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1015 A AVE S.PDFiiiiiiiiiiii 9982 1015 A AVE S {�12�AS MAP v�N�R �,1�lYi�rl6vi�t�P WIA�bi� I� �Lc��E '�V1vlZ(�Y'llti4�J1"�T" STOCM s mvvr-rz PLAY*') (Ici6s- [Zr—m-q u eD 0K7 00E-V00 MAf) x' "• ._.- -- ._.._...District City of Edmonds ---Water Department TAP CARD Date........ No............................... P INo.................. ..... .............. ..... Meter Ta/ aQ � Size.... /..........._ Si2 �...................... Mfgrs. No=- --....... !B-5-.------ ...... Style�..S_............... For �j _ ..............._....-------- .........---- ........................... ..1.. '_........# ........... _....... ,................. :..:. ....................... �'�rAcRrT ..... 1` �......_. �. v.::......_ LotNo..........7............................ Blk. No ............ --5 . .............................. Add- ........................... Service Location -----------------------------------------------------------------------------------------------_......._.-------......._.............. Meter Location_a....._a -C �-��0 tLG's. _..................... ......................................................................................_........................._...------............. MakeTap........................................................................................._.................... .................................................._.........----....................._................_......._......._...... Pressure -----�0.............lbs. Test .................................... % SendBills to......................................................................................................... Date Guar. Voucher No .......................... ................$------------......................._..... Remarks: ..... .. `?:. I. � o� 1 ..49.......... .................................. _....... ......................... _...........--- OUTGOING Index ........Reg......Route Bk...... _.StenciL..... Card ....._ INCOMING Index ......... Reg ....... Route Bk .... _... StenciL.....Card..._... Ma&al Chargeable to Installation, MeW NO. SIZE DESCRIPTION RATE AMOUNT ••--------•--• •----•--•- Meter ...................................... ........ ..................... ----•--•----- ---------- Meter Box .............................. ------•••..... .. _ .......... --------- ••---•--•-•-•-- .......... Meter Plate.--•---•............................••......... -------------• ---------- Check Valve .......................... .............. -------------- ----••--- Pipe, Galv. Screw ..-•--............ .............. __......... .......... ............. ---------- Nipples .................................... ............ ----•--------- •--•---•-- Bushings------------••---------••-------- ------••-•----• ---•-•-•-- Plain Ells ................................ .............. ---......... .......... ............... -- - St. Ells ................................... .............. ............ .......... ---------- ---- -------------- ----•-••------ � ----- - •-------•- -------- Tees ....................................... . •.................................................... •.................................................... -•---•--•-•-•• ............... --•-----•-•- I........... -----•---- .......... Material Chargeable to Taps Connected NO. , SIZE; DESCRIPTION RATE AMOUNT .............. I... ••-•-- Pipe, Black Screw .................. ......-••--•. ............. ......... ----••---•---- ---------- Pipe, Galv. Screw -----------•------ .............. ............. ......... -----••----•-- ------•--- Lead Connections ................... ............. .......-•--. ........... ----------•••• ........... Curb Cocks.•-•...................................•-• -•----•..._. ......... .............. •-------•- Corp. Cocks ........................... ............. .............. .......... Unions .................................... .............. ...............-- ------ Saddles ................................ --• .............. ............ -•-•---------- .......... Nipples .................................... •--•--•-------- -------•---- ......... --------------- --------- Bushings .................................. .............. ............ .......... --------------- ---------- Plain Ells ................................ -•---•-•---- •----------• ......... ..--.......... .......... Street Ells--•.............•-----•-..... -•-------•... ............. -------•-• ............. .......... Tees .......................................... ............... ..•--•-.... .....----• -------------- •--------- Curb Boxes ............................ -•---•------.. ............. ---------- .............. -•••--•--- S. O. Extensions .................... -----••---•--- ............ ----•--•-• ..------•---• .......... Gates ------ ..------------------------------- •------•----- --- ••------- •---------- ----------•- .......... Plugs ........................................ ............. ............. •----•--•• ----------••-- -•-------- Couplings ................................ .............. ----•-------• •--•----• --------•-••-- -••--•---•---- .............. -------•-•---- -•-•------ -•-----•-• ........• --•-•••... Gate Boxes ............................ ..................................................... ...................................................... . ......................................................... ............... ............. .............. ............. ............. --•••----•-- ---•-••-• ._......... .... _.-- ........... .......... .......... .............. ----------••-• ------------- ••.........•• ---------•---- ---•-•--•...••....---•-----•--•••--•-••-•--•••••......••-•-•-•...... .......... ---•---•-- .......... ......... -•....... ................................................. ........................................................... •.......................................................... Hours Time —Day Men ---•---- --••--•-----• ••----•-----••• ......... --•- ............... ----------•-• ....................... --••------•- •--•-•--••-- ---••--_.... ............ .......... - ........ .......... ........... -----------••-- -••-••-•-• Hours Time —Monthly Men ................ ............ ........... ......................... Hours Time —Auto ............ ... .............. ....... _... .......... - Superintendence •------................. --....... Total 3_C R ROUTING SLIP "T'h0r,5dy NEW SI R\JCF 1NS'CALLAT LON ADllRESS: l �'T l/'.� DATE.: �CDIAL A DIC#✓7,4Q.5" I• CREW I METER SHOP CIVIL ENGR. DRAFTSTtAN TELEPHONE STREET'FILE CABLE T.V. G,AS #0 62 s STORM SEWER OTHER IFUTURE SERVICE INSTL: YES NO BORE: SURCHARGE: LOCK nnmr.. YES INITIAL: 'CTNLOCK ��®® DATE: �� INITIAL: L ' ACCOUNT NUMBER: ID']—y 0 5� 3 O SUPPLIER: SSA s TREATMENT PLANT SIDE —SEWER PERMIT, 0 B ' L T # SUPERINTENDENT INITIAL: DATE: TAP CARD MUTER SHEET APPLICATION/, UTILITY DISPATCH BTLLI Nt; 7 7n ADDRESS:1 �UKJ TAX ACCOUNT/PARCEL NUMBER: D �lP6�b b BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: CRITICAL AREAS: DISCRETIONARY PERMIT #'S: V — DRAINAGE PLAN DATED: 4�'1-1 J" 1 PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver it IM 10 EWAN, VILA- M103, m 0 PLANNING DATA CHECKLIST DATED: rh SCALED PLOT PLAN DATED: SEWER LID FEE $: SHORT PLAT FILE: f) --n —q7 LOT: SIDE SEWER AS BUILT DA SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: "I STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED: LID #: 0 BLOCK: L:\TEMP\DST's\Fomu\Street File Checklist.doc STREET FILE 4 1 N v P,,t�, STREET FILE* IMPORTANT! Press Firmly While Writing Application! Applicant Fill I PERMIT Building Relocation Permit Li Inside Heavy nes NUMBER M Ow R' NAME NEW SITE A15DRESS w.re rr.rur_ a nn 91 / '1X1��_101V_ - 1;71_ e1 CIT & ZONE 1 TEL. NO. CONTRACTOR'S STATE CITY BUSINESS LICENSE NO. LICENSE NO. SITE DESCRIPTION ADDRESS OF PRESENT BUILPING SITE J60 S ,� � i� s1 6 gal Description of Present Bldg. Site — (Show below or attach four co Ion of New Bida. Site — (Show below or MOVING Power Company Telephone .Company n I hereby acknowledge that I have read this application; that the information given is correct; and that I am the owner, a duly licensed moving contractor, or the authorized agent of one of these. I agree to comply with city and state laws regulating building relocation; and in doing this work, no person will be employed in violation of the Labor Code, State of Washington relating to Workmen's Compensation Insurance. 'r1� Signature of Owner, Contractor, orlL �G}} Authorized Agent . Signer's / + Phone �tyj a Address No. ... .. ................. No....7..,1....0� city � c..L........ i'0 Q''l�"(-........ Date........................................................................................................... EDMONDS PRE -MOVE INSPECTION PERMIT NO:FIRE BLDG. PERMIT ZONE 1 2 3 NO. I AT NEWSITE�� MOVE CONTRACTOR'S INSURANCE COVERAGE NAME OF SURETY � j / n���� � C\ PROVIDING P.L. & /1 \�\ y` p \`�\ y`(_i P.D. COVERAGE a / 0 BUILDING DESCRIPTION DESCRIBE BASIC CONSTRUCTION & PRESENT USE OF BUILDING: OVERALL LENGTH OF BUILDING: LJ �1 FT. [EIGHT AS LOADED IWIDTHS LOADED BLDG. AREA FT.AA`.7 F,. I SQ. FT. POLICED T. 7x... F MOVING RO T DATE By. - U Time 'to Commen Moving: 16 G Time to Finish Moving: .. /... Q. 9............_.. FIRE DEPARTMENT CLEARANCE OF ROUTING DATE BY: ENGINEERING C E ANCE DATE w G Y A 11 RELOCATION 1 1 PERMIT ll FEE i I RECEIPT NO.' ATTENTION: PERMIT APPROVAL THIS PERMIT THIS PERMIT DOES NOT BECOME AUTHORIZES VALID UNTIL SIGNED BY THE ONLY THE BUILDING OFFICIAL OR HIS DEPU- TY, THE FEES ARE PAID, AND RE- CEIPT IS ACKNOWLEDGED IN THE OF THE SPACE PROVIDED BUILDING NOTED By..............................•--••---.............................. Director's Signature BUILDING INSPECTION DEPARTMENT Date CITY OF EDMONDS DISTRIBUTION OF COPIES PR 6-1107 WHITE — File (Bldg. Dept.) YELLOW — Move Inspector GREEN — Assessor GOLDENROD — Police Dept. PINK — Moving Contractor •. B U I L Y I N V U `• ^ ^' M Applicant Fill ZONE •. "UMBE Ft J� PERMIT APPLICATI Inside Heavy Lines JOB ADDRESS / NAME (OR NAME OF BUSINESS) e %C ��.' q x :9 �� �✓ ` << c,�, LEGAL LOT PLAT NAME SUBDIVISION NO. W ❑YES ❑NO MAILING ADDRESS �L' r 'c/ U vi_l Q PUBLIC RIGHT OF WAY PER ORDINANCE NO. CITY / TELEPHONE NUMBER / " c. /' EXISTING RIGHT OF WAY u/cis_''-GL•JLI ! G PROPOSED RIGHT OF WAY. NAME H DEFICIENCY OF RIGHT OF WAY N U F ADDRESS STREET/UTILITY WORK REQUIRED ❑YES ONO •I U PERMIT FOR WORK IN PUBLIC R/W OYES El NO 0 3 CITY TELEPHONE NUMBER (Y Q UNDERGROUND WIRING REQUIRED ❑YES ❑NO U_ DYES ❑NO CONNECTION TO SANITARY SEWER SEPTIC TANK PERMIT REQUIRED OYES ❑No J m a NAME 0;4)/V,) f/� �! �f /� SEPTIC TANK PERMIT NO. 0 ADDRESS L/ Q•�* SEE MEMO DATED J Ir CITY TELEPHONE NUMBER REMARKS o i7/9/va12 - %z U TATE LICENSE NUMBER CITY ICENSE NUMBER CHECKED BY Legal Description of Property (Show Below Or Attach Four Copies) METER SIZE BUILDING SUPPLY SIZE /�%� W S S u%:�C 'f'Y �/ ti L'r` i%n✓ Q Z 0 �`� J / V V.J ('.Aira- l.; ic- F a_ SIGN AREA ENV. REVIEW A DB NO. ALLOWED PROPOSED COMPLETE EXEMPT _ W / SHORELINE 0 /x_ Q A)" REMARKS .,../-•G �./�v IJ /`JCC 130- i i. 3 -z C T CCU 1�c = . VARIANCE OR CU PLANNING REVIEW BY DATE YARDS FRONT SIDE REAR ILOT.COVERAGE ���77�III NEW RESIDENTIAL El GAS LINE FIRE ZONE TYPE OF CONS/TRUCTION � CODE HEIGHT NON-RESIDENTIAL ❑ SIGN ❑ ADD �/ �.— /1 J '\/ 1776 RETAINING ❑ DEMOLISH SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT ❑❑ WALL ALTER EXCAVATE FENCE REQUIRED ❑ YES NO GROUP LOAD OR FILL ❑ ( X Fr) ❑ PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. ❑ REPAIR PRE -MOVE SWIM INSP. a POOL NUMBER OF STORIES NUMBER OF REMARKS / '1 / y � ���(.1 O UNITS -� /✓< v,/_ L / O /� Z H W NATURE OF WORK TO BE DONE d F Lr E� /vLL /—v ,tom 1 I = / ti` i 1� P.�.'.., ¢ J W W m 0 /, ,.a — ` ��/ S /✓ C G PLAN CHECK FE VALUATION FEE � PROPOSED USE W YE a PLOr PLAN INDICATE BUILDING SETBACKS, ABUTTING STREETS) BUILDING DIr U PLUMBING -G`I. _;� O 6 In WW J W MECHANICAL q `/ m 0 0 r F- FENCE -- Z — m "Applicant, on behalf of his or her spouse, heirs, assigns and SIGN j successors in interest, agrees to indemnify, defend and hold harmless i i the Cily of Edmonds, Washington, Its Officials, employees, and RETAINING WALL � 0 M Q agents from any and all claims for damages of whatever nature, U _ I arlsiq directly or indlrccily from the issuance of this permit. I-ssu- SWIMMING POOL 0 ance of this permit shall not be deemed to modify, waive or. reduce i OJ any requirement of any city ordinance nor limit in any way the "�r I Oily', .Ilnlil�• t,� rnl',.I, • .lily wdin.otri pn,vision." A, PJ 3 i lit 577 k) d� W_ c- V L_ IRZ IQS7AIsm 7-RAS4 RAC k, Pry` -US cpr- WK t-.> I I to G 0 k- STREET F CITY OF EDMONDS - ENGI'NEERING DEPT. Examined bYSJE; Date Remarks Cl 7 _4A V 4 ?,&Rovg- GX I 5TI U Cu it CSuL_Vozr; _ T T 0 APPLICATION V'' The City of Edmonds for EASEMENT NO. _........ SIDE SEWER PERMIT A- NEW CONSTRUCTION REPAIRS ❑ LID NO .................. ASMT. NO... ... OWNER ...... ..M-�-vl ........................ CONTRACTOR ......' ......... `�T....( ��.3S .I. .!. L� .. PERMIT NO. . `r.'. .. JOB ADDRESS ------ '. j -r....---•....... -•--------- LEGAL DESCRIPTION: LOT NO- ...................................... BLOCK NO. ------------------- ---------------- TrnS?cC-tiaVt. Tee G.0 • C4:,Z d ee�� �� �- 22 •�. r N � I 1 -22 .............................. --------------------------------------------------------•-----------------•-•----••-----------------------•........------......... NAMEOF ADDITION----------------------------------------------------------------------------------------------------------------- ---- ¢:' f-U-C- Side Sewer• 2% 3 C •p, (6"sleep) n 5 3' t 3" stvib ,A` Ave. Approved: DATE BYC= (�La. T1js 1 L11/75 �- - jiJ , CITY PUBLIC WORKS DEPAR SIDE SEWER PERMIT FOR INSPECTION CALL" 775-.2525 Ext. 2.2O- Permit Issue Date PERMIT - MUST BE POSTED ON JOB SITE 1. Address of Construction /f of -- jq A)<f �► (�7-0 2. Property.Legal Description (include all easements) 3. Single Family Residence Multi -Family No. of Units Commercial c v*c .� 4. Owner and�r B-u"der P� ,p 0 U 1 X &1 �. �' 5. Contractor & License No. C-V Invasion into City Right - 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 FOLLOWZ.NG 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. I c. Commercial establishment requir s" " in m o �di����ir - (6') --- side sewer line. ;, v Hoy s d. Side sewers may not be installe to any structure. e. Side sewer lines must be laid a .m' r ey G .15 ) and maximum grade of 100% (450). I f. No turn in side sewer greater th n / e I between cleanout. All 90 turns must be q bend) and wye with removable cap. 5I'IITrCOOR INATIN6COUNC11 g. No down spouts, footing drains o nnected 1 to side sewer system. 1 h. Pea gravel is required for bedding when installing sewer lines 1 through other than granular soil. 1 i. Cleanouts are required at 30"-60" from each plumbing exit line 1 and at minimum intervals of 100' along sewer line run. j. Trenches within City right-of-way must be restored to original 1 conditions. Contractors shall be_responsible for right-of-way failure 1 due to poor compaction of fill. 1 k.. Side sewer must be left uncovered until inspected and approved by the City. 1 1. Inspection during normal working hours only. Two (�) working days notice required. DATE: 7 `,zZk A I cc�ti y t at I have read 1 and shall comply with the above PERMIT FEE: CONNECTION FEE: * PERMIT MUST BE DISAPPROVED By: Date: B : Date: APPROVED By : _Date POSTED ON JOB SIT * _„�.. ".'"�:.�� ;:.,�.�;-...�;°�.r,."yeR�„�r.^"'-"'a:w?•nip.;r�-n:�dggfi;r'l��w�;,.raa��-r��.,'F,:4�;?�m. �,: ;re' .t"` , '• CrN off' Edmon GHT-OF-WAY CONS T CTION PE,]R MIT Permit Number. t > r`: Issue Date: A. Address or Vicinity of Construction: 1015 'A' Avenue South lip 8 9 p C) 0 B. Type of Work (be specific): GTE to pl ace telephone service wire in east R.O.W. 1331. - 1 9 Please see attached sketch. GTE Northwest Incorpoerated 1628 - C. Contractor: Mary Bower, Permit Coordinator Contact: Mary 206/488-999A Mailing Address: 22118 20th Av SE, Suite 130 Phone: Mike Ward 206/771-9111 or mobile 954-0774 State License #: Bothell WA 98021 Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project ki Utility (PUD, TE, WNG, CABLE, WATER) ❑ Multi -Family U Single Family ❑ Other INSPECTOR: INSPECTOR: „ ��;.� W' 'j # 2100-9P001 DB 242310 F. Pavement or Concrete Cut: [')Yes 61No G. Size of Cut: 0 x H. Charge $ APPLICANT TO READ AND SI INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmlessfrarn injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may 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, and attorney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME 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 Division, 771-0220. Work and material 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. ----_ I have read the above statements and understand the permit requirements and the pink copy of the permit will be available on site a ll ti or ection purposes. ohn H. Stewart Signature: 0 rns Su v-OSP En r9. Date: August 23, 1995 (G§fiff%1 *r Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK -- -FOR CITY USE ONLY APPROVED BY: IAA 7 4 C-I)h RIGHT OF WAY,,DEPOSIT TIME AUTHORIZED: