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710 13TH WAY SW.PDF1111111111 710 13TH WAY SW Side Sewer Drawing The C#y of Edmonds EASEMENT NO. ................................. NEW CONSTRUCTION Vef" REPAIRS E] LID NO ................... ASMT. NO . ............ OWNER ...................................................................... CONTRACT .... OR ..... eld --------------- PERMIT NO. A JOB ADDRESS ..... 7/cq ...................................... ;x ............................... LEGAL DESCRIPTION: LOT No . ............. ------------------ BLOCK NO . ........... - ...................... -S' - s- o - 17 9 ........................................................ ............................................................................................... NAME OF ADDITION PWW-0001-1 1175 (REVA Iric , , ►/,%L f e_- /1,j - Approved: DATE.... ......... By ............................. CITY OF E PUBLIC WORKS DEPARTMENT FOR INSFECTION CALL Permit lff� _ _ G707 SIDE SEWER PERMIT 775-2525 Ext. 2,2-0'. Issue Date i. PERMIT MUST BE POSTED ON JOB W1,W4cu. 1. Address of Construction (3� L,t%y 2. Property Legal Description (include all easements) 3. Single Family.Residence Multi -Family No. of Units Commercial 4. Owner and/or Builder 5. Contractor & License No. 6. Invasion into City Right -of -Way: No Yes (If Yes Right-of- way Construction Permit Required - Call Dial Dig (342-5344) before excavation). 7. Cross other private property: Yes No Easement required - attach legal description and county easement number. READ THE FOLLOWING AND SIGN: a. Property owners must obtain a permit to install side sewers on their property. A licensed side sewer contractor must be employed to construct side sewers in the public right-of-way. b. The side sewer contractor assumes full reponsibility for each installation for one year. c. Commercial establishment requires a minimum of a six inch (6") s4de sewer line. d. Side sewers may not be installed closer than thirty inches (30") to any structure. e. Side sewer lines must be laid at a minimum grade of 2% (1.150) and maximum grade of 100% (450). f. No turn in side sewer greater than 45° (1/8.bend) isallowed between cleanout. All 90 turns must be constructed of a .45 0(1/8 bend) and wye with removable cap. g. No down spouts-, footing drains or floor drains can be connected to side sewer system. h. Pea gravel is required for bedding when installing sewer lines through other than granular soil. i. Cleanouts are required at 30"-60" from each plumbing exit line and at minimum intervals of 100' along sewer line run. j. Trenches within City right-of-way must be restored to original conditions. Contractors shall be responsible for right-of-way failure due to poor compaction of fill. k.. Side sewer must be left uncovered until inspected and approved by the City. 1. Inspection during normal working hours only. Two (2) working days notice required. DATE: I certify that I have read and shall comply with the above PERMIT FEE: �: Csf� DISAPPROVED BY: Date: B Date: CONNECTFEE : roc? APPROVED By: Date 0 w * PERMIT MUST BE POSTED ON JOB SITE VA"21ES � - Zj P.^E � O fCOVEe SUti'iP CUTLET Z_ ELEV Z 1% MIN : _//_//_:::_ ,.-_ = 1' MIN. �' f P-ILTEIZ CLOTH 4" TEE SECTION T =Po• - 'SUMFT AD.S W 15EQUAL. 30. 