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7110 164TH ST SW.PDFiiiiiiiiii909 7110 164TH ST SW 0 ADDRESS: �'1(J Dq TAX ACCOUNT/PARCEL NUMBER: ��6, 15 13 Nj�^no 0 Q! BUILDING PERMIT (NEW STRUCTURE): I Vlni s' COVENANTS (RECORDED) FOR: CRITICAL AREAS: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver DISCRETIONARY PERMIT # DRAINAGE PLAN DA PARKING AGREEMENTS DA' EASEMENT(S) RECORDED FOR: PERMITS PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: SHORT PLAT SIDE SEWER AS BUILT DATED: 111,5117 SIDE SEWER PERMIT(S) #: 6 57 GEOTECH REPORT DA STREET USE / ENCROACHMENT PERMIT 0 LID #: / 3 LOT: BLOCK: FOR: WATER METER TAP CARD DATED: OTHER: 1 z- w L:\TEMPMSTs\Fonns\Street File Checklist.doc BUILDING DEPART '� T Applicant Fill use ZONE PERMIT ER �S ' i2 / 5G575 i• f PERMIT APPLICAT Inside Heavy Lines ,OB yy=WNO. ` (OR NAME OF BUSINES51/ ADDRESS 7II0 ~./NA/M•C �� 1) �_ ����.�j��y-• "TKC� LEGAL LOT LOT A EA�/C,/f y ❑ NO i5000 MAILING ADDRESS /� /YES /) Rd' VARIANCE OR C/0 (��%L CC%%rr COND. USE NO. 1 , Q CITY BER ZaS • � L/3y PROPOSED t 115 b 7UM NAME FRONT-4—v SIDE REAR& Y {- ALLOWABLE SIGN AREA PROPOSED SIGN AREA a ADDRESS SS ` F _ �� OTHER ///lll���� Q � ^ REOUIREMENT� eG" U E CITY TELEPHONE NVMBER it i IATI �4P� ,PLANNIry G_ LEPL�ROVAL �•'1j �',ty 1j.J\UQ 1�•, ■•r. 1 NAME STREET R EXISTING STREET r!/W W//1p0 FT• DEFICIENCY THIS PROPERTY li F ADDRESS COMP. PLAN ST. RIW(n6/6 FT. � FT. I' U It T ELEP110NE NUMBER t�� REMARKS y y� tlrse Driveway slopes wt W Z F Z CITY W W Q V STATE LICENSE NVMFiER CITY LICENSE NUMBER C ECK Y W Z � Legal Description of Property (Show Below or Attach Four Copies) STREET AND/OR UTILITY ❑YES w 44I•� _; I ' WORK REO'D ❑ NO •!. - t t+ — --t�, tt UNDERGROUND YES ' ZI WIRING REQ'D NO it c F TYPE CONNECTION VERIF C -- 11 �1 U ❑ YES NUMBER W WO SEPTIC SYSTEM jT-TJT APPVO BY CITY ENG. ❑ NO N REMARKS � ; D I" Id J METEIZE SERVICE SIZE CLEARANCE CHECKED By . REMARKS -r 1�■ ; ' NEW rR.SIDENTIAL ❑GAS LINE FIRE ZO.yN..E TYPE OF CONSTRUCTION CODE .l •� l NON-RESIDENTIAL ❑ SiGN C ALD RETAINING DEMOLISH F SPECIAL INSPECTOR REQUIRED REA OCCUPANCY cCC VPANT GROUP LOAD ( {1 'ALL ❑ YES NJ /- �It'Y 1 d. I. ❑ ALTER EXCAVATE FENCE ❑ EX FILL 1_ x �J PLAN CHE KE BY THIS SITE IS LOCATED ;N THE CITY W I , reE•MOVE swlM ❑ OF EDMONDS. LOCAL SALES TAX U ' REPAIR INSP. POOL H DBE ' NUMBER O\��gTORRIES NUMBER OF I&Ea1AR I O�I�S�vC/ �t1 ff:..� • �� �� Q �►- �iT7:� UN TILING JV j as N TYRE OF WORK TO Be DONE _ I I 1 VALUATION FEE = PROPOSED USE PLAN CHECK Q NO. p PLOT PLAN IN D:E B C ATVlLU1NG SET bAC KS, `G 6� �• ABVTTING STREETS) BUILDING 7a3 ,� Is PLUMBING L, O 0 HEAT & GAS LINE I'�O — Q FENCE SIGN - RETAINING WALL SWIMMING POOL = I TOTAL AMOUNT DUE 3 OQ I hereby acknowledgo th-'.t I have real this apDllcatlor: that tho In• formation given Is correct: and that I am Lle owner, or the duly oulhor- f. Ig d agent of the owner. I agree to Comply with city end ■tat. law■ retru• thereby, to ATTENTION APPLICATION APPROVAL laung construction: and In doing the work aulhort:ed person will he employed M vlolatlOn of the Labor Coda of the State of Washington THIS PERMIT This application Is not a permit until I relating to Workmen's Compensation In■uranee. AUTHORIZES signed by the Building Official Or his Dep- i NOTE: Permit Limit One Year !Except PE7fOLITIONS whlCh ONLY THE WORK NOTED Uty; and fees are paid, and receipt 1., aC- uty; e s .hall be completed in ninety days: MOVED-Ilv BUILDINGS shall be com- edgf space provided. pleted I ■ months.) INSPECTION SIGNA E!