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�.. CITY ofEDMONpS REGEIVEb.
SIDE SEWER PERMIT
For Inspection Call 771-3202SEP 2 719$5
RMIT N0. �7
PUBLIC WORKS qq�
3,07
Address of Construction: �( `�'�, tTZ?i� 3� . -E�,c4-t_
EDMONDS
Property Legal Description (Include all easements): C4-\ I TREATMENT PLANT
Owner and/or Builder: ��VV4--X_./
Contractor & License No: �e _I fr y 1i�11d1l� f iY1�r,
Single Family Residence V
Multi -Family
(No.
of
Units )
Commercial
(No.
of
fixture Units )
Invasion into City -Right -of -Way: No cr' Yes (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No Yes (If Yes, easement required,
attach legal description and county easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK
M--
I cerIlTy that I ha e',read and shall comply Date
with the items li.steY on the back.
Permit Fee: 30
Trunk Charge:
Assessment Fee:
Partial Inspection:
Comments
Issued By:
Date Issued:
Receipt No.:
Final Inspection Approved: 10-15 ,
Date Initial
Rejected:
Reason
STREET F'IL E ** PERMIT MUST BE POSTED ON JOB SITE **
Date Initial
Date nitia
White Copy — File Green Copy - Inspector
Buff Copy - Applicant
Side Sewer Drawing
The Ci ^S Edmond
9 S EASEMENT NO.
r
NEW CONSTRUCTION Cg REPAIRS Q LID NO_ __________________ _ASMT. NO. ----------------
H_ 1,
OWNER-S�_F--T�------tAQME�----�NG --------------------------- CONTRACTOR .riE�'rHER.__R.�t�_�et_ ------------------- PERMIT NO. 7738_7
JOB ADDRESS .- `1_-2-9....._____ _____________ LEGAL DESCRIPTION: LOT NO. ---------- _------- -------------------- BLOCK NO. ----------
EC5N10Nf55-----�
TREATMENT PLANT
ttNAME OF ADDITION ---•---•---------•=---•--•-------------------•------•-----------•---------•-----------------------------=------------
7 /
l 8 �t
i022 4Amf— So.
i DP>4-
2'DP.
• � 4w9E 6,.cA.WyE
'S PvA. �.
Ir— 22'—►I
PWW-0001-11/75 (REV.11/78)
16210
3.5, DP.
220 8END
2.5�DP.
_ Q
.a-- 22'
cl. 7bP
fo"P.v.G. Wyk
fo"GONG. TE6
CAP t.5'DP.
u
Approved: //�� /i�Q�"
DA'� R�.1�.lJ.L.I.Ou- By o&----�--------- ------------------------
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V
CITY OF EDMONDS ASSET INFORMATION SHEET
L► NEW dEET FILE ASSET NO. 4S(Q
❑ ADDITION ADDITION TO ASSET NO.
❑ RETIREMENT
DESCRIPTION
LAC.✓.� i"
SERIAL NO.
LOCATION
DEPy. NO.
* * PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
* PROJECT NUMBER Zc,,� �>
PROJECT COMPLETION DATE
COST //,-
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
E DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE DATE
eefel—
VERIFIED BY
PROCESSED
BATCH NO.-
b P INITIA
CFIDCia,IST
ADDRESS:
t,_
,
r - '
PF0JEICT REVIEW
PR0�7FX'1' s_ l� I,�C PIiAwECT
-APPjMj4,TION RECEIPT DATE:
9,.
Reviewed by: ..initial/date),,,
PLANNING
WTR/SWR STREET ENGNRNG ,w
FIRE
BUILDING
S I M= FAMILY/MULTIPLE/OOMMERCIAL - (Circle One)
,SETBACK,S CHBMW - Planning
a VARIANCE/SETRACK AW.
CONDITIONAL USE PERMIT
{
AOB REQUIRE,1NlS CHECK
//////
/////////
////////
%/////////
tt2..'
3,:.
OTHER'ZONING REQUIREI.92M ,',
t.`
'//////
ENVIRM04TAL FEATURES
ACCESS SLOPE: & VEHICLE ACCESS
DRAINAGE PLAN (On Site) '
,//////
�'STREET.FILE
LEGAL DESCRIPTION VERIFICATION
QUIT CLAIM/DEDICATIONS'.',
EASEMENT PUBLIC/PRIVATE .
i?:,
//•///////
/////////
////////
�"
11
CALCULATE SEWER CONNDC4'ION IF NO LID#
//////
/////////
////•
�i Ot .: >.
12
PLAT/SUBDMSION REQUIREtwfi2 'S
:RIGM'-OF—WAY CONSTRUCTION PERMIT REM
//////
//•///////
/////////
1
'�
14,E
HOND'.REQD FOR PUBLIC IMPROVEMENTS
tv,
$OILS ; CONDITI(XIS & GROUND,
C1111IT1777Tn77,777
MATER'FIEiD CHECKED
STREET PAVING MIRED "�(%' ,.
