1130 4TH AVE S.PDF1130 4TH AVE S
ADDRESS: I I ", c-') Cf `{�-� /4-�
TAX ACCOUNT/PARCEL NUMBER: C �( �?rS � � o j'7 6 f
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS:
DISCRETIONARY PERMIT
DRAINAGE PLAN DA
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DA
DETERMINATION: ❑ Conditional Waiver Study Required ❑ Waiver
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED: j Z-z,�q
SIDE SEWER PERMITS) #:_ Go�-,3
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED: d5 1�/g7- f
OTHER:
L:\TEMP\DSTs\Fomu\Street Fite Checklist.doc
USE -^ a PERMIT
B U I L D I DEPARTMENT
Applicant Fill
ZONE I/J / ' NUMBER
�j)
PERM_ IT APPLICATION
Inside Heavy Lines
C/\►
JOB
ADDRESS
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NA (I NAME OF B SINESS)
//10
/ 6 7
LEGAL LOT -
AT NAME .SUBDIVISION
NO.
'
YES ❑NO
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M I G ADDRE
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/
PUBLIC RIGHT OF WAY PER ORDINANCE NO.
O
,�
CITY
TELEPHONE NUMBER
/
(
EXISTING RIGHT OF WAY
4
PROPOSED RIGHT OF WAY
E
DEFICIENCY OF RIGHT OF WAY
N
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U
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I(AYES El NO
E
W
F
_
DRESS
STREET/UTILITY WORK REQUIRED
PERMIT FOR WORK IN PUBLIC R/W INVES El NO
0
3
IY
CITY
TELEPHONE NUMBER
UNDERGROUND WIRING REQUIRED DYES INNO
U
CONNECTION TO SANITARY SEWER jjYES ❑NO
J
m
NAME
SEPTIC TANK PERMIT REQUIRED El YES #ONO
7
IL
SEPTIC TANK PERMIT NO.
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SEE MEMO DATED lu— S�—��
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CITY
TELEPHONE NUMBER
REMARKS
z
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CHECKED By
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STATE LICENSE NUMBER
CITY LICENSE NUMBER
Legal Description Of Property (Show Below or Attach Four Copies)
METER SIZE,
/ /
BUILDING SUPPLY SIZE
IY
W
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REM RKS
3
SIGN AREA
ENV. REVIEW
ADB NO.
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ALLOWED
PROPOSED
COMPLETE
EXEMPT
SHORELINE
N
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REMARKS
Q
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VARIANCE OR CU
PLANNING REVIEW BY
DATE
'
YARDS ,
LOT COVERAGE
�� O FRONT : SIDE REAR
NEW
IRRESIDENTIAL
❑ GAS
LINE
FIRE ZONE
TYPE OF CONSTRUCTION
CODE
HEIGHT
❑ NON-RESIDENTIAL
❑ SIGN
❑ ADD
RETAINING
❑ DEMOLISH
SPECIAL INSPECTOR
REQUIRED
AREA
OCCUPANCY
GROUP
OCCUPANT
LOAD
WALL
ElALTER EXCAVATE FENCE
ElORFILL ❑ ( X FT)
❑ YES ❑ NO
THIS SITE IS LOCATED IN THE CITY
ElREPAIRswim
PLAN CHECKED By
OF EDMONDS. LOCAL SALES TAX
31.04.
REPAIR El INSP POOL
SHOULD BE CODED
REMARKS
t"
Z
NUMBER OF STORIES
NUMBER OF
O
DWELLING
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UNITS
a
NATURE OF WORK TO BE DONE
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PLAN CHECK FEE
VALUATION
FEE
PROPOSED USE
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PLOT PLAN INDICATE BUILDING SETBACKS,
ABUTTING STREETS)
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MECHANICAL
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"AhI\licant, on f h hehalf of' or her sl,uuse, heirs, assigns and
SIGN
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successors in interest, agues to indemnify, defend and hold harmless
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the City of Gdntonds, Washington, its officials, enl) toyces, and
RETAINING WALL
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It
agents from any and all claims for damages of Xwhatevet MINN,
-
Ildo :\ l"l,lC ��I Illh IxrIIII Issl•
SWIMMING POOL
— •�. _ _ _-_--•-_
___,. _
-
---
Date
ZC kURKS DEPAiTr I �y�24 7�
' •• � BUILDING PERMIT REV
t 13C� 4114 A� �. Address
Street Right -of -Way Existing CCII`��� REQD
Access Easements Existing —1 -AO'N E REQD —
Utility Easement Existing TX 0 N REQD —
Lot per Subdivision Plat x Assessor Map
z Site Plan Checked for Accuracy Z Y
H Underground Wiring Reqd. -Tyco
oa Check Accuracy of Legal Description 10
w Environmentally Sensitive Area
w Fanvirorune ntal Checklist Reqd. �—{O
z
Flood Hazard Zone �( p
U Shoreline Management Area ((�
z Slope, Soil, Vegetation �IQ
w Stream, Creek, Drainage Basin
Existing . Zoning Per Code
Amenities Design Board Approval Read.- '"O ADB # Approval
Board of Adjustment Approval Reqd.
