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17218 76TH AVE W.PDFIIIIIIIIIIII 6199 17218 76TH AVE W PROJECT REVIEW CHECKLIST 5-22 -170 PROJECT NAME: 1-1,066eA67d 8 Tv"I E E T F IL E PLAN CHECK #: PROJECTADDRESS: /7446 RECEIPT DATE: IREVIEWFD BY: (�nitial/Date)7-. PLAN. IWATEP I .-COMMENTS FIRE.: BLDG. [SEWER ISTRE ENG. Setbacks/Variance/Setback Adjustment. . - .......... .... I : Conditional Use Permit ADB Requirements Other Zoning Requirements 4 Underground Wiring Required - - - - - - - - - - - - - - - - - - - - ....... .............. ...... .... 4IZ3 is Lot Slope 15% SEPA Environmental Checkystj ydraulics Permi Tree Cutting Plan Plat/Subdivision Requir Legal Description Verification 51uj,�- /01,4F Quit Claim/Street Dedications Easernent,s,�u rkc/p�� unu-2f 12*.. Engineering ZfUhn-D—rahn-i-FReview Fee ............. .. . . . . . . . . . 41-- 7:3 Engineering 2.2 Inspection Fee eg 14 Drainage Plan (On -Site) -5-Z-2--,?o Setback - Top of Bank, Stream, Water Courses . . . . . . . . . . . . . ... ............ . 16, Setback-' Storm Drain Line 17 Open Ditch - Existing xxx- !ffz,3 18; Culvert Required . . . . . . . . . . . . . .. 19 Culvert Size ... .... ........................ '20. Shoulder Drainage/Shale Open Runoff 42,3 Catch Basin. Required :,221 Driveway Slope & Vehicle Access S�veVeVr AmsW �mm 4A0 � -23,'. Sidewalk Required Curb & Gutter Required milw-. ................ 4 Curb Cut For Driveway Required 11^ 51122j.. ]-26, Street Paving Required 27.. Right -Of -Way Construction, Permit Required �jo . . . . . . . . . . . . . . . . . . . . . 28- Street Name Sign Required Alt) MINE Other Signing Required . ........ .... 30--- Bond Required. For Public ImproVements je-s .. ............. 4123 31 FEMA Map Check/Water Table ...... -- ........ 32' Side Sewer Availability Calculate Sewer Connection Fee If No LID #/ 4A3 Create Street File 6WL7- . . . . . . . . . . . . . . . . . ......... ....... -35 Existing Water Main Size . . . . . . . . . . . :36 Water Meter Size 31] Service Line Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........ a ...................... Water Meter Charge Required Hydrant Required 40 Hydrant Size Existing .......... '41 Fire Line Charge Required —Sprinkler ,Street Cut .... ...................... 43 IMiscellaneous 51XOpo 4*ouftz 4 1 44 Reviewed By: FIRE . PLANNING ENGINEERING PUBLIC WORKS MMEV FILE RECEIVED SEP 2 8 ISU PERMIT COUNTER City of Edmonds to enforce any provision of this Agreement or to redress any breach, the owners covenant that the City shall be entitled to reasonable attorney's fees and costs in addition to any other remedy. 2- DATED this ZF'�-day of �4 OWNERS STATE OF WASHINGTON ) ss: COUNTY OF ;,aik —) I certify that I know or have satisfactory evidence C - h - r.9 A.-W P 0 -,0-5 v /J that LVAJ. 1jA106tfeW signed this instrument a nd,,-acknowl edged it to be (his/her) free and voluntary act for the purposes mentioned in this instrument. 1 '7 12— DATED this 2&day of S C-f jr7� j? &0— , 1-9,& - N6TAWL PUBLIC My commission expires: STATE OF WASHINGTON ) )ss: COUNTY OF I certify that I know or have satisfactory evidence that stated that (he/she) signed this instrument, on oath was authorized to execute the instrument and acknowledged it as the (title) of instrument was executed) (name of party on behalf of whom to be the free and voluntary -3- JEHO1115A EET FE r�� that the entire property legally described on Exhibit A, and if the proposed development is a subdivision or short subdivision, each and every lot to be created as part of the development of the property legally described on Exhibit A, would be specially benefitted by the construction of the improvements specified in paragraph 2 above. 4. Agreement to Participate in or Waive Protest of LID. A. Petition Method. owners understand that the formation of a local improvement district which includes the property described on Exhibit A for the purpose of providing the specified improvements will result in the property being assessed a proportion,�-te share of the costs of those improvements. With full understanding of this consequencef, owners agree to sign a petition for the formation of an LID or ULID for the specified improvements at such time as a petition is circulated or the City requests the owners to sign such a petition and the owners hereby agree that the Mayor of the City may sign the petition for the owners as the owners' attorney in fact, should the owners fail, refuse or be unable to do so. B. Resolution Method - Waiver of Right to Protest. Owners understand that owners have the right to protest formation of an LID or ULID to construct the specified improvements pursuant to RCW 35.43.180. With full understanding of owners' right to protest and the consequences of formation of an LID or ULID, owners agree to participate in any LID or ULID to design or construct the specified improvements and to waive the right to protest formation of the same. Owners shall retain the right to contest the method of calculating �any assessment under such LID or ULID and the amount thereof, and shall further retain the right to appeal confirmation of the final assessment roll in the manner provided by law. 5. Binding Effect - Duration. This Agreement shall be recorded with the Snohomish County Auditor, shall constitute a covenant running with the land described on Exhibit A, and shall be binding upon the owners, their heirs, successors in interest and assigns, provided, that this Agreement shall be valid only for a period of ten (10) years from the date it is signed by the owners, after which it shall expire and become null and void. 6. Specific Enforcement. In addition to any other remedy provided by law or this Agreement, the terms of this Agreement may be specifically enforced by the City of Edmonds. 7. Attorney's Fees. In any suit or action brought by the -2- JEHO1115A EDMONDS CITY COUNCIL APPROVED MINUTES Member 1, 1992 STREET FILI: THESE MINUTES WERE APPROVED BY THE CITY COUNCIL ON DECEMBER 8, 1992 The regular meeting of the Edmonds City Council was called to order at 7:00 p.m. by Mayor Laura Hall at the Library Plaza Room, 650 Main St., Edmonds. The Council meeting was preceded by a flag salute. PRESENT Laura Hall, Mayor Jeff Palmer, Council President Steve Dwyer, Councilmember Dave Earling, Councilmember Dir.W. Hall, Councilmember William Kasper, Councilmember John Nordquist, Councilmember Tom Petruzzi, Councilmember Rachelle Eshleman, Student Rep. RF-CE:"V E:D D E C 1 1 1992 LNGINEERING STAFF Art Housler, Admin. Serv. Director Chuck Day, Accounting Manager Dan Prinz, Police Chief Paul Mar, Community Services Dir. Noel Miller, P.W. Superintendent Arvilla Ohlde, Parks & Rec. Mgr. Rob Chave, Planning Manager Bob Alberts, City Engineer Tom King, Facilities Supervisor Scott Snyder, City Attorney Rhonda March, City Clerk Barb Mehlert, Recorder Mayor Hall introduced and welcomed Mr. Paul Mar, newly appointed Community Services Director for the City of Edmonds. CONSENT AGENDA Council President Palmer removed item (8). COUNCILMEMBER NORDQUIST MOVED, SECONDED BY COUNCILMEM- BER KASPER, TO APPROVE THE- BALANCE OF THE CONSENT AGENDA. MOTION CARRIED. THE APPROVED ITEMS ARE AS FOLLOWS: (A) ROLL CALL APPROVAL OF CLAIMS WARRANTS FOR WEEK OF NOVEMBER 23, 1992 (C) �0' ky (D) APPROVAL OF 1993 EQUIPMENT RENTAL RATES .p�, (E) REPORT ON BIDS OPENED NOV Itlic 00.) i I .. r V j 4X ,5 (F) CE r 0 c1f (G) 23 TO PURCHASE SEWER TV VAN AND AWARD OF CONTRACT TO CUES, INC. APPRO ' VAL OF PERSONAL SERVICES CONTRACT FOR INSTRUMENTATION SERVICES AT WASTEWATER TREATMENT PLANT ACCEPTANCE OF EASEMENTS FROM TOP FOODS (H) AUTHORIZATION FOR MAYOR TO EXECUTE CITY/COUNTY AGREEMENT WITH WASHINGTON STATE DEPARTMENT OF TRANSPORTATION FOR MAIN ST. OVERLAY Lk (I) A,CCEOTANPE OF QUIT� C&IM DEM�FOR ADDITIONAL RIGHT-OF-WAY FROM WILLIAM,K. LINDGREN AND' CATHY L4-:HENDERSON AT 17218 76TH:AVE. W. (J) ACCEPTANCE OF UTILITY EASEMENTS FROM KENDALL AND LUCILLE LOVING, 7808 206TH PL. SW; HOWARD AND NANCY ENBODY, 7806 206TH PL. SW; AND ROY AND SYLVIA ROBINSON, 7804 AND 7802 206TH PL. SW APPROVAL OF MINUTES OF NOVEMBER 24, 1992 (Item (B) on t he Consent Agenda COUNCIL PRESIDENT PALMER MOVED, SECONDED BY COUNCILMEMBER PETRUZZI, TO APPROVE THE MINUTES OF NOVEMBER 24, 1992 WITH THE CORRECTIONS NOTED IN A MEMORANDUM FROM THE COUNCIL ASSISTANT. MOTION CARRIED. Mayor Hall announced that Item 4 which is a 20 Minute Executive Session on Cable TV Franchise Negotiations will be extended for a 20 minute time period in order to discuss a personnel matter. Councilmember Dwyer arrived at 7:03 p.m. AUDIENCE Phyllis Becker, 524 Magnolia Lane, expressed her concern that many of the City's sidewalks are ik littered with overhanging vegetation, making it impossible for walkers to use the sidewalks. Ms. a OMONDS CITY COUNCIL STME FILE AGENDA MEMO Item number: Originator: Robert J. Alberts For Action: x For Information: SUBJECT: ACCEPTANCE OF QUIT CLAIWDEED FOR ADDITIONAL RIGHT-OF-WAY FROM WILLIAM K. LINDGREN AND CATHY