625 MAPLE ST.PDFIiiiiiiiii lill
12137
625 MAPLE ST
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT
I j 0
Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.
Inspection will be provided within 24 hours after requat. NO Sat., Sun., or holiday Inspections.)
ADDRESS, LOCA17ON OF CONSTRUCTION ....... & 0 - M , r-,, I , -z�--4-
................ i;z-iz - - ------------- ........ . ...................... . .............................................
PROftRTYLEGAL DESCRIPTION .......... I ....................................................................................................................................................................
...................... ........................... . ...................... . ............................................................................................................................ m� ..................................................
................................................................ OWNER AND/OR BUILDER .............. r,—; I -� �, k i ....... .......................................................
CONTRACTOWS NAME & ADDRESS ------ ...... N II'M -------------------------------- ---------------------------------- - -------------------------------------------------------
Permission Is granted ..... 4-- ............ 19V-=L, for repaIr and/or connection of a side sewer to the city sanitary sewer
�: .. . ..........
- - ------- -
INEtem in accordance with Vitj of Edmonds ordinances.
NTION IS CALLED TO THE FOLLOWING:
NOTE No. I —The owners of the property may obtain a permit to construct sewer inside property line, A licensed Side Sewer Contractor must be employed to construct
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 RJght-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.
NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property Ilne; minimum grade of 2%. No bends in grade
sharper than % will be permitted.
NOTE No. 5--Trenches in street must be water settled and surface of street restored to original condition.. Contractors shall be responsible for failure due to Improper
work which may develop within one year of completion.
NOTE) No. 6—It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or its appurtenances except to in-
sert the pipe into the wye.
DISAPPROVED
APPROVED
F-1 Date ... . ................................... By ................ Date ........... ........ BY ................
Dat By ..... ...... . .................
..... . ..............
Remarks: ....... . ..
Date ......
..... 'BY ................
..................................................................... . .................................... ....................................................................................... . ............................................. .........
BOTH Permit.Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
I ........... ie a4a"
............................................................................. ... I hereby certify that the side sewer installation constructed under this permit
(Owner of Contracting Firm Performing Construction) ,
installed in accordance with all governing ordinances of the City of Edmonds.
7
Datedthis ............. /.� ........ day of ....................... ................................. 19,
Check BEFORE you dig for: Water [], Gas 0, Telephone E], Power E], Sewer [], Other C]
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MAY 15 2015
DEVELOPMENT SERVICES
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*CITY OF EDMONDS
PP
E.NGINEtRING DEPAPMAENT
505 BELL STREET
EDMONDS, WASHINGTON 98020
APPLICATION FOR INVASION OF RIGHT OF -WAY
(Submit In Duplicate)
Permit to be issued to:
",7
For'work at: (address o r vicini
ty)-
Typc* of work to - be done: '_ 4 2 - 6L _-, K c _t:z,
(Attach Drawing %vhcn Applicable)
Owner,,'�!�
I g Address
1c State TeIePhone Number
Contractor:
Nam
City State Telephone Number
Signatufe-
owner or Arent Date Signed
DO NOT WRITE BELOW TIJIS LINE. (To be completed,by Issting'Agency)
Permit Issued (da
0 %A1
.1cmarks:
AoY69A#49v#J6V WWW*Y Cori moil
Permit Number 7
r_1�1
76/ CC).!1tr'Iclor is
Ur
ENGINEER'S APPROVAL DATE for
L
"chon of
a
1-r -z,, D,2pt.
th
7'10 A.)
VTT'r OY LPDM009
ENGINEERING DEPARTMEN2
Insp epr9r, 0
Insp Date ........... ..... BY ........................ Remarks7.-Qq.I1w.Ay-.I&e-Ro-N
Insp Date ................. By .......... I ............. Bemar-ks,.I.JkO-ft.A-.s7;-�.. f 47-P&M.C.—I—ova—sib
......................
