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CITY of EDM ON DS SIDE SEWER PERMIT.
For Inspection Call 771-3202 PERMIT NO. 7219,
Address of Construction: :[0(9
Property Legal Description (Inclu.de all easements):
Own
Cor
Singl:e Family Residence
Multi-Famil-y
(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 Propert3i: No, k/-- Yes I (If Yes,.easemeht:required,
attach legal description and county easement -number.)
PLEASE READ nE ITE
i ce-r-C-ITY -cnax,/-i
with the items 1
®rm/o/z, -1/0, ;1 ;1 For � ;1 ;1
ISTED ON THE BACK
6 read and shall comply
d on the back.
Permit Fee: ;?o .0 D
Trunk Charge:
Assessment Fee:
Partial Inspection:
Comments
Final Inspection Approved:
' Date
Rejected:
eason
got
P4 Date
issued By:
Date Issued: 11g gil
Receipt No.: J// —� :
M RAW. I
X.
y
PERMIT MUST BE POSTED ON JOB SITE
Wh-ite.Copy - File Green Copy Inspector
Date Initial
,z~
Date Initial
Buff Copy - Applicant
The i City of Edmonds Side Sewer Drawing
EASEMENT No - ----- ----------------------------------- --
NEW CONSTRUCTION [q/ REPAIRS LID NO - ------------------ - ASMT. NO - ---------------
OWNER - ------ !n6V--W-kF("P ------------------ qp-w-v-cs ------- T-s�.4c, ------ CONTRACTOR ------------ VA-0.-_-_Vn
--------- PERMIT NO.
JOB ADDRESS ----------- 706 ----------- Vi'-:S-r A P L ------------- LEGAL DESCRIPTION: LOT NO - --------
----------------------------- ---- ------ ---------------- BLOCK NO - ------------------------------------
-------------------------
--------------- offt .... 5 .... AMvAaR ---- lmw ---- A),4 5 o- -kv . 1� -- ------
NAME OF ADDITION -------- ---------------------------- -------------------------------- EDMONDS
I YREATMENT-PLANT
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Approved:
PWW-0001 -11175 (REV. 11178) DATE --- -11--2-7-Al ....... ------ By
-----------------
STREET FILE
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CITY OF EOMONOS
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S111GLE [AMILY HULTIPLE COMMIqCIAL
ENGINEERING & PUBLIC WORKS
PROJECT REVIEW
CHECK LIST
PROJECT NAME CONTACT Kk"E & TELEPHONE NUMBER
ADDRESS Z9.
ACCESS SLOPE AND VEHICLE ACCESS A411M
J , --
DRAINAGE PLAN 10
A
STREET FILE 300
LIGAL DESCRIPTION YfRITICATION
QUIT CLAIMIDEVICATIONS,
CASINIH.T - PUOLIC/PRIVATE
CALCULATE SEWER CONNECTION IF No LID #
STREET PAVING REQUIRED
CURB AND GUTTER REQUIRED of
SIDEWALK REQUIRED f
CURB CUT [OR DRIVEWAY REQUIRED Is
RIGH7-Of-WAY CONSYRUCTIO14 PERMIT REQUIRED
BOND REQUIRED FOR PUBLIC IMPROVEMENTS
STREET NAME SIGN REQUIRED
OTHER SIGHING REQUIRED
1XISTIM6 WATER KAIII SIZE
WATER PAIN REQUIRED
SfRVICf LI.lE REQUIRE
dAla
(ADDITIONAL COMMENTS ON BA(
HYDRANT SIZE EXISTING
HYDRAUT Rf9UIRED PER FIRE CODE 41154 SIZE
CROSS C1901ECTION IHSPfCTION
WATER 111TER CHARGE REqUIp..rD
REVIEW BY
DATE (ADOITIOILkL COPKNTS ON V
SANITARY SEWER D-WIIMG IlUX.BER FILE WiGER
SIDE SEWER AVAILABILITY SANITARY SEWER C0111ECTION FEE REWIRED
OPEN DITCH EXIST
CULVERT Rf9UIRED
CATCH BASIN REQUIRED
IKED
I
'-'11NDICATED ON SITE PLAN
SHOULDER DRAIMGE IVINTAIN COLLECTI011 ON SHALE OPEN RullOff
a
f"HOL( REQUIRED it I) )INDICATED 0.4 SITE PLAN
SOIL CONDITION D WATEAFIELD CHECKED
AIVIEW by PAT[ (ADDITIONAL COMMENTS ON BAC
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USE PERMIT
CITY OF EbIVIONDS
ZONE k.S NUMBER ---
CONSTRUCTION PERMIT
APPLICATION
JOB
ADDR ESS `7
NAME (OR NAME OF BUSINESS)
LEGAL DESCRIPTION CHECK
Zer / k
SUB _IVISION Noy
, '
ID N
MAILING ADDRESS
Z
'8 c)
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MA P.
