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716 ALDER ST.PDFiiiiiiii iiiiii 10,078 716 ALDER ST ID U- - ---------- ----- - -- ----- District City of Edmonds ---Water Department TAP CARD Date........ A--ZiLZI .. . .......... .... (No ..... Meter ................. ...... Tap I S1....;,-i ize ........* ...... s.. 2/1-�z ..... iz ..e .. Mfgrs. No. 2-47 �6�k* �* Style ... /1244 For...........` s. _= . ......................................... . .............. ...................................... 7Z..& .......... l................_.........._._.............. ........................................ ..... . . ...... ... . �.4....4 .......... ......... Lot/ No.// . . ................... Blk. No...?/ ..................................... .. Add- .................................................. ............ . .......... ServiceLocation ............. TREET. . . ......... . ........ . .................................................................... ...... ......................... . ................. . Meter Location ... IV A!>09.R- OAd .............................. . ............................... ............... ....... 1_­",1­11111 MakeTap ............................ .............................. . ....... ........ . .......... . .................. .......................................... . ....... . ....... . ....... . . .............. . ....... . ... . . ....... . ............... Pressure.1.2.3 ........... lbs. Test .................................... % SendBills to .................................................... .................. ...... ....................... Date of Work ........... Foreman Guar. Voucher No.---....._ ................_......-----.-. $.. . -"*,*** ***­­,**_ 1) __ - -1— A*-"0,nA= a) &I*;*o /,/- 2-?--7 7 OUTGOING Index ......... Reg ....... Route Bk ........ Stencil. ..... Card.._ INCOMING Index ...-_..Reg....... Route Bk .... . ... StenciL ..... Card.__ Mat61 Chargeable to Installation Met* NO. SIZE DESCRIPTION RATE AMOUNT -------------- ---------- Meter ....................................... .............. --......... .............. --••--.. - Meter Box --••---••--•-••----•-•--••---• -••-•--•-----• ............. .......... ............... •-•-••••-- Meter Plate ............................ .............. .......... Check Valve ----------------------•-•• .............. __.... ..... - ------•-••---- ......... Pipe, Galv. Screw .................. -•--••----.... . ......... ---•••--•- ------------- ---------- Nipples ------------------------------------ .............. -------------- ---------- Bushings .................................. -•---•----•--• ... -......... - --•---•--•--•-• .......... Plain Ells ................................ •----•-•-----• ............- ..- ........ St. Ells ..................................... .......... -... -------------- --------•-•--• --------•--•-• .......... ---------- .......... -----•-- Tees -------------------------------•-•----• -••------•----•---------------------•--•-----•-•••--- ------------------------------------------------------ ----•-------•--•-••-•---•-••--•--••--•-----•---•-•--•- --•- --• .............. -•-•--•------• ............... ............ •-•--•-•---• •-----...... ............ .......... •---•----- .......... ------- Material Chargeable to Taps Connected NO. ; SIZE DESCRIPTION - RATE IAMOUNT ... -......... I.......... Pipe, Black Screw -•---•-•--••--•-•- ............. ............. ......... -------------- -------•-• Pipe, Galv. Screw ------------...... .............. •--•---•-•--. ......... ---------••--- -•----. — Lead Connections ................... . .. .............. ......•.... Curb Cocks ...................... ---.. .............. ............ --------- .............. ........... Corp. Cocks ........................... ............. •------------ ......... .............. .......... Unions ---------------•----•------------- .............. ............ ......... .............. =--------- Saddles -------•••-••--•---••-•-••----•• --- --•-••----•--- ............ _...: Nipples ............... ......... Bushings ................................. --•---------- ---------------------- --------------- •----•---- Plain Ells --------------------------••---- ............ ............. .......... .............. .......... Street Ells --•--•-•••---•-•-••-••--_. ... ----•----.... ............. .......... Tees -------------- ---------- Curb Boxes ............................. .............. ............. •---•----• ------------- .......... S. O. Extensions .................... -•---•---•••-- --......... .......... ----------••• ----•--•-- Gates ........................................ •--••-----= ----------•- .......... Plugs ........................................ ------•---•• ----•-----•- -----•-•-• -------------- .......... Couplings ------------------............ •-----••••-•.. ........ ......... -----------•-- ----------•-•• ----•------ .......... -•-•-•-• . .......... .......... Gate Boxes .............................. ••-----•-----------------------•.................... .......................................... ••••....... .................... ...................................... ............. .............. ............. .._......... -----------• ---•-----••- •-•-•-----• •--------- .......... --------•----- ---••-•--•-•. ---------•- ............... ............... .............. -•••----•- .......... .......... .......... -........ ---...... ........................................................... ........................................................... ........................................................... ........................................................... •••-...................................................... Hours Time —Day Men --- - --•• ---•------•--- -•-•------•--- •-•-••----••-- .............. ............ .. ---•-•------- --------•--- ............. ............ -•-•-------- ....... -... ------------ --.---... .......... - ........ ........ .......... -------•-- •----------• ....... -- Hours Time —Monthly Men..... --•-•--- ------- ----- ---------- ............... Hours Time —Auto ............... -------------- ------- ---- -•-------- ------••--••-- .......... Superintendence ................... .............. ............ .......... Total iWL:I ll4-1 ,:LLI AOL I F.b' SI:I:1'IC1? LNti't'ALI,A'l'[ON ADDRESS: t?ATE: // /y 77 DIA1, A DIG# P.U.D. TELEPHONE CABLE T.V. ./ GAS I'ORE` kN 1 STORM SE14ER OTHER FUTURE SERVICE INSTL: NO BORE: CUT: SURCHARGE.: YES NO I LOCK CRE14 t D '' INITIAL: NLOC Dt � -^7 ! INITIAL: , 4l ACCOUNT NUMBER: Q DIETER .SHOP SUPPLIER: Si$49iL�- CIVIL ENGR. TREATMENT PLANT SIDE -SEWER PERMI• DRAFTSMAN F. B L T # SUPERINTENDENT INITIAL:,<e� DATE:,/?i/lil?7 '! TAP CARD METER SHEET APPLICATIO: IUTILITY DISPATCI! BILLING; CITY OF EDMONDS - SIDE SIIER PERMIT WATER -SEWER DEPARTMENT PERMIT 5 9 6 0 /Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction. 1 \Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections./ ADDRESS LOCATION OF CONSTRUCTION........---.-��.. ..-....!: 1 ...1� '�L-"'c.................................................. -ArPROPERTY LEGAL DESCRIPTION .................... `��5............... - ..�.l—_ n%.6 4.................................................................... .......................-..........................-.......... _.........._............---•-•---..............---................`.....1..........-......o.I.....,.........._.................................._.................................................. ................................................................ 014WERAIWOR BUIflLDER.......- `! Y �,S�..a.J 9+ 1........................................................................... Z ACTOR'S NAME & ADDRESS......-.l.dl.on is granted ....... `-6o......... 4�A... _-....... 19171.., for repair and/or connection of a side sewer to the city sanitary sewer system 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 ... _.................... APPROVED ❑ Date ... - .......... -........ Remarks :....... -...... ...... By................ Date .................................... By ................ Date ............... -................... By................ ................. By --- -......----------------------- -......_............------------------------------ ----•--•--------------------------------------------------------------............................................................................................................................ -............................................. ......... 0 BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection — I........................................................................................ I hereby certify that the side sewer installation constructed under this permit (Owner of Contracting Firm Performing Construction) was installed in accordance with all governing ordinances of the City of Edmonds. Datedthis ............................ day of ................................................................. 19......... J J Check BEFORE you dig for: Water ❑, Gas ❑, Telephone ❑, Power ❑, Sewer ❑, Other ❑ J 4 CI OF EDMONDS - SIDE. SEWER PERMIT WATER -SEWER DEPARTMENT r PERMIT 6060 rCall 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 inspections./ ADDRESS LOCATION OF CONSTRUCTION ....... :....71L-S_..!'+..-,.n.... ._ ��-;"-� .. PROPERTY LEGAL DESCRIPTION .................... - . -_� �..---............� t ►'.;�.�;........-... _ .i........................................................ ...................... ............................ _...................... _........................................................................ ............... _...................................................................................... ................................................................OWNER AND/OR BUILDER...... _)sa 1 ...................................................... W ACTOR'S NAME & ADDRESS ........ _ �- _ -.................... TRACTOR'S is granted ...- . - . _... �.)....--... `:-,. ..--...... 19�1- for re city sanitary gran - � �. .. .._. pair and/or connection of a side sewer to the ci sanita sewer system 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. DISAPPROVEDE] Date ... _..................................: By ................ Date --------- .................. - .. Date ............... _................... By................ APPROVED Date.. G...-.,---- ----C7..................•--.............--.............................. Remarks: ............................................................................................................................................... ..................................................................... ----------------------------------------------•------........-•-------............ ------......------------.---•-----•--..--...-----•--•---......------........_..._..._._...--..................._............................................. .......... BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection d I..................................................................................... hereby certify that the side sewer installation constructed under this permit : (Owner of Contracting Firm Performing Construction) was installed in accordance with all governing ordinances of the City of Edmonds. Datedthis............................day of .................................................... ............ 1 19--....... ' -4 -4 Check BEFORE you dig for: Water [], Gas E], Telephone 0, Power F], Sewer C], Other ADDRESS: ! ( u A o.f,- zi, TAX ACCOUNT/PARCEL NUMBER: 0 D 1N2 n9 10 11 N BUILDING PERMIT (NEW STRUCTURE): COVENANTS(RECORDED)FOR: CRITICAL AREAS: &q24 DETERMINATION: ❑ Conditional Waiver )(Study Required ❑ Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DA PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): ,Ig� l�loz { l�l S 1 la PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: t oI 2�00 SEWER LID FEE $: LID #: �� l t SHORT PLAT FILE: LOT: ( l Z., BLOCK: 91 SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #:r,-) q W GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT FOR: WATER METER TAP CARD DATED: OTHER: ROW �'$ ' b ���.C�� S1[�Glt ,k Q-W) ZDW 11 1& Z$} (r-,kstct IOf 1 MMt) LATEMP\DSTs\Forms\.Street File Checklist.doc M CAE NO. i- -OD -1 S l� Critical Areas Checklist -------------------------------------------------------------- Site Information (soils/topography./hydrology/vegetation) 1. Site Address/Location: 2. Property Tax Account Number: 40-6 40 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? Zyes; _ If yes; how is site developed? -45FR no. 5. Describe the general site topography. Check all that apply. Flat: less than 5-feet elevation change over entire site. Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet). Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: ` th cre6% ; Approx. Depth: 7 7. Site contains areas of seasonal standing water: ; Approx. Depth:. What season(s) of the year? y &ur - r round S. Site is in the floodway Yob floodplain - --- of a water course. 9. Site contains,a creek or an area where water flows across the grounds surface? Flows are year- round? - Flows are seasonal? (What time of year? 10. Site is primarily: forested : meadow -shrubs : mixed urban landscaped (lawn,shrubs etc) �G 11. Obvious wetland is present on site: go , •.1CVKYW' `e-ry}'p�: i-.^.�..YMGF1iW�ar.: :;7 ;rN±`+�' •+•"' Y •.ir 6 i '���a t Yr. �: �: �:iEical Areas lrt�e.�fot3r or �' A: �a��ieates Crl#tcaX eta on,� � �� s�.' .. <.. ..... • $4C Within eSlgnaied Eat�191t $ <F�C 1at2tlSlil llaZa il3P i` ? ' i}ill��' ' R etc:designer►rrthe)w©?enfaensrtiVe°aslalZ 3JLh.l�:L•'R1..111F��L\ �.Yi •itJ y:;f .. r %i:5 'C.�;:�:C• ;{ . �7 � -�•' i'7C <"_ •' 'id: r__..^..`�2.ti...�kk.�F; ...s !.�...'. v.�^'�.^^" a_ •y'J' �., ,'n. ... �~f .. �Stw Critical Areas File #: 6t too -- .15 Z City of Edmonds Critical Areas Checklist Fee: $45.00 Development Services Department Date Received by Dev. Serv. Dept: 1 /y d • Planning Division City Receipt No: Phone: 425.771.0220 Date Mailed to Applicant:-62/-a000 Fax: 425.771.0221 CRITICAL AREAS CHECKLIST The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Development Permit Application for the City of Edmonds Prior to his/her submittal of a_ development permit to the City. The purpose of the Checklist is to enable City staff to determine whether any potential Critical Areas are, or may be, present on the subject property. The information needed to complete the Checklist should be easily available from observations of the site or data available at City Hall (Critical areas inventories, maps, or soil surveys). An applicant, or his/her representative, must fill out the checklist, sign and date it, and submit it to the City. The City will review` the checklist, make a precursory site visit, and make a determination of the subsequent steps necessary to complete a development permit application. Please submit a vicinity map,. along with the signed copy of this form to assist City staff in finding and locating the specific piece of property described on this form. In addition, the applicant shall include other pertinent information (e.g., site plan, topography map, etc.) or studies in conjunction with this Checklist to assist' staff in completing their preliminary assessment,of the site. I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). PLEASE PRINT CLEARLY Owner/Applicant: Cit State Zip -77�4-- &> 0 ";v Signature 1 Db Date .. Applicant Representative: Name Street Address City State Zip Telephone Signature l , Date d:reception/lona/CACLHandout.doc Revised 4/10/2000 �Ec . AIPPROVED AS NOTED L-,-15'4 4 -54- . I m ;7- jq I RECEIVE Erj OCT 0 2 2000 DEVELCITYEOFF EOMONDj CTF h4 -` 13 g ry r C.Lv\e r 'j1�2 n0 fir=CkS -AND RECEIVED OCT 0 2 2000 DEVELOPMENT SERVICES CTR CITY OF EDMONDS --------- -- �; FILE 0WNER1CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE c4tt bn -2- AV A�ZROVED AS NOTED BYPA NING CIRJ?4-1 ,4 -31 -vo, 4 2/ - 3 - ..... ....... - -------- -- -------- ------- s 0 APPLICATION The 'City of Edmonds for EASEMENT NO- -------------------------------------------- SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS E] LID NO- .................. ASMT. NO. ----..