701 ELM PL W.PDF11166
701 ELM PL W
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At�e�zr. . mi:t ER -OFFICE COMMUNICAONS
D�ATF: August 25, ig 76
K4 0 V. 3 0
TO Building Department F Dick Allen
STREET FILE
SUBJECT: Ouilding Permit for Tom Belt at 701 Elm Place
Please advise Tom Belt that the abandoned curb cut on 7th Avenue.sr.ust be
re�,moved and replaced with a standard curb section per City Ordinance.
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ADDRESS: qo I Elm Aae& (,t)
TAX ACCOUNT/PARCEL #: 6 CD�o 42-,2 (D 000C) I (ac
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS(RECORDED)FOR:
CRITICAL AREAS #: DETERMINATION: El Conditional Waiver E] Study Required E] Waiver
CRITICAL AREAS #: DETERMINATION: Conditional Waiver El Study Required Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID
SHORT PLAT FILE:
LOT:
BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #: 09j��o �7
GEOTECH REPORT DATED:
STREET USE/ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DST'sWorms\Jana's Street File Checklist 5-14-08.doc
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ROUTING SLIP
NEW SERVICE INSTALLATION
ADDRESS:
DATE:
FOREMAN
DIAL
A DIG#
TELEPHONE
CABLE T.V..
GAS
a c! r
-0
STORM SEW�hl nrc:
i riLt:
OTHER
FUTURE SERVICE
INSTL: (YES NO
CUT:
SURCHARGE:
YES
CREW
LOCK
DATE:
INITIAL:
QmLo-c-p-
DATE: L9-19
INI, IAL:,��
METER SHOP
ACCOUNf NUMBER:
SUPPLIER: S F-/
'CIVIL ENGR.
DRAFTSMAN
TREATMENT PLANT
B L T
SIDE-SEWERYERMIT,
#
SUMINTENDENT
INITIAL: 4�W-
DATE:
UTILITY
.BILLING
TAP CARD
METER SHEET
APPLICATION/
DISPATCH
APPLICATION
The Cky of Edmonds for EASEMENT NO - ------------------------------ -------------
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS LID NO . .................. ASMT. NO - ------ -----------
OWNER 77��<:) ...... RE-, ------------------------- CONTRACTOR ........ PERMIT NO.
-?C>t LEGAL DESCRIPTION: LOT NO - ---------------- I --- c -------------------- . BLOCK NO - ------------------------------------
JOB ADDRESS ............................................. z ----------------------------------------
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41
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NAME OF ADDITION .... F—=L-M ....... V I F—=\" --------
--------- --------------------------------------------------------------------------------------------------------------------------------------------------------
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Approved:
oj
DATE wwwi -j
By ......... r4v
7 --- ---- " �1�4 --0 7!Y
The �Cky of Edmonds
IF
APPUCATION
f�r
SIDE SEWER PERMIT
NEW CONSTRUCTION �?' REPAIRS F-1
EASEMENTNO - ------------------------- --------------
LID NO . .................. . ASMT. NO . ...... ...........
................. ...
OWNER .......
6 ....................... CONTRACTOR ........... PERMIT NO.s-
................. ... 61�
JOB ADDRESS ---------- C7..-Lpq.-� ..... OL ------ h/e;-j --- T ----- LEGAL DESCRIPTION: LOT NO. C . . ......................... BLOCK NO . .....................................
.....................................................................................................................................................
I NAMF OF AT)DITTON' V,
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Approved:
DATE ....
By
CITY OF Os�)MONDS - SIDE SEWn PERMIT
�WATER-SEWZR DEPARTMENT
PERMIT
Call 773-2625 for side sewer inspections BEFORE covering any portion of the construction.%
Inspection will be provided Within 24 hour$ after requst. NO W., Bun., or holiday Inspections.1
ADDRESS LOCATION OF CONSTRUOTION ........ 3CL.= ... E--L.K P.LL<x-- N
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...........................
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iq1OPERTY LEGAL DESCRIPTION ................. Lt L ........ .................
