7007 175TH ST SW.PDFiiiiii iiiiii
1074
7007 175TH ST SW
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 Edmoml� i i f6m SIDE SEWER PERMIT EASEMENT NO - -------- ............... ---------------
NEW CONSTRUCTION 0 REPAIRS LID NO - ------------------ ASMT. NO - ------------------
OWNER --- ------- -------- CONTRACTOR .... F�f,
--- I ----- _ PERMIT NO.
?
JOB ADDRESS -----l-(Z --- �--
T
n, . .......... LEGAL DESCRIPTION: LOT NO - ------------ c ------------------------- BLOCK NO - ---------
O�
-------------------------- ------------------------------------------------------------------------------------- -------------------------------------------------
NAME OF ADDITION -------
DATE ----- �) - ------- -
------- By
-7
�7
-V
4
AIT''
.,SAE R PERM
V
ou
C I TY," 0, F ;EUM N R 6E"';
ME
WATEWS1EW,,ER,"bEPART' 14T',';
PERMIT
6,3 7T,'O.
(Caii 775-2525 for side sewer insp ec
of the construction,
tlbns BEFOIZE covering any portion:
Inspection will be provided within 24- hours' 'after requst. NO Sat., Sun., or holiday inspections.)
ADDRESS. LOCATION OF CONSTRUCTION .... :7�.' .......
.................. ....... ..........................................
PROPERTY LEGAL�'DESCRIPTTON ....... ...
................ ........... . ................ ..................................... ...... : ...........
7 .......
..................................................................................................................................................
.................. .............. ................................. .................................
............... ......
.............................................................. . O."ER.AND/OR,BU,1I'DkR ........
............. ....... ......
-CONTRACTOWS NMIE & ADDRESS ........ .......
............. ......................... ........ .................
Permission Is granted /41�4 for repair and/or, connection of'a side sewer to the city, sail ; liary sewer
Sys em accordancewithACIty-olf 6dmonds ordinances.
t in '44; ... .................................. ...........
INTION IS Cj�,LLEIj,�T6,,THF FOLLOW�NG
NOTE No. I—The,owners of, the property 11�a:y obtain a' permit W construct sewer. Inside property,line. A licensed side Sewer C6ntr�ctor must.be employedA o construct
side sewer,ih street,area. Do, not cover'any portion of sewer before it, has been inspected.
NOTE No. 2—All work' Perfo'rmed� in city right-of-way. requires, -an Invasi6ni of
RJght-of-Way Permit obtain -able from the, City -Engineer's office.
NOTE No. 3—Obtairr'iull4informatlon regaxding Ordinance li.M030 and-.I�egula'tlons! it.
governing sl�e' sewers when you, get, p�rrn�
NOTE No. 4—Top of�.side,,sewer must. have at least 30" inches coverage at property line �and 12 inches inside, property line;. minimum grade of 2%, s"in. grade
sharper' than 'A W, ll,be permitted. N�o, be . nd
NOTE No. 5—Trenches In,street must be water settled ajid surface of street restored to original condition. Contraetors shall be responsibl I e for failure�due: to improper
work whicfil;mgy develop within one year of completion.,
NOTE) No. 6--it is- unlawful I. 1 0 alter or do any other work than Is provided for in the, permit, or . to do any work on the main sewer or lts',appurtenance I s c , x I cept, to in-
sert. th.6-pip�6lnto. the wye.
DISAPPROVED E], Date ................ 4 ................... By ................ Date ......
... By: ............... Date.,.'..; ............... ......... . ........
....... ..................................................................... ..................
APPROVED jt� Da ......
...............
Remarks: ......................... ..................................
..................................................................... ................................................................ o .......................
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
34
........ .
1, Z. 7 ...... ... �4�- ------ � .............................. ... hereby certify that,th&side�sewer installation cbnst�ucted-under thi's permit
(OWn�r�o,,,IL�,ontractirkVFirrri Performing Construction),
N� hstalled in,.accor.dance with, 7ail- governing ordinances of,the City of Edmonds
:f9
Dated this ............................ day of ........... ........................
ier,Ej
e&,BEF 1ORE. you dig for:, Wat' Oth
er- -,elephohe,[], Power, E3, Sewer El
_as T
APPUCATION
The City of Edmonds for EASEMENT NO - ----------------------
SIDE SEWElt PERMff ----------------------
NEW CONSTRUCTION E] REPAIRS E]
LID NO - ------------------ - ASMT. No - ------------------
OWNER -------
CONTRACTOR --------
----------------------------- PERMIT NO.
JOB ADDRE SS--17
LEGAL DESCRIPTION: LOT NO.
BLOCK NO - --------------------------
................ . -14 --- ----------------------------------------------------------------------------------------
NAME OF ADDITION .... ------------------------------------------------------------------------
---------------------- ----------
Approved:
DATE-------------------------------------------- By --------------------------------------------------- Yi7ff
ZONE-
C� 77 T r7l A
s
OTHER
HEIGHT
CITY
CClNDfT!cjr-lAL PERMIT
'AlORK-
ADDRESS-10071) 0-54. J, u.
OWNER-'
APPROVED D,-\ E.
