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1010 3RD AVE S.PDF1010 3RD AVE S ADDRESS: 1,01'212 z--�A6 TAX ACCOUNT/PARCEL #: DOu�So°�DZ� Dli BUILDING PERMIT (NEW STRUCTURE) #: COVENANTS (RECORDED) FOR: CRITICAL AREAS #: DETERMINATION: ElConditional Waiver ❑ Study Required aiver z �— . CRITICAL AREAS #: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORD FOR: PERMITS (OTHER — list permit #'s): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: f �0 SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE/ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: OTHER: L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc i t----"37 0 >1 , ^�/SOH -G���' _ ��,► - -/1 0 oAgAGE . � 1 L�VSTaN b fflX1.5� , 1 0 •� �_ (., -0 _ p ?� to .. -Q ! Q� / • a C� 1.,07 &ZF . w x 13S • 5 t 0O 4 9914R WK d N�'r caER��. I,4�fo,5�s I 9a al Leer 0 r,O 1+ E%L5,nm6 Peiv � 0,-Op d O of tolC7 Su Ave- So. r: Dot V N W; W-A ON CJ r- Gl.-cC.�� 1..� �Fil Cu.•�d�0'� 1 a d Mr. W NJ o 42 xi T ! lb li ^64- RA06'i:5, STREET FILE ETD -------------- I l j c)EX C, IC I { j 675 ALL �HAL-L t, c Al C PIC-- !� Side Sewer Drawing The City of Edmon �, �� t 1, P �,,. -,;, - At, � t-r-. EASEMENT NO. ------------------- ------------------------ NEW CONSTRUCTION REPAIRS❑ LID NO..---------------- ASMT. NO OWNER -ilkI -------------------- CONTRACTOR ...... I --- ---------- ---------------------- ------------ PERMIT NO. JOB ADDRESS JCQIC).--:f5,- 6 ------- LEGAL DESCRIPTION: LOT NO. ----------- � ------------------- BLOCK NO.------ -V-\�D------------------------------ -------------- v y --- DATE ... B ;"�- 1-111--( 4 PWW-0001 -11/75 (REV. 11/78) U w O w Vlii vr--.-7-.77 PUBLIC°'WORKS DERT]NT FOR INSPECTION C��� �-f permit V,4 775-2525 Ext. 220 I.s.siE Date SIDE SEWER PERMIT PERMIT MUST BE POSTED ON JOB SITE 1.. Address of Construction 2. Property Legal Description (include all, easements) u f! Pa."� to ld . C= d ,.¢,>� 3. Single Family Residence Multi Family No. of Units Commercial 4 Owner and/or Builder Air t./ 5., Contractor & License No. 6."_Iriva`sion into City Right -of -Way: No Yes (If Yes Right-of- way Construction Permit Required Call Dial Dig.(342-5344) before excavation). 7. Cross other private property: Yes No`_" Easement required - attach legal description and county easement number. READ THE. FOLLOWING AND SIGN.: a. Property owners must obtain a permit to install side sewers on their property. A licensed side sewer contractor must be employed to construct side sewers in the public right-of-way. b. The side sewer contractor assumes full reponsibility for each installation for one year. C. Commercial establishment requires a minimum of a six inch (6") side sewer line. d. Side sewers may not be installed closer than thirty inches (30") to any structure. e. Side sewer lines must be laid at a minimum grade of 2% (1.15°) and maximum grade of 100% (450). f. No turn in side sewer greater than 450 (1/8:bend) is°allowed between cleanout. All 90 turns must be constructed of a 45 (1/8 bend) and Wye with removable cap. g. No down spouts, footing drains or floor drains can be connected to side sewer system. h. Pea gravelis required for bedding when installing sewer lines through other than granular soil. i. Cleanouts are required at 30"-60" from each plumbing exit line and at minimum intervals of 100' along sewer line run. j. Trenches within City r'-ght-of-way must be restored to original conditions. Contractors shall.;tbe responsible for right-of-way failure due to poor compaction of k.. Side sewer must be left uncovered until inspected and approved by the City. 1. Inspection during normal working hours only. Two (2) working days notice required. DATE: 1 V-'kKL ..A PERMIT FEE: �� CONNECTION FEE: *.PERMIT MUST BE I certify that I have read and shall comply with the above DISAPPROVED By: Date: By: Date: APPROVED By : —Date:. 