02 EQUAL .�- 15" I.D. x 24" DEEP WITH PFEMO � � � VA BLE COVE2 4" DIA. PE2F. �� I' MA.`•• _ ADS TUBING \Tr2` NCH FILLED VVj �ti//PE►�s- END 3;0., TO 1'12„ "t: SHED ®OF ® �ie,4 SUNAP E PERCOLATION TENCH rA IL W - p WASNED GIzAVEL , (3/4•'- I l/z) ui LLJ 4" Olt / • O O ` V co . O PEIZP PIPE • o o u " 0 Zol •;9 - -- - � - � - - - - - . ` TRENCI-4 SECTION � - it i PUBLIC WORKS DEPARTMENT in le ST FIIrm vS g Family R_MILDING PERMIT REVIEW Multiple Commercial BUILDING ADDRESS W t BLDG. DEPT, SUSPENSE DATE /p/ /� ��/ INITIAL DATE ITE : ® OFFICE ADMIN . — PUBLIC WORKS LOG, IN -OCT rJ 8 1981 CITY ENGINEER (check) ❑ Access Slope and Vehicle Access �3 W (a�01f. Of Nub►ic Works Drainage Plan vibU APPIP ❑ Street File ❑ Legal Description ❑Quit Claim ❑ Easement Calculate Sewer Connection WATER/SEWER DIVISION ® Determine Meter Size P-Complete Building Permit Review 0,STREET DIVISION Complete Building Permit Review ' []OFFICE ADMIN o — LOG OUT TO BLDG. DEPT . �- D BUILDING PERMIT APPLICATION (COMPLETE) 641U ❑� COPIES OF SITE PLAN ❑ 2 COPIES OF FIRE PROTECTION'PLAN (PREVIOUSLY REVIE14ED BY FIRE DEPT.) U'3 COPIES OF DRAINAGE PLAN WITH CALCULATIONS REQUIRED BY SUBDIVISION ❑ GREATER THAN 2,000 SO. FT. IMPERMEABLE SURFACE ❑ _ / LESS THAN 2,000 SO . ; FT . [] / FilCOPY ECK ZONING REOUIREME14TS (SETBACKS) COPY OF EPIGINEERIIIG CHECK LIST OF PUBLIC WORKS MEMO ® MULTIPLE OR COP-DIERCIAL YES ❑ ATTACH COPY OF ADB APPROVAL INCL. ALL DRAT•TINGS) NO - SUBDIVISION — YES NAME j. DATED RECORDED-�z-�;� NUMBER NO ® (ATTAC.q COPY OF RE.OUIRII'=S) �CIitCK SEWER DRAWING ,AND ATTACH COPY 7- IS DEDICATION' REQUIRED YES❑ (OBTAIN QUIT CLAIPI) ( CITY CODE ) i NO PDOES CITY HAVE EASEMENT ON PROPERTY YES, ❑ (ATTACHICOPIES OF DRAWINGS) NO CHECK LEGAL, ACCESS' '; INGRES UTILITIES �j ' Yts o YES NO ❑ NO. HAS ,SEWER.ASSESSMENT iBEEN- PAID YiC ❑/, ,L.T.D. NO. `. PLAT,-IJO' :4 `SUBDIVISIONS NO. IF MULTIPLE: INCLUDE -NUMBER OF UNITS` ❑ IF COMMERCIAL: INCLUDE NUMBER OF FIXTURE UPIITS USE PERM11W CITY OF EDMONDS ZONE NUMBER $UILDING PERMIT APPLICATION C JOB NAME (OR NAME OF BUSINESS) ADDRESS �jQ�� ��?(�A �C't �� �,e ,i �5 {�\t Erl 1 I �.1 l� LEGAL DESCRIPTION SUBDIVISION SHOR SUB O. W MAILING ADDRESS -v 0`791 J o,2ICE SN4FZ_r ;% (\J/ • PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP CITY ELEPHONE NUMBER /^1r ((��\\ 0 a , ) 7 Z _ / �1J `- j rv^� `J EXISTING J/(,nl NAME PROPOSED .,,•7 I,• �j•i"�'j ♦_ r)1 �t( Ov -- DEFICIENCY OF RIGHT OF WAY V F ADDRESS ED C_ SEE ENGINEERING MEMO DATED DZ I U , Cr CITY TELEPHONE NUMBER R ARKS Q NAME 0 ADDRESS I- U Q C CITY TELEPHONE NUMBER F Z 0 U STATE LICENSE NUMBER ICITY LICENSE NUMBER Legal Description of Property (Show Below or Attach Four Copies) i'�L `"1 / Z O_ F a_ C U 0 W 0 J Q u W J SIZE I BUILDING SUPPLY SIZE I FIXTURE UNITS SIGN AREA ENV. REVIEW ADB NO. ALLOWED PROPOSED COMPLETE EXEMPT SHORELINE VARIANCE OR CU PLAN G REVIEW BY DATE YARDS !! LOT COVERAGE ,')Q FRONT J' SIDE REAR..