8610 202ND ST SW (2)11111111111111
15835
8610 202 N D 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).
11
11,
CITY OF EDMONDS
CIVIC CENTER— WATER -SEWER DEPARTMENT Can ready
for n ecti o. when work
Is ready for Inspection. (No haspee- Aj O
SIDESEWER PERMIT (ions Saturday, Sunday or holidays.) 1� _
ADDRESS .................................. s 0.0 --------------8610 - 202nd Street S.W.
-- -- ----------- - ---------------------•--------
OWNER---------8610-----...2-Und--S ree---S.W------------------------ CONTRACTOR....Ben--H Parker Const.
Perniission is grantedAugus_t...5 --------------_-- 19.6-9-., for .....-----_-----_---- days to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION I3 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—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 3—Top 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. 4—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. 5—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 appur-
tenances except to insert the pipe into the wye.
- � -
The City of Ediiic-,lds I -,
� mer Sa4,,�p Drawi-.j -ILIASZ�•.,IENT AC
UJ- AQ ................ Y. N.C..
OWNER G.09.b.0.N. ....... B.0!, -D
........................................... CONTRACTOR ......... ................. ................................. PERMIT NO%..01.5.5.
JOB ADDRESS .... ............. Z.O. �Z?!4.0.... I ............. I ....... LEGAL 'btSCRIPTION-. LOT NO ....................................... BLOCK NO. .......................... 1 ..........
...
PWW-0001.11/75 (REV.11178)
V
I"
W/ -rmkcr-rA.
c) Approved:
DATE.............. By.-A!!:�/ . ...........................................
t,
APPLICATION
The City of Edmonds FILE for
STDEET w,�— SIDE SEWER PERMIT
NEW CONSTRUCTION [-] REPAIRS
OWNER 474542'e',71 ......... ........................................
ADDRESS ......... ......................
EASEMENT No ...........................................
CONTRACTOR ...... ..... PERMIT No.
LEGAL DESCRIPTION: LOT No ............................................... BLOCK No . ............................................
NAME OF ADDITION .... .. ........ ......... ......
7-11 4eerl Ic
APPROVED
Approved:
DATE ..(3 .. . ..... ............. By
. ... --------
MAR 1 9 1996
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
G 191zoe / ` .
MAILING ADDRESS
CITY ZIP TELEPHONE NUMBER
C �i19r�r,C�S 7 7K- 7 -7tr
NAME
ZIP ITELEPHONE NUMBER
ADDRESS
CITY ZIP I TELEPHONE NUMBER
STATE LICENSE NUMBER EXPIRATION DATE
ption of Property -
Property
Tax Account
Parcel No.
NEW
RESIDENTIAL
PLUMBING
�j
110
ADDITION
L_J COMMERCIAL
MECHANICAL
E] APT. BLDG.
REMODEL
L_J SIGN
I I GRADING
I —I FENCE
REPAIR
'
DEMOLISH
WOODSTOVE
INSERT
SWIM POOL
HOT TUB/SPA
GARAGE
r7 RETAINING WALL/
CARPORT
ROCKERY
RENEWAL
NUMBER NUMBER OF CRITICAL
I OF DWELLING AREAS
STORIES UNITS NUMBER
' DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
ZONE
ADDRESS
�0.
PERMIT
NUMBER
'O 2- D 2.„ d _ST
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING REOUIRED DEDICATION
PROPOSED
ENGINEERING MEMO DATED
p
TESCP Approved
O
RW Permit Required
O
Street Use Permit Req'd
O
Inspection Required
O
Sidewalk Required
O
Cr
to
< ,
PRV REQUIRED
YES O NO 13
Z_
Z
(7
SIGN AREA SEPA REVIEW ADS NO.
ALLOWED I PROPOSED I COMPLETE IEXEMPT I
VARIANCE OR CU
SETBACKS — FEET
FRONT SIDE
ECKED BY (TYPE OF
L1-
EXP
PLANNING REVIEW BY DATE
HEIGHT LOT COVERAGE _
z
REAR Z
a
SPECIAL INSPECTOR
AHtA
OCCUPANT
REQUIRED YES
❑
LOAD
MARKS
O
PROGRESS INSPECTIONS PER UBC 305
Z
to
FINAL INSPECTION
REQUIRED
/Ne -
VALUATION
FEE
ho-a-ke
PLAN CHECK FEE
BUILDING
HEAT SOURCE:
GLAZING
o/D
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curf:s, sidewPlks,
driveways, marquees, etc.) will require separate permission.
GRADINGIFILL
STATE SURCHARGE
Permit Application:180 Days
Permit Limit: I Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in Interest, agrees to Indemnify, defend and hold
i harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages of
whatever nature, arising directly or Indirectly from the Issuance
of this permit. Issuance of this permit.shall not be deemed to
I modify, waive or reduce any requirement of any city ordinance
•, nor limit in any way the City's ability to enforce any ordinance
provision."
ENO. INSPECTION FEE
PLAN CHECK DEPOSIT
TOTAL AMOUNT DUE
2 �� / —
I hereb acknowledge that I have read this application' that the
y
Information given is correct; and that I am the owner, or the duly
ATTENTION
APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
state laws regulating construction; and in doing the work authoriz•
AUTHORIZES
This application is not a permit until
ed thereby, no person will be employed In violation of the Labor
ONLY THE
signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa
WORK NOTED
Deputy; and fees are paid, and receipt is
lion Inwdnce and RCW 18.27. •
INSPECTION
acknowledged in space provided.
SIGNA E WNER O GENT I DATE SIGNED
DEPARTMENT
CITY OF
OF S 1 ATURE DAT
6
EDMONDS
ATTENTION
CALL FOR
ELEASED : DATE
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
��� OLGO
ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, UBC
11
CHAPTER 3.
PINK — Owner GOLD — Assessor