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CITYOF.EDMOND Y tt
I�� �g Permit No. qT_� 5
COMMUNITY SER§1 A TMEN
T
RIGHT-OF-WAY CONSTRUCTION PERMIT S �4 Issue Date — 2,L4
A. • Owner: Washington Natural Gas Company � �" '� F:
Ni Mercer Street Name
Meeaigtledress
WA
111
APR 2 4 1991
Mailing Address
City
State
t
ENGINEERING
city state zip
State License Number. Telephone Number
C. • Address or Vicinity of Construction: 709 7 Avenue South
Type of Work to be Done: Install New Service
D. • Work in Connection With; ❑ Sub or Plat ❑ Single Family ❑ City Projects
❑ Commercial ❑ Multifamily XX Utility
E. 0 Pavement Cut: 0 Y ❑ N F. • Size of Cut: 2 X 4 (1). At Driveway over Gas
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds
harmless from any injuries, damages, or claims of any kind or description whatsoever, forseen or unforseen, that may
be made against the City of Edmonds, or any of its del artments or employees, including or not limited to the defense
of any legal proceedings including defense costs, cotcosts, aid aitorey Ifees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND,-MATERIALS1FOR A PERIOD OF ONE
YEAR FOLLOWING THE FINAL INSPECTION AND, ACCEPTANCE OF THE WORK.
Estimated restoration fees will be held until the final street patch is completed by City forces, at which time a debit or credit will be
processed for issuance to the applicant.
• A 24 hour notice is required for inspection; Please call Engineering: 771-3202
• Work is to be inspected during progress and at completion.
• Restoration to be in accordance with City Code.
• Street to be kept clean at all times.
• Traffic Control to be in accordance with City regulations.
• All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
NO EXCEPTIONS.
I understand the above and that this' permit must be available at the job site for inspection purposes at all times.
Signature: ,V+E� Date: April 15, 1991
3
Owner or Contractor
This Permit Must be Posted at the Job Site For Inspection Purposes
Call DIAL -A -DIG Prior to Beginning Work
APPROVED BY: ?.NW
Time. Authorized: Void after __�Q t4F' I r'6 days.
Special Conditions: N +A.
PERMIT FEE:
Restoration Fee:
Receipt No.:_
Fund III Fee:
Street Cut Dimensions: X = $
RELEASED BY: Date INSPECTED BY Date
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
r_ng. urv. marcn my
FIELD INSPECTION .NOTES (Fund I I I = Route copy to Street Dept.)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July 1985
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Addendum to:
a
City of Edmonds/ -
Permit Appii°ca'tion a
Engineering Aide : Kerry Walsh
Washington Natural Gas
622-6767 x 2588
-RA 7AV
C/,4) AT _J
-EXISrlt,46} 2- i/ eAS M,qO
WbPOSED
KEY:
-ss- sanitary sewer
-s- storms
-w- water
0 water valve
ol -rN
FILE# N/A
DETERMINATION OF NONSIGNIFICANCE
CORRECTED COPY
Description of proposal
Single Family Residence Addition -Garage
Proponent Gerry & Sandie McBride
Location of proposal, including street address, if any
709 7th Ave. S. Edmonds, WA 98020
Lead Agency Edmonds Planning Division
The lead agency for this proposal has determined that it does not have
a probable significant adverse impact on the environment. An
environmental impact statement (EIS) is not required under RCW
43.21C.030(2)(c),. This decision was made after review of a completed
environmental checklist and other information on file with the lead
agency. This information is available to the public on request.
X There is no comment period for this DNS.
_ This DNS is issued under 197-11-340(2); the lead agency will not
act on this proposal for 15 days from the date below. Comments
must be submitted by
Responsible Official
John Bissell
Position/Title Code Enforcement Tech. Phone 771-3202
Address 250 5th Ave. N., Edmonds WA 98020
Date April 18, 1990 Signatures--
X You may appeal this determination of nonsignificance
to Hearing Examiner
at 250 5th Ave. North, Edmonds, WA 98020
no later than 5:00 p.m. April 28, 1990.
by filing a written appeal citing reasons.
You should be prepared to make specific factual objections. Contact
John Bissell to read or ask about the procedures for
SEPA appeals.
There is no agency appeal.
Complete this checklist for nonproject proposals, even though questions may be answered "does
not apply". IN ADDITION, complete the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (part 0).
For nonproject actions, the references in the checklist to the words "project," "applicant,"
and "property or site" should be read as "proposal," "proposer," and "affected geographic
area." respectively.