11 67 POSTED ON JOB E U U • CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION USE PERMIT 2ONE S6 NUMBER 94b5:3-�.. JOB SUITE -A ADDRESS O 13Y/d 1 VI L OWNER NAME NAME OF BUSINESS -- ' e r' LEGAL DESCRIPTION CHECK SUBDIVISION NO LIONOO ZMAILING ADDRESS O D `/��p_J O3 M1Avar loinCITY PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP, EXISTING REGUIREO DEDICATION PROPOSED TESCP Approved ❑ RW Pe —I Requved ❑ Street Use Permit Rep'd ❑ MspeCuprl Required ❑ Sidewalk Required O ZIP TELEPHONE NUMBER 6,3 3 NAME Qj METER SQE LWE SIZE NO. OF FIXTURE$ PRV REQUIRED YES ❑ NO ❑ w AO RESS v T M� _ ��'/ / a- �r U REMARKS» / CITY ZIP 77 TELEPHONNEE NUMBER � l�Iia2.J �i/%) -�/� NAME — _ MEMO STATE Sw,LICENSE NUMBER 6 'l EXPIRATION A)O OO WON AREA PROPOSED nl 1 SEPA REVIEW COMPLETE JEXEMPT ,� AD NO. Legal Description of Property - Include all eas mentsALLOWED Lvt a ��c�k 3 JVIRIANCEOFICU $A LINE g (�FC+�I 40 Z SExP U , p O P IN IEW BY DATE O SETBACKS FEET _ HEIGHT ILOTCCl1EAAGE1 PropertyP Tax Account L G -T ParcelNO. J QTEl it-)- NEWRESIDENTIAL PLUMBINGADDITION COMMERCIAL MECHANICALREMODEL APT' SLOG. 610N❑GRADING TYPE OF CONSTRUCTION CODE OCT FENCE REPAIR CYDS. t_K_FT)_GRO DEMOLISH WOODSTOVE INSERT —/ I (GARAGE RETAINING WALL/ SWIM POOL HOT TUB/SPA R AREA YESuu OCCU LOAD INSPECTIONS PER UBC 305 CARPORT ROCKERY RENEWAL TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: iu NUMBER NUMBER OF ,( / CRITICAL d O OF OWELLINO //) AREAS (,/'CSTORIES 1 UNIT$ WNUMBER�t�1 '' DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) FINAL INSPECTION REQUIRED VALUATION FEE PLAN CHECK FEE BUILDING MEAT SOUROE':A GLAZING �n 0 0/0 PLUMBING Plan Check No. q I _ MECHANICAL This Permit covers work to be done on private property ONLY: GRADINGIFILL Any construction on the public domain (curbs, sidewplks, driveways, marquees, etc.) will reQuir 'Separate permission. STATE SURCHARGE SO Permit Application: 180 Days Permit Limit: 1 Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE "Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE 3t� v, iu successors in interest, agrees to indemnify, defend and hold harmless the City of Edmonds, Washington, its officials, - f 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 PLAN CHECK DEPOSIT 0CT7 ° modify, waive or reduce any requirement of any city ordinance i nor limit In any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision.' �Z I hereby acknowledge that 1 have read this application; that the APPLICATION APPROVAL Information given is correct; and that I am the owner, or the duly ATTENTION 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 Washingt n relating to Workmen's Compensa- WORK NOTED Deputy: and fees are paid, and receipt is tion Insurance and RCW 18. INSPECTION acknowledged in space provided. SIGNAT E (OWNER OR AGENT) DATE SIG ED DEPARTMENT 8 CITY OF OFFICIAL'S SIONAT RE GATE EDMONDS� - �,� f. 3/. ATTENTION CALL F RELEA BY' DATE INSPECTION r — IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE `J UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771 0220 ORIGINAL — Flle YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. PINK — Owner GOLD — Assessor M M CALE NO. (74/— / 6 Q Critical Areas Checklist Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: ' i O i'--D Ave,SO, 2. Property Tax Account Number: _ 8 aD - 003 — 0 O9 - - 0108 3. Approximate Site Size (acres or square feet): (00 4. Is this site currently developed? ✓yes; no. If yes; how is site developed? fir. !% k 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). e Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33 feet). 1 Other (please describe):_ 6. Site contains areas of year-round standing water: NO ; Approx. Depth: 7. Site contains areas of seasonal standing.water: No ; Approx. Depth: What season(s) of the year? N A, 8. Site is in the floodway 140 floodplain N6 of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? A)1) Flows are seasonal? /00 (What time of year? /(gA, ). 