��o REMARKS NEW ❑ RESIDENTIAL ❑ PLUMBING CHECKED BY 'r'YP aNON-RESIDENTIAL ❑ MECHANICAL a ADD ElDEMOLISH❑ SIGN SPECIAL INSPECTOR ❑ ALTER ORCFILLTE ❑ I ENCE X—FT) REQUIRED ❑ YES ❑ NO REMARKS ❑ REPAIR SINSP. a COMPLIANCE POOL Z NUMBER OF STORIES NUMBER OF 2DWELLING 2 UNITS a NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) In W O � m � 0 i PLAN CHECK FEE BUILDING PLUMBING This Permit covers work to be done on private property ONLY. MECHANICAL Any construction on the public domain (curbs, sidewalks, driveways, FENCE marquees, etc.) will require separate permission,, SIGN Permit Application: 180 Days Permit Limit: 1 Year- Provided Work Is Started Within 120 Days "Applicant,- on behalf of his or her spouse, heirs, assigns and RETAINING WALL successors in interest, agrees to indemnify, defend and hold harmless SWIMMING POOL i the City of Edmonds, Washington, its.officials, employees, and ¢ agents from any and all claims for damages of whatever nature, i arising directly or indirectly from the issuance 'of this permit. Issu- OF CONSTRUCTION I CODE AREA (OCCUPANCY GROUP 0 ance of this permit shall not be deemed to modify, waive or reduce TOTAL AMOUNT DUE pany requirement of any city ordinance nor limit in any, way the = City's ability to enforce any ordinance provision." ATTENTION I hereby acknowledge that I have read this application; that the in- formation given is correct; and that I am the owner, or the duly author- THIS PERMIT ized agent of the owner. I agree to comply with city and state laws regu- AUTHORIZES lating construction; and in doing the work authorized thereby, no person ONLY THE will be employed in violation of the Labor Code of the State of Washington WORK NOTED relating to Workmen's Compensation Insurance. 'DATE SIGNATU5E_(Ot{1/ NER OR AGENT) C / SIGNED 'ICJ/ INSPECTION ' DEPARTMENT CITY OF EDMONDS THIS SITE IS LOCATED IN THE CITY 775-2525 OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. ATTENTIONIT IS TO USE OR OCCUPY A BUILDING LINSPECTION OCTUNTIL ALFINAL HAS BEEN 'MADE'ANDOAP ROVALURE OR I 7 VALUATION FEE HEIGHT OCCUPANT LOAD 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 pro- vided. DIRECTOR'S SIGNATURE DATE ORIGINAL — File YELLOW — Inspector PINK — Owner GOLD — Assessor x W F Q A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 304, 306. 1 02-78 DATE : /,f)f" yj MEMO TO: Building Division Community DeveloomenL Department FROM: Engineering; Division Public Works Department SUBJECT : �C) �3 TV After review of the subject Building Permit application', we have the.following comments: i ' i 1_. Connection to system required 2. 'Connection to Citv sanitary sewer s,lstem required. 3. Riaht-of-wav Permit required for ,any work on City property, 4, Driveway slope not to exceed 14%. S. Backwater valve required if downsLnir.s Plumbing is below elevation of upstream manhole. 6. Water and sewer lines to he separated by 10 foot minimum. ...SignaLure PUBLIC WORKS DEPAR•IIE1T CHECKLIST ice/ i1 I U 14 CItlh - el�_ /9 Z —tea ess — U t 70 Street Right -of -Way Existing 3U REQD z Access Easements Existing REQD H Utility Easement Existing REQD w Lot Per Subdivision y�c Plat Assessor Map w Site Plan Checked for Accuracy p z Underground Wiring Reqd. - H 0 Check Accuracy of, Legal DeaCription � z Review by__, / 2t,tl Date D A- f w Existing Water Main Size Water Main Required J Service Line Required Hydrant Size Existing 94 Hydrant Reqd Per Fire Cade Size w Detector Check Meter Reqd. Cross Connection Inspection H Fire Department Comments 3 Water Meter Charge Reqd. Review by .