�(,O WAN/•J��} GEN DATES ZED` 1, �•' DEPARTMENT CITY OF DIRECTO 3 SIGN ATIf'@E ' / �'/(r/� EDMONDS DATE N TC: Applicant Sub%act to Plan Check Fee 775-2525 �� 7 This Permit covers work to be done on private property ONLY. Any construction on the public "main (curbs, sidewalks, driveways, ORIGINAL - File YELLOW - Ina,oC;rn marquees, etc.) will require separate permission. PINK • Owner GOLD - A--o, APPLICATION .r I� U The City of Edmond �,. Ar-1 SIDE SEWER PERMIT for EASEMENT NO. _ t NEW CONSTRUCTION REPAIRS ❑ LID NO...-,L73f.-: O. _-._�-_..__..-- OWNER G�g�( �1�1 �------------------------------ CONTRACTOR�.-YNN\N09(� �IJEF� PERMIT NO.G:.._._�..... JOB ADDRESS -?lIQ -ate'-I?!S`�`._ —------------------- LEGAL DESCRIPTION: LOT NO. `--��--�Z�b�� BLOCK NO._._...._-___-______-__________._._.. ----------------------------------------------------------------------------------------------------------------------------------•-...-------•---------..-- NAMEOF ADDITION----------------------------------------------------------------------- Approved: DATE - �J'.,�5W`7�.....--•--- By 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). CITY OF EDMONDS - SIDE SEWER PERMIT WATER-SAX ATER-S DEPARTMENT ' PERMIT rr5-2525 for side sewer #bspecti s BEFORE covering any portion of the construction. \ion will be provided within 24 hours after requst. NO Sat., sun., or holiday inspectlons.y V -7110 ABDRESS LOCATION OF +CONMUMON.--... .. .. _ tr} S ..._ 5 ....... ..... ......•__•_................ -.................. MOPERTY LEGAL DESCRIMoN ......................... _ L ticked ........................................... ....... ...... --....................... .................................... ..... ............. - - -....................-------- ----------- •...,.•...... .._._,.._.._......... . ............... - ------------------------------ OWNER Air/OR BUILDER ...... CX '.Y-alBREE CO"MMACTOR'S NAME A ADDRESS ..... L}'MII2 7 d ?E`T Ci3m1S� 76 -... ... . eemiseion is granted .------•--__--..v�i19.. , for repair and/or connection of a side sewer to 1lie city terry sewae tl tl/em in aceordauce with C1ty of Edmonds ordinances, y ty sftd A—INTION IS CALLED TO THE FOLLOWING: NOTE 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 QQnatrult Bide sewer. in street area. Do not cover any portion of sewer pefore it has been inspected. NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineers office. NOTE No. 3—Obtain full information regarding Ordinance 11.16.03o 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 graft sharper than % will be permitted. NOTE No. 5—Trenches in street must be water settled and surface of street restored to original condition. Contractors shell be responsible for failure due to Improper work which may develop within one year of completion. NOTE No 6—It 1,p unlawful to alter or other work than is provided for 1n the permit or to do any work on the madn mower or Its s pipe into ttt�wye. appurtenances except to in. DEMPPROVED p Date.___ ................... / APPROVED Date. �•- •• Remarks ........ _..................... BY-• ............. Date- .......... -..... _............... By....... ............................................... . — BOTH Permit Copies MUST Be Sighed By Owner of Firm Performing Construction PRIOR To Request For Inspection — ' hereby certify that the side sewer installation constructed under this permit � �Install(Owner of c�once with all governing ordinances of the City of Edmonds. Dated this.......... -_.. ........... day of........ d J Check BEFORE you dig for: Water E], Gras [], Telephone p, Power p, Sewer 0, ,_ - ......