VOID AFTER NOv (I DAYS DISRUPTION FEE/FUND 111: SPECIAL CONDITIONS: IJ A • RESTORATION FEE: PERMIT FEE: TOTAL FEE: - OG COMMENTS: RECEIPT FEE: I : zg DATE: ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. Div. 1991 IJ LEGEND IT OD I - z PERMIT SUBMITTED BY GTE m PEGS POLES 0 ROAD BORES OVERHEAD LINES 1A UTILITY POTHOLE C7 UG TRENCHING —UCT POD D"'�& fib prF Ll. •f of . r • '' _- -- EOP • -1 Ae 66 t 0,6 w 13 AV C. 50, da --,,-.4T1E0, IA EAST-aP -Eo1' - _ _._ - - _ -•------------------------------- . -- 09071 14 V ti ti Lo `� CUTS, F tC E t v E e Cif, of Edmond STREET FILE „ Ai y 1991 RIGHT-OF-WAY CONSTRUCTION F-r-nrlNu PERMIT _ a Permit Number: Issue Date: /n _Z a —C� I A. Address or Vicinity of Construction: 1015 A Avenue ” a B. Type of Work (be specific): Install 2" PE IP Main from 237' South to 182' 8 9 0 -1 9 9 v South centerline Pine Street. Per Attached Drawing: 920-036 (IR 6043-30 (20 C. Contractor: Washington Natural Gas Company Contact: Gary Swanson Mailing Address: 815 Mercer Street, Phone: 224-2080 State License #: Seattle, WA 98111 Liability Insurance: Bond: $ D. Building Permit # (if applicable): U0 Side Sewer Permit # (if applicable. E. ❑ Commercial ❑ Subdivision ❑ City Project ® Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: VV F. Pavement or Concrete Cut : ❑ Yes ®No G. Size of Cut: x H. Charge $ APPLICANT TO READ AND SIGN `' INDEMNITY: Applicant understands and by his signature to this application, agrees to hol�ltthe City ofEdmondsharmless from injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeen, that may,,�be m6 against the 60 of fonds, or any of its departments or employ- ees, including or not limited to the defense of any legal proceedings includin' defense costsl and aitTIey fees by reason of granting this permit. poi ) ) 1 THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MA TERFA7 S FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC77ON AND ACCEPTANCE OF THE WORK. ES77MA7ED RESTORATION FEES WILL BE HELD UN77L THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE 76 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. 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: Date: October 15, 1991 (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK ..... . FOR CITY USE ONLY .......... APPROVED BY;:::: RIGHT OF. WAY. DEPOSIT:::....:: ,A 1Z-. TIM AUTHORIZED., VOID AFTER DAY&' DISRUPTION`FEE/FUND 111 .,.... S PE CIAL CONDITIONS;.LaZRESTORATION:,FEE;: PERMIT. FEE:: ............................ _..... ......... TOTALTEE::. Q BY:< WORK SHALL BEGIN PRIOR TO PERMIT Engrg. Div. 1991 FIELD INSPECTION I II - Route copy to Street Depf)'. Comments: Diagram: CONTRACTOR CALLED FOR INSPECTION Partial Work Inspection by P. W.: Work Disapproved By: FINAL APPROVAL BY: ❑ YES Date: Date: ❑ NO tng. urv. Jury lye.) f I � Lou I- WO - 4-ZA-- 5 55.5 4g t KXJQS t3E �xE vt c,�rti1� I _ D��R ?i' 'Pup t:-t %Oe [A.t- Pt C-K— e . o- M • �-OG, 3. IAj sefA4, - L.> "C> �E o�- �G tZ-! 1 ac�o ' of !-�� � �•tV .�.lt t� Gt 70m,I �! A -ILK tZ60LA rzec--> �i Mo.��1-(oil•! a 5' vtv�totaTa.L �iP Of {poo Pao PcuiE� Z' l Zl'GIIZ_- ------------------------------------------------- 2 - ' Z,3,G5 f ��i85 �{,2 PG prL — t I Pc'x moo_ Zoo �2oc��sE••t� S.EL"f � Hwy 6. - A ; 5/8" FPf= SVC. >=1 S+fG121 >=S (�O4• (� (o -- wo f r4� err-.et_E i m I co_.(o Z .'o"'"` M 5 I e,a _ 2 yt-1 o2-c �' 'gyp: to I l� IAV j � = W1V#E IT ...DON'TS ITS � Route & FileMEW Gas WNG 021.2 S (4/891 O.A.P. 040.1 & 865.3 A M�/�\'�� EM7/ COrrOQN Date 10116121 To • LOY WHI T c 0T ! From Lawrence Hirsch Subject Jobs 9Z0 -- 03 6 REFERENCE: (Contract No. or I.R. No.) Address: 101_5 A Ay Your assistance in expediting this permit application would be greatly appreciated. Thank You v 622-6767 ext 2588 9 STREET FILE 0 - CITY OF EDMONDS CHRON 250 - 5TH AVE. N. • EDMONDS. WA 98020 • (206) 771.3202 COMMUNITY SERVICES: Public Works • Planning • Parks and Recreation • Engineering 890 19C�-. August 22, 1989 Alexander Uraquhart 1015 "A" Avenue Edmonds, WA 9B020 Dear Mr. Uraquhart: CO PY- NAUGHTEN C V 11 MAYOR PETER E. HAHN DIRECTOR This is to inform you that shrubbery extends over your water meter which interferes with accurate reading and maintenance of the meter. Please prune or remove these shrubs to permit free access to the entire meter cover, which is in accordance with