623 ELM PL.PDF11154
623 ELM PL
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ADDRESS: 623 ELM PLACE
TAX ACCOUNT/PARCEL #: 00736400002500
BUILDING PERMIT (NEW STRUCTURE) #: BLD19850038
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: DETERMINATION: El Conditional Waiver Ej Study Required E] Waiver
CRITICAL AREAS #: DETERMINATION: El Conditional Waiver El Study Required El Waiver
DISCRETIONARY PERMIT #'S: PRD 1983-1, ADB 1983-88,
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER - list permit Vs):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED: January 7, 1985
SEWER LID FEE $:
LID #: ESR 279
SHORT PLAT FILE: P 1983-9
LOT: LOT 25
1 BLOCK: ELM PLACE BLK 000 D-00
SIDE SEWER AS BUILT DATED: March 25,1985
SIDE SEWER PERMIT(S) #: 07271
GEOTECH REPORT DATED:
STREET USE/ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED: None in file as of September 17, 2008
OTHER:
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I Y U NL A W - 70 UIL'C)NG' STPUC,
UN I E C T i C. N' 4A1 BEEIN' VACE iND -%PPPO�IAL OR YELL
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CmAPTER 3 WN. 7 28
PINK O*rts! GOLD
RECEIVED
..CITY of EDIONDS TIDE SEWER' PERMIT
., 71
For Inspection Call 771-3202
-0-99[rd WOOZ
Address of Construction: (St z VVX
Property Legal Des tion (Include all easements)
cri�
Owner and/or Builder:
Contractor & License NO: VA C) —
lqr
00
CD
CC
Single Family Residence t�5/=
Multi -Family (No. of Units
PERMIT NO.
.VIA EDMONDS WAY
TRUNK LINE
'LcA, -2�G'l
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No Yes (If -Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No Yes (If Yes, easement required,
. attach legal description and county easement number.)
PLEASE R AD �,fi
E I;TrE"LISTED ON THE BACK
1. 6eyrtAfy—th'6t7 h�Yve read and shall comply
with the i tem8' 1,i"*s'ted on the back.
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Permit Fee: Issued By:
Trunk Charge: Date Issued:
Assessment Fee: Receipt No.:
Partial*Inspection:
Comments
Final Inspection Approved: �� - Zs -as
Date Initial
Rejected:
Reason
PERMIT MUST BE POSTED ON JOB SITE
Wh.ite Copy - File Green Copy - Inspector
Date Initial
—0-5—te —Tn—itial
Buff Copy - Applicant
4*�� t
The City of Edmonds Side Sewer Drawing I I
EASEXTENT NO, .. ..... _ k
\'I-',W CONSTRUCTION REPAIRS LID NO. ASMT. -,NTO.
'7
OWNER ------ .... ........ ....... ------------ CONITRACTOR
.......... .. PER,,,TTT NO.
JOB ADDRESS ....
...... El._M 7
------------------ LEGAL DESCRIPTION: LOT NO.. Z . . .......... . .... BLOCK NO . . ......... . . ---- ---
----------------- ............................. ------ --- --- ------ - - -------- -
NAME OF ADDITION - --------------------_---- .................................
(023 P-1-M F
+
4"cm 6.
,hv
PVVVV-000 I - 11175 (R EV. 11178)
Approved:
VI/ --------------
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DATE �U_qt* By
A/ Z L A-J -D 1710 Al C
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rn
RES
LINF-S 'DE,
1. 7 Ly 5-1 T-., L V 72 E A,
to
SCPL r_ YS 70 B .2 2 -S-0 0
P
RTRFET FILE
ENGINEERING
&
PUBLIC WORKS
PROJECT
REVIEW
CITY OF EDMONOS
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5 114 GLE FAMILY MULTIPLE COMME ;( I AL
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PROJECT tWi[
CONTACT NAlif I TELEPHONE NUMBER
ADDRESS --7)
INITIAi I DATF I
ACCESS SLOPE AND VEHICLE ACCESS
DRAINAGE PLAN
STREET FILE
LIGAAL DESCRIPTION VERIFICATION
QUIT CLAIM/fXVICATIONS
CASEMENT - PUOLIC/PRIVATE
CALCULATE SEWIR COUNECTION IF NO LID I
SIRM PAVING REQUIRED
CURB AND GUTIER REQUIRE
SIDEWALK REQUIRED
CVRJ3 CUT FOR DRIVEWAY REQUIRED
RIGHI-OF-WAY CONSTRUCTION PERMIT REQUI
BOND REQUIRED FOR PUBLIC IKPROVfMENTS
STREET NAME SIGN REQUIRED
OTHCR SICAING REQUIRED
1XIS71RC WATER MAIII SIZE
WATER AAI
SfRVICf L
11YORAUT SJ
HYDRART III
'CROSS CbWi
WATER IlfIE
REVIEW BY
e_-
e,
(AZOITIONAL COMMENTS ON BA(
SANITARY SEWER MING IlUXBER FILE 1011BER
SIDE SEWER AVAILABILITY SANITARY SEWER C0111ECTION FEE RZQUIRZD
OPEN DIICH EXIST111r, RE
CULVERT RrqUIRID 'k"t Q,
Ulu vs1m uQUIRED
INDICATED 0" SITE PLAm
SHOULDER DRAIMG( IVINTAIN COLLECTIOil On SiuLf OPEN RUtlofF
ftmilotf REQUIRED I INDICATED 01 SITE PLAN
SOIL CONDITI
OUND iaTCR LD CHECKED
PIVIEW By PATC (ADDITIONAL COWNTS ON BAC
0 -
0
MEMO TO Building Division
Planning Department
FROM: Engineering Division
Publ ic Works Departiiient
__6
DATE IlIZ-1f i—
SUBJECT:
After review of the subject Building Permit application, we have the following
comments:
1. Connection to City water system required.
2. Connection to City sanitary sewer system required.
3. Right-of-way permit required for any work on City property.
4. Driveway slope not to exceed 14%
5. Backwater valve required if downstairs plumbing is below elevation oF
upstream manhoT—e.
6. I -later and sewer lines to be seoarated by 10 foot minimum.
V
BD 6/82
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