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1250 6TH AVE S.PDFIIIIIIIIIIII 5408 1250 6TH AVE S ITT O -CITY of EDMONDS BUS SS LICENSE APPLICATION DA /:L /5'%LICENSE NO. }= Civic Center • Edmonds, Washington 9802 city Clerk. Phone 775-2525 1 -I 1 ;6 ANNUAL FEES PENALTY AFTER FEB. 15 IL ❑ HOME OCCUPATION 4STRUCTIONS: CLASSYEAR LI REC'D i SG. LIC. NO. SPEC. \$10 00 (A) ADDITIONAL $5.00 ❑ All items must be completed ❑ SMALL BUSINESS or application will not be aCIPT NO. DATE PAID RECEIPT $15.00 /(B)/ ADDITIONAL $7.50 ❑ PRINT'X' Ce led. p / IN SPEC. BOX FOR ISSUE OF ❑ Business with 10 or Sign and return application FEE PAID PENALTY PAID C O RRECTED more�e�loyees ADDITIONAL $25.00. ❑ with fee. • Renewals received i LICENSE WITH 'LC' ACTION. $SO.00 (C) after February 15 must pay NEW APPLICATION (LA) penalty in addition to fee. ❑ RENEWAL (LB) NEW BUSINESSES AFTER ❑ CHANGE (LC) JULY 31, 1/2 FEE. (PLEASE MAKE ANY NECESSARY CHANGES) ❑ DELETE (LD) NAME OF FIRM BUSINESS PHONE NO. OF EMPLOYEES MAILING ADDRESS NATURE OF BUSINESS .BUSINESS ADDRESS-, I INDIVIDUAL PARTNERSHIP CORPORATION 1c?.5-o 0:12 A vjE S, 0 (S) a:D T) (�) OWNERS NAME -re/om L)- G eel ✓Es HOME ADDRESS /4� C /7-1-Y4 POM,E Pt10 DATE OF BIRTH, --PLACE OF, BIRTH SOCIAL SECURITY,NUMBER EMERGENCY NOTIFICATION: (1) NAME & TELEPHONE (PLEASE LIST TWO) (2) NAME & TELEPHONE WASHINGTON STATE TAX NO.d (06-315-- D Y? APPLICANT'S SIGNATURE } DO NOT WRITE BELOW THIS LINE STAFF REVIEW: FILL IN LAND USE CODE, UFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR DISAPPROVAL, DATE, AND SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT" SECTION. ROUTE TO NEXT DEPARTMENT ON LIST. PLANNING DEPARTMENT D A T E 81141A I LAND USE CODE ZONING CODE P? APPROVE ❑ DISAPPROVE SIGNATURE 61 d CONDITIONAL USE PERMIT COMMENTS BUILDING DEPARTMENT DATE •01 Building ❑ Hotel/Motel (L) O'APPROVE ❑ DISAPPROVE SIGNATURE IA Permit ❑Apt. Bldg. (A) ®❑ Office Bldg. (0) COMMENTS: Occupancy ❑ Restaurant (R) Group ❑ Hosp/Nurs Home (H) CAPACITY: (NO. UNITS, APTS., OFFICES, SEATS, BEDS, STUDENTS) ® ❑ School (S) FIRE DEPARTMENT DATE 62 U.F.I.R. APPROVE ❑ DISAPPROVE SIGNATURE---�� Ia—f; COMMENTS: f �I L1/!11 POLICE DEPARTMENT 15'APPROVE ❑ DISAPPROVE DATE �'-� SIGNATURE '��'/ �% �� COMMENTS: PUBLIC WORKS DEPARTMENT ❑ APPROVE ❑ DISAPPROVE DATE _d!�127, 'SIGNATURE COMMENTS:_ PLEASE RETURN TO CITY CLERK X 40,00'. -. -�, APPLICATIONR The Ci of Edmonds > _'` :_ foc` �� s-r� p� ��. tY EASEMENsT: NO ------------------------------------------- _.SEW s , .,.� SIDEER. PERMIT NEW..CONSTRLICTION_—� REPAIRS_ f ❑ _:___ 'LID NO. `.. fYSM I ..NO ....:.: ........ _ �DON_:.DIN� ......._... r,...:_` _..TRACT R: __�_�C�1-�;NSC�N;_7.1�7 OWNER PERMIT 3N0 _ ::..:::. CON O JOB'.ADDRESS—` t- ¢� ......_:-~: S -_- LEGAL DESCRIPTION: LOT"NO.:. _ ` = _= -BLOCK—NO :- - __- _------ : i r NAME OF ADDITIONS �------------------------ ---- --7. do a� F � PP A rove%y2 • ,- �•. _ — DATE -. �?5_By .. /� . f '+. - • -�_ct ,. d•R'.$ i' t' aev7 4 "E .i.?r: _- .V? 1 ..w71 A •'t t7r/y.4t� - - �.1 S '•�'414 '� ''� �� 1 CIT" OF EDMONDS - SIDF - SEWER P WATEWSEWER DEPART. AT PERMIT (Call 775-2525 for side sewer inspections BEFORE covering any portion of the co Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday i ADDRESS LOCATION OF CONSTRUCTION ....... 1250... S1 ...... AV21...... $OUth---.--„•-••-•----_.......... - :' PROPERTY LEGAL DESCRIPTION. ----..-•ATTACHE .......................... DON BOD I NE- ................................................................OWNER AND/OR BUILDER-.-...__....-.. CONTRACTOR'S NAME & ADDRESS ... RUSS... JOh)1Sm__S—eweC.