10. Site is primarily: forested ; meadow ; shrubs ; mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on- site: Na . Rcv mmaro4 • a90-19.y- City of Edmonds 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, STREET FILE 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. W'ith a signed copy of this form, the applicant should also submit a -vicinity map or plot flan for individual lots of the parcel with enough detail that City staff can find and identify the subject parcel(s). 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 Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner / Applicant: Name to Lo ��� �A S Street Address City, State, ZIP Phone $i Date Applicant Representative: V,U Cie Name l 8 god ve. L0, Street Address CLgOaQ i City, Statip- ZIP Phone �� Date CITY OF EDMONDS 7110 - 210TH ST. SW • EDMONDS, WA 98026 • (206) 771.0235 • FAX (206) 744-6047 COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION I � 890 � -lg June 12, 1995 Mr. Jeff Zimmerman 1010 - 3rd Ave. S. Edmonds, WA 98020 RE: Venting of Your Plumbing Fixtures Dear Mr. Zimmerman: LAURA M. HALL MAYOR The city's sewer cleaning records show that the home at this address is experiencing problems with the venting of some of your plumbing fixtures when the city crew is conducting cleaning operations of the city sewer line in front of this address. The city's cleaning operation is essential for both you and your neighbors. It cleans debris in lines to prevent plugs, prevents corrosion and potential future collapse, and achieves a better flow characteristic in the public sewer lines. We need to do this often -- perhaps even 3 times a year -- in some critical areas. The city's cleaning operations typically involves the utilization of a high pressure water jet. The problem which occurs at the home is the result of a high pressure surge through your internal plumbing system. A properly constructed plumbing system is designed to easily vent this additional pressure without any visible impact at your residence. An undersized venting pipe (or not having enough vents) cannot handle the pressure surge, and the only release that's available is then through your toilet (or another fixture). The Uniform. Plumbing Code typically requires a 2" vent, and further requires a separate vent for each plumbing fixture which is connected to the sewer (a toilet, a sink, a shower). Your home may not have an adequate venting system (you either have a 1-1/4" vent, or not enough of them),. and you therefore may continue to experience the pressure surges or you may be experiencing a plugged vent.. The city does not have a choice as far as discharging its responsibility in cleaning the public sewer line. It is therefore up to you to take corrective measures as to how to improve your own venting system. • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan 1` N The city has come up with two options that will remedy your problem: Option #1 Upgrade stack vents for toilets and other fixtures which are experiencing problems to required sizes. Option #2 Install a cleanout.outside of house per attached specifications. Enclose box so it can vent properly when excess pressure is put on house lines. This option would be the cheapest and simplest way of correcting this problem. At the same time, it would allow access to sanitary sewer lines if stoppage should occur. This vent cleanout would allow a place for backup in lines to go before entering your house and causing costly damage. The city would appreciate your expeditious cooperation in this matter. The city must continue proper maintenance of its sewer lines, but we obviously do not wish to see continued problems occurring on your property because of poorly designed vents. A plugged vent will be your responsibility to correct these deficiencies. We cannot keep notifying you each time we come out to clean the line. It's up to you to have a plumbing system that conforms to code. Option #2 is a relatively simple one. to construct. Should you have any questions on these options, please call Everett Akau, Scott Highland or myself at 771-0235, extension 645 or 647. Sincerely, R Holland Water/Sewer Supervisor J/ Enclosure wordatalseweA1010zimm 'i r/• ?io OOP i FA „h 7r,,4 ink �+d„ Jo 7 r a-.) oi- -YO v- , k r,"n -ruU 1-b�-, �! d J-V� �o6�ds x ►ice s 05h end h x s 1�-�-f-�biu Cars �i�inS - f - t+n`: �". +N+ �no$nvz •rar P r..it� Of*r.