------------------- .......................................... . ........................................................................ i ........................... . ...... . ........................... ..................................................
........ ................................
....................... OWNER AND/OR BUILDER ............. ........ 2 . . . .......... . ..........................................
CONTRACTOR'S AME e . . ....... L
............................... .......................................................
Permission Is granted ....... lc:& � ......................... 19,V.Q for repFdr mid/or connection of a side sewer to the city gmdtsry sewer
umbean In accordance wfthh'1'tjyq.--1,d-monds ordinances.
ATTENTION 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 mutt be employed to construct
FAd sewer In street area. Do not cover any portion of sewer before It ham bem Inspected.
6 se
NOTE No, 2—All work Perfo'rmed In city right-of-waY requires an Invasion of Right -of -Way Permit obtairmble from the City Engineer's office.
NOTE No' 3--Obtaln full information regarding Ordinance 11.16.030 and Regulations goveming side sewers when you get permit.
NOTE Me. 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 %. No beads in grade
sharper than 'A will be permitted.
NOTE No. 6--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.
NOTB No. 6--It in unlawful to alter or do any other work than I& provided for in the permit, or to do any work on the main sewer or It* appurtenances except to in-
nert the pipe Into the wye.
DISAPPROVED 0 Date ... . ....... ................. By ................ By ................ Date .............. . ................... By ----
"PROVED
Remarks:
.................... By--- ... . ......................................................................................
............... . ..............................................................
....................... . ....................................................................
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
1! hereby certify that the side sewer instal, lation constructed under this permit
j ....
-4eAw-i Contractl—n.g—.I..N.:;;�*.]P��erior
was Installed in accordance with all governing ordinances of the City of Edmonds.
Datedthis ........................... day of ............................................... ................. JL9_ ......
Check BEFORE you dig for: Water [3, Gas [3, TdePhone Power 0, Sewer Other [3 4 V
DATF: June 23, 19 L6
STREET -JU:
HEMO TO: Harry 1-1hitcutt
Buildinn nfficial
FROM: Richard 11. A11pn
Assistant Citv Fnnineer
SUBJECT: building PerTnit Application for 701 Plm Pl. T-1. Lot 1, FI-m
View Div. C
After review of the. stih,inct huildinn nermit anplication, we have the -fol-
,10t,,,inq comments:
1. House.and utilities location are the responsibility
of the builder.
2. Connection to sanitary sewer required.-
3. 5-foot concrete sidewalk required per Plat Development Plan..
4. Underground T,Tirinq required.
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Lecal. Description Lesr .1
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BUILDING PERMIT RFVIEI,-1 - PIGINFFRING, DFPARTrIFNT
CHECK LIST
Reviewer's
Intials
1. Septic Tank System Design App'roved—
.2. Sanitary Sewer Availahility)M_Sht. I of Nin. NO'.
Project:;�� Side Sewer Availability: YE5
3.. Any Sanitary Sewer Connection Fees
4. Site Drainage Checked
5. Storm Sewer Availabilit'v: 5ht. f Dwq. Mo.
P roi e'c t: J)" gCP Roadside DitchlFgW7 t3#hPV
6. Grading & Final Contours OCT
7.
0
Sidewalks (Site Inspection shows condition of existinq vialks"as follows):
9. Curb -Cuts
10. Underground 14iring P, Street Liphtinq
11. Street Riqfit-of-way & Bldg. Setbacks:JE&) So MCht.
of Dwg. No. 2&e! of Official Street Map..
12. Existing Utility Easements
13. Access Easements
14.
Water Mains A Fire Ilydrants.(Indicate
Size !-later Main).
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M11sr, flLe 9 iffloil1w
15.
Bonds for Site Work
16.
Special. Requirements listed
in memo to Rldq. Dept.
17.
Commercial Apt. Requirements form comnleted
.18.
Drawings.sta,mped notations
made 6
19.
Site Inspection made on
20.,
All items filled in on Bldg.
Permit Application
21.
This Lot included in Subdivision
(List any special requirements):
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SiDEW
3/9/76
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