17018 73RD PL W.PDFiiiiiiiiiiii
5820
17018 73RD PL W
LEGAL DE SCR IPTIOM
LOT 100.120F.EDMONDS VIEW DI VI SI O►� 2)
N,w. /4 SF C.rtl ON 8 T0WIQS HP2 7 o R,�TI- )
?,4 1C,E BEAST' W.M.CI1yDFtDM S
SWOHOMIS4 COUWT!�, WASHNCi7CN sfATE
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When recorded mail to:
City Clerk
City of Edmonds CONFORMED COPY
121 Fifth Avenue North
Edmonds, WA 98020 200212021128
12/02/2002 04:55 PM Snohomish
P.0006 RECORDED County
APPLICANT IS: SPACE ABOVE THE LINE FOR RECORDERS USE
)9:1 Property Owner Assessor's Parcel No.: %/yl$ 1)Oa-0/`2--00
❑ Business Owner Applicant:.131 L L # 14A►) C t1 ' V L C 95r,
ENCROACHMENT AGREEMENT
This ENCROACHMENT AGREEMENT ("Agreement") is ente;ed into between the
CITY OF EDMONDS (`.`City") and 8t t L, AA1D /V-4/11C H 4GC�
("Owner's]"), in accordance with Chapter 18.70 of the Edmonds Community Development
Code. �C. W. a,
1. The_P.ro..er, ,, . Owner is the owner of that certain real property located at
t_70l g - Z�3 R D PLC CSC within the City of Edmonds,
Washington, Assessor's Parcel Number DOd —61R2 — 00 - 00 and more
particularly described in Exhibit "A" attached hereto and incorporated herein by reference.
Business owner, is
the business owner of that certain real property noted above.
2. The Easement. The City currently owns an existing easement over, under,
and across Owner's property for street, alley^sidewalk, ther
which is described in Exhibit "B" attached hereto and incorporated by reference.
3. The Encroachment. The City hereby covenants and agrees and grants its
^on to Owner or Business Owner to allow COILJ STi�UG� /7D OE OA 97-
to remain in a portion of the City right-of-way/easement. A plat map showing the location of
the encroachment is attached as Exhibit "C" and incorporated by reference. This Agreement
is subject to the following terms and conditions:
a. The encroachment shall be installed and maintained in a safe and
sanitary condition at the sole cost, risk, and responsibility of the owner and its successors in
interest.
b. The Owner shall agree at all times to indemnify and hold the City free
and harmless from any and all claims, demands, losses, damages or expenses resulting from
the construction, maintenance, use, repair or removal of the structure installed hereunder,
including any loss, damage or expense arising out of (1) loss or damages to property and (2)
injury to or death of persons.
C. The Owner must remove or relocate any part of the encroachment
within ten (10) days or such other time as specified in the notice after receipt of it from the
City Engineer, or the City Engineer may cause such work to be done and the reasonable cost
thereof shall constitute a lien upon the property.
d. Whatever rights and obligations were acquired by the .City with respect
to the easement shall remain and continue in full force and effect and shall in no way be
affected by city's grant of permission to construct and maintain the encroachment structure.
4. Entire Agreement. This Agreement constitutes the entire agreement between
the parties with respect to the subject matter hereof and supersedes and replaces all other
agreements, oral or written, between the parties with respect to the subject matter.
5. Notices. Any notice which is required or may be given pursuant to this
Agreement shall be sent in writing by United States mail, first class, postage pre -paid,
registered or certified with return receipt requested, or by other comparable commercial
means and addressed'as follows:
If to the City:
City Engineer
City of Edmonds
121 Fifth Avenue North
Edmonds, WA 98020
If to the Owner: ,° /�►
l ?mil S —73RD Pz.,okz—:" &,4 —FST
which -addresses may be changed from time to time by providing notice to the other party in
the manner described above. .
6. Waiver. City's consent to or approval of any act or omission by Owner shall
not constitute a waiver of any other default by Owner and shall not be deemed a waiver or
render unnecessary City's consent for approval to any subsequent act by Owner. Any waiver
by City of any default. must be in writing and shall not be a waiver of any other default
concerning the same or any other provision of the Agreement.
7. Successors and Assigns. This Agreement shall be binding and inure to the
benefit of the parties hereto and their respective legal representatives, successors, and assigns.
Owner agrees to incorporate this agreement by reference in any subsequent deeds to the
property, but any failure to do so does not invalidate this provision.
8. Ca aci . Each party represents that the person(s) executing this Agreement
on behalf of such party has the authority to execute this Agreement and by such signature(s)
thereby bind such party.
IN WITNESS WHEREOF, the parties. hereto have executed this Agreement on this,
`wl;W day of Awtv_& 20 0 Z. .
OWNER(S) or BUSINESS O (S):
By:
STATE OF WASHINGTON
COUNTY OF SNOHOMISH
This day, personally appeared before me, _1,011(I Gt m g N Q n C L-1 V) Ce k
to me known to be the person(s) who executed the within and foregoing document and that
(he/she/they) +hCL4 signed the same as (his/her/their) e. i T free and voluntary act
and deed for the uses and purposes therein mentioned.
"Notary Public Not r
c
State of WFashingtor
AMY D. ALBERTSON AryljJ - 4L E:PT90n
'My Appointment Expires Jun 19, 2006 Typed or Print ame
My Commission expires:
CITY OF EDMONDS
By:
ENGINEERING DIVISION
LEGAL DESCRIPT10K]
LOT No- 120F EDMONIDSVIEW DIVISION
t�I,lvV. 1/4 Sffc-voW 5,TOWOS HIP 27 NORT
1R.WiE BEASTW- CITY OF: EDMONDS
ew
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E IsTWC-,
RE.SIDENCe
� LOT ) (
IG71Nq
.CK
14 NEyJ
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EXPANDED
- EXISrlNq
RGSIDEt�C-E-
L CT 12-
SITE PLAN
.E
Attachment "B"
Easement Description
An easement "reserved for and granted to City of Edmonds under and upon the easements shown
on the plat and described herein as `sewer or water easement' to install, maintain, replace, repair
and operate sewer or water mains and appurtenances for this subdivision and other property
together with the right to enter upon said easements at all times for the purposes stated."
1.
EXHIBIT C
LEGAL DESCRIPTION
LOT NO. 12 OF EDMONDS VIEW DIVISION 2, NW'/, SECTION 8,
TOWNSHIP 27 NORTH, RANGE 4 EAST W.M. CITY OF EDMONDS,
SNOHOMISH COUNTY, WASHINGTON STATE
When recorded mail to: CONFORMED COPY
City Clerk
City of Edmonds 200210100561
121 Fifth enue North 10/10/2002 04.56 PM Snohomish
Edmonds, WA 98020 : P.0006 RECORDED County
APPLICANT IS: SPACE ABOVE nlE LINE FOR RECORDERS USE
Property Ownr Assessor's Parcel No-iop
O Business Owner Applicant:
ENCROACEMNT AGREEMENT
41�-
This ENCROACHMENT AJgMtPutlmls
reement'is entered into betty the
CITY OF EDMONDS C City' and SO
(" Owner[s]'% in accordance with Chapter 18.70 of the Edmonds Community Development
Code.
1. 1 be_Ero .e t , Owner is the owner of that certain real property located at
I - within the City of Edmonds,
Washington, Assessor's Parcel Number _ _ COW t3 9 0v0 10 2 oD . and more
particularly described. in Exhibit "A" attached hereto and incorporated herein by reference.
Business owner, 'l�A�t�UKiVi4,r,J Qcl� V�,p�,�,�,�,{r,S BOG, is
the business owner of that certain real property, noted above.
2. The Easement. The City currently owns an existin easement over, under,
and across Owner's property for street, alley, sidewalk, other f
which is described in Exhibit ,B" attached hereto and incorporated by reference.
3. The Encroachment The City hereby coven is and agrees and grants its
permission to Owner or Business Owner to allow _ Js,,,s►,Lt.,(, &),JCW Id r
9t ^Lao
to remain in a portion of the City right-of-way/easement. A plat map. showing the location of
the encroachment is attached as Exhibit "C" and incorporated by reference. This Agreement
is subject to the following terms and conditions:
a. The encroachment shall be installed. and maintained in a safe and
sanitary condition at the sole cost, risk, and responsibility of the owner and its successors in
inter mt.
-1-
b. The Owner shall agree at all times to indemnify and mold the City free
and harmless from any and all claims, demands, losses, damages or expenses resulting from
the construction, maintenance, use, repair or removal of the structure installed hereunder,
including any loss, damage or expense arising out of (1) loss or damages to property and (2)
injury to or death of persons.
C. The Owner must remove or relocate any part of the encroachment
within ten (10) days or such other time as.specified. in the notice after receipt of it from the
City Engineer, or the City Engineer may cause such work to be done and the reasonable cost
thereof shall constitute a lien upon the property.
d. Whatever rights and -obligations were acquired by the City with respect .
to the easement shall remain and continue in full force and effect and shall in- no way be
affected by city's grant of permission to construct and maintain the encroachment structure.
4. Entire Agreement: This Agreement constitutes the entire agreement between
the parties with respect to the subject matter hereof and supersedes and replaces all other..
agreements, oral or written, between the parties with respect to the subject matter.
5. Notices. Any notice which is required or may be given pursuant to this
Agreement. shall be sent in writing by United States mail, first class, postage pre -paid,
registered or certified with return receipt requested, or by other comparable commercial
means and add.ressed.as follows:
If to the City:
City Engineer
City of Edmonds
121 Fifth Avenue North
Edmonds, WA 98020
If to the Owner.
Vr YVV,hoJ P IkOA
which addresses may be changed from time to time by providing notice to the other party in
the manner described above.
6. Waiver. City's consent to or approval of any act or omission by Owner shall
not constitute a waiver of any other default by Owner and shall not be deemed a waiver or
render unnecessary City's consent for approval to any subsequent act by Owner. Any waiver
by City of any default must be in writing and shall not be a waiver- of any other default
concerning the same or any other pmvision of the Agreement.
-2-
7. Successors and *Assigrns. This Agreement shall be binding and inure to the
benefit of the parties hereto and their respective legal representatives, successors, and assigns.
Owner ages to incorporate this agreement by reference in any subsequent deeds to the
property, b, ,t any failure to do so does not invalidate'this'provision.
& Capacitv. Each PY Presents that the per-son(s) executing this Agreement
on behalf of, such party has the authority to execute this Agreement and by such signature(s)
thereby bind (such party.
