7029 157TH ST SW.PDF820
7029 157TH ST SW
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CITY of EDMONDS SIDE SEWER PERMIT
For Ins e tion C 11 771-3202 PERMIT NO. 00017202
p ction C
STREET FILE -
Address.of Construction: —70 5 -7
Property Legal Description. (Include all easements):
I �/ IkYNNWOO D LINE]
Owner and/or Builder: F A i ��7z 5 LL� He-Heyl
Contractor & License No: 0 Q y - RECEW 0�
Single Family Residence CIO
PUBLIC WORK9
Multi -Family
(No.
of
Units
Commercial
(No.
of
fixture Units
Invasion into City Right -of -Way: No Yes (If'Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No LX Yes. (If Yes, easement required,
attach legal descriptionand county easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK
I certify that I have read and shall comply
with the items listed on the back.
Permit Fee: 3o,Od
Trunk Charge:
As'sessment Fee:
r'dl
issued By:
Date Issued: -10 2 -�Vf
Receipt No.:
Partial Inspection:
Comments
Final Inspection Approved: 9
T i +A= I
i
Rejected:
eason I
** PERMIT MUST BE POSTED ON JOB SITE **
Date
Date Initial
_5 -i
Date tial
I Wh.ite Copy - File
Green Copy - Inspector Buff Copy - Applicant
(IP7
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).
The City of Edmonds Side Sewer Drawing EASEMENT NO - ---------------- ------------------------- I
MEW C,014m.
NEW CONSTRUCTION 0 REPAIRS LID NO. 2,10 ------ ASMT. No - ------------------
OWNER -14-ei—Lusj ...... I --- FRAZZ-SLA ----------------------------- CONTRACTOR ----------------------------- ------------------- MI 20 2
.... ---------------- -------------- PER T No.7 . ....
-rl4
UPTION: LOT NO - -------------------------
JOB ADDRESS --:M-2D --------------- (-%5-r-7 -------- LEGAL DESCP ------------ BLOCK NO.
I LYNNWOOD LINE
------------------------------------------ I ---------------- ---------------------------------------------------------- ..... - ------
1.5'DP NAME OF ADDITION -------
4-c-0-
157-T-" sx.
PWW-OWl-11/75 (REV.11178)
---------- -------------------------------------- ---------------------------------------------- ---------
2'.5,0P.
4l'c-0-WVF-
CAP 1,0P.
Approved:
DATE -06".311981- -,,Ld ---- -- ------- ------------------------
FT 5 OF TPB� TH N 77.6 FT TP8
..EXC E 20
FT FOW W�
)00--�'022-2
10&;��'88007-75
:98 201
MEADOWDALE BEACH SUPPLEMENTAL PLAT 0217 85 'T. LA'
OLK 000 U-21 - E 20FT OF N 112 OF LOT
22��FDT BEG SW CUR 7R TH* RUNNING
ELY.:AL.G.' S LN 325.40FT:' TH NLY 332414FT
S N 0 H* 0 M S H C 0 U N T Y
A S' S E S S 0 R R E A L P R 0 P E R T Y R 0 L L 0 F F E B 0 59
WOWNE.RS,HIP-
' 'NAME
STMT LEGAL DESCRIPTION:
LEVY
YR S CA'
AUCIT
PTY
CODE
T
--------- — -----------
TH WLY 312.35FT TO WLY LN TR TH S 332.14
FT TO TPO LCT 22
�z4,02,2-2207tl��.',.'
69-43450
MEADOWDALE BEACH SUPPLEMENTAl__P___A7
0217
85 T LAI
BLK 000 0-22
-T
BEG NE COR JR 22 TH W ALG-N LN T HQF
M
98020
FOR 300.25FT TO TP8 TH S03*35 02W
142.5FT TH S85*28 41E 137*75FT TH
NO2*26 08E 142.47FT TO N LN TR 22
TH WALG; -N LN THOF TO TP8 LESS N 5FT
T E
HU
2 2--r2 30 6
10- 12-8 2
MEADOWDALE BEACH SUPPLEMENTAL PLAT
0217
85 T LAi
N"o.tLEN,,,:J'
BLK 000 D-23
BLi
I, H. ;s
BEG AT NE COR OF TR 22 TH N85*26 09
TO
98020
W ALGJH N LN SU TR 300.25FT TH S03*
35��, 02W 1-42. 5FT- TP8 'TH,,CbNt:. S03,*35,:.