the City Ordinance quoted below: 7.10.050 Access to curb cocks and meter -covers. ---------------------------------------------- The Water Division shall have free access to curb cocks and water meter covers. All persons are prohibited from piling rubbish, building, or other materials thereon. (Ord. 413, Par. 20; February 5, 1929). We will again inspect your meter in sixty (60) days. If, at that time, the meter is still obstructed, we will be required to have this work done by City personnel and the costs billed to you. Thank you advance for your cooperation. Sincerely, ^4ewa-- Archie Brena Water/Sewer Supervisor AB/lk URQUHART/TXTWATER • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan A. *Address or vicinity of Construction f a • Owner:— t t t ?- ► Name )� t Miling Address City, State, Zip Code «� • Permit Issued To: Ilk, L '_` 1 "s tt. § • Type of Work to be Done: x • Work in Connection With:: ❑ Sub or Plat Single ly ❑ Comml. I Ind. ❑ Apt. Condo. • Pavement Cut: ❑ Yes No • Contractor: .'L._.j 41 ; ,t .:,1.. F-t A, t' 1 Name gyp, tlryq �g/[,'$ ({ ..yia A „ f/�..1 Mailing Address` State License Number �.. t bit XUJq#Ay, 1 AJidt W 19 7. 4 -,74z dCity, State, Zip Code Telephone Number U a * * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE a d, B. APPLICANT TO READ AND SIGN Gl INDEMITY: 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 City of Edmonds, or any of it's departments or employees, including or not limited to the defense of any legal 2 proceedings including defense, costs, court costs, and attorney fees by reason of granting this permit. O wUpon 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. O Funds held from the Security Deposit (estimated restoration fee),vdill 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 to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call 775-2525, extension 220. I understand that this permit muse Ile avanable at the ob st a fo�r¢inspection purposes at all times Signature: V+r: ' Ewa' ,mow w �, C �D'ate Owns 'or Agent * * THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES CALL DIAL - DIG PRIOR TO BEGINNING WORK C. Issued By: ' I a Time Authorized: Void after days Z Special Conditions: Ammendments: CJ x w Permit Fee: — Se curity Deposit: Receipt No.: 4 Fund 111 Fee: Street Cut Dimensions X= * * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE M � Eng. Div. December 78 CITY OF EDMONDS PUBLIC WORKS DEPARTMENT RIGHT - OF WAY CONSTRUCTION PERMIT A. *Address or vicinity of Constru tion • Owner: I-6 . 1 t,'1 all) , l Name 4 Mailing Address City, State, Zip Code • Contractor: a 14 f it2 Name / Mailin ddrless • Permit Issued • Type of Work to be Done: • Work in Connection With: ❑ Sub or Plat .L�'Single,,Family ❑ Comml. / Ind. ❑ Aptt Condo. • Pavement Cut: ❑ Yes ` ❑ No [{�� 'l"%9 _ f�jTj j♦f) 12y'�"� )// {t State License N/umk,-,- �d3 City, + State, Zip Code Te ep one Number 1 4? �t NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE B. APPLICANT TO READ AND SIGN wa A INDEMITY: Applicant understands and by his signature to this application a from any injuries, damages, or claims of any kind o w oev, 4- - , resee against the City of Edmonds, or any of it's depart ti%br a yees, cl IWAl IAM0 : e to th proceedings including defense, costs, court costs, an attorn r o of gti�t is p mit. O BE-: RE ua Upon issuance of this permit, the contractor is bl wor an hip(OW "a for following the final inspection and acceptance of the s a ' in ton. Funds held from the Security Deposit (estimated which time a debit or credit will be processed for M1 f Edmonds harmless that may be made defense of any legal period of one year is completed, at Work is to be inspected. Restoration to be in accord wieh-E'ity'C#5i C. trai is Control to be in accordance with Traffic Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call 775-2525, extension 220. \`- I understand that this perm rv6st Signature:, site for inspection purposes at all times. --� wrier or Agent it THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES CALL DIAL DIG PRIOR TO BEGINNING WORK C. Issued By: ---4,-,. 4-t*=1 Time Authorized: Void after 2 days Special Conditions: Ammendments: Permit Fee: `•- -� Security Deposit: Receipt No.. Fund 1 i 1 Fee: Street Cut Dimensions * * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANC * ,k Eng.