A. BACKGROUND
1. Name of proposed project, if applicable:
2. Name of applicant*
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3. Address and phone number of applicant and contact person:
7 71. �/ 4/
4. Date checklist prepared:
Y/�15c
RECrixvlm
APR 16 1990
mmff comm.
5. Agency requesting checklist:
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6. Proposed timing or schedule (including phasing, if applicable):
/57r7/ --7—A111,�--7" 4 -C 7/-
7. Do you have any plans for future additions, expansion, or further activity related
to or connected w,th this proposal? If yes, explain.
8. List any environmental information you know about that has been prepared, or
will be prepared, directly related to this proposal.
W. 4 -
9. Do you know whether applications are pending for governmental approvals of
other proposals directly affecting the property covered by your proposal? If yes,
explain. ,/G
10. List any government approvals or permits that will be needed for your
proposal, if known.
11. Give brief, complete description of your proposal, including the proposed uses
and the size of the project and site. There are several questions later in this
checklist that ask you to describe certain aspects .of your proposal. You do not
need to repeat those answers on this page. (Lead agencies may modify this form
to include additional specific information on project description.)
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12. Location of the proposal. Give sufficient information for a person to
understand the precise location of your proposed project, including a street
address, if any, and section, township, and range, if known. If a proposal
would occur over a range of area, provide the range or boundaries of the
site(s). Provide a legal description, site plan, vicinity map, and topographic
map, if reasonably available. While you should submit any plans required by the
agency, you are not required to duplicate maps or detailed plans submitted with
any permit applications related to this checklist.
0,�AlE
TO BE COMPLETED BY APPLICANT EVALUATION FOR
AGENCY USE ONLY
B. ENVIRONMENTAL ELEMENTS
1. Earth
a. General description of the site (circle one): Flat, rolling, hilly, steep
slopes, mountainous, other
b. What is the steepest slope on the site (approximate percent slope)?
c. What general types of soils are found on the site (for example, clay, sand,
gravel, peat, muck? If you know the classification of agricultural soils, specify
them and note any prime farmland.
d. Are there surface indications or history of unstable soils in the immediate
vicinity? If so, describe.
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e. Describe the purpose, type, and approximate quantities of any filling or
grading proposed. Indicate source of fill.
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f. Could erosion occur as a result of clearing, construction, or use? If so,
generally describe. /G
g. About what percent of the site will be covered with impervious surfaces after
project construction (for example, asphalt or buildings)?
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h. Proposed measures to reduce or control erosion, or other impacts to the earth,
if any:
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2. Air
a. What types of emissions to the air would result from the proposal (i.e., dust,
automobile, odors, industrial wood smoke) during construction and when the project
is completed? If ny, generally describe and give approximate quantities if known.
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b. Are there any off -site sources of emissions or odor that may affect your
proposal? If so, generally describe.
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c. Proposed measures to reduce or control emissions or other impacts to air, if
any:
3. Water
a. Surface:
1) Is there any surface water body on or in the immediate vicinity of the site
(including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If
yes, describe type and provide names. If appropriate, state what stream or river it
flows into. y �% SC �. y � 1' L Al
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2) Will the project require any work over, in or adjacent to (within 200 feet) the
described waters? If yes, please describe and attach available plans. , /
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3) Estimate the amount of fill and dredge material that would be placed in or removed
from surface water or wetlands and indicate the area of the site that would be
affected. Indicate the source of fill material.
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4) Will the proposal require surface water withdrawals or diversions? Give general
description, purpose, and approximate quantities if known.
5) Does the proposal lie within a 100-year floodplain? If so, note location on the
site plan. /
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6) Does the proposal involve any discharges of waste materials to surface waters? If
so, describe the type of waste and anticipated volume of discharge.
11167
b. Ground:
1) Will ground water be withdrawn, or will water be discharged to ground water? Give
general description, purpose, and approximate quantities if known.
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2) Describe waste material that will be discharged into the ground from septic tanks
or other sources, if any (for example: Domestic sewage; industrial, containing the
following chemicals...; agricultural; etc.). Describe the general size of the system,
the number of such systems, the number of houses to be served (if applicable), or the
number of animals or humans the system(s) are expected to serve.
„/l;-MGi
c. Water Runoff (including storm water):
1) Describe the source of runoff (including storm water) and method of collection and
disposal, if any (include quantities, if known)-;- Where will this water flow? Will
this water flow into other waters? If so, describe.
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2) Could waste materials enter ground or surface waters? If so, generally describe.
