15708 70TH AVE W.PDF111111111111
5498
15708 70TH AVE W
v_.. 'xP:s� �r:_--*r. �� y` _.��a:.T .n•.'FhY-" I�-�'� i°�'�"�"�"��,i�!�€ gr � .." •� ,`^r�rr"'°"3, ip. , ;•Cif�'#v.Y,�s...•"
0 .. r. >
r�
in C. 189v
City of Edmonds
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number. 9
Issue Date:
A. Address or Vicinity of Construction: 1 6 909- ::70 M 06 ✓47
B. Type of Work (be specific):. [�� I�� /!�li. / /it1 D 2
4
C. Contractor: �%% n P / VG Contact:
Mailing Address: Phone:
State License #:
D. Building Permit # (if applicable):
Liability Insurance: Bond: $
Side Sewer Permit # (if applicable):
E. ❑ Commercial ❑ Subdivision ❑ City Project (''Utility (PUD, GTE, WNG, CABLE, WATER)
❑ Multi -Family ❑ Single Family ❑ Other J
INSPECTOR: INSPECTOR:
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 to hold the City of Edmonds harmless from 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 INSPEC-
TION 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.
Two sets of construction drawings 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 trench work 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:
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY '
APPROVED BY:
TIME AUTHORIZED: VOID A TER r G%� DAYS
RIGHT OF WAY FEE: :?a r 0y
DISRUPTION FEE/FUND I1I:
DITIONS: .RESTORATION FEE:
T OTAL FEE:
= and kYJ 9 PA # /F
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. 1997
' � �, �1�'7'fl'� :Y e-+^II":� 1LL" 3 'r-n' w ". ^ x ^,rei �-. 7"►. i w7"' . ,.�.—.-� -v.r
t
FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.)
Comments:
Diakram
CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
nm
W
Z
O
W
E.
U
04
O
w
CI'I OF EDMONDS
COMMUNITY SERVICES.DEPAR ENT S R�ET POLE
RIGHT OF WAY CONSTRUCTfQWd?ERM4T /
A. • Owner:
Name
Mailing Address
City State Y % Zip
B. • Contractor
Permit No. 9a' 09 4
4•a- 9a
Gffil q s ew-1.5uAC41-9 c e- 4
Name
�"3 XIA-in/ S T•
Mailing Address
ref " 49W o e I//9S 0 4,11; y8'o z p
City , State Zip
Suo*e_e_e tr lai 4QA 774f - y-/ vG
State License Number Telephone Number
C. Address or Vicinity of Construction: 1 S 706 . 707'0 A1J6_,w.
Type of Work.to be Done: k IF io c-& c- rz- ore-FGCTit/iL U6 o",0 -Ca •imct,uo(Er
D. • Work in Connection With: ❑ Sub or Plat ❑ Single Family ❑ City Projects
[I Commercial ❑ Multifamily Kutility
E. • Pavement Cut: ❑ Y• 0 N F. • Size of Cut: X
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this a ation, agrees to .hold- thd' City of Edmonds
harmless from any injuries, \damages, or claims of any kind or desc ip whatsoever, forseen o f rp�pe that may
be made against the City of Edmonds, or any of its departments orAV yees, including or nc lii i . fb�ie defense
of any legal proceedings including defense costs, court 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 issuande to.the applicant.
*,,A 24-hour notice is required for, inspection; Please call Engineering: 771-3202
*Work is to be inspected during progress and. at completion.
*Restoration to be in accordance with City Code..
• =Street.+to be kept clean at all times.
• Traffic Control to be in accordance with City regulations.
• All street -cut ditches must be patched with asphalt or City approved material prior to end of4brking day;
NO EXCEPTIONS.
I understand the above and that this per it must be available at the job site for inspection purposes at all times.
Sign 'ture: Date:
Owner or Contractor
Permit Must be Posted at the Job Site For Inspection Purposes
Call DIAL -A -DIG Prior to Beginning Work
APPROVED BY:, BVJ
Time Authorized: Void after y t-_,Q lZ- days.
Special Conditions: WO PAN F-M en NO
C u? s
RELEASED BY:
PERMIT FEE:
Restoration Fee:
Receipt No.:
Fund III Fee:
Street Cut Dimensions:
Date INSPECTED BY
O WORK TO BEGIN PRIOR TO PERMIT ISSUANCE .
x = $
Date
Eng. Div. March 1989
r
FIELD INSPECTION NOTES (Fund I I I - Route copy to Street Dept.)
