20724 78TH PL Wiiiiiiiiii lill
15230
20724 78TH PL W
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 Iiab-le for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
CITY OF EDMONDS
CIVIC CENTER — WATER -SEWER DEPARTMENT Call PRospect 8 1107 when wore
is ready for Inspection. (No Wspec-
'��7I
tions Saturday, Sunday or holidays.) 1, O 1936
SIDE SEWER PERMIT
"DRESS --------------------------- _...................................... 121--22nd.. AY.enue..-I`forth---....------------....................----..--..............._......--...---
owNER.........Ga1.e---A.-.-C....Hanke.......................................... coNTRAcToR...--Qlympic... View ..Plumbing...
Permission is granted ---_.-Agrsi... 5-;--.- ............. 19.-6-7 ., for ...................... days, to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS 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 ap-
purtenances except to insert the pipe into the wye.
�- FILE
The City of Edmoga, L � ` �
OWNER �Gtr J / .....�����
(...
,ems,
ADDRESS j.......................................
Zt172&/- %BTI✓ /",.- 4 .
0
APPLICATION LVNN PLANT
for
SIDE SEWER PERMIT ASEMENT No ...........................................
NEW CONSTRUCTION [6, REPAIRS ❑
CONTRACTOR .. ....... � .....��.�-:-. �//G}7�/ / Gl1/f4—. PERMIT No. ........
LEGAL DESCRIPTION: LOT No. ......-� ................. BLOCK No. ........
NAME OF ADDITION .... '��s� l`��7i
L961 5 ddd
a3AOHddV
r
STREET FILE _
The Company has not surveyed the premises described in �� , 'U.✓
The sketch below is furnished without charge solely for the purpose of assisting in locating said premises and the
Company assumes no liability for inaccuracies therein. It does not purport to show ALL highways, roads and ease
ments adjoining or affect in said preTi$es.
PLANNING
i .. ���. ram..: i'� ems._ ..-. � _ , • . .. � i ! •. 1 r�r�
WTI Co. Mao. beot. Reference.. �7y G ?
ti
CITY OF EDMONDS I ZONE•K_G
CONSTRUCTION PERMIT APPLICATION ADDRESS
S
OWNER NAME NAME OF BUSINESS AD�-
PERMIT 3o�f6
NUMBER
'1�' I •r
sulrE
D 7 r2 7 — �� . �'
LIC RIGHT OF WAY PER OFFICIAL STREET MAP
TING REQUIRED DEDICATION
TESCP APP'oved D
RW Permit Retlwed D
Slreel Use Pe—t Redd Cl
Inepeclron Required D
Sidewalk Required D
ZIP
C� l
o ciS / d O••i L
TELEPHONE NUMBER.
J�7
/ / '�'1 SdPOSED
tREMARKS
ETER SIZE
LINE SIZE
NO, OF FIXTURES
PRV REQUIRED
YES D NO D
-
..
,
L K 1,V d 1j,6iP _Z f%!'/�k 1,4m. t
SS (�
7 7 d o /� G
7• �' i
ENGINEERING MEMO DATED
REVIEWED BY
ZIP
TELEPHONE NUMBER
-� 97
p/ / •l
IR
IRE MEMO DATED
REVIEWED B
LICENSE NUMBER EXPIRATION DATE
9 ? / •' .3/ 9� -
vof
SIGN AREA
ALLOWED PROPOSED
SEPA REVIEW
COMPLETE EXEMPT
I
EXP I
ADS N0.
Description Property - include all easements
r AL 1<.So /� l
aH0 ELINEa
V
VARIANCE OR
U
NIN IEW
BY
DAT
y DK5J N !/uI
/V
�
'
o ��rlSr�ntNT i-aiC
ETBACKS -FEET
HEIGHT
/Z.
LOT C ERAG
Property L r.✓t T
FRONT SIDE
REAR
Tax Account i ,r/
Parcel No, '�'p ��1 �UU�e-,a
EMARKS
NEW
RESIDENTIAL
PLUMBING
O
O
ADDITION
COMMERCIAL
MECHANICAL
ElREMODEL
APT. BLDG.