N WITNESS WHEREOF, the parties hereto have executed this Agreement on this
day of 20—
OWNER( i o LNE
0 S):
By: By:
STATE OF WASHINGTON )
COUNTY OF SNOHOMISH ) .
This 'day, personally appeared before me, WIYJ
to me known to ,. e. the person(s) who executed the within and foregoing document and that
(he/shehhey) signed the same as (his/her/their) free and voluntary act
and deed for thu d purposes therein mentihned. A A
n
CITY OF EDMONDS
rzly-
ENGINEERING DIVISION
Typed or Printed Name.
My Commission expires: `Y —/
L -3-
�x f+t6 it tN-
OAa1a OR QlAMR(Q41
. of .swrv�► "Mao tfmm
AA Nn eeo3o�eoa� Nr vo�wt n •
OF St111VE1 ,m* 1t=. •RECORD OF
VIONOM44, COMM W+L$M&Mft
DATUM. ,
CnIr OF EOUom M. Vu
.BENCHM.AAKH
ONGiNATWG ONCMMAAKt
LOCUse • 6.1 woo R/1T SU MrED 'V =e7 1947-
OATED IN � EDMONOS IYy$� CORNEA OF THE
E1E1u1TIWr5 ee.2� AT .tie OTt1 AVENUE N.
RIM OF STO) WM EEWN .MAMIMC M Tt1t
sbvT war C6mon of *a M►TERS did"
OF NO AVQ" I AND 00AY70N 8'TBEET
A IVAT16M 39.30
LEGAL OEaCFi1PT10N
71W FORT". OF Tw Sou"dow Ot�!11m OF TW sotRttE%13T
ounr, of sECrlW 2�..T�nA�itt - N�
OESCRM AS AOLlO1Mas G AT Till N
TNt m NO OAY N*VAX N o f EDMONOti 3NOMOMlSiI
OF TMAD ALONG TE1e wSSfM L WE
SbuTM t=OMI � ` T11f.�10E W99TOW tte FiE'>� 1�IMIq
SOUM n1 WOWitt FEET Tb ? NOWT. op.
SfTIM N THE COUkW OF SNONomuK FATE OF WA3MWG70N.
SUK= :b EASEMENTS AI� mm tVmoks OF Paco 1p
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v
145.004
3 ^� POE S
zS � 27
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When recorded mail to:
City Clerk
City of Edmonds
121 Fifth Avenue North
Edmonds, WA 98020
RECORDER'S NOTE: .
PORTIONS OF THIS DOCUMENT
ARE POOR QUALITY FOR SCANNING.
III'�WIII��IIII�II�I�IIUIIII�'IIIII
P.000501021
�&E�oaoEo Count,
SPACE ABOVE THIS LINE FOR RECORDER'S USE
Assessor's Parcel dp�
Project No. & Name:- 6lazPU W,/yam `j•�'
ENCROACHMENT AGREEMENT
This ENCROACHMENT AG EM NT greement") is entered. into between the
CITY OF EDMONDS ("City") and GO
("Owner[s]"), in accordance with Chapter 18.70 of the tdmands Community Development
Code.
I. h.e_P.r_o er . Qwner is the owner of that certain real property located .at
NO %1 , within the City of Edmonds, Washington,
Assessor's Parcel Number4&16A-s4- Iand more particularly de ribed in Exhibit
"A" attached hereto and incorporated herein by reference. Business owner,
is the business owner of that certain real
property noted above.
2. The Easement. The City currently owns an existing easement over, under, and
across Owner's property for street, alley, sidewalk, other ( )
which is described in Exhibit "B" attached hereto and incorporated by reference.
3. The Encroachment. The City her by cove an and agrees and grants its
permission to Owner or Business Owner to allow o
to remain in a portion of the City right-of-way/easemen . A plat map showing ilre location of the
encroachment is attached as Exhibit "C" and incorporated by reference. This Agreement is
subject to the following terms and conditions:,,
a. The encroachment shall be installed and maintained in a safe and sanitary
condition at the sole cost, risk, and responsibility of the owner and its successors in interest.
b. The Owner shall agree at all times to indemnify and hold the City free and
harmless from any and all claims, demands, losses, damages or expenses resulting from the
1•-
construction, maintenance, use, repair or removal of the structure installed hereunder, including
any loss, damage or expense arising out of (1) loss or damages to property and (2) injury to or
death of persons.
C. The Owner must remove or relocate any. part of the encroachment within
ten (10) days or such other time as specified in the notice after receipt of it from the City
Engineer, or the City Engineer may cause such work to be done and the reasonable cost thereof
shall constitute a lien upon the property.
d. Whatever rights and obligations were acquired by the City with respect to
the easement shall remain and continue in full force and effect and shall in no way be affected by
city's grant of permission to construct and maintain the encroachment structure.
4. Entire Agreement. This Agreement constitutes' the entire agreement between the
parties with respect to the subject matter hereof and supersedes and replaces all other
agreements, oral or written, between the parties with respect to the subject matter.
5. Notices. Any notice which is required or may be given pursuant to this
Agreement shall be sent in writing by United States mail, first class, postage pre -paid, registered
or certified with return receipt requested, or by other comparable commercial means and
addressed as follows:
If to the City:
City Engineer
City of Edmonds
121 Fifth Avenue North
Edmonds, WA 98020
which addresses may be changed from time to time by providing notice to the other party in the
manner described above.
6. Waiver. City's consent to or approval of any act or omission by Owner shall not
constitute a waiver of any other default by Owner and shall not be deemed a waiver or render
unnecessary City's consent for approval to any subsequent act by Owner. Any waiver by City of
any default must be in writing and shall not be a waiver of any other default concerning the same
or any other provision of the Agreement.
4r001 1 2 -
7. Successors and Assigns. This Agreement shall be binding and inure to the
benefit of the parties hereto and their respective legal representatives, successors, and assigns.
Owner agrees to incorporate this agreement by reference in any subsequent deeds to the
property, but any: failure to do so does not invalidate this provision..
8. Capacity. Each party represents that the person(s) executing this Agreement on
behalf of such party has the authority to execute this Agreement and by such signature(s) thereby
bind such party.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on this. U-IL
day of1�, 20.
OWNER(S):
y.,// �l ,o L.4 By:
STATE OF WASHINGTON )
COUNTY OF SNOHOMISH )
This day, personally appeared before me, l rL j GI PIP rl rl I
to me known to be the person(s) who executed the within and foregoing document and that
(he/she/they) 1 signed the same as (his/her/their) h e Y- free and voluntary act
and deed for the uses and purposes therein mentioned /1
Typed or
Name
My Commission expires:? j
CITY OF EDMONDS
By:
ENGINEERING DIVISION
G:\SHAU\TEMP\BUILDINGU ANMUr,EncroacMgrm.doc - 3 -
1. 0 1.f)2 �
RTSQ :03E27N23-SE
Parcel Number :00 4344 006 008 00
Old Parcel Number:4344 006 008 00 06
PROPERTY DESCRIPTION
Easement
Census :Tract:505.00 Block:5
Neighborhood Code :500 MapGrid:454. F5
Zoning :Bc
Zoning Rest
Actual Use
Building Name
Land Use :111 Res,Single Family Res,Detached
Subdivision/Plat :Edmonds Plat Of
Legal :EDMONDS PLAT OF BLK 006 D-00 - S1/2
:LOT 8 - ALL LOT 9
Vol:l Page :26
QUARTER
SE i
SECTION
SHIP N.W2.B.
3
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0 0 F
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When recorded mail to:
City Clerk
City of Edmonds
121 Fifth Avenue North
Edmonds, WA 98020
CONFORMED COPY
200212021128
12/02/2002 04:55 PM Snohomish
P.0006 RECORDED County
APPLICANT IS: SPACE ABOVE THE LINE. FOR RECORDERS USE
Property Owner Assessor's Parcel No.:- Jy�S 1,00- %Z- )_
O. Business Owner Applicant:_431LL A NAIJ c16 VL.CC,C
ENCROACHMEENT AGREEMENT
This ENCROACHMENT AGREEMENT ("Agreement") is ente;ed into between the
CITY OF EDMONDS ("City") and _ ! L L �9AiZ !1/,aA
("Owner[s]"), in accordance with Chapter 18.70 of the Edmonds Community Development
Code.,
-1. The Pro erty. Owner is the owner of that certain real property located at
17019 — 73 R ► PL. • EST" within the City of Edmonds,
Washington, Assessor's Parcel Number 741/S = DOO —D142 — OO - 00 and more
particularly described in Exhibit "A" attached hereto and incorporated herein by reference.
Business owner, is
the business owner of that certain real property noted above.
2. The Easement. The City currently owns an existing easement over, under,
and across Owner's pr erty for street, alley, sidewalk, other
which is described in Exhibit. "B" attached hereto and incorporated by reference.
3. The Encroachment. The- City hereby covenants and agrees and grants its
;ion to Owner or Business Owner to allow CD/LISJ ' 4CT70� 01= PAR%'—
n .,., 1.0
to remain in a portion of the City right-of-way/easement. A plat map showing the location of
the encroachment is attached as Exhibit "C" and incorporated by reference. This Agreement
is subject to the following terms and conditions:
a The encroachment shall be installed and maintained in a safe and
sanitary condition at the sole cost, risk, and responsibility of the owner and its successors in
interest.
b. The Owner shall agree at all times to indemnify and hold the City free
and harmless from.any and all claims, demands, losses, damages or expenses resulting from
the construction, maintenance, use, repair or removal of the structure installed hereunder,
including any loss, damage or expense arising out of (1) loss or damages to property and (2).
injury to or death of persons.
C. The Owner must remove or relocate any part of the encroachment
within ten (10) days or such other time as specified in the notice after receipt of it from the
City Engineer, or the City Engineer may cause such work to be done and the reasonable cost
thereof shall. constitute a lien upon the property.
d. Whatever rights and obligations were acquired by the City with respect
to the easement shall remain and continue in full force and effect and shall in no way be
affected by city's grant of permission to construct and maintain the encroachment structure.
4. Entire Agreement. This Agreement constitutes the entire agreement between
the parties with respect to the subject matter hereof and supersedes and replaces all other
agreements, oral or written, between the parties with respect to the subject matter.
5. Notices. Any notice which is required or may be given pursuant to this
Agreement shall be sent in_ writing by United States mail, first class, postage pre -paid,
registered or certified. with return receipt requested, or by other comparable commercial
means and addressed as follows:
If to the City:
City Engineer.