> � ., '" , R"t � 7 � i .. .� � .- .. �.� ��.+�. `t.'� 'Qc�. ',`.��q .. a,.,c.r�.,.yttyr. -.. �a �>.�� ,?.. _�. y.. ..� . , .... �. . ,'� .,. ., •'�- , r•'�� r... � .. �yr 890-199 W CitY of EdmonqV RIGHT-OF-WAY CONSTRUCTION A PERMIT Permit Number: 9 2 � �S Issue Date: 317 — 9r-P, G° s A. Address or Vicinity of Construction: 1010 3 Avenue:, South B. Type of Work (be specific): Install New Service' C. Contractor: Washington Natural Gas Company `Mailing Address: 815 Mercer Street, State License#: Seattle, WA 98111 Contact: Frank Swan Phone: 224-2278 Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. ' ❑ Commercial ❑ Subdivision ❑ City Project Ja Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: R WJ F. Pavement or Concrete Cut : ® Yes ❑No (1) G. Size of Cut: 2 x 4 H. Charge $ APPLICANT TO READ AND SIGN Y' INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds hatmless from injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeen, that may be made against)the , City of Edmonds, or any of its,+depattm�' nts or- employ- ees, including or not limited to the defense of any legal proceedings including defense cosrs;.and'attorney fees by reason of granting thistpennid THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A, PER/OD OF ONE YEAR FOLLOWING THE FINAL INSPEC770N AND ACCEPTANCE OF THE WORK. ES77MATED RESTORATION FEES WILL BE HELD UN77Li THE FINAL STREET PATH IS C63fPLE7ED BY CITY FORCES, AT WHICH 77ME 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 Department- 771:3202. Work 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. �/ w 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 for inspection purposes. Signature: dDate: May 27, 1992 (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK M. m q M MRC1L'I Engrg. Div. 1991 y FIELD INSPECTI,ON NO (Fun 111 - Route copy to Street Dept.) Comments: Diagram: CONTRACTOR CALLED FOR INSPECTION O YES O NO 1 Partial Work Inspection by P. W.: Work Disapproved By: Date: j FINAL APPROVAL BY: Date: Eng. Div. July i i AV4MjvjMMej_QVComMO V' 1 C)lb 3 M S .�� '���-pro a'i�t'�'r1�;��•.: ..- <<.t . E ' `.;WNG� to, T rindoWx- Water main depth: `'unknown• !* gas- main: Addendum to City' of Edmonds Right, ot� Way - Permit. Application. Submitted by:, h. Qw Aea lti,, a'j Engineering Aide Washington Natural Gas 622-6767 x2761 pager Jlpe4p V) m V` trey r �5 -w- water- -g gas, -ss- sewer water hydrant: 815 Wmer St. (P.O. Box 1869).. Sew .. WA 98111 (206) 622-6767 CITY OF EDMONDS _ PUBLIC' WORKS DEP**T FOR INSPECTION CA�) permit SIDE SEWER PERMIT 775-2525 Ext. 220 Issue Date �* PERMIT MUST BE POSTED ON JOB SITE L,L!1. Address of Construction /0/0 7!s AV ="2. Property Legal Ddscription (include all. easements) �- 3. Single Family Residence ✓ Multi -Family No. of Units G Commercial M4. Owner and/or Builder a.rye_ 1"-5. Contractor & License No. 6. Invasion into City Right -of -Way: No Yes (If Yes Right-of- way Construction Permit Required - Call Dial Dig (342-5344) before excavation). zEi 7. Cross other private property: Yes No ✓ Easement required - U attach legal description and county easement number. H a READ THE FOLLOWING AND SIGN: a. Property owners must obtain a permit to install side sewers on >4 their property. A licensed side sewer contractor must be employed to construct side sewers in the public right-of-way. w b. The side sewer contractor assumes full reponsibility for each F' installation for one year. ac. Commercial establishment requires a minimum of a six inch (6") z side sewer line. 0 d. Side sewers may not be installed closer than thirty inches (30") to any structure. M e. Side sewer lines must be laid at a minimum grade of 2% (1.150) o and maximum grade of 100% (450). ° H f. No turn in side sewer greater than 45 (1/8;bend) is°allowed between cleanout. All 90 turns must be constructed of a 45 (1/•8 bend) and wye with removable cap. g. No down spouts, footing drains