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d. Proposed measures to reduce or control surface, ground, and runoff water
impacts, if any: /
4. Plants
a. Check or circle types of vegetation found on the site:
t.-Eeciduous tree: alder, maple, aspen, other
evergreen tree: fir, cedar, pine, other
rubs -
ass
grass
_ pasture
crop or grain
wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other
water plants: water lily, eelgrass, milfoil, other
other types of vegetation
b. What kind and amount of vegetation will be removed or altered?
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c. List threatened or endangered species known to be on or near the site.
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d. Proposed landscaping, use of native plants, or other measures to preserve or
enhance vegetation on the site, if any:
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5. Animals
a. Circle any birds and animals which have been observed on or near the site or
are known to be on or near the site:
birds: hawk, heron, eagle, songbirds, other: .............................
mammals: deer, bear, elk, beaver, other: .................................
fish: bass, salmon, trout, herring, shellfish, other: ....................
b. List any threatened or endangered species known to be on or near the site.
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c. Is the site part of a migration route? If so, explain.
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d. Proposed measures to preserve or enhance wildlife, if any:
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6. Energy and Natural Resources
a. What kinds of energy (electric, natural gas, oil, wood stove, solar) will be used
to meet the completed project's energy needs? Describe whether it will be used for
heating, manufacturing, etc.
b. Would your project affect the potential use of solar energy by adjacent
properties? If so, generally describe.
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c. What kinds of energy conservation features are included in the plans of this
proposal? List other proposed measures to reduce or control energy impacts, if
any: L
7. Environmental Health
a. Are there any environmental health hazards, including exposure to toxic
chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur
as a result of this proposal? If so, describe.
1) Describe special emergency services that might be required.
2) Proposed measures to reduce or control environmental health hazards, if any:
b. Noise
1) What types of noise exist in the area which may affect your project (for example:
traffic, equipment, operation, other)?
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2) what types and levels of noise would be created by or associated with the project
on a short-term or a long-term basis (for example: traffic, construction, operation,
other)? Indicate what hours noise would come from the site. ,�
3) Proposed measures to reduce or control noise impacts, if any:
8. Land and Shoreline Use
a. What is the current use of the site and adjacent properties?
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b. Has the site been used for agriculture? If so, describe.
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c. Describe any structures on the site.
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d. Will any structures be demolished? If so, what?
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e. What is the current comprehensive plan designation of the site?
h. Has any part of the site been classified as an "environmentally sensitive"
area? If so, specify.
i. Approximately how many people would reside or work in the completed project?
3
j. Approximately how many people would the completed project displace?
k. Proposed measures to avoid or reduce displacement impacts, if any:
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1. Proposed measures to ensure the proposal is compatible with existing and
projected land uses and plans, if any:
9. Housing
a. Approximately how many units would be provided, if any? Indicate whether high,
middle, or low-income housing.
b. Approximately how many units, if any, would be eliminated? Indicate whether
high, middle, or low-income housing.
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c. Proposed measures to reduce or control housing impacts, if any:
10. Aesthetics
a. What is the tallest height of any proposed structure(s), not including
antennas; what is the principal exterior building materials) proposed?
b. What views in the immediate vicinity would be altered or obstructed?
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c. Proposed measures to reduce or control aesthetic impacts, if any:
11. Light and Glare
a. What type of light or glare will the proposal produce? What time of day would .
it mainly occur?
b. Could light or glare from the finished project be a safety hazard or interfere
with views?
c. What existing off -site sources -of light or glare may affect your proposal?
d. Proposed measures to reduce or control light and glare impacts, if any:
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12. Recreation
a. What designated and informal recreational opportunities are in the immediate
vicinity?
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b. Would the proposed project displace any existing recreational uses? If so,
describe.
c. Proposed measures to reduce or control impacts on recreation, including
recreation opportunities to be provided by the project or applicant, if any:
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13. Historic and Cultural Preservation
a. Are there any places or objects listed on, or proposed for, national, state, or
local preservation registers known to be on or next to the site? If so, generally
describe.
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b. Generally describe any landmarks or evidence of historic, archaeological,
scientific, or cultural importance known to be on or next to the site.
c. Proposed measures to reduce or control impacts, if any:
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14. Transportation
a. Identify public streets and highways serving the site, and describe proposed
access to the existing street system. Show on site plans, if any.
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b. Is site currently served by public transit? If not, what is the approximate
distance to the nearest transit stop? lc�- )
c. How many parking spaces would the completed project have? How many would the -
project eliminate? '>
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d. Will the proposal require any new roads or streets, or improvements to existing
roads or streets, not including driveways? If so, generally describe (indicate
whether public or private).
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e. Will the project use (or occur in the immediate vicinity of) water, rail, or
air transportation? If so, generally describe.
Al 17
f. How many vehicular trips per day would be generated by the completed project?