Insp Date ....... . _By_
---- -- ........... Ir Ir"s
1-76
Final By ....... " --T"'
. __ ...... Remarks ....
Ao W
....... . . . ............... . ......... . ............
0
....... ....
IT.-Y-CLERK
F EDMONDS
12 57
f �NjVW"AVE NO
�802j
200506201024 1 PG
06-20-2005 04:33pm $19-00
SNOHOMISH COUNTY. WASHINGTON
STATIMNT ON ACCESSORY DWELLING UNITS
Property Add
i-----Edzhdnds,- iphington
IN
Legal Desgripplon:
Assessor's Parcel Number:
I have read the requirements for access9q'�w6IIII;g ubits contained In Chapter 20.21 of
the Edmonds Community DevelopReui Cod,6`204n4erstaud that an Accessory
Dwelling Unit, Including a second kIitJieii*,- . II.FfoliI.Wied until after an Accessory
Dwelling Unit permit has been approv6d.by t C
dmonds.
I also understand that approval of an AccessO�A�*e�ill� Unit permit Is subject to
compliance with Identified criteria, to public icol�zhintftdneither this statement nor
the Issuance of a building permit sball act to Iiinit-tht:d9cre I "
.. .... ob-.of the City in the review
rift
of any application for an A"essoryJ)weIIIVff Unit pir
Property Owner
Date:
......... .
STATE OF WASHINGTON
COUNTY. OF SNOHOMISH)
I certify that I know or have satisfactory evidence that
signed this instrument and acknowledge it to be his/her free and voluntai� act for
purposes mentioned in this instrument.
1�0 6 3 a must be smudged. Dated:
Lo
HUDA E OLSEN Signature of
LNOTARY PUBLIC Notary Public:
STsTATE oF WASHINGMN
()F
S
COW7
MIS I XP E
COMMISSION EXPIRES Residing at: 'sck QX9-k I
F E
EBRUARY .1, 2006. My Appointment
Expires: - 5�� K,
THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY AUDITOR.
APPLICATION
The City of Edmonds for EASEMENT NO. 76-Q�.I -4(0-1
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS E] LID NO . .................. ASMT. NO. � -----------------
"W-11
OWNER --- -------- ------------------------------ CONTRACTOR J�50ER!;� ------
------------------------- PERMIT NO.
JOB ADDRESS LEGAL DESCRIPTION: LOT NO - ------------------ ------------------- BLOCK NO - --------------- -------------
--- --------- -- ------------- --------- -------------------------------
0 1 S&�
IN,
Co.
vt
5,
----------------------- ------------------------------------------------------------------------------------------------------------------------------------------
NAME OF ADDITION .... .......... ....................................................
17
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All
Approved:
DATE. By
147-71WE 1 /Ir, /79
-----------
APPLICATION
The' City of Edmonds for EASEMENT NO - --------------------------------------------
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS f-� LID NO - ------------------ ASMT. NO - ------------------
OWNER ........ 4 ------------------------------------------------- CONTRACTOR --&-4 -------- ------------------------------------------------- PERMIT NO. 05,%&S-
JOB ADDRESS ------ j �,; Z,' 5- ...................................... LEGAL DESCRIPTION: LOT NO - --------------------- ---------------- BLOCK NO - ------------------------------------
.5e, e ...... 1 -1/
............................................................... --------------------------------------------------------------------------
NAMEOF ADDITION ----------------------------- .........................................................................................
s-/,
61 0, /, .11
Approved:
DATE............................................ By
1�7 y Zo C-2 y
..................................................
11/75
t y r) 11. NI 1 N
'901C, EN GINEERS SURVEYORS PLAAERS--
I P.
ibne 14, 1976
File No. 4946
LEGAL DESCRIPTIONS FOR DON FINNIGA14 SHORT SUBDIVISION
PARCF1 "A" - � �'5-
LoLs 33 and 34, Block 96, City of Edmonds, according to Lhe plaL thereof as
the same is recorded in Volume 2 of Plats, on page 39, records of Snohomish
County, Washington. EXCEPT the east 5.00 feet of said Lot 33.