Review By: Date: _tb— 2474 -76?775
Existing [dater ►lain Size V&>AJF—
Water Main Reqd. ff. " D S .
Service Line Regd.
w Hydrant Size Existing ►.�a'iJ -
�'' Hydrant Reqd. Per Fire Code Size 6 In IUD
Detector Check Meter Reqd. C7
Cross Connection Inspection /!»
L
partment Comments
eter Charge Regd.by : 71s
Date:
Septic '1 c ,sign r pt�rove ate: r---
Septic Tank Permit Reqd. Permit No.
Sanitary Sewer Availability �D,UE Proj. /_/"D
°4 Drawing No. File No.
w
Side Sewer Availability T�.LJ
r
w Sanitary Sewer Connection Fee Reqd. To BE �.tJG. d���
�^ Review By: -GIs Date: 0 --7-
I
r
0�)en Ditch Existing JZff y� Reqd.
�. Culvert Reqd. 1�C%�t� Size
9 Catch Basin Reqd. �j/,,,,0 , Indicate on Site Plan_
0 Shoulder drainage n-ni.ntailn collection on sWale open runoff
H
i ►unllole req /�UBzl� Indicate on Site Plan
Soil Conditions and Ground Water Field Checked
Revicna by �'/ Ante
Street Paving Reqd. ��J�+tt or-r.
H _ —
Curb and Gutter Reqd.�� ..
W Sidewalk Reqd.=_�QL
W Curb Cut for Driveway Reqd.
x Right -of -Way Construction Permit Reqd.
H Bond Reqd. for Public IrTprovements
de
Street Name Sign Reqd.
Other Signing Reqd. A1,9
A Pre Permit Site Inspection m�de on
o BY; SELdER
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W w VATER
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!-' z STREET
H
ENGINEERING
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Special Require::--.nts listed in memo to Co; ,miry Development Department,
Building Division
13Y Date
All items filled in on Building Permit Application
BY Date 2s'
Drawings Stamped and Notations rkide C
BY �1q Date
Approved by Public Porks Departswt
Revised: Iv 10-1977
V
Date
MEMO TO: Building Division
Community Development Department
FROM: Engineering Division
Public Works Department
SUBJECT: 11 scj - 4 to A\,/E..0 r�a �i ev►v►[:-Iari1
After review of the subject building permit application, we have the
following comments:
Coordination of the location of any structure with respect to
utilities, streets, property lines and driveway grades is the
responsibility of the contractor.
The contractor is required to keep the abutting streets cleaned
of dirt and debris caused by the construction.
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.
Driveway slope not to exceed 14%.
Connection to sanitary sewer required.
/-7 Septic Tank Permit required, submit design.
/-7 Fire hydrant required, submit design.
Ar Site drainage per code # See approved plans
/% Curb /% Sidewalk & Paving required.
/-7 Bond required for public improvements. Submit cost estimate.
/-7 Underground wiring required.
/% Approved Engineering Plans required when applicable.
0INVE 0
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i.pitI_
Rev. 7/78
T M= �-Nokl=
For re H . Ferz erg, P.E.
City Engineer
Department of Public Works
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MEMO TO: .John B. Mitchell, Sup
Water/Sewer Division A151,
FROM: Fred F. Herzberg
City Engineer
SUBJECT: SEWER'CONNECTION CHARGES
1130,4th.Avenue<-South;,L-Edmonds, WA 98020
Street Address)
Don Finnigan: P.O. Box 451, Edmonds, WA 98020
(Legal Owner
Single Family Residence x Subdivision Plat P.R.D.
Multiple Commercial
LEGAL DESCRIPTION:
Lot 7, Block 2; South Park Addition:to Edmonds, according to the.
