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1031 A AVE S.PDF111111111111 9986 1031 A AVE S District Cif of Edmonds —Water Department TAP CARD Reading: CX�n Date 6 S/al0/®$ No. 87 I No. Meter 3 �� Tap s 4Size ��- Size Mfgrs. No.3839617'72. Style`kw S', Purchaser: 5Vsv%_ 4 Serv. Add. l 03 I "A" Lot No. Blk. No. Add. Residential: Other: Meter Location Service Material: [ nPfea Pressure lbs. Test % Date of Work .:R Foreman Guar. Voucher No. $ Proj . No: 09 J S Remarks: Re.mra.>FD nur-- sPoP a -ao- OUTGOING Index Reg. Route Bk. Stencil Card INCOMING Index Reg. Route Bk. Stencil Card ROUTING SLIP W SERVICE INSTALLATION • ADDRESS: I i73 I DATE: DIAL A DIG # P.U.D. TELEPHONE CABLE T.V. FOREMAN GAS �n©' V yYr" �P 1 STORM SEWER OTHER a FUTURE SERVICE INSTL: NO BORE: CUT: LOCK CREW DATE: INITIAL: J NLQ.CK 'B •A DATE: - INITIAL: f N • D.. 1 0L+- )9+9*0 METER SHOP ACCOUNT NUMBER: al alp SUPPLIER: TREATMENT PLANT FOREMAN B L T FOREMAN INITIALf/ DATE:g•30<o8 µMETER TAP CARD SHEET APPLICATION / UTILITY DISPATCH BILLING 7/76 0 0.. ADDRESS: ; /� 4 ((A. TAX ACCOUNT/PARCEL NUMBER: My / 40 V 50 6 % 0 BUILDING PERMIT (NEW STRUCTURE)j I? S (Q!� f-6 COVENANTS(RECORDED)FOR: CRITICAL AREAS: DISCRETIONARY PERMIT #' DRAINAGE PLAN DA PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver SCALED PLOT PLAN DATED: / ✓'lS 6 N/ r 7. , • / 1 SEWER LID FEE $: LID SHORT PLAT FILE: �S ` -1,71 LOT: I BLOCK: is SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #:01 � GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: WAT OTHi L:\TEMP\DSTs\Forms\Street File Checklist.doc 67 � (� 0.- 1 ZONE USE NUMBER CITY OF EDMONDS �5� 880556 CONSTRUCTION PERMIT APPLICATION NAME (OR NAM/E� OF ABUSINE551 ADDRESS f f 7t/ yl � (�i 1. y ��Ci ✓/ LEGAL DESCRIPTIONJCHECK SUBDIVISION NO LID NO, L 6-r- _ s_ , 8 7 ' w —MAILING ADDRESS 1 2 i U TESCP 3 N/ 7 ~ C.7 ° ©ti 3 �� CITY TELEPHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. APPROVED BY y�.2 C�S % ? (, 3 7 F EXISTING 6O REOUIREDDEDICATION ,.` / P R O P OSED - NAME Iz RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED ' LL ADDRESS STREET USE PERMIT REOUIRED: Z SCE ENGINEERING MEMO DATED 'BY,/ w, U CITY TELEPHONE NUMBER RE MAR NAME v/ Ag— W e' yT•�f �;_GI(/,T.GIJ�/ X>J 0L1 _'e r ADDRESS \ /ryN .LAG/r✓�c/lW6 'S/�c�Io.✓ /�4cS oY W �� h �� METER y IS BUILDIN fSSUPPLY SIZE FIXTURE 11NITS w I ¢ CITY .�,. !`• �� TE�LyEPHONE NUMBER /j/I/ _ !�d///Ll,I/�14 Z / / REMABj(/t / O STATE LICENSE NUMBER R'. 06 SIGN AREA ENV. REVIEW ADB NO. - ALLOWED PROPOSED COMPLETE EXEMPI Legal Description of Property • Include all easements ! -. (snow below or attach four Copies) SHORELINEN 1 J = r ° r ♦i a ! VARIANCE OR Cu PLA NI NG Rf.VI W BY DATE y�Y e N -[- i r -7 P/ 'ARDS I r ( HEIG T LOT COVERAGE 5 ° FRONT (N SIDE � REAR I J REMARKS NEW I RESIDENTIAL PLUMBING' - ❑� ADD/ALTER O COMMERCIAL U MECHANICAL LJ REPAIR RETAINING WALL SIGN,,',��§t' CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT1. d ;: EXCAVATE O FENCE DEMOLISH OR FILL (—x—FT) �fR' N s CPRE'MOVE INSPI CWIM SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT REMODEL COMPLIANCE INSP. POOL REOUIRED GROUP �j 2_3 LOAD11 °S W000 STOVE/ iI YES NO INSERT APT.BLDG RENEWAL REMARKS 4h o PROGRESS INSPECTIONS PER UBC 305 a •: ': 3{ w NUMBER OF STORIES 7NUMBIR OF TNFRMAG. 