PARCEL "B"
Lot 31, less the east 10.00 feet thereof; all of Lot 32; and the east 5.00 feet.
of Lot 33; all in Block 96,'City of Edmonds, according to the plat - thereof as
the same. i s recorded i n Vo I ume 2 of P Ia ts , on page 39, records of Snohorili sh
County, Washington.
PARCEL "C''
The west half of Lot 29; all of Lot 30; and the east 10.00 feet of Lot 31; all
in Block 96, City of Edmonds according to the plat thereof as the same is re-
corded in'Volume 2 of Plats, on page 39, records of Snohomish CounLy, Washington.
ENTIRE PARCEL
Lo ' ts 30, 31, 32, 33, 34 and WJ Lot 29; all in Block 96, City of Edmonds, accord-
ing to the plat thereof as the same is recorded in Volume 2 of Plats, on page
39, records of Snohomish County, Washingto.n.
RE C E I Y E D
-J-W 15 1976
CITY OF EDMONDS
we
C3
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A= 17
City., of Edmonds
-OF-WAY: CONSTRUCTION
RJGHT
PERM
Permit Number.
Issue Date: --342 Z7
A. Address or Vicinity of Construction: 625 Maple St 9506401
B. Type of Work (be specific): Tinatall Reg Sprvice
C. Contractor: —Varhington Hatisr-al Gas Contact: Rr-axale Swpx%
MailingAddress: 1122 75 Stsil ftL%=tMt1t Phone: 447-13284
State License #: .98203 Liability Insurance: Bond: $
D'. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. E] Commercial El Subdivision F1 City Project Q Utility (PUD, GTE, WNG, CABLE, WATER)
[-] Multi -Family El Single Family n Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut: El Yes EiNo G. Size of Cut: x H. Chargq�,$
APPLICANT TO READ AND SIQ�N�
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold th 393. o Edmonds harmless I fil i�n)u!;Qs�,daS
A f m4es, or
claims of any kind or desc�iption whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or
employees, including or not limited to the defense ofany legalproceedings including defe"c'cqstf,.7d
�attorney fees by reasonof antingthisrermit.
gr.
o. I
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FFE� IKILL BE HELD UNTIL THE FINAL STREET PATCH
IS COMPLETED BY CITY FORCES, AT WHICH TIME AbEBIT OR CREDIT WILL BE PRO&WED FOR ISSUANCE T6 �HEIPPLIIWNT.
Construction drawing of R�oposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
Work and material is to be inspected during progress and at completion.
Re storation is to be in accordance with City Codes.
Street shall be kept -, cleaft'at,al-1-time,s....
Traffic Control and V�blic Safety shall V6 in'accordance with City regulations as required by the City Engineer.
All street cut ditches shall be patched with asphalt �"� Ciiy''a-pproved material prior to the end of the working day;
NO EXCEPTIONS.
Ihave read the above statements and understand thepermit requirements and thepink copyof thepermit will be
available on site 1m; Lor inspf ction purposes.
:'%�Mles OFF
Signature: 5��w &W�11- Date: 12-15-94
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. Div. 1991
FIELD INSPECTION NOTES (Fund Ill Route copy to Street Dept.)