� Div, December 1978 . ... - .. FIELD INSPECTI0AW)TES (Fund. 111 -Wute cony to Street Dept. Diagram: 0 Contractor called .for inspection Yes (-o Work Disapproved Fay • -Date: By : L Date: Work Approved By: Date Inspector: _ Fna. Div. December 197E m A V, IN I go f N o Ki-lti a -[),q L2qJ79 tv H STREET FILE CITY OF EDMONDS BOARD OF ADJUSTMENT APPLICATION FOR VARIANCE DATE '7 �`� '" d >9 - - FEE ! RECT # APO' S t� HEARING DATE: APPLICANT t:j ,��7e;r�t� /��'�7/s�>,� ADDRESS I/J,��7L5 _->'�' �lt✓ CITY &r52/vi,,I PHONE � !� / 12 INDICATE TYPE OR DEGREE OF INTEREST IN PROPERTY r r(,lVe i' LOCATION OR ADDRESS OF PROPERTY � � I LEGAL DESCRIPTION OF PROPERTY !ro7`' s174 VARIANCE REQUESTED :/QGi/-,',r7 l i2 C C) f= i lz? If, 014 /?r cr ryc'e , t-IX!,C /SZ(l /-7-7 rt', or'> % S f� h'J 5 C .CJ.t' /�' /� c� v % c* r r /✓ - //%✓5 J` c'Lfi Cy t)!� r / 5 f /%r'' /�v 7 A -5.mac" e= ri C r , .o e, ( /, ii �?,, 7✓ e i v -3v / FOR OFFICE USE ONLY USE ZONE ONE: - (C, ZONING ORDINANCE REQUIREMENT: STATE OF WASHINGTON) ss.. COUNTY OF SNOHOMISH) `Tc 7 Signature of Applicant,Owner, or Representative On this date, before me, the undersigned, a Notary Public in and for the State of Washington, duly commissioned and sworn, personally appeared�r�,n , who, being duly sworn, on his/her oath deposes and says that (s}he Was prepared and read the attached statements and has acknowledged to me that the recititations contained therein are true, and has signed this instrument as his/her free and voluntary act and deed for the purposes therein entioned. Subscribed and sworn to before me this ,2 V C day of I�. 19_. Notar VPublic��7i`n 1and for the State of Washington } 0 DECLARATIONS OF APPLICANT Please answer all questions 1. What are the physical characteristics, (i.e. topography, shape of lot, etc.) which create a hardship for you in regard to development of your property? A10 r✓e. 2. How does your property differ from other property in the same vicinity? 3. Will this variance be detrimental to the public or damaging to other property or improvements in the vicinity? 4. What hardships will result to you if the variance is not granted? Will c, these hardships have been caused�by your own Uv ,v /-c'✓'m om 0"' tl �11. CY e C'L/i�lL t c7� action? /77 c «�✓ N% > rt' / ( G O l` �' C C' CL 7'�c7 r /✓ CL /,�i�%S/ fC� `�ji:- G ! w Al' r /� 4y (S r 14, �' C✓� t L L ,`,�i c, �Z— ` I.ZC ,y 1 ! C « s C {�:� °.z �.,`�c( c4.yz� lam'/} ► r / C/ /a �^C r'✓ / /A," /��/l /'C� , e Cj�4 O I �+ ..L�'-7t//7-� A / ! L LY l �"�' {l V A Z 1 Ae O G' �' i/'�' / (2 /`` `' d +lit ,C ";4 5. Can you make reasonable use of your property without the variance? sdNce- �z''_ ��d' N STREET Mayor Harve H. Harrison Memhers of the City Council Edmonds Civic Center Edmonds,. Washington 98020 640 Pine St. Edmonds, Washington 98020 March I, 1979 Dear Mr. Mayor and Members of the City Council: "AG.,, -; 197g I am the property owner at 640.Pine St., and there is a proposal to move a house on to the lot in back of us. The lot in question is in an environ- mentally sensitive zone because it is bisected by Shellabarger Creek. The neighbors are very concerned about this action resulting in severe drainage problems, view blockage and loss of privacy. The proposal includes the culverting of the stream and we feel the environmental assessment was inadequate. The building official is set to issue the permits on March 7, 11?79. 1 believe additional conditions should be attached to the permits before they are granted. I would like to ask for a hearing before the City Council to appeal the decision of the building official and ask that no permits be issued until that time. An answer to this request would be apnreciated before March 7,,I07?. 1 will be attending the Council meeting on lurch C. 1979 to discuss this matter further. Sincerely, P+. E. Townsan cc: Mr. C. Dibble, II.A.A. Ma STREET FILE DATE CITY OF EDMONDS COMPLAINT RECORD Complaint voiced by: FEB 2 6 1979 Name: U r; 1 Address: (,--)fi )[�V i I~ %I�i�r(yyI)`, �.'/-1�W �. Property owner: Yes L No 7 /4, � yJ Where o o P/,1!V li i /= .; /V u !Z T 1i /I N D o != !