1049 B AVE.PDF11111111111111
10195
1049 B AVE
PAID Jun 131960
............. ..... ........]District
City of 'Edmonds ---Water Department
TAP CARD
DatEPA....D JUN 13 1960
..... . .....
No.-----......................... Tap No ....................................
Meter
Size.............................. Size................._............
Mfgrs .� . �.✓
.... ............ ......... ..............................."10For ........... .................. ... ...
...................................................................................... . ....... . ....... . ....... . . . ......... -
LotNo ........................................... Blk. No..................-----...._......._..............
Add. .................................................. ........... ..._..I ....._.....------
Service Location ......
....................... * ........ . ...... Meter Location ..................................................... ................ .................. . . .
...................................................................................... . ....... . ........ ....... . .................
MakeTap ........................................................... . ....... . ....... . ......................
................................................................... .............
Pressure .................... . ........ lbs. Test .................................... %
SendBills to .......................... . ...................... ................................... ....... ..
1k
................................................. .. .. ..... ...........
Date of Work . . ..... ..... .. . .... . .. .................
...... . 0............................ Foreman
Guar. Voucher No ........................... . .............. $ .................................... .....
Remarks.......... .............................................. .. I ............................................. ..... .
OUTGOING Index .......... Reg ........ Route BL ........ Stencl ..... Car& —
INCOMING Index. ......... Reg ....... Route Bk....-. ..StenciL ..... CarcL .......
*terial Chargeable to Installation 0ters
-3 ZE
--• - ---
DESCRIPTION
Meter ------------------•------------•-•----
Meter Box
RATE
..............
AMOUNT
.
_NO.
....
---•-----
-----------------•--•---------
..............
..... r41..
. -_..
----•-•.......
..........
Meter Plate ............................
..............
--.........
--
--------------
-•--------
Check Valve ..........................
..............
--.........
----------
---••---------
--•------
Pipe, Galv. Screw---•--•-----------
--------------
--•--------•
--•-------
----------- --
•---------
Nipples ................... .-----------------
--------------
...... .....
..........
--------------
----•--•--
Bushings ..................................
---.....:._...
.
---------------
---------
Plain Ells ------.........................
-----•--------
--------••--
---•----•-
------------
----•--•--
St. Ells ....................- •---• ---
--------------
------ . -----
Tees-----------
.............
•.....................
A-0
---- ----
l
_1-
Material
NO. , SIZE; DESCRIPTION
RATE
AMOUNT
.............. I..........
Pipe, Black Screw ..................
------•-----.
...........
--------------
----------
Pipe, Galv. Screw ..................
..............
.............
•--------
--------------
----------
Lead Connections ------------------
.............
.•----._....
•--------
Curb Cocks ------------•-•-•--•--------
Corp. Cocks -------------•••-----------
..............
.............
......
.....
.
j�'
-----------••.
....
Unions ------------------------------------
..............
.---••--•----.
........ -.
Saddles -----------------------•-------• --
--------------
..........
Nipples ....................................
...............
----_......
...............
---------
Bushings -----•----•-----•-------------....
..............
...........
..........
-------•-•----
•---------
Plain Ells ................................
............
--------------
----•-----
Street Ells ------------•-----••------ ---
.............
.... _.... —•
----•----•
...............
..........
Tees -•-•---•--------•---••-••--•- ............
...............
.......... --
..........
------------••
..........
Curb Boxes ----------------------------
------------ -
-----------
----------
-------------
..........
S. O. Extensions ----•-----•---------
--•-------•---
------------
•--------•
----------•-
----------
Gates ........................................
.----.........
............
--•-----•--•
..........
Plugs........................................
--•--•-----••
----- ...
..........
------------- -
----••----
Couplings ------------......----------....
...............
...
--------•-----
..........
Gate Boxes .---->----------------------
......... .-
....
--------------
--------•-----
•---•-----
---------
.....................................................
-----------------------------••-•----------------•••
..............
...............
Orj
...-••-----
......
.�
-------------•
----•------
---•--••--
......
...........................................................
................... .......................................
.............
-•-------•
__.........
.
--
---------•----
------•---
...........................................................
