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17410 76TH AVE W.PDFIIIIIIIIIIII 6210 7410 76TH AVE W . . 0 9 ADDRESS: / 7- �112 , 2� zo�. e4e ew TAX ACCOUNT/PARCEL NUMBER: M,11�ezl zvz"�, 4!We�� BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) CRITICAL AREAS: DETERMINATION: 0 Conditional Waiver E] Study Required [-] Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DA PARKING AGREEMENTS DA EASEMENT(S) RECORDED C. PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED:— A�1171 Z 7 SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: OTHER: LATEMP\Dsrs\Fomis\Street File Checklist.doc 4 APPLICAY10N 9r, ENT jhb "E!.d' my"'.0 mon s. S 'SEWE - ------ IDE- R, PAWT 1;1� el�N L REPAIRS E] CONSTiVC id NEW T N LID NO - ------------------ ASMT,.` N ---------------- --- -OWNER ......................... ............ O� .... CONTRACTOR ------ F5LI� ---------------------------------------------------------------- PERMIT ... . ... 714 10 ot AD ----------------- ---- ------------------------------------------- DRESS ... F—= LEGAL DESCRIPTION: LOT NO - --------------------------------- .... BLOCK NO - ------- ......... lcz:)I, .4 ..... M. _E__ --------------------------------------------- ..... ....... ..... NAMEOF ADDITION --------------------------------------------------------------------------------------------- z 64 1-7 vLf zvolrttbB tT Z4, -7. CITY OF EDMONDS SIDE SEWER PERMIT WATER -SEWER DEPARTMENT 4, PERMIT ":r M, cail 775-2525 for side sewer inspections BEFORE covering any Portion of the construction.) Inspection will be provided within 24 hours after requBt. NO Sat., Sun., or holiday inspections. ADDRESS LOCAT[ON OIF CONSTRUCTIEON ........ ............................ ....................... . .......... . ........................................... .0 PROPERTY LEGAL DESCRIPTION ...... . .......... ------------------------------------ ---------- . ........................... ... .... .......... . .......... t; ........................................... ....... ... ...... . , . - ",Z: ............. ...... ............................................................................... TERIL1 '.., .. ..... .......................................................... 0147b, "TD/OR BUILDER ------- ................................................ Ck"�-�ACTORIS NAME & ADDRESS --------- rc S ......... - ------ - ---------------------------- .. . ... ....................................................... Permission is granted..- "o-fidmonds--ordinances. sewer ----------- __ - system in a4cCordance with - - ------ ---- for rePair and/or-COMOCUOn of a side sewer to the city sanitary ATTENTION IS CALI D TO THE FOLLOWING: NOTE No. I —The owners of the Property may obtain a Permit to construct sewer inside property line. A licensed Side sewer contractor must he employed to construct side sewer In street area. Do not cover any Portion of sewer before it has been inspected. NOTE No. 2—All work Performed in city right-of-way requires an Invasion of Right -of -Way permit obtaIrrable from the City Engineer's office. NOTE No. 3--Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. sharper than % will be Permitted. NOTE No. 5--Trenches In street must be watef settled and surface,of street restored to original condition. COntraCtGrs shall be responsible for failure due to improper NOTE No. 4—Top of side sewer must have at least 30 inches coverage at Property line and 12 inches inside property line; minimum grade of 2%. No bends in grade work which may develop within one year of Completion. NOTE No. Bert the pipe into the wye. 6�—It is unlawful to alter or do any othlr;Ivb�� ban Is Provided for in the permit, or to do any work on the maJn sewer or its, appurtenances except to in - DISAPPROVED . ..... ... ...... --------- By ................. Date ........... ...... -- ------- By ------_----_- Date ............... ................... By ................ Da APPROVED By... . ...... ........... 77 ---------------------- ..... .... ... . .... ... ............................................... Remarks: ....... . ...... . .......................... . ............................ .. ... .... .... .... . ........ ....................................... ......... --------------------- ................. ................................................. ...... .......... . .............. ...... .................................................................. . ................................... .. ..................................................... BOT ermit pi ST Signed By Owner of Firm Performing Construction PRIOR To Re quest For Inspection I----- -- - --- ..... .. ..... -------------- ............ .... .... hereby certify that the side sewer installation Constructed under this permit cti PerfGrmin Construction) was installe * accor ce h all governi ordinances of the City of Edmonds. X 19:�7 N/ At Check BEFORE You dig for: Water E] Dated this ... Z/ ............... day of ...... . . . .......................................... ... 2 Gas [-], Telephone E], Power [3, Sewer [], Other E] V V _______ �j 49 APPLICATION for EASEMENT NO SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS F] LID No. A$M NO. CONTRACTOR ---------.------_.------.---_—._IE3l&ITI�O. . LEGAL ------------------------------ BLOCK N{l ------------------------------------ --_-_ ------ DATE.By ............................................................ Date July, 1. Memo to: Director of Maintenance OPeration Public Works RECEIVED From.- City Engineer JUL 2 1974 Subject: Sewer Connection Charges Legal Description: That portion of the N 1-2 of the S 312- of the NE ),- of the SE P4 of Section 7 T. 27 N R 4 E, W.M. described as follows: Beginning at a int on'the N line of the above sd subd. N 89059'25" W 2,OP0.00 ft from the NE corner thereof; th N 89059'25" W.alg sd N line 117.00 ft; th-S 0008'10" W parallel to -the E line of the above sd subd., 14-175 ft.; th S 79048'04 E 118.83 ft; th N 0008'10" E parallel to the ,E line of the' above sd subd. 165.77 ft to the point of beg-thning EXCEPT the N 15.00 ft thereof, situate in the County of Snohomish, State of Washington. Commonly known as: 17410 76th Ave. W. Owner: James Lowery Z.F.F. Calculation: 141.6 Z.F.F. x ($5.50 0 Lateral x 0 1 Unit x $ 25 cc: Mr. James Lowery $ 778.80 Connection Fee $ -0- Lateral Charge 25.00 Trunk Charge $ 10.00 Permit $ 813.80 TOTAL Form 6 off Date May.5, 1976 .'Memo to: Director of Maintenance & Operation Public Works RECENFI) From: City Engineer Subject: Sewer Connection Charges Pub' WOM 001- A Legal Description: That portion of the N -12- of the S �246f the NE of the SE -I.- of Sec 7, T 27 N R 4 E,.W-A described as fdilows:. /0 Beg at a point on the N In of the aboye sd'subd N 89 59125" W 20.00 ft from the NE cor thereof; th N-89059'25" 14 aIg s N In 117.00 ft; th S 0008'10" W,parall.el to the E In of the above s ��- d subd, 144.75 ft; th S 79048'04" E 118.83 ft; th.-N 0008110" E parall,.dl to the E In of the above sd subd 165.77 ft to the POB. EXCEPT 'he N 15.00 ftAhereof, situate in the County of Snohomish, Commonly known as: 17410 76th A�enue West Owner: Cra,ig Coo -per Z.F.F. Calculation: 135.44 Z.F.F. 0 Latera 1 Unit/ CC: $5.50 x x $25 Y 1-1176 $ 744.9Z Connection Fee $ 0 Lateral Charge $ �5. 