City of Edmonds
121 Fifth Avenue North
Edmonds, WA 98020
If to the Owner:
L31L4 ot�nlD 44n.(',,LJ
1741 S--73RD AZ&49" &)6S7-
which addresses may be changed from time to time by providing notice to the other party in
the manner described above.
6. Waiver. City's consent to or approval of any act or omission by Owner shall
not constitute a waiver of any other default by Owner and shall not be deemed a waiver or
render unnecessary_ City's consent for approval to any subsequent act by Owner. Any waiver
by City of any default must be in writing and shall not be a waiver of any. other default
concerning the same or any other provision of the Agreement.
7. Successors and Assigns. This Agreement shall be binding and inure to the
benefit of the parties hereto and their respective legal representatives, successors, and assigns.
Owner agrees to incorporate this agreement by reference in any subsequent deeds to .the
property, but any failure to do so does not invalidate this provision.
8. Ca aci . Each party represents that the person(s) executing this Agreement
on behalf of such party has the authority to execute this Agreement and by such signature(s)
thereby bind such party.
IN WITNESS WHEREOF, the parties. hereto have executed this Agreement on this
IWIN day of-4miW 20 0 Z .
.OWNER(S) or BUSINESS O (S)
B Y•
STATE OF WASE INGTON
COUNTY OF SNOHOMISH
This day, personally appeared before me, 01 It I Ck L, N a_n Cl,l 1 %1 Ce 1L
to me known to be the person(s) who executed the within and foregoing document and that
(he/she/they) -ItCL4 signed the same as (his/her/their) a free and voluntary act
and deed for the uses and purposes therein mentioned. .
Notary 06blic No C
State of Washington
qMY D. ALQERTSON rn � L E puy DYE
Ally Appointment Expires Jun 19: 2006
Typed or Print ame
My Commission expires:
CITY OF EDMONDS
By: fl"
ENGINEERING DIVISION
LEGAL 'DESCRIPTIOW
.LOT R0.120FEDVONDSVIEW VIVISIGN2
Q,W. 1/4 SECT OW B.,TOWS H P 2 7 NO RT14
P,A 9 (i e: .14 FAs-r w q - c rry oF E-pm qNpsl
SWOHCMISACOLW7�, wAsHIgc7foN RATE
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EX I ST-1 �J C'
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Lo D 12, cE
(ApPL I CAAI;�
SITE :.PLA�
Attachment "B"
Easement Description
An easement "reserved for and granted to City of Edmonds under and upon the easements shown
on the plat and described herein as `sewer or water easement' to install, maintain, replace, repair
and operate sewer or water mains and appurtenances for this subdivision and other property
together with the right to enter upon said easements at all times for the purposes stated."
0.
EXHIBIT C
LEGAL DESCRIPTION
LOT NO. 12 OF EDMONDS VIEW DIVISION 2, NW'/< SECTION 8,
TOWNSHIP 27 NORTH, RANGE 4 EAST W.M. CITY OF EDMONDS,
SNOHOMISH COUNTY, WASHINGTON STATE
PERMIT #: q0 Z'0005'
DATE APPLICATION RECEIVED: 8A�102
ADDRESS OF PUBLIC USE: 170/F - -73"' AY. .w Ah)'
PROPERTY OWNER:
40C
ONCE YOUR REVIEWlS COMPLETE, PLEASE ROUTE TO THE NEXT
DIVISION/DEPARTMENT ON THE LIST.
* * * PLEASE ROUTE IN THE ORDER SHOWN * * *
PLANNING DIVISION
PUBLIC WORKS
ENGINEERING DIVISION
DS ADMINISTRATION
Date Stamp Received:
C, C T -l�
Date Stamp Received:
b�
Nod �
Date Stamp Received: �7 p
Date Stamp Received:
/ /// 1-1/� --d-
APPROVAL SIGNATURES AND REMARKS OR COMMENTS ARE TO BE MADE
UNDER THE "DEPARTMENT APPROVALS" SECTION ON THE PERMIT.
RAengrWormsTricroachment permit routing
PROPERTY OWNER
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gst�s rz'�"
ENCROACHMENT PERMIT
aicz �A14KA-,-q V4CE:'-K
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Sty &R eASE-MENr
APPLICATION
J'
PROPERTY OWNER MAILING ADDRESS: I` D 19 7 3 R D P 4• We 9 �Yn0dlP5 WQ L 6 (JpC 4If
'BUSINESS NAME for Commerical applications: A 1A
ADDRESS OF PUBLIC USE: sAM C • EJCR0ACW44Fe,)rO IQ)Tc) OTu L 6i� ( AS
ae-t+Ifzp aLkk �kOuSC.
**************************************************************************************
Describe the portion of public space, City right-of-way or easement area to be utilized (i.e., overhead space of
sidewalk, 10 foot City utility easement along north property line, etc):
►��x11Y•4TL�� 4.5- S VQE . �yEr,� c�ouca,BE�
ova -;W4.U.AfAJ
NVCR -� Fo gD456 D C 'iUT ,�.
25FT 5� �/� 4s /S S�oc�.v if�A��C 6V .s r.-=, L*
Describe the type of encroachment or use desired (i.e., fence 6 feet by 150 feet, awning 3 feet wide by 7 feet/
long, etc.): *yS 5I= DG -4 A149W V,-',C9 Cy A) 1f"Ql.�i�7��N
=49= ' dQA t/'C A /1M I i 1 Ail it ) -4A iA A 1 _-7 Al n Jd i) v-J -�l A _'r- 9-%=.c.>
Specify the length of time for use (i.e. awning for life of building, espresso cart for summer months, etc.),
L TAG OF l bE;-Z� -De t
NOTE: The issuance of this permit is understood by the applicant to be of a temporary nature and that no vested right is granted.
INDEMNITY.• The applicant understands and by his/her 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 applicant or the City of Edmonds, or any of its departments or employees, including but not limited to the defense or
any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. In addition, the
application understands that the City shall be provided a Certificate of Insurance to indemnity and hold harmless the City of
Edmonds from all claims and/or property damage, and naming the City of Edmonds as an additional insured.
CODE APPLICATION: By signing the application below the applicant warrants that s/he has read or had the opportunity to read
Chapter 18.70 of the Edmonds Community Development Code and s/he understands that all terms of the adopted ordinance are
.incorporated herein as if set forth in full and this application and permits therefore are subject to the terms of that Chapter.
I r �
L:Temp:Building:Handout:Encroachho.docjlg06/02
#59
CRITERIA OF PERNHT APPROVAL
The applicant shall follow the noted conditions on the building permit. For' -applications that do not require a
building permit the following criteria shall be maintained at all times.
➢ Provide safe pedestrian travel for sidewalk encroachments. Maintain a clear zone of 44 inches minimum.
See definition of clear zone below.
➢ Exterior light fixtures, banners and flags must be a minimum of 7 feet above City right-of-way.
➢ Maintain clear landings on the exterior side of all required exit doors of 44 inches or no less than width of
door, measured toward the street.
➢ No projections into City alleys are permitted unless the projection exceeds 15 feet above pavement
surface.
➢ Do not block illumination from City light fixtures or hang objects from City light standards.
➢ Architectural projections from buildings must be approved by the Design Board and conform to Uniform
Building Code requirements. A building permit shall be required for such projections.
➢ Maintain 3 feet of clearance around fire hydrants, standpipes, manholes, water meters, blowoffs,
cleanouts and valves.
➢ Bistro dining tables and chairs must be placed in accordance with City Ordinance No. 3293.
➢ Merchandise racks, espresso carts, flower planters, benches must not be located within the "clear zone".
➢ Ramps require a separate building permit and must conform to UBC standards.
Clear Zone Definition: Clear Zone refers to an area 7 feet in height and 44 inches in width providing a
level, safe walking surface along the public sidewalk (i.e. measuring 44 inches from edge of street tree grates
or newspaper stands toward place of business and from the ground up to a height of 7 feet).
---------DEPARTMENT APPROVALS ---FOR CITY USE ONLY---------
PlanningDivision Approved ByC:�1Z ADB# Date ' i 0
Remarks or Comments: -i, L (1) -C F7ca2
Public Works Approved BDate 2
Remarks or Comments:
Engineering Division Approved By.
Remarks or Comments: 4& Awl,
e/&A1-l�G'"'Odwon2wo-w- *
Certificate of Insurance Verified By K
Easement Agreement sent to City Clerk for
ENCROACHMENT PERMIT#
RELEASED BY
i0
0 0 (ID S. ( n,(4
Date 'r- /7- 02-
' �9a I��.rlflfit
i1w !' /NttiN .
Date
Date la 02
E DATE t D 0
a , t/So �"
4T-67'0 ! S`t Critm mg f-?�
BUILDING PERMIT # RECORDING #
L:Temp:Building: Handout:Encroachho.docjlg06/02
i
�l
LEASE AGREEMENT
THIS LEASE AGREEMENT, dated as of the date set forth
below, is between EAGLES NEST OWNERS ASSOCIATION, a Washington
non-profit corporation ("Lessor") and the undersigned resi-
dent(s) who are homeowners at Eagles Nest ("Lessee").
RECITALS
A. Lessor is an Association which is comprised of the
owners of residences in the development known as Eagles Nest
("Development") situated in Snohomish County, Washington.
Lessor, pursuant to the Declaration of Covenants, Conditions,
Restrictions, Easement and Reservations for Eagles Nest as
recorded under Snohomish County. Recording No. 8611170162
("Declaration"), owns and manages the common areas of the
Development. Lessee isian,individual owner of a residence in
the Development.
.B. Yard areas in the Development are currently owned by
Lessor and maintained as common areas. However, Lessee now
wishes.to lease certain common areas adjacent to the residence
of the Lessee for use.as a residential yard.
AGREEMENTS
1. Premises.. Lessor hereby leases to Lessee, and the
Lessee leases from the Lessor, upon the terms and conditions
herein set forth, the back yard common area immediately
adjacent to Lessee's residence (the "Premises"), located at the
location indicated below.
2. Term.. This Lease shall commence on the date below
written and shall be for a term of five years...
3. Rent. Lessee covenants and agrees to pay Lessor, at
such place as Lessor may designate, yearly rent in the amount
of One Dollar ($1.00) or a total of $5.00 .for the five-year
term.
4. Use. The Premises are intended for and restricted to
use as a yard adjacent to Lessee's single-family residence. No
structures of any nature whatsoever may be placed or construct-
ed upon the Premises unless previously approved in writing by
the Lessor.