�z�v�—tom 01 Date O l& Septic Tank Design Approved ,i,Le- Date le ' - X/ Septic Tank Permit Reqd. Permit No. Sanitary Sewer Availability Proj. Drawing No. fl- File No . Side Sewer Lailability. x w Sanitary Sewer e tion Fd Regd. 3 Review Date N i Open Ditch Existing �/ o /1/ 2_ . Regd. • Culvert Regd. /tee .a //rz " Size P4 Catch Basin Reqd, Indicate on Site Plan Shoulder drainage maintain collection on swale open runoff � „ w 'T Manholereqd. - Indicate on Site Plan. -- Soil Conditions' and Ground Water Field Checked » c4 Review by ' R ' ' Date 2 —/ Revised: lv10-1977. T n 'PUBLIC WORKS DEPARTMENT Sof REIET FILE; BUILDING PERMIT REVIEW BUILDING ADDRESS L---Single Family Multiple Commercial BLDG. DEPT. SUSPENSE DATE /O� /� ��� d- INITIAL 7TE: ® OFFICE ADMIN. — PUBLIC WORKS LOG IN CITY ENGINEER (check) ❑ Access Slope and Vehicle Access Drainage Plan Wr APF'p ❑ Street File ❑ Legal Description Quit Claim ❑ Easement Calculate Sewer Connection LAJ WATER/SEWER DIVISION ❑ Determine Meter Size PIComplete Building Permit Review DATEj'v'� J C T 0 8 1981 I►ic Works 51STREET DIVISION Complete Building Permit Review L7� []OFFICE ADMIN. — LOG OUT TO BLDG. DEPT. �aaat+aa�aaaaea�■®aa�aoasgaasBoas,eaaaaas,sa�aa�aaa•a®amaaaa,a®u®eamaat�amoaaasaaaea®aasaa�nass-. �ea�a®■aaaa®a®■asf■®aas,a®a®■aasaaBoaaaaaa��aaBaa�a®aaasaaaasassaa�aas,a a�aIC:M aaaaa�aaaa BUILDING PERMIT APPLICATION (COMPLETE) (�I2j COPIES OF SITE PLAN ❑ 2 COPIES OF FIRE PROTECTION PLAN (PREVIOUSLY REVIEWED BY FIRE DEPT.) 03 COPIES OF DRAINAGE PLAN WITH CALCULATIONS 04t, REQUIRED BY SUBDIVISION GREATER THAN 2,000 SO, FT. IMPERMEABLE SURFACE ❑ LESS THAN 2,000 SO. FT. [] t, ¢1iECK ZONING REOUIREMEPdTS (SETBACKS) t�COP`� OF ENGINEERING: CHECK LIST 1 COPY OF PUBLIC WORKS MEMO ❑ MULTIPLE OR C011MERCIAL YES ❑ ATTACH COPY OF ADB APPROVAL INCL. ALL DRAt•TINGS) NO SUBDIVISION• — YES❑ NAME DATED RECORDED p-/-z NUMBER NO ❑ (ATTACH COPY OF REQ IREf�tIIVTS) CHECK SEWER; DRAWING AND ATTACH COPY 7- is DEDICATION' REQUIRED — YES[] (OBTAIN QUIT CLARI) ( CITY CODE ) NO DOES CITY HAVE EASEMENT ON PROPERTY YES11 .',(ATTACH COPIES OF DRAWINGS) NO CHECK: LEGAL ACCESS = INGRES UTILITIES❑/ YESJT YES NO ,P)N0� HAS SEWER.' ASSESSMENT.,BEEN PAID f.r; ,PLAT :"N0, SUBDIVISION' N0, s-s-a- ! I IF �� MULTIPLE• ;i, INCLUDE NUMBER OF , UNI;TS 0 IF,COMMERCIAL': INCLUDE NUMBER OF FIXTURE UNITS _ V I / USE PERM II® CITY OF EDMONDS ZONE p 5 _ NUMBER BUILDING PERMIT APPLICATION JOB NAME (OR NAME OF BUSINESS) ADDRESS 0 /tin h ^ 1f / o/\I p�'I/1.A� e I\ \� ��`)!` +` t J��IIe-' d 1 LEGAL DESCRIPTION I SUBDIVISION SHOR SUB O. WMAILING ADDRESS J L t fn� � S •`sd' [�� 3 ICE a1�rLL /��•�`- J I \ J.� - PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 0 CITY TELEPHONE NUMBER / rD/ U ^, AJb�/)Z1 EXISTING �,/(� lj- Y NAME PROPOSED 0 17 DEFICIENCY OF RIGHT OF WAY W ADDRESS h Z U IY CITY Q NAME , C 0 ADDRESS F U Q Cr CITY I- Z 0 U STATE LICEi Z 0 I - a z U N W 0 J Q V W J C 11,E CKED Y C j �_ „ SEE ENGINEERING MEMO DATED 4 LEPHONE NUMBER I REMARKS R SIZE I BUILDING SUPPLY SIZE I FIXTURE UNITS NE NUMBER NUMBER CITY LICENSE NUMBE]REMARKS SIGN AREA ENV. REVIEW ADB NO. ALLOWED PROPOSED COMPLETE EXEMPT SHORELINE of Property (Show Below or Attach Four Copies P(-A- VARIANCE OR CU PLZGREVIEW B Y DATE YARDS LOT COVERAGE �Q FRONT �� C SIDE �J/ REAR © NEW a RESIDENTIAL ❑ PLUMBING