.. '
//////
/////////
/
17
CURB AND GUTTER REQUIRED
'
.`.
//////"
/////////
//////'
WT/'/////////
18
SIDEWALK REQUIRED
l..
• .
//////
/////////
/
,:.
19 r
CURB�CUT FOR'DRIVEWAY READ'
//////
/////////
//////
tlAl777 yr.
:'
2V
'S'I7tEEP NAME SIGN READ :
'�
.OTHER SIGNING READ777
22"
SIDE SEWER AVAILABILITY „ ;'
//////
/////////
/.�t.
23
;EXISTING WATER MAIN'SIZE .
//////
//////'///
g,
241
77
WATER METER SIZE'
111111ITT111111111
25
�(
SERVICE LINE, SIZE
//////
///
4 7
2C
HYDRANT REQUIRED =
;:
27'
HYDRANT SIZEEXISTINGi.
4
28
CR06S CONNECTION INSPECTION READ
/////////
////////
%///////
29.
WATER METER CHARGE. REQD
30,
—
LINE` CHARGE READ —. SPRINKLER
M
31'
,,',"FIRE.
S't'REE'r CUT . ; i
f ... "
.
////
/////////•/
32.
-a
a.
OPEN DITCH EXISTING..;—
t
;
33'
s
34=
-71
CULVERT. READ
35
.%SIZE ,.
,i
//////
/////
.. ;r
• �, .?, .
36'
CATCH -BASIN RDQD
{.
//////
///////
`<
37.
Il9DICATED'ON SITE PLAN _
` Grv'••
//////
/////////
/
38:
RSHOULDER DRAINAGE MAINTAIN
J}' 'SHALE OPEN RUNOFF
39
Aid
USE _�,�pERMIT
N CITY OF EDME DS ZONE NUMBER
,CONSTRUCTION PERMIT APPLICATION SOB
NAM oN,NAME OF BUSINESS) ADDRESS
-� (LY ";es LEGAL DESCRIPTION CHECK SUBDIVISION N0.
MAILING ADDRESS 1�)k
Z
N
EPHONE NUMBER PUBLIC RIGHT OE W�1Y PER OFFICIAL STREET MAP.
43""�+ 7 EXISTING F/?�C/!IREQUIREDDEDICATION�
PROPOSE l J
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED
I� STREET USE PERMIT REQUIRED ❑ /1
ILA1 t 1 ILi SEE ENGINEERING MEMO DATED _ _
:PHONE NUMBER SEE PIW DEPT. REVIEW CHECK LIST DATED
ij — - 3 3-2-1REMARfiS . ly
L_� v-- I X r I - 1 ,VI
ADDRESS —Q
Z-y ZZ Possess
CITY TELEPHONE NUMBER
/ (/ 5D
STATE LICENSE NUMBER CITY LICENSE NUMBER
Legal Description of Property - include all easements
(show below or attach four copies)
11-OL, — Au .4 W_A4, 'S
NEW
� RESIDENTIAL
PLUMBING
ADDIALTER
NON-RESIDENTIAL
MECHANICAL
REPAIR
RETAINING WALL
SIGN
DEMOLISH
ORCFILLTE
❑ I ENCE X_FT)
❑PRE -MOVE INSP.I
COMPLIANCE INSP.
❑ SWIM
POOL
SIDE SEWER
WATER LINE
El
NUMBER OF STORIES I NUMBER OF
��UWLLLINU
UNIIb
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year- Provided Work Is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold
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
1 modify,. waive or reduce any requirement of any city ordinance
nor limit in any way the City's ability to enforce any ordinance
provision."
I hereby acknowledge that I have read this application; that the
METER SIZE IBUILDING SUPPLY SIZE
REMARKS
LID NO.
SIGN AREA I ENV. REVIEW
ALLOWED I PROPOSED COMPLETE I EXEMPT
VARIANCE OR CU
NING REVIEW BY
UNITS
cc
w
3
ADB NO.
SHORELINE k
DATE
YARDS LOT COVERAGE
i
in FRONT SIDE REAR ZGc,/,,
CHECKED BY ITY
SPECIAL INSPECTOR
REQUIRED
❑ YES ❑ NO
AREA
OCCUPANCY
GROUP
OCCUPANT
LOAD
REMARKS
VALUATION
FEE'
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
GRADINGIFILL
l
AL AMOUNT DUE
a
Z
Z
Z
a
a
Z
0
5
m
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
state laws regulating construction; and in doing the work authoriz-
THIS PERMIT
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
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
Deputy; and fees are paid, and receipt is
tion Insurance.
acknowledged in space provided.
SIGNATURE (OWNER OR AGENT)
DATE SIGNED
INSPECTION
DEPARTMENT
CITY OF
OFFICIAL'S SIGNATURE
EDMONDS
ATTENTION
771.3202
DATE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE
� 15
G 1
AND APPROVAL OR
J
`� •
RIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
11
UL-=1=-2.198S
CHAPTER 3.