Plat there of as recorded in Volume 8 of Plats, page 13, records
of Snohomish County, Washington. Except the est 135 feet of the
North 88 feet hereof, also except that port' n deeded to the
State of Washi under Auditors File Nor 8871.
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7
Z.F.F. Cation:
( 110.11) Z.F.F. x ( 15.00
( 1 ) Lateral x( 150.00
( 1 ) Unit(s) x( $25
CC: Owner
APPROVED BY:
_ $
13651.65
Connection Fee
_ $
150.00
Lateral Charge
$
_
Equivalent Count
(when applicable)
_ $
25.00
Trunk Charge
$
10.00
Permit
1, 8-3-6-. 6 5
Leif Larson
Direct r of Public WorlI�
Date
MEMO TO:
John B. Mitchell, Supt.
Water/Sewer Division
FROM: Fred F. Herzberg
City Engineer
SUBJECT: SEWER CONNECTION GHARQES
I I3o 4-7'� Avcvwe
Street Address)
t)otj FIow,�ycLA P10-Sox 451,
(Legal Owner
Single Family Residence x Subdivision Plat P.R.D.
Multiple Commercial
LEGAL DESCRIPTION:
•gym/j�, '{R.�.^..y �"y
Lot 4 ) 13 ifi'
Plat cve OF � r �ov-�tj
4 , �U�V�A C)F PIS , Pane ��, R��V sdF
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t+�e
-�e -H -f� e- vc o
o � VJQLk, u n6e-v 4vkJ '47nys Fl Imo. nJo . 21S S8 j .
Z.F.F. Calculation:
Z.F.F. x (j5.O0 ) _ $ 1) S/' to Connection Fee
( ( ) Lateral x( I SO.00) _ $ I SO 00 Lateral
raarge
$ Count
lent(when applicable)
( ) Unit(s) x( $25 ) _ $ 25,00 Trunk Charge
$ 10- 0 0 Permit
$ E) 2 3 - 65 TOTAL.
CC: Owner
APPROVED BY:
Leif R. Larson
Director of Public Works
10/78
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DEPT:
EXPENDITURE SUMMARY
1978
ACTUAL
1977
ESTIMATED
1978
ESTIMATED;
DEPT . FUNCTION
s .
`f- • ► 117 o f} ssc c r m e vC '
• cyst o�,-
5® .00 La �e Ces,.t e �c ova C
DEPT:
EXPENDITURE SUMMARY
1978
ACTUAL
1977
ESTIMATED'
1978
ESTIMATED;
DEPT. FUNCTION
.CC' --J-- -- �cc—, -
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Lot
BUILDI DEPARTMENT
PERMIT
oI
Applicant Fill
O'
ZONE % NUMBER
PERMIT APPLICATION Inside Heavy Lines
NAm ( NAME OFiUSIN ESS)
JOB
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ADDfl ESS lIi
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LEGAL LOT PLAT NAME DIVISION NO.
SUB
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M 1 G ADDRE
DYES ❑NO
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CITY. TELEPHONE NUMBER
PUBLIC RIGHT OF WAY PER ORDINANCE NO.-
'-!'EX-(STING
_..�"
. i ��� -/� /
RIGHT OF WAY
IVA E'er
PROPOSED RIGHT OF WAY
UDEFICIENCY
(_L��` j
OF RIGHT OF WAY
W
1-
DRLSS
STRLET/UTILITY WORK REQUIRED DYES ONO
I
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�
PERMIT FOR WORK IN PUBLIC R/W V YES 1:3NO
itCITY
Q
TELEPHONE NUMBER
_ LB
UNDERGROUND RO
GOUND WIRING REQUIRED ❑ YES NO
CONNECTION TO SANITARY SEWER *1YES ❑NO
NAME
SEPTIC TANK PERMIT REQUIRED DYES OVNO
/
E
SEPTIC TANK PERMIT NO.
O
E3rRE 5
I-
V
SEE MEMO DATED 10-�S'_�Q
Q
CJ
I
F
CITY
TELEPHONE NUMBER
REMARKS
U
STATE LICENSE NUMBER
CITY LICENSE NUMBER
CHECKED BY
- /y/ - l/-4-- 37e -J/ C`
tt Hoo►z �-'
Legal Description of Property (Shoal Below Or Attach Four Copies)
METER •IZE BUILDING SUPPLY SIZE
z
REMARKS
a
SIGN AREA ENV. REVIEW AOB NO.