CHECKED BY TV a NON-RESIDENTIAL ❑ MECHANICAL ❑ ADD DEMOLISH ❑ El SIGN SPECIAL INSPECTOR ALTER ❑ ❑ EXCAVATE OR FILL 1:1 FENCE ( X FT) 0 YES YES ❑ NO REMARKS ❑ REPAIR PRE-MOVEINSP./ swim COMPLIANCE INSP. POOL Z NUMBER OF STORIES NUMBER OF DWELLING F• UNITS a NATURE OF WORK TO BE DONE [ATTACH PLOT PLAN) W W 0 m 0 I PLAN CHECK FEE PE OF CONSTRUCTION [CODE BUILDING PLUMBING MECHANICAL This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, FENCE marquees, etc.), will require separate permission, SIGN Permit Application: 160 Days Permit Limit: 1 Year -Provided Work Is Started Within 120 Days RETAINING WALL v, "Applicant, on behalf of his or her spouse, heirs, assigns and SWIMMING Pool � successors in interest, agrees to indemnify, defend and hold harmless 2 the City of Edmonds, Washington, its officials, employees, and aagents 'from any andall claims for damages of whatever nature, x arising directly or indirectly from the issuance of this permit. Issu- ance. of this permit shall not be deemed to modify, waive or reduce TOTAL AMOUNT DUE pany .requirement of any, city ordinance nor limit in any, way the 1:1 City's ability to enforce any ordinance provision." ATTENTION I hereby acknowledge that 1 have read 'this application; that the in- formation given is,correct; and that I -am th'eowner, or the'duly author- THIS PERMIT ized agent of the owner,'[ agree to comply with city and state laws regu- AUTHORIZES I construction'; and in.doing'the work authorized thereby; no person ONLY THE be employed in violation -of the Labor Code of the State of Washington WORK NOTED ing to Workmen's Compensation Insurance,NATURE;-t0 NERO,R) I" I --' _ I• DATE SIGNED. A INSPECTION DEPARTMENT CITY OF / EDMONDS THIS SITE IS LOCATED IN THE CITY 775-2525 OF EDMONDS: LOCAL SALES, TAX SHOULD BE' CODED' 31.04. ATTENTION IT IS UNLAWFUL TO -USE OR OCCUPY A!BUILDING OR STRUCTURE % OCT UNTIL 'A TINAL-INSPECTION' HAS BEEN')MADE'AND APPROVAL OR v f r7 far, CCUPANCY ROUP VALUATION FEE HEIGHT LOAD 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 pro- vided. DIRECTOR'S SIGNATURE ORIGINAL — File YELLOW — Inspector PINK — Owner GOLD — Assessor V Z_ E W W z Z W l7 Z Z Z Q J IL u Z_ 0 _J 7 m A+CERTIFICATE OF.00CUPANCY HAS BEEN GRANTED. UBC 304, 306. 1 02-78 i. DATE : MEMO TO: Building Division Community Development Department; FROM: Engineering; Division Public Works Department SUBJECT: �� ,���2. �ti) U After review of the subject Building Permit application, we have the following comments: 1. Connection to system required 2. 'Connection to Citv sanitary sewer system required. 3. Right-of-way Permit required for any work on City Property 4. Drivewav slope not to exceed 1.4%. S. Backwater valve required if dawn :fair. s Plumbing; is below elevation of upstream manhole. 6, Water and sewer lines to be separated by 10 foot minimum. Signature r <_.-. r i CITY Of EDMONDg P.W. DEFT. EIICJNEEpP+O tYY_ nRTNU? M. RALPH OtZrr NEY :WARREN WEAVER: WI I>tA�NCD DAn� t I rEtZ rZIS Mt,Ll-IAM P STERNE? ` l 13 P =� "' WAYS.W. ram_ E. Evlc" I N N Bp' 22 26" W 32G.d I' N I. f.d DIVISION Or THIS u y PROPERTY SUPJFCT TO lDiNO n — p2 I 17977' 6.17 •. - � THE CONDITIONS SET po I SE v BACKI N zg _'_� •� ' FORTH IN CITY or U n 4, p c EDMONOS RECORO OF D I G000• I 8I F- b• _� j� 1 SNORT S}u 8u[)i(Y I S1I,ON I �rIn FILE S-711-/4, I Im In in O LIIGAFF .o_MORRIs0.