PINK — Owner GOLD — Assessor
102-78
Renton P.m 9 . EomanaWA . i]SWI
DATE : 7 /O
ME140 TO: Building Division
Planning Department
FROM: Engineering Division
Public Works Department
SUBJECT: �D�� `7 1l(. )
After revie-;i of the subject Building Permit application, we have the following
comments:
1. Connection to City water system required.
2. Connection to City sanitary sewer system required.
3. Right-of-way permit required for any work on City property.
4. Driveway slope not to exceed 140.'
5. Back -;later valve required if downstairs plumbing is below elevation of
upstream manhole.
6. Water and sewer lines to be separated by 10 foot minimum.
Z-44
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DRYWELL
SUMP i
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k`p
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:Z-NEwAY
THICKENF—D
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TOP 9G.0
PROP05ED
I- 5TORY
RE51DENCE
NO SCALr=
%03, 270
DOWN SPOUTS (T`( P.) g 4'
r PROPOSED
1-5TORY
L — — — — — — —RESIDENCE.
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G�
`LEGEND
FF/DZ F/rt�/Sl�ED FIGYJ.P
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CB 15
(C.B. 15)
`^/ORIFICE 0.92.0C
(SEE DETAIL
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100' r — — — — ,
3;
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PROPOSED I
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RESIDENCE
s
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FROM HOUSE
DOWNSPOUTS _
A.D.S. SUMP
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DRYWF-LL i
SUMP z ' Z'
Wry (SE E
0 DETAILED
/ O'
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8G'
REMOVABLE TOP
�4" TEE �j 6' COVER MIN.
t1t
4' A.D.S. TIGHTLINE
I.0 % M1N.
.4 A.DS.7PERFI=f
SUMP & DRYWE'LL DETAIL
1' NO ALff
0 5 1 270'
DOWNSPOUTS (T`!P.)
P-3
2 b'
_
� I 5-�•
r PROPOSED — I C. B.
I-STORY11 i(c.B'17)
L - - - - - - -RESIDENCF-
soz' 5 j
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LEGEND � II
FF/DZ F/N/S!>'ED FCGIO�P
OZD/ F/�t//S,UED G�PQD�
/DZ.05 EX/sr/�frG
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/' PROPOSED DRIVEWAY
THICKENED
FDGF-
TOP 96. D
MIRAFI FILTER FA13RIC
Z.I MIN. COVER
4 9'
1wr
DRAIN
FRoM l
UOWN-
SR9UT5 O 3/41'— 1� "WASHED ROCK
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- N
49 LF -4 ADS PERFI E
PIP*G� O. 5% " ^N
tl
Cg
1E.92.00�/
DETENTION TRENCH DETAIL cg 15
NO SCALE
existing underground facilities have been shown on this drawing for the
purpose of assisting the contractor in locating said facilities in the
field. The contractor shall be responsible for checking actual field
locations and checking with appropriate agencies that may have under-
ground facilities within the project limits. The contractor shall be
coley responsible for an damag
e ge to underground facilities resultin fr
his operations. g om
MIRAFI FILTER FABRIC
52.00
„
515 I % ORIFICE
,, — 95.0 rt
,11\/.. 77
11
3/4 (%2N WASHED ROCK
DRAINI/ DATE
TRAFF
WATE;),
7
SEES �
STREE 1 , li
PLANK '
CONTROL, C.B.
(C.B 15)
`^-/ORIFICE 0.92.00 I �i'
WI
i
96.0
(SEE DETAIL) j I
Q
100' r — — — — -1
v
a ° . A a%
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9 l C.B.
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PROPOSED
�. CONNECT
TO EXIST
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1-5TORY I
3' 12"CMP I
I
RESIDENCE
► o LE.90.59
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°F/`- 97
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49'x 3
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t ROCK FILLED I
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DETENTION
t TRENCH
(SEE DETAIL)
WRTE.e
C.B.
goo a
IF.92.GYJ
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ProL.tJo ply
"';j
- -- 30. r-- - i -
MATC H EXIST.
PAV E M E N T._'�I'��-
I .
-4' "T'
WITH REMOVA5LE
CAP.
REVISED 7-15-a6 JLB
TION DETAIL
NO SCALE
I.E. 50. 59
TYPE I C E>
/02,Z_4_"WAVtF S. PRINTJD
DRAINAGE PLAN JUL 151985
. FOR
REID•MIDD
J O H N I'I ®1= T ®. L�TpN � ASSOC.
IN THE SE 1 /4 NE 1 /4, SEC. 26, T27N, R3E, W.M.
CITY OF EDMONDS, WASHINGTON
Reid, Middleton & Associates, Inc.
Eng
ineers veers Surveyors e Plonners
121Ave. A 5th
N., Suite 200 Edmonds, WA 98020
DESIGN DRAWN CHECKEDDATE F. BOOK SCALE
FILE
JLB JLB RLS 7.11.85 570 1"-20' NO. 02 85 023
SHEET OF