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7110 165TH PL SW (2).PDFIIIIIIIIIIIIIIIIIIIIIIIII 7110 165TH PL SW 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). r CITY OF EDMONDS - SIDE SEWER PERMIT WATER -SEWER DEPARTMENT } PERMIT `t.? Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.1 (Inspection will bed provided within 24 hours after requst. No Sat., Sun., or holiday inspections.) ADDRESS LOCATION OF CONSTRUCTION.... -• 7 U... G.S 4� ..... � ...�--.I:� �................................._.......-•--•-...........................--..-.-........ PROPERTYLEGAL DESCRIPTION -------------------------- ®�_--.-s...RgA�. O...................... '.......... .....-...-.................-..................- m ...................... ............................. ........... .---------- -........................................................................ _.....--......._...................................................--............. OWNERAND/OR BUILDER----•.Z..�.�1E.... HOPXYM•S`.......................... -................... .................................... CONTRACTOR'S NAME & ADDRESS.-. RRt-.9---.f0hnonn.....---•..................................._...............------........._--_....---•-•---..........---•--•----•.............. Permission is granted-----......_--.-.-June-.1 .._--...--...., 1977--, for repair and/or connection of a side sewer to the city, sanitary sewer sy -tom in accordance with City of Edmonds ordinances. A1-.-ENTION 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 construct side sewer in street area. Do not -cover any portion of sewer before 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 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 ingrade sharper than % 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 permit, or to do any work on the main sewer or its appurtenances except to in- sert the pipe into the wye. DISAPPROVED ❑ Date ..._..`........�....................—.7B�y.----...---•---- Date ............ ._. -......._....By .......-....... Date.._......... --- ........................................By............_... APPROVED Date.----- �/� j / -> ................ By-•---. Remar..... ....... ............. ........... _...................................... ....--.-...................................................... ----................................--... ....... s — BO II Pe WK Copies LkTAT Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection — I rin _.._-_. -__-• ...---------•---. ... hereby certify that the side sewer i tallation constructed under this permit r o Cont cting Firm, crming Construction) _s install ordan with all g6verning ordinances of the City of EdVon �7--� Datedthis............day o ...............................................................19/--- Check ,BEFORE you dig for: Water ❑, Gas ❑, Telephone ❑, P e ❑, Sewer ❑, Other 0 3 0/- 0 vo -7. s- r\j W ig G� (ITY7, LIST OWE BUILDING P1'1!';IT Q 7 -T ERE Street Pdphi-of-Way EaistinF CC) RIDT)�� c. Access Ensemcnts Yxisting R]-.nT) Yxistin� 10 (0 K) za� prni) Lot Per Subdivi-ion. Plat Assessor T',ai) Site Plan (Iiccl.od for Accuracy 15n(1crr,rmmd !)cnd. W4 Ch&ck flu-ilraq I" Le a f LX,Zkri61" 1 *0 V I p, 10 r\. Date IYA NvOrzint per hre Cc,(- Size D--tector Oiccll, "otter [ZCr.t,4 rc d IYA -- F11 15tv Septic Tm1: Anproved Datc _----------^_-----, II I5crtic TrInr: Pvmit Pentii-ml— —Pomit "0. Sanitary Se%-.-Cr Avnilati'lity 11roj. Side F)cv.,cr Avail.thilit" Lr�ail'ltil2)'So,.(,r Comicction. Fee 11couired— K) nAj. R',!Vicn., by L---05Z— Pate j)j t:(Jj �'._X4 St 4 1,,- 0 A/ e- Reolli. 