00. Trunk Charge $ 10.00 Perm it $ 779.92. TOTAL 2108 PLANNING"DATA SINGLE FAMILY RESIDENTIAL Name: Date: L-:--( Site Address: Tax Parcel ;-�7 "lo' '7 0 o t(o 73 oc) ('7 �(P Project Description Plan Check #: VQ, -�-- 12 Reduced Site Plan Provided: (YES NO) Zoning: Map Page: Corner Lot: (YES Flag Lot: (YES Critical Areas Determination \s� Study Required El waiver- SEPA Determination: 11'Exempt El Needed (for over 500 cubic yards of grading) 0 Fee 0 Checklist 0 APO List with notarized form Required Setbacks Street: Side:. Side: Rear: r2- �7— Actual Setbacks Stre et: 3 Side: Side: ear: -7/ El -Detached Strucfures: Rockeries: Fences/Trellises: El Bay Windows/Projecting Modulation: El Stairs/Deck: Height Datum Point: Datum Elevation: Maximum Height Allowed: 2-5 . - Actual Height: Other Parking Required: Parking Provided: Lot Area: (b C) Maximum Lot Coverag e: 3 5 % Proposed: Lot Coverage Calculations: ADU Created: (YES NO) 1-87 IL q(D f Subdivision: Legal Nonconforming Land Use Determination Issued: (YES (i�o) Comments V111 io dQJ- Ci- -plan Review By: 4\1� Planning Qata Form 0-14-09.doc PLANNING DATA STREETFILE Plan Review By: Nanning Data Form 07-14-09.doc I ppli-.ant!shall repai,,/replace all darr.p.ge to Uitles or frontage improvements in lily ghl-of-way per City stnnIamiq that is ou,:sec r amurs durilng the punnittat.17mi a3 Y� tA FA 4 r R, v=<l-cs Z� n L'i Il I Lee: r-: 7z' cqrz -0% IV OWNER/CONTPACTOR IS RESPONSIBLE FOR EROSION CONTROL AND 0RAjt,1A-r- i J �0 t;* 0 f vo;Tu'-4co' �'6r%v "C - A IS kPPROMmBY ENGIN Date:, RIING OWNEROO MR. & MRS. AL RAD 17410761H. AVE W EDMONDS, WA 98026 Zone Comer JFIag _1_ _LL TAX NUMBEP", Setbacks Required ALtuall cp L Front P--<- 27040700403300 Sides-lp Rear Other �eiggght 9L --S� PROPMRTY DESC9UEM2e—V1-;. So Section 07 Township 27 Range 04 Quart& SE - ALL TH PTN N1/2 S1/2 NEI/4 SE114 SD SEC DAF - WP ON N LN SD SUB N89*59 25W 2oFr, FIR NE COR THOF TH N89*59 25W ALG N LN 117FT TH :SQO*08 10W PLT E LN SDSUB 144.75FT TH S79*48 04E 118.83FT TH NOO*08 10E PLT E LN SD !�y B 165.77FT TO TPB LESS N 15FT THOF COEXIERML NOTES: 1. REMOVE E)(ISTING GARAGE ROOF STRUCTURE AND REPLACE WrTH NEW GARAGE ROOF. REFER TO DRAWINGS. 2. VERIFY EXIST1NG HOUSE AND SIT E CONDMONS PRIOR TO STARTING CONSTRUCTION. 3. CONTACT CRY 24 HOURS PRIOR TO CALLING FOP, INSPECTION. 4.' LESS THAT 7 CUBIC YARDS OF DIRT REMOVAL. DIRT REMOVED WIH BE USED TO FILL IN LOW SPOTIOF EXISTING YARD. S. 1-1 7. 8. ADDMONAL ROOF AREA ADDED TO ORIGINAL AREA IS APPRO)aMATELY 95 SF. r ORIGINAL- DRIVEWAY REMOVED AND REPLACED WrTH, NEW ASPHALT r SURFACE, THE SIZE WILL R&AIN* THE SAME APPRO)aMATLEY . 395 SF. REMOVE E)aSTING SURFACE, FOR NEW STORAGE AREA. REVISION NO NEW IMPERVIOUS SURFA, CES. OCT 166 2014 PLANNING OK'D NO HEGHT�CALC'S. (+2+2014). BUILDING DEPARTMENT CiTY OF EDMONDS 14" :12 4 JS Calj"P-d P lliftzc! pirojej--t. E T, RECEIVED JUN 14 2e'! BUILDING DE?1 REQUEST FOR INSPECTION- Adult Family Home A0pUCAnON NUMBER.' Applicant must complete sections 1, 2, 3, and 4. Application must be complete to be processed. &SSE�RS TA)qPARCEL #: 0- 03j.9Y_7L)AX_.:-6V1--06' 7.2,? PROPERTY OWNER NME: UCENSEE NAME.(IF DWfERS(r): DAMME PMNE:Ub . (0- 400S 75�a 7 SECTION 3 — FLOOR PLAN' A c(x . nplete floor plan must include all Meeping rooms, identified by number (#1, #2, #3 etc.) and . all components for e)dting, i.e. stairs, ramps, platlbrm lift and elevators. (Attach additional sheets if necessarY) IN 4 — 11TSCLATMER /SIGNATURE BLC I cerft under pMkft Of pajury that the intbffnation ficnished bV rne is true and oorrect to ft best of aW Icnowledge, and.that I arn authorized by the owner of the above preffdses to request Inspechon for and operate an Adult Fam#V Horne at Un baftn. I finther cer* that I have made appikation to the Depwbrient of social and Health Servia!s and the jurisdicrion for the appro;xl&e license(s) fn conduct such business; at this locatm I fi~ agree to hold ham*dess the wnsdiction conductmg such inspections at nW request as to arri daim (Vxks*V oosts, opmses, and ammneysf fees mairred in the kriestigabon of such dahn), which nW be made by any person, hviu&ng the undersigned, and filed against the Mmldmn, but only where such dairn arises out of the refianoe of the jurtsdxljon, mdudwg its dFxers,and ernployees, upon the ac curacv of the inftmadon %Wied as a part of this applkaftL NAME/Trn.E: DATE, 13,PROPEMOWNE^APP'UCANT 0 UCENSEE YES _,Vr Home licensed (or applying for license) on or after July 1, 2001 S EPI G Ms 0 S NSI 0 NS2 Sleepin 9 Room #1 Bedroom door is openable from the outside when locked Closet doors are readily openable from the inside Smoke alarm is installed in the bedroom high wide Sleeping room window has a minimum net openable area of 5.7 sf. (n**mn downsiOm- 24' 20' Sleeping room window has a ffk-Wmum sill height Of 44 0S NS 1 0 NS2 Sleeping Room #2 - Bedroom door. is openable from the outside when locked Closet doors are readily oPenable from the inside Smoke alarm is installed in the bedroom (ffNWWn &MMj0m- 24' high; 20' wide) Sleeping room window has a minimum net openable area of 5.7 sf- Sleeping room window has a ma)dmum sill height Of 44" Sk!eping Room #3 0 S NSt 0 NS2 Bedroom door is openable from the outside when locked readi inside Closet'doors are Ily openable from the ' Ap Smoke alarm is installed in the bedroom 5.7 sf. (Minhwm dimmsiom- 24"high; 20' wide) Sleeping room window has a minimum net operiable area of Sleeping room window has a ma)dmum sill height Of W ONSI 0 NS2 Skmong Room #4 0 S Bedroom door is openable from the outside when locked Closet doors are readily openable from the I inside Smoke alarm is installed in the bedroom 24'h1gh; 20'wide) Sleeping room window has a minimum net openable area Of 5.7 sf. (frdnkmm d'ff*r5W(K- Sleeping room window has a ma)dmurn sill height of 44" . Sleeping Room #5 0S XNSI 0 NS2 Bedroom door is openable from the outside when locked Closet doors are readily openable from the MW Smoke alarm is installed in the bedroom 20'wWe) Sleeping room window has a minimum net openable area of 5.7 sf. (a"mm &nwskm� 24" high Sleeping room window has a mmdmum sill height of 44' 0S 0 NSI 0 NS2 Sleeping Room #6 Bedroom door is operW)le from the outside when locked aosetdoors am readily openable fiom dw inside Smoke alarm is installed in the bedroom . .. 24, t*p; 20"wide) Sleeping room window has a minimum net openable area of 5 .7 sf. Sleeping room window, has a ma)dmum sill height of W .Bathroom doors are openable from the outside when locked Smoke alarms are installed on all levels Of the dwelling All smoke alarms are audible in all parts of the dwelling upon activation of a single device Access road and water supply approved by Fire Department )d PASSED 0 Cop ,RECTIONS REQUIRED INSPECTOR: INAI�_ DATE: ®r-, M :4 ;,ii M_ NO 0 0 0 0 0 El 0 0 0 0 I 10 a 04 1 0 PERMIT REQUIRED Ito" Yliii IF, k wx AA *4 -C Alts"r,'k MIRUN U, M. A4 la, a Ali, OUT �..g WA MAW, -1-4 C. 1891, October 6, 2003 0 CITY OF EDMONDS GARY HAAKENSON MAYOR 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 Website: www.d.edmondsma.us DEVELOPMENT SERVICES DEPARTMENT Planning - Building - Engineering Karl & Sheri Fleck 7802 175h Street SW Edmonds, WA 98026 RE: Sight Distance Obstruction at 17410 761h Avenue West The City of Edmonds has received a complaint that vegetation along the front of 17410 76h Avenue West is making it difficult to see for vehicles exiting onto 76h Avenue from the access driveway located to the south of your property. City staff has investigated the matter and determined that the vegetation in question does, in fact, create a sight distance hazard per Edmonds City Code, Street Obstructions, Chapter 9.25 (copy enclosed). Drivers presently entering onto Vh Avenue West from the private road to the south of your property cannot adequately see to the north. The inability for these drivers to see potential hazards in the road could result in a serious accident. In order to reduce the hazard and enhance public safety, the City of Edmonds is requesting that you trim your hedge located along your east property line. We request that the hedge be trimmed to a maximum height of three feet starting at the south end of the hedge, then north 25 feet along your easterly most property line. The portion of the hedge in question is located within the 76h Avenue West right-of-way. It is typically the responsibility of the adjacent property owner to maintain this portion of the unimproved right-of-way. If you are unable to perform this work, please let me know. Please complete the trimming by October 20, 2003. Your cooperation in bringing your vegetation into compliance is appreciated. If you are not able to perform this work or have questions please contact me at 425-771-0220, Ext. 1328. Sincerely, DARRELL C. SMITH, P.E. Traffic Engineer DCS/cmc Enclosure c: Mike Theis, Code Enforcement Officer David K. Gebert, City Engineer Jim Kammerer, Street Division Manager S:\ENGR\DARRELL\TrafficConccms\76th Ave 17410Sight*DihaaoAt9.acated August 11, 1890 Sister City - Hekinan, Japan �t 11 C. 1 B C)'-) 0 , 0 CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 DEVELOPMENT SERVICES DEPARTMENT Planning - Building - Engineering July 13, 1999 Lewis Johnson 17410 76' Avenue West Edmonds, WA 98026 SUBJECT: Sight Distance