////' �// / /r J/
ALLOWED PROPOSED COMPLETE EXEMPT
3
W
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Q
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w
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LA'
<
REMARKS
VARIANCE OR CU
SHORELINE
PLANNING REVIEW BY DATE
YARDS
LOT COVERAGE
NEW
❑
RESIDENTIAL
GAS
❑
.2 o FRONT SIDE /'� REAR
❑
NON-RESIDENTIAL
LINE
❑ SIGN
FIRE ZONE TYPE
OF CONSTRUCTION CODE HEIGHT
❑ ADD
❑
DEMOLISH
❑ RETAINING
SPECIAL INSPECTOR
REQUIRED
AREA OCCUPANCY OCCUPANT
❑WALL
ALTER
EXCAVATE
FENCE
YES ❑
GROUP LOAD
❑
OR FILL
❑ ( X_Fr)
._I NO
REPAIR
1-1
PRE -MOVE
SWIM
PLAN CHECKED By
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
INSP.
POOL
SHOULD BE CODED 31.04.
Z NUMBER OF STORIES
NUMBER OF
REMARKS
-
O
DWELLING
F
F
UNITS
z
1 NATURE OF WORK TO BE DONE
W1
C
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F
In
C
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PROPOSED USE
PLAN CHECK FEE
I VALUATION FEE '-
rLUI VLAN IINDICATE BUILDING SETBACKS,
ABUTTING STREETS)
U
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BUILDING
PLUMBING
rd ECHANICAL
In
m "\III,Ii, mlt, I'It hrll•dt• „I' his m It,I 'poll ', hril:, .mwll, :Ind IGN
w succe„u 1, in nIIrII ,t, .I};ir, 111 indruuuI\. dr(r nd .Ind hldd II:II III IC,N
J
i the 01)• UI I dillmlll<• \\•I,hilit oll, its ullli l;IlS, vIIIpl,.%Ceti, and ETAINING WALL
rnl, ti•ua anv mid Al chile, I,.r d.Inl:I:r, II t lcllr` r naturr, "'—
t
,I i I •I I $ •rn !.Il rl i. Ph CSI
Z66/4Z DESC.e1R11_ /Y
LOT 7 FX e t' ADD/T/D/Y ro EDP-JO/YD,S,
ACC'O,f'D//YG TO T/,/E �,QT Th/E.PEDF AS PECO.PDEI%
/n' IiOC UME d OF �qTS, PAGE /,9, .PE�'OrPDS OF
S/Y0.�10ti1/,S'•5� �DUNTY, N4.5.�1//YG'TON. '
Ea'[ EPA T<!E wf S r 'j0 FEET OF rNE nf^.PTy dd FEET ryE.PEDf
<1<: S" f.YCE�-' r.�,<,' ' �.f'.','07'• G�EDE"p r0 THE .3'TATE OF
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6
RECORDING CERTIFICATE
FLED FOR RECORD BY .a4CIe d w �OYELL
THIS �._ DA'• OF L�,FCEM[lER 19.61_ A.D AT3f
MINUTES PAST ._ I_ _..O'CLOCK �M. AND RECORDED IN
VOLUME _._OF._ SU.f'�'EyS__.Ofj PAGE_/_'�69
RECORDS OF _ f�`f'y _COUNTY. WASHINGTON
Al/O/TOf� PUTT' ; ; €' •
:- _
EL/Ll J;r1ffE7_
;r .4A:2,yl/ME/YT
I66EAD
• s SET /AV/Y F//Y PV1,A
SURVEYORS CERTIFICATE
THIS MAP CORRECTLY REPRESENTS A SURVEY MADE BY
UNDER MY DIRECTION IN CONFORMANCE WITH THE R',EOUIREMEP
THE SURVEY RECORDING ACT. AT THB REQUEST OF Y L� f//
THIS 17rq DAY OF 10066741ffef 19 "
RVEYOR
L.s. no 396",/
ity of Edmonds
ept. of Public Works
ttention Mr. Fred Herzberg
iie; 4th south side sewer's and Storm sewer on Pine Street
Dear Sir;
The quantitie-,s of 6," tripe and taps urf-- aE follows:
61, stubs
S) (z& tops or.. eg mz?j r
The a6reed p'j.ce on
�- " .17C.IVE'D
NOV " 'i--
.0"(. C1 Public Works
November 30,1978
4c0 i.f.(r,) 14.50
9 150. 00
S;3lC:; tvx
Total
Total due
We th�nk
yeu for
-,eur cr
ich, v.e 11ope 'o
rj
800. 00
750-00
13,903.70
Your6 Trull
-J 'V xi' Pre s
Y
THIS S►ACt KSEMD FOR
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N Edmunds Escrow Inc.