Q 2- 2- 61- �7* - -
CITY TELEPH�NE NUMBER
VA"
I
EXISTING REQUIRED DEDICATION
PROPOSED
NAME
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0
STREET USE PERMIT REQUIRED 0
C. 4;, 1 r.. r,
Uj ADD ESS
SEE ENGINEERING MEMO DAT
SEE PIW DEPT. REVIEW CHECK LIST DATED
qo
CITY
TELEPHONE NUMBER
11,4 ff-Wilf,
REM
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NAI(16M�
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a: ADDRESS
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SUPPLY SIZE.
FIXTURE UNITS
2—Z A sk
METER SIZE
LOING
77
4 -
er CITY
TEEEPHONE NUMBER
Z
REMARKS
0
0 STATE LICENSE NUMBER
CITY LIC N UMBER
HC) -in M_T
SIGN AREA
ENV. REVIEW
ADB NO.
E-
ALLOWED PROPOSED
COMPLETE EXEMPT
Legal Description of Property -!nclude all easeWents
SHORELINE#
(show below or attach four copies)
Z
9
VARIANCE OR CU
PLA ING REVI B�YR
DATE
jr
IE
tZs
YARDS
FRO T -Pe�-111 EA R
LOT COVER KE
W
REMARKS
-2
NEW RESIDENTIAL F PLUMBING
MECHANICAL
ADD/ALTER NON-RESIDENTIAL
REPAIR RETAINING WALL
SIGN
CHECKED BY
TYPE OF CONSTRUCTION
I I
CODE
HEIGHT
EXCAVATE FENCE
El
DEMOLISH OR FILL
(-x-FT)
PRE -MOVE INSP./
swim
1:1
SPECIAL INSPECTOR
AREA
OCCUPANCY
OCCUPANT
COMPLIANCE INSP.
POOL
REQUIRED
0 YES I` NO
GROUP
LOAD
EISIDE SEWER 1-1 WATER LINE 0
REMARKS
Z
El
Cc
NUMBER OF STORIES
NUMBEROF
Uj
UwtLLINU
IUNHZ�
0
, NATURE OF WORK TO BE DONE (ATTACH PLOT PLANI
PLA14 CHECK FEE
BUILDING
PLUMBING
MECHANICAL
GRADINGIFiLL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission._
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages of
h &
218-) (21 /7-
whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
modify,.waive or reduce any requirement of any city ordinance
I
nor limit in any way the City's ability to enforce any ordinance
provision."
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the
information given is correct; and that I am the owner, or the duly
ATTENTION
authorized agent of the owner. I agree to comply with city and
state laws regulating construction; and in doing the work authoriz-
THIS PERMIT
AUTHORIZES
ed thereby, no person will be employed in violation of the Labor
ONLY THE
Code of the StateA Washington relating to Workmen's Comp ensa-
WORK NOTED
.
tion InSjJTa^ce.
I NSPECTION
DEPARTMENT
SIGNA R I NE AG NT)
DATE SIGNED
CITY OF
EDMONDS
771-191719
UVIUMN1011604
VALUATION
III
APPLICATION APPROVAL
This application Is not a permit until
signed by the Building Official or his
Deputy; and fees are paid, and receipt is
acknowledged in space provided.
OFFICIAL'S SIGNATURE
DATE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UB910V
CHAPTER 3.
102-78
2-1984 ORIGINAL — File YELLOW — Inspector L
PINK — Owner GOLD — Assessor
KVon Pq - E-1-1 WA - 775 1
DATE IL11WAI
/ I/ / / F
MEMO TO: Building Division
Planning Department
FRO14: Engineering Division
Publ ic Works Department
SUBJECT:
After review of the subject Building Permit application, vie have the following
comments:
1. Connection to.City water system required.
2. Connection to City
sanitary
sewer system req0red.
3. Right-of-way permit
required
for any work on City property.
4. Driveway slope not to exceed 14%
5. Backwater valve required if downstairs plumbing is below elevation of
upstream manhole.
6. Water and sewer 1 ines to be separated by 10 foot minimum.
BD 6/82