7118 177TH ST SW.PDF111111111111
1185
7118 177TH ST 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).
Side Sewer Drawing 0
The City of Edmonds EASEMENT NO... .. ....................... . ......
REPAIRS -1 NEW CONSTRUCTION �V I -II) NO......-_... .. ... ASMT. NO...I...
OWNER --- ...... ---------------------------- CONTRACTOR -5-ERIIC ------------------- PERMIT NO. 409-39--
JOB ADDRESS ----- 7- 1. 1 B -------- .................... ..... LEGAL DESCRIPTION: LOT NO. -11-G ........ ------------ --- — BLOCK NO.i ... I -------- I -
NAME OF ADDITION ......... C,.H-EkR%f ... 914-.L ... LA -NE ....... - ..........................................
CURB LINE
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PWW-000 1 - 11175 (R EV. 11/78)
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Approved:
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DATE ..--r
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of
ST
REET FILE
{ 'NEIL ESHLEMAN Post office sox 578 r.; Edn;onds, Washington 98020 Phone, 776.3569
BUILDING CO., INC.
Legal: Lot 16' Plat of:Cherry.Hill Lane, Snohomish County,
Scale: 1" _ 20'
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17-4"
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CITY OF EDMONDS _
FOR INSPECTION CALL P
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PUBLIC WORKS DEPARTMENT .ermit zoo b_
" SIDE SEWER PERMIT 775-2525 Ext. 122, r Issue Date
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PERTIIT MUST BE POSTED ON JOB SITE
1. Address of Construction(�� 77 �LYNNWOOD. LllalE
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.Property Legal Description (include all easements)
e-kg,r " M B6 (.& �')F- � /A
U-3. Single Family Residence X Multi -Family No. of Units
Commercial
Owner and/or Builder i t o i,o
�9. Contractor & License No. Lvlur,,"Wonp
�. Invasion into City Right -of -Way: No Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig ((GA?2fQW1T- `4) before
excavation).
7. Cross other private property: Yes Nog,, Easement required -
i
attach legal description and county easement number.
READ THE FOLLOWT.NG 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")
side 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% (1.15°)
and maximum grade of 100% (450).
f. No turn in side sewer greater than 45° (1/8,bend) is allowed
between cleanout. All 90 turns must be constructed of a 450 (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: 1 "1
I \tertiffy that I have read
and sha.l11 comply with the above
PERMIT FEE: ZO,C)6 DISAPPROVED By: Date:
U W a� . } i`e C'ho rt1e, aBy Date:
CONNECTION FEE APPROVED By: Date: -$-$3
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w * PERMIT MUST BE POSTED ON JOB SIT *
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0 STREET
FILE
USE PERMIT
CITY OF EDMONDS ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB
NAME (OR NAME OF BUSINESS) ADDRESS (J -7 7 A} S S t ) ^ -ed M bn
a n 3� LEGAL DESCRIPTION CHECK SUBDIVIS7/.NO. LID N
ZMAILING
ADDRESS ,� -� ! J_ !`' /� �%
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CITY NUMBER PUBLIC RIG TWAY PER OFFICI L STREET MAP.
D C'S 7 / -7�� 7jj h cl EXISTING i''-- REQUIRED DEDICATION /
NAMEPROPOSED
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�✓ +��t CZ�riS�•11-� �. RIGHT OF WAY CONSTRUCTION
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PERMIT REQUIRED
ADDRESS STREET USE PERMIT REQUIRED Cl
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SEE ENGINEERING MEMO DATED 7
CITY TELEPHONE
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NUMBER SEE PIW DEPT. REVIEW CHECK LIST DATE
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NAME
ADDRESS
CC
L-t's �.� Ie4^ METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS
CITY TELEPHONE NUMBER
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REMARKS
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STATE LICENSE NUMBER CITY LICENSE NUMBER
SIGN AREA ENV. REVIEW ADB NO.