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�ddr 23416 Highway 99 N. w
ray and State_Edmonds. Wa
Escrow 4 d-133 ------
Statutory Warranty Deed
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THE GRANTOR DONALD J. DOUGAL and FLORENCE M. DOUGAL, husband and wife
foe end in consideration of Contract fulfillment
In hsod paid, conveys and warrants to ROSS-EDWAADS, INC. , a Washington corporation
the follewing described real estate, tituxtrd in the County of Snohomish r State of
Washington:
Lot 7, Block 2, South Park Addition to Edmonds, according to
plat thereof recorded in Volume 8 of Plate, page 13, records
of Snohomish County, Washington.
EXCEPT the West 135 feet of the North 88 feet thereof,
also EXCEPT that portion deeded to the State of Washington under
Auditor's File No. 2158871.
A *a c,h cd�
Subject to: All easements, restrictions, and reservations of record, if any.
This deed is given ip fultillment of that certain real estate contract bep
between the parties hereto, dated
November 15 , 1978 , and conditioned for the conveyance of the above described property, and
tie co,vra-ts of warranty herein contained shall not apply to any title, interest or encumbrance arising by,
through or under the purchaser in said contract, and shall not upply to wry tuxes, assessments or other chu,ges
fe ed, ssessed o, becoming due subsequent to the dale of said contract.
Real Estate Sales Tax was paid on this sate on 11-20-78 , Rec, No. 20766.
Dated this 15th day of November ,1978
REAL ESTATE S�LOES T,AX
AMOUNT PAID '��
STATE OF WASHINGTON,
A..i'ss�etl.U. 'w::. ISt CE11(Ifi3A5d _ s`tY'. - 't .•J
County of Snohomish g�j .,c ew r • L-• ,
ppeeao� tv yl• . 61' t. ' .
On this day personally appeared before me Dona1J. Dougal and Florence M. gpp!Y •`:
to— ►n— to be the individuals described in and who executed the within and foregoing Irorut; n i ind, ' -
ukDewledged that they signed the same as their free and voluntary`t and deed; (or the
rues a_d pczNses therein mentioned.MEN under under my band and official Seal this / SZday of November .19 78
....... .- ........ .... .............
_...
Notary Public i7 avid for the State o7 Washi(ndfoe, 7
7 i rendint et /` .... W �V
V011 FADE
7VooII
f
y
2/1.
4-
WARRANTY DEED
IRt - tt
Route 104
iih
f
t ERA
No
A -0001I Ferry Terminal to Sth Avenue CCESS
-AU KNOW
,PJtESENTS_ThaJI Grantor
Ell. BY TRES
Lit.
f
OneadiDo
US al and'Flore=ce—
Xaudie Dougal,
'J'Cor! as Donald
'J. Dougal and Florence . husband and wife, 'Of-
-,ti� for and 4 . Douga 8 (Peering of.'
n consideration of the sum of I Flushand and W3104
41M other TEN AND NO1100
valuable consideration Do) ---------
- — --------
Dollars,
'k, ereby convey and warrant to the
gton, o the sal_"
t h sil
Gted in Snohomish STATE OF WASHINGTON, the following described real estate
Ment arid purpose as if he rip
�Z,44QI :wanted had County, in the State Of Washin
-014vashington: been acquired un er
7 1 . Eminent Domain statute
All that Portion of
1 0 Parcel "All
KMw t Northeasterly Side rip of land 210 feeto'
Vol 0 on the lying within'& at
04 monds width being
SIR I Ed Ferry and 100 feet Southwest In III lr
Terminal to 5th Avenue., 0 "y side of the Li-Lirmsurvilly At
ARCEL -I y4V.