02W 138.17FT TH S85*56 22E 140.
TH NO2*26 08E 137.7ZFT TH N 85*
.5FT
j 2- 28 04W 137.75FT TPB
!_4 230509-,,77.* MEADQWDALE, BEACH SUPPLEMENTAL:��PLAT
-2 5 - 116 AN 1 iW*TK-'--`Z
BLK 00' U 0 A F
2 -OP NE:..,
N',", E.%', 8 Ed� A`A-P_ ON...:.. 'LN "TR'
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TO
10 , -, - Al
THOF.,.,ITH*!SOO*16'-,OOW-,'194.02FT TH N89*-'
Sa STREET FILE as
BUILDING DEPARTMENT
USE
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PERMIT
Applicant Fill
NUMBER
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PERMIT APPLICATION Inside Heavy Lines
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LEGAL, LOT
SUBDIVISION NO.
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EXISTING STREET RIW FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W FT. 0 FT.
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CITY
ELCPHONIE NUMOIER
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T4AME
REMARKS
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TELEPHONE NUMBER
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NAME
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NUMBER
SEPTIC SYSTEM PERMIT
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NUMBER
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APPV*O BY CITY ENG.
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STATE LICENSE NUMBER
CITY LICENSE NUMBER
REMARKS
fZP-A,t-_,- L5T
T_Jgal Description of Property (Show' Below or Attach Four Copies-
METER ZE
SUPPLY SIZE
[BUILDING
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RENIIIkRRS
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SIGN AREA
ENV. REVIEW
ADB NO.
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ALLOWED PROPOSED
COMPLETE EXEMPT
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REMARKS
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VARIANCE OR CU
LANNING REVIEW BY
DATE
YARDS
COVERAGE
C�GAS FRONT S DE RE
ILOT
rA NEW RESIDENTIAL EILINE
10
FIRE ZONE
ITYPE OF CONSTRUCTION ICOD
HEIGHT
NON-RESIDENTIAL SIGN
0 ADD
DEMOLISH RETAINING
1:1 WALL
ECIAL INSPECTOR AREA
REQUIRED
OCCUPANCY OCCUPANT
ALTER EXCAVATE FENCE
0 OR FILL (_ X_FT)
1-1 YES 0 NO I
GROUP LOAD
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PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
REPAIR PRE -MOVE swim
1:1 INSP. 0 POOL
SHOULD BE CODED 31.04.
NUMBER OF STORIES
NUMBER OF
REMARKS
DWELLING
1
7,
UNITS
1
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NATURE OF WORK TO BE DONE -
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VALUATION
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PROPOSED USE
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PLOT PLA-M (INDICATE BUILDING SETBACKS,
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SWIMMING POOL
SIRE E-T FILE
DATE: -
MEMO TO: Building Division
Community Development Department
FROM: Engineering Division
Public Works Department
SUBJECT: i o'zC-)' -I r5-7 T4 5T. (S\tj
After review of*the subiect building i)ermit annlication
I
the following comments:
we have
(1) Coordination of the location of anNr struc*ture with respect to
I
utiliti-es, streets, property lines and driveway grades is the
responsibility of the contractor.
(2) The contractor is required to keep the abutting streets clean-
ed ot dirt and debris caused by the construction.
(3) A"Right-of-Way Construction Permit" is required, from the
Engineering Division of Public 1,1orks, for any work within
the Public Right-of-1%7ay or public easement.
(4) Drivei,,,ay slope not to exceed 14%.