...............
---------•--
_........
...............
---------------
•---=----
-
-
...........................................................
Hours Time —Day Men ........
Hours Time —Monthly Men....T��...
...............
---•---------
....... ....
----
...... ---
..........
............
Hours Time —Auto -----•--.•.. ...
..... .........
............
........
-------------
..........
Superintendence -------------••-----•-
...----...----
.... --
--------------
•
Total .............. --
......--------......_
..
..
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER: DNDl9 4003M70 I
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS:, AM— 001-1 DETERMINATION: []Conditional Waiver ❑ Study Required Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER): L y ! ?j a 071 I ef(1P 2� �g Lo±bq j Z j ku-1 �Q j n `i-q l l YI) h�WGt I1)
2OV-509ba�e�K�
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED: IO Z?01 b—'!�
SEWER LID FEE $: LID #:
SHORT PLAT FILE: �� ' CO C� LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DA'
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP rCARD DATED:�Q I_ I �I U
OTH4. OW ��`— Li ►IRS I 'V�Q l,J �pz l C',e. 1
LATEMP\DSTs\Forms\.Street File Checklist.doc
APPUGAnom Bu"ING PEW A4ypL No.
CITY OF EDMONDS Pautring Departmmsy Permit limit, one yeir
APFUCAT 10-4 is hemby made for a perinir m onsuzut tits falowmg w,%rk, in umr&= V,.�h .
PanYing PIWV aLz; spevirmSom Twna wu are =&%=4uz bm-with for appmvaL the aroom-
.new -JU7 Off-st-
Work addnmrair
.kng
OLCU .J-C Wne.....Fire wneUzz front2ge&0,-.- A.-,:;-r5-fe27--). -Septic wk...,,<:,��... . ....... ....
UZ. =-bacls - frwt r;jr
A&
6n VA-� G ICA- t,
Ad& . . .. . ....... Tel. No .............................
Plans hY.- Tel. No .............................
R. .... .. .... ..... .............. ................... .................. ....
. . ...... . ........ . ..... ............ ................ . ..... I ........... . ... .
21-v is ;crrmx lzaz.-r-w-nt, and lagrm to rcrip4r with A 2ppjjcaHC CodP and State !aws regulating this
,,,,k.
Sig-mi AL'd,,. ------
PE'Mff
1-0 2P,
-d plans and-,Acdu--wr-%, and 'B-Ad Dq=-,,cnt n t&
Valm RrA
&.adin D-?2-rtmc-_ By ___ D=2�1 �-6-o,,--, - ------
V.-u Perna flocs rot rowr Pifu,nbirg. Scum or E;rcrrical in=Hatiow.
"24
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13
Critical Areas Checklist'
Site Information
Project Name: Permit Number.
Site Location: /0 Y 9 5 4 v (- Property Tax Account Number. S19 Y- 0 0 3- 0 0 7- 0 1
Approximate Site Size (acres or square feet): "
Have you filled out a Critical Areas Checklist for a project on this site before? Al o
General Site Conditions
1. Has the site bees cleared or logged? Y� S Date of most recent action: ?
Soils / Topography
2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? A L 0iff✓Zw o o h o
3. Describe the general site topography. Check all that apply. Qt A r" --4" con► �c 6
Flat: less than 5 feet elevation change_ over entire site.
X 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. of horizontal distance.)
• Steep: grades of greater than 30% present on site.
comments
Hydrology/Vegetation
4. Site contains areas of year-round standing water. /Y D
5. Site contains areas of seasonal standing water. N O Approx. Depth:
6. Site is in the floodway & o floodplain & n of a water course.
7. Site contains a creek or an area where water flows across the grounds surface? N 0 flows -
are year-round? NL2 Flows are seasonal? M 0
rD
8. Site is primarily: forested : meadow ; shrubs ; mixed �No S tA''e
9. Obvious wetland is present on site: /N O
10. Wetland inventory or map indicates wetland present on site: WO
11. Critical Areas inventory or map indicates any Critical Area on site: �Yo
For.G LJse-Onl.:
:> STI�DY REQUIRED fnticatit. studlrls`regwred.
