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TAX ACCOLTNT/PARCEL NUMBER:
BUILDING PERMIT (NEW S.-I
I
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: E] Conditional Waiver C] Study Required E] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE LID#: 7
1-7-22--
SHORT PLAT FILE:-5' I LOT: BLOCK -
SIDE SEWER AS BUILT DA:
SIDE SEWER PERMIT(S)
SOILS REPORT DA
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DA
OTHER:
L:VMMrDSTs\Fornis\Sara File Chocklist.doc
USE 'ERMIT
ZONE NUMBER
1077i�TNG DEPARTMENT
nt Fill
PERMIT APPLICATION
Insi eavy Lines
JOB
ADDRESS
NAME (IjFI PJA.0 OF DU,SlNC SI "'q C '�r
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EloNe NUMBER
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PLANNING DEPT- APPROVAL
NAME
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ETXISTING STREET R/W (� r�a) C) F T. 6EFtCIE
ADDRESS
COMP. PLAN ST. R/w 60/&OFT. (D IT.
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CpHoNE NUMBER
REMARKS
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STREET AND/OR UTILITY
0 NO
WORK REO'D
Uf4DERGROUND XYES
WIRING REO'D 0 NO
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F-� rXCAVArE FENCE
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OR FILL
S ..D a LULAItU 1. TmE t;i I Y
PLAN CH C
OF EDMONDS. LOCAL :ALES TAX
REPAIR P R
INsP. POOL
EMA s
NUMBER OF STORI s
NUMBER OF
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NATURE OF ORK TO BE DONE
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HEAT & GAS LINE
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reNcr
SIGN
RETAINING WALL
SWIMMING POOL
the tn-
TOTAL AMOUNT DUE
I hereby aekrowkdg. th.t I have 4 thlo application: that
fortnatlon gly- Is —1-t: ond thnt I — the owner, or .,to duly,futhe"
I as 00 1 —d to I... 'e9u. NTION
I,ld e.t -f th r. I agree to comp y with City ATTIZ
APPLICATI ON APPROVAL
rk authorited thereby. no pqrbon
I.tIr" t,uetjor: nj 1. dol.t the we THIS PERMIT
of the Late), Ced, of the St.t. at WIuutInjrton
This application Is not a permit xintill
wIll be en,pl.yed In violailon
'ejetI.If to W.rU.e-'- Co-P-n-Ittle- Ine""""'
AUTHORIZES
signed by the Building Offil!lal 01 his 1)"I'
L 'S ht,h ONLY T.0
,. pt nr..ItO ITION
NOTE: Permit Limit one Year IF C , ORK No'cD
uty; and fees are paid, and receipt is ac-
ahall be cornpleted In w.,ty d.y.: MOVED-1.4 Bumnf.NGS ehall be
knowledged in space provided.
pleted In six rnunthA-)
INSPECTION
1� —
si TURE ..0. AGENT)
OAT GNE
EIIARTMENT
QIRE . T R", , IGNATUR
A
CITY OF
EDMONDS
1%.,O,T,.,: Ipplicallf S,11,ject to I'lan Check /-cc
775-2525
This Permit covf,rS work to be don? on private property ONLY.
d"vaways.
ORIGINAL - 10t- YELLOW
d
Any construction an the public amain (Curbs. siclowalks,
marquees, etc.) will require Separate permission.
and apDroved
Initial
Date
1.
canitary sewerlee installed
2.
Water line installed and approved
3.
Drainage installed and approved
4.
Driveway
home
S.
Underground wiring installed to
6. Other
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p. jj,,��7LCTIONS_
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FOUNDATION,
HouSC
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HEATING Sys-
�VALLBCARD
FINAL
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F-1 82191
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.4 1 T-,,, 1.4
DESCRIPTION
4W
LOT 2 IN SECTION 24, TOWN SH I
.%.jHAT-, PORTI ON'OF GOVERNMENT
RANGE 3 EAST, DESCRIBED AS FOLLOWS*
. .,NORTH 'AT THE INTERSECTION OF THE SOUTH LINE OF THE NORTH
COMMENCINr-%
2 WITH THE WEST MARGIN OF 7TH'-,
"FEET OF SAID GOVEPNMENT LOT
,P��`.`,"AVENUE` PRODUCED NORTHERLY FROM THE CITY OF EDMONDS, WASH I NGTO
�D
'ALONG THE V,EST MARGIN OF 7TH AVENUE PRODUCE
THENCE -SOUTH
THE POINT OF BEGINNING;' THENCE
ISTANCE,oF-309.67 FEET TO
286.58--FEET;%THENC
ONTINUING'SOUTH 76.00 FEET;THENCE WEST�
�"06�FEET; THENCE'EAST'236.58 FEET,'TO THE --',POINT OF
r
.)RTH-76
BEGINNING- ;
-.:-EXCEPT., THE., EAST 190.58 FEET; AND
FOP'
E X C E P T THE�SOUTH 40.00 FEET OF THE 14EST 20.00 FEET
S PY OUIT CLAIM �DEED`�-'AA�
4�-,�,,;ROAD:'AS!'- DEEDED TO THE CITY OF.EDMOND
22
V. �i� 98710 AND"PE-RECORDED -
RECORDED' UNDER AUDITORTS FILE 1,10.