BY
BLDG. OH'
KEEP 'THESE STAMPED
PLANS ON J03SITE FOR
A L L I N`_', PE T 10 N S
PERMIT NO. SHEET
GLEND�� 0 ' T.
EDMONDS. WN. e8020
-70. c)t,/
L I"'
1�
q3 I
RrtFWED.
DEC lq77
CITY
By- ----------
I
�_O-r \1 *D it
-7 f-
18'.106iq
-0
0
CITY OF
DEP7-
EXAM114E ENGI qEERING
DTV,
By
,., ......................................... . SUARKS bA7
4
Lqo
110
�_J,_)T "cli ------ __N_R5E:3 'p U �T
PUBLIC WORKS DEPARD1ENT CHECKLIST
BUT.TDI4 PSIREET. FILE
(address) L tO
Street Right -of -Way Existj
REQD
Z
Access Easements Existing,
H
gn4
Utility Easement Existing
REQP
N
Lot Per Subdivision5n5-Z--071 Plat
Assessor
Site Plan Checked for Accuracy
Underground 14iring Reqd.
Check Accuracy of Legal Description
I -lie
2�,
Review by_
Date
Existing Water Main Size_---*�.1--
Water Main Required t-It0'.L
Service Line Required
Hydrant Size Exist
Hydrant Reqd Per Fire Code
Size (I
Dctector Check Meter Reqd. K3 �n
Cross Connection Inspection
Fire Department ConTnents
Water Meter Charge Reqd. 2-`;1)
Review by,
Date
Septic Tank Design Approved A"114
Date
Septic Tank Permit Reqd._
Permit No.
Sanitary Sewer Availabilit)/"/-e-
Proj . 7-
Drawing No. I L.00000—
File No. -77-1�, S
Side Sewer Availabili
Sanitary Sewer Connection Fee Reqd.
�3:
Review by
Date I --z--7--7-�B
Op en Ditch Existing
Reqd.
Culvert Reqd.
Size
04
Catch Basin Reqd.
Indicate an Site Plan
0
Shoulder drainage maintain collection an swale open runoff r
1�1anhole reqd.
Indicate on Site Plan
Soil Conditions and Ground Water Field
Checked s, 4,
Review by
Date.
NJ
I
Revised: lvlO-1977
BUILDING
PERMT -APPLICATION
DEPARTMENT
F i
Applicant Fill
Inside Heavy Lines
L Ines
USE PERMIT
ZONE NUMBER
JOB
ADDRESS
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75-
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NA F I R NAME
m M 0 0 c3AAe)AA
OF BU
LEGAL LOT
0 YES to.
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AREA
SUBDIVISION NO
ILIN
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STREET R/W
EXISTING STREET R/W So
COMP. PLAN ST. R/W
FT. DEFICIENCY
FT.
THIS PROPERTY
FT.
C TY
TELEPHONE NUMBER
CI �S__ cc)
NAME
REMARKS
U1
W I ADDRESS CHECKED By
I
U
It CITY
TELEPHONE NUMBER
U 3E
STREET AND/OR UTILITY WORK
R/W PERMI) R��4'j
<
REQ'D. SYES
1:1 NO
SYES C1 NO
UNDERGROUND
WIRING REQ'D.
19YES
NO
1�1\
A a_'wkA
0 ADDRESS
r6l
:: S_
TYPE CONNECTION
SANITARY SEWER
94YES
E) NO
VERIFIED BY
M CITY
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'�)
TELEPHONE NUMBER
SEPTIC SYSTEM
0 YES
PERMIT NUMBER
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APP V'D BY CITY ENG.
RENO
1
0
U STATE LICENSE NUMBER
ICITY LICENSE NIRER
REMARKS
C_L-Ek-:D� 7L�QOq I I
Le I D R SIZE BUILDING SUPPLY SIZE
_�a�scription offroperty (Sh C r! Bel I w or Attach Four Copies) IM
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2
SIGN AREA ENV. REVIEW ADB NO.
ALLOWED PROPOSED COMPLETE EXEMPT
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REMARKS
0
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VARIANCE OR CU LANNING REVIEW BY DATE
1P I
YARDS LOT COVERAGE
rV1q
NEW
rVT GAS
LCJ RESIDENTIAL LINE
FRONT SIDE REARI
FIRE ZONE
PE OF CONSTRUCTION
CODE
HEIGHT
F]
El
ADD
ALTER
REPAIR
f
1:1
NON-RESIDENTIAL
DEMOLISH
EXCAVATE
OR FILL
PRE -MOVE
INSP.
SIGN
RETAINING
1:1 WALL
FENCE
1:1 I— X—FT)
swim
F� POOL
7
1
CIAL INSPECTOR
REQUIRED
0 YES El N 0
—7-1
OCCUPANCY
GROUP
OCCUPA
LOAD
PLAN CHECKED BY
_L
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
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NUM ER OF STORIES NUMBER OF REMARKS
WELLIN
UNITS
rLAxlo DWELLIN
NAt"RE OF WORK/rO Bk)DONE 1)
PLAN CHECK
NO.
4)
PLr`T PLAN TINDICATE BUILDING SETBACKS,
ABUTTING STREET S) BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
ISWIMMING POOL
VALUATION I FEE
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