1'�✓S4L PE/L/9i;b N� ENER6 CopE m " '� p DWELLING m UNITS O� �/�/� "' �� — (�� $ p� NATURE OF WORK TO BE DONE (ATTACH PLOTPLAN) IN U^' "' ) PZA �t r� 'sa It ' vet lleTllluI FFE PLAN CHECK FEE r� 3 't BUILDING TK t ,b PLUMBING t MECHANICAL Z 7 x This Permit covers work to be done on private property ONL'T. GRADINGIFILL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days ENERGY CODE Permit Limit: I 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 N w harmless the City of Edmonds, Washington, its officials, i employees, and agents from any and at; claims for damages of 5 a whatevar nature, arising directly or indirectly from the issuance.'', = of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT ,� 8 V: •::;,i*v 9 modify, waive or reduce any requirement of any city ordinance �'s� ,'j ° nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE •� provision." I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL information given is correct; and that 1 am the owner, or the duly authorized agent of the owner. I agree to comply with city and state laws regulating construction; and In doing the work auth0riz• THIS PERMIT AUTHORIZES This application is not a permit until ,•„s ad th—hy, no pbrson will be employed In violation of the Labor ONLY THE signed by the Building Official or his s + Code of .ne Slate of Washington relating to Workman's Cornpensa• WORK NOTED Deputy; and fees are paid, and receipt Is -Y ti surance. :NsPEcnoN acknowledged in space provided.'." �FP"} SIG A URE (OWNER OR G NTI �/{p�/�/� DATE SIGNED In �V DEPARTMENT CITY OF 4r'I OFFICIAL'S SIGNAT RE DATE t/Y EDMONDS .fi - � RELE/rSED DATE r ATTENTION }7t L_�y7yJfntf GIYr I�JIL� IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR.) UN 88 ORIGINAL — File YELL W — nspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC L� CHAPTER 3. 102-87 PERMIT COUNTER PINK —Owner GOLD — Assessor CITY of EDM-DS 3 E SEWED' PERM;�iT h�.-�ry L.✓ SEP FU p� iN ction Call 771-3202 STREET FILE PERMIT NO. 07896 PUBLICAMSof Cons tru.ca,,Jion: Property Legal Description (Include all easements): Owner and/or Builder:,+�� ✓ �U� ' �- Contractor & License No: Single Family Residence Multi -Family Commercial V (No.!, of Units ) (No. of fixture Units ) Ei DSATMENT PLANT . Invasion into City Right -of -Way: No 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 V Yes (If Yes, easement required, attach legal description and county easement number.) PLEASE READ THE ITEMS LISTED ON THE BACK I certify that I have read and shall comply with the items listed on the back. Date Permit Fee: � �, BQ ,Issued By: Trunk Charge: a,�''. $'Date Issued: g— Assessment Fee: Receipt No.: Partial Inspection:, Comments Date Initial Final Inspection Approved: Date Initial oRejected: r- Reason Date Initial a� Ln ** PERMIT MUST BE POSTED ON JOB SITE ** > a� White Copy - File . Green Copy - Inspector• Buff Copy - Applicant The City of Edmonds Side Sewer Drawing EASEMENT NO- -------------------------------------------- ' J NEW CONSTRUCTION REPAIRS ❑ LID NO - ------------------ -ASMT. NO. ------------------ OWNER ------� SG `� S�vJ------------------------------ CONTRACTOR-4--'41ti't-- C) QQ j ---•--------------------------------------------------•------- PERMIT NO.'V� g I-`P. 2 %% �r t JOB ADDRESS , --------� 1i-�--------------------------------- LEGAL DESCRIPTION: LOT NO. ---------- ------------------ -------- BLOCK NO.