717 CEDAR ST.PDF717 CEDAR ST
TAX ACCOUNT/PARCEL NUMBER: n 40'm ` mw)
BUILDING PERMIT (NEW STRUCTURE): J lML �P 6
COVENANTS (RECORDED)
CRITICAL AREAS ✓ DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER): �G� �� s Q� �q -1 O1'-5� l �[ Lk,lhl��)
19 -7 OU 2on w ILA,(
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED: r�I
SEWER LID FEE $: LID #: `
SHORT PLAT FILE: LOT: 61,p? BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #: !2 D D
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER: (_
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�• - POSTED ON KROLL YAP NO.: PERMIT - t� s
BUILDING DEPARTMENT NDMHERk
� Applicant Fill'
^� PERMIT APPLIWION I Inside heavy Lines JOB ADDRE S I '�
fj NAME (OR NAME OF BUSINE1,S)
1' ij I SIDE YARID SET ACK STREET SETBACK I REAR .YARD SETBACK
mMAILING ADDRESS d rn„�.,Z I t7L. O t 1 •Vr� r tom'— YO c �y.
t/ r' USE ONE LOT AREA VACANT B1TE - �L�,),y, 4,°
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2 C IT NUMBER T I I Q YE8't0 l .1a5.
'7 Y`•y I BUILDING AREA I 0. r ir,E
CITY i
HEICHT I VARIANCE UMHEA
1 NAME +#! $
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x5p, Ta '�� �c G/y '/�,t� L cG.aG L PLAT PLAN APPROVED `
y�
yy.� tr !• - + Y ADDRESS ^/ y
,yam STREET R/W
/ LS UN L/4' a G C /W—,_._FT. DEFICIENCT TRIS PROPERTY
fi C1T EXISTING STREET R ?
' 7ELEP310:lE NUMBER
< COMP. PLAN ST. R/W
'l REMARKS �yf
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I NAME NCC AD
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41 PV4 1��y�/�ds 7%� yo5s I CRECHED 9Y
1y ` C CITY TF.LEYHONE NUMBER
O METER SIZE SERVICE SIZE CLEARANCE CHECKED BY ,. y�y, 14n,+
- G) STATE LICENSE NUMBER CITY LICENSE NUMBER.
M
REMARKS <
Legal Description of Property (Show -Below or Attach Four Copies) g 4"' ��•
TYPE CONNECTION VERIFIED BY •� �r,,,S�x�,$�
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3 it G G o c AL/I`�2"G L�l�/ya/YC/ — �L•-;: c ,. •;
(+ � I-... TEST PERMIT NUMBER Ig ��
W REMARKS ro �C tCty„x�'CV
' W FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED ,'. `� t+'�'�C)�•.;+' L'
ygff.S.
-,;•
' SPECIAL INSPECTOR REQUIRED i OCCUPANCY G0 NO
[I YES
ROUP
GAS
❑ C RESIDENTIAL LINE PLAN CHECKED BY - ,'',C�f�7�+•yi"-'{ NEW ❑
NONRESIDENTIAL ElSIG
AD') RETAINING REMARKS
ElDEMOLISH WALL
❑ ALTER ❑ EXCAVATE F-� ® FENCE MF/� i—^'• T' V e ;�? i
OR FILL ( ._..3_..._...Ft.)
REPAIR PRE -MOVE swim'r-ht{
INSP, POOL .•,t N.
NUMBER OF STORIES NUMBER Oil
DWELL NG
UNITS
NATURE OF WORK TO R:: DONE / Valvstl- Foe `Receipt No..
�� y' Plm Check Ne.__,
BUILDING , (. • �'t� y '�
PROPOSED
PLUMB.•.N G �yy
D PLOT PLAN (I"dlente Building sclbneks, abutting streets) HEAT h GAS LINE
FENCE t f t1'•
��• SIGN
RETAINING WALL
N
SWIMMING POOL (' t
DEMOLITION �}?}
WpU, PRE -MOVE INSPECTIONY,;tii.l
EXCAVATION OR FILL
r
N, Y' -
TOTAL AMOUNT DUE
I hereby eCknowledge that I have read this application; that the in- - t '�•� �� vrl Ms',
formrtlnn given Ie correct: and that I ato the owner, or the duly anther- ' K•r�: w'
lied agent of the owner. I agree to Comply with City and state lawn Mgn•
ATTENTION APPLICATION -APPROVAL, • ' {�' .w:°}.. •`
lating Constrlletlon; and In doln6 the work authorized thereby, no person )G'�3`i'�. • i.-
will be employed in Wolal'oo of the Labor rode of the State of Ne,•.!Imgtoe THI8 PERMIT This application is not a: peimlt'tlntll
relating to Workmen -a Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep-
ONLY THE
NOTE: Permit Limit One Year (Except DEMCLI7IONS which WORK NOTED Hty; and fees are paid, and receipt 1s ac-':- L� `f
shall be completed In ninety days; MOVED -IN BUILDINGS shall be cold- knowledged in space providetL ,
pleted In it% months.)