• .
:.
WAIVER Critical areas study is hot required
Oeterminatton Number 77
CA>>" r Reviewe.
`Rev 3127/92 ,
e90-19q-
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, 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.
With a signed copy of this form, the
applicant should also submit a vicinity map
of the parcel with enough detail that City
staff can find and identify the subject
parcel(s). In addition, the applicant is
encouraged to include any other pertinent
information 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:
�-Te
Name
Title
/o Y f2 � �
Street Address 77 y - S70 q
6,0 m 0 s � 9 F-e z
City, State, ZIP Phone
-- —3-
Signature Date
Applicant Representative:
Name
Title
Street Address
City, State, ZIP Phone
Signature Date
•
•
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT
EASEMENT No...........................................
NEW CONSTRUCTION ❑ REPAIRS ❑
107-04250
OWNER.........V.•--R....B.rown.........................•--......-•-•----------------•---•------------. CONTRACTOR ............... ---.................-----........----........---................------......---... PERMIT No. ...................
:..
ADDRESS----•1049...—..$.....Street........... -----------------------------------------------
1�1
•
•
0
LEGAL DESCRIPTION: LOT No-.............................................. BLOCK No. ............................................
NAMEOF ADDITION---------•......................•-----•-•-••--.............-•------......----....--...........---•--..............--•---.................
PAN
NM
s•
C
DYE TESTED ON SEWER
JULY, 1972
Approved:
0
•
DATE................................................ By......................................................................
890 199
CITY OF EDMONDS
250 - 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-0220 • FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works • Planning . Parks and Recreation . Engineering
LAURA M. HALL
MAYOR
August 17, 1995 Mailed 8/17/95 (see also
additional addresses on
attached sheet)
Resident
pine
Edmonds, Edmonds, WA 98020
Dear Resident,
A complaint has been received by the City regarding obstructions placed in the alley between B.
Ave. S. and 8th Ave. S., from Pine St. to Fir St. A site inspection shows most of the obstructions
are located on the east side of the alley, so your property may or may not be affected. This
notification is being sent to all seventeen (17) residences to enlist neighborhood cooperation to
rectify this situation. There are several locations where it is hazardous for people on B. Ave. S. and
8th Ave. S. to enter or exit their rear accesses because of the various obstructions created by
landscaping, fences and rockeries. You may or may not be aware that the public right-of-way
through this particular alley is twenty (20) feet. If you do not know where your property comers
are, some of your neighbors may know, so you should be able to establish where private property
meets the public alley. '
With the lovely summer weather we are enjoying this year, I realize it may be difficult to get out
and get the necessary trimming, fence moving and rockery relocation done. Because of the weather
conditions, the Street Maintenance workers will not be directed to do the necessary work until
September 18, 1995.
Your cooperation is appreciated. You should feel free to contact me at 771-0220 if you have any
questions.
Sincerely,
RDON C. HYDE
Engineering Coordinator
GCH/sf
0
Wal er
ALLEYLTR.DOC
Incorporated August 11, 1890 •
Sister Cities International — Hekinan, Japan
August 17, 1995
Resident
740 Pine St.
Edmonds, WA 98020
Subject: Traffic restrictions in alley between Pine St. and Fir St.
Dear Resident:
A complaint has been received by the City regarding obstructions placed in the
alley between "B Ave. S. and 8th Ave. S. from Pine St. to Fir St. A site
inspection shows most of the obstructions are located on the east side of the
alley so your property may or may not be affected. This notification is being sent
to all seventeen residences to enlist neighborhood cooperation to rectify this
situation. There are several locations where it is hazardous for people on "B"
Ave. S. and 8th Ave. S. to enter or exit their rear accesses because of the
various obstructions created by landscaping, fences and rockeries. You may or
may not be aware that the public right-of-way through this particular alley is
twenty feet. If you do not know where your property comers are, some of your
neighbors may, so you .should be able to establish where private property meets
the public alley.
With the lovely summer weather we are enjoying this year, I realize it may be
difficult to get out and get the necessary trimming, fence moving and rockery
relocation done. Because of the weather conditions, the Street Maintenance
workers will not be directed to do the necessary work until September 18. Your
cooperation is appreciated. You should feel free to contact me at 771-0220 if
you have any questions.