('5_)'!FPn(_ TANV_:MP5e JK614LI—B-0 PM PEPMITALIP)-'�)93 -
PW 5/77
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1 fflmwad No
61.4 1h I
5ORMIRROM COMM WAR FM 9HOWALafg- U VAN mmum,
P�ICNORKS DEPAR� CHECKLIST
BUILDING PER1111IT REVIEW
.(address) (date)
Street Right -of -Way Existing
o 0 REQD
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Access Easements Existing,
C4
Utility Easement Exist*
__TEQD
REQD1t:ft::::
W
Lot Per Subdivisiofr�-�-�Plat
Assesso Ma
W
'Site Plan Checked for Accuracy
-F-
Y-2, -7,A
:Z) " A
Z ,
Underground Wiring.Reqd.
r) WE -
Check Accuracy of Legal Description
4-, 1 7A
Z
Review by_pa-- -ULA.,A,�
Date, 4-11 1,11(ZN
Existing Water Main S3'-'z'e- ;:-Z OA1
-70r-k
Water Main Required
Service Line Required 3/1
Hydrant Size Existing ID
Hydrant Reqd Per Fire Code
Size
Detector Check Meter Reqd.- /JV
Cross Connection Inspection A,)O
Fire Department Connie nts
Water �bter Charge Reqd. K-0
Review by. 221.
Date -17,
. L&K.
Septic Tank Design Approved
Date
Septic Tank Permit Reqd.
Permit Nn
Sanitary Sewer Availability A,,00
Prdj,.
Drawing No.
File No.
Side Sewer Availability
Sanitary Sewer Connection Fee Reqd.
:3:
Review by.
Date
Open Ditch Existing
Reqd.
Culvert Reqd.
Size- 12,
C4
Catch Basin Reqd. Z-V -7-�7-
Indicate on Site Plan
0
Shoulder drainage maintain collection on
swale open rurioff
& , /" -, ea
"? L,- &- a x6f
Manhole reqd. Z-Z
Indicate on Site Plan
Soil Conditions and Ground Water Field Checked ��o
Review by
Date
Revised: MO-1977'
Page 2
Street Paving Reqd.
Curb and Gutter Reqd.
Sidewalk Reqd.
Curb Cut for DrivewayReqd.
p4 Right -of -Way Construction Permit Reqd.
Bond Reqd. for Public Iuprovements'
Street Name Sign Reqd.
Other Signing Reqd.
Pre Permit Site Inspection. made on.
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0
F4 BY: SEWER law V. P-MIT
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WAIER
Z SMEET ro
H� - —
r-4 ENG=MG
Special Requirements, listed in memo to Conrmmity Development Department,
Building Division
BY _17N Date
c) All items filled in' on Building Permit Application
P� BY _10
Date
Drawings Stamped and Notations Made
P4 BY Date
Approved by Public Works Department
Revised: lv 10-1977
STREET FILE
lf"ISPE"I'lof) PFCORD
-�O'i])S, PUBLIC
C1,1"Ll W E D'. i � ,
1-7
LIZ)-
2
PUBLIC WRKS DEPARTMENT CHECKLIST
BUtLDING PER= REVIEW
STREET FILE
(address)' kdate)
0
Street Right -of -Way Existing 150tl(l
0 0 REQD
Z
I
Access Ease=ts Existing 3 OM, PE12
PLP4\)' REQD
g4
Utility Easement Existing
N
Lot Per Subdivisiof:r�� �—�Plat
Assessor �tp
S ite Plan Checked for Accuracy
4-n-T7,q
Underground Wiring Reqd.
WE -
Check Accuracy of Legal Description
1;?J -7 iS
Z
Review by KD rA-,Ik A,
Date 4-11 q-1 -1 q�
Existing Water 1,1aln Size , 010, C-.r OA.1
Water Main Required
Service Line Required
Hydrant Size Existing
in4
Hydrant Reqd Per Fire Code
Size
Detector Check �leter Reqd.
Cross Connection Inspection k)O
Fire Departn-x--nt Convients
,4ater Meter Charge Reqd.