- ._ - - -- -- x.'o � AAtZDAHL �� .L• ..U" l 111 'i 'u in I 6Z10' 4i' J��a a!5 E;2 ly 41 Ili ;.Y 2, �Op _ -ALvtN i } FUIt GOSNEY , .I) �NI1S L- �. 173 8G r•rE{ lgl } By N ' N 6H' 22 26': w 2G 7 s6 P. JmioE3HOLLOWAY f u,/f-'l�•. '_ I- �� JONN I .� h70NAL�J_ �l a % I RUSEL C. MONTE L JAML'8 L` 1 9AOGE \ HAUSL I COMONDs HAMLIN I wINTE•4 Fq Z w P' E COVED O SUMP 3 JTLET ELEV MIN, SL F"ILTE2 CLOTH .4" TEE SECTION �SUMFP ADS It 1530 02 EQUAL. x 24 " DEEP VV I TH 2ENIOVABLE COVE2 a" D!A. PEQF� ADS TUBING "-TR'ENCN PILLED VV/ �ti//PEPP END 3,4" TO 1'/2 " SHED ROOD" Dw.,101�-11,1- 6ump C PERCOLATION TENCH E 1 D�AIL Y. V ---/-- -- -- - ---'-- - - --- --------- -- ---- - - ._.. WASHED G2AVEL , l3/a vi • Y � r O n f^ I 4 O _ PEk PIPE • • • / /� • o C, . o o c p tt 2.0' - :; - TRENCI4 SECTION T Y O F E D P4 O N D '? Engineering Requirements for Plats and Subdivisions NAME: Lefevre HEARING DATE: 11-15=79 VICINITY: 13th Way S.W. FILE NO. S-50-79 REn'D REQ'D PRIOR TO W/BLDG. BOND RECORDING PER14IT POSTED COMPLETED 1. Ritght-of-Way 15' right-of-way dedi-1. 13th Wy. S.W. ca ion required along X tT I/6 . -r . 2. Paving and Curbs in Public 2. right-of-way: 22' total pavement X! /11G0U6,[ required in 13th W 3. Turn Around: Required at end 3' of access road. X X 4. Sidewalk & Planting Strip: 4. None required. X 5. Access Easements: 20' required 5. i with 18' pavement. X q 6. Water Mains: Connection To City 6. required. ----- X 7. Fire Hydrants: (Per Fire Code) 7. 8. Sewers or Septic Tanks: 8. Stub sanitary sewer to all lots. X x 9. Drainage: a. Submit for approval plans and 9. X install public storm facilities. b. Submit and obtain approval `� qr ��P of site drainage plan per Ord. 1924 d%� ;0. Utility Easements and Access 10. thereto: X 5'-required to Lots 2 & 3. '_l. Underground Wiring: To be provide in accordance with Ordinance.#1387 X Street Lighting shall also be pro- vided with the necessary streetligh standars and underground wiring con- nection. i Street lighting required. PUBLIC WORKS DEPAR•IMENT CHECKLIST It j D Al01+11 e — (address) U� t Street Right -of -Way Existing , REQD e2 z Access Easements Existing ,, �/ L S S"l� -7y REQD N a Utility Easement Existing�,i��'"-7D w Lot Per Subdivision Plat Assessor Map w Site Plan Checked for Accuracy z Underground Wiring Reqd. H 0 Check Accuracy o� Legal Deacription z Review by�Date 0 k s w Existing Water Main Size nj 110k) Water Main Required J Service Line Required Hydrant Size Existing ' a Hydrant Reqd Per Fire Code Size w Detector Check Meter Reqd. Cross Connection Inspection Fire Department Conments 3 Water Meter Charge Reqd. Review by Date Q /�- Septic Tank Design Approved �/� Date Septic Tank Permit Reqd. Permit No. Sanitary Sewer Availability Proj. Drawing No. y ZL- = S�� -- c File No . Side Sewer Availability G� w Sanitary Sewer e tion Fe1 Regd. ZIU 3 Review by Date w Open Ditch Existing &/ �e-- . Regd. Culvert Reqd. /tee •� //rr "I Size w , Catch, Basin Reqd. Indicate on Site Plan Shoulder drainage maintain collection on swale open runoff 'T „ Lv H — `n Manhole; reqd. Indicate on Site Plan ----- Soil Conditions and Ground Water Field Checked >7 c4 Review by_' R of ln� Date 2 — Srl Revised:, :1v10-1977