7107 174TH ST SW.PDFiiiiiiii lill
1057
7107 174TH ST SW
City of Edmonds.
�+ ET F 1-UP-WAY CONSTRUCTION
PERMIT Permit Number: 3---
Issue Date: 7.
1.1-11 4w::
A. Address or Vicinity of Construction: 7107 174 St. SW
1 B. T of Work specific): Deactivate &„Relocate 1.k" PE IP Main from 70'
8 9 0 1 9 °1 Type P� ) W. 6519 of a 1 ef 71 Av.—;1T7 1'-of Itll
of 1.74 St.SW Per Attached Drawing:902-500A
C. Contractor:W�1knaton Nat'l Gas C�Ref. Job 9L0A—tScgO§(IR #6043-3) (2) Frank Swan
Mailing Address: 81=5 A"Llvear St. Seattle, Phone: 224-2278
State License #: Ziability Insurance: Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. ❑ Commercial ❑ Subdivision ❑ City Project )fi&�Jtility (PUD, GTE, WNG, CABLE, WATER)
❑ Multi -Family ❑ Single Family ❑ Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut : ❑ Yes &No G. Size of Cut: f-- x H. Charge $
APPLICANT TO READ A SIGN
INDEMNITY: Applicant understands and by his signature to this application, agrees d the City of Edmonds harmless from, injuries, dtfmages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be m¢ °a ,aihst the City of Edmonds, or any'of its departments or
employees, including or not limited to the defense of any legal proceedings including defenkeSK'ts, and attorney fees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR.F LLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FtiEE,S WILL BE HELD UNTIL THE IN E S7 ET PATCH
IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL i�3F, PROC_IISSED FOR ISSUANCE TO THE. APPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
Work and material is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
I have read the above statements and understand the permit requirements and the pink copy of thepermit will be
available on site at all times for inspection -purposes-, ,Jt-
Signature: Date: July 24, 1993
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
a'
FOR CITY USE ONLY
APPROVED BY:
TIME AUTHORIZED: VOID AFTER DAYS
SPECIAL CONDITIONS:
COMMENTS:
DATE:
NO WORK SHALL BEGIN PRIOR TO PERMIT IkSUANCE
Engrg. Div. 1991
FIELD INSPECTION NOTES
Comments
Diagram
(Fund 111 - Route copy to Street Dept.)
CONTRACTOR CALLED FOR INSPECTION ❑ YES
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
❑ NO
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REVISIONS
NOTES: EDMONDS
l.)
FIELD LOCATE ALL UTILITIES
CALL 1-800-424-5555
48 HOURS BEFORE DIGGING
2.)
INSTALL LOCATING WIRE OVER
ALL PE DIRECT BURIAL PIPE
3.)
INSTALL A ONE POUND ANODE FOR
N4.)
EVERY 1000' OF LOCATING WIRE
SURVEY IS NOT REQUIRED
5.)
MAINTAIN A MINIMUM OF 5'
HORIZONTAL AND A 3' VERTICAL
CLEARANCE FROM ALL CITY
6
UTILITIES AND APPURTENANCES
TGUTS
7.)
11; P"IN6ARm SHGWN.-AS•-
CUTS ANTICIPATED
8.)
COMPLETE EXPOSED PIPE CONDITION
REPORT WNG FORM #563.13 (D-1)
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CITY OF
EDMONDS
D;r Public
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250 -
5th North
EDMONDS, WASHINGTON 98020
SUBS
DEPARTMENT: -ZVkGa_
DATE
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PLEASE
REPLY TO rl>
DATE SIC h
FORN! No. MEM. 88T
SEND PARTS 1 AND 3 WITH CARBON INTACT, PART 1 113 Rr-TURNFD WITH REPLY
DETACH THIS COPY - RETAIN FOR AN ANSWER
50."�J0
• • STREET' . FILE ;-
DEN MOT-
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CITY OF EDMONDS STREET HLE
PUBLIC WORKS DEPARTMENT
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. *Address or vicinity of Construction
'-J0/7 /75-G✓. &C-Q�noA,0�
• Owner: 1Vo1-r6D/77;5rz J (Zon-,sr/2-uG
Name
S16 9 ' AV,Mai
�1�Addre s
l✓N� /� ZD
City,,333✓✓✓ State, Zip Code
• Contractor,- ' e- VS ?OI3o ✓ e-
Name
Mailing Address
City, State, Zip Code
Permit No.