------------ OWNER --- .................. ----------------------------- CONTRACTOR ....... awN----- I --------------------------------------------- PERMIT NO. JOB ADDRESS -77ALc --- — --- LEGAL DESCRIPTION: LOT NO - ---------- )14-K2 ------------ BLOCK NO. .......... ------------ 0 0 NAME OF ADDITION ........ --.-----Qom...--------f=- ........... .............. Approved: " 07, DATE., By, .......................... APPLICATION The City of Edmonds for EASEMENT NO. .— ---------------------------- ---------- SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS ❑ LID NO . ........... ...... ASMT. NO ---------- OWNER --------------- --------------------- CONTRACTOR ----- -------------------------- -- ------ PERMIT NO. JOB ADDRESS -- f-------s.�- I I I --------- LEGAL DESCRIPTION: LOT NO. --------------------- BLOCK NO. —91- ----------- ------------- ----------- ----------------------- -- -- NAMEOF ADDITION ----------------------- ---------------------------------------------------------------------------- ------------------ V.1 uji..... U- uj '74 A %_It - ------------------- ----% 1� Approved: DATEI -------------------------------------------- By --------------------------------------------------- j-jyyg :. CITY OF EDMONDS 1215TH AVENUE NORTH • EDMONDS • WA 98020 • (425) 771-0220 http://www.d.edmonds.wa.us RCW 197-11-970 Determination of Nonsignificance (DNS) DETERMINATION OF NONSIGNIFICANCE Z,000 42q-_ Description of proposal: Repair Pipe Piles to Support Existing Deck & Foundation for a Single -Family Residence Proponent: Gerald Stiffler Location of proposal, including street address if any: 716 Alder St. Lead agency:. CITY OF EDMONDS The lead agency for this proposal has determined that it does not have a probable significant adverse impact on the environment. An environmental impact statement is not required under RCW 43.21.030(2)(c). This decision was made after review of a completed environmental checklist and other information on file with the lead agency. This information is available to the public on request. XX There is no comment period for this DNS. This DNS is issued under 197-11-340(2); the lead agency will not act on this proposal for 14 days from the date below. Responsible Official: Chanda Earhart Position/Title: Planner Phone: 425-771-0220 Address: City of Edmonds 121 - 5th Avenue North Edmonds, WA 98020 Date: /0 r / 7 - 0d Signature: - XX You may appeal this determination to Robert Chave, Planning Manager, at 121 5th Avenue North, Edmonds, WA 98020, no later than October 31, 2000, by filing a written appeal citing the specific factual reasons for the appeal. The appeal submittal must also include the required fees and mailing list. Please contact the Planning Division for specific submittal requirements. XX Posted on October 17, 2000, at the Edmonds Public Library, Edmonds Community Services Building, and the Edmonds Post Office. XX Distribute to "Checked" Agencies on the reverse side of this form, along with a copy of the Checklist. Page 1 of 2 DNS 00424 STIFFLER.DOC CREATED ON 10/17/00 2:17 PM Mailed to the following along with the Environmental Checklist: • u: XX Environmental Review Section Department of Ecology P.O. Box 47703 Olympia, WA 98504-7703 XX Gerald Stiffler 716 Alder St. Edmonds, WA 98020 Attachments pc: SEPA Notebook Page 2 of 2 DNS 00424 STIFFLER.DOC CREATED ON 10/17/00 2:17 PM 910 CITY OF EDMONDS 4r : PUBLIC WORKS DEPARTMENT, ENGINEERING DIVISION APKICATION FOR RIGHT—OF-IgAY`-CO,'dST!?UCTION PERMIT t THIS PERMIT MUST BE AVAILABLE:A:T.THE JOB SITE FOR INSPECTION Applicant to Complete Parts•A and B , A. Permit to be issued to: For Work at:(address or vicinity), Type of Work to be'done: C o (attach drawing when applicable) Time Required --,Start: Owner: Name Mailing Address A City tate Zip(' Contractor:�gQ Name Mailing Address ^, eA&AiA!d C,61-A—A t quQ-;� City State Zip Finish: , PURPOSES Telephone Number i,' ,; rs GlJU J �U- H� -=tF : ZSSJT State License'Number 6.,")-cl -&4U1 Telephone Number B, INDEMNITY: Applicant understands and by his signature to`this application, agrees to hold the City of Edmonds harmless from any injuries, damages, .