6616 172ND PL SW.PDF585
6616 172ND PL SW
IN
NOTICE:
No warranty of accuracy.
The information shown on the attached map(s)
was compiled for use by the City of Edmonds,
its Employees and Consultants. The City of
Edmonds does not warrant the accuracy of
anything set forth on these map(s). Any person
or entity requesting a copy should conduct an
independent inquiry regarding the information
shown on the map(s), including, but not limited
to, the location of any sewer stub shown. Such
sewer stubs may or may not exist and may or
may not exist at the location shown. Neither
the City of Edmonds nor its employees or
officers shall be liable for the information given
on map(s), nor for any one representation
provided based upon said map(s).
APPLICATION
for
The City of Edmonds
4 SIDE SEWER PERMIT EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION REPAIRS LID NO - ------------------ ASMT. NO - ------------------
OWNER --"-.4L ... . ..... -- -------------------------------------------- CONTRACTOR .... ...... ------------------- PERMIT NO.
JOB ADDRESS -15; LEGAL DESCRIPTION: LOT NO . .....
....................................... --------------------------------- BLOCK NO - ------------------------------------
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rc7— �:: F- ==, A* 2-
NAME OF ADDITION ........ ......... a.e ---------------------
Approved:
DATE
17
..... By
-----------
I
, JM
IMPY-Y -:GF ERY
A ER.''PERM
NS
WATEP.;-SE�W,,ERDEPARTMEN'T",
5482.
MIT
PER
jCall� .715-2525, for side.: sewer inspectionsw BEFORE' c ortibn,.of the construction.
overing, any, p
'Inap6ction'-will be p l&d w 24 urs,�a1ter requst� N 0
roi, luilfi` - b�6% 'p'Sk, �Sur.,: or: holiday Inspectionej.
L
. .................................. . ................ ..................... ..............
YMDRESS,-LOCATION, OF CONSTRUCTION ....... .......... V.1 ............................
....................
............... ........ ...... .......
-,PROPERT.,Y LEGAL ESCRIPTION., .............. .. ..... *) ...... I ..... 0 . � W .. W, 4- ..........
D
.................................................
........................................................................... ...................... ................................. ..................... ......................... ...........................
........... LA .....................................................
ILDER ..............
. ..... ........... .......... . ......................... ........ OVVWER,11L-NDZOR BU ...........
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ONTRACTOWSk'NAME f& ADDRESS ...... - ............................
............ .......
s w r
on'is�gr andVO onriection:,of a side se*erj6- the city-siainiftafy e e
fir
Pbrinisst" n ...... .............. = ............. for repair
F mi: inzaccorda!'i` it f J�drnonds,,ordinances.
7b7 hl,C�ty o
OWING:
_T;O�'TOvTHE�FOLL
to: const ruc� - sew rt�Alne. A� licensed,Side Sewer Co t
'NOTE'Wo: I�Th�LV)�n�rs.'Jpf %the �property, may obtain a -permit er inside prope n ra6tor. must be employed,to construct
-beforeAt has been inspected..
Do not- cover any, portion of sewer
NbTV.,-No. 201;w.��k�',p6rf;rrnisdj ay.-Perralt obtainable,,from the'City 'Engineer's office.
w1city, right-of-way requ�rcs,an� Invasion. of Right-.61-W
NO i,No regardin %M()30!� a1fd- Regu io nw.,g vjerr �ing,'sl de sewers when, y ou. get permit.
_E . 3—Obtaln �fall;;Afiforrratibn g, Ordinance 11
N6TE'No. 4—Top of, .- side, sewer must ha've at least 30 incheg.ledverage at. property line. and.12,�inches':in.�ldb'ppoperty line;, minimum grade of 2%,. No bends, in grade
sharper,than 'A �vlll be.permitted.
NOTE No.- �Tr�n�hes 'i �` street; must be�water settled and �surface,,Of. street -restored to. originaJ condition. Contractors. shall be responsible for failure due to improper
work w,hl6lrrmay.develop'within one year of completion.