--•-•-. -- APPLICATION The City of Edmonds for EASEMENT NO . ............................................ SIRE SEWER` PERMIT NEW CONSTRUCTION REPAIRS 0 LID NO. ../J.a—,ASMT. NO.'__________________ OWNER ------ ------ ------------------------------------- CONTRACTOR ................... PERMIT NO. JOB ADDRESS —11 ............ LEGAL DESCRIPTION: LOT NO- -------------------------------- ..... BLOCK NO.. ......... .......................... .1 .......... ............................................. ---------------------------- ................................................ .......................... NAME OF ADDITION .............. .1( .kI4 ............................................................ • A 14 14 1976 Public U] Z\S \V 4prove� ..... ................. .... ............... By ........................... . ........................ 0 RECEIVED NOV CITY OF REVISION 41 !-TO -Ti-itff � -T' -4 tf- �-j '\V .H,F- ZD0Lj7H !-jr t-4 7 r� -W LL Ell. JOB No DATE CV,2CK-,nD P20J ARCH::>, SHEET CITY OF EDMONDS 250 - 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-3202 COMMUNITY SERVICES: Public Works • Planning • Parks and Recreation • Engineering �890-199 September 27, 1990 Ray Smith 7110 - 164th St. S.W. Edmonds, WA 98026 Dear Mr. Smith: LARRY S. NAUGHTEN MAYOR PETER E. HAHN DIRECTOR I have reviewed your account and will allow a credit to your account according to our City policy: the average consumption for the same period during the previous year charged at normal customer rates, plus the excess usage charged at the City's cost, plus a surcharge of 15% applied to the excess only. Should you have any additional questions, please contact Ilene Larson, Utility Billing Clerk. Sincerely, Ron. Hoi`lan-d Water/Sewer Supervisor BM/lk cc: Ilene Larson Utility Billing Clerk #305775/TXTWATER • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan I -%ft�' O 890 _ 19oi City of Edn*ds RIGHT-OF-WAY CONSTRUCTION STREET FILVIRMIT permit Number: Issue Date: A. Address or Vicinity of Construction: 7110 164 St. SW (9308582) B. Type of Work (be specific): Install New Service C. Contractor: Washingtnn Nat'l -rAs CA Mailing Address: 815 Mercer St.Seattle Wn. State License #: 98111 D. Building Permit # (if applicable): Contact: Frank Swan Phone: 224-2278 Liability Insurance: Bond: $ Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project q Vtility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut : QYes []No G. Size of Cut:(1) 2 x4 Cut H. Charge $ Over Water APPLICANT TO READ AND SIGN INDEMNI7T.• Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from injuries, damages, or claims of any land or description whatsoever, foreseen or unforeen, that may be made against the City of Edmonds, or any of its departments or employ- ees, including or not limited to the defense of any legal proceedings including defense costs, and attorney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC17ON AND ACCEPTANCE OF 7HE WORK ES77MA7ED RESTORA77ON FEES WILL BE HELD UN71L THE FINAL S7REET PATCH IS COMPLETED BY CITY FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED 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 Departme Work 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. 