Sincerely,
Gordon C. Hyde
Engineering Coordinator
1011 B. Ave. S: '
1002 8th Ave. S.
1021 B. Ave. S. �i
1010 8th Ave. S
1029 B. Ave. S.
1016 8th Ave. S.
1031 B. Ave. S. ''
1018 8th Ave. S.
1041 B. Ave. S.
J
1034 8th Ave. S
1049 B. Ave. S.:
1036 8th Ave. S "
1053 B. Ave. S.
✓
1042 8th Ave. S
1063 B. Ave. S..
745 Fir St. ✓'' ✓
ALLEY_B.DOC
r,14...a��•k��}r'��,,,f�.?��rt-i''...r�r•Jfi'^y`-�,�yi,..�f_'*'',-y,I'""A �. ""'�r`"`"lf'"Stt 'Yip 1," '�"'^`:.r+µ` 4•
City of Edmonds
w
A•
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number: 02 —
Issue Date:
A. Address or•Vicinity of Construction: 1049 B Ave.
B. Type of Work (be specific): Install New Service
y 0 1 ti "
C. Contractor: Washington Nat'l. Gas Co. Contact: Frank Swan
Mailing Address: 815 Mercer St.Seattle, Wn. Phone: 225-2278
State License #: 98111 Li ability, Insurance: Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable}:
E. ❑ Commercial ❑. Subdivision ❑ City Project Rk Utility (PUD, GTE, WNG, CABLE, WATER)
❑ Multi -Family ❑ Single Family ❑ Other
INSPECTOR: INSPECTOR: x
F. Pavement or Concrete Cut : ❑ Yes VgNo . d. Size of Cut:` x H. Charge $
APPLICANT TO READ AND SIGN
INDEMNITY. Applicant understands and by his signature to this application, agrees the City of Edmonds harniless fr�pmin dries dam age , or
clainir of any kind or description whatsoever, foreseen or unforeen, that may be made.agatnstt. eL C64 of Edmonds, or any of itw depr jenW em loy-
ees, including or not limited'to the defense of any legal proceedings including defense cusu; and+ torney. eqs by reason of granting this permit
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FORA PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC77ON !.
AND ACCEPTANCE OF THE WORK. ES77MATED RESTORA77ON FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED 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. t
A 24 hour notice is required for inspection; Please call the Engineering Departmen
Work is.to be inspected during progress and at completion. 771-0220
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: December 31, 1992
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
.......
FOR CITY USE ONLY
APPROVED BY!:. it t,. .:..:...:...:. RIGHT OF;WAY:DEPOSIT: _
..:TIME:AUTHORIZED: VOID AFTER. (_ t M1' DAYS.. DISRUPTION:;FEE/FUND.,111::; -- ..
» PERMIT: FEE:
W
DATE. ;:.. .. ;:::::ISSUED:BY::::
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Engrg. Div. 1991
Eng. Div. July 1985
0
Addendum to :
Submitted by:
dA W
t�P Wazer main u=y6-il
unknown
2 " gas main
0
City of Edmonds
Right of Way
Permit Application
RIc.NAP� h lLJ -ARp
Engineering Aide
Washington Natural Gas
622-6767 x2761
Pager 9(jO)- j(Dj3G
lz'� I I
i'l o Cu T 5
-g-
gas
-ss-
sewer
$
water hydrant
p
water valve
815 Mercer St. (P.O. Box 1869). Seattle, WA 98111 (206) 622-6767
J7',
14
PLAT *OF'Sb"RW'
_Block'�'3 Yost o'"Eambnds'- accbrdifig'to the plat;
Description: SA Lbt:_7 J s"FirWAdd'
thereof. recorded lume: 8 'of,.' p page .6pre'cbrd_s: of Snohomish* County, y, Washington.;,
March 15, 1960
Scale: 111 40,
- - - ---------
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STREET FILE
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REC
ROVED Y PLANNING
0 C T 3 0 203
STREF.7 FILE
BUILDING DEPT.