-or claims of -any kind or description whatsoever, foreseen or unforeseen, that may be'made against the applicant or the City of Edmonds, or any of its departments, or employees, including or not limited to the defense of any legal proceedings including defense costs, court costs, and attorney fees by reasbri.of granting this permit. Upon issuance of this permit, the contractor is'responsible for workmanship and materials for a period of one year following the final inspection and acceptance of the restoration by the Engineering Division. Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at which time a debit or credit.will be processed for issuance to the applicant. Work is subject to inspection and restoration in accordance with City Code. A 24-hour notice is required for inspection by Engineering. Call 775-2525, ext..220. I understand that this permit st be available at the job site for inspection purposes at all times. ll Date: Signature: wner or Agent TO BE COMPLETEDY ISSUING AGENCY: Date Issued: Permit No.: _/� Fee: Security Bond: Time Authorized: APPROVED B Dat CITY OF EDMONDS ,�+... ENGINEERI�Ir DEPARTMENT APPLICATICN FOR RIGHT -OF -,"AY CONSTRUCTION PERMIT (A��Zic�tt to Cc.nroZi�te A crud Suc,v t in E-urZ:_c,-,te) A. Permit to be issued to: 1,1 - R COMPANY RFCFI\fcn 0 C T 19 1977 For work at: (address or vicinity) '''calk -On ParkinZ Lot :_,etween Railroad Street & Front S , Shopping Center & Skippers Restau Type of work to be done: Immove Parkin. Tnt. ?'an;l ;+.> (Attach Drawing !-hen Applicable) Time Required -- Start: TdOv 14/77 Finish: Dec 20/77 Owner:_ State of ?dash inznton Higbwny- Dept Name 4202 - 198th. St Sid Mailing Address L•mnwood iv2 City State Contractor: B1 - R COI•IPAIIY Name P.O. Box 2054 Mailing Address Everett Wa 98203 City State 77 -(J 17 Telephone Number 223-01-246116 State License Number (r__06 )-775-5885 Telephone :umber B. INDE`!NITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the applicant or the City of Edmonds, or any of its departments or employees, including but not limited to the defense of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year following the final inspection and acceptance of the restoration by the Engineering Department. 'Work subject to inspe do and restoration in accordance with City Code. A 24-hour notice ir uir for inspection by the Engineering Department. Call 775-2525. X O Signature.: Oct 19/77 Owner or A� Date Signed C. DO NOT WRITE BELOW THIS LINE (To be cc?TZeted by Issuing Agency),78,2 Permit Issued (Date) / Permit Number 2 r% '- Fee: /j d Bond: Time Authorized: ENGINn,,R-S APPROVAL DATE I i� %� Gym /!/�-e- . STRO-*P-'ALE 11 P I ML-T Tc" Ll,�T, 3:1 DMUTNG PE -T Street _ Pdght-of-V,"lY Existing Tjiql) -Access Easements Existing. k) Diu t2:- TT, T) a .. �i Utility Easement J.,xistincy UO u .12 NAL Lot Per Subdivision Plal- As s c sso' r i a p cd for Accurac.-v dr ;21 Site Plan (liccl- cileck Rujura(i f'r1p.41ai Lluriptibm rx is t i 11 a I - "'Itel Z211i 1, Plater P HN'(1--a!"t Si-c Yxi-tiny; Date HvOrant Rcouiycd ("'Cr Fow cr,,cj,:2-, Size (j,CC', Pate -77 Tic'sZ1"n f\j /Z,-" sc.ntic T1111, P\")proved Ratc IIScrt.ic Trill", 11cy-n-JA Pco"'ircd .!.,(,Mi t '0. Saiiitar:., "Wn-.7cr Av-;iilabi]i.t,v------ r.o.i Side Scwer Availabilit- v' `' Smitai), Sever Connection J'-Ic Ponuirccl li\cV.1ew IT;` Date. D)CII Ditch _jj Rcouirccl 'I culvert Required S j. z c -- CItdI 1',ZlSill Re(MirCdl Indicate on 1-bn in swcds C. 0 i1mmole required Indicate on sito Soil conclitionr F, Ground hater Field Oiecked Ake Street 11avill(T Required ylj� I D cc: C ftirb and Cutter Rcomia-cd Sidciialll- * ]!cot 0. rec' i Curb Cut for Privcvmy ircquircq.. Y,-(- All-,"e-- Pi-lit-o-f-l""a-v fonstruction Pcinit Plecruirc d -Bond PIcoidred for Public Improvements Street Nar,6 Sign Required Otbcr Siming Required ii Pre Pcnait Site Inspcction madc on VY: Water Street ii Enginecring Special Requirements 14Lstcd im memo to Puilddng Pl-pnrtmcrt- -- Pate_ I]. itep.,S' fijl.-(j ill oil Buildim Pcinit. Application A . 1, PV P, a C; StZU- B) pate Approved by Public 1'.or s 1-1cpartniclit