Hazard at 17410 76"' Avenue Wes Dear Mr. Johnson, Our records indicate you�are the owner of the subject property. We have received a complaint that the shrubs along the. fi�pnt of your property arelmaking it difficult to see on -coming traffic on 76' Avenue'West. City staff has investigated the matter and determined the shrubs in question -do, in fact; create a sight distance hazard. BARBARA FAHEY MAYOR In order to reduce the hazard and improve safety for you and others, please trim your shrubs to a height of 3 V2' for a distance of 20 feet from your driveway. Your cooperation in bringing the shrubs into compliance is appreciated. The Street Maintenance workers will be instructed to remove vegetation if you are not able to complete the necessary trimming by August 2, 1999. . . If you have any questions', you may contact Lyle Chrisman at 771-0220, Ext. 324. Sincerely, e, JAMES C. WALKER, P.E. City Engineer JCW/ALC/cmc 0 Incorporated August 11, 1890 R:\ENGR\LYLE\trafric-issues\sight-hazards\ I 7410-76th.doc Sister City - Hekinan, Japan f FEW ROUTING FORM Tn " t- i A I rl= 4- — 3. .4. iMessage, Av� From: Date: E-w7-72 14 ROUTING TORPPI Tn i + i A I 2. ,4. Message: 0� lei C, 6 I-Iww From- Dat e. �"E-7-72 7-5 �c ROUTING FORM Ln-. ial Tf). Date 2. 3. Message: e.�,; A/ I JAL Date: �E-7-72 41. TREASURESPEC 4$T No 92.0 3 Edmonds, W"90"pon STREET A Item Code Amount ANIMAL LICENSE ANIMAL CONTROL BICYCLE LICENSE GUN PFJtMrrS STATESHARE FINGERPRDnnNl-' COURT/FlNES TRAFFIC SAFETY M.V.I.P. BUSINESS LICENSE BUILDING PERMITS R/WCONSTRUCTION ZONING/SUBDIVISION PLAT INSPECTION RECORDING FEES S.E.P. A. REVIEW PHOTOSTATING MAPS/BOOKS SALESTAX RECREATION FEES DONATIONS — AUD CAR CUSTOMER DEPOSIT LOCAL SALES TAX LEASEHOLD TAX REIMBURSEMENT. SALE OF INVESTMENT INTEREST FAJ.ItNE-D 9600 z/1 0 0 W., - - 11 -7 7- d V? -3 -7 2 5 ? cily MINCE OF EDPAONDS Edmonds, Washington Sold To Russ Johnson Invoice No. RS 80004 16009 N. Meadowdale Rd. Edmonds, Wa 98020 Job No. .Date February 28, 1978 Your Order No. BILLING FOR ADDITIONAL EXPENSE - STREET CUT Additional expenses incurred by the Street Division when accomplishing work at 17410 76th Ave. W., Edmonds TOTAL AMOUNT DUE THIS INVOICE: Please remit to: Edmonds City Treasurer, Street.Fund. Thank You. 7-1 1978 CI�ARGED BILLS REFERRED $ .173.00 $ 173.00 749�4 V, 1LOR 09 October 27,,1977 MEMO TO: Harve H. Harrison . Mayor FROM: Leif R. Larson, P.E. Director of Public Works SUBJECT: ROUGH PAVEMENT PATCH - VICINITY OF 76TH AVENUE AND 176TH STREET At the Council meeting of October 25,- 1977, one of the Council members advised me that there was a problem patch on 76th Avenue West. The patch was necessitated by a cut into the street for a sewer -connection to the residence'at 17 z �10 76th Avenue West. The soil conditions were difficult lin'that area causing some settlement. The te I mporary patch normally applied at the close of the excavation has been reworked due to the settlement. Following the recent changes in the right-of-way construction'Codes of the City, the City Street Division of Public Works will be making the final patch within the next few days as weather permits. SIGNED RHA: lv &e: -5-tre-e-f As&'t.C.E. d�-t—e Sep.' ate— ZKOC-. Sec.'d6t—e M.A.A. date 00 October 26, 1977 MEMO TO: Richard H. Allen Assistant City Engineer FROM: Leif R. Larson Director of Public Works SUBJECT: STREET CROSSING REPAIR -- VICINITY OF 76TH & 176TH At the Council Meeting of October 25, one of the Council members indicated that the subject restoration appeared unsatisfactory. I believe this repair may have been done by Grant Construction. Please take all steps necessary to get it corrected as soon as possible. LRL: rf 101" STREET FILE -7/7 October 26, 1977 MEMO TO: Richard H. Allen Assistant City Engineer FROM: Leif R. Larson Director of Public Works SUBJECT:. STREET -CROSSING REPAIR -- VICINITY OF 76TH & 176TH At the Council Meeting of October 25., one of the Council members indicated that the subject restoration appeared unsatisfactory. I believe this re . pair may have been done - by Grant Construction. Please take all steps necessary to get it corrected as soon as possible. SIGNEP� LRL: rf 00 February 24,-1978 Z.EMO TO: Art Housler, Director Finance Department FROM: Leif R. Larson Director of Public Works SUBJECT: BILLING FOR ADDITIONAL EXPENSE - STREET CUT SECURITY DEPOSIT - ORDINANCE #1935 , R/W CONSTR. PERMIT NO.: 77-247 DATE ISSUED: 9130177 LOCATION OF WORK: 17410 76th Avenue SECURITY DEPOSIT AMOUNT: None ($15 R/W Permit Fee P id) RECEIPT NO. & DATE: N/A COMPLETION DT. OF REPAIR: 11-16-77 Please bill,th(� below mentioned company for $ 173.00 to cover additional expenses incurred by the Street Division when accomp- lishing the subject work: Russ Johnson 16009 N. Meadowdale Rd. Edmonds, WA 98020 The total of the Security Deposit including this billing will be $ 173.00 to be deposited to Street Division Revenue Fui-id 111-000"000-389.10, under the above mentioned R11q Permit. SIGNED 1V Attachment B-ra—hdin daf-,- Taferlig ffif-d d te ffii_r��at6 CITY'OFUMONDS ENGINEERING DEPARTME APPLICATION FOR RIGHT-OF-'1'1AY CONSTRUCTION PERMIT (A:,,r 1,;1 %�-.t to Ccmplete A & -1i r-,.,zd Subrmt in DupZL'cate) Permit to be issued to: For work at: (address or vicinity) Type of work to be done - (Attach Dra-.,,ing V.1en Applicable) Time Required Start: Finish: Owner: Name Mailing Address City State Telephone Number 17jContractor: 11�1z�t,)FXJ F0-55- .)N�' 7- -Skate License Number :7 Mti n nAddress f �O City State ephne Number T e7 INDEMNITY: Applicant understands and by his s ignature to thi-q 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 departmchts or employees, including but not limited to.the defense of any legal proceedings including defense 'costs, court costs, and attorney fees by reason of granting this permit. Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year following the final inspection and acceptance of the restorationrb-y-t1le Engineering Department. 'Work subjec t t o insp an restoration,in accordance with City Code. A Qion .24-hour not ce is r r uired fo i nspection by the Engin ep (5- /men.. .Call 775-25, - ,5 L �) Y Signature: ge R�7 Silgn�d/ DO NOT XITE BE 0 " THI S LINE (To be ccmpleted by Issuing Agency) Permit Issued (Date) 01-7 -Permit Number -77taq7. f Fee:. Bond: Time Authorized: 7E� cn!, GNEER'S APPPOVAL DATE C ["I Y OF E D M 0 N D---b'* PUBLIC TIG P2TMENT TO: LU 0 9z LU SUSPENSE DATE: DIRECTOR — Investigate and Report I Take Appropriate Action Prepare letter/memo for my signature For Information Previously Ref'd Status of Action?— Return to: ADMINISTRATIVE SECRETARY ASST. CITY ENGINEER BUILDING & GROUNDS SUPT. EQUIPMENT RENTAL SUPT. — STREET DIVISION SUPT. TREATMENT PLANT SUPT. WATE"EWER SUPT. CO4/ENT A% 72., 7 M: Sa1=2 DATE: c,A 1-� September 12, 1974 Representative Clary Velson House of Representatives Olympia, Washington 98501 ':,UBJI:CT: Sewer Connection Complaint from Yays. James Lowery, 17410 76th Avenue W. Dear Gary- Tn reference to Mrs. Lowery's letter of July 8, 1974, the following facts bear on the subject of this complaint: 1. The County Assessor's Office indicates that the house was built in 1960. 2. The City of Edmonds annexed this area In August of 1961. 3. During 1962, the City of Lynnwood constructed the trunk sewer main in 76th Avenue. 