5. Maintenance and Expenses. Lessee shall, at its own
expense and at all times,. keep the Premises clean, in good
repair and in accordance with the architectural and landscaping
standards of the Development.
1
,i
6. Subletting, Assignments, Liens, Insolvency and Sale.
Lessee may not sublet or assign the whole or any part of the
Premises separate from Lessee's residence. Lessee shall keep
the Premises free from any liens arising by reason of work,
labor, services, or materials performed or supplied to Lessee
and shall hold Lessor harmless against the same. The Lessee's
interest and rights under this Lease shall automatically trans-
fer to the purchaser of the Lessee's residence upon the closing
of said sale, unless the purchaser rejects this Lease by writ-
ten notification to the Lessor within 30 days of closing.
7. Access. Lessor shall have the right to enter the
Premises at all reasonable times for the purpose of inspection
or of making repairs, additions or alterations.
8. Hold Harmless. Lessee agrees to defend and hold
Lessor and its agents harmless from any claim, action and/or
judgment for damages to property or injury to persons suffered
or alleged to be suffered in or about the Premises and due to
Lessee's activities on or about the Premises unless caused by
lessor's sole negligence.
9. Termination of Lease.
(a) By Lessor. If Lessee shall fail to keep and
perform any of the covenants and agreements herein contained,
and such failure continues for thirty (30) days after written
notice from Lessor specifying Lessee's failure(s), and unless
appropriate action has been taken by Lessee in good faith to
cure such failure, Lessor may terminate this Lease and re-enter_
the Premises. Lessee covenants and agrees to pay the Lessor
any expense arising from such default, including the cost of
recovering the Premises and any repairs or maintenance attri-
butable to Lessee. Lessor for good cause shown may terminate
this Lease on 30 days notice.
(b) By Lessee. Lessee may terminate this Lease at
any time upon 30 days written notice to Lessor. Upon.such
termination, Lessee shall not be liable to Lessor for any
costs, unless Lessee is then in default under the terms of this
Lease. Upon such termination, Lessee's responsibilities for
the Premises shall be governed by the Declaration.
10. Lease Subject to Declaration. The terms of this
lease are subject in all respects to the provisions of. the
Declaration, and of the Bylaws and rules and regulations of the
Eagles Nest Owners Association. Any failure by the Lessee to
comply with the terms of such documents, rules and regulations
shall be a default hereunder.
-2-
11. Costs and Attorneys' Fees. If, by reason of any
default or breach on the part of either party in the perfor-
mance of any of the provisions of this Lease, a legal action is
instituted, the losing party, as determined by the court, shall
pay all reasonable costs and attorneys, fees of the prevailing
party in connection therewith.
12. Binding Upon Heirs, Successors and Assigns. The
covenants and agreements of this Lease shall be binding upon
the heirs, executors, administrators, successors and assigns of
both parties hereto, except as hereinabove provided.
EXECUTED as of the 17 day of , 199$.
LESSOR:
EAGLES NEST OWNERS ASSOCIATION
L
By:
Ithl President
LESSEES:
Address:
Lot
-3-
STATE OF WASHINGTON
) ss.
COUNTY OF KING )
On this day pf , 199y , before me
personally appeared -&A AAA to me known to be
the of EAGLES NEST OWNERS ASSOCIATION, who
exec ted the within and foregoing instrument, and acknowledged
said instrument to be the free and voluntary act and deed of
said corporation, for the uses and purposes therein mentioned,
and on oath stated that was authorized to execute said
instrument.
,'111tnn18,14
IN WITNESS WHEREOF, I h� $ ***,het my hand and
oo
affixed my official seal the day�� .G %i ACabove written.
' (Print Name)
Notary 3:C tg� ,and4 or the tate
of Washington, Yeae�ting at
My Commission Expires:
word\69\755eaq.kki
-4-
9
When recorded mail to:
City Clerk
City of Edmonds
121 Fifth. Avenue North
Edmonds, WA 98020
CONFORMED COPY
STRE-ET FkA/2002200212021128
04:55 PM Snohomish
P.0006 RECORDED County.
APPLICANT IS: SPACE ABOVE THE LINE FOR RECORDERS USE
Property Owner Assessor's Parcel No.: 7y15 1�OD�C�/`)
13 Business Owner Applicant; 13iLL J__NA/J G' 1 VLCcrC
ENCROACHMENT AGREEMENT
This ENCROACHMENT AGREEMENT ("Agreement") is ente ed into between the
CITY OF EDMONDS ("City") and _ 811. L APiP A44Ajc H �
("Owner[s]"), in accordance with Chapter 18.70 of the Edmonds Community Development
Code.
1. The Pro erty. Owner is the owner of that certain real property located at
17019 - ?3 R b PL . CST' , within the City of Edmonds,
Washington, Assessor's Parcel Number ? !S = DOD —,Q1A — OO - 00 and more
particularly described in Exhibit "A" attached hereto and incorporated herein by reference.
Business owner, is
the business owner of that certain real property noted above
2. The Easement. The City currently owns an existing easement over, under,
and across Owner's property for street, alley, sidewalk, other
which is described in Exhibit FB" attached hereto and'incorporated by reference.
3.. The Encroachment. The, City hereby covenants and agrees and grants its
permission to Owner or Business Owner to allow COAJ 57X e4<2 70�J OJ= PA RT -
Dr"
to remain in a portion of the City right-of-way/easement. A plat map showing the location of
.the encroachment is attached as Exhibit "C" and incorporated by reference. This Agreement
is subject to the following terms. and conditions:
a. The encroachment shall be installed and maintained in a safe and
sanitary condition at the sole cost, risk, and responsibility of the owner and its successors in
interest.
b. The Owner shall agree at all times to indemnify and hold the City free
and harmless from.any and all claims, demands, losses, damages or expenses resulting from
the construction, maintenance, use, repair or removal of the structure installed hereunder,
including any loss, damage or expense arising out of (1) loss or damages to property and (2).
injury to or death of persons.
C. The Owner must remove or relocate any part of the encroachment
within ten (10)' days or such other time as specified in the notice after receipt of it from the
City Engineer, or the City Engineer may cause such work to be done and the reasonable cost
thereof shall, constitute a lien upon the property.
d. Whatever rights and obligations were acquired by the City with respect
to the easement shall remain and continue in full force and effect and shall in no way be
affected by city's grant of permission to construct and maintain the encroachment structure.
4. Entire Agreement. This Agreement constitutes the entire agreement between
the parties with respect to the subject matter.hereof and supersedes and replaces all other
agreements, oral or written, between the parties with respect to the subject matter.
5. Notices. Any notice which is required or may be given pursuant to this
Agreement shall be sent in_ writing by United States mail, first class, postage pre -paid,
registered or certified, with return receipt requested, or by other 'comparable commercial
means and addressed as follows:
If to the City:
City Engineer.
City of Edmonds
121 Fifth Avenue North
Edmonds, WA 98020
If to the Owner:
which addresses may be changed from time to time by providing notice to the other party in
the manner described above.
6. Waiver. City's consent to or approval of any act or omission by Owner shall
not constitute a waiver of any other default by Owner and shall not be deemed a waiver or
render unnecessary_ City's consent for approval to any subsequent act by Owner. Any waiver
by City of any default must be in writing and shall not be a waiver of any other default
concerning the same or any other provision of the Agreement.
7. Successors and Assigns. This Agreement shall be binding and inure to the
benefit of the parties hereto and their respective legal representatives, successors, and assigns.
Owner agrees to incorporate this agreement by reference in any subsequent deeds to .the
property, but any failure to do so does not invalidate this provision.
8. Ca aci Each party represents that the persons) executing this Agreement
on behalf of such party has the authority to execute this Agreement and by such signature(s)
thereby bind such party.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on this
`�� °N day of 20 ®Z .
OWNER(S) or BUSINESS O 7(s): %
By: 4'q
STATE OF WASHINGTON
COUNTY OF SNOHOMISH
This day, personally appeared before me, ILL 11 I Gt h1 -N 0 i CL-I 1%i Ce k
to me known to be the person(s) who executed the within and foregoing document and that
(he/she/they) jte T signed the same as (his/her/their) e i r" free and voluntary act
and deed for the uses and purposes therein mentioned.
Natery Public Not 1 C
State of Washington
AMY D. ALOERTSON rn 4L8EP,77,90n
-My Appointment Expires Jun 1 R, 2006 Typed or Print&PName
My Commission expires: & / i q /c> �
CITY OF EDMONDS
By: Aglltwt'
ENGINEERING DIVISION
A'
IEGAL DESCIRIPTIOM
LOT W. 120F EDM0NDSVIEVJ VI'VISIQtJ2
Q,W. 1/4 SeCTI OW 3,TOWOS H P 27 NORTH
?4�rE -EAST-r W C llS OF )FDM OND WASHY qMf� RATE
25 EX I STi �J G
�FE I :c, EF 1\1 c
I �la I ' I
LOT H
z
CL
co
r:-
IEXIG7
Nq .00
IR
I'31 DECK
V
LOT I a
_ _ _ -- (A pPL I C-Ag
EXIS
MAN
HOL E!Xf S T-1 N
EXPANDED E,51 DE
D E C, K-,
LOT I
S ITE PLAID
Attachment "B"
Easement Description
An easement "reserved for and granted to City of Edmonds under and upon the easements shown
on the, plat and described herein as `sewer or water easement' to install, maintain, replace, repair
and operate sewer or water mains and appurtenances for this subdivision and other property
together with the right to enter upon said easements at all times for the purposes stated."
EXHIBIT C
LEGAL DESCRIPTION
LOT NO. 12 OF EDMONDS VIEW DIVISION 2, NW '/< SECTION 8,
TOWNSHIP 27 NORTH, RANGE 4 EAST W.M. CITY OF EDMONDS,
SNOHOMISH COUNTY, WASHINGTON STATE
EAGLES NEST OWNER ASSOCIATION
16924 73' PL W
Edmonds, WA 98026
August ff,, 2002 R E C E I V E D
Bill and Nancy Vlcek AUG 2 7 2002
17018 73rd Place West STREET FILE DEVELOPMENT SERVICES CTR.
Edmonds,. WA 98026 CITY OF EDMONDS
Re: Approval of Construction Plans for Deck expansion and renovation on Lot 12.