L—HENDERSON AT'17218 - 76TH AVE. AGENDA TIME: Consent AGENDA DATE: December 1, 1992 EXHIBITS ATTACHED: Exhibit A - Quit claim deed Exhibit B - Vicinity map Clearances: Dept./Indiv./Initial7s— ADMIN SVCS/FINANCE CITY ATTORNEY CITY CLERK COMMUNITY SE CES ENGI,NE-ERING PARKS & REC PEAT 0 PLANNING PUBLIC WORKS FIRE PERSONNEL POLICE .COMMITTEE MAYOR COMMENTS: EXPENDITURE AMOUNT APPROPRIATION REQUIRED� $0 BUDGETED: $0 REQUIRED: $0 HISTORY AND SUMMARY STATEMENT: As a condition of S-22-90, the applicant was required to dedicate an additional ten (10) feet of public right-of-way. The attached deed is that right-of-way. RECOMMENDED ACTION: Council accept the quit claim deed from William K. Lindgren.and Cathy L. Henderson at 17218 - 76th Ave. COUNCIL ACTION: HENDERSN/TXTAGNDA 9 2— IV 4 REVENUE STAMPS Plonee. National Title Insurance Company WASHINGTON TITLE DIVISION Filed for Record at Request of TO 1HIS SPACE RESERVED FOR RECORDER'S USC. Foam L36 R Quit Claim Deed THE GRANTOR (7,�Z-1 9L, tl eC for and in consideration of convey and quit claim to the following described real estate, situated In the County of State of Washington including any interest therein which grantor rray hereafter acquire: /* )4 ,< -, Y 0 Ic--ey 0.�, /V;�_e 11711/-- -� �- ie a 7eQ,7*4 e., e > "_YX T-_2 - /_7 Sn 14/ejl� f Id, eo 11k7 together with the right to make all necessary Cut or fill slopes on the land of grantor's adjacent to the above -described real property in connection with the constructiorl, maintenance or improvement of the above -described real property for purposes of a public roadway. Dated this day I . . ......... ..... ?SZ-AL) STATE OF WASHINGTON, Ss. County of On this d. appeared before me to mt known to be the individual 5 described in And who executed the within and foregoing Instrument, and acknowledged that 4-A e- _j signed the same as free and voluntRuy actsand deed, for the uses and purposes therein mentioned. GIVEN under my band and official scal this day of g 2-- r. .................................. N046(Publk ix and lor Me Stase ol WasWxSio", .ramiaj as EXHIBIT A ', d— Y -i_'3 EXHIBIT A — PAGE I 0 Ir- 17/ 1"7130 17/26 1 7 L-17;21 1-7210 17211 4 J 1720(o 17207 17214 172 K too 17219 17217 17.217 1-72 26 04C cl BRX 117 ]OF 2 -4 -73LO 173/8 /7400 '7 A 04 17411 rM02. 1741* 1-7.4 14. CITY OF FDMON-DS DATE FILE NO# RES. NO# ORD. NO# EXHIBIT B PXHTBTT R - PACP 2 -%-AIN000- C) go - 19 '- FQf F1 F, I E, T F I � -, 7;� CITY OF EDMONDS 250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) �71-0220 - FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT � Public Works * Planning a Parks and Recreation * Engineering Mailed 11/9/92 November 6, 1992 William Lindgren and Cathy Henderson 17218 - 76th Ave. W. Edmonds, WA 98026 LAURA M. HALL MAYOR Re: Request to waive requirement to install sidewalk along 76th Ave. Dear Mr. Lindgren and Ms. Henderson, Based on the City's comprehensive sidewalk plan, we do plan to construct a sidewalk on the west side of 76th, from Perrinville to the county park at the end of 75th Pl. W. Since no date has been set for construction of said sidewalk, one section of the walkway would not serve any purpose at this'time. In lieu of constructing the sidewalk, we would prefer you contribute to the general sidewalk fund. Your contribution is $1,800 and is based on $15/L.F. to construct the curb and sidewalk. Before we can sign the short plat as being complete, the above contribution must be submitted. If you have any questions, please call'Lyle Chrisman at 771-0220,. extension 324. Sincerely, ROBERT J. ALBERTS., P.E. City Engineer ALC/RJA/sdt LINDGREN/TXTST530 * Incorporated August 11, 1890 0 Sister Cities International — Hekinan, Japan STREET FILE C-C� �e� 0060.090.014 5 d-�j JEH/crd 1992 10/19/88 RE:10/26/88 RE:10/31/88 PERMIT COUNTER CITY OF EDMONDS, WASHINGTON COVENANT TO PARTICIPATE IN/WAIVE RIGHT TO PROTEST LID WHEREAS, the undersigned owners are the owners of certain real property located in Snohomish County, Washington, which is legally described on Exhibit A attached hereto and incorporated herein by this reference as if set forth in full, hereinafter referred to as "the property," and WHEREAS, the a s _5-,l 6 & V431 Y%-\ impact on owners have applied to develop the property (insert development type), which will have an (insert impact), (e.g., storm drainage, streets, water, sewer), and WHEREAS, as a condition of approval of the proposed development, the City has required the owners to mitigate impacts of the development and the owners and the City have agreed that such mitigation may take the form of participation in a local improvement district (LID) for construction of certain improvements deemed necessary to mitigate the impactf now, therefore, FOR AND IN CONSIDERATION OF the City's approval of owners' development of the property described on Exhibit A without requiring owners to presently construct the improvements hereinafter described, the owners covenant and agree as follows: 1. Warranty of Title. The owners warrant that they are the owners of the property described on Exhibit A and are authorized to enter into this Agreement. 