4. In August of 1965, Edmonds entered into an agreement with Lynnwood for use of the trunk sewer by Edmonds residents. The above facts indicate that the house was built while it was under the jurisdiction of Snohomish County and there was no sewer line available at the time of construction. This should provide an answer to question number 1 in Mrs. Lowery's letter. When we constructed sanitary severe in the Talbot Park area, (L.I.D. 164) the Lowery pr ope rty was not included in the L.I.D. as the Lynnwood trunk sewer was already available In 76th Avenue. There is also a considerable difference in assessment and connection cost ($13.17 per zone front foot versus $5.50 per zone front foot connection charge to the Lynnwood trunk line). This Information should answer question number 2. Connection charges are not a matter of record normally Included In a title reports They do not take the form of a lien I RepresentativMfiary on September 12,W74 Page Two where it may be of public record unless the City connects the property after Council Resolution and the house is connected. This information should answer question number 3. As you may be aware, the City has not had sufficient staff, nor has the city been inclined to enforce the ordinances requiring connection until recent times. It has taken the present staff approximately two years to obtain a list of houses in the City not connected to the sewer and to grind out a policy and plan of action for requiring these connections. With the increased development over the past several years, it was evident that the wide -spread non -connection of homes t , o available sewers was creating septic and health problems throughout the city. Many discussions have, been held witft Mrs. Loweryby Jack Mitchell and Dick Allen in reference to ihe'CilEy policies and methods of completing the connection. It has been recommended by Engineering Department that suitable time extensions be granted which would allow the present owners to complete the hook-up within a few month period; this would allow them to make arrangements for the new purchaser of the home to connect to the sewer as part of the sale package. It is hoped that this information is sufficient to answer Mrs. Lowery's questions. Jack Mitchell has also been requested to provide what information he has on the status on the connection since the Public Works Department is charged with the enforcement of the connection ordinance. Yours very trulv, CTTY or EDMONDS LEIF R. LARSON, P.E. City Engineer RHA:LRL:mir cc: Jack Mitrhell ',I,, till 20 e 422 Mrs. 76th Avenua- S t I.V4,10 " P02 :)BI Al 1""74 Nelson House �)fi'ice o'Lympi,), vuishi.nP,-ton G;tnt 1,2!n, :w, I arn 11 to you n.ei T feel �i#: j,�:r, t b,iir., itr.,Jr.� -p�(�asure by the City of Edinondc- 'I fc�ol th-'r tzre attr�mptlng to corrc�(�-t t2rron-oeous Pit-w-ation,�A our expen;>_-; an overisight riot onc but thr�!c times in the li,�&t fourteen ycors. Irt ine� Jvivz_,! �nT moment.s .)f yoar time. to ex -Plain thi.io sitwition. a: certified letter ;�ae brought to my .��oor by vt City of' .S.dmonds - employe e labrief, it inrlicitad that� I had 60 1'x MUY. 1;A t* lbztr�ll Side Gewer, in J�Jn,� 1jivid" ah a r ��po intme nt Ath, Jack Mitchellp Se -,,for Sq,erintehdent' e �kpt an extension -As our planai were., to bvy 1,antA and, build in. RQ,imon,d. I/x-. Mitchell OfAd he -vioub.1 rsttcm-pt extension unt-43. Oc tob 4 r 1, - f hin, to !ihich I thanked h:W -for and A this'polut -vaited for on ansjer' ron 'Ather d,,nW or, acL-novrlcdg6AAie extension. On, J.uly 3rd !r, I hr:!n, I cew, how frcmu �,mrk, in my mailbox wnt., a lettcr frofn th�, Ea rinC Dup,�.��rtmcnt Lidicatin, aver c-o%ne(Aion cb-�rgei-, �.,ere gincip kad'tog-.,,ther with Pth4sr charges -tot"'lleO $813.60. 1 y - of,, tn1ked to Rich,�rrd A11-:n t�.) tind out �,ih,,.A thi-,, the C:Lt, ond D_It!ing -t-he wi-sa of th,;! cvnveisOttior. I folvzvt -olit, tb;-It tile acti:vtLly Iju+,,,in in 1960. His onij anstwer to my �,p e , tion of vhy tbii, prqperty hF.,,d mt boev.� �,geviipRizly connected' was 11L.�c K OF 1"PoA.RQ. 'P�! ne-xt day, _7 confronted Jatcic XIVhell ,tith the- _itu�,tiqn - lv,� thought I tl.11�Is c".111ing cc�ncclming a lctto'r I i;hould h�lve ro6clvccl. r:till ivive not-rec;Avect It) ritating th.,it my ,vAer f,�tq�T)ly -,,ill ct:tt- cnT' "Ith -- 11 th-,,it ,",itc for tb� ovwor.,,i, sly July L3 if kJOT PAID T?T CASH by Rif, (.Aa.,,$)1dc)TA i;q ,hy r�m I ObIl"pto-A 7)(tv T"or C ity of has ovorl""Uki,d thrac timcG ir v:)-, �ii� to 1., vb- City of E-Imontto issued o pw dt 4-c) 'Duc bl,':ill,l 4 O)l L,!,.. Aic �hv�n the 2. r, -31. i L e. th.iz; holui C. 2. In lciist� IUD tbra �17,h th _J_ s tIA-:3 _Y1 en yel.r i -)n�- t for va.n.-,!; iicit. ijiTy '.WE NOT;*�j.j7 A," qer,-, b�lut. Tlt� �Pttwr 4ow- was. T tor ita tlyt IV tNt lixtil-.�r �011oll 'wf�- Iii %lul�roo '107" p -�m put nn avl�kry,�y fjo *11U.-, �ircap,nrtyp Y Ir',ve c�mi`.-Ont.�d tj�-,,cic <;l ty )f' 7�1.0�ondsa izzitkthle problom 1p vhIch I heve oska�t for c vOlk! ewvplLwtj()'4. 044 'Aw"Ov i'.] "nli Ovetfight 'Aue t�' lf'clt of ml�Alxpcy"4t�e.r* f> mot '�e'o -Vvlt'W"� It; �� 'rAld evLav4ion, -11vill but, I �� # 14 ve�Kl L 1 this I'viftj fb:�* 1�'ljw"*To q'� OP't b4 with, v4ymfnt 3,114u," put It Li 19(P *ni on tm, of It %-a be�L4 llvu�.11114'0'j tlw.,, prwt3us ajxi*rr. w' tld-- hiuw,� *atvwa�.' to ;dtli thL� ajonnt - iqV, ,rnoiilt it menticm-,14 'J'y � -'W"I'mit lbtlrlr�� : la Mw t..tle J=.xrfmcc; or fi pkenu aulliat 6wmrrl t* hAve 1 r:zA flor your r4:� -� I.-tunta In thU mr.tt!-!,r. Jhn�y Uax,�Utz �jr uzvl,,vrs thi-n. Y�A% vv'�y lx� ilb'le to '�d'w' me ;rjuld c.-Irt-tray b�,� 17410 0,20 -7-7(/- 9726 I , - — a IN DR -OFFICE COMMUNICA -ONS OATE FROM 1 4�� 1001 4 1 SUBJECT: 140 , IL JVILI a , A&o,-/ ""� July 1. 1974 SIR EET FILE oate Memo to: Director of Maintenance Operation Public Works From: City Engineer Subject: Sewer Connection Charges Legal Description: That portion of the N k of the S h of the - NE h of the SE 4 of Section 7 T. 27 N R 4 E, W.M. described as follows: Beginning at a point on the N Tine of the above sd subd. 89059'25" W;Z0.00 ft from the NE corner thereof; th N 89059'25" W.alg sd N line 117.00 ft; th S 0008'10" W parallel 175 ft.;.th S 79048'04" to the E line of the above sd subd., 1441 E 118.83 ft; th N 0008'10" E parallel to"the E line of the above sd subd. 165.77 ft tothe point of beq.1iining EXCEPT the N 15.00 ft thereof, situate in the County of Snohomish, State of Washington. Commonly known as:17410 76th Ave. W. Owner: —JaFeg� Z.F.F. Calculation: 141.6 Z.F.F. x ($5.50 0 Lateral x 0 1 Unit x $ 25 cc: Mr. James Lowery $ 778.80 Connection Fee $ -0- Lateral Charge .$ 25.00 Trunk Charge 10.00 Permi t 813. 80� TOTAL LEIF P. LARSON, P.E. EDMONDS CITY ENGINEER - rorm 6 - A xI- 6 -7 ov" A 3 S A�i 4E Ift AVIT 77 i It to TA oA'j 4 t ul &I S !C14 zz.- 3zi Ed COPI oPi-- /VF*o Iro joW _" ___ �7� � , 1 11 .- I - .' - '. . , "'i 'q 4. Descript-11 of the real estate with respect to which this policv, is issued That portion of the North 112 of the South 112 of the Nor . theast 1/4 of the Southeast 1/4 of*Section 7 Township 27 N.R. as follows: 4 E.W.M. described Beginning at a poin I t on the North line of the above said subdivision North 89WS9'2511 West 20.00 feet fro m the Northeast corner thereof; thence North 89059'2S" West along said North line 117.00 feet; thence South 0*09'10" West parallel to the East -line of the above said subdivision, 144.75 feet; thence South 79*4810411 East 118.83 feet; thence North 0*0811011 East parallel to the East line of the above said subdivision 165.77 feet to the point of beginning EXCEPT the North 15.0o feet thereof Situate in'the County of Snohomisho State of Washington. 17 41 PF-5 C 7.70 Z_ 41 ) ji Initial Date Y".7 10 0 6 Joe M ay 5,' 1576 to: Director of Maintenance,& Operation Public Wo rks. From: City Engineer Subject: S er Connection Charges er Coni, .Legal Descriptio That portion of the N I-, o the S o f the NE of T the SE -',-of.Sec T 27.N R. 4 E, 1I.M. descr'i ed as fo 11 ovis Beg at a point on th N In of the above subd N 89059'29" W 20.00 ft S from the NE cor th6reo'- th N 8905012511 1 alo sd M In 117'.00 . 'ft; th S n ot 0 th " 0008'10" 1-1 parallel to P E In of the ove sd subd, 144.75 ft; th S 1 0008 1011 .'79048'04" E 118.83 ft; \th-1 00* Parallel to the E'ln of the ft to he pf above sd subd 165 77 ft to* he-POB. XCFPT the ft thereof, Y of S 0 mj! situate in the County of Sno mish Commonly known as: 17410 th A.��e We!\ OM'er:. Craig Cooper Z.F.F. Calculation: 744 135,44 Z.F.'F $5.50 connection Fee 0 Lat r x $ .0 Lateral Charge U1 X .$25 25'. 00 Trunk Charge $ 10.00 Permit 779.92- TOT 41 191 CC: 2108, RECEiVED MAy 4 1976 May 4, 1976 Edmoods Efigr. DBPL Memo to: Leif Larson City Engineer From: Jack Mitchell Water/Sewer Supt. Subject: Connection Fee - 17410 - 76th Avenue West Attached please find the legal description for the property located at 17410 - 76th Avenue West. The new owners of this property are Mr. and Mrs. Craig Cooper. Please calculate the appropriate connection fee and inform us of your findings. t Attachment Mf' t4 ,;0;00, C4,JIJ 0 0 0 t 7, 0 r) FORM A-1964 REAL ESTATE SALES TJ RE)� ESTATE CONTRACT AMOUNT PAID,.