Issue Date - "1
• Permit Issued To:
• Type of Work to be Done:
cniB
• Work in Connection With:
❑ Sub or Plat ❑ Single Family
❑ Comml. / Ind. ❑ Apt. Condo.
• Pavement Cut: ❑ Yes ❑ No
/Vo-/vT- 6C, M&
State License Number
'7_7� -/69S
Telephone Number
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE tit *
B. APPLICANT TO READ AND SIGN
INDEMITY: 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, foreseen or unforeseen, that may be made
against the City of Edmonds, or any of it's departments or employees, including or not limited to the defense of any legal
proceedings including defense, costs, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
following the final inspection and acceptance of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call
775-2525, extension 220.
I understand that this permit
Signature:
be available at the job site for inspection purposes at all times.
Owner oKAgent
* THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By: •. ,eer,�'24- Permit Fee:
Time Authorized: Void after &flays Security Deposit:
Special Conditions: Receipt No.:-�1��'C�
tic Fund III Fee: 4
Ammendments: e Street Cut Dimensions
X / =
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. Div. December 1978
= CZITY,,*F EDMONDS SST EET FILE
C�o 4M' JNITY SERVICES DE ARTMENT
RIGHT 0E- WAY CONSTRUCTION PERMIT
/`%//////'I
A. • Owner:
Name f (._
*_:, S i?.a t\ 1 fir I Q J 1
Mailing Address
City State. Zip
a
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C. • Address or Vicinity of Construction:
Type of Work to be Done: I
RECE,VPermit No.
AUG p 'pa,Issue Date
B.
L Mailing Acjdress
`��
City State Zip
State License Number Telephone Number
V ul
+V
D. • Work in Connection With: ❑ Sub or Plat ;V)) Single Family ❑ City Projects
❑ Commercial ❑ Multifamily jUtility
E. • Pavement Cut: ❑ Y F. • Size of Cut: X —�--�
k. ! e / a
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signatna�to this- applicat job, agrees to hold the City of Edmonds
harmless from any injuries, damages; or claims of any- ki"d�--de'rscription whatsoever, forseen or unforseen, that may
be made against the City of Edmonds, or any of its dep,:'VI ent's or employees, including or not limited to the defense
of any legal proceedings including defense costs, court co��,�ihd OaRorreyffpej by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSihP ANDS MATERIALS FOR 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
Signature:
-that this permit
or
be available at the job site for inspection purposes at all times.
Dater �-C� L
Must be Posted at the Job Site For Inspection Purposes
Call DIAL -A -DIG Prior to Beginning Work
APPROVED BY: RW
Time Authorized: Void after 4_c-e ' days.
Special Conditions:
PERMIT FEE:'_V,CC�
Restoration Fee:
Receipt No.:
Fund III Fee:
Street Cut Dimensions: X = $
RELEASED BY-4• Date yk ! INSPECTED BY Date
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Fn Div March 19R9
i
FIELD INSPECTION NOTES (Fund I I I - Route copy to Street Dept.
Y
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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IN PLACE W/ LAS P/LiN,E.
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CITY OF EDMONDS _
'PUBLIC WORKS DEP NT FOR INSPECTION CAL* permit P40 _c �b
" SIDE SEWER PERMI 775-2525 Ext. 220 Issue Date j0
PERMIT MUST BE POSTED ON JOB SITE
i�
1. Address of Construction 1 — Q ,4-'rk T. ,
2. Property Legal Description (include all easements) 4 1
3. Single Family Residence 'Multi -Family No. of Units
Commercial
4. Owner a-nd-/ r,B-u-ilder
5. Contractor & License
6. Invasion into City Right -of -Way: No f,,-" 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 -
v attach legal description and county easement number.
a READ THE FOLLOWING AND SIGN:
a
F:4 a. Property owners must obtain a permit to install side sewers on
>4 their property. A licensed side sewer contractor must to
construct side sewers in the public r'
A b. The side sewer contractor ass mes fuM. r o s0bk11TP)% r e ch
H installation for one year. as HOU
fM
a c. Commercial establishment requ res o1BfiFi ch 6")
side sewer line. you DiG
ov d. Side sewers may not be install d c s an inches (30")
to any structure.