SIGN
GRADING FENCE
REPAIR O CYOS. (_x_Fn
CHECKED BY TYPE OF CONSTRUCTION
_„
D/ISA!`
CODE
/
OCCUPANT
GROWOODSUP
SWIMPOOL
DoEMOLISH O INSERTHO TUB/SPA
SPECIAL INSPECTOR
'
AREA' J
gEOUIRED
O YES
'
LOAD
GARAGE RETAINING WALL/
CARPORT ROCKERY RENEWAL
MARKS
,
0 (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
PROGRESS INSPECTIONS PER UBC 305
'r
SAT ii � T r- 7�; a /-: ,e r, ✓ .
NUMBER
NUMBER OF
CRITICAL
O OF
DWELLING
AREAS
-
m STORIES
UNITS /
NUMBER
'
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
'
S S7_X6 4 ; :L
FINAL INSPECTION REQUIRED
VALUATION
FEE
PLAN CHECK FEE
BUILDING
HEAT SOURCE: GLAZING
/
(s x% -c
a/a
PLUMBING
'
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curls, sidewPlks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work Is Started Within 160 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
ENO. INSPECTION FEE
N successors in interest, agrees to indemnify, defend and hold
u, harmless the City of Edmonds, Washington, its officials.
a 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
D
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
-7
provision.".
I hereby acknowledge that I have read this application; that the
ATTENTION
APPLICATION APPROVAL
Information given is Correct; and that i am the Owner, or the duly
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
This application is not a permit until
state laws regulating construction; and In doing the work authoriz•
AUTHORIZES
THE
signed by the Building Official or his/her
ed thereby, no person will be employed In violation of the Labor
Code of the State of Washington relating to Workmen's Compensa•
ONLY
WORK NOTED
Deputy; and fees are paid, and receipt is
lion Insurance and RCW 18.27.
INSPECTION
acknowledged in space provided.
SIGNATURE (OWNER OR AG T) DATE SIGNED
DEPARTMENT
CITY I
OFFICIA SI ATURE A /1
E M0NDS
ATTENTION
CALL FOR
INSPECTION
INSPECT
ELEA
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
7 0
ORIGINAL - Flle YELLOW- InSDeetor
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
-9-
PINK - Owner GOLD - Assessor
z
C I T Y O F E D M O N D S
SEWER DEPARTMENT STD �T FILE
STOPPAGE OF SANITARY SEWER MAIN REPORT
• oo p.l-n
DATE: �v _ T TIME CALL RECEIVED: 13— 7
LOCATION OF STOPPAGE: C_ ws' hA".to 051 oc .
is P.M. ve
• a5 •co 's�•rt�oN e►�.►. , w �w roQ�
TIME OF ARRIVAL ON THE JOB SITE: & ,fi'" ow50meL fi'NA-T• 1c tS pdo9it.FMi '
TIME NORMAL FLOW OF SANITARY SEWER REESTABLISHED: ft , I I •'1 � J• _%.A D&%I
CAUSE OF STOPPAGE:, 6WEA4 511E f5LdI.L.D Up CAI..!
��-o�Ei2S a5lDE ,
ACTION REQUIRED TO CLEAR MAIN AND/OR LATERAL: GL,15'bA/IEQ aJl�►Gi - .-
U ktAdS L.A►-TEQ AA... AAJI) 2ErApyep •t'L1•E SEi..tta`!
OF - TILE - TF1 Cv aE;F F . WE
• �ITP7
Dpp Crl4%Iy'r`t M E 3 t�ID I�D
T '[DPP
Y S AGE CALL OUT (Personnel Involved): Lp aaU QrS
MA2su MENu� (yj4Tga wM-e-W)� LAQQy 0&.. E
LOCATION OF RESIDENCE AFFECTED: IP17.4- %&rj4 7pL. W•
NAME, ADDRESS, • AND PHONE NUMBER OF .PROPERTY OWNER: ca • ILA
j� tii' it r �.:�7r�Z'�!(I�. i' • �.�' �tis
Lela NA CAI. =LS $, W X�5 U4 IU C�TO I� b2U
DESCRIBE DAMAGE TO PRIVATE PROPERTY: �(� V ISI ��.-� I��M�►CaE
REMARKS: c