Dear Bill and Nancy:
I am pleased to inform you that the Board of Directors of the Eagles Nest Division No. 2
Owners Association, a Washington nonprofit corporation dba Eagles Nest Owners
Association, has reviewed and approved the above noted plans for the construction of the
therein referenced improvements on and appurtenant to Lot 12. This approval follows
the review and recommendations of the Association's Architectural Review Committee
and is in accord with and pursuant to Sections 4.5 and 17 of the CC&Rs governing
homeowner construction activity within our community.
It is important that you understand what this approval does not cover. Our review and
approval is limited strictly to the provisions of our CC&Rs. We do not review or approve
the sufficiency of construction materials or methods, engineering studies or the lack
thereof, soil or environmental conditions which may be in existence, considerations of
utility installations or public or private easements or other rights and restrictions which
may be in place or be applicable. We express no opinion regarding and our review and
approval does not in any way limit, excuse or replace your obligation to comply with all
applicable laws, rules, regulations and ordinances. We expect and assume that you will
obtain all necessary permits.
That being said, we wish you good luck on your project. Any material change in your
intended construction from that set forth in the referenced plans will require a new
submission for our review.
Sincerely,
Ann Wood, President
(-Vo mor vrt�,)
WILLIAM S. VLCEK, P.E.
17018 — 73' Place West Edmonds, Washington 98026
September 5, 2002
Lyle Chrisman
Community Services Department
City of Edmonds
121 — Fifth Avenue North
Edmonds, Washington 98020
Dear Lyle:
RECEIVE®
SEP 12 2002
ENGINEERING DIVISION
As you know, we have made application to construct a deck in the back yard of
our residence at 17018 73rd Place West in Edmonds. Part of the back yard is
encumbered by a twenty-five foot wide sewer easement in which is a sewer
manhole and a sewer line.
A portion of our proposed deck would overhand the sewer easement and one of
the columns and it's footing would be constructed in the easement. The deck
will be approximately fourteen feet above the ground level.
We understand that if the column and its foundation or the deck overhang
interferes with the City of Edmonds' ability to replace or maintain the sewer line
or the manhole, then we would be required and willing to support the deck
structure in such a manner that it would allow the City to perform such
maintenance or replacement work. We also understand that we would be
obligated to do this at our own expense. We also agree to hold the City and its
employees or agents harmless for any damage to our deck as the result of the
City exercising their rights under the terms and conditions of the existing sewer
easement.
Sincerely,
iIAmS.Icek
-1� 4k
�-
Nancy L. Icek
60K
�l� 7 lGz
CA File No: -71
Ctifical Areas,Qhecklis't
Site �Inionnatlon `(S';OilS/,t6p6 '-a`p'h`y,/h roidigy/vegtation)
yd e
1., 7' Site Address/Location: 170 1 i_7 PL - W 'It-D o N D6 9190cUm
2. Property Tax Account Numben,
0112"
3. :Approxunate Site Size (acres or square feet) Is
4. site currently deVeloiped? 1]gyes; i, ..no.
If r§;'hdw is 61te'develqpe,4?.-'h),,TIAL,
5. DescribeLthe;gen I eraLsitci topogra!phy.,CMeck,a]1- that apply.,
'Ies than over entire site PaaeCW'
L
Rolling: slopes on site' -"ge''herAlly, less than 15% (a vertical rise of 10-feet over a horizontal
-distance of 664eet).
1W, 'slopes present on site of more than 15% and less .than 30% a vertical rise of 10-feet
over'a hbrizontaf-distafice of 33 to 66-feet).
e Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal
distance of legs than -33-feet):
O&r'(please describe)'
6. Site contains� areas of year-round standing water:. 4LA Approx. Depth:
J,
7. Site contains. areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
'ih "floo la'm" of a water course.
8. Site is"'M" e dwa'y,
9. Site, contains a creek or an area where water flows across the grounds surface? Flows are year-round?
.,..Flowsape seasonal? (What time of year?
10. Site is primarilk: forested meadow shrubs mixed
urba" n' lafidkiped',ok slinibs etc)
11. Obvioiusw'etland i . s present on siie:,-,
.1v
U-Wi
N"
I'M
S
$
MIT
Owl F 4AM g 'gog I-
L/
Critical Areas Checklist.dd-J3.19.2001
City of Edat(i Received:'011 S
� l _.
Development.-Se,rvices.Dep
Plarining.DiVision, 6b6cAri ii
critical Ai iii(
�37, e,.--4-2 .1.0210.
:! � i
Fa_ x: _!-425,771-0221. %(PateMailiedto
W
'Z1
FeeT
M5.00
The Critical Areas Checklist contained on this form':is ,
,J;1 to i Aproperty ;b*ner,r..or his/her authorized p..re eritative,
_"
be filled out- by any person- preparing a Devilopfill-out, -must fill-oe ch dat6 itd isUbmit it
Permit Application for the City of Edmonds prior to to,the,City. The-.0ty,willilieView,the checklists make 'a
his/her submittal of the application to, the City. _piTcursory site visit, and make a dpterminati'dn of the
necessary -
The purpose,,of4 the.: Checklist to enable City staff tosu sequent steps , -, c: essar�'to complete a development
deterniine whether any potential � 0iti6al- Areas, are, .10i. perrnit�apiphcation..
may be, present on the subject property. The information Please submit a vicinity "map', along with the signed copy
needed to complete the Checklist, should_ be - easily ..ofthis form to assist ff.in finding, and lo-dating the
Mp sta
available from observations of site or data available at. specific piqcp of, property described on thi's tf6rm. In
City Hall. (Critical areas inventories, maps, or- soil addiiti'o'ni,' the applicant shall include other pertinent
surveys). .Jnffiftnatioii (e.g. site plan, topography map, .etc.) or
studieg'ih,conj unction withAhis Checklist to assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and'a'ssigns,.in:consideration,onthe,processing of, the application agrees
to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages,;including reasonable
attorney's fees, arising from any: action or-infracfi&t�!bhsed iii.,41ible- or.., part - i0on, -false, 'misleading, inaccurate or
incomplete information furnished by the applicant, his/her/its agents or employees.
By my signature, I certify that the information and exhibitv, herewith submitted are',, true and correct ,to.the best of my
knowledge and that I am authorized to file this application on the behalf 'of ffielowne* rr'as listed'below.
SIGNATURE OF APPLICANT/AGENT
DATE
Property Owner's Authorization:
By my signature, I certify that I have authorized the above Applicant/Agent to. apply for the,subjectjand, se appl
ication,
and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and posting qttendint to this appJicatio
SIGNATURE Of 0'
DATE
0wner/Applicaqt: AppiicaPt Representative:
Lo*
A1AAJ C q. y,L
c A=
Name ,Name
Street Address 'Street Address
/%,I OAJPS '
City §tate Zip ' Zip
City State
-4/,
Telephone: 2Telephone:
Email ade
.t_
0 Email Address (optional):,.,,
Critical Areas Checklist.doc/3.19.2001
N - -75-00
I
j I
_---,A4aoA1L. 1 fe4 ll:;144T . ��
s
YC --- `�`""`
w-
_ STREET FILE
:%:ri.•^•14atfS;xUriSiTt^"";:>.i�'ia::•"11v;>:.i7,1�St".:'i°i/L�+Z�f,. r a.. ... .. ..
MNDS e"
'CI* OF DCOM.MUNITYOERVICI3 TUMT&TTHL E
RIGHT-OF-WAY CONSTRUCTION PERMIT
A. • Owner:
Name.
Mailing Address
City State Zip
C. • Address or Vicinity of Construction: 170� i
Type of Work to be Done:
Permit No.. /5
Issue Date'
B. • Contractor: eA44axles e__C&w�'e C-,d
Name
, 4p_?
Mailing Address
!&7&0 J0S
City State Zip
Sdp,E-z e-e. /01 Q
State License Number
/)6F GP_T/
u///17'—.<" P3 J6 C.4
hL
724 - 5-1 Y6
Telephone Number
D. • Work in Connection With: ❑ Sub or Plat ❑ Single Family ❑ City Projects
❑ Commercial ❑ Multifamily M Utility
E. • Pavement Cut: ❑ Y (9 N F. • Size of Cut: X
APPLICANT TO READ AND SIGN
INDEMNITY: 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, forseen or unforseen, 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, court costs, and attorney fees by reason of grantin-ttii5'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.
• 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 of working day;
NO EXCEPTIONS.
I understand the above and that this permit must be available at the job site for inspection purposes at all times.
Signature: \ `a Date:.. >
/ Owner or Contractor
This, Permit Must be Posted at the Job Site For Inspection Purposes
- Call DIAL -A -DIG Prior to Beginning Work
APPROVED BY: K-i
.a
OTime Authorized: Void after 12 days.
w Special Conditions: N
PERMIT FEE:
Restoration Fee:
Receipt No.:_
Fund III Fee:
Street Cut Dimensions: x = $
0' RELEASED BY: Date �� ' �- INSPECTED BY Date
O
t'" NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
r-.ne. Div. %larch 1999
C
I NI STA4—L L) C - a
17014-
17018 (
D"Vi
7014 - 1761.9 -17D L 1 73 K D 19�- W
I it E--27-,,?Z- P-v/H
4;TI ST DCFrzc-T-fVa
C kOS 57
MUECT
T' C-A,)
0
't-
RF-PLA,I-E- DFI:Er_TjVC- le/4
W / 1 17 '= -. *5-oo p j:..UC, CA,
NOT Z- NO CUTS 0 e-
PUS H I NN16 L-V rz r�
RE-ZOLi-rES
\ C1�4SS/ N�
NOTIOE� tjOWARRAIMOF CURACY, The Informstic-, r11-7) C"I thol
it s.
al
v,,a c-implied f r use by the City of Ed—
t rj�
on 5 1
Edmonds does not v-jarj,..,'
fr-tb c thi'map. Any person or entity
inquiry regarding the ......
CL pendent
� t r., but not limited to, the location of an
P� � may not exist W it
0 C may 01 d ray cr r.
Neither the City of Edrnone,3 M i'3
fia the in'Vmai'on given on this map, ncr fcr i c,:"-'
J
based upoll slid map
j
a
CITY OF EDMONDS
VNEW
❑ ADDITION
❑ RETIREMENT
u `T ASSET INFORMATION SHEET
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION /
DEP,y,�
71
* * PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
* PROJECT NUMBER
PROJECT COMPLETION DATE
COST Ifl-2'O -7
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE a�
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
LJ DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
toG.L. ENTRY
REFERENCE
b P INITIAL
DATE
1�� -
VERIFIED BY
PROCESSED
BATCH NO.