Comments:
M
Diagram:
CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July 1985
V
157D 8 70-r" AVE W
3/Z.3 /0)Z KWN
a
"RECEhVE_D_'
CITY of EDMONDS SIDE SEWER PERMIT
For Inspection Call 771-3202 AUp 1985.PERMIT NO,,—A7362
0
'T OW RE
. 3 6FIN
Address of Construction: 151 (a1;� � L_�) o'A
Property Legal Descri ption ( Include all easements•) : FLYNNWOOD LINE
Owner and/or Builder: Ir JCIka� �4
Contractor & License No:
Single Family Residence:_
Multi -.Family (No. of Units )
Commercial (No. of fixture Units )
Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way
Construction Permit required. Call One-Call=Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No Yes (If Yes, easement required,
attach legal description and county easement number.)
PLEASE READ THE
ITEMS LISTED ON THE
BACK
I certify that
with the items
'I.h ve read and hall
li'�-t d on the back.
comply
Date
Permit Fee:
:30. DU `
Issued By:
Trunk Charge:
2S_ 6D
Date Issued:
Assessment Fee:
Receipt No.:
2—
Partial Inspection:
Comments Date Initial
Final Inspection Approved: jaa/
d-
Date. Initlal INSP. R. HOI-L.AWD
co
Rejected:
CD
Reason Date Initial
v
a
Ln
** PERMIT MUST BE POSTED ON JOB SITE **
a
Wh.ite Copy - File Green Copy - Inspector Buff Copy - Applicant
Side Sewer Drawing
The City of Edmonds EASEMENT NO- ---------------------
NEW CONSTRUCTION MP-ADcowc
AI `
❑ ❑ LID NO. -2 ---._- -ASMT. No ------------------
OWNER-LA-Nm---4--Pp----GA-A&F-KS-------------------------- CONTRACTOR.---......------------------------.-.-....------------------------------------------ PERMIT NO. 75GZ
JOB ADDRESS ----- L577Oa------- M--7r -----kVF- --W— ........ LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO. ._----..._--__-...__----------------
------------------------------------------------------------------------------------------------------------------------------ LYNN W0-0El' Ll
NAMEOF ADDITION-----------------------------------------------------------------------------------------------------------------------
7Q T" AvE . fin% .
I5� 14' 14'
aft P.
4 T -31 tw. j 4"Pv.c.
4- 41.5'---------owl 69 '
4-DP
6'c.o W%L
c.o. cAP
1' DP.
App
W-0001-11175 (REVA 1/7E DA.
WORT--1 44
JL
�. 1'DP.
4't.c. GAP
G- 0:0.BAY- By�r
INSP. 8� R.No��.�Wp
---- ------------------------
';vssi-. ��.'
U
fyy
Submit to County Treasurer of the
REAL
REAL
e Y A �r c�
v
county in which property is located.
ESTATE
ES 1 A Y E EXCISE
TAX
your receipt when stamped
This lormashi
r.
by cashier. Pay by cash or certified
CHAPTER e2.46 RCW
check to County Treasurer.
PLEASE TYPE OR PRINT
CHAPTER 45e-et WAC
THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ITEMS Q THROUGH O ARE FULLY
COMPLETED
Name RONALD
A. RENNEBOHM
Name
DANIEL C.
GLAEFKE and
PATRICIA J. GLAEFKE
to
at
J
>8
a
street _ 1008 1/2
8th Street
mo
street
15703 70th
Avenue West
_.