�� RECEIPT N()-LLL� THIS CO I NTRACT, made and entered into this 26tft� day of junep 1975 JUL 21975 'between RYv his Wife C" jAMES M. LOUERY and MARIAN E- LOWE VEA - ef WL TRESA 1k COOPER* his G A. COOPER a PQPUV the "seller," an� CRAIG A* COOPER an .,hereinafter called I a I hereinafter called the "Purchaser," nd the purchaser agrees to purchase from the seller the following wiTNESS91711: That the seller agrees to sell to the purchaser a County, State of Washington: snoh=dsh I. 1h a purtenances, ul described real estate, Northeast 1/4 of th6.sOuth'ast That Portion of the North 1/2 of the South 1/2 of the a1up 27 N.R. 4 E,W-M- described as follows' -tion 7s Town ove said subdivision North 890591 1/4 of Sco on the North line.of the ab B031mina at a point eof' thence North 8905912511 West -allel to the East 1106 2510 1,10st 20-00 feet fr= the Northeast corner theT alorz ,aid Vorth line 117-00 Ccetl thence South 0008'10" West pal 041, East 118*83 fact$ of thn"'abcva said cubdivisiOup 144o75 feet; thence south 79048' orth 0003110" East parallel to the East line Of the above said subdivision tb,- _.Ice 165e?7 fcct to th-3 point of beginnin3 EXCEXT th-3 Virth 15*00 feet thereof in the COmity of Sn6homlsh o Dzed of Trust to Greenwood Savings & Loan Assocee which sellers will c6ntinue to Subject t Sage t6 Seattle First National Banks I which 5011"s.cont'nue to PSY& -x pz7 cnd Subject to Eon RED AND as follows: The purchase price is THIRTY THOUSAND FM HUND The terms and conditions of this contra . ct are ($ 309500-00 Dollars, of which Dollars have Ir 20500-00 NO . /10 - 0* "-"rr 1T1mT)Rrl) AND N01100* �hu he. naid as follows: Tt-To HIJNDRED—.- qW I -30 E6 4-4, Fie- 74A REGARDING: 17410 76th Avenue West 303-02600 (address) R E - C 0 R D 0 F C 0 N T A C T S NAME, PHONE NO., & DATE ADDRESS of CALLER COMMENTS 10-12-77 ['-afl 0 : Connected to sewer Permit # 5592 ACTION TAKEN INITIALS Jac REGARDING: 17410 - 76th Avenue West 20 S - 0-7,600 (address) R E C 0 R D 0 F C 0 N T A C T S DATE NAME, PHONE NO., & COMMENTS ACTION TAKEN ADDRESS of CALLER 4/218/76 Craig Cooper Mrs. brought in copy of agreement with the Lowerys and legal description. INITIALS JT S/4/76 Referred legal description to Engr. JT for calculation of connection fee. 5/6/76 Received connection fee from Engr. in JT the amount of $779.92. 5/11/76 Certified Letter No. 406770 sent Letter received. JT with coo of connection fee and - . Iy requiring connection within 30 days. 6/2/76 Discovered two different connection Sent memo to Engr. asking which JT charges had been calculated for this connection charge was correct. property. 6/7/76 Received answer from Engr. stating JT the connection charge calculated 7/l/74, in the amount of $813.80 was correct. 6/10/76 Larry Ogle turned water off since Mr. Cooper called Jack.and was JT their extension had expired and left advised to write letter to the Mayor door hanger. for additional time. Water,was restored. 6/24/76 Cooper's submitted letter to Mayor. JT 7/7/76 Certified Letter No. 406780 sent Letter received. JT granting extension to 8/15/76. 8/17/76 Phone has been disconnected. Nothing Have Larry Ogle check. JT in meter book. 8/20/76 Water turned off by Ogle. New owner JT notified by Sunset Rlty. Should take out permit in two weeks. 8/30/76 Cooper called Jack. Are moving to JT Canada. Agreed to pay connection fee. 9/17/76 Gary Cooper Brother, Gary, is taking over house. JT Obtained permit #5592 and paid comection fee of $813.80. REGARDING: 17410 76th Avenue West nO.�26040 —ssT TO Tr—e R E C 0 R D 0 F C 0 N T A C T S DATE NAME, PHONE NO., & ADDRESS of CALLER COMMENTS ACTION TAKEN INITIALS 5/l/74 James Lowery Certified Letter No. 406199 sent Letter returned unclaimed. Referred TE requiring hook-up within 60 days. to Jack for hand delivery. Letter received. 6/18/74 Called to make appointment with Jack Appt. made 6/19/74 at 3:15 p.m. TE to see if extension can be obtained. (cancelled) Referred to Engr. 7/2/74 Received connection fee memo from TE Engr. in the amount of $813.80. 7/5/74 Called to question amount of connection Talked with Jack. TE fee. Wants extension as she has clear title search and fee could be an encumbrance against property. Will call next Thurs. Will move by 8/l/74. 7/12/74 Received copy of letter sent to Lloyd TE Y.j.eeds,, Senators,, etc. debating situation. 7/30/74 Lost sale of property because not TE connected to sewer. Will write Mayor and Council. 9/17/74 Received copy of letter sent to Gary TE Nelson from Engr. answering questions from Mrs. Lowery's letter of 7/8/74. 2/13/76 Certified Letter No. 406725 sent Letter received. JT requiring hook-up within 60 days per previous letter. 4/9/76 Craig Cooper. New owners called and talked with Please return call.- JT 774-9194 Frances in Treasurer's Office. 4/13/76 Jack called Coopers. They are in the Property settlement should be JT - process of buying the home from Lowerys. completed by June. Lowerys are holding until the contract can be refinanced then Coopers will take over contract. Coopers have written agreement that Lowerys will pay or re- imburse Coopers for the $813.80 connection fee. CITY of EDMONDS Civic Center - Edmonds, Washington 98020 - Telephone (206) 775-2525 Office of the Mayor July 6, 1976 CERTIFIED MAIL V04790 Mr. or Mrs. Craig Cooper 17410 - 76th Avenue West Edmonds, Washington 98020 Re: Property at 17410 - 76th Avenue West Dear Mr. or Mrs. Cooper: In reference to your letter of June 24, 1976, you are hereby granted an extension to August 15, 1976, for the connection of your property to the City sanitary sewer system. If, at that time, you are still unable to make the necessary connection, please contact Mr. John B. Mitchell, Water/Sewer Superintendent, at 775-2525,-extension 226. Your cooperation shall be greatly appreciated. Sincerely, SIGNED HARVE H. HARRISON -Mayor j t z,;, '7� V_L_)-.,� 7- 6 - 7L 0� Xitchell Dt. Dt. ctor Dt. a. a " CITY OF L DMONDS PUBLIC WORKS DEPARTMENT TO: LU 0 LU SUSPENSE DATE: DIRECTOR Investigate and Report Take Appropriate Action Prepare letter/memo forjoy signature For "Informa ion Previously Ref'd Status of Action? Return to: ADMINISTRATIVE SECRETARY BUILDING MAINT. FOREMAN EQUIPMENT RENTAL FOREMAN PARK DEPARTMENT SUPT. STREET DEPARTMENT SUPT. TREATMENT PLANT SUPT. WATER/SEWER SUPT. COMMENTS: FROM: DATE: June 24,1976 City of Edmonds Mayor's Office Edmonds, Washington Dear Sir, We recently purchased a home in the city of edmonds at 17410 76th Ave. W. At the time of the purchase the previous owners agreed to pay a sewer assement which the city had against the house. However a ' s * of this time the previous owners have not paid the nece:ssary amount. We are willing to pay the assement ourselves however we would like to request an extension of the time deadline to August 15,1976. We have discussed this matter with the water department and they suggested that we contact you for approval. Your consideration of this matter would be appreciated. Yours rul 'u Cr4aiA. C oper 1 1741 76th Ave. W. Edmonds, Washington 98020 774-9194 f j I RECEIVED JUN 24 1976 Executivo Offigpg Z Aq rZ- for S�ould I send this to.LLe,. write a lettei investigation and.have them for,the Mayor's signature? CITY OF EDMONDS PUB LIC WORKS DF,—\,RTMENT SUSPENSE CONTROL riECORD SUSPENSE DATE NUMBER SUBJECT NAM Ext. on side sewer for 7/2/76 PW-50 Craig Cooper I ;ROM FILE DESIGNATION J. Herb Gilbo SUMMARY r Mayorls signature advising Prepare ltr fo i of our decision. TO TO TO TO TO DATE DA T:E DATE DATE DATE 6/28 FINANCE DLVARTMENT TO INITIAL MUNICIPAL COURT SUSPENSE DATE: ACTION: l..Investigate and Report: 2. Take Appropriate Action: 3. Prepare - Letter/Memo For My Signature: 4. For Your Information: 5. Previously Refered Status of Action-:. ACCOUNTING PAYROLL DATA PROCESSING TREASURER r'nwPNTQ -I- I -7-L-e- - Lila Crosby Finance Director IW'I-OFFICE COMMUNICAl /,� )NS DATE TO FROM �** FIVP'r) JUN P, 8 1976 FORM 41 - LITTLE'S Public workz jwn, SUBJECT: 1 5�z TO FORM 41 - LITTLE'S IN T OFFICE ACOMMUNICAT. NS OAT E June 25, FROM Fran 19 76 SUBJECT: This letter is regarding a c . onnecti�on fee to hook up the sewer on this property. He is asking for an.extension-of time to pay the 800.00, and .-Public Works told him he has to have the Mayor's approval for the extension. This is not an LID assessment because it is jus,t outside LID-164. ROUTING FOWS "10 !.4 a7 Da t-l- 2. 