W�NNDER'AUDITORIS`-. FILE No. 2345023.'
IASHINGTON.-,�*;.
E.*,, I N T HE. COUNTY OF SNOHOMISH,- S TA T E 0 F
S I T UAT
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SIDE SEWER PERMIT
CITY OF EDMONDS
WATER -SEWER DEPARTMENT
PERMIT
construction.)
Call 775-2525 for side sewer inspections BEFORE covering any portion of the
or holiday Inspections.
Inspection will be provided within 24 hours after requst. NO Sat., Sun.,
cTION ....... �Q9 Sater Lane
ADDRESSLOCATION OF CONSTRU ................. 0 ................................................................................ . .......................................................
SEE ATTACHED
PROPERTYLEGAL DESCRIPTION ........................................................................ ------------------------------------------------------------------------------------------------------------
..................................................... . .......... . ........... ........................................................................ ............. .. ......................................................................................
----- OWNER AND/OR BUILDER -_JACK VANDERMAN . .......................................................
........................................................... .................. 0 ................. ..................................
C, S NAME & ADDRESS - R11. ------------------------------------------------ - ------------------------- - -- - -------------------------------------------------------
-,TRACTOR?
May 27,
.1 Pe��ion Is granted ........... . ..... 0 -------------------- o ------------ 197�, for repair and/or connection of a side sewer to the city sanitary sewer
F—,-tem In accordance with City of Edmonds ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
—The owners of the property may obtain a t to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct
NOTE No. I permi
side sewer In street area. Do not cover any portion of sewer before it has been inspected.
NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office.
NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
No bends in grade
minimum grade of 2%.
NOTE No. 4—Top of side sewer must have at least 30 inches coverage al property line and 12 inches inside property line;
sharper than % will be permitted.
responsible for failure due to improper
NOTE No. 5--Trenches in street must.be water settled and surface of street restored to original condition. Contractors shall be
work which may develop within one year of completion.
s provided for in the permit, or to do any work on the main sewer or its appurtenances except to in-
NOT�] No. 6—It is unlawful to alter or do any other work than I
sert the pipe into the wye.
Da ... . ...... -------- By.0 ............ Date ................. ei5?� ....... By ................ Date ................ .......... ....... By -
DISAPPROVED E] .................
:3
............ ------ ........... --------- -------------------- ---------------
APPROVED a. B>Y . . .....
... ............ zdf:?�� ------
%�� r - ------------ --- ---------- .........
Z ..... .. .......
7,1
....................
.... ...... . ......... ............................. ...................................................................
Remaxks: ------- ----------------------------------- - --- -----------------
............. ..................................
..................................................................... . ....................................... ................................................ . ...........................................
BO rm* Copies M T Si ed By Owner of Firm Performing Construction PRIOR To Request For Inspection
T
ewer instal on constructed under this permit
................... o... .. ............ ......................... .... hereby certify that the side s tall i
P f Ing Construction)
c6wner of o ra ng er c
-alled in accor 'c a ning ordinances of the City of Edmonds.
was inst
.......... ...........
Dated this.. day of ...... . '41 --- :r
e --- - ------
te ---
Check BEFORE you dig for: Water 0, Gas E], Telephone E], Powe< E ]�,Sewer E], Other 0
7
-M
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APPLICATION
The City of Edmonds for EASEMENT NO. --------
SIDE SEWER PERMIT
ril ........ ASMT. NO - ---------- -------
NEW CONSTRUCTION REPAIRS LID NO.
OF, NER ------ 4-1 --- ------- CONTRACTOR ------ -------- A ---- W-A ----- ------------------ PERMIT NO - -------- - ----------
C
JOB ADDRESS ...... —A e< ......... LEGAL DESCRIPTION: LOT BLOCK NO - ------------------------------------
------- ------------------------------------------------------------------------------------------------------------------------------- RECEIVErr
NAME OF ADDITION ..... ...... ----------------------------------------------------------------------------- IWAYTT-1978
Public Works vex,
DATE............................................ By --------------
F-182191
UNI T 1
DESCRIPTION
THAT PORTION OF GOVERNMENT LOT 2 IN SECTION 24.. TOWNSHIP 27
.NORTH.. RANGE 3 EAST.. W.M... DESCRIBED AS FOLLOWS:
COMMENCING AT THE INTERSECTION OF THE SOUTH LINE OF THE NORTH'
-45 FEET OF SAID GOVERNMENT LOT 2 WITH THE WEST MARGIN OF 7TH
AVENUE PRODUCED NORTHERLY FROM THE CITY OF EDMONDSO WASHINGTON;
.7HENCE SOUTH ALONG THE WEST MARGIN OF 7TH.AVENUE PRODUCED,, A
DISTANCE OF 309.67 FEET TO THE POINT OF BEGINNING; THENCE
.'CONTINUING SOUTH 76.00 FEET;THENCE WEST 286.58 FEET; THENCE
NORTH 76.00 FEET; THENCE EAST 236.58 FEET TO THE POINT OF
BEGINNING;
EXCEPT THE EAST 190.58 FEET; AND
EXCEPT THE SOUTH 40.00 FEET OF THE WEST 20.00 FEET FOR
ROAD AS DEEDED TO THE CITY OF' EDMONDS BY QUIT.CLAIM'DEED
RECORDED UNDER A,UDITORIS FILE'NO. 2298710 AND RE -RECORDED
UNDER AUDITOR'S'.�.FILE NO. 2345028.