2. Acknowledgment of City Authority. owners acknowledge that State law and City ordinance provide that the City may require that the following improvements be designed and constructed as a condition of, and to mitigate the effects of, the development proposed by the owners (insert description of specific improvements): Owners further acknowledge that the consideration for this Agreement is approval of owners' development by the City without improvements be completed prior to such requiring that.,.,* such approval. 3. Acknowledgment of Special Benefit. Owner acknowledges JEHO1115A " -�3- r7-7 September 28, 1992 Mr. Lyle Crisman Engineering Department City of Edmonds Dear Mr. Crisman, RFCFIVED SEp 2 8 1992 pERMIT COUNTER We request that your department waive the requirement to install a sidewalk along the front of our property at 17218 - 76th Avenue West. We base this request on the fact that there is already a sidewalk on the other side of the street. There is no sidewalk on our (the west) side of the street for 8/10ths, of a mile going, south, and none at all going north. Therefore, we believe- that from a functional and an aesthetic standpoint, this sidewalk would be both unnecessary and inappropriate at this time. Thank you for your consideration. Respectfully, William Undgren, Owner C thy�He�nderso�nOwner� 'City of Edmonds RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number: Issue Date: TREET FILt A. Address or Vicinity of Construction: 1!79 18 r7&v - AM W. B TvneofWork esnecific):<r/1)k1-b-�&PJ 11t1r,&Vf-QA%iL1h Pi-,FV AW =Vl5nQ& 890 - 199 'Pax -rxewcH 7,&1 F�W I goeer 1)9�lvew^y 1,k1;TgaJCH 10 to ex714T�o 11J"L,L, 56COW-DAIt'i PEDF-STALI. AT' plez-rt/ r-OKAi0c. Contractor: Contact: -DAUJ MailingAddress: 21016 HWY TJ 'tj 7.& Phone: 1�a-7Q- 9�;LQ!7- State License #: . ecAmonds 0 WA 9aw Liability Insurance: Bond:. $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. '[-] Commercial E] Subdivision [I City Project E] Utility (PUD, GTE, WNG, CABLE, WATER) EJ Multi-�Zam - i It le Family r! Other INSPECTO INSPECTOR: F. Pavement or Con �te Cut �-Eb Yes D�No G. Size of Cut: x H. Charge$ APPLICANT TO READ AND SIGN ell INDEMNITY. Applicant understands and by his signature to this application, agreis�(t�o�lqld the City of Edmonds ha) I 111ij��dmages, or �/01 *"I"' S, claims of any kind or description whatsoever, foreseen or unforeen, that may be made agz�tnqt the City of Edmon&ds, or o, its departm s or employ- ees, including or not limited to the defense of any legal proceedings including defense,ebsls,,�Ind�bttorney fees by reason g, zinj.thts',,pinnu THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC77ON AND ACCEPTANCE OF THE WORK. ES77MA7ED RESTORA77ON FEES WILL BE HELD UN717L THE FINAL S77ZEET PATCH�IS, COMPLETED BY CITY FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. Construction drawing of proposed work required with permit application. A 24 hour notice is'required for inspection; Please call the Engineering Deparii�ent- 77i'4202. Work is to be inspected during progress and at completion. Restoration is to be in accordancewith City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulatiofis'as required by the City- Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;, NO EXCEPTIONS. I have read the above statements and understand the permit requirements and the pink copy of the permit will be available on site at all timesfor inspection purposes. Signature: Date: (Contractor or Agent) CALL DIAI-,A-DIG PRIOR TO BEGINNING WORK BEGIN PRIOR TO PERMIT ISSUANCE Engrg. Div. 1991 FIELD INSPECTION NOTES (Fund I I I - Route copy to Street D t.) Comments: Diagram: CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO Partial Work Inspection by P. W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: Eng. Div. July 1476 PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY REV. 7/87 LOCATION 1-77-IE3 -7loTf+ AV W. SOLITH CpaWTVAREA POLE NO. 155 1/4 S 7 T 2_7 R 4 DATE Z(,,-97_ W. 0. NO. REASON FOR WORK Se(�_ LA,64 c4- PEI) F�Ord_ ENGINEER I,-j0WAP_D DWG. NO. C961311 SiLJ- LiPt)G9_S-1-4 DRAFTER U. G. NO. 6AS — SCALE I"= 3o' DATE WORK COMPLETED I'APPROVED �Wl DATE PRINTED FOREMAN IFEES REQ'D EYES ONOI PRIMARY OVERHEAD • RESIDENTIAL • COMMERCIAL LEO# ENVIRONMENTAL ANALYSIS 0 EXEMPT 0 NOT EXEMPT SUBSTATION PARA. 18 ITEM C O.H. U.G. COND. KV CIRCUIT NO. ADD C <T. FT. PH REM C <T. FT. PH NET CIKT. FT. SECONDARY OVERHEAD O.H. U.G. COND. _ KV BASIC FEE $ ADD C <T. FT. PH /@$ REM C<T. FT. PH NET C <T. FT. METER/CONV. POLE S PERMITS (DATE GRANTED) 0 TREE TRIM PRIMARY UNDERGROUND • RESIDENTIAL 0 STATE • COMMERCIAL BASIC FEE S 0 COUNTY LEU# M CITY EbrAl:l>- / @ $ 0 EASEMENTS 0 REOUIRED 10 NOT REOUIRED SECONDARY UNDERGROUND BASIC FEE S 190, oo UNDERGROUND PLAT DATE RE . LEASED BASIC FEE t FT. 0 S /=s FOREIGN CONTACTS 0 GTNW JPN# STREET LIGHTING t FT. 0 S /=s 0 CATV JPN# 0 JOINT TRENCH GTNW & CATV WORK IN RIGHT OF WAY 0 JOINT BORE CTNW & CATV 0 PRIMARY 0 POLE STENCILING FROM TO Z SECONADARY 5 0 t FT. 0 MISCELLANEOUS FEES TAKE OFF POLE VAULT S PRE—CONSTR. REQUIREMENTS E:IDMO NOS PERMIT S 30.00 0 TREE TRIM 0 PUD LOCATOR s 4,50.", 0 BACKHOE 0 2,00 A P_ 1. 14, IN ONE CALL DATE 'N_1D EX POLES PLAT. TOTAL DUE S 13 �3T.W _O G IL 'S U -MAP DATE PAID 'a-19-92. RECEIPT# (c,5741, (.5746 1 XFML C-MAP NEW SVCE APPLICATION# 19+465 LOCATION MAP PAGE 5 GoRc- DETIPCIL -rgDXH I" -RAJ 7-6' No$ZTH- P-,,orzE 14' LaiDM VrZIVEW^Y, INST 3" PVC, LkWVEz- 13 L-A CKTO P 'MIEWCH At)btTIoWAL- 10 Not;LTH 1D 'P.0 iws-r Z4' OF rwruiW .3" PvC, F:r,-OM PC-, 5ouTIH tAtODM BLACKTOP SeT"SEI� PED WM4 4 13AV- PT Pc, IWO qO' 3,50 I<C4v% AL 7r4-x F(zom WCTE -. 5E(- S\lc- OW N5A -:� 1944(a3 1-7ZIE3 6AS WEAT C. CY 9 0 - 1 9. 4 - City.of Edffiondst3TREET, FILE. SWOV,9F-WAY CONSTRUCTION C12 .0 3 0 I �SG PE"JT Pe.it Nmber Issue Date: 17218 76 Avenue West A. Address or Vicinity of Construction: B. Type of Work (be.specific): Install New Service Contractor: Washington Natural Gas Company Contact: Frank Swan 7 oMailing Address: 815,- Mercer.. -S tree t, Phone: 22472278 Seattle, WA. 90111 State License Liability Insurance: Bond:$ 1D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E.� 7-1 Commercial El' Subdivision El City.Project Utility (PUD, GTE, WNG, CABLE, WATER) Multi-Farriily El Single Family. n Other INSPECTOR:. INSPECTOR: Vi �-k IT c-v -rT. F. Pavement or Concrete Cut Wyes. []No*.,,( G. Size of Cut: r2- x H. Charge $ APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and. by his signature to this application,'agrees the City of Edmonds harrnlessftom injuries, ddmages, or claims of any jUnd or description whatsoever, foreseen or unforeen, that may be made against the City of Edmonds, or any of its departmen"r employ- ees, including or not limited to the defense of any legal. proceedings including defense.costs; an4 auorney fees. by reason ofj�anfin—g;lh-ts-permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF OAE YEAR FOLLOWING THE FINAL INSPEC77ON AND ACCEPTANCE OF THE WORK ES77MA TED RESTORAYTON FEES WILL BE HPD-UN77L THE FINAL S7REET PATCH�SfOMP eTED BY CITYFORCES, AT WHICH 77MEA DEBITOR CREDIT WILL BE PROCESSED FOR ISSUA,��g TO THEAPPLICANT Construction drawing of proposed -work required with permit application. A 24. hour notice is required for inspection; Please call the Engineering Department- 771-3202. Work is to'be inspected during.progress and at completion. Restoration is to, be inaccordance with City Codes'. .Street shall be kept clean at all times. Traffic Co . ntrol and. Public Safety shall be in accordance with City regulations-- as'required by the City tngineer�, All street cut ditches shall be patched with. asphalt or City approved material prior to the end of the working.day; NO EXCEPTIONS. I have read the above statements and understand the permit requirements and the pink copy of.ihe permit will be available on site at all tim.esfor' inspection purposes. Signature: Date- January 23, 1992 (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY. APPROVEDBY.- ROY W-H rrclyll,: ... RIGHT-OF,WAYDEPO! TIMP-.AUT14ORIZED��vblD::AF.rEk::.Ai-ft�IL: 54-� ::..DAYS:i::1: -:MISRUPTIOMFEE/FUN ... - �-,REISTQRATIQN: .......... — . ... .. . ........... I ... .. ..... ........ T.OTAL.FEE, ......... ... ...... — ................. — - ...... ... ............ ...... .. - s- .,:,x:,,:A SUEDBY: to SHALL BEGIN PRIOR TO PERMIT UAN Engrg. Div. 199i FIELD INSPECTION NOTES .,.