14. Message: Date: "E-7-72 June 2, 1976 -71 ,.AdmmPwM: Leif Larson City Engineer Jack Mitchell Water/Sewer Supt. RECTilmn JU. 7 1976 R E C E I'V E D PublP xs yup- - JUN 4 1976 Edmonds En9r. Dept. Subject: Connection Fee - 17410 - 76th Avenue West, Edmonds Attached please find copies of two connection fee charges for the property located at 17410 - 76th Avenue West. Although the legal descriptions are the same, the zone front footage was calculated differently. Therefore, please indicate which connection charge is correct. Since the home owner of this property is required to complete the necessary side -sewer connection by June 10, 1976, your prompt response shall be appre�,iated. j t Attachments r Memo to: Director of Maintenance & Operation Public Works From: City Engineer Subject: Se�r Connection Charges Date— May 5, 1976 RECEIVPr) MA Legal Description.-\Th of the S' 1-2 of the NE I,- of 7, 2;t,portion of the N I . 11/1 the SE 4 of Sec R 4 E, W.M. described as follows: Beg at a point on the In of the above sd subd/N 89059'2511 W 20.00 ft from the NE cor thereof; th N 89059125 11 1,1 alo sd N In 117.00 ft; th S 0008'10" W parallel to th E In of the a�o e subd, 144.75 ft; th S 79048104" E 118.83 ft\,-;.Oth, 000811011 's� ft to E para 1 lel to the E In of the above sd subd 165.77 ft to e POB. EXCE the N 15.00 ft-thereof. situate in the County of Snoh mish Commonly known as: 17410 76t$ Avenue�West Z.F.F. Calculation: 135.44 ) Z.F.F. x $5.50 0 Late . /al X 1 Un't x $25 cc: owner: Cra.ig Cooper $ 744.92. Connection Fee $ 0. Lateral Charge $ 25.00. Trunk Charge $ 10.00 -Permit 779.92. TOTAL 2108 D a te July I , 1974 I Memo to: Director of Maintenance & Operation Public Works. RECEIVED From: City Engineer JUL 2 1974 Subject: Sewer Connection Charges Legal Descript-ion: That portion of the N 1-2 of the S h of -the NE 14- of the SE 14- of Section 7 T. 27 N R 4 E, W.M. described as follows: Beginning at a point on the N line of the above sd subd. N 89059'25" W 20.00 ft from the NE corner thereof; th N 89059'25" W.alg sd N line 117.00 ft; th S 0008'10" W parallel to the E line of the above sd subd., 144.75 ft.; th S 79048'04" E 118.83 ft; th N 0008'10" E parallel to the E line of the above sd subd. 165.77 ft to the point of beginning EXCEPT the N 15.00 ft thereof, situate'in the County of Snohomish, State of Washington. Commonly known as: 17410 76th Ave. W. Owner: James Lowery Z.F.F. Calculation: 141.6 Z. F. F. x ($5.50 0 Lateral x 0' I Unit x $ 25 cc: Mr. James Lowery $ 778.80 Connection Fee $ -0- Lateral Charge S 25-.00 Trunk Charge $ 10.00 Perini t $ 813.80 TOTAL N N rorm 6 CITY of EDMONDS 200 Dayton Street - Edmonds, Washington 98020 - Telephone (206) 775-2525 Department of Public Works May ll-, 1976 CERTIFIED MAIL -�0&7_70 Mr. or Mrs. Craig Cooper 17410 - 76th Avenue West Edmonds, Washington 98020 Dear.Mr. or Mrs. Cooper: In reference to the sewer connection of your property at 17410 76th Avenue West, attached please find a copy of your connection fee in the amount of $779.92. This fee must be paid in full prior to obtaining a Side -Sewer Permit. You are hereby requested to make the necessary sewer connection within thirty (30) days from the date of this letter. If the connection is not completed within this time, water service to the subject property will be terminated. Please phone Mr. John B. Mitchell, Water/Sewer Superintendent, at 775-2525, extension 226, for any information or assistance.you may desire. Sincerely, SIGNED J. HERB GILBO Director jt Attachment Date May 5, 1976 Memo to: Director of Maintenance & Operation Public Works RECEIVPr) From: City Engineer MAY-,% � 197� Suhient! Sewer OV, Pu bue//Worlks, LePt. j �o Legal Description: That portion of the N -12- of the S k of *the NE �, of the SE -14- of Sec 7, T 27 N R 4 E, 1I.M. described as follows: Beg at a point on the N In of the above sd subd N 89059'251, W 20.00 ft from the NE cor thereof; th N 89059'25" M alo sd N.In 117.00 ft; th S. 000810" W parallel to the E In of the above'sd subd, 144.75 ft; th S 79048'04" E II8.a3 ft; th.N 0008'101- E parallel to the E In of the above sd subd 165.77 ft to the POB. EXCUT the N 15.00 ft thereof, situate in the County of Snohomish Commonly known as: 17410 76th Avenue West Z.F.F. Calculation: 135.44 Z.F..F. X $5.50- 0 - Lateral x Unit x $25 cc. owner: Cra.ig Cooper $ 744.92. Connection Fee $ 0 Lateral Charge' $ 25.00. Trunk Charge 10.00 Permit $ 779.92. TOTAL 2108 May 4, 19.7 6 Memo to: Leif Larson City Engineer From: Jack Mitchell Water/Sewer Supt. Subject: Connection Fee - 17410 - 76th Avenue West Attached please find the legal description for the property located at 17410— 76thAvenue West. The new owners of this property are Mr. and Mrs. Craig Cooper. Please calculate the appropriate connection fee and inform us of your findings. j t Attachment Message: 7-0/1- . -Zl-)ILI�L , q; Xi je',:!� A r: -charge on * t'* ' *, fy hat �the. James:'-.� Th' s s- to-:. t A s, in the nam e o f T 0 6th':Ave.,-Wes in Edmonds,i id sewer 7 41 t r, sa Lowery and'we�arie responsible fo Marian aew,.pdrchaserst-Craig & Tresa-' -!'o-nlY.`-.The i connection. Phar.ge,... . . I .. . . .. 1 , ' Al. ;i* stall:ation. -side%.sewer, n. Cooper' to�Put in:eind pay,',for naliie; but, tD be paid for by',, -remain',in'.Loivery's. W�te'i, is, .,t 0 C ract until they from date' -of Real Estate' cont Cooper's e ecom and relin�uisfi property.'-��%oul.,I-,"connection charge" b ry proceie s 0 rty, ayment will,come from Lowe said.prope� 'lien.� on.. j (,.s I Lowe M JRI.�-N, E.,:� r CRAIG P 4. 'M 61 Y COOPER TRESA M X.4 it SH114GTQN STATE OF 'z.i S�- unty .04,344 y� Craig A.:.I wery, Marian E. Lower James M. To On this day personally appeared before me d y. d. Tresa M. C,,g,r 4<ooper an be the individua described in and who executed the within and foregoing instrument an the - to free and voluntary,act and deed, signed the same as their j ac�now e ged,that they and purposes therein mentioned. jises day of A t 91 75 r y hand and official seal this 4th R ;"'GIVEX unde in .... ..... .. ................ ...... Notmlpublic in and for the State of Wash' on, 4 Seattle residing at 2 .�C_ mCHT. INDIVSDUAL KmoWLEDG to Fl_ 0 `,'."�FORM 'A-�1964 T REAL ESTATE SALES. a ESTAT E CONTRACr REA� AMOUNT PAID..6�� RECEIPT NO_L� 1975 day of June 0 this 2fttr— ACT, made and entered int JUL: 21 115 THIS CON' TR RYI, his Wife between JAMES M, touzRy and MARIAN SA 1k COOPER# his W1 -R and TRE th OOPE pop V ase'ller," d CRAIG A* C e, called e an T 7; bereinafter called the "purchaser", nd the purchaser agrees to purchase from the seller the following er agrees to sell to the purchaser a W County, State of Washington: ITNESSEtfl:, That the sell in Snohomish described real estitet with the, appurte . nance s, 1/4 of the Southeast f the'south 1/2 of the Northeast That Portion of the.North. 1/2-o go 4�EWM* described as follows$ 1/4, of ..,.Section 7@ Townehip, 27'11*Ro saLd.subdivision North 8905 )f the above, . cni tl�e North -line: North 89059125" Yest at a point f, thence r thereto I 00je4�_fF" the'Northeast c0Vn4 0008olo,, Vlest parallel to the East 11n* 25'0 West 204 thence SOUth ,"1.%;slcvng,6atd North- lim.,117.00'.fe th 7904810411 East 118*83 feet$ 'X d division# 14445 feetj thence.SOU of tbs above sai sub tallet to the East line of the above said subdivi . GiOn .089 lot!, East. pa 'N )oint-of:.beginning feet eof. , fl� ��o EXCEVT.the North: t5.Qo:, feet ther c, which ISO that,-.130uUtY _0C:;6#*hoiM&1sh will- c6latinue, to, & Loan Asso 9 to,pay* t C;:.Greenvood'Saving t setters continue of tional BankV which Subject- to Nat SOattlp'First '. IRTY SAND pM WMRED AND, price is TH THOU Dollars, 1o.ws* The, purchase, of whicfi' TZ d be�terms,p conditio .0f.t . .1114w,.;..-, -. '1� - �:,� .. Do'lars bave:",, V. v.