SITUATE IN TH.EICOUNTY OF SNOHOMISH..- STATE OF WASHINGTON.
f
PUBLIC WORKS REVIEW ROUTING
SrREcr FILE
SITE ADDRESS:
BU=L'qG D=. SUSPI24SE
TYPE: iTISC..BUILDING PERMIT (CHECK ONE)
r---j
SIDE SEWER PERMIT
RIGHT-OF-WAY PERMIT
STREET USE PERMIT
E�
-=GATION/SPRINKI.ER
r---j
STREET TREE PERMIT
=
SEPTIC TANK DESIGN PERMIT
=
FENCE
GRADING/Fill
NEW METERMATER SERVICE
DEMOLITION
RELOCATION
OTHER:
SUBDIVISION REVIEW
PLAT/PRD REVIEW
I= APPROVAL FOR OCCUPANCY
DRAINAGE PLAN
IN
OUT
Reviewed By: Date Reviewed
(See Comments'�
1:311/oFFICE
ADMIN.
CTTLY ENGINEER
V
DRAINAGE ENGINEER
A
-7
WATER/SEWER DIVISION
STREET DIVISION
WORK ORDER COORDINATOR
UTILITY BILLING
Eli
Or—FTCV, Arf.jj',�TJSTRATOR --
JoG OUr
RECORDS (FILE)
OTHER:
COMMENTS:
f/ 3
MEMO TO:PUBLIC WORKS SUSPENCE DATE '71e,9 719 1
FROM: BUILDING DEPT.'
SUBJECT: SINGLE FAMILY FINAL INSPECTION AT
The Building Dept. requests that the Engineerinq Dept. review the
following items prior to final.occupancy being granted at the above
address.
Initial Date
1. Sanitary sewer line installed and approved
Water line installed and approved
3. Drainage installed and approved
4. Driveway vo\)
5. Underground wiring installed to home
6. Other NE
SOWET FILE
CITY of EDMONDS
Civic Center Edmonds, Washington 98020 Telephone (206) 775-2525
December-1, 1976
Mr. Jack Vandeman
619 Sater Lane
Edmonds, Washington A020
Dear Mr. Vandeman:
SUBJECT: Storm Sevier Installation Sater-Lane
An on-sitb inspection was conducted by a member of.my.
staff on November 24, 1976, which revealed that the storm
sewer system is. now complete.
The storm sewer system was installed in accordance'
with City Code and is approved as of this.date.
If you have -any questions, please contact this office.
Yours very -truly,
LEIF R.JARSON, P.E.
City Engineer'
I%rJN/lsc
cc: Building Dept.
MEMO T,O Harry Whitcutt
Building Official
FROM Richard H. Allen
Assistant City Engineer
SUj,3JECT Building Permit Application For �19 Sater Lane
1. Catch Basin and 811 concrete storm sewer required in:1011
easement from Sater.Lane to creek per City specifications..
2. Check setbacks -site drawing'not clear.
3. Bond requested for drainage work prior to.i.ssu,ing permit.
RHA:pab.
Reviewer's
Tnfi.i I c
Permit Address
—*gal DescriptionLOT 15.
-7 12.
BUILDINIG PERMIT UVIE10 ENGINEERING DEPARTMENT
CPECK LIST
Septic Tank System nesign Approved
Sanitar Slit. of Dwn. No.t
y Sewer Availabilit.110
Project: L Side Sewer Availability:
*100 Any Sanitary Sewer Connection Fees
Site Drainage Checkede cows" Tc& Swim eobr) I
5. Storm Sewer Availabilitv: Sht. f Dvlq. tlo.-
YES W q Ir
Project: !OM�&J*side Ditch U
Grading Final Contours hl OT SHOW W 001PUW45 LV60-
Sidewalks (Site Inspecti-on shows condition of.existin.n vialks as follows):
A0.000Curhs NOT
C b Cuts—
u r
P, Street Lightinn
Street Right-of-way & Bldq. Setbacks: R&56ht.
of Dwq. No. of Official Street Map.
Existing Utilit Easements
0-QM MOO 4 SW PL
Xa-"Access Easements
Water Mains & Fire Hydrants (Indicate Size '.later Main)
;15 Bonds for Site I-lork
�16 Special R.ePuiremPnt§ listed in memo to Bldg. Dept.
Saw mwwo
lAe Commercial.& Apt. ReqLli,rpmpnts form comnleted
>80-0*00'Drawings stamped & notations made IZO-Ar
Site*Inspection made o
n 14,17
All, items filled in on Bldg.' Permit Application
This Lot included in SubdivisionS731-1 2. (List any special requirements)::