------------------------------.---- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ iNAME OF ADDITION------------------------------------------------------------------------------------------------------•--•----------•-. I q"P-0•L eao 'bef:. ` 30` Po ` �o t4lD .; A (� s, 4� E:ED110NDS MENT PLANT is Au Approved: �� PWW-0001-11175 (REV.11/78) DATE -- -•^-----------•-•------•-••---......... BY -------------------------•-•- ------------•-• - Ui.PER CATCH (BASIN DETENTION PIPE LENGTH COPfrROL CATCH Y6NT ) bAStN r— 1/ MIN , 2' MAX COVER --� % SLOPE SYSTEM CROSS SECTION *SEE PAGE 3 FOR OUTLET CONTROL DETAIL OUTLET CONTQOL� -}� 4' TO cOJTLFT (N PRAP OR FRUNOF SPREADER ._ 2' s 2' a (ou DEEP, 4 16" SPALLS (OIL cou.WL) ` r 2', 2' >< 3" DEEP, CRUSHED ROCK FROM T oLrrLET CON-1-ROL RIPRAP OUTLET WASHED GRAVEL RENCH, MIN 10' LONG, 1r0u7TFLoW TT OP 4 '4' PERTo BE PIPE HE LEVEL - FROM OII _rR I I CONTROL �L2r•� 4" PERF PIPE WITH CAPS RUNOFF SPREADER OUTLET STANDARD DRAINAGE PLAN DETENTION SYSTEM PAGE I OF 3 for location_ /� �{ f4UE�✓�.fE plan by phone date- I't DESIGN DATA System Imperm Pipe Pipe Orifice Number Area Diam Lengthl Diameter oao 14Zd NOTES 1. Call Engineering Division (771-3202) for prebackfill and final inspections. 2. Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property owner(s). Material accumulated in the storage pipe must be flushed out and removed from catch basins to allow proper operation. The outlet control orifice must be kept open at all times. 88 ��Crc;iV c,LJ JUL 1 3198� RMIT COUNTII ' CITY OF EDMONDS 0 SITE PL/-*,,,N 5C-AL9' 1 ," = 2.0 O LOT OF SHORT SVt3 pl.4t$toH � CITY OF S-10"0NI715 SNOHONISW. GO,, WA, G- I-{ T C A. L CA A M w tA MAX n1p4C t•►IE�MT c,'17.UT 5 Phv 60 OR�vC cX, 0 S Cs - Id �N N .A 3 0 I PL Aev 1-77 7 a I P-Iry Crzbw 2 MAX. 21pf.� ly, C&NTat 27, OS _ N ( O i C-4. _ I II _1 r1 'oft,/- � L • s L C w v 00 • W �� C o }- o d Q om y N U U �C:P-ea� SIT- PLh.N SCpLE : I" = 20� O LOT- j OF SH02T %urboN15tOµ CITY OF E-TJMOND5 SNOHONISW. C-O" W&.. I-}tcG-HT�CA.LC; c = . 0. p Y.w ID = `:+°g Fj W �. MA�x R►F7f. �it�b!►T - 5 -- y 5 - o - --- — --- 181 °--- zs.o A=AWLIS- 7-i .� 03 �o o, P•• qa.�� PL hO4 1-77 7 P I � )tEV CRbE NA X. 7%1wf W- i t27.OT y , I -------- — - ! a b I ( I W P � I 12.5.0 EVELYU U. DORBOLO 01GK U. FULGNEI2,JI2. C) JOHIJ R. SPEAKS In J GEOF2GE D. PA I G E 50' ui W (F— V/ Q zel 'v 1 30' 1 I I I I I so, SUS�AU R. HURLEY 1 IOLA E3 ILL / t -7,900 12 fkZ f _- t 7,500+ I IS, — �s-APPliOX/M1A?'E LoclJrloA! OF sure -Ur ARG64' CREW s t 7,s00+" l� rL— I I AUGIZ1CAN•I JOHU R. PACIFIC CHIZISTOFFERSC BUILDF-MG, I-1 ' I U 20' CESAR FEIZRIEI2A Ul � WALTEKL J. J WOLAIJ,JR. Q V _,o D si. - J IOLA 13ROYP41LL 20' !