e. Side sewer lines must be laid t u y o)
O and maximum grade of 100% (450) . OHOM�SH
H f . No turn in side sewer greater l/ DI IN Nqt
between cleanout. All 90 turns must of a 45 (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: 10
I certify that I have read
-+ PERMIT FEE:
O W
"' CONNECTION FEE:
0 A.
v
MAU
and shall comply With the above
ISAPPROVED By: Date:
B Date:
APPROVED By: Date:
* PERMIT MUST BE POSTED ON JOB SIT
CITY OF EDMONDS
PUBLIC WORKS DEPARCT FOR INSFECTION CAI,A Permit N? _ = 6410
SIDE SEWER PERMIT 775-2525 Ext. 220 Issue Date p Z
PERMIT MUST BE POSTED ON JOB SITE
i.�
1. Address of Construction j� ST- S
2 . LqID
'Effe f ILIEscription ( include all easements) ,
3. Single Family Residence Multi -Family No. of Units
Commercial
4. Owner and,ZeE mildew
5. Contractor & License
6. Invasion into City Right -of -Way:
way Construction Permit Required
No. Yes
iv�S
6�1-8b II
_30419Q i
(If Yes Right -of-
- Call Dial Dig (342-5344) before
excavation). /
7. Cross other private property: Yes No V Easement required -
attach legal description and county easement number.
READ THE FOLLOWING AND SIGN:
'a' a. Property owners must obtain a permit to install side sewers on
>4 their property. A licensed side sewer contractor must be employed to
construct side sewers in the public
w lEG
b. The side sewer contractor as u301§ 1 pa n�fi �� or ach
H installation for one year. rt'
w o
OURS
C. Commercial establishment req ire"` nch (6")
side sewer line. tSt tip
v d. Side sewers may not be insta led h'n yA;!rQ i the (30")
to any structure. t
e. Side sewer lines must be lai o 2$ (1.15°)
o and maximum grade of 100% (450).
H f. No turn in side sewer greate �Ito ed
between cleanout. All 90 turns mus
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: 10 2 -5
I certify t at I have read
Lit) ,I- L AM w o0 6 P and shall comply with the above
PERMIT FEE : 3S. D- � - ISAPPROVED BY: Date:
rvu K- By: -Date:
CONNECTION FEE: IV
APPROVED By: Date
w � B �
* PERMIT MUST BE POSTED ON JOB SITE
DTI
Pn11t:I,l.
!'hat portion of Tract 138, Meadowda.le 1lcrnt::h, accorcli.nF, to tht:
• in Volume S of Plat:;, on paf;e 38, record:, of Snohomish County, Wa hin;.;ton dr C
t �f r't'cortled
a: t'ollows: BUTinning at the intersecti.orl of the south lisle of . ;crib.,i
the ("lot line of the we:,t 128.00 feet of :,aid 'frect 13£, said Tract 138 with
the east line of the.west 12.f3.00 feet of r th<nc:e-lor'tt,erl
to an intersection with the north line ortilesouth 70.t)0 t'ect an the 5 � a co '."
138, a d.i:;t,anc( of, ?34.C,0 t',,,,t
s<,.id Tract- 138; thence northeasterly to an intersection with the eahe north half of
we! t 2?£3.00 fee, t of said 7'rtic t 138 at a Point 20.60 f'ee t
line of ;;aid Tract 1:38; thence southerl t line or the
southerly of the north
feat of said Tract 138, to an .iutcrrsec tiorlaw�th the e`16t line of the we.'it 22=.,;0
tlleuce westerly, along said south line, a distance ofcr10U.00r1feet tolther`Ict 1 ?C%;
beginning.
point of.
C:XC1:P1' the south 148-50 feet of -he we';t 90.00 fee:+;
EXL'F:PT the south 15.00 fand
eet of the east 1O.00 feet thereof.
SUBJECT TO and 'TOGETHER WITH the term;;
rnent Agreement filed under Auditor's F'iledtdool!?1p1�n'' of that certain Mutual F:;,;e_
Washington. 9171, records of Snohomish Co;l(Ity,
:1U7'II(MIZLU
Y OI I.DMONUS
-5 23108 • 100TH W. EDM�jONDS, WASH. 98020 �j
'�/.5 n f �905 0 9 O ? �) I - .. PHONE 775.1594V0L 514 "(t 638
- 1J rl1 t
City of Edmonds Engineer's office as Survey Tin-.—'----'—
.... ...., ancl._to Lne—perpeCtr,rr—mertrrcenR„�c--c,•—=,,..,—a...�----.----y-
Street, and waive.... all claim for damages of whatever kind %ti'hich may be occasioned to adjacent by the location,
establishment, construction, drainage and maintenance of snid street, anrd agrees and consents to the right of the City to
make all necessary slopes for cuts and fills whenever they extend heyond the right-of-way line„ upon above mentioned
street, all in conformity with standard Practices of City street construction, and to the same extent and purpose as if
acquired by condemnation proceedings under 1 minent Domain Statutes of the State
the rights herein granted had been
of Washington, ........