(Fund I I I Route -copy to Street Dept.) Comments: I Diagram: , j . 11 CONTRACTOR CALLED FOR INSPECTION 0 YES' 0 NO Partial Work Inspection by, P. W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: I Eng. Div. Ju13 Washingtm Natural Gas AVAZhrQt0nB-WCCnPBW Addendum to : Submitted by: 1-� 2-(z5 -7(D 4&,�V v3 WNG to window -.-- *Water main depth unknown gas main city of Edmonds Right of Way Permit Application Kerry Walsh Engineering Aide Washington Natural Gas 622-6767 x2761 pager 969-1686 1 ('ZX'4) (e C-46<s -w- water -g- gas -ss- sewer water hydrant 815 Mercer St. (P.O. Box 1869), Seattle, WA 98111 (206) 622-6767 1V I I DETENTION WORKSHEET� U-PTIG-P, FILE BAS%14 OETENT12� PIPIF LENGT C01,,rr11DL C-A-rC" I5A5%t4 mIv4 MAY. COVEF, --I ? "11% 5LOPE— oLrrLr.T 10 Co KT;to L� 0 c L 0 rrL r TR T 0 L rz 7— MiN 4' j 2 &— — _7 �T J 'TO WrL-ET (N P RAP OR p,UNOFF .51PREADER) SYSTEM CROSS SECTION 2' . 2' . Co" Vu=?, At' 06' SPAU-S (..WGU^L.) If x 2' we 5" DEE IP, CRUS"ED ROCK FPOM OLITLET CON-1-11.0L A WASHED , jL FROM C)V,r6ET CON-rROL RIPRAP OUTLET I I I P, 0 0 2- OLYTFLOW -TRENCIA, MIN 10' LONG, 4!' PFRF PIPF- WITH CNP5 RUNOFF SPREADER OUTLET FOOTIING DRAINS SHALL NOT BE STANDARD DRAINAGE PLAN DETENTION SYSTEM L for location — plan by 4P phone 77 6- 9 %* Z 2 date - DESIGN DATA System Imperm Pipe Pipe Orifice Number Area Diam Length Diameter =IBM URM mmmmm MMMMM NOTES 1. Call Engineering Division (771-32021 for prebackfill and final inspections. Responsibility for operation and maintenance of drainage systems on private property is the resoonsibility of the property owner(s). Material accumulated in the storage pipe must be flushed out and removed from catch basins to allow proper operation. The outlet control orifice must be kept open at all times. mrr" - CITY OF EDMONDS Page 9 of 9 CONNECTED TO THE DRAINAGE SYSTEM I I — I NEET FILE Submit to County Treasurer of the This form is your receipt when stamped county in which property is located. REAL ESTATE EXCISE TAX by cashier. Pay by cash or certified check to County Treasurer. CHAPTER 82.45 RcW PLEASE TYPE OR PRINT CHAPTER 468-61 WAC THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ITEMS In THROUGH ARE FULLY COMPLETED G (D Name William K. Lindgren and Cathy L. Name City of Edmonds cc uJ 0 Henderson Lu W Lu _J I`_ Z Lu �- >. Z .J UJ < cr Sir.., 17218 - 76th Ave. M< ca cc Street 250 5th Ave. N. Q City Edmonds state WA Zip 98020 City Edmo s State WA zip 98020 ALL TAX PARCEL NUMBERS NEW OWNER'S Name rity of Fdrionds PERMANENT ADDRESS 0727 044 011 00 FOR ALL PROPERTY Street 290 - 9th Avp- N_ TAX RELATED CORRESPONDENCE city/state Edmondso WA Zip 98020 0 LEGAL DESCRIPTION OF PROPERTY SITUATED IN UNINCORPORATED COUNTY D OR IN CITY OF Edmonds Ten foot strip for roadway The South 120 feet of the North 220 feet of the West 10 feet of the East 30 feet of the Northeast quarter of the Southwest quarter of Section 7, T. 27 N,.R. 4 E, W.M., in Snohomish, Washington. @ Is this property currently: YES NO Classified or designated as forest land? Chapter 84.33 RCW Classified as current use land (open space, farm and agricultural, or timber)? Chapter 84.34 RCW El 12 Exempt from property tax under nonprofit organizations Chapter 84.36 RCW? 11 12 Receiving special valuation as historic property under Chapter 84.26 RCW7 FX1 Type Property: land only El land with new building. land with previously El land with mobile home used building SEE TAX OBLIGATIONS ON REVERSE SIDE (1) NOTICE OF CONTINUANCE (RCW) 84.33 or RCW 84.34) I If the new owner(s) of land that is classified or designated as current use or forest land wish(es) to continue the classification or designation of such land, the now owner(s) must sign below. If the new owner(s) do(es) not desire to continue such classification or designation, all compensating or additional tax calculated pursuant to RCW 84.33.120 and 140 or RCW 84.34.108 shall be due and payable by the seller or transferor at the time of sale. The county assessor must determine if the land transferred qualifies to continue classification or designation and must so indicate below. Signatures do not necessarily mean the land will remain in classification or designation. If it no longer qualifies, it will be removed and the compensating taxes will be applied. All new owners must sign. This land El does El does not qualify for continuance. DEPUTY ASSESSOR DATE (3) NOTICE OF COMPLIANCE (Chapter 84.26 RCW) If the new owner(s) of property