� m FIR S"T" R E ET m FLOYD E. UAIZk S. ' SHIRLEY J. ". ASHCRAFTI k,QAUSE 1 ABRAHAIAGON 1 1U 1 b /10 cif Q SO '�l LAND ��� Lovell -8aaerland Al Assoelates, Ina. ENOINEEnS • sunVEronS. • PLANNEnS P3106 .100TH AVE. W. • EDMONDS WA. OW20 • PHONE IM 1591 c1 cacq n 1 . KLA JTT; 2-25-87 24q I"• 501. '': : IJWl/ "SEC'I'IOIJ ,.25 T27W a.'A �.,%!V.1 A.. CITY OF EDMONDS t ASffr INFORMATION SHEET © NEW ❑ ADDITION ❑ RETIREMENT ASSET NO. ADDITION TO ASSET NO. DESCRIPTION - SERIAL NO. LOCATION DEPJ1. NO " PURCHASE ORDER NO. PURCHASE ORDER DATE COST " PROJECT NUMBER z.,a%;. a 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 IN SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT G.L. ENTRY REFERENCE DATE . �L VERIFIED BY PROCESSED BATCH NO. - b P INITIA FINANCE ..:}r•".i...�,�t•.. ,i>„ �-�..,.�..,..J�i.,.� '^rt%iw.1j— iY-,,,.n�dvnn'.v....,.. .,. �s�-. \ ' iCl*- OF EDMONDS_ Wpermit No. F 3 STRCOMMUNITY SERVICES DEPARTMENT EET FILE" Issue Date / 0 AP li_i� RIGHT-OF-WAY CONSTRUCTION PERMIT A. • Owner: Washington Natural Gas Co B. • Contractor: Same 805 156 AV NE Name Mailing 'Address Mailing Address Bellevue, WA 98007 City State Zip City State Zip 447-0700 State License Number Telephone Number • Address or Vicinity of Construction: 1031 A All Type of Work to be Done: �4 New ' gas,,service installation /lg ' 4 Work in Connection With: ❑ Sub or Plat ❑ Single Family ❑ City Projects ❑ Commercial ❑ Multifamily IR Utility QPavement Cut: ❑ Y ❑ N U a APPLICANT TO READ AND SIGN a Q 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, forseen or unforseen, that may A be made against 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. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE a' YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THEWORK. O r- - U Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed W by City forces, at which time a' debit or credit will be processed for issuance to the applicant. • A 24 hour notice is required for inspection; IPlelse call! Public Works: 771-3202 • Work is to be inspected during progress and at"completion. • Restoration to be in accordance .wifpf .City Code. • Street to be kept clean at allatirrids. • Traffic Control to be in'accordance with City regulations. •'All street -cut ditches muss be patched with asphalt or City approved material prior to end of working day; no exception, I understand the above and that this permit must be available at the job site for inspection purposes at all times. 0 Signature: Date: 9/ 2 9/ 8 8 tip Owner or Contractor This Pe mit Must Be Posted at the Job Site For Inspection Purposes Call DIAL -DIG Prior To Beginning Work ISSUED BY: Time Authorized: Void after 3Q days. Special Conditions: Amendments: , lG Security Deposit: Receipt No.: Fund 11l Fee: Street Cut Dimensions: NO WORK TO BEGIN � PRIOR TO PERMIT ISSUANCE Eng. Div. July 1985 1 Eng. Div. July 1985 - W NN gp m ST h Z"pllo 55 . 40g7 7c N 3/4'489'N 14-413 U 19 5/ 238 s is 19es C 230 '8 O 967 Y \ N v �+Yo2iv N 1 g►{AILOW AW009 ELD q5 •N r0125'N . 2S E WI MCvNTEC SOLAR zz Y In a 0 l p, v I%45�g/395 oc N /998 u1 T 5/0"/93'5 0 .N /908 \ yl FIR I I ST l I L_. t i— tj 1 1 •\ S/ti L3M - 1s 26•N 2 0 16TW - 5 IP 4'IJ G lYN into h�Z.PClpMW 3 M L. 72r--I2 £it s W y, W '0 dl d d Q a ob a- Jry /i /r's "' 919 020I 'wi 1la � 0 ' 2'•SIR Ul s rot n's d ry 3• 3� - rt15't 1970 _ — A A QVi P. 4 N 5/.' 469'N 4 I• B 1971 jI oss 095' = 1404 Ve"4bL'Iv - Q Z 1968 N f 0 � 274'5 S�B '1154 p1 /966 N = 1985 �4M12 I = 1906 0 ? d• � 6 � � � '1 �� uto w n n _ �9 Q ► �WX y " t• - + wi" a y9\ao7W 1n n WY 1�:/si ��43oe. � 1959 rl i � ' 071v } t sz 1l•w p /17/ p. Y ELM ST S ELM