Said covenants shall run with the land and be binding upon the grantor.S, ..heir
1 ........successors or assigns.
Dated this ........ ... .. ��..._..................... day of Cj
A.D., 19 /
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�,t •- j4 �i'. • - .. � - \\it'.•'.1/Y�SV nI'n.4:v,,.'1.�-..S.Q i•^r�p?�«ia ��:�i[J ',.-' .a r:"yl •Oafauyfi.� ., �, ° 'ra .• ''=' ` 'h
�� M..r�a j �. i, i , f •A a?'a � �, �� � -�. r .,•r5'< w, - �',' ,� , a'..y..."w�' :1 N :r•.t1 •. � _ . y •'v ',. Iu•'.+�.rY }�~v s'� -
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CITY OF EDMONDS 'MW Permit No.
PUBLIC WORKS DEPARTMENT STREET FILE Issue Date
RIGHT - OF - WAY CONSTRUCTION PER
A. *Address or vicinity of Construction • Permit Issued To:
• Owner: _ - • Type of Work to be Done:
Name
a R�;"� • Work in Connection With:
Mailing Address ❑ Sub or Plat H Single Family
❑ Comml. / Ind. ❑ Apt. Condo.
City, State, Zip Code • Pavement Cut: ❑ Yes ❑ No
• Contractor: ..'l z
Name
,4 rd,•' i. �'
Mailing Address' "� ° State License Number
City,` State, " Zip Code Telephone Number
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
B. APPLICANT TO READ AND SIGN
INDEMITY: 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, foreseen or unforeseen, that may be made
against the City of Edmonds, or any of it's departments or employees, including or not limited to the defense of any legal
proceedings including defense, costs, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
following the final inspection and acceptance of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call
775-2525, extension 220.
I understand that this permit must be available at the job site for inspection purposes at all times.
Signature: bate
Owner or Agent
THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES �r k
CALL DIAL - DIG PRIOR TO BEGINNING WORK
.J .
C. Issued By: Permit Fee: .n ``
Time Authorized: Void after .• 1 days Security Deposit:
Special Conditions:
Ammcndments:
Receipt No.:
Fund I I I Fee:
Street Cut Dimensions
X
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. Div. December 1978
Ena. Div. December 197E
'�Biom C�UTILITY DISTRICT No.1 of:Sn - 1 1- Caunty_�C �Tu !�Qr'ar1rY ARIA`
locution �.. Date107 �� 9 - Z2-,
V 1/4S 2_ 1 T_j ' :R Revision -Scale '1 ` Z
Reason 'foe' work l"f 6r. Engineer (-fA '5fDJ = As Built '
1r J1� N1 !7N T G('�.l✓1 Y C'�'tJ sT Uds. File No.
z0.. 1Ctn� F `776o 1 �2 g..3 A
- PProvals
PERMIT R14UIRED . FOREIGN CONTACTS EASEMENT ENVIRONMENTAL ANALYSIS
Tioe_ C_1 Tom- 4nP Co"Wany Exempt under District SEPA
�M • j.RN. No. -procedures, Section .Ill -A
Date Granted""
Grantor ParagraphItem C--
F�..required .Yes® No0' D ranted Dote 6
Log Posted inventor Tie. p ./1)_By
Tnsnsf.Card Pole D t. j Interpretation Referred To
Date O Amount Z1S,
Ma Post Circuit M
_. Date'Released ftr Construttion Dote - By`
Date Work Completed By Foreman
•Circuit Number - y2-p Substation P�t� �► ;�/ t .i : O.H. U.G. Cond K
z�
Add Ckt F Poll
Rem=C -t,#t PN
Net- Ckt' Ft
Water
—_._. _.__ Sewer
wer
-710-7 Backhoe
CITY OF EDMONDS wr� MEE ����
PUBLIC WORKS DEPARTMENT
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. *Address or vicinity of Construction
7-/D 7 -7¢ y- ST. S.
