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705 BROOKMERE DR.PDF11111111111111 10453 705 BROOKMERE DR ADDRESS: y ho K m e-rc. 3 r 1'y t-,) TAX ACCOUNTMARCEL NUMBER: M;59-1L000DQQ4QQ BUILDING PERMIT (NEW STRUCTURE): g COVENANTS (RECORDED) CRITICAL AREAS: DETERMINATION: E] Conditional Waiver F] Study Required [] Waiver DISCRETIONARY PERMIT #'S: Sch" adj) -A s - DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED PERMITS �2-00:�265�Ao (PI PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: SHORTPLAT SIDE SEWER AS BUILT DATED: I Z)l SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: LID #:— q% LOT: �L- BLOCK: LATEMP\DSrs\Fomis\Street File Checklist.doc PzTa= P1,STED ON KROLL NUMBIM APPUCS-t FM -iLD!NG 'DEPARTMENT do IleavY Lines JOB ADDRESS PERMIT 'APPLICATION 3dZ (OR NA)LE OY BUSPIE&O UPE YA ---'K STR SETBACK RZAA YARD SETBACK -5 c. j __9 j-, gX .14. 1 .2. Al I P4 z USE ZO No A EI�UMBER, ok HEIGH ]BUILDING -F1 7VED 5 =1.R/8WTREET R/, 6_rT. DzinciENcy Tms —ERTY CITY rox �LAN ST. R/w _6�prr. E ONE UMBER _&Tzf� LICxNam NUMBER "BE NUA&M CITY C", .0 or All.- F-- CON-) we L—E RX—Mr. - TU —QD z d RESIDMMAl- ElNON-RIZAMENTL" SIGN ADD RETAIMNO 17 DEMOLISH WALL ALTER E 0 RX C rAIVIAT E rENCE REPAIR PRE`MOVE INSF. swim POOL IUMIIZR OF BTOFUKS - 0, DWZLLINO 3, / '4 - A I 3/d it TES z MARANCE vE1U17w T PERIM V ICTI STREET X. r4,w!— Plan Cbftk No_- — PROPOSED U84 PLAZJ t Icate BUIlding wINack., abutting -tmei;) PLUXBING ;V V, EM&T A GAS LINZ PLAN , i7--fl I I N RETAJ�Nr; 0 WALT, 32 1 SWrMWING POOL gl P,V PPX-UOVE n;SFECrION 4'. OR FIL, MCCAVATI 01 TOTAL AMOUNT DUE h reby 1Uon: tlmt:b. In- thal I bave d this apvl! forlo� V_n U nw_,l: Lnd tl� I � tbA o-r. or tba doly t.� Cl of M. _. 1 .9— In nolaM �Ith My id uit. I— �C- &TTEN"TION APPLICAnON APPROVAL ILM= ,,00n: �o, In doing Ui,i �k autbortord UIw*b7. w IPorinn �'n no _,.yd In ,.tlim a a - Lab- Coft f tb. S� of Wa-1-129'nlI Tmls MID= This sp;a�on is not a permit r.l.nng 1. Wrk.,W. I— A=0=__ES signed by the RaDding OffICISI OT 1118 Do—,' ONLY THE NOTE: Permit Limit Ore Year (E.-pt DE11007IONS hl1h WORK NOTE, uty; and fees am paid, �nd rel:eIpt Is. &C.;'. -VED-IN -LILDINGS Ie I�IWiodged in Space provided.' .holl he O&H � Mmlqled in "ety d�: M -4 ploted In KX Months.) FIGi4ATURZ (OWNER OR AGENT) ""ED INSPECTION IRE R*11 IIINA DEPARTMENT PLA, &.1 6 7 CITY OF EDMONDS ppficant Subject to Plan Check Fee TE: A � 9- 17 - rn @-iioi I ,;;i. —F.rolt -- k. to b� don. on W" %noP`r`7 "I"' A" .e_�tjon — th. qobUl douil- (b,, sld��. drh�., mnr",,r,. ec, WUI reqnIm �pte ptrtnt-lon. FILE A,4i The City of Edmonds OWNER ADDRESS ...... LA APPLICATION for SEDE SEWER PERMIT EASEMENT No . .......................................... NEW CONSTRUCTION REPAIRS f-1 CONTRACTOR . .................. ...... PERMIT No. .......... ...... LEGAL DESCRIPTION: LOT No . ....... ................ k ------ BLOCK No . ................................... , .2 NAME OF ADDITION ...................................... � ... — . 1-1,/ ...................................................... Approved: DATE --------------- By APPROVED OCT 121*7 CITY OF EDMONDS CIVIIC CENTER — WATER -SEWER DEPARTMENT Ian PRO-PeCt 6-1107 when work Is ready for Inspection. (No insper- ti . ons Saturday, Sunday or holidays.) NO 24.75 SIDE SEWER PERMIT ADDRESS .705 Brookmere Drive ......................................................................................... . ............................................. OWNER ----------_ Ralph ... S-chuck .... ............................................ CONTRACTOR ....... LPL@ ... !�qpley ---------------------------------------------- Permission Is granted ... Qct-otqx! ... N_ ........... for ...................... _. days to REPAIIR or CONNECT a side sewer With City Sewers in accordance with application on file and governing ordinances., ATTENTION IS CALLED TO THE FOLLOWING: NOTE No. 1—The owners of the P Perty may obtain a Permit to construct a be employed to construct side sewer in street area. ewer ins de Property line. A licensed SideOSiwer Contractor must Do not cover any Portion of sewer before it has been In-i spected. NOTE No. 2—Obtaln full Information regarding ordinance 11-16-030 and Regulations governing side sewers when You get perrait. NnTE No. 3—Top of side sewer mu t have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%. No bends in grade sharper than % will be permitted . X No. 4—Trenches In street -must be water settled and surface of street rest red to o gi I Condit On. Contractors shall be responsible for failure due to Improper work which may develop within one year of 0 ri na I completion. rE No. 5—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 appur- tenances bxcept to insert the pipe into the wye. ................... . ....... District City of Edmonds --- Water Department TAP CARD DateG�,T ... 1.0 .... 1.9.672AID- I .. ..... I ......... No..A _?7 No ........... Meter 7-, , ** .... *** Tap ............... Size ....................... .............. . . MfgrsNo ...... 4 ....... ...... &Ie ..... // ............ . ............. . ........ . . ....... .. For .................. ... ............... . .......................... ................................................. I ....... ............... / ........................... -A .. . .............. LotNo ........................................... Blk. No ................................................... Add. ..................................................................................................... . . t .................. Service Location .................................................................. ....................... .... ........... I .......................... ............................................... . ......................... . ....... . ........... MeterLocation ................................................................................................ ...................................................................................... . ......................... . ........ . I ............ MakeTap .............................................................................................................. I ............ ....... ..... . ............... Pressure.............................. lbs. Test .................................... % SendPi'lls to ......................................................................................................... -- - - --------------------------- - ------- - _----_-_--- I Date of Work .............. Foreman Guar. Voucher No ........................................... $ Remarks: ........................................................................ ................................................................................................................. . ....... . .............. ....................................................... i STREET .... FILE ...... . .............. ............................................................................................................... . ....... . ........... ........................................................................................................................... . .............. OUTGOING Index .......... Reg ....... Route Bk ......... Stencil ...... Card ..... INCOMING Index .......... Reg ....... Route Bk ......... Stencil ...... Card...-.-