SIGNATURE (OWNER OR AGENT) DATE 81GNED INSPECTION DIRE(TO
DEPARTMENT
CITY OF
ED\fOhZB DATE
NOTE: Applicant Subject to Plan Check Fee
PR 0-1107 &7�i`{t`•4� �'
Tms Yertnit coven work fo be done on privet" property ONLY.
Any tonstmetlou on the Dubuc doneam (curb,, sidewalks, driveways,
FLE
marquee,, eta.) will require separate wrelssaon- I•�'�s'�
U3
10,
APPLICATION
for
SIDE SEWEB,. PERMIT
NEW CONSTRUCTION
EASEMENT No. ............... -•-----•- -•--------••--•-
REPAIRS []
8 �-1
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CONTRACTOR`{.� "QC PERMIT NC..' .--...
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....................... LEGAL DESCRIPTION: LOT Nci../......-...� ...-.-- BLOCK No ................. ...
NAME OF ADDITION 0%
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Approved:
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City of yEdmonds
1
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number.
Issue Date _�Z_5—!2 4"'•
A. Address or Vicinity -of Construction: 717 Cedar 8tr i:a ,r
B. Type of Work (be specific): Service BBplacement
C. Contractor: VAshingtm Natural Gas
Mailing Address: 1.122 75-SI: SEJ Eve -Ott
State License #: 98203
D. Building Permit # (if applicable):
Contact: Frank Swan
Phone: AA7-328A
Liability Insurance: Bond: $
Side Sewer Permit # (if applicable):
E. ❑ Commercial ❑ Subdivision ❑ City. Project ® Utility (PUD, GTE, WNG, CABLE, WATER)
❑ Multi -Family ❑ Single Family ❑ Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut : ® Yes ❑No G. Size,of Cut: x H. Charge $
( _1.. ti
APPLICANT TO READ AND
INDEMNITY: Applicant understands and by his signature to this'application, agrees to hold the City of Edmonds harmless from injures; damages, oaw
claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against th4�City of Edmonds, or any of its departments or
employees, including or not limited C the defense of any legal roceedmgs including defense coats, and attorney fees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE -FOR -WORKMANSHIP AND'MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWINOl THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH
IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
Work and material is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety. shall be in accordance with City regulations as required by the City Engineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
I have read the above statements and understand the permit requirements and the pink copy of the permit will be
available on site at all times inspection urposes.
Signature: Date: 8-10-95
nt (Coractor or Agent
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED.BY: I�• T'✓`T RIGHT OF WAY DEPOSIT. _
TIME AUTHORIZED: VOID AFTER dV S DAYS DISRUPTION FEE/FUND Ill:
SPECIAL CONDITIONS: p% A - RESTORATION FEE:
PERMIT FEE:
TOTAL FEE: -30' 0y
COMMENTS: <c�'►P RECEIPT FEE:
DATE: ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. 1994
•
FIELD INSPECTION NOTES
Comments•
I Diagram;
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P.W.:
Work Disapproved By:
FINAL APPROVAL BY:
(blind 111 - Route copy to Street Dept.)
❑ YES ❑ NO
Date:
Date:
•
ISLA
Natural Gas
A Vvblwxjton EnergyConparry
Addendum to: City of Edmonds
Right of Way
Permit Application
Submitted by: Mariamne Kingsbury
Engineering Aide
Washington Natural Gas
1356-7500 X7596
Rey:
-W- Water
Watermain depth "/A.(14ae2T) -G- Gas
-SS- Sever
to " gas main -& Water hydrant
Q Water valve
V
Washington Natural Gas Company
1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331
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AVJaslv,gtonErewCcffparw Addendum to: City of Edmonds
Right of Way
Permit Application
I Submitted by: Mariamne Kingsbury
Engineering Aide
Washington Natural Gas
1356-7500 X7596
Key:
-W- Water
Watermain depth 1.11A���l�T� -G- Gas
-SS- Sewer
2 " gas main $ Water hydrant
Q Water valve
Washington Natural Gas Company
1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331
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AWastv,gtonEnergy Convarw Addendum to: City of Edmonds
Right of Way
Permit Application
I Submitted by: Hariamne Kingsbury
Engineering Aide
Washington Natural Gas
1356-7500 X7596
Watermain depth 1-llA�1�62T�
�01 - gas main
Key:
-W- Water
-G- Gas
-SS- Sever
.& Water hydrant
Q Water valve
Washington Natural Gas Company
1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331