625 CAROL WAY.PDF11111111111111
10509
625 CAROL WAY
ADDRESS: b,
TAX ACCOUNT/PARCEL NUMBER:— . 00541 (Q61pcA)t)5b-(-)
BUILDING PERMIT (NEW STRUCTURE): 1%Q9?)Z4q (Hg)
COVENANTS (RECORDED)
CRITICAL AREAS t/ DETERMINATION: [] Conditional Waiver E] Study Required E] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DA:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER): lq-77-0425(6
cncp�
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
S6VER 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 DATED:
OTHER:
LATEMP\DS'rs\Fonns\Street File Checklist.doc
71 ;.`7 � r. ;77777
cP
PERIM.. 49
68M
ED 014
NU]d3JxK
Appll�Zat Fin'
NT
]�k 7151 OF!,. P x
5 joB ADDRESS 1.
na
ION
I H,
J,
Its or? RUSIN SE;TRACK I STR
WIDE YA
VAC
YEW NO
LOT AREA z
us ZON
/y,
0 E UX)RER C
MIJILDING AJtEA
Y, Hy on,'.
NA.hLM
PLOT PLAN A.PPROVED
4,
T�
D an wrurcr R1w ,E7,czNcr Tuls PROPER
— — — FT'
EXISTING 3TRZ= R/W Z i 04
MPHONE NNI&H C.0—PLA11 ST* R/W z
A
AJ" d Drawing'#103..:
. z
indicated on Standa
Y
d ADDRESS CUE
MB
UONE N
ITY 'By
HVI L CLEAItANC JC�
BECT
LICENSE NUmBELK
STA E LICENSE NU IBER
RE
a ot Ftoptrty (Sn
Leg.1 Dee� puon ot
At TYPE CONNECT10N
TN
k ACE
z kcll�%
" I
r: 1:11
....... OVYT
N STREET ULP
z TYPE 0
OCc ANCr GROUP.
E3 NO,,:
0700
QUIRZD
INSPECTOR
17
0 YES
GAS 6_0
FLAN CILECKED "x
NEW.
NTIAL
r
ED eNoS__L7__J 'RETAINING
ADD WALL
V,
OLJSH
DEM A.'LA
IIE14CE
If
ILT.R AVATE ...... jt_.—Ft.)
El ORCFILL
VE SWII&
PRrldO 4'
I'SP POOL
REPAIR
—ffU.HER OF N L�
ibdzit Off
_LLING
uNITB
tn'
veination Recelpt
r Pien Cheek
BUILDIN I G
PLI.IMMrNO
Ice
HEAT & GAB LJNE
PENCE:
N
RETA�NTMNG WALL
SWIjoaNd POOL
Iro,
DzwoLITION
q
prLZ-BCOVE INSPECTION
-It
M
EXCAVATION OR PILL t�!:;
T AL AMO DUE A
IM
I hereby ganmledge thAt I hale "'d tW' "pli"tiou: tbnt the In'
the duly nothw- 440.
sl�eb W co�t; end thAt I � the o,wn�r, �- APPLICATION A0P1Z0VAL"'
to mmply w1th city =4 9W� ft� ATTETMON
regn ""PN,
W.M"on
doin be ork _Zh.,Ld thereby. is not 8, p4rmit,
*7
lZed -Zt
.9. labor code of U. at-te .1 Wnehl-cton TM cati 4,
will'b'. employed In vl(A&tl- of signed by the BUIlding Offic"I -,his 1:�ep
I= Ioeuren�.
relating to Workmen's Colopen"t uty; and fees are paid, and receipt is sc-
IjT10.115 �ht�h WORK NOTED . I � )
NOTE. Permit Limit OnE Year (E-t-pt DxHO knowledged in space provided.
OV,,_IN BUILDINGS bAli I-
e.H be ompleted in ninety dny8
PECTION ;U_zFUw—s gic �?URZ
DATE DEP
ple ed In SM months IGNED , r
INSPIR,=
DA AGE...
My OF
DA
-DS
EMON
q
Subject to P[dr Cbeck Fee pR 6.1107
NOTE: APPfic,"I
to 1. I_ on prove 7
Ttds Permit MWereZe
no
Any `*g ),.bli. drl'
... qo— cu. Will Met" sep-ste
go
FS
Le
- - L ,r- r--f- g, - 4 /-
� -5- C77
sll��5 -/",-
r/
T�e City of Edmonds
APPLICATION
for
SIDE SEWER PERYaT
NEW CONSTRUCTION g REPAIRS
EASEMENT No . ..........................................
OWNER .............. ................
.............................................. CONTRACTOR ............. ------------------------- PERMIT No . .... ... ... .......
ADDRESS ................................................................................ x ------------------ LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAME OF ADDITION..,-,-.4...0 ...... a7zO---,4 "/
....................................................................................................................
Lu
co
Approved:
............................ 9 ....... By
DATE 7 C . ..... ly
APPRoVED
JUL 311968
VJ V�
X �4 z
0 0 0
................... . .......
Distnct
z
9 P P �9, z
Ci of Edmonds --- Water Department, 0 K
ty r -I
'TAP CARD g
C.:r" M-5w `5M !0 iui
Date ...... .. . ...... Ig 1,
5 Im : cu
- 5 2 111 - 2 1--1
...... (No ........... � ...... or- .0
Meter Tap
e ilj N, 00
Size ....... . ................ S, ................
69
Mfgrs. No.....YWVAI� ... .............. ty ............................ . ............ - C-4
For............................................. . ...... ... ........ . ... ..... . .....................................
............. gk:t ........... All ...... ....................................................... ...............
............................................................................ .................................... . ....... . ..............
LotNo ......... I .................................. Blk. No ......................... .......... ............... 0 ;cn
'CO
Add . .....
Service Location ............................................................................................ 0, K, P, P. q
.................... .....
............. ...........................
Meter L,
............................................................ . .............. 0
Make Tap ..............................................................................................................
P4
................................................................................................................. ........ ............
Pressure .............................. lbs. Test .................................... %
0
Send Bills to ................................................................................................... . .....
.....................................................................................................................................
Dateof Work ............................................................ .......
.......... ..................................................................................................... Foreman
Guar. Voucher No ........................................... $ .......................................... M 10
rt
0
Re arks: .......... .......... / ......... .......... i . . ..... .
I.A. .. .... ..
.................................................. .............................................. ..... . ....... . ..............
.................................................. .............................................................. . ....... . ..............
....... f%%-r*Vw# 1= ................ . ..............
.......................................
............................................... 01.t .......................................................... ............. .
.................................................................................................. . ....... . ........ ..............
.................................................................................................................. . .......................
................................................................................................................. ..............
OUTGOING Index .......... Reg ....... Route Bk ......... Stencil, ..... Card -...—
INCOMING Index .... . ... Re ....... Route Bk ......... Stencil ...... Card .......
9
(A
iv
M
W
M
M
M
00
M
n
0
M
0
z
a
tA
tx
10