�: A. ($ 30*50000 ($ 2&500*00 NO/1L 111THME) �'4 — N01100* ------ 1,.,,_.h.q11_he_naid -as follows: 0 CITY of EDMONDS 200 Dayton Street - Edmonds, Washington 98020 - Telephone (206) 775-2525 Department of Public Works February 13, 1976 CERTIFIED MAIL-#(k1,7.?5 Mr. or Mrs.. James Lowery Post Office Box 1276 Lynnwood, Washington 98036 Dear Mr. or Mrs. Lowery: You previously received a Certified Letter which required the sanitary sewer connection of your property located at 17410 - 76th Avenue West. As of this date, our records still indicate that your property is unconnected. You are hereby instructed to make the necessary sewer connection within sixty (60) days from the date of this letter. If the connection is not completed within this time, water service to the subject property will be terminated as outlined in City Code 11.16.240. Requirements for obtaininga Side -Sewer Permit are a plot -plan drawing of the proposed connection, the legal description for the prop- erty, payment of connection fees and copies of all recorded easements (where applicable), and payment of the $3S Permit fee. Side -Sewer Permits may be obtained at the Public Works Department, 200 Dayton Street, Edmonds, between the hours of 8:00 a.m. and 5:00 p.m., Monday through Friday. Please phone Mr. John B. Mitchell, Water/Sewer Superin- tendent,, at 775-2525,- extension 2262 for any information or assistance you may desire. Sincerely, SIGNED J. HERB GILBO Director A JBM: j t ROUTING FORM ;.-V- I - ROUTING FOW. -lyi ir�f tial Date 14. Message: -Z Fx Date: 'E-7-72 M RECEIVED SEP 17 1974 September 12, 1974 Representative Gary Nelson House of Representatives Olympia, Washington 98501 SUBJECT: Sewer Connection Complaint from Mrs. James Lowery, 17410 76th Avenue W. Dear Gary: In reference to Mrs. Lowery's letter of July 8, 1974, the following facts bear on the subject of this complaint: 1. The County Assessor's Office indicates that the house was built in 1960. 2. The City of Edmonds annexed this area in Auguat of 1961. 3. During 1962, the City of Lynnwood constructed the trunk sewer main in 76th Avenue. 4. In August of 1965, Edmonds entered into an agreement with Lynnwood for use of the trunk sewer by Edmonds residents. The above facts indicate that the house was built while it was under the jurisdiction of Snohomish County and there was no sewer line available at the time of construction. This should provide an answer to question number 1 in Mrs. Lowery's letter. When we constructed sanitary sewers in the Talbot Park area, (L.I.D. 164) the Lowery pro"rty was not included in the L.I.D. as the Lynnwood trunk sewer was already available in 76th Avenue. There is also a considerable difference in assessment and connection cost ($13.17per zone front foot versus $5.50 per zone front foot connection charge to the Lynnwood trunk line). This information should answer question number 2. Connection charges are not a matter of record normally included in a title report. They do not take the form of a lion GO Representative Gary Nelson -September 12, 1974 Page Two 1. . where it my be of public record unless the City connects the property after Council Resolution and the house is connected. This information should answer question number 3. As you my be aware, the City has not had sufficient mtaff. nor has the City been Inclined to enforce the ordinances requiring connection until recent times. It has taken the present staff approximately two years to obtain a list of houses In the City not connected to the sewer and to grind out a policy and plan of action for requiring these connections. With the increased development over the past several years, it was evident that the wide -spread non -connection of homes to available sewers was creating septic and health problems throughout the City. Many discussions have been held with Mrs. Lowery by Jack Mitchell and Dick Allen In reference to the City policies and methods of completing the connection. It has been recomnended by Engineering Department that suitable time extensions be granted which would allow the present owners to complete the hook-up within a few month period4 this would allow them to make arranfements for the new purchaser of the home to connect to the sewer as part of the sale package. Tt Is hoped that this information Is sufficient to answer Mrs. Lowery's questions. Jack Mitchell has also been requested to provide what information be has on the status on the connection since the Public Works Department is charged with the enforcement of the connection ordinance. RHA:LRL:injr ---------cc: Jack Mitchell Yours very truly, CTTY or Ewns LEIr R. LARSON, P.E. City Enrineer 0 JUL Ll & Washingt�,n 98020 Ju.11.Y 8, 119 74 I am tLirning tu you as I feel we are being subje,,:ted to undo and unjust pressure b,�,., the City of Etnonds. I feel they art- alutertipting, to cnrre,_,t. a very erronec,us- --ituat.-i-n at oux expense; an oversight nr-e but nr�t 0, three times in th( last 4- e fourteen yeai-s. Please Ile,. m li-iave a f --w C morrients of your time to explain -this situation. ,)n May 24th a _:,,�rl`ified lei -ter was brought to my door by a City of Edmonds employee. In brief, it indicated that I had 60 days from May lst to install a side sewer.' in June, 11 made an appointment with. Jack Mitchell, Sewer Superint,enderit, to attemp t an extension as ou2- plans were to buy land and Inuild in Redilic)nd. Mr. Mitchell said he would attempt an e:--tension until Octob-r j-, 1974, which I thanked him for and at this point waited for an answer f,om him to either deny or acknowledge the extensinn. On July 3rd when I came home from work, in my mailbox was a let -ter from the Engineering Department indicating my sewer connection charges were $778.8o and together with other charges totaled $813.80. 1 4 irimediately called the City of Edmonds.and talked to Richard Allen to find oul, whht ilhis meant.. Luring the course of the conversation I found out that the sewers were actually put in in 1960. His only answer to my question cf why 'Fh.is property had not been previously connected was "LACK OF MANPOWE,.". `,.he next working day, I confronted jack Mitchell with thc., situat-'L�--n - �,e �Ehoug_ht I was calling concerning a letter I should have received still have not ceceived it) stating that my water s�Lpply will be cut off by July 12th if we have NOT PAID IN CASH by that date for the sewors. Ply question is this: why am I obligated to pay for s0rrv�thing that the City of Edmonds has )verlooked three times in a row as f-01101WS: 1. Ill- Citly of' Edmond.s issued a permit to uur buiide. (Jakko.La) to build on septi,-, when the sewer line-s were in thn ��treet less than sixty feet. from this house. 2. n 19(D� IdT' went; thr.,�1.Agh this area and every house on al I sides -1 tc- sewpr��, and are )n a tli-'-::; a !_.Per4 %, �iav b� cnn�!C4- Veql, C0ni'-'*'9-_,1" f*j!- -epa,%ient. WH7.f WEi-.,r,, WE NOT CONNE�:TED AT Tl !-,Th;? L�-,L:-- h''us- 1.;� -, a flne ar-re par:_ -el -,)-f which tuo hotries -2- were built. The other home was connected on the LID! Had this been properly handled, the LJ-D would have been paid for in the escrow by the former owner when we purchased the home. 3. In July, 1972, we put an earnest money on this property, which was completed in a five months escrow in which I was given a clear title for a $141.00 premium. ' I have confronted Jack Mitchell and Richard Allen both of the City cf Edmonds with this problem in which I have asked for a valid explanation. Their only answer is "an oversight due to lack of manpower." I am sorry but I do not feel that this is a valid explanation. Having lived in this home for 1-1 years, we are being confronted w 2 ith the payment of sewer put in in 1960 and on top of it are being asked for immediate cash payment - how have the previous owners of this home managed to get by without being charged with this amount - why wasn't it mentioned in my title insurance - or a lien placed against*previous owners to have this done. I ask for your assistance in this matter. Any thoughts or answers that you may be able to give me would certainly be appreciate.d. Yours very truly, -Mrs. James Lowery 1741o' - 76-EE A-�—e _T�est Edmonds, Washington 98020 12S CONFORMED.COPY RETURN ADDRESS: 200507110893 3 PGS 07-11-2005 04:29pm $21.00 City of Edmonds, City Clerk SNOHOMISH COUNTY� WASHINGTON .121 5th Avenue North Edmonds, WA 98020 Sr NOTICE OF LIMITATION AND COVENANT ADULT FAMILY HOME, Reference #: Grantor(s): (1) Lu 1 6' ga<4 (2) Al gad Additional on pg. Grantee(s): C6 of Edmonds esc n (abbreviated S . e Twn 4R71V Rn tr S7e Legal D riptio. C-- OR Lot Plock Plat Assessor's Tax Parcel ED#(s):, (1) o� 0 