-&--- PlUmbiri9.....ICD.Q-9 ... PL.... t Permission is granted --------•-•_-- Ma .. ystem in accordance with City of Edmonds 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 S side sewer in street area. Do not cover any portion of sewer before.it has been inspected. NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the C NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line sharper than 1/8 will be permitted. NOTE No. 5--Trenches in street must be water settled and surface of street restored to original condition. Contractors a - _ work which may develop within one year of completion. NOTE No. 6—It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the sert the pipe into the wye. DISAPPROVED ❑ Date .... ..... . By.... `. D te.r...___:-:---- ................. By..... ._.....- ' APPROVED Date..._. • A . yy . , Remarks. ...�... -• -�--•--.__..,�Z.�-...........1�I.._ ...rF.7...................................... — BOT a it CopiItth ST a Signed By Owner of Firm Performing Construction PRI I,..- ............ ..... ...................... . hereby certify that the side sewer ins ts Owner of Contrairm Performing Construction) `== was installed in accordancell governing ordinances of the City of Edmonds. Dated this ....... _.../._........... dav of ..... . ewer permit. hall OR 10 ERMIT .' . t:-�:0 2 Y,2. tiff =�OT N? 4 717 nstruction.11 - --• ' -_ - nspections./ ........ -_.._........... ........................................... ................. _.................................................. . . Meadswdal_e._Rd..,..Edin nds........ de sewer to the city sanitary sewer 1+ Contractor must be employed to construct �I1Ih •. ity Engineer's office. �; , minimum grade of 2%. No bends in grade ' _ ✓'�. be responsible for failure due to improper k� - :�-d---'•3�''��• ��- ' main sewer or its appurtenances except to in- - Date............... _................... BY ................ _.............. _................................................... To Request For Inspection — lation constructed under this permit ......................................... J J Check BEFORE you dig for: Water ❑, Gas ❑, Telep ne ❑, Powe Sewer ❑, Other ❑ J J T The City of Edmonds APPLICATION for SIDE SEWER PERMIT NEW CONSTRUCTION � REPAIRS EASEMENT No .............. OWNER ....e ......... ---------------------------------- CONTRACTOR 5 ............ ............... PERMIT No. 412V ADDRESS ... IA.520 ............ ................................... LEGAL DESCRIPTION: LOT No. .............................................. BLOCK No . ............................................ NAME OF ADDITION .................. , /.. �/, �. ................................................................ 0 RECEIVEC MAY 7 1974 W� =F'0,2d Z fi-��M Approved: DATE................................................ By ...................................................................... RECtIvI-:. V,,,AR01 1974 CITY OF o_MoNDS BODINE CONSTRUCTION COMPANY, INC. BY-94 GENERAL CONTRACTORS 1336 SIXTH AVENUE SOUTH — EDMONDS, WASHINGTON 9802O TELEPHONE (206) 776-0406 a 11 • .� Scale 1973 rtr rn' STMIE OF Z� 1 —. /40144 N I M The south 70.00 feet of the north 210.00 feet of the west 95.00 feet of the east 115.00 feet of the southwest quarter of the northwest quarter of the southwest quarter of section 25, township 27 north, range 3 east, W.M. Also subject to and together with an easement for the installation, operation and maintenance of a drain line, over, under, across, through and upon the west 10.00 feet of the east 40.00 feet and the south 10.00 feet of the north 75.00 feet of the west 38.00 feet of the east 78.00 feet, all in the north 210.00 feet of the east 115.00 feet of the southwest quarter of the northwest quarter of the southwest quarter of section 25, township 27 north, range 3 east, W.M. Also subject to and together with an access easement across south 10.00 of the south 70.00 of the north 210.00 feet of the west 95.00 feet of the east 115.00 feet of the southwest quarter of the northwest quarter of the southwest quarter of section 25, township 27 north, range 3 east. W.M. Situated in Snohomish County, .Washington OZSID L07— g 150alveS /WP NEET FILE CITY of EDMONDS --- PUBLIC WORKS DEPARTMENT Routing of Building Permit Applications Proposed Property Address of Application: 1250 - 6th Avenue