If known, indicate when peak volumes would occur.
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g. Proposed measures to reduce or control transportation impacts, if any:
15. Public Services
a. Would the project result in an increased need for public services (for example:
fire protection, police protection, health care, schools, other)? If so, generally
describe.
b. Proposed measures to reduce or control direct impacts on public services, if
any.
16. Utilities
a. fC�ircle util'�ies current�,�cavailable a fie site: e ct city, nal�gas,
wifter,, refusD sp'rvice, tel�'phq'ne, sanit�wer, septic system, other.
b. Describe the utilities that are proposed for the project, the utility providing
the service, and the general construction activities on the site or in the
immediate vicinity which might be needed.
C. SIGNATURE
The above answers are true and complete to the b cnowledge. I understand
that the lead agency is elying o them ce its ecision.
Signature: ............
ignature:............ ff ................
Date Submitted: ...............................�.[:..1 ................
D. Supplemental Sheet for Nonproject Actions (Rezones, Code Changes, Annexations, etc.) -- Do
not use this sheet for project actions.
Because these questions are very general, it may be helpful to read them in conjunction with
the list of the elements of the environment.
When answering these questions, be aware of the extent the proposal, or the types of
activities likely to result from the proposal, would affect the item at a greater intensity or
at a faster rate than if the proposal were not implemented. Respond briefly and in general
terms.
1. How would the proposal be likely to increase discharge to water; emissions to
air.; production, storage, or release of toxic or hazardous substances; or
production of noise?
A/ivke.
Proposed measures to avoid or reduce such increases are:
2. How would the proposal be likely to affect plants, animals, fish, or marine
life?
Proposed measures to protect or conserve plants, animals, fish, or marine life are:
3. How would the proposal be likely to deplete energy or natural resources?
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Proposed measures to protect or conserve energy and natural resources are:
4. How would the proposal be likely to use or affect environmentally sensitive areas
or areas designated (or eligible or under study) for governmental protection'; such
as parks, wilderness,, wild and scenic rivers—, threatened or endangered species —
habitat, historic or cultural sites, wetlands, floodplains, or prime farmlands?
yt''v11
Proposed measures to protect such resources or to avoid or reduce impacts are:
5. How would the proposal be likely to affect land and shoreline use, including
whether it would allow or encourage land or shoreline uses incompatible with
existing plans?
Proposed measures to avoid or reduce shoreline and land use impacts are:
6. How would the proposal be likely to increase demands on transportation or public
services and utilities? /(
Proposed measures to reduce or respond to such demand(s) are:
7. Identify, if possible, whether the proposal may conflict with local, state, or
federal laws or requirements for the protection of the environment.
ENVCHK3/PFORMS
CIT OF EDMONDS - SIDE .`)EWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT N° 5055
Call 775-2625 for aide sewer Inspections BEFORE covering any portion of the construction.
Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections
ADDRESS LOCATION OF CONSTRUCTION ....... 709... .... Zth Ay!n.Ve S.
.............. _ .......... ............................................
PROPERTY LEGAL DESCRIPTION .... Lots... 36,...37..,...3.8.,...39.,...and.-I... 4.0... Less... the—East.A.Q... feet... o.f...1.0t..3fi..............
....................................-...............-.......................................................................................
................................................................OWNER AND/OR BUILDER ........ ROB E.RT.... K..... P.ARTLEY........................
........................................
Ce--TRACTOR'S NAME & ADDRESS.., .....� ...... �a - ' :.......�r......0 �.� ...
Peirrfission Is granted ...... October ...8,... A ...................... 19...7.4, for repair and/or connection of a side sewer to the city sanitary sewer
system in accordance with City of Edmonds ordinances.
ATT) nw110N IS CALLED TO THE FOLLOWING:
NOTF..No. 1—The owners of the property may obtain a permit to construct sewer Inside property line. A licensed Side Sewer Contractor must be employed to construct
Aside sewer In street area. Do not cover any portion of sewer before It has been inspected.
NOTE No. 2—ll work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office.
NOTE No. 3—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
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 / . No bends in grade
sharper than ,A will be permitted.
NOTE No. 5—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.
NOTE No. 6—It Is unlawful to alter or do any other work than Is provided for In the
sert the pipe into the wye. Permit, or to do any work on the main sewer or Its appurtenances except to In -
DISAPPROVEDDate ........................................ By ................ Date ..........:',.:::.'.....-.......... By---............. Date-....,........._....... B 1...._....w_.-
APPROVED ,1,� . !� B y`':-�
y✓w...A....................... ...............