ALLOWED PROPOSED COMPLETE EXEMPT
Legal Description of Property - Include all easements
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(show below or attach four copies) SHORELINE N
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1_ 1 VARIANCE OR CU PLAN I G/ VIE/WY
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OVEM6-JE YARDS
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REAR FRONT SIDE
REMARKS
II ��t( E -
NEW RESIDENTIAL PLUMBING
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DADD/ALTER NON-RESIDENTIAL MECHANICAL
C� REPAIR El RETAINING WALL SIGN
❑ FE( NCE CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT
DEMOLISH
OR FILL x-�
❑ PRE -MOVE INSPJ El SWIM SPECIAL INSPECTOR JOCCUPANCY OCCUPANT
COMPLIANCE INSP. POOL
REQUIRED GROUP LOAD
CI YES I : NO
El SIDE SEWER WATER LINE REMARKS
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NUMBER OF STORIES NUM8EROF
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' DWELLING
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UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOTPLAN)
VALUATION FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY. GRADING/FILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year • Provided Work is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
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successors in interest, agrees to indemnify, defend and hold
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harmless the City of Edmonds, Washington, its officials,
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employees, and agents from any and all claims for damages of
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whiitPvAr nature mricinn rfir—fiv nr inrlirnrfl.. fr..,.. sk- ;........,...,.
I: • •1 1E1' • ' 1 I= CHECKLIST
(address) •- -
Street Right -of -Way Exist' `
REQD
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Access Easements Existing
REQD
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Utility Easement Existing
READ --
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Lot Per Subdivision Plat
- -% Assessor Map
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Site Plan Checked for Accuracy
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2
Underground Wiring Reqd. F
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Check Accu ra of gal scription
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Review by :
Date
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Existing Water Main Size
Water Main Required
Service Line Required y ��
Hydrant Size Exist* S �
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Hydrant Reqd Per Fire Code
Size
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Detector Check Meter Reqd. _
Cross Cormection Inspection `—
E4
Fire Department Cormnents r-
3
Water Meter Char e Regd. S,
Review by
Date
Septic Tank Design Approved
Date
Septic Tank Permit Reqd._ /
Permit No.
Sanitary Sewer Availability
Proj,
Drawing No. L /) 4
File No.
Side Sewer Availability
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Sanitary Sewer Copfiection Fee qd.
3
Review by
Date
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Open Ditch Existing o ,v e._.
Reqd ----
Culvert Reqd.
Size �^
cd
Catch Basin Reqd. / c
Indicate on Site Plan
0
Shoulder drainage maintain collection
on swale open runoff
y
Manhole re d.
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Indicate on Site Plan -----
Soil Conditions and Ground Water Field
Checked --------..
Review by_AA �7��
Date 8
Revised: lv10-1977
DATE : 2 Z4 k3
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
Public Works Department
SUBJECT: /�� /s sw
After review of the subject Building Permit application, we have the following
comments:
1. Connection to City water system required.
2. Connection to City sanitary sewer system required.
3. Right-of-way permit required for any work on City property.
4. Driveway slope not to exceed 14%
5. Backwater valve required if downstairs plumbing is below elevation of
upstream manhole.
6. Water and sewer lines to be separated by 10 foot minimum.
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BD 6/82
7A
CITY OF EDMONDS
NEW
•
❑ ADDITION
❑ RETIREMENT
STREU FILE ASSET INFORMATION SHEET
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION
DEPT. NO.
*PURCHASE ORDER NO. _
PURCHASE ORDER DATE
COST
*PROJECT NUMBER
PROJECT COMPLETION DATE 6 -30 ' &.3
COST .S 7 , 9 3
B.A.R.S. ACCOUNT NO. �f��- �'� a of y 3`f- '-- aG �3
• '
ESTIMATED LIFE Z S
INITIATED BY DATE APPROVED BY
*SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
�G DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
• G.L. ENTRY
REFERENCE
VERIFIED BY
PROCESSED
BATCH NO. _
DATE
INITIAL
111
DEPARTMENT FILE