DEPARTMENT FILE
0
CITYo'I `EDM0-NDS
For Inspection Call 771-3202
SIDE SEWER PERMIT
PERMIT NO. 0 7
Address ons r Et on '� l`� S1'S 11..• �/�i—'
Property Legal Description ( Include -al 1 easements) : L Os �`Z.
Owner and/or Builder:
Contractor & License No:
Single Family Residence
Multi -Family
Commercial
(No. of Units )
(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 T (If Yes, easement required,
attach legal description and county easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK'
I certify that I have read.and shall comply Date
with the items listed on the back.
Permit- / Issued By:
Charge:Trunk Date Issued:
Partial Inspection:
Comments Date Initial
Final Inspection Approved:
Date Ini i l�
Rejected:
Reason Date Initial
** PERMIT MUST BE POSTED ON JOB SITE **
Wh.ite Copy - File Green Copy - Inspector Buff Copy -.Applicant
The City of Edmonds Side Sewer Drawing EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION Eg REPAIRS LID NO_ ------------------ - ASMT. NO. _________--_-__
OWNER Vk0fte-15 ------------ U-4.0 - - - -------------- CONTRACTOR --- - --------------------------- --- PERMIT NO. 70.7
joB ADDRESS Ar-7-0-1-19 ------ 713 --- RD --- --------•------- LEGAL DESCRIPTION: LOT NO. 12 L ------------------------------ BLOCK NO.. EEUN_.OQD E
--------------- --------------------- ---------------------------------------------------------------------------------------------------- .............. --------
NAME OF ADDITION --- EAGI-F--S ---- VA-F—S-V - --------------------------------------------------------------------
'73 11 -PL. W.
110 Is 73RD PL.
—WJWCRMT+�4�
,P!V el"
TA J
Wop -Vc�
CMV
4—To-IT TEE
M*PTRS mw-pemblmr- .0"
FLNAA- G RACW- of SLOPE
PWW-0001 -11/75 (REV. 11/78)
1-510P
4"c.*.wvc
rfl
til c')
'c'
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Lo
41
Approved:
DATE Z� y 19 9! 1--- By ir
-------- --------------
F EDA,r
C
PROPERTY OWNER
,
00
#59
ENCROACHMENT PERMIT
t3itz �lil//4r�,�y VZ cEtC
I/
�F'OaTt�1 C�
-PcC V ov�-��ArJI
SEA 6R eASEADW
APPLICATION
PROPERTY OWNER MAILING ADDRESS: M % S f 3 R, D P L . Wa � GznoSPS, �Q L O 6Zto
BUSINESS NAME for Commerical applications: A% g •
ADDRESS OF PUBLIC USE: SAM C • FM C ROAC L+M �FAM— d t-)TD = L cr� ( AS E PI �ATT
**************************************************************************************
Describe the portion of public space, City right-of-way or easement area to be utilized (i.e., overhead space of
sidewalk, 10 foot City utility easement along northpmperty line, etc):
,�►�'c ci.yi¢r�c 4�55Fpic.4 AJ CW pC &J0a?Z,s�'�
AJ3a1/E.4 S67-4JER A 8Xg 404.UAfA1 7W
25F7- 56WC-R 6;P4 s GiV7- /S 5/tZaA) Div nY G-AV7'74CA&6-V S/FF/14 $/-
Describe the type of encroachment or use desired (i.e., fence 6 feet by 150 feet, awning 3 feet wide by 7 feet
long, etc.): �S SF- D� .9 Nc� Ta�cd< oVILE7?4q 4�Cv�iV�
�z A840 5� A 04e-Z MA) 4M> A Ja?'" D 1 4 FT hEEi�
JAJ 72Y6-4-- -5d-7Ve;? l7-
Specify the length of time for use (i.e. awning for life of building, espresso cart for. summer months, etc.),
1--OR TLAC L_Lac 401= l tElz�
NOTE. The issuance of this permit is understood by the applicant to be of a temporary nature and that no vested right is granted.
INDEMNITY.• The applicant understands and by his/her 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 applicant or the City of Edmonds, or any of its departments or employees, including but not limited to the defense or
any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. In addition, the
application understands that the City shall be provided a Certificate of Insurance to indemnity and hold harmless the City of
Edmonds from all claims and/or property damage, and naming the City of Edmonds as an additional insured.
CODE APPLICATION.- By signing the application below the applicant warrants that s/he has read or had the opportunity to read
Chapter 18.70 of the Edmonds Community Development Code and s/he understands that all terms of the adopted ordinance are
I ncorporated herein as if setforth in full and this application and permits therefore are subject to the terms of that Chapter.
�6kG(C� DATE 14G ZSsZOCi'Q-
PERTY OWNE" SS WNER
iwTemp:Building HandoutEncrvachbo.docjlgM2
#59
CRITERIA OF PERNUT APPROVAL
The applicant shall follow the noted conditions on the building permit. For applications that do not require a
building permit the following criteria shall be maintained at all times.
➢ Provide safe pedestrian travel for sidewalk encroachments. Maintain a clear zone of 44 inches minimum.
See definition of clear zone below.
➢ Exterior light fixtures, banners and flags must be a minimum of 7 feet above City right-of-way.
➢ Maintain clear landings on the exterior side of all required exit doors of 44 inches or no less than width of
door, measured toward the street.
➢ No projections into City alleys are permitted unless the projection exceeds 15 feet above pavement
surface.
➢ Do not block illumination from City light fixtures or hang objects from City light standards.
➢ Architectural projections from buildings must be approved by the Design Board and conform to Uniform
Building Code requirements. A building permit shall be required for such projections.
➢ Maintain 3 feet of clearance around fire hydrants, standpipes, manholes, water meters, blowoffs,
cleanouts and valves.
➢ .Bistro dining tables and chairs must be placed in accordance with City Ordinance No. 3293.
➢ Merchandise racks, espresso carts, flower planters, benches must not be located within the "clear zone"..
➢ Ramps require a separate building permit and must conform to UBC standards.
Clear Zone Definition: Clear Zone refers to an area 7 feet in height and 44 inches in width providing a
level, safe walking surface along the public sidewalk (i.e. measuring 44 inches from edge of street tree grates
or newspaper stands toward place of business and from the ground up to a height of 7 feet).
------------------DEPARTMENT APPROVALS ---FOR CITY USE ONLY-------------------
Planning Division Approved By ADB# Date
Remarks or Comments:
Public Works Approved By Date
Remarks or Comments:
Engineering Division Approved By Bond Date
Remarks or Comments:
Certificate of Insurance Verified By Date
Easement Agreement sent to City Clerk for recordin>; Date
ENCROACHMENT PERMIT# ISSUANCE DATE
RELEASED BY
BUILDING PERMIT # RECORDING #
Jv
L:Temp:Building Hmdout&wroschho.docj]gM2
When recorded mail to:
City Clerk
City of Edmonds
121 Fifth Avenue North
Edmonds, WA 98020
APPLICANT IS: SPACE ABOVE THE LINE FOR RECORDERS USE
)W Property Owner Assessor's Parcel No.: %yl6— 0,066-61_.x�o—Q�
❑ Business Owner Applicant:_131LLNA1NQ5 VLCEK
ENCROACH ENT AGREEMENT
This ENCROACHMENT AGREEMENT ("Agreement") is entered into between the
CITY OF EDMONDS ("City") and 81 L L A� JN/.4A1CJ 1/1,,GC�
("Owner[s]"), in accordance with Chapter 18.70 of the Edmonds Community Development
Code.
1. The Property. Owner is the owner of that certain real property located at
l 701 S - 73 R D PL • EST- within the City of Edmonds,
Washington, Assessor's Parcel Number DOO -QIR- - OO - 00 and more
particularly described in Exhibit "A" attached hereto and incorporated herein by reference.
Business owner, is
the business owner of that certain real property noted above.
2. The Easement. The City currently owns an existing easement over, under,
and across Owner's property for street, alley, sidewalk, other ( SC:-�i:J2, CiKS4F-1YCt-AJ7'
which is described in Exhibit `B" attached hereto and incorporated by reference.
3. The Encroachment. The City hereby covenants and agrees and grants its
ission to Owner or Business Owner to allow COA.i S7X 41 776 �J OF� PAR%
to remain in a portion of the City right-of-way/easement. A plat map showing the location of
the encroachment is attached as Exhibit "C" and incorporated by reference. This Agreement
is subject to the following terms and conditions:
a. The encroachment shall be installed and maintained in a safe and
sanitary condition at the sole cost, risk, and responsibility of the owner and its successors in
interest.
-1-
b. The Owner shall agree at all times to indemnify and hold the City free
and harmless from any and all claims, demands, losses, damages or expenses resulting from
the construction, maintenance, use, repair or removal of the structure installed hereunder,
including any loss, damage or expense arising out of (1) loss or damages to property and (2)
injury to or death of persons.
c. The Owner must remove or relocate any part of the encroachment
within ten (10) days or such other time as specified in the notice after receipt of it from the
City Engineer, or the City Engineer may cause such work to be done and the reasonable cost
thereof shall constitute a lien upon the property.
d. Whatever rights and obligations were acquired by the City with respect
to the easement shall remain and continue in full force and effect and shall in no way be
affected by city's grant of permission to construct and maintain the encroachment structure.
4. Entire Agreement. This Agreement constitutes the entire agreement between
the parties with respect to the subject matter hereof and supersedes and replaces all other
agreements, oral or written, between the parties with respect to the subject matter.
5. Notices. Any notice which is required or may be given pursuant to this
Agreement shall be sent in writing by United States mail, first class, postage pre -paid,
registered or certified with return receipt requested, or by other comparable commercial
means and addressed as follows:
i
If to the City.
City Engineer
City of Edmonds
121 Fifth';Avenue North
Edmonds; WA 98020
If to the Owner:
131Lc!D
74!9 —73RD i'zok4g- &) —'5T—
which addresses may be changed from time to time by providing notice to the other party in
the manner described above.
6. Waiver. City's consent to or approval of any, act or omission by Owner shall
not constitute a waiver of any other default by Owner and shall not be deemed a waiver or
render unnecessary City's consent for approval to any subsequent act by Owner. Any waiver
by City of any default must be in writing and shall not be a waiver of any other default
concerning the same or any other provision of the Agreement.
2-
7. Successors and Assigns. This Agreement shall be binding and inure to the
benefit of the parties hereto and their respective legal representatives, successors, and assigns.