• Owner: 122a&2521.9j2MgEld4 CO/f/ST
Name ✓
141. 0. 9ejj�Z Z/
Mailing Address
City, State, Zip Code
• Contractor: SZ-Wb .
I me
Z/OdJ0 1-d<,uV,
Mailing Address of
ytr���rro�
City, State,T Zip Code
Permit No. %
Issue Date / U Z & / %9
• Permit Issued To: SA10 . Co . R U. 2 /
• Type of Work to be Done: % ff iE&G!-t //V
• Work in Connection With:
❑ Sub or Plat 9 Single Family
❑ Comml. / Ind. ❑ Apt. Condo.
• Pavement Cut: ❑ Yes ❑ No
State License Number
-7-74 - Z//Z
Telephone Number
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
B. APPLICANT TO READ AND SIGN
INDEMITY: 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, foreseen or unforeseen, that may be made
against the City of Edmonds, or any of it's departments or employees, including or not limited to the defense of any legal
proceedings including defense, costs, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
following the final inspection and acceptance of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call
775-2525, extension 220.
I understand that this ust be a
Signature:permit 1A
Owner or Agent
le at the job site for inspection purposes at all times.
yt THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By,,. ��ltZl� Permit Fee: Time Authorized: Void after .3n days Security Deposit: _1f22
Special Conditions:
Ammendments:
Receipt No.: .
Fund III Fee:
Street Cut Dimensions
X
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. Div. December 1978
7107
STR FILE
FLAG LOT DETERMINATION 790347
FINDING OF FACT FOR THE: Montgomery Property
7107 174th Street S.W.
Edmonds, WA 98020
S-6-79
It is our determination .that the front yard of this property shall
be, to the east , that the rear yard shall be to the west.
and that the sideyards shall be to the north and south
for the following reasons:
1) This configuration will be in conformity and harmony with
surrounding yards and uses.;
2) The maximum amount of privacy for this property and adjacent
properties shall be maintained through this configuration;
.3) No adverse environmental impact shall be caused by this action;
4) This configuration will be in conformity with the site topography
which slopes from southwest to northeast.
This action is subject to 15 day appeal, commencing on 6-20-79
If no appeal is.•received within this time period, this determination
becomes effective on the 16th day or, 7-5-79
Prepared by: •
• k
Date:
1
BWILDING DIVISION
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:PERMIT APPLICATION
NAME (OR NAME OF BUSINESS)
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Applicant Fill ZONE(
Inside Heavy Lines
JOB
ADDRESS
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LEGAL DI
-ELEPHONE NUMBER
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LEPHONE NUMBER
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Legal Descriptiop of Property (Show,
ow or Attach Four Copies
'MIT
)� NUMBER
O. - n .
:RIPTION I SUBDIVI ION
SHORT SUB NO
PUBLIC RIGHT 0ie1NAV PER.
EXISTING \AFILE
PROPOSED
DEFICIENCY OF RIGHT OF WAY
PUBLIC IMPROVEMENTS REQUIRED ❑
DRAINAGE IMPROVEMENTS REQUIRED
q❑
DRAINAGE PLAN REQUIRED L1
UNDERGROUND WIRING REQUIRED
CONNECTION TO SANITARY SEWER
SEPTIC TANK PERMIT REQ'D ❑ NO,
ELEVATION OF PROPERTY CORNERS ❑
& FOOTINGS REO'D
SEE ENGINEERING MEMO DATEDy�.�.-Z� \'
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CHECKED BY
BUILDING SUPPLY SIZE
SIGN AREA ENV. REVIEW AOB NO.