South DEPARTMENT COMMENTS DATE C W A,T E R S T R E E T S E W E R NOTES � .. �� ,/J(�' BUILDING DEPARTMENT COMMENTS I/ BUILDING DEPARTMENT PERMIT APPLICATION Applicant FM Inside Heavy Lines PERMIT ZONE NUMBER JOB — ADDRESS " .. NAME (OR NAME OF —BUSINESS) \ C� \� � MAIIJNG ADDRESS `7o ACTUAL R " LOT COVERAGE LOT COVERAGE LOT COVERAGE T PERMIHHIBLE HEIGHT PROPOHED I1EIGHT O y CITY ` \r��.0� ,•� S WI O R/ �� l.o'�'iOSo ACTUAL LOT AREA TOTAL BLDG. AREA z REQUIRED YARDS PROPOSED YARDS FRONT SIDE REAR FRONT SIDE REAR 'ram, pad NAME ADDRESS LEGAL LOT VARIANCE OR CONDITIONAL USE YES ❑ NO PERMIT NUMBER PLANNING DEPT. APPROVAL -- DATE: CITY TELEPHONE NUMBER M1 STREET RAW EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY- COMP. PLAN ST. R/W ............FT. ............ FT. IM NAME, .\ N cfc1nS �� REMARKS _ d x W ADDRESS CHECKED BY '71; 7— r1{ — —TELEPHONE NUMBER l ( (o--Oq O( ". METER SILL: SERVICE ,HI%E CLEARANCE CIIEC,KED BY STATE LICENSE NUMBER I CITY CENBE NUMBER Legal Descrlpdon of Property (Show Below or Attach(Fe Copies) REMARKS � OW TYPE CONNECTION VERIFIED BY PERC. TEST I PERMIT NUMBER REMARKS FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED ❑ YES ❑ NO GAB -- REBIDENTIAL LINE . ®.NEW NON-REBIDENTIAL SIGN El ADD'* RETAINING ❑... . ' DEMOLISH WALL ALTER ❑ EXCAVATE ❑ "FENCE OR FILL (..........x .......... Ft. ) PRE - SWIM REPAIR INSP. POOL SPECIAL INSPECTOR REQUIRED (OCCUPANCY ❑ YES ❑ NO GROUP - PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04.E REMARKS ., NUMBER OF STORIES `I I NUMBER OF DWELLING UNITS NATURE F WORK To B DBE Plan Cheek No. Valuation Fee Receipt. No. -.. BUILDING A PROPOSED U13M ' PLUMBING PLOT PLAN (Indicate Building setbacks, abutting streets) .." - ' RECEIVE;- AR 4 19I4 HEAT A GAS LINE FENCE SIGN .... RETAINING WALL = SWIMMING POOL " DEMOLITION -- PRE -MOVE INSPECTIUN _ - — EXCAVATION OR FILL_ i INTEROFFICE. COMAi I-INICATIONS / DATE March,19 P TO 'itbl.ic-Works Departrent FROM Dick t1.jen Assistant City Engineer JAI VOWM 41 - LITTLC'S SUBJECT: !ye6rCr Connect.i.��n ('harp?e. - 125 , rtl: Avem c' youth _ .__... _..- _..._........_ _. _ ....__ _.... __.. rr.__._...,_.._.._ _ n u In reference to the attached sk<�tch, the S1121ect nrnperty was pert of ? Late Corer Agreement VOW City and Mr.. 'iodine for theinstal- lation of sanitary rovers. Application for serer Termites by 1-17'. Bod.i.nP under this, a", eeament will not involve a connection charge; the only fee would he the 125 and N., x vl0 Nt runk °°andt pfsrmit charge. :iowavu'r, 1 f the ownership changes to a II party other than Mr. Bodine, the now '7V or will have to provide evidence that the sewer charges are Included in the purchano frond Bodine. Attachment KLUL_J y 1974 CITY OFED ONUS BODINE CONSTRUCTION COMPANY, INC. —__ GENERAI, CONTRACTORS 1336 SIXTII AVENUE SOUT11 — EDMONDS, WASHINCTON 98020 TELEPHONE (206) 776-0406 'Scale Fc,,c e 1°13 k 1v 1 ZEo - .-r ". i 1 CY f The south 70.00 feet.of the north 210.00 feet of the west 95.00 feet of the east 115.00 feet of the southwest quarter of the northwest quarter of the southwest quarter of section 25, township 27 north, range 3 eat, W.M. Also subject -to and together with 'an easement for the ina.allation, operation and. maintenance of a drain line, over, under, across, through and upon tyre west 10.00 feet of the east 40.00 feet and the south 10.00 feet of the north 75.00 feet .of the west 38-00 feet of the east 78.00 feet, all in the north 210.00 feet. of the east, 115.00 feet of the southwest quarter of the northwest quarter. of the. nouthwo.:A quarter. of ,octi.on 2. r town^t�i.l) 2,' north, .range 3 r;:x; t� W.M. Aleso sub jest to anal together with an ac:cec;�, casement a,erc�rn south 10.00 of Vie south 70.00 of the north 21.0.00 feet of the west 95.00 feet of' the east 115.00 feat of the southwest quarter of the northwest quarter of the southwest quarter of section 25, township 27 north, range 3 east. W.M. Situated in Snohomish County, Washington