with special valuation as historic property wish(s) to continue this special valuation the new owner(s) must sign below. If the new owner(s) do(es) not desire to continue such special valuation, all addi- tional tax calculated pursuant to Chapter 84.26 RCW, shall be due and payable by the seller or transferor at the time of sale. (3) OWNER(S) SIGNATURE G The following optional questions are requested by RCW 82.45.120 Is property at the time of sale: YES NO a. Subject to elderly, disability, or physical improvement 113 213 exemption? b. Does building, if any, have a heat pump or solar -1 1 E 20 heating or cooling system? c. Does this conveyance divide a current parcel of land? 1 2 d. Does sale include current crop or merchantable timber? 1 20 Description of personal property if included in sale (furniture, ap- pliances, etc.) N/A If exemption claimed, explain Municipality TypeofDocument Quit Claim Deed DateofDocument September 28, 1992 Gross Sale Price 1 / $ - 0 - Personal Property (deduct) 2 $ - 0 - Taxable Sale Price $ - 0 - Excise Tax: State $ - 0 - Local 3/ $ - 0 - Delinquent Interest: 4/ State $ - 0 - Local $ - 0 - Delinquent Penalty: 4/ State $ - 0 - Total Due $_ - 0 (SEE 1-6 ON REVERSE SIDE) (D AFFIDAVIT I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT (see #5 on reverse for penalties). 7:77 SIGNATURE AL NAME (print) Robert J. Alberts, City Engineer DATE & PLACE OF SIGNING:12/4/92 Edmonds. WA SPECIFY (circle): grantor/ grantee/ grantor's agent � �rantee'sagent Address of residence or place of business of person signing (specify): a. Does conveyance involve a trade, partial YES NO interest corporate affiliates, related parties, 10 2 trust, receivership or an estate? I. Is the grantee acting as a nominee for a third 1 E 2 party? g. Principal use: I El agricultural 2 condominium 3 El recreational 4 apt (4 + unit.) 5 industrial 6 residential 7 commercial 8 mobile home 9 timber FOR TREASURER'S USE ONLY FORM REV 64-0001 3m (7/88) -1155- COUNTY TREASURER CITY OF EDMOWDS CONSTRUCTION PERMIT APPLICATION DSE E PERMIT O'N L' NUMBER JOB SUITE/APT # ADDRESS zz) OWNER NAME/N ME OF B . U.SINESS LEGAL DESCRIPTION CHECKI SUBDIVISION NO. _ Z 5 Z 7u LID NO.. . � & 14, 0 Z 0 LOU Q ir < M71�1`NG ADDRESS V PUBLIC RIGH OF WAY PER OFFICIAL STREET MAP. EXISTING VMW--" REQUIRED DEDICATION-_%_1_4� PO#I>-- 4 TESCP Approved 0 If RW Permit Required Street Use Permit Req'd Inspection Required Sidewalk Reqw CITY ZIP TELEPHONE NUMBER 0,-Ao 1 2 NAME yl REMARKS cc uj 0 ADDRESS Z W ew&-4 Akxlj __7FHONE CITY ZIF NUMBER 00AA-t &W10?4 1A, 5, _# WV a: 0 0 CC Z 0 NAME ENGINEEjtING MEYO DATED'v, REVIEW BY 1-71 ADDRESS METER SIZE BUILDING SUPPLY SIZE NO. LAj OF FIXTURES cr CITY UMBER REMARKS STATE LICENSE NUMBER SIGN AREA ALLOWED PROPOSED RE cc LETE M�T 10 EXP �IADE 8 NO. SHOREE!"NEllf 6 (11 1 q 0 R Z Cr 0 Legal Description of Property - include all easements VARIANCE OR CU PLANNING REVIEW BY L V-14, y� I P SETBACKS — FEET ?10 ,5 SIDE REAR 451 HEIGHT 7E?-7 I LOT C;VERA&E Z. Z Tax Account ParceP N6. EM KS -A) A ) IVC— X,)S IV— 41 20 E] NEW' I RESIDENTIAL PLUMBING ADD/ALTIER 0 COMMERCIAL MECHANIC APT BLDG t 0 REPAIR' El SIGN 4— 7 1717"K, CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHTIr-le.r 7,17 0 W GRADING FENCE El DEMOLISH El 44 El (_ x _FT) CARPORT SWIM REMODEL GARAGE POOL. WOOD STOVE*/ F-1. RETAINIt 4.9 WALL� Ej INSERT ROCKERY RENEWAL E" SPECIAL INSPECTOR :,ff.AlEA REQUIRED YES OCCUPANCY GROUP C J�KNT 0 REMARKS PROGRESS INSPE6 ER UBC 305 (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIW —. m6mil, Silgil It— ft— h&,&AV of Va 41 NUMBER OF STORIES 7DWELLING ;QF UN OE6CRIBE WORK TO BE DONE (ATTACH QLQX.Al APAI "14,530�� dov.�a .4 .1d. �Mo FINAL INSPECTION REOUIRED VAL-.UATION, FEE'::' 02 V PLAN CHECK FEE 6 BUILDING. C17i V 9 172 ;Z PLUMBING Plan Chdick No. 7 cp� MECHANICAL This Permit covers work to be done on private property ONL Any construction on the public domain (curbs, sidewelks, driveways, marqjujees, etc.) will require separate permission. GRADINGIFILL zl) r STATE . SURCHARGE Permit Application: 180 Day , III I Permit Limit: 1 Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE CXV "Applicant, on behalf of his�'or her spouse, heirs, assigns and ENG. INSPECTION FEE p. k—/ 02 50ccessors.in interest, agrees to indemnify, defend and hold harmless tAe City of Edmonds, Washington,' its officials, M cc < 0 X em loyees, and agents from any and all claims for da p mages of whatever nature, arising directly,or Indirectly from