ALLOWED I PROPOSED COMPLETE( EXEMPT
SHORELINE
REMARKS
VARIANCE OR CU IPLANNING REVIEW BY IDATE
YARDS / /
FRONT 0 SIDE
I NEW RESIDENTIAL ❑GAS
LINE FIRE ZONE TYPE OF CONSTR
❑ NON-RESIDENTIAL
❑
SIGN
❑ ADD
SPECIAL INSPECTOR
❑ RETAINING
a DEMOLISH
ALTER ❑ ORCF LLTE
❑
WALL
I ENCE X_FT)
REQUIRED
❑ YES ❑ NO
PLAN CHECKED BY
REPAIR
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POOL
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NUMBER OF
REMARKS
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DWELLING
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UNITS
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EPLAN CHECK FEE
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BUILDING
PLUMBING
MECHANICAL
FENCE
N "Applicant, on behalf of his or her spouse, heirs, assigns and
j successors in interest, agrees to indemnify, defend and hold harmless
P the City of Edmonds, Washington, its officials, employees, and
It
< agents from any and all claims for damages of whatever nature,
a
I arising directly or indirectly from the issuance of this permit. Issu-
SIGN
RETAINING WALL
SWIMMING POOL
/ LOT COVERAGE
? :5 REAR
ION CODE HEIGHT
AREA I
OCCUPANCY (OCCUPANT
GROUP III LOAD
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
VALUATION I FEE
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P1 anve of this permit shall not be deemed to modify, waive or reduce
DATE: �- Z1 1-1
MEMO TO: Building Division �
Community Development Depar/tment
E
FROM; Engineering Division
Public Works Department ..-
SUBJECT:
After review of the subject build%ng permit application, we have
the following comments.:
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PUBLIC WORKS DEPARTMENT CHECKLIST
BUILDING PERMIT REVIEEW �IQ� ^ l-��'-n1 : 1 /. • Zl • qss>
ad ess) to
Street Right -of -Way Existing
REQD V
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Access Easements Existing_- �_�_
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Utility Easement Existing
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Lot. Per Subdivision /� '1� Plat
Assessor Map
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Site Plan Checked for Accuracy. . -an . -I
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Underground Wiring Reqd.
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Check Accuracy of Legal Description.
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Review by
Date . -a.-?- ?
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Existing Water Main Size l'01 ell,
Water Main Required )YIA
Service Line Required
Hydrant Size Existing Jr"
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Hydrant Reqd Per Fire Code
Size
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Detector Check Meter Reqd.
Cross Connection.Inspection NIA
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Fire Department Conments
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Water Meter Char Reqd. �i®r
D� .
Review by
Date w " — 7
Septic Tank Design Approved
Date
Septic Tank Permit Reqd.
Permit No. —
Sanitary Sewer Availability ,� -�
S_A" Proj .
Drawing No. nLA
File No.
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-
Side Sewer Availability rts.LA
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Sanitary Sewer Connection Fee Reqd.
3
Review by --r
Date
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Open Ditch Existing
Reqd.
Culvert Reqd. 4u 064s/
Size
c4
Catch Basin Reqd. aad!
Indicate on Site Plan-
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,A�411
Shoulder drainage maintain collection on
swale open runoff p
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Manhole reqd. /j/,,,��
Indicate on Site Plan
Soil Conditions and Ground Water Field Checked
Review by
Date
Revised: lv10-1977
Page 2 • Y
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Street Paving Reqd.
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Curb and Gutter Reqd.
W Sidewalk Reqd._�/
W Curb Cut for Driveway Reqd. ,(/G
a Right -of -Way, Construction Permit Reqd.
H Bond Reqd. for Public Improvements
Street Name Sign Reqd.
Other Signing Reqd.
A .. Pre Permit Site Inspection made on
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off BY: SEWER
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ENGINEERING
Special Requirements listed in memo to Commmity Development Department,
Building Division
BY Date
o All items filled in on Building Permit Application
Pw BY Date
P`•' Drawings Stamped and Notations Made
w BY Date
Approved by Public'Works Department
♦ . 5
Revised: lv 10-1977
P.15LIC WORKS DEPARTMENT ikI'' STREET FILE
BUILDING PERMIT REVIEW
�addre6s) (ate
Street Right -of -Way ExistingL
READ �t
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Access Easements Existing
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Utility Easement Existing ►
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Lot Per Subdivision 7f�-� --��Plat
Assessor Map
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Site Plan Checked for Accuracy . 2'1.—1
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Underground Wiring Regd.
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Check Accuracy of Legal Description
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Review by -�,�
Date. e,
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Existing Water Main Size
Water Main Required VA
Service Line Required
Hydrant Size Existing
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Hydrant Reqd Per Fire Code P/1 Size
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Detector Check Meter Reqd.
Cross Connection Inspection
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Fire Department Conments
d
3
'dater Meter Char e Regd. Vfc-
Review by '�,'� :>2l�-
_ �C
Date
Septic Tank Design Approved
Date r -�
Septic Tank Permit Reqd.
Permit No.
Sanitary Sewer Availability .,,n
Proj
Drawing No. C) (( n L-A
File No..
Side Sewer Availability ru•
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Sanitary Sewer'Connection Fee Reqd.