City Mukilteo state WA Zip 98275
cu
O NEW OWNER'S Name Daniel and Patricia Glaefke
PERMANENT ADDRESS
FOR ALL PROPERTY
TAX RELATED
CORRESPONDENCE
Sire,, 15703 70th Avenue West
City/State Edmonds, WA Zip 98020
Edmonds ' sta}e WA Z' 98020
�D
ALL TAX PARCEL NUMBERS
5133-000-022-1605
O
LEGAL DESCRIPTION OF PROPERTY SITUATED IN UNINCORPORATED COUNTY ❑ OR IN CITY OF EDMONDS
A portion of Tract 22, Meadowdale Beach Supplement Plat, as per Plat recorded
in volume 5 , of Plats, Page 42, records of Snohomish County, Washington, described as follows:
Beginning at the NE corner of said tract 22; thence S 1102100" W 308.97 ft.; thence N 85156'22" W
20.03 ft. to true point of beginning; thence continuing N 850 56'22" W 80 ft; thence S 1D 47'08"
Wtst 152.07 ft; thence South 85°56'22" East 82.00 ft; thence North 1102'00" East 152.14 feet to
the true point of beginning. Y^
- f A
.d I..�93:r.
RECEIEIV _D
KREET RL h,,Iz 18 i 75 �
I,,AR 17 M75
_.;L_AI'.4 FOR DAMAGES' tITY t2F F-Wd ,?PdDi'. Y
NOTICE
dI
Claim MUST be prese::ted to the City Council and filed with the City Clerk within 1.20 days
from the date of Accident or Accrual of Damages.
TO THE CITY COUNCIL 0- TIM CITY OF
PLEASE TAKE NOTICL', THA'1_�_.(^--
(if frri.ed, t3iv n✓,band!s name))
V-1H0 N014 RESIDES Ai^_ L)
(State present actual address by street, number and city)^ /
AND WHO FOR SIX MONTHS PRIOR TO DATE OF ACCIDENT .HAS RESIDED AT/
(Give residence by street, number and city)
CLAIMS DAMAGES OF' AND FROM T—HE CITY OF MIIONDS IN THE SUM OF
arising out of the following circumstances:
Describe Claim, giving
DATE and TIME injury or ] 9
damage occurred, PLACE
and full particulars.
Accurately locate and
describe defects taus- - ✓ % �'� 7�Yf�
ing injury or damage
and all acts of negli-
gence claimed.
Accurately describe
injuries or damage
State items of damage
claimed. Itemize all
expenses and losses.
(/LrJ j''4- f `%'
(Claim must be sworn to by claimant)
mature of t.1aimant
StTBSCRIBED AND SVIORN TO
before me this_ n:' —day of
- v -
,�7'�'-�'.�
Notary Public in and for 1� State of
Washington, residing
General Plu,,fmbwg
775-5565 778-7717
P. 0. BOX 2088 3500 - 196th S. W.
\ E LY N NWOOD, WA. 98036
Y DATE '•w. F
lob Warne
r
Send Bill To
job Location._ _
A00ress
City
City
Phone - :� ,.�
.,-,
Apt'
Phone
t
—
Description of Work:77
Total Material
'
le� /
, fil{e ,,; :z t.-
Total Labor
j F
I•
,
—
—
Sub Total
Sales Tax
TOTAL
i-
I...
t-.
J
1
I
1-
i
i
1
PAYMENT IN CASH ONLY unless approved by office PLEASE PAY FROM THIS INVOICE
TO OUR CUSTOMERS: Service bills ore duo and payable upon completion of work and serviceman is au-
thorized to receive payment for some: If service is not satisfactory in any way; please phone our office
i. immediately.
Work perform od on or about plumbing fi.turos, supply linos, droinoge and hooting systems• sowers, etc., is nol guaranteed against stoppeg es,
damage in the removal of foreign obj acts, bockuD s, (loadings, breokaga, fractures or hosting. Now fixturo instol lotions ore guaranteed against
I foully materials or workmonship for a period of ONE YEAR from dote of installation.
logo! rule of interest charged after maturity. IF, however, this account is not paid as agreed I (wet ngroe Ia pay m addition to the fare -
Highest going, a reasonable attorneys fee, or if this oc<oun7 Is placed in the hands of o collection agency, Doty, I (-.1 ackno+.ledgga that you wilt be d—led
Thereby to the extend of the collection charge against y/ou and I (we) therefore agree to pay to you, as liquidated damages. an amount equal W
the amount chergad You on said colloctionby said col lecticn agency not e.coeding, however, (iffy percon of the amount unpaid thereon, and
oho o reasonable attorneys fee. At the option of the holder hereof, the venue d said soil may be laid in the county soot, of the holder of this
in3lNmegl.
1 .t
I hereby acknowledge the satisfactory completion of the above' described work.
Customer's Signature No One Home