Remarks:-.Invas.icon...O.f...R.i.ghtno-f..--Way-..Permia-.RegUi.r-ed.................................
.......................................
.................-........................................................
- BOTH Per it Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection —
"' g g hereby certify that the side sewer installation constructed under this permit
(Owner of Con racting Fir Performing Construction)
vas`r,Utalled in accordance with a Overnin or
of the City of Edmonds.
a
Datedthis ............................day of................................................................. 19......... .
v J Check BEFORE you dig for: Water [], Gas [], Telephone (-J, Power n, Sewer m. Othrr n ,1 ,1 i
APPLICATION
T6 City of Edmonds for
SIDE SEWER PERMIT
NEW CONSTRUCTION A REPAIRS ❑
OWNER ...........
JOB ADDRESS ------ ---------- 7 ................ .....................
EASEMENTNO- .......... ....... — -------------------
LID NO. ........ .. -ASMT. NO - ------------------
CONTRACTOR eS.-/4U-11� - - ------------------------------ ----------------------- PERMIT NO.
LEGAL DESCRIPTION: LOT NO. 36,-32, ItY. 99,4BLOCK NO. ------ 5 — ------------------
- ----------------- -----
NAMEOF ADDITION --------------------------------- .......... ---------------------------------------------------------------------
ew e4
V4
lot.,
Approved:
DATE-------------------------------------------- By ------- ..................... ----------------------
APPLICATION
I for
The %'City of Edm"��'Rd' EASEMENT NO. --------------------------------------------
SIDE SEWER PERMIT
ILE
NEW CONSTRUCTION REPAIRS F-1 LID NO. --ASMT. NO.
C5 F4, L-',V=
OWNER CONTRACTOR. ......... .......... PERMIT NO - --_-_----_------
----------------------- - --------------------- ...
---------------------------------- ---------------------------------------------- :
E_ BLOCK ------ : ------ ----------
ENVY LEGAL- DESCRIPTION: LOT NO. ____L ..... NO -
JOB ADDRESS ---------------------------------------------------------------------------------------- ---
............. ... I .................. ---------------------------------------------------------------------------------------- ..........................
EE' L
1tijc_ NAME OF ADDITION ......... —=L4-.C� --- � ---------- -----------------------------------
4"C'C4.K. 2-1 17
t r
4.,PVC TO
Wor etc -
4 PVc'2—
I
Approved:
--------------
�k
- By -- - --- ----
DATE .......... ---- /Z _ff m 11'ke Z4
STREET FILE DATE: May 17, 1976
MEMO TO: Harry I4hi tcutt
Building Official
FROM: Richard II. Allen
Assistant.Cit.y Engineer
SUBJECT: Pui1dinq Application Permit for 709 7th Avenue S. S-7-73
After review of the.subject huilding.ner.mit application, we have the fol-
lowing comments:
1. Legal description does not conform to approved subdivision
S-7-73.
2. Site plan does not conform to leCal description nor
subdivision.
3. Stream course shall not he altered.
4. firing to garage must be underground.
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Pe i t Address 9" 7 f�
,v,7e _ Leq 1 Description AlL
afs3!s•40
lath S ga,OG
BUILDING PERMIT RFVIEVI - FNGINFFRING DF.PARTMFNT
CHECK. LIST
Reviewer's
Intials
�Septic.Tank System Design Approved
Sanitary Sewer Availability k- Slit. of Dwn. No._
Project: Sid Sewer Availability:
Any Sanitary Sewer Connection Fees
4. i to Drainage Checked LQ,PJ
Storm Sewer Availability: SW 4. Sht. of Dwg. No.
Project: Roadside Ditch
Grading & Final Contours *'r S*O NJ IWINOt &f T rX
Sidewalks (Site Inspection shows condition of existing aralks .as follows):
Curbs([S'rN�G 0 �� •
Curb Cuts_ VI I-f lAX
000, Underground Wiring & :4-.,. 04--, F•�V Q. Qom., s�'%�%3
e" Street Right-of-wav & Bldg. Setbacks: O K— Sht.
of . Zd of Official Street Map.
Existing Utility Fasempts
XAccess Easements
Water Mains .& Fire Hydrants (Indicate Size !later Main)
A
Bonds for Site I-lork abor MW Pa
pecial Requirements listed,in memo to Bldg. Dept.
Commercial & Apt. Requirements form completed WA-
1
✓ awi ngs stamped' & notations made epi -rO ,S;�WP
Site Inspection made on :50:�/4•`/�o
All items
filled
in -on Mg. 'Permit Application
21.
This Lot
included
in Subdivision "� 7 (List any special requirements):
3/9/76