1 have read the above statements and understand the permit requirements and the pink copy of the permit will be available on site at all times for inspection purposes. Signature: t,r.; .;. Date: Feb. 19, 1993 (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY US11 ""n `r APPROVED BY: TIME AUTHORIZED: VOID AFTER DAYS SPECIAL CONDITIONS: COMMENTS: DATE: Engrg. Div. 1991 RECEIVED FE B 2 2 1993 ENGINEERING RIGHT OF WAY CONSTRUCTION PERMIT ROUTING FORM DATE APPLICATION RECEIVED a�aa �G3 WORK ADDRESS O ��i��t/-'�`'"/ S C.�✓ CONTRACTORCj`-- 1. DATE TO PUBLIC WORKS FOR REVIEEW,) REV/APP BY STREET DIV.j�_ date REV/APP BY WATER/SEWER LlP_)* date ;Z "Z Z REV/APP BY PUBLIC WORKS�� date -1.2- 2. DATE TO ENGINEERING FOR REVIEW REV/APP BY ENG. AID date or //�� Z� REV/APP BY ENG. INSPTR. e--- date 3. Return to Community Services front desk DATE PERMIT ISSUED C PERMIT # (Y90.199- City of Edn&ds x.. - RIGHT-OF-WnAY CONSTRUCTION EETFIL ;----P-ERm1T—__1' Permit Number: �p/✓I 3��� C.F" Issue Date: A. Address or Vicinity of Construction: 7110 164 St, SW !9308582) B. Type of Work (be specific): C. Contractor: itnallifib9t1h Bat`i GAs C04 Mailing Address:81. rje:ceer St.Sea.ttl.e tIa. State License #: 98111 D. Building Permit # (if applicable): Contact: Swaii Phone:�'24�2 ✓S Liability Insurance: Bond: $ Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project ❑,,.„Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut : QYes ❑No G. Size of Cut a 2 x4 Cut H. Charge $ 0ver Water APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds har mlesS f)tmi injrojest-damages, or claims of any kind or description whatsoever, foreseen or unforeen, that may be made 6gainst r1V Ciry of Edmonds, or any of its departmen or employ- ees, including or not limited to the defense of any legal proceedings including defense costs, and attorney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECI70N AND ACCEPTANCE OF THE WORK. ES77MATED RESTORATION FEES WILL BE HELD UN77L THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED 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 Depar Work 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 pe t require eats and the pink copy of the permit will be available on site at all times for inspection purposes. � '�?l�. �i Signature: Date: 'P el) . 19, ;. -9911 (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK fr FOR CITY USE ONLY APPROVED BY: AiL TIME AUTHORIZED: VOID AFTER � D YS SPECIAL CONDITIONS: � RIGHT OF WAY DEPOSIT DISRUPTION FEE/FUND I11. RESTORATION FEE: PERMIT FEE: TOTAL FEE: wmmnty t a: RECEIPT N0: DATE ISSUED $Y:: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. Div. 1991 FIELD INSPECTION NOTES (Fund I I I - Route copy to Streek Dept.) Comments: Diagram: CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO Partial Work Inspection by P. W.: Work Disapproved By: FINAL APPROVAL BY: Date: Date: mg. urv. Hwy Submitted by: -70o S 1. sw. . T-A I 2,:�j i WNG to window • City of Edmonds Right of Way Permit Application (_-jUNUA, Go10.10RS Engineering Aide Washington Natural Gas SZ(-524e) I (ZK4) CuT 0VE7- WATER �I Water main depth Key unknown " gas main 23 d • -w- water -g- gas -ss- sewer $ water hydrant O water valve 815 Mercer St. (P.O. Box 1869). Seattk, WA 98111 (206) 622-6767 PLOT PLAN 1'=20' Tax account # 00513100008509 m p x Lot Size:.3 acres J House size: 1st floor 1980 sq ft N 2nd floor 1980 sq ft I <iE SIRIE5 f W'e Chain link fence F,F-CEDVIED DEVELOPMENT SERVICES CTR. CITY OF EDMONDS DENNIS HOPKINS PROJECT: SMITH KITCHEN & OWNERS MARTI AND RAY SMITH PO BOX 1896 EDMONDS R WA, 98020 7110 164th STREET SW A 6 RENOVATIONS PH4257749110 BED\BATHROOM REMODEL EDMONDS, WA 98026 FAX 425 774 9210 A 21T 7/16 & qb 5�c-SUJ e moc&J 51�A pF111�lop `I ate. C/�M-0-1,Y ��0 /CFS NpS CTR mrwu FILE