���s JR L D ,y ,A A V 1z A11FAR Pi nJC S!. Address of property to be investigated: Name of owner: Pi f i l,11 /; Address: Vyf n[� rJivF, E' �y(n1ePhone: TV 3 Description of complaint: The purpose of the Manning Commission is to develop the community according to a reasonable plan and to permit neighbors to attend hearings and to have a voice to express their . When a developer purchases a 1201 lot and then uses only 601 of it and later sells , Commission and the rights and votes of neighbors who may vote to develop adjoining property on 12 • It is obvious that Mr. Duitsman plans to crowd his residence on only 60' of the propez ty as tha t ts the way tie 5 taked tt. I object to this obvious circumvention by Mr, Duitsnan of the rights of the neighI vxs to attend W heaftng se on a 601 lot. The Planning Commission should look at the long range plans of developers in cases . Result of investigation: Date 0rZC MEMO TO: Building Division Community Development Department FROM SUBJECT: Engineering Division Public Works Department After review of the subject building permit application, we have the following comments: IYT Coordination of the location of any structure with respect to utilities, streets, property lines and driveway grades is the responsibility of the contractor. /5if The contractor is required to keep the abutting streets cleaned of dirt and debris caused by the construction. X-7 The "Right -of -Way Construction Permit" is required, from the Engineering Division of Public Works, for any work within the Public Right -of -Way or public easement. N i7 Driveway slope not to exceed 14%. Connection to sanitary sewer required. Septic Tank Permit required, submit design. Fire hydrant required, submit design. Site drainage per code #__. See approved plans Curb /% Sidewalk /=7 Paving required. Bond required for public improvements. Submit cost estimate. 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"wyol;,:.� � I i I . . I "I � I I I , , '' , -, , " - tj p �rr�i Ys t 1 a s j. u �r+ w t A , .. a s' r --9 42 ps,t t, � 1 r. I v q j 1 i II - t ` f I{ K* ray, i t p` S f S!✓r'� ; I fl j 1 ` ,CL t-'fT� �,N V., '.s VX 01 + YJ ' !' �/�7 .. r < r vet--:, t. r"'Pl...J�.'..<, t ..! 1 t.a, ti 4S K VV la, i J,(..S,,%�� s y LI J.1 , r "+ 5 ,- i , w� ", . l �t A 't i. r A' 't . . I. , r h, ,1, f5 * j . .1. !.{� %,�,,f. i t � t o { r ,� w .r ..' , iC ? ` r . $'' ` Z �i - .. { . I . . . `.. z ` � '11 — .. qKLIC wn$- TKF JQC�J"l'Si� �- �. -^7� Date BUMDTNG PENfiT REVIEW I-Addres. Street Ri)it-of-Way Existing REQD Access Easements Existing `Hbt( j READ — Utility Easement Existing -7-1 0 N r REQD --- Lot Per Subdivision Plat Assessor Map Site Plan G1lecked for Acc...... cy Z I t, _-•E Ci ihuierground Wiring Reqd. Check Accuracy of- Legal DCLIScri.ption Environmentally Sensitive Area Environncntal,-.Checklist Reqd. �((� Flood Hazard -Zone flu Shoreline Kmagement Area 7-l0 Slope, Soil, Vegetation w _Stream, Creek, Drainage Basin �r S Existing Zoning Per Code = Amenities Design.Board Approval Reqd. ,-f-JO ADB # Approval Board of Adjustment Approve 1 Reqd. �l Review By: Date: �. �t,�,��,�'�.R.�Yf`�jA1�r'�fi,I\. ...ram. 1.d� rj" >�,. R` �.n• !i., . t �h� ..e a ie...aia a1¢ieJ�i:,�d-:.C� �a3�y�1:��':+:`bs�•�A�'a.:, s.? �:�iJ%aI+"'1:�a'S�iLi1CR]i Existing Water i?ain Size Water Main Reqd. S Service I.<ine Reqd. Hydrant Size Existing Hydrant Reqd. Per Fire Code IM Size _ Detector Check meter Reqd. NA RZ� Cross Connection Inspection Fire Department Comments Water Meter Charge Reqd. Review by: l�'y Date: J�'�':��: r��'':��►'�:�.f�.lit:�,�t,�.;�.,r'��2:4i�e�'1��.��!:�:�§,�' Septic 'Tank Msign approved Me: Septic Tank Permit Reqd. ���t�Permit No. Sanitary Sewer Availability�r beZ► 1 Proj .. _L� c ,i Drawing No. �� �� �, n 19 File No. 2 L -1 j_ Side Sewer Availability � �,n,C4 Sanitary Sewer Connection Fee Reqd. C Review By: Date: -Z -2a •-7 L............. _j ­T7' LL A' 4 I LL I I r 7.,t'-& 1 I . � V - —T 7 I W OJODWAY 13ke Fil- IN ti • tl '•• k ju.ows VIA V 4el moo l0 ►2 12 EET 'FILf7 E 1, I8 18 DA`fTON , ST. .j . 0C ct t r, . ail •; ^ t`�.. I�1.,; 8 �+ �{ I r f.5 i, � J �-. f �._�• I. I^ �a., r� . t'•, �� tl� ' ' -T�� I rii . i' 1t 50 - Ifs L^�; 0 34.5 . •_ • why Ilk ® "Nil- oto Drd 9 W L4, or— � 12 ! 11 • ' 1..,-.-�Ir OIlk, 12 8 } ' t12 8 r` S_LABARGER,�,',' 0 `' It rii I L � r , : 10 -o �•Xb�8.1 �br 20.2 12.` IZ Ilk" i�r I !2 � 14.8 � 4 24 8 i2 y sit lo t �' � ,tE�) !STREET 17ILt 1/4, S EC. 2 5, T. 27 N., R. 3 E.W. M. 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