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715 13TH WAY SW
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BUILDING DEPARTMENT
PERMIT APPLICATION
NAME (OR NAME OF BUSINESS)
BELT HOMES
yW MAILING ADDRESS
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3 9808-215th St. S.W.
0 CITY
Edmonds, Wa.
NAME
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NAME
Belt Homes
0 ADDRESS
i 9808-215th St. S.W.
FCITY T'
o Edmonds Wa.
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Applicant Fill
ZONE /% ( (_ NUMBER
J \/A
Inside Heavy Lines
JOB
ADDRESS
LEGAL LOT
LOT AREA
SUBDIVISION NO.
'DYES ❑ NO
STREET R/W
EXISTING STREET R/W 25
FT. DEFICIENCY
THIS PROPERTY
'HONE NUMBER
I�
COMP. PLAN ST. R/W 25
FT.
-
O FT.
�-2829
REMARKS Driveway slope
not
to exceed those
LEPHONE NUMBER
:LEPHONE NUMBER
776-2829
. . LICENSE NUMBER
Legal Description of Property (Show Below or Attach
Lot 13 - Birch Addition - Div #2
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REQ'D. ❑ YES &NO ❑ YES B'NO
UNDERGROUND WIRING REQ'D. ¢&YES ❑ NO
.TYPE CONNECTION '.YES VERIFI D BY ^
SANITARY SEWER • V
❑ NO
SEPTIC SYSTEM ❑ YES PERMIT NUMBER
APPV'D BY CITY ENG. lip
ETER
SIGN AREA I ENV. REVIEW I ADB NO.
ALLOWED I PROPOSED COMPLETE I EXEMPT
REMARKS
VARIANCE OR CU PLANNING REVIEW BY DATE
YARDS LOT COVERAGE
NEW
RESIDENTIAL
GAS
LINE
�b i FRONT �' SIDE /d / REAR
FIRE ZONE
TYPE OF CONSTRUCTION
CODE
❑
❑WALL
ADD
ALTER
❑
❑
❑
NON-RESIDENTIALID
SIGN
❑ RETAINING
❑ FENCE
X—�)
I
DEMOLISH
EXCAVATE
OR FILL
SPECIAL INSPECTOR
REQUIRED
❑ YES ❑ NO
AREA
OCCUPANCY
GROUP
OCCUPA
LOAD
PLAN CHECKED BY
THIS SITE
IS LOCATED IN THE
CITY
REPAIR
PRE -MOVE
INSP
swim
❑ POOL
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
• NUMBER OF STORIES NUMBER OF REMARKS
DWELLING
2 UNITS 1
NATURE OF WORK TO BE DONE
New Residence
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ABUTTING STREETS)
PLAN CHECK
NO.
BUILDING
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
VALUATION I FEE
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CITY OF EDMONDS —SIDE SEWER PERMIT
bf pp WATER -SEWER DEPARTMENT
STREET F L E PERMIT
(Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.\\
Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday fnspections./
ADDRESS LOCATION OF CONSTRUCTION................�US 13th Way S.W.
....................................................._................. ...................................................
PROPERTY LEGAL DESCRIPTION ............................. Lot..13 n Birch Addition Div. #2..
_.....-•--••...............•---•---•---------........-----...............•..............._.._......................__..._.........--••--••----... ••-•••-•
................................................................OWNER AND/OR BUILDER-- BELL' S
_.... -.......................................................
CONTRACTOR'S NAME & ADDRESS ............. R._-F*.-! 11TRA(9iY)i2....__...--•.---..----.-•-•-
July 18. mission is granted ...___...... ...............................___.___..._., 19.. 9., for repair and/or connection of a side sewer to the city sanitary sewer
.�em in accordance with City of Edmonds ordinances.
ATTENTION 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—Tap 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 grade
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 ... _................................... By ------------------ Date ------------------------------------ By ---------_---- Date ............... -................... By ................
APPROVED :......
Remarks:......._......_ ........................... ... ........................................................... ...................................... _......
................................... _..... . ......................... . ....... ..... ...........
— BOTH rn}it opie MUST i ed B r of Firm Performing Construction PRIOR To Request For Inspection —
--, hereby certify that the side sewer installation constructed under this permit
(Owner of Cc racting Firm Per -ing ns ru ion)
was installed in accordance with all governing ordinances of the City of Edmonds.
Dated
Check BEFORE you dig for: Water p, Gras ❑,
day of... ._. n. !(� - = 19l _..,1.
❑, Power p, Sewer p, Other p �!
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APPLICATION
The City of Edmonds for EASEMENT NO_ ____________________________________________
SIDE SEWER PERMIT
NEW CONSTRUCTION 0 REPAIRS ❑ LID NO . .................. . ASMT. NO. ------------------
OWNER ----- �;.� --- L— HQME=--------------------------------------------- CONTRACTOR ----- R�'- KA ...... <- . ..... PERMIT NO. --------------------
JOB ADDRESS ..................... LEGAL DESCRIPTION: LOT NO. -------------------------------------- BLOCK NO. -------------------------_--.------.
0
0
NAME OF ADDITION ------
Approved:
-7--Z9-07 A
DATE........ .................................. BY 11Y6
APPLICATION
The City Of Edm REE"0010 FILE for
onQ I SIDE SEWER PERMIT
EASE�f ,�No ...........................
NEW CONSTRUCTION REPAIRS 0 t� X7
---------------------------------- CONTRACTOR ... 8TYA ......
OWNER .... -..................... ............... PERMT No.%5M.9'
ADDRESS ...
1)4
........... . ............. LEGAL DESCRIPTION: LOT No. ......................... BLOCK No. ............................................
NAME OF ADDITION
I
Approved:
p
RM"',
j U j_ 1971,
....................... - By - ......