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714 ALDER ST.PDFiiiiiiii lill 11 10076 714 ALDER ST OCT -4 1974 -------------------_.......District City of Edmonds ---Water Department TAP CARD 000 Date.....--._ ...... .. Meter No-SItG .. 7' Tap I No/O Size.....-------------- Size... Mfgrs. No...a3.2G..?G-SLO. Style ... aw..—.5.R . . ........ For.......... C ........ 2! .... xv. .. c ..... . ......................... ................ ............................ ......... ....... . .... & ..... . ......................... . ...... . .............. .............................. ....... ......... . ......................... . .. . . . . ......... LotNo------------------------------------------- Blk. No........._...................---..._.............. Add--------------------------------- ............. 77 ...... . ....... ................................. ........... Service Location R070PEJ--CL2,q-8 ...... 6'F0--P---TEE..= 1� 00 Meter Location PROM. .... :SIYJ ......... a�.................................................... . ....... . ................ . . ..................... MakeTap ..................................................................... .................................. . ...... Pressure ..... I .. 3.0 .......... lbs. Test ................................. SendBills to .......................... ....................................................... Date of W Foreman' Guar. Voucher No. . .................. . .............. $ ................................... . ..... Remarks: ... �,iRge ... ... OAkr.. ............................................. ....... . .......... .......... . . .. . . . .......................... ................................... .............. OUTGOING Index ......... Reg ....... Route Bk ..... . . StenciL ..... Card... — INCOMING Index....._... Reg....... Route Bk .... . ... StenciL ..... Card .. . ... /3 Material Chargeable to Jnstallatio Meters SIZE DESCRIPTION RAT AMOUNT f .... Meter ----•----••-•• .......... Meter Box ............... -.............. ---------•--.. ............. .......... ............... --•------- Meter Plate ............................ .............. •--------• •• .......... .............. -•-----•-- Check Valve .......................... .............. --......... -••-.---•• -------------- ---•••--- Pipe, Galv. Screw .................. .............. •-•-•-------• ••---••--- ............. •--•-----• Nipples --•----------- ---------- Bushings .................................. .............. ----------• .......... ............... ••---•-•-- Plain Ells -----------------------=--•-- .. ................ •--........ .......... ...... .... -... ---------- St. Ells-------------------------------•--•- ----•---••---- ---------•-- •---•---•- .......... -... --••------.... ............... •......... •......... ----••-- Tees ----------------------------------------- ...................... ............................... ...................................................... •-•----•---- .............. ................ ............ •------- -. I ........... ---••---•- .......... -------•-- Material Chargeable to Taps Connected NO. i SIZE DESCRIPTION RATE AMOUNT ---•----•----• .......... Pipe, Black. Screw ----•-----------•- ............. I ............. ......... ............... .......... Pipe, Galv. Screw .................. •---•---•-••• •--•--•-----• ......... .............. ......... Lead Connections ------------•••--- ••-•---•-••--- .--...----•. ......... ........ ........... Curb Cocks --------------------------.. .............. --------•--- ------- •---•-----•--• -••--•---- Corp. Cocks --------•---•-•---•-•--•--- -----•-----• ............. ......... ------•----=-- .......... Unions ---•----••--•----------------------- ......... ......... ......... ............. --------- Saddles --------------------------•••••• --- .............. ----- -- ---- - --------- .............. .......... Nipples ----------------•-----•-•----•--•••• •-----•----•-•- ............ ......... ............... •-••----- Bushings -----•----•-•-------••-•--------•- ------••-• ... ............ ........... ................ .......... Plain Ells ................................ ----•---•--- •............ ........... .............• ---------- Street.* t;lls-----------------------...... ----••--••-•• •----------- ........... ............. .......... Tees ..-•-•---------------------------------. ............... ------•----- ---------• --••---------- .......... Curb Boxes ............................ .............. --••--------- ------ .......... S. O. Extensions .................... ••--•-----••-- ---.......... .......... ............... •---••---- Gates -----------------------------------•---- ............... ----•-•-•-- ........... .............. .......... Plugs ----------------------------------•-••-- -----•--•--- ------------ .......... .............. -•--•----- Couplings ---------- ..................... --•---------• --.......... -•--•---- .............. --------•--•-- ---•-•--•--••. .......... •...............•-•-•-•-•----•-••------•••-------•------------- --------•• Gate Boxes ............................ --••---•••------•-•-•••-------•-•------••••-•---•--------- •-••---•----• ............... .............. ------------ ----------- ----------- ........ •--------- --------- •---•--•-•••-- .............. ............... ------------- .............. ••-------- •-••-----• •-•------- --•---•... ------... ........................................................... ........................................................... --•--•-••-•--------•--.................................... ........................................................... Hours Time —Day Men ........ --••------•-- •-•-------•---- ............... •---------•-•-- .............. ------------ ---------•-• ---•-------- •-•--•------ -------- --- ---•---.. - ........ .......... .......... ... -...... ---•-------••• ....... •• Hours Time —Monthly Men.. •-•.-••---.... --•••---.... ........... ............... Hours Time --Auto ................ ••-----------• ............ ---•-•-•-- ------------------------- Superintendence ...................... ------•-•-.... ............. .......... ---------- : Total ....... --••------- ..... •--....... --------- --- --------•. ......................._...District 41� -,ply of Edmonds --Water Department TAP CARD C, r, . 0 Meter ............ Mfgrs. No... For ........... 0, Date ......... e. .. .. TapNo .................................... ....................................`4 ........ ....... 4.0: ......... . ....................... . . ............ LotNo ........................................... Blk. No ........................................ Add. .................................. .... 77 .............................. ......................... 1 Servi�e Location ...... 5ToR_..TEE � 0 Meter Location .9..,.JW ... PRO M_ ... . A.14.) ................................................................................ ............. MakeTap ............................................................................................... — .................................................. . ................ . ................ . ....... . . ... . ....... Pressure.... I .. :�.Q . . ........ lbs. Test ........ . .......................... % SendBills to .......................... . ................ . ................ . ...... . .................. Date of W ........................... ....... . .... . ..... Foreman Guar. Voucher No........._ ................ . ............ $ .. . ....... . .... . .............. . . ..... Remarks: ...... . . . .. .......................... . . . .. . ...................... . .. . .................... . ....... . .... . . ............... . ................ OUTGOING Index .. . ..... Reg._Route Bk. tenril .—card INCOMING Index .... . ... Reg_ -Route Bk. tenal.. Card /3 A C&T QF EOMORDS WATER / SEWER CHECK LIST CALL AND FIELD CHECK BEFORE DIGGING a ADDRESS 11NAMEJOATE1 DISPOSITION n Q� Z 0� J H U- w. it v ADDRESS: TAX ACCOUNT/PARCEL NUMBER: Cldd !\V BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) CRITICAL AREAS :./ DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED PERMITS PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #:� SHORT PLAT SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #:� c GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT FOR: WATER METER TAP CARD DATED: OTHER: LOT: Q t I O BLOCK: R I L:\TEMP\DSTs\Forms\Street File Checklist.doc i{,•. � _ 1 �, -.: •yc .