Owner agrees to incorporate this agreement by reference in any subsequent deeds to the
property, but any failure to do so does not invalidate this provision.
8. Ca aci . Each party represents that the person(s) executing this Agreement
on behalf of such party has the authority to execute this Agreement and by such signature(s)
thereby bind such party.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on this
day of , 20
OWNER(S) or BUSINESS OWNER(S):
By.
STATE OF WASHINGTON )
COUNTY OF SNOHOMISH )
By:
This day, personally appeared before me,
to me known to be the person(s) who executed the within and foregoing document and that
(he/she/they) signed the same as (his/her/their) free and voluntary act
and deed for the uses and purposes therein mentioned. .
CITY OF EDMONDS
LIM
ENGINEERING DIVISION
Notary Public
Typed or Printed Name
My Commission expires:
�naua o a� - 3 -
LEQAL DESCRIPTION
LOT NO. 120E EDMoNDS V1E1n1 DI VI SI aW 2�
RANGE YEAST 1B1K?OCI1y OFIPEMoNDs)
;SNONOMISF? COUNTy� WASHWGrOtJ SPATE
►
I
w
3 i 1
►L k
1
'1►W
kiw
A
EX IS ! ��
z '� I MAW.
Ex1ST'i`N�
LOT H
ExisTiN(q
DECK o311�
=; EXISI C
. R�siDEt�c�
LOT I Z
(APPL I CAA�i
1,-� NEW .
Q yEXPANDED
a �
0
9 ITE PLAN
LEGAL DESCRIPTION
LOT 00. 12 OF EDMONDS VIEW Di \/I Sl ON 2)
N,W.1/4sec--TION)BTOWO'SHIP27NOP,T�}I '
RANGE -/4EAST'wfl.cl-TyoFI-:-DMDNDS
S90HOMIS4 COUMTy WASH\9CFTrQw RATE
-25
4!j
t4j Z
r rl
Exis lqq
TI-
13 .. I MAN-
Z 110 : .
HOL E,
ExiGTiN(4 10
DECK 031
EXISrNq
. RESIDEN��
LOT 12,
(A pPL I CA gj��
14 II NEW
�DEPANDED
CK . N
SM' PLAN
R fVE14J.4
L ECAL DESCR IPTl0W
LOT NO.120F EDMONDS VIEW DIVISION 2
II,�nl.1/4 SECTION 8 TOWSHIP27NoRTI
RAN(jE 4EASr kJq. CMOFEDMoN'DS� 3
sNoNOM�s� cOUNry, WASHiNGrot� STATE
r\ i
EXISrINq
RES1 DENCG
3 LOT I
4, y
o j EXISTING 0p
DECK o31' `'.:` • '` *'
EXISroq
- �: y . RESIDENCE•
cr LOT 12
144 NEW EXPANDED
fSTIN _
De RESID�N�r
4 LOT.13
N
PLOT P LAM
•� T PERMI.7
-04eFCK PERM'- A PPL /C, 4 % /O
fFi« :�fAIWtiCY VLCEk
■
4
When recorded mail to:
City Clerk
City of Edmonds CONFORMED COPY
121 Fifth. Avenue North
Edmonds, WA 98020 200212021128
12/02/2002 04:55 PM Snohomish
P.0006 RECORDED County
APPLICANT IS: SPACE ABOVE THE LINE FOR RECORDERS USE
Property Owner ' Assessor's Parcel No.: %A QOO_L -7 —Q�
❑ Business Owner Applicant: _131L.L. NA/JCM VLC4ffiC
ENCROACEHUENT AGREEMENT
This ENCROACHMENT AGREEMENT ("Agreement") is ente ed into between the
CITY OF EDMONDS ("City") and 811. 1- 4Nb 1V,4AUC H trG4F—e-
("Owner[s]"), in accordance with Chapter 18.70 of the Edmonds Community Development
Code.
1. The Pro er Owner is the owner of that certain real property located at
17019 - Za R b PL . CST' 2 within the City of Edmonds,
Washington, Assessor's Parcel Number 7q1S-- 000 -61- 00 �- 00 and more
particularly described in Exhibit "A" attached hereto and incorporated herein by reference.
Business owner, is
the business owner of that certain real property noted above
2. The Easement. The City currently owns an existing easement over, under,
and across Owner's property for street, alley, sidewalk, other
which is described in Exhibit O'B" attached hereto and incorporated by reference.
3. The Encroachment. The City hereby covenants and agrees and grants its
ission to Owner or Business Owner to allow COA)57X4(GCT70Z O1= O.��e7-'
A .�. _ Li
to remain in a portion of the City right-of-way/easement. A plat map showing the location of
the encroachment is attached as Exhibit "C" and incorporated by reference. This Agreement
is subject to the following terms and conditions:
a. The encroachment shall be installed and maintained in a safe and
sanitary condition at the sole cost, risk, and responsibility of the owner and its successors in
interest.
b. The Owner shall agree at all- times to indemnify and hold the City free .
and harmless from any and all claims, demands, losses, damages or expenses resulting from
the construction, maintenance, use, repair or removal of the structure installed hereunder,
including any loss, damage or expense arising out of (1) loss or damages to property and (2).
injury to or death of persons.
C. The Owner must remove or relocate any part of the encroachment
within ten (10) days or such other time as specified in the notice after receipt of it from the
City Engineer, or the City Engineer may cause such work to be done and the reasonable cost
thereof shall. constitute a lien upon the property.
d. Whatever rights and obligations were acquired by the City with respect
to the easement shall remain and continue in full force and effect and shall in no way be
affected by city's grant of permission to construct and maintain.the encroachment structure.
4. Entire Agreement. This Agreement constitutes the entire agreement between
the parties with respect to the subject matter hereof and supersedes and replaces all other
agreements, oral or written, between the parties with respect to the subject matter.
5. Notices. Any notice which is required or may be given pursuant to this
Agreement shall be sent in_ writing by United States mail, first class, postage pre -paid,
registered or certified. with return receipt requested, or by other comparable commercial
means and addressed as follows:
If to the City:
City Engineer
City of Edmonds
121 Fifth Avenue North
Edmonds, WA 98020
If to the Owner:
12618 -73RD R4&,e" &)6- 7-
6!!!i 5, W4 5Pg04a�,
which addresses may be changed from time to time by providing notice to the other party in
the manner described above.
6. Waiver. City's consent to or approval of any act or omission by Owner shall
not constitute a waiver of any other default by Owner and shall not be deemed a waiver or
render unnecessary_ City's consent for approval to any subsequent act by Owner. Any waiver
by City of any default must be in writing and shall not be a waiver of any other default
concerning the same or any other provision of the Agreement.
7. Successors and Assigns. This Agreement shall be binding and inure to the
benefit of the parties hereto and their respective legal representatives, successors, and assigns.
Owner agrees to incorporate this agreement by reference in any subsequent deeds to. the
property, but any failure to do so does not invalidate this provision.
8. Ca aci Each party represents that the person(s) executing this Agreement
on behalf of such party has the authority to execute this Agreement and by such signature(s)
thereby bind such party.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on this
`GN day ofyt W,t&20 0 .
OWNER(S) or BUSINESS 0 WNER
(S)•
By:Aele�le
STATE OF WASHINGTON
COUNTY OF SNOHOMISH
This day, personally appeared before me; ILI i(16L L11A l l an Cal if I cc CL
to me known to be the person(s) who executed the within and foregoing document and that
(he/she/they) -f lie W signed the same as (his/her/their) e t r free and voluntary act
and deed for the uses and purposes therein mentioned. .
,Notary Public Not ftc
State of Washington
qMY D. ALBERTSON
M Appointment expires Jun 191 2006
Typed or Print&PName
My Commission expires: & / /'3 /c> (,,
CITY OF EDMONDS
By:
ENGINEERING DIVISION
0
ex i+,(a rr
LEGAL 'DESCRIPTIOW
LOT t4o. 120F EDMONDS VIEW DIVISION 2
Q,W. 1/4 sec -rim) 5.TOWNS HP27NORT14
S90HOMISACOLUJT WASHNC7'r0t� SPATE
25
4�
W
z
`': ,
MAN-
HOL E
EXPANDED
DE Cr-\
]EXISTIN 0
IDECK 0131 1
. RESIDENCE"
LOT I
(APPL I CAAI�-
Fri
E�rSTI I
LOT 13
SITE PLA.l�
ft 'e,
3 Attachment. "B"
Easement Description
An easement "reserved for and granted to City of Edmonds under and upon the easements shown
on the plat and described herein as `sewer or water easement' to install, maintain, replace, repair
and operate sewer or water mains and appurtenances for this subdivision and other property
together with the right to enter upon said easements at all times for the purposes stated."
a.
o
,
EXHIBIT C
LEGAL DESCRIPTION
LOT NO. 12 OF EDMONDS VIEW DIVISION 2, NW %4 SECTION 8,
TOWNSHIP 27 NORTH, RANGE 4 EAST W.M. CITY OF EDMONDS,
SNOHOMISH COUNTY, WASHINGTON STATE
;I��%r r�a.�,cx.i , ic�vi cw �.ru�.luJap yl I''ij`%�
FIT!