41q op Assessor's Tax Parcel ID# not yet assigned AUTHORIZED FOR RECORDING Ci f Edmonds B Date: 7 Y: Page-/Lof zv'. WHEREAS, the undersigned owners of property located at 7el X0 76 X. 11 AW. �"a/k �OA WO,;7-4 in Edmonds, Washington legally described for below or on. the attached Exhibit A, have applied for a building permit compliance and/or to remodel a structure located on the site; and WHEREAS, the applicant has. notified the City of applicant's intention to utilize the improvements and/or to convert an existing single family. structure to an adult ffindly home; and WHEREAS, under the Uniforin Building Code the number of occupants of. a. ,structure trigger certain requirements relating to the fire suppression and exiting. requirements; and. WHEREAS, the City has notified the applicant that the permit will be issued., conditioned on limitation of residents to �o or fewer residents and their caretakers; and WHEREAS., the City has issued a permi't based upon such representations; NOWP THEREFORE, the undersigned property owners (hereinafter 'Owneel) in consideration of the issuance of a building I permit and In order to confirm the promises upon which such Issuance is based while providing notice to, any future owners or mortgagors of the property does hereby stipulate, covenant and agree as follows.: 1. Covenant: Limitation on Residence. The owner hereby stipulates and agrees that occupancy of the structure as an adult family home shall be limited to (0 or fewer adults and their caretakers as allowed by applicable provisions of state law. The owner acknowledges that in the event that the applicant seeks revision of the applicant's state license' to o erate an -adult family home with I p an occupancy of greater than residents or attempts to rent, lease or, otherwise provide residence for additional residents above the permitted in the current occupancy 'classification, the structure shall be vacated and all residential use ceased until such ti me'as the property is brought into compliance with the' o f the State Building Code, under the edition of pr visions o the Uniform Building Code then in effect. The owner further stipulates that this covenant touches and concerns the land so long as the present structure and use, continues and shall run with the land to all future purchasers and assigns. 2. SuhiectTract The above stipulation and oromises.shall apply to and run with the land with respect to a residential structure located at INlo th ALle Ly I , Edmonds, Washington and legally described.as: * .. 3. Notification to Future Purchasers and Assignees. This notification' and.covenant has been recorded in the records of Snohomish County, Washington. in order to provide notice to any -and all future owners of the property of the limitation at the current level of improvement to single families and adult family home residents fewer than (o in number. 4.. Enforcement. In addition to any and other remedies civil or criminal which the City may have, the property owner hereby agrees and stipulates that -this grant of covenant shall entitle. the City to enforce b injunction the provisions of this y code and, In so doing, to recover its reasonable attorney's fees and costs. AUTHORIZED FOR RECORDING Ci f Edmonds By: Date: Pav of Morteaeor NOTARY FOR OWNER SIGNATURES State of Washington. )ss Countyof� �1� I certify that I know or have satisfactory evidence that �_U'(;/ AZ Rd-CL signed this instrument, on o . ath stated that he/she was authorized to execute the ins rument and acknowledged it as the 6 ol7zr (title) of U6141'. CL ___ (name of party on behalf on whom instrument wasexecuted) to be the free and voluntary act of such party for the uses and pi r . poses mentio I this: instrument. Subscribed and sworn to before me this day, of 76&?1U Notary Public In and for the State of Washington. My conunission expires V 60710 I certify t ctory evidence that signed I I d that he/she was authorized to. execute the. instru e the (title) of half on whom instrument was executed) to be .the free a I suc arty for the uses and purpose smentions in this instrument. u scribid'a-i-d- -sworn to before me this day of Notary Public in.and for the State of Washington. My commission expires AUTHORIZED FOR RECORDING i Edmonds By; e Date: Page 9 of L-.\TEMP\BUELDING\FORMS\ADF-COVMOCl/10/04 CONFORMED COPY 200507110893 3 PGS RETURN ADDRESS: 07-11-2005 04:29pm $21.00 City of Edmonds, City Clerk SNOHOMISH COUNTY, WASHINGTON 121 5th Avenue North Edmonds, WA 98020 NOTICE OF LIMITATION AND COVENANT. ADULT FANULY HOMIE Reference#: E 00 O-LO Z Grantor(s):(1) Luct,6- Rctci Al' gad Additional on pg.. Grantee(s): City of Edmonds _z wn.� �7& Rng4� tr157e Legal Description (abbreviated): Sec__ _T OR Lot Block —Plat Assessor's Tax Parcel RM(s):. (1) ��0�70.o Assessor's Tax Parcel ID# not yet, assigned AUTHORIZED FOR RECORDING By: dC1 f Edmonds ig' Date: 7 Page —/—of WHEREAS, the undersigned owners of property located at 7411�9 76 141 Aile. &)A -�?ko�zg in Edmonds, Washington *legally de$crib ' ed below or on.the attached Exhibit. A, have applied for'a building permit for' compliance and/orto remodel a s , tructure located.on the site; and WHEREAS, the applicant has. notified the City of a plicant's intention to utilize the pp improvements and/or to convert an e kisting single family. structure to an. adult family home; and WHEREAS, under the Uniform Building -Code the number of occupant s of, a. structure trigger. certain requirements relating to the fire suppression and exiting. requirements; and WHEREAS the City has n' otifled the applicant that the, permit will be Issued conditioned on limitation of residents to �o or fewer residents and their caretakers; and WHEREAS, the City has Issued a permit based upon such representations; NOW, THEREFORE, , the undersigned property owners (hereinafter "Owner") in. consideration of, the issuance of a building permit and in order to confirm the promises upon which such Issuance is based while providing notice to any future owners or mortgagors of -the property does hereby stipulate, covenant and agree as follows.: 1. Covepant: LIMI'tation on Residence. The owner hereby stipulates and agrees that occupancy of the structure as an adult family home shall be limited to or fewer adults and their caretakers as allowed by applicable, provisions of state I w. The owner acknowledges that in the event that the applicant seeks revision of the applicant's state license to operate an -adult fandly home with. an occupancy of greater than residents or attempts to rent, lease or otherwise provide residence for additional residents above the permitted. in the current occupancy classification, the structure shall be vacated and all residential use ceased until such time* as the property is brought, into compliance with the'provisions of the State Building Code, under the edition of the Uniform Building Code then in effect. The owner further stipulates that this covenant touches and concerns the land so long as the present structure and use. continues and shall run with the land to all future purchasers and assigns. 2. SubJect Tract The above stipulation and promises, shall apply to and run with the land with respect to a residential structure located at / 7qlo Ade Edmonds, Washington and legally described as: 3. Notification to Future Purchasers and Assianees. This notification and covenant has been recorded in the records of Snohomish County� Washington, in order to provide notice to any and all future owners of the property of the limitation at the current level of improvement to single families and adult family home residents fewer than �o in number. 4.. Enforcement. In addition to any and other remedies civil or criminal which the City may have, the property owner hereby agrees and stipulates that.this grant of covenant shall entitle, the City to enforce by iWunction.the provisions of this code and, in so doing, to recover its reasonable attorney's fees and costs. AUTHORIM FOR RECORDING Ci f Edmonds By: Date: PageM of DATED this day of ACCEPTED BY: APPLICANT/PROPERTY OWNER: -��"Applica jeanWine L. Grat '-C/ Applicant Building Official Owner Owner COVENANT AND NOTIFICATION ACKNOWLEDGED: Mortgagor NOTARY FOR OWNER SIGNATURES State of Washington, )