StenciL ..... Card... — INCOMING Index .... . ... Reg ------- Route Bk ... . ... StenciL ..... Card._._ *rial Chargeable to Installation Wrs NO. AIZE DESCRIPTION Meter----- - ------------------------------- RATE -------- AMOUNT MeterBox ..... . .......... . ........... .............. ............... .......... Meter Plate ....... ... . ............... .............. . . ......... . . ....... ............. .......... Check Valve ............... * ---------- ------------- - - ---- - --- ---------- ............... ......... Pipe, Galv. Screw .................. .............. . ......... .......... ............. ....... Nipples .................................... ....... ...... . ......... I --------- .............. .......... Bushings .................................. .............. .. . .......... .......... ............... .......... Plain Ells ................................ .............. .. . ........ .. ........ ........... ... .......... St. Ells ... i ................................ .............. .. . ........ .......... I .......... ... . . ...... .......... Tees ...... --------------- ..... . . ........... .. --------- .............. .... ........ — ---------- .-. ........ I- - .-A..... -1 . .. . . ... ....... ..... ....... ----- ............. .... ............ ..... ....... ..... ------- ............... .......... ....... . .......................................... ... . ........ t'l�w - ---- - -- --------------- ......... . ... .............. -------------- ......... .. ........... H.—M ....... ........... Material Chargeable to Taps Connected NO. SIZE; DESCRIPTION RATE AMO NT .............. . ........ Pipe, Black Screw .................. ............. ............. ...... ...... o ....... .......... Pipe, Galv. Screw .................. ............... ............ ......... .............. .......... Lead Connections ................... .............. .......... — .. ....... ------- ----- ........ -- :- ... Curb Cocks ............................ Corp. Cocks ........................ ... .............. ............. . ... . ..... ?- .............. .......... Unions ................................... ............ . ............ ......... .............. .......... Saddles ................................ ... .............. ..... -..— .............. ........ m. Nipples .................................... ............... .......... . ......... --------------- - ------- Bushings .................................. .............. .... . ..... .......... ............... .......... Plain Ells ................................ ............ ............. .......... .............. .......... Street Ells .................... 7"-"' " ' ------------- - ........... .......... ............. — ....... Tees ..... ...................... . ....... ............... ........ . . .......... .............. .......... Curb Boxe]s ........... . ............... .... ------- ------- ........ ............. .......... S. 0. Extensions ..... . ............. .............. ............ ..... .... ............... .. a ...... . Gates ........................................ ............... ............ ........... .............. .......... Plugs ........................................ ......... . ... ............ .......... ............... .......... Couplings ------------------------------- ............... ............. ......... .............. ......... Gate Boxes ............................ ................ -------- . ........ - --- ---- .... . .. .............. .............. .............. .......... ........... .... ..... .................. .................................. I ................. .................................. ........................................................... ............... ........ . ----- - ............ 0 .......... .............. 0 ....................... .................... ...... ............. -------- .............. .............. . ........ - -------- .......... ..... .......... ............ 0 .............................................. ------------------- ---------------------------------------- ................... .............. 0 ........................ .......................... 0 ................................ ........................................................... .............. -------------- .............. .............. .............. ....... ..... .?.z . ..... ............. ------------ ....... .......... - -------- ............... .............. ............... .............. .... 0 ..... ...... 0 .. ......................... 0 ................................. ...... 0 ............................. 0 ...................... Hours Time —Day Men ........ Hours Time -Monthly Men..J-Y�/ .......... ............... ... . ......... ....... ..... . ... ............ --------- ......... .. . .... . .. . .... ... .............. Hours Time —Auto ............ ... .............. --, - --- ---------- .............. .......... Superintendence ...................... Total.................. ......... . ... ............ . 0 YO 'r '-" '9 z ADDRESS: TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: CRITICAL AREASV DETERMINATION: E] Conditional Waiver E] Study Required [—] Waiver DISCRETIONARY PERMIT DRAINAGE PLAN DA PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS(OTHER): NWOM PLANNING DATA CHECKLIST DA SCALED PLOT PLAN DA SEWER LID FEE LID SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED. 4f 5 -7 (D SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED - STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED: ZA LQ 0 OTHER: LATEMP\DSrs\Fonns\Street File Checklist.doc �N N, APPUCATION" BUILDING PERMIT ,�Ppu NO'. — ary 0 1 F EDMONDS Ruikfin.g Department t it�, v APPLICATION is hereby niade for a permit to construct the fOBOwing work.,� in accordance. with thC pany.ing plans and specifications. Two sem am submitted hem -with for approvall. Off new a] teT -St. Parking Wojk addn repair ...................... -------- - - Occitpancy ............. Const. type . ............ r . .......... Use zone .. Lot...' Blk ....... . .. Address 73 . . ....... .. .......................... .... ... N� .......... septic tank._� �_. Lotf�.7ontage ........................... ............ Aim ............. ....... -�acks front ... ....... r. ......... Bldg. set 4 A— ..... . .. . ... Addrm ...... . .......... . . ...... TeL No_'.__�:. owacr Builder/ Add---Zf N .......... Plarisby ............... ....... .......... ....... . ............... Address ..... �7' -V Remarks, ...... ......... ......................... .............. ....... V, 7be above is a correct statement, and I agree to comply with all appUcable Codes and State: laws r4�Utirid work. Signed Da 7— PERMIT for the above work is hereby app-oved, subject to the above conclitiorm and to �Complianceynt�h notations themon.' pwv,,d plans and specifications, and Building Dcp;�Ytmcnt riiii Valuation ............. Pe t fee . ....... 2�0 ....... Reed.: by N-4 —7- t,e �,J 60 . . ...... . .................. Da Building Departmenz, By ........... . ......... INSPECTION RECORD Final, Fdn, OK ........................................ . ... Frame, OK . ..... . .. This Permit does not cover Plumbing, Se"Jer Or FL-ct7ical it.��loti �,W ........ . . . . . . APPLICATION The City of Edmonds for EASEMENT NO - -------------------------------------------- SIDE SEWER PERMIT 214-09SOO NEW CONSTRUCTION F-1 REPAIRS 0 LID NO . ................... ASMT. NO . .................. OWNER............... B-,.--R,..Aill-aud ------------------------------------------------- CONTRACTOR ................. ------------------------------------------------------------------ PERMIT NO - -------------------- JOB ADDRESS .... 613 Aloha.y4y ........................ .................................................. is 0 &L! s J7 Q7 LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ----------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ NAMEOF ADDITION -------------------------------------------------------------------------- ----------------- -------------------------- DYE TESTED ON SEIVER - May 6, 1976 By Jim Jensen Approved: DATE............................................ By --------------------------------------------------- j-j7.j!y