'PROJECT'
ADDRESS
- Reviewed by(initial/date)
PLANNING. wrR/swR STREET
FIRE BUILDING 17IT11111
?LE/Ccc%mMIAL '—,�,,(Circle, One)',",,.' 1111111h
777777R7 77T77777 77777777T7
CONDITI US M*UT 2
11111TI-11 T7-77777777
Ap CHECKEI) 3
4,w
OTHER'ZONING-REQUIREMENTS 4
2�
ENVIRON4ERrAL
7777777777 g
ACCESSMOPE VEHICLE ACCESS 7 6
In T 77T/T7777
' It DR�PIm(On Site)
/I f 1177TW11171
STREET FILE 44
LEGAL DESCRIPTI
QUIT CLAIM/DEDI
EASEMENT - PUBL
CALCULATE SUM
PLAT/SUBDIVISICN
IN VF.RIFICATI0N_.4
ATICNS
C/PRIVATE
CONNECTION IF NO
0 NA, No 'BEd
�%Ifflz
FA
V
RIGHT-OF-WAY CONSTRUCTION PERMIT READ
BOND READ FOR PUBLIC IMPROVEMENTS
SOILS CONDITIMS & GROUND
WATER FIETD CHECKED
7777
STREET PAVING REQUIRED
////
7T17
CURB AND GUTTER REQUIRED
SIDEWALK REQUIRE
CURB CUT FOR DRI
STREET NAME SIGN
SIGNING
SIDE SEWER AVAILABILITY
EXISTING WATER MAIN SIZE
TR
4ATER METER SIZE
�Atllllll 777T77
1//////// //////
777771111
W/W//
777777777 TITTR
1//////// //////
7T7777777 111117
W111111 //////
777777777'111111
777777777-
F7-7777777
W/W//
111171111 7TI-M
1//////// //////
111111711 TITITI
W/W// //////
R7777777 777777
UM/M //////
SERVICE LINE SIZE
771
HYDRANT REQUIRED
77 T 77 T 7 7 TTTF1 7,
HYDRANT SIZE EXISTING
111177 7TH"ll
CROSS CONNECTION INSPECTION
7T7777
MTER METER CHARGE'
11117W
01,�,�;,,,,,, FIRE, LINE CHARGE- ---.,SPRINKLER:
;,OPEN DITCHiEaSTING
T717TI7,
%m
11111T
BASIN RE)QD 4,
111117
-�R,"S'ITE PtPN-1q,,
-t CATED fav KV
10
-7j;.:"
7T77777TIT
7777777777
RIO
L2
13'
14'j
7T
7777777777
11111W7-A
6
77
T[77TRT17
20
21
22,
i3
17111111 TT1T17T177,,,;,A,
77777777/7 710
2
7
26'�
2 7-
28
291.
31
32
34.
7 7 -77T7 -7 -777
r_7
35
M11111111
36.',
T
37,
T
9 3
T N�
T ig , 100.
/40.
I WWW�
t 1
OA 3
T�
PUBLx- WORKS
",GR
i
r
JOB
USE PERMIT
CITY OF EDMONDS ZONE �� NUMBER
CONSTRUCTION PERMIT APPLICATION
NAME (OR NAME OF BUSINESS) DDRESS / `(jam j2 �j
LEGAL DESCRIPTION CHECK SUBDIVISION NO. yf_ LID NO%
ZMAILING ADDRESS ��� /2 �lbl �(O�
'CITY t� TELEPHONE NUMBER l PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
1-�( 1NnF \hI in ni ) 3 t9� - b 7 ;Z 1 EXISTING _, R�U ED DEDICATION
i -4. S 0 r*_11
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED ❑
STREET
STREET USE PERMIT REQUIRED ❑
RESS
w ADD7)4
`
U /� /Q ^� Vv Ll
SEE ENGINEERING MEMO DATED
cr
CITY
TELEPHONE NUMBER
S ti
%G% y'+
REMARKS
NAME
cc ADDRESS
Q� Q X O$
METER SIZE
BUILDING SUPPLY SIZE
FIXTURE UNITS
U , , �/ ^
Q CITY
TELEPHONE NUMBER
zL,,r\IrJ oo +7
3C0 7S 4/ 'X
REMARKS
STATE LICENSE NUMBER
o P L '� N
SIGN AREA
ALLOWED PROPOSED
ENV. REVIEW
COMPLETE EXEMPT
ADB NO.
Legal Description of Property - Include all easements
(show below or attach four copies)
SHORELINE N
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VARIANCE OR CU
PLANNING REVIEW BY
DATE
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FRONT SIDE REAR
HEIGHT
LOT COVERAGE
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ADD/ALTER
DREPAIR
DEMOLISH
REMODEL
RESIDENTIAL
COMMERCIAL
RETAINING WALL
EXCAVATE
OR FILL
El COMPLIANCE SINSP.
PLUMBING
MECHANICAL
El SIGN
FENCE
(xFT)
POIAL
CHECKED BY
IREMARKS
TYPE OF CONSTRUCTION
N
SPECIAL INSPECTOR
REQUIRED
NO
AREA
❑ WOO INSERT
❑ APT. BLDG
RENEWAL
NUMBER OF STORIES NUMBER OF
i DWELLING
UNITS
1
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
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PLAN CHECK FEE
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BUILDING
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PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewalks,
STATE SURCHARGE
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year- Provided Work is Started Within 180 Days
ENERGY CODE
"Applicant, on behalf of his or her spouse, heirs, assigns ands
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successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
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omodify,,
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employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of. this permit shall not be deemed to
waive or reduce any requirement of any city ordinance
nor limit in any way the City's ability to enforce any ordinance
provision.'
PLAN CHECK DEPOSIT
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the
information given is correct; and that I am the owner, or the duly
ATTENTION
authorized agent of the owner. I agree to comply with city and
state laws regulating construction; and in doing the work authoriz-
ed thereby, no person will be employed in violation of the Labor
THIS PERMIT
AUTHORIZES
ONLY THE
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
tl n.Insuranc@._
SIGNATURE (OWNER OR AGENT) DATE SIGNED
INSPECTION
DEPARTMENT
CITY OF
a O
EDMONDS
ATTENTION
771-3202
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
102.78
CODE HEIGHT
OCCUPANCY OCCUPANT
GROUP LOAD
a
it GfPG .30..E
VALUATION I FEE
100 Ivi ll
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his
Deputy; and fees are paid, and receipt is
acknowledged in space provided.
OFFICIAL'S SIGNATURE DATE
RELEASED BY:
DATE
ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD — Assessor
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Ap
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RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMR OF BUSINESS
MAILING ADDR SS
CITY
Lr f/ /./04I � �P
NAME"
ADDRESS
CITY
ZIP
TELEPHONE
NAME
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PERMIT
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NUMBER
JOB SUITH/APT#
ADDRESS, %73
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PLAT'NAME/S/-U-B-DMSIIOONN/NO.
LOT NO.
LID NO.
LDS / V
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP "�
TESW MPS
Rol permit Rewwkmw
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EX IS NG PROPOSED i` ' `
Street Use Pamdt Req'd
Ir4p9WW.Requliad
Sidewalk Required
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QDILATION FT
Uoderprouna
Wiring required O
METER SIZE
LIIJB
NO: OF F XTURES ,!,
PRV REQUIRED
YES 0 NO 13
_
REMARKS
�RIERO
Z
OWNER/CONTRACT RIRS
NIB ON COt�TRQL/pRAINAGE
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nln�QUP Avl d2 4// �r ,�'P G?�l' �vIOMR
E GGIQII�NEERI REVIEW D BY DATE
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FIRE REVIEWED BY DATEit
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C4TY I��11
q� V
TELEPHO
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VARIANCE OR CU
SHORELINE OR ADB#
. INSPECTION
R 'D.
13YES O
BOND
POSTED
$
ATE LICENSE UMBER DCFI PPII•VMT,�r "
C (I Z 1 I y..;
PROPERTY TAX ACCOUNT PARCEL NO.
SEPA REVIEW.'
COMPLETE EXEMPT
SIGN AREA
ALLOWED PROPOSED
HEIGHT
ALLOWED PROPOSED:
❑ NEW RESIDE
r
I O COMMER CHANGE F USE
❑ REMODEL MULTIFAMILY ❑ SIGN
GRADING FENCE
❑ REPAIR ❑ CYDS ;'❑ , X F`T)
❑ DEMOLISH ❑ TANK D .IA-
GARAGE RETAINING WALL FIRE SPRINKLER
❑ CARPORT ❑ ROCKERY FlREALARM
COVERAGE
ALLOWED PROPOSED'
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REOUI
FRO
ED SETBACKS FT '
L
P SE SET CKS (FT.)
FRONT L/R SID :REAR
AR NG ^ i� .'i4�O
ROV ED -i
:AREA
LANNINQ R EWED B DATE
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(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
CHECKED BY
TYRE D CONSTRUMON
OCCUP
2
9
5
m
NUMBER
OF ��
STORIES
NUMBER OF
DWELLING —
UNITS
CRITICAL
AREAS O
NUMBER
PECAL: PE ION .
EQUIRE S '
AREA
OCCUPANT
LOAD
DESCRIBE WORK TO BE DONE
REMARKS ..
PROGRE S INSPECTIONS PER UBC 108/FINAL INSPECTION RE(YD
VALUATION
= / C,1'%-�- ���
Description
FEE
Description
F E
SC �6,C �14SC ME N r
Plan Check
State Surcharge
HEAT SOURCE
GLAZING %
LOT SLOPE %^44
Building Permit
City Surcharge
P CHECK NO:
i
VESTED DATE
Plumbing
Mechanical
09
THIS PERMIT AUTHORIZES ONLY THE.WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Grading
g
Engr. Review
E I
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ngr. nSpeCtlOn
'APPLICANT,ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESOR3
Fire ReV18W
'`
Plan Chk: Deposit
IN INTEREST; AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY. OF
EDMONDS, WASHINGGTON. ITS OFFICIALS, EMPLOYEES, AND AGENT3"FROM ANY AND.
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE* ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT $$HALLNOT BE
DEEMED.TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY G� OR INANCE
Land sipa Ir1S. p.
!
Total Amt;':Due
1:
NOR uMrr.. IN ANY WAY THE CITY' ABILITY TO ENFORCE ANY ORDINIWCE PROVISION.'
t 1
Recording.Fee
Receipt #
HEREBY -ACKNOWLEDGE THAT. HAVE READ THIS APPLICATION-)T AT TIE INFORMATION
?
LIVEN 13 CORRECT; AND THAT I AM THE OWNER, OR THeDULY AUHORIZED AGENT OF
APPLICATION
APPROVAL
; -I
HE OWNER I AGREE TO COMPLY WITH CrTY AND STATE LAWS REGULATING CONSTRUC-. "'
\
CALL
Thla appliparion,is not a parinit until signed by the
10N; AND IN DOING, THE WORK AUTHORIZED THEREBY NO PERSON WILL BE EMPLOYED
Bdp�g OWW or his/her Deputy: and Fees are paid, and
N VIOLATION OE.LHE LABOR CODE OF THE�STATE OF WASHINGTON . RELATING TO
FOR INSPECTION
' receipt Is acknowledged In space provided.
VORKMEWs P TION INSURANCE AND, RC* 18.27. ;;: �
,....
OF IAL.S SIGNATUR DATE%,
.. �..
7GNA AGE
)DATE SI NED
(425}
/
771-0220
R_ ED B DATE
, TENTION
M 1333
IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
ORIGI • YELLOW •INSPECTOR
PINK• ER GOLD -ASSESSOR
1D� PRESS HARD -YOU ARE MAKING 5 COPIES GREEN -ACCOUNTING