+.}� gym, . ¢ USE PERVM 40470 ! B U I.L O I N G DEPARTMENT I Applicant tin '° /�5-1p °"'��` _ PERMIT APPLICATION Inside heavy IJnG3 JOBAPPLICATION� wDDRffi9 , /�^/%" I '•`LLf»�•':'x�` PERMISSLBLE ^ / L .t CfUAL LfT COVLRAGE� 35 Q/ O PERM ISSI aLE HEIG.! 3D r PRO 91'�ED REIGFi /I ��' AC:UAL��TOTAF1.5d. . REQUIRED YARDS PROPOSED YARDS PRo%- —ID t. REAR FRONT SID • RIUR _ gyp S— L LOT w ANCE. OR CONDITIONAL 8 n fT NO PERMI': Nuung v IC� J /✓I L LOA1/V Fftsle tic LL A Lt O ADItLTBN— '7 7e, C u A—itDICE" M ! zCITY 1 1. 1 1 �r O ADDRESS G 'r td CITY ITMA{C:YE� it Loaal ue.ent.tim of Pral.nr ra+w. iieio. a ��it£eiD_,"A, ❑GAS LINE NEW ❑ NON.RPAIDENTPAL ❑ arty ❑ :inn ❑ DSMOWSR ❑ WA�:fINa ❑ ALTER EXCAVATE ❑ (CY�z-_e_R.} ❑ Ott rill. ❑ RP.PAIIt ❑ LN PROVE ❑ SWIM POOL lli Y S tit 6SNUMBER or DWELLING UNITS / PXISTINdSTRES[ R/ML� !T. VDRPICIERCT THIS PROPERTY. COMP. PLAxY ST. Rpk L)—v-r. RrMA1OCD Driveway slopes not to exceed those indicated on standard Dwq. No. 103 FLUE MIS I TYPE OP YES ? I nae o,ek N nC17 JINC r 1-- u roaE D'a� it PLL'MM O LAN t ndieate 1 mg ...—as. aWttina .treei,l 1 \� � i C N ;'�� `--• Sr -LD:AT! GAS LtNZ PENCE SIGN RLTw_n•L�G tcALL StVIY]SZ.\G POOL DEMOLITION P1tPrYOTE LNSPECTION F_RCACATION OP. PILL. A:CTIO.v I STltE6'j IMPROVED 0 NO OCCUPA21LY GROUP T, / THIS SITE IS LOCATEDAN THE CITY OF EDMONDS. LOCAL SALES TAX z l 13 57 No, C TOTAL A]tOU\T DUE I /6� ST I hnow ereby ackledge that'I have read this aPPUeatim; that the In. v S fonnadon 91wn is eorrert: and Met I am the owner, or the duty anti • APPLICATION APPROVAL is- .gent of the o.ner. I `kris W —PIT with city and state I.— seen- ATTE.1-ITON lattne eobstmalon: and to doing the week anthortaed tbmbr. m lwsoa sill be emPiOT< m viotstloa of the Labor Cade of the State of Washtnatoo THIS PER30FT This 8pplicaVon is not a permit anti relating to Woia en•e Compensation Ia.o.an AUTHORIZES signed by the Bonding Official or his Dep- NOTE: Permit Limit One Year fEaaept nEMoLITio.s ONLY THE uty; -:::d fees Lire paid, and receipt is ac- _:ea ,hall he completed Ln nleeir Cara; MOVED-L`f EED.DLINGS aban b: cobs WORE NOTED Itnawledged in space provided. P!eted LP. a1a monW.) S1///G��gNwTUFiE IOLVNSR� AGP\T) SIGNED INSPECTION .S TURE ' (DwTL' DEPARTICENT CITY of DATE ft EDJfW%D$ - - MOTE:. Applicard Subject to Plan Cbeck Fee s 775-2525 •Fertnit r wk N ae done w p/v prepe,ty ONLY. m .key to;•trveir.. ibe rye:»• ealwaata rrn.i.., ,iee.atk.. are.<+,ti ,oamo r, eie.t ..i11 ryvire vparal• wJM.elen.. - _ _ - - �'E .,r. APPLICATION The City of Edmonds for SIDE SEWER PERMIT EASEMENT NO- -------------------------------------------- NEW CONSTRUCTION REPAIRS ❑ LID NO. 1S'�:._-_- ASMT. NO.-...-.�-..-._..- OWNER ... M C C�t�LN h,C4-i1E--------------•--•---••-------- CONTRACTOR .-- g03 t-\KU l ESb CKgDF- 5ER,,ACF- PERMIT NO. -ems_. cc> I JOB ADDRESS ....Q...pI �R _ ST4�ET LEGAL DESCRIPTION: LOT NO..-0-�.1--- BLOCK NO. ........ g�---------------------- t ----•-.•---•--------•-----------••-•.....-•------••.•----•--•--•---•----•-------•-----......-•--•------••.. 11 nF FC)MnNc)lS ---------------------------------------------------•--•-_--------------------------•----•------•---•- Approved: DATE <�=+= -•-- !.. • Thrb City of Edmonds APPLICATION for SIDE SEWER PERMIT NEW CONSTRUCTION R- REPAIRS ❑ EASEMENT No ........................................... OWNER .....Z.4 .�. C ®/f�.�!'/ Q CONTRACTOR ...Q�j .... �7`(r 1.1.1y PERMIT No..1// p� -..... ADDRESS ........ � `Ck.�-------------`/:.......................--•-•-..... LEGAL DESCRIPTION: LOT No. ........... 7-3 l -O----------------- BLOCK No.......- j....--------------........... NAME OF ADDITION .. . ..l..y...... 41F....-.. W� d L ...................................................... -•........................................ �J Approved: DATE................................................ BY------..........-•-•--.......---........-----.......---.............--