the Issuance of this permit. Issuance of. this perrhit shall not. be geemed to modify, waive or reduce any requirement of anq.city Adinance nor limit In any waythe City's ability to enforce, any ordinance' PLAN CHECK DEPOSIT TOTAL AIVIOU�T�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 APPLICATION APPROVAL authorized agent of the owner. I agree to comply with.city and c' THIS PERMIT This applic afion is not a permit until statelaws regulating constru tion; and In doing the-wo'rk allthoriz- AUTHORIZES ed thereby, no person will be employed In violation of the Labor ONLY. THE signed by�the Building Official or his/her Code of the State of Washington relating to Workmen's Compensa- WORK NOTED �Deputy;:and fees are paid, and receipt is tiQn. Insurance. !acknowledged in space provided. INSPECTION SIGNAT RE (OWNER OR AG I Z -y EN DATE SIGNED DEPARTMENT _TA_ OFFICP,&,-S URE TE SIGNAT CITY OF EDMONDS '6ELEASED t,-O' ATTENTION CALL FOR ATE INSPECTION,, 0 ------- 1012- A IT IS UNLAWFUL TO USE,.OR OCCUPY A BUILDING. OR S+RUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-3202 1�50 YE I�nspecto�r A CERTIFICATE OF OCCUPANCY HAS BEEN GR ANTED. UBC CHAPTER 3. PINK — Owner, �OLD — Asse 102-87 po r 14 14 AFa^eec e LEGEND W_.� ex. water line S - ex. sanitary sewer line* G- ex. gas line ----- SD ----- ex. storm' setuer - ----- P ------ ex. under ground power ------ ex. telephon(,.% .00 ex. contour line 00001000*000 Proposed contour line CB - catch'basin MH - manhole PVC plastic pipe CMP corrugated metal pipe t Peba" NE 1/4 9 SE 1/4 SCALE I N FEET P7= 0 5 10 20 240.00 0:1- U 00'r W U4 X 190.7(. 0 gr"wass A) x aspha I JK X 192.69 --195.S7 OX b- 00. /- > T APPROVED AS NOTED ACC;F JNE MAIER& .pTASLF. TIGHTI t4-12 ADS QN�'et� i�. R E A!� Sch 40 PVC D3034) Xc�/ du� eDR 35 (ASTM ZC 0 CW 17679 Beapings ape based on plat of Talbot Gl,.n. C I L k COL(JMBIA LAND SURVEYIikNA'G & ENGINEERING 6605 228th S W. HONE: 776-3935 MOUNTLAKE TERRACE, WA., 98043 7-27-4 4 41U )g asPha I t 197.99 240.0 — . t Q 'I'll A 205.36 ;,-,,..,med Datum. SURVEYOR'S CERTIFICATE This map correctly rc;presents a supvey made by me op uncep my direction In conformance with the requirements of the urvey Repc yding Ac il 7 ;lrtffinate no. 17979 05�,_ 1, 13 LEGAL DESCRIPTION C) 11 1" ILI' 220 feet of the west 240 feet of the 1 1, The South 120 feet of the nopLh -L 26U eas feet Of the noptheast quaptep kL R. 4 E. , W. quaptep Of section 7, T.27 1\1 OP thesouLheast in Snohomish County, Wa V1, Zoe at" 7 J'a k A,jun t� vk 4t JI top fence X V I C I r I I TY MAP 1"= 2000, 202.31 2 0 0 . JI-2-1 b k Se t p _200-. 0 s (aspl4a I t dr, 9 -S 200.6- rs �jo 0 �Z02. 2. 0 2 .4-/ 0 0 (D U) 0 0 gr1lass X 0 203.59 z C� �S L) LL) o L) C + 2108 . 85 -C L Cf- cn U E7 (Y 0 seweP MH STREEI'T FILE+ Pfln = 210-15 BOUNDARY & TOPOGRAPHIC Sul'____�`VEY JOB 1\10" 9053 FOR 4 2 9 0 BILL LINDGREN SHEET 1 OF 1 Tax Lot 4-010 (70 fj k Tax Lot 4-011 Tax Lot 4-009 I LEGEND -W-- ex. water line ex. sanitary sewer line --G- ex. gas 1 ine ----- SD ----- ex. storm sewer - ----- P ------ ex. under ground power ------T ------ ex. telephone - i0o - ex. contour line ..**100... * . proposed contour- 1 ine CB - catch'basin MH - manhole PVC - plastic pipe CMP - corrugated metal pipe A, 5., no FF ..... r FILE 190.7�� Al� IS N4;4 W ACCEPTABLE TIGHTLINE MATE I I AS NOTED .12 ADS I SCh 40 PVC in SDR .95 (ASTM, D3034) 17-C Deapings --r�e based on plat of Talbot GI-n. I I RNAI k..7 COLk,"-4 B A LANU t5UNVLY 6605 2 2 6 _tt h S W [�E, 776 MOUNTLAKE TERRACE9 WA�.. 98043 NE 1/4, -SE 1/4 SCALE I N FEET 0 5 10 20 X NEER I NG -3935 RE AS 17679 4) N 01 7-27-4 ;,,,,�.,..4med Datum. SURVEYOR'S CERTIFICATE This map correctly rc�presents a survey made by me or unaer my dir,-ect,lon In confopmance with the nequir,-emitnts of the urvey Re.popdinq Ac$". certificate no. 17979 VZ-/ 205.36 U LEGAL DESCRIPTION 6LIN, I, The south 120 Peet of the north 22QxRaa)_-1vx 0 J) IPJJ 220 feet of the west 240 feet of the eas,-(, 2 (33 Peet of the nor-theast quarlter-li of the southea!�-: h I'll quapter- o+" section 7, T.27N., R.4 E., W.H.; in Snohomish County-, Wa I Tax Lot 4-010 k Tax Lot 4-011 Tax Lot 4-009 S ITE T �j d b "N f IN ri 1i �V Zi L VICINITY MAP 1 20001 top fence 202.31 200.2-1 pk se-L-jp Q) F L 0 0 (asp0a I L dr, 9 Is ..... 200.881 0 NI W gr- ac ----02.2. 2 W U� 0 0 0 (D Lr) 0 0 C\A .10 20 0 grass 0 203.59 z co 81- ne- JKJ 37 > < 0 I 1206. 85 . BOUNDARY & TOPOGRAPH FOR BILL LI NDGREN L _0 -C L F 0 El s cibi e P I C SL V 9 0 5 3 SHEET 1 OF 1