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Review by
Date <-
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Open Ditch Existing
Regd.,
Culvert Reqd. %t/
Size
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Catch Basin Reqd. ��l, ;G'/"�
Indicate. on Site Plan
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Shoulder drainage maintain collection on
swale open runoff
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re. d.
? ianhole IV
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Indicate on Site Plan
Soil Conditions and Ground Water Field Checked e
Review by �'" iQ�,
Date
Revised: lv10-1977
/
` RUILDING DIVISION
Applicant Fill
ZONE N W BER
PERMIT APPLICATION
Inside Heavy Lines
JOB ,41
ADDRESS rl/1 1 / t� i —_
NAME (OR NAME OF BUSINESS)
'
LEGAL DESCRIPTION
SU BDIVI ION SHORT
SUB NO.
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MAILING ADDRESS .(•
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING
CITY
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TELEPHONE NUMBER
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PROPOSED
NAME -
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DEFICIENCY OF RIGHT OF WAY
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ADDRESS
PUBLIC IMPROVEMENTS REQUIRED ❑
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UDRAINAGE
IMPROVEMENTS REQUIRED �.❑i.�
DRAINAGE PLAN REQUIRED Li
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CITY
TELEPHONE NUMBER
UNDERGROUND WIRING REQUIRED
CONNECTION TO SANITARY SEWER
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SEPTIC TANK PERMIT REQ'D ❑ NO.
.ELEVATION OF PROPERTY CORNERS ❑
& FOOTINGS REQ'D
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TELEPHONES NUMBER
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SEE ENGINEERING MEMO DATED���r�
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STA TE LICENSE NUMBER
CITY LICENSE NUMBER
CHECKED BY
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Legal Descriptiop of Property (Show Below or Attach Four Copies)
METER JIZE /
BUILDING SUPPLY SIZE
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REM R S
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SIGN AREA
ENV. REVIEW
ADB NO.
ALLOWED PROPOSED
COMPLETE EXEMPT
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SHORELINE
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REMARKS
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VARIANCE OR CU
PLANNING REVIEW BY
DATE
YARDS , /
LOT COVERAGE
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LINE
FRONT 0 SIDE a REAR
FIRE ZONE
TYPE OF CONSTRUCTION
CODE
HEIGHT
ElNON-RESIDENTIALSIGN
ADD ❑ DEMOLISH
❑ RETAINING
WALL
SPECIAL INSPECTOR
REQUIRED
AREA
OCCUPANCY
GROUP
OCCUPANT
EXCAVATE FENCE
❑
❑ YES NO
El
LOAD
OR FILL ( X FT)
❑
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
PRE -MOVE swim
REPAIR 1:1 INSP, ET POOL _
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NUMBER OF STORIES
NUMBER OF �
REMARKS.
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"Applicant, on behalf of his or her spouse, heirs, assigns and
SIGN
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successors in interest, agrees to indemnify, defend and hold harmless
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RETAINING WALL
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agents from any and all claims for damages of whatever nature,
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arising directly or indirectly from the issuance of this permit. Issu-
SWIMMING POOL
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ance of this permit shall not be deemed to modifv, waive or reduce
_ --
STREET
FILEThe City of Edmonds Side Sewer Drawing
NEW CONSTRUCTION ■
OWNERIIo►1"t rqo W►e--r_
rj i•� 1'� /
JOB ADDRESS ___-1_�O_-1_---------!---------•H---S-- S• W.
-------------------
[LYNNWOOD LINE EASEMENT ``NO- ---------------------------------------
REPAIRS ❑ LID NO.-.1-447-_ ASMT. NO_ __________________
CONTRACTOR _____ 0 1
---------------------------------• PERMIT NO.
LEGAL DESCRIPTION: LOT NO- -------------------------------------- BLOCK NO. .----------------------------------
�``_ t%a � i -4v_ w_ti� e_eop� o-F--S idc__ ive Permit _ t_h F le.
NAME OF ADDITION _______________________________
Water Service Line cons rmefcJ o F 1 " A-8 S .
CSA-40j )GO P•S•1. - 2z e-u pipe
We,-6,, Sere •
Mete
Water Sere. L%he partio lhj covered
and una61a -in insper-t eK+-i.re Line •
PWW-0001-11/75 (REV.11/78)
+ffP-VC• Side Sewer(sck.3o34)
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4-5 t N
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4"e•o• t4d�p)
8" colic. Main .
Approved:
EEOEE
DATE ._OC__3Q}� }'/% B}_.�!-QVINSQ{/�.
�'
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).