Comments:
I Diagram.:
CONTRACTOR CALLED FOR INSPECTION El NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
VWCIM no wwwwo I
NaturwGas��
AWashirVton ErefW CarParrV
.40
WNG to window
Watermain depth i�,io ("Dic-Azrrias3
Unknown
gas main
Addendum to: City of Edmonds
Right of Way
Permit Application
Submitted by: Mariamne Kingsbury
Engineering Aide
Washington Natural Gas
1356-7500 X7596
(,oZG, KA-4--PCJ-=;
wo
Key:
-W-
Water
-G-
Gas
-SS-
Sewer
Water hydrant
0
Water valve
Washington Natural Gas Company
1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331
NaturblGals""
AvVaIvxjton EnergyConvafv
WNG to window
Watermain depth KLo (LiDtc-A,-rioj,3
Unknown c>r-= Vj.,%.nIRz-
. gas main
Addendum to: City of Edmonds
Right of Way
Permit Application
Submitted by: Mariamne Kingsbury
Engineering Aide
Washington Natural Gas
1356-7500 X7596
Key:
-G-
-SS-
0
�Ijo e-I(-)-T-C:-.:;>
Water
Gas
Sewer
Water hydrant
Water valve
Washington Natural Gas Company
1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331
Naturill,Gas
A VV�'ton ErwWCoiparyy
WNG to window
Watermain depth KLo jLjDic-ATjajQ�
Unknown
gas main
Addendum to: City of Edmonds
Right of Way
Permit Application
Submitted by: Mariamne Kingsbury
Engineering Aide -
Washington Natural Gas
1356-7500 X7596
Co2-57 KA-4-.P(-E;
WO el(-)-T-C�
Key:
-W- Water
-G- Gas
-SS- Sewer
-e, Water hydrant
0 Water valve
Washington Natural Gas Company
1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331
INTER -OFFICE COMMUNi".1TIONS
6
JIM
DATE- 23,
C-1, 1-7-1
""arry 6 LL_- T LLF_.R0M T'Ichar�! TT. '�.Uen
ne
Puildina Official istant City 7ngi er
PiAldinq P(-,:,YTait Tv-.,�nlicatims. for 6,25, 621 -md
631 MTle Street S-25,76
Tifter reviEfj of the subject pennit ap -. have the-, following
plications, %A:
coments
1. (bi-inection to sanitary se,,Tar required for all lots.
2. Underground wir:Lng required.
3. Fmise and utilities locations are the responsi:bilit7y of the
buili-br.
4. Lot drainaTe to he- omtained m site or directed to
t1le City stom systern.
.5. F)dsting drivmray aprm for lot "B", will be replaced with
curb and sidLmvralk if it is to be abandoned.
6. Riqht-of-�,my Inv&sicn Pennit, required for curb cuts.
Or
C-,
t i :
. . . . . . . . . . .
Lecal �es,criptjonUff S fe.
S- 25 -7 �2
LOT ro� LZIr co
BUILDING PERMIT RFIIIE11 - F11GINFFRTNr, DEPARTOFNT
CHECK LIST
wer s
`�"Intials
112
I
Septic Tank System nesi(in Approved
2.
Sanitary Sevier Availahility"� Slit. 114 —of Dvin. No. 12.
Project: W Side Sewer
Availability-702W ILI UA
3.
Any Sanitary )ewer Connection Fees
4..
Site Drainage Checked. W -7
5.
Storm Sevier Availabilit.v: -slit.
of Dwg. No.
Project:ST L 10 -TZ Roadsidp Ditch
"ON4!F
6.
Grading Final Contours D "lin)NIN)
hit
ON) RLAZT PLA t4
7.
Sidewalks (Site Inspection shows condition of
existinn vialks'-as follows):
8.
Curbs
9..
Curb Cutsm5m, OPWO lb EPA
IP46A�JWN?p
10.
Underground Wiring A Street Linlitina
11.
Street Riqht-of-viay & Bldg. Setbacks:
M—s—Sht.
e2A
of Dwg. No. of nfficial Street
Map.
12.
Existing Utility Easements N PC) t4p;
13.
Access Easements NONS7
14. Water Mains A Fire Hydrants. (1ndicate Size !,later Main)
a/h -It% AL Yo
15. Bonds for Site 1,lork JJ E3T
16. Special Requ irements listed in memo to Bldg. Dept.
Rio" 0
17. Commercial A Apt. Requirements form comnleted
18. Drawings stamped Pt'notations made
19. Site Inspection made on-
20. All items filled in on Ndg. Permit Application
21. This Lot included in Suhdivision��'25'74 (List any special requirements):
�/9/76