1-c(1 Oilvort Penuired Size C) Catc,11 ilns;n "e(mired Indicate oil 1"itc plan Co JcOWT16n Ti��,Clle D 10 (it I CC L n '0 r —Indicate Mmi or. Site soil C.Onditions F, Ground later Field (10CLe'1— P Revi C1, bv t (I 11 0 IStrcct Paving; Rccluircd (Ylrl) -lnJ r;lttcr Rcaui.rcd Sidci gall: J'.ecuircd /yO A- e— — Curb (lit for Driveway Rccluircd � e�sT� � �fd7 LlS-Pc/ Y � Pa- lit-of-1'.a-,• Construction Pcllili.t• Rccluircd /•4 E— I Ilond Rcqui.rccl for Tkiblic ITnllrovcricnts I Strcct Nmo Sian Rcrji:ircd .41 U _— Other Simirl„ Rcnui red IIII 3 7� T'rc T'cnait Sitc Insncction madc on - I Scr, cr. Watcr ' Strcct --- JELIN)& Special Pec,u:iramcnts listcd in rcrio to I,uildin5 l�clin,rtnent iti]. i.tc-s fill.ccl in on I'uild.ing I'crrit Application Patc ---- — ))T'll;lilOF, St;uIpccl and i'.Otatlons,By Date Approved L), Public D"partncnt 110 DING USE DEPARTMENT Applicant Fill ZONE\�/ NUMBER JJ VV PERMIT APPLICATION Inside Heavy Lines ,OB ADDRESS /1O NAME OR NAME OF BUSINESS) I LEGAL LOT AREA SUBDIVISION. NO. pal MA LI DR S YES ONO Z 3 S T ' NUMBER STREET R/W EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY CITY [TELEPHONE COMP. PLAN ST. R/W -5Q FT. 1) FT. AM REMARKS Driveway slope not to exceed those ted on Standard Drawing #103 CHECKED BV W ADDRESS F I U a CITY Q NAME a 0 ADDRESS F U Q a CITY Z 0 U EvAYFF 1 1['FNSE LEPHONE NUMBER LEPHON Of REQ'D, ❑ YES UNDERGROUND WIRING REQ'D. TYPE CONNECTION SANITARY SEWER SEPTIC SYSTEM APPV'D BY CITY ENG. REMARKS METER] SIZE I BUILT Z REA PRU WW YREMARKS U T ❑ NEW ADD © RESIDENTIAL NON-RESIDENTIAL ❑ DEMOLISH ❑ GAS LINE ❑ SIGN RETAINING WALL FIRE ZONE TY SPECIAL INSPECTOR REQUIRED ❑ ALTER ❑ EXCAVATE OR FILL FENCE ❑ ( X_FT) ❑ YES NO PLAN CHECKED BY REPAIR PRE-MOVEswim POOL REMARKS NUMBER OF STORIES NUMBER OF DWELLING UNITS NATURE OF WORK TO BE DONE PROPOSED USE Z 0 d PLOT PLAN INDICATE BUILDING SETBACKS, ABUTTING STREETS) U to W D m 0 PLAN CHECK NO. BUILDING PLUMBING HEAT & GAS LINE FENCE SIGN RETAINING WALL SWIMMING POOL WORK R/W PERMIT REQUIRED VIV p� O ❑ YES JMNO 1SiYES ❑ NO &YES VERIFIED Y ❑ NO I "yf\)- 0 YES PERMIT NUMBER IWN 0 I �— IPPLY SIZE "tO- f6(fA7 r, K6_&Z/) ENV. REVIEW —�/ ADS NO. F PLETE I EXEMFy PLANNING REVIEW BY DATE /{ O �f LOT COVERAGE SIDE `REAR OF CONSTRUCTION CODE /F7:5 0,9C AREA OCCUPANCY OCCUPANT GROUP LOAD THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. VALUATION I FEE IQf l a W F Q 3 F Z W F a a L W 0 F — Z W i L 0 J W W 0 F Z i f 0 U APPLICATION • The City of Edmondfor EASEMENT NO8TREET . .............. FILE,SIDE SEWER PERMIT """"""""-""""" " "-"" CONSTRUCTION REPAIRS ❑ LID NO ................... ASMT. NO................... / OWNER ...----- RNIE---...4-�OPK\NS------------------------------ CONTRACTOR Fib-ISS-----`JC�HN �N----"- PERMIT N0�2: ✓ JOB ADDRESS --- 7 1.(Z)...--I S.... pL_. s w.-"--------- LEGAL DESCRIPTION: LOT NO. .............. ................ BLOCK NO. ............. ....... ............ • us -T '1 7c�o 1 Q ................................................................. "--------------"-------"--"-- ----....................................-•----------••-•---------- NAME OF ADDITION ----- IRIz(:::D�-A \,/11=W %UI I - I LS PL.S.W• c.�Eo r�a�T V !�! 17003- l�-< R .S.W Approved: DATE..1.... By -----•--- ----s G" l:�T',7. APPUCATION The City of Edmonds for SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS 0 EASEMENT NO. - ------- ------------- -------- LID L.L:7, ------------------ ------------- CONTRACTOR ------- ..... PERMIT NOc,�.&? OWNER t� . I ..... Y4 JOB ADDRESS --- ---- LEGAL DESCRIPTION: LOT NO. ----- . ........................ BLOCK NO. --------------------- ------------- --------------- ........................................................... --- ............................. . --------- -- I ------------------------------- NAME OF ADDITION ----- x ... . )....... JUN 14 190 Polk iyoli(s LIOP4 AAL- it Approved: DATE BY---------------------------------------------- .... fi7.yg