or floor drains can be connected to side sewer system. h. Pea gravel is required for bedding when installing sewer lines through other than granular soil. i. Cleanouts are required at 30"-60" from each plumbing exit line and at minimum intervals of 100' along sewer line run. j. Trenches within City right-of-way must be restored to original conditions. Contractors shall be responsible for right-of-way failure due to poor compaction of fill. k.. Side sewer must be left uncovered until inspected and approved by the City. 1. Inspection during normal working hours only. Two (2) working days notice required. `y DATE: �lt�'ll �71 l 2 I certi y 'that I have read and shall comply with the above N _PERMIT FEE: �j� "'- +zs- ie�c�►L DISAPPROVED BY: Date: OW By: Date: CONNECTION FEE: APPROVED By: Date: O * PERMIT MUST BE POSTED ON JOB SITE }, t - d 7 ' • by - � CITY OF /E 110NDS� ,��---,,� REcEivE® 2 'lC*bR KS DEPARTMENT, ENG I N*AV3 DIVISION REET �- Q- 1 1978 gPPL4CATIO�V FOP RIGHT-O,F:LlAY COPJSTRUCTIO�J PERr�IT { . Dir. Of Public Works . THIS PERMIYT''MUST BE AVALLABLE - AT THE JOB, L� B SITE FOR INSPECTION PURPOSES Applicant to Complete Parts A and B A, Permit to be issued to: ;S (jo H co tN�� S t{ �A For Work at :(address or vicinity, ) o,tO� 3`"� Hv• 5 c._ Type of Work to be done: -4,fr- (attach drawing when applicable) Time Required -- Start:_ o N•_�_ 4 Finish: Owner: 'Hc_Yv c.YYyso\i Name Mailing Address City State Zip �- Contractor: P (_& \,) Name 0 1 C6 v. s M-e y q 9. Mailing Address ,City State Zip -7-7G'1"7y'% Telephone Number State License Number '7 -? -1 2 r) `L Telephone Number a B. INDEMLNITY: 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 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 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 must be available at the job site for inspection purposes at all times. Signature: / Date: elf 3,�17y Owner or gent , TO BE COT`1PLETED BY ISSUING AGENCY: Date Issued: /02-/-]� Permit No.: %f —Fee:Js Security Bond: jf/^ Time Authorized: APPROVED BYSY�' :—Date:L PUBLIC UTILITY`DISTRICT No.1 of Snohomish County—C"` AREA Rev.10/77 ° . So. i O I o 3` Nv Date 3 C�lT7 W.O. L! %Li O Location T .3 R Revisio ', a c o Scale Reason for work zN�'� S4�a Q�� ��+ EngineerT°'`\Otl'` As Built HAY J UrG.File No. 23 t•"'� Approvals EASEMENT ENVIRONMENTAL ANALYSIS PERMIT REQUIRED FOREIGN CONTAJOD Type C'`'�y o§ d�a�ba Company Exempt under District SEPA dFIN•No: procedures, Section I11-A Paragrapher---, Item Ls Date Granteders Fees required Yeses Granted Date 11 Y By"iarti'� -Log Posted Inventor Type S'La � 4,V = Interpretation Referred To: Transf.Card Pole De t: Date 11 2a 1�� Amount"' Map Poste4 I Circuit Map Date Released For Construction Date BY Date Work Completed By Foreman O.H. KV H. U.G. Con Circuit Number Substation Add Ckt Ft PH Remv Ckt Ft PH Net Ckt Ft Water R�.N lGO o�c"P`3�o Yncw Sewer Gas -ToP;A _ Backhoe 5 a,T $ aoJ�. Qj1 ei► lA s. $'t o�X eJ . k-T ® V i east..3 -bi 3"$1'c�l Gou.phiT D�q� Dtig V�NO1A-# Str GA CrT lj J \3�i' - 6 /X R 13 8 $ S, - � 9, , O 1 g �i W.O. No. . - PUBLIC UTILITY DISTRICT No.1 of Snohomish County "`�'' ` y- AKSA CI8• R,,10,77 ° �` Date_�3 �� W.O. No- mod t -) a ` Location —1 c 3 l iv '- '►. - -- Scale O J .�� 1/4 t ` S n, -7 _T .3 R SQ�J �`� '�" Revision v _ EngineerT° `b"'` As Built Reason for work �ti+S'� U.G. File No. HAY J Approvals QTjransf-Card REQUIRED FOREIGN CONTACTS F �d r+a��y Company LRN. Mo. d Fees required YesS No❑ Log Inventor Type `Lg`j a • J Pole Dept. Date ! z�. Amount% Circuit Ma EASEMENT Ma s Date Released For Construction Date Work Completed By Foreman Circuit Number Substation Zr.lsfi A _3 � y2�S�r �N t�,. P01$ RAN tGdc o�#ssn trC�` -7 Psi .S�T 2,asT. 3oezoE 3'`S1eal CorlvM�T �e•..uC�. R 13 8% ENVIRONMENTAL ANALYSIS Exempt under District SEPA procedures, Section 11 I -A Paragraph-+- Item l? _ Date I I Y By --'A-W Interpretation Referred To: Date BY O.H. U.G. Cond KV Add Ckt Ft PH Remv Ckt Ft PH Net Ckt Ft Sewer Gas Backhoe D't0\\ Did j-6,/X R/3gt W.O.No. g';�q 7 I DK,