Review by__�11-1—
Date
Septic Tank Design Approve —
Date
Septic Tank Permit Reqd.--
Permit No.
Sanitary Sewer Availab-� �i
Proj. ------
Drawing No.
File No.
Side Sewer- A.-vailability
Sanitary Se,7er Connection Fee Reqd.
:3:
Review by
Date
Op en Ditch Existing_____i//�L-
Culvert Reqd. 4XI
Size
9:4
Catch Basin Reqd.
Indicate an Site Plan
0
Shoulder drainage maintain collection on swale open runoff C\j
<:
A, i ze- C!
CO
1�1-ffffiole reqd.
Cv
Indicate.on Site Plan
Soil Conditions and Ground Water Field Checked
Review by
Date
Revised: lvlO-1977
k--)
C:5
BUIL&ING DEPARTMENT
USE PEIIMIT
I App licant Fill
"PERNIT
ZONE UMBER
W
APPLICATION Inside Heavy Unet
J106
ADORE= 7
NAME JOR NAME OF BUSINESS)
LEGAL LOT
LOT AREA
SUBDIVISION NO.
m
19 YES ONO
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I"ILING DRESS
r
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3:
-
STREET R/W
0
xy
EXISTING STREET R/W FT. DEFICIENCY THIS'PROPERTY
:30
COMP. PLA N ST. R/W FT. 0 ry.
CITY
UMBER
'NAME
REMARKS
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ADDRESS
By
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CITY
ONE NUMBER
STREET AND/OR UTILITY WORK
R/W PERMIT REQUIRED
z
REO'D. Aryes 0 No
J--
EYES ONO
ILI
NAME
UNDERGROUND
WIRING REQ*D. 1:1 YES KNO
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TYPE CONNECTION I
SANITARY SEWER 0 YES
VERIF
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11NO
A
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Cirry I -TELEPHONE
NUMBER
SEPTIC SYSTEM
WYES
PERMIT NUMBER
0
APPV 'D BY CITY ENG. ONO
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STATE LICENSE NUMBER
CITY L CEN IBER
REMARKS
A�r, L5T —2-1-1 ck-1
Ugal Description of Property (Show' Below or Attach Four Copies)
METER JSIZE
BUILDING SUPPLY SIZE
W
RENVkRF(S
z
0
SIGN AREA
ENV. REVIEW
ADS NO.
u
ALLOWED PROPOSED
COMPLETE EXEMPr
In
W
REMARKS'
0
W
_7�
VARIANCE OR CU
PLANNING REVIEW BY
YARDS
LOT COVERAGE
Ca FRONT SIDE A _R
/ 0 ar EAR]
NEW RESIDENTIAL GAS
1% 1:1 LINE
ID
FIRE ZONE
TYPE OF CONSTRUCTION ICODE
HEIGHT
NON -RESIDE NTIAL SIGN
EJADD
.
DEMOLISH RETAINING
SPECIAL INSPECTOR
REQUIRED
AREA
OCCUPANCY OCCUPANT
.0WALL
ALTER EXCAVATE FENCE
OR FILL X_FT)
0 YES NO
GROUP LOAD
I
PLAN CHECKED BY THISSIT E IS LOCATED IN THE CITY
OF EDMONDS. LOCAL
REPAIR PRE -MOVE swim
INSP. POOL
SALES TAX
SHOULD BE CODED 31.04.
NUMBER OF STORIES
NUMBER OF
REMARKS
DWELLING
1
7,
UNITS
z
W
NATURE OF WORK TO BE DONE
-,
VALUATION
FEE
PROPOSED USE
z
PLAN CHECK
0
V -p tLL-_>_,,qy r. '-- -
NO.
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IL
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PLCRT PLA-M (INDICATE BUILDING SETBACKS,
ABUTTING STREETS)
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BUILDING
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PLUMBING
HEAT & GAS LINE
III
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III
FENCE
SIGN
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RETAINING WALL
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SWIMMING POOL