NOTE) Na. r—it is -unlawful- to. alter or do�any other work than is provided for in the permit, or to do any work on the mairv.sewer or its appurtenances except to in-
sert the -pipe jnto� the wye.
......... I .......................... 'BY ................
DISAPPROVED' E] Date .......... ............................ By ................ Date ........... ... .... ............. . By ................. Date ...
r1,000
Date..' . ...... ......................... . ...................... . ................................. ................. ........ ..........................
APPROVED 'Elz
Renciarks: ................. ......................................................... ....... ............................................................................ ...... : .........................................
.. ........ ..... . ............... ........... .......................... ................ ........ ........................................................................................................... ......... .
...........
rmi�g��Conkiu 'I S 6C
-'e 1 'Copies:'M-USTBe Signed By �Owner of Firm- Perfo cti6n PRIOR T Request For n. p ti&n
---- ='130TH'P" �`t
0'/ 0. .... .... :her.eby certuy that the side se.wer installati6n.'e6n,structed, "under, this permit
t
I ....... Ir. �_- 1� kring Constructiow)
nernof-�! on�trac ng, Pro
,�.'-,was installed i�n7acco, ce�W.ith�all,,.governing,,ordinaiicesiof the�City 'of Edmonds.
OR
DatedAhis: �.k ........ day of ................. . ............................ .................. 1.1.97..
VV Che eW�BE]LfORE/ youi� di'g, -for-.. Water ;E],, Gas,, [I j -_Tplephd i ne. Q TOW46,r,,F), Sewer. E] -Other., 0
f:
Th
p City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT
EASEMENT NO . .................. ................. .......
NEW CONSTRUCTION E] REPAIRS F] LID NO - ------------------ AS . N . ...............
e2nowwam 'ON,=
OWNER ----- ......... ..... I ------------------------------------ CONTRACTOR .......... 5'.V, --- PERMIT NO.
5-q &, -a
....... BLOCK No - ------------------- ................
JOB ADDRESS .... �-�./A --- - ----- L7 �;?- --WPJ� ... ��--4u. LEGAL DESCRIPTION: LOT NO - ------- 7 ---------------------------
Ll
0
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71 �-' C, - V-- --
NAME OF ADDITION -------- -------- 7 ------ -- -------- 0.4�
-----------
MENED
mAy 2a 1976
Publil. WOfks UePt-
Approved:
DATE............................................ By ............................................................
11/75
STRPermi t Address
EET FILE Legal Descriptiontlt�
BUILDING PERMIT REVIEW - ENGINFFRINGDEPARTKNT.
CHECK LIST
Reviewer's
Intials
1. Septic Tank System Design Approved
2. Sanitary Sewe� Availability tjj6 Sht. of Dwo. No.-14--031
Project:.T:�'L� rJ-L-J&-7_0C> Side'sewer Availability:
3. Any Sanitary�Sewer Connection Fees
4. Site Drainage Checked
5. Storm Sewer Avai 1 abi 1 i ty: Sht.. of Dwq. No.-14:a�j
Project: Roadside Ditch
6. Grading & Final Contours
7. Sidewalks (Site' Inspection shows condition of existing walks as follows):
8. Curbs 1
9. Curb Cuts
.10. Underground Wiring ?A Street Lighting
11. Street Right-of-way & Bldg. Setbacks:_ Sht.
of Dwg. of Official Street Map.
12. Existing Utility Easements
13. Access Easements
14. Water Mains & Fire Hydrants (Indicate Size Water Main)
15. Bonds for Site Work
16. Special Requirements listed in memo to Bldg. Dept.
17. Commercial &.Apt. Requirements form completed
18. Drawings stamped & notations made ZS 11'
19, Site Inspection made on . ... .... ....
20. All items filled in on Bldg. Permit Application 22-5 N e
21. This Lot included in Subdivision (List any spectal requirements):
3/9/76