Zo Lots
Vol Illock 2# South Fork Addition to Ed
the North t ;yMccording Plat recorded In
88 oPag* 13. records Of Snoliomish"'I
foe f Lot 7. n EXCEPT the Vest 135 feet of
The grantor herein reserve the right to remove the
Conveyed# assuming all Improvements from the lands heroin
on sold data
upon said lands shall become the props , _11.•
liability to Parsons and/or property connected with said removal
xe
at any time until October 1. 1970 however
the 9rontor'III to said I Property of the State OfSII Improvemeni
r V Yet remaining'
the
sha I I 'then cease and t rights Of NO Washington and all -x no to. a
Or,
'It
The
nds.being conveyedyx
the specific details herein contain an area Of 44@700 square
concerning all of -w no 0 record and on flie in the office of the Director of within that certain 35,
W f hich are to be found fast. more or I*
approval January Highways at 01, n map of deflnite locatio
n
nuary .9, 1969, revised December 11. 1969. Olympia and beari g date of
—'Also& the granto
rs heroin Convey and warrant 4iT
and iogross (including all ex to the ;NI
Igh State of Washington all rights of
to view and air) to. from 'sting. future or Potential easements of access,
I :n
nal to 5th A
end the ran nder of sold Parc between SIR 104. Edmonds Ferry Torml
venue,
'd'
obligations hereof shall -ery Of this deed is hereby tendered and
is understood and agreed that the delh
and
not become binding upon the
and approved hereon that tile terM.1r in writing for the S State Of Washington unless and until -9-4, �R'ght Of Way Agent. State Of Washington, Department
epted
e
Of Hightuoyst, by acc
h Chief
Dated this�f First •"4"
_--day of. _-1?70
I Accepted and approved. *lp
-4ioI
;wrprF WA
SHINGTON
TA NT Of HicHwAYS 47� NO SALL'S TAX
REQUI RED
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•'-„ STATZ OI WASNIN _ - (Indhldual aeknor•led�mant
r �Catnty of_�rSiloiSOt0.ialL}'s"wk•�►lca :.. ,
the underriJ
r a,
fined. a notaPublic; • e" v
rY in and for the State o� Wo+hinhereby
i 5=-_day o� r dOn,
y��� and floren s ;,a' � JY that on this. �, .
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The City of Edmonds Side Sewer Drawing EASEMENT NO_ ............................................
NEW CONSTRUCTION REPAIRS Ej LID NO . .................. ASMT. NO . ..................
OWNER -----
— -------------------------- ------ CONTRACTOR ........................................ PERMIT NO.
JOB ADDRESS ----- .... t---
- �t ---- ---- ---------------- LEGAL DESCRIPTION: LOT NO. 4,V.T�.A-A ------ BLOCK NO. ....................................
PWW-0001-11/75 (REV.11/78)
-----------------------------------------------------------------------------------------------------------------------------------------------------------------
NAMEOF ADDITION ----------------------------------------------------------------------------------
Approved:
DATE ....... 0--.4a .............. By .........
1. aaaress or construction d •, 4i ,,- 1 i...�.u,o,� : ;_� • 4_„(�741 _rj
2. Property Legal Description (include all easements)
3. Single Family Residence Multi -Family No. of Units
Commercial
4. Owner ,and or BuilderAl
,"
5. Contractor & License No.
6. Invasion into City Right -of -Way: No Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation).
7. Cross other private property: Yes Nor?, Easement required -'
attach legal description and county easement number.
READ THE FOLLOW'T,.NG AND SIGN: 1
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.
C. Commercial establishment requires a minimum of a six inch (6")
side sewer line.
d. Side sewers may not be installed closer than thirty inches (30")
to any structure.
e. Side sewer lines must be laid at a minimum grade of 2% (1.15°)
and maximum grade of 100% (450).
f. No turn in side sewer greater than 45° (1/8,bend) is allowed
between cleanout. All 90 turns must be constructed of a 450 (1/8
bend) and wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100' along sewer line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k.. Side sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours only. Two (2) working
days notice required.
DATE:
I certify that I have read
and shall comply with the above
" :DID By :
PERMIT FEE : s `,`��
SAPPROVEDate:
v W �"a. B Date:
CONNECTION FEE:
APPROVED By.:
y
Date:
PERMIT MUST BE -POSTED -ON JOB SITE
TO
ACCORDING T
E DMOND S
IIARY, ADDITION TO
2 S oti T H ATS, PAGE 13, RE -CORDS
Lo r 7:1- BLOCK I I.,j VOLUME g OF PL
i'L
A %T T�jCip�EOF RECORDED
COUNTY, WASHINGTON 88 FCFT THEREOF,
WEST I')' FEEJ OF THE �JORTH STATE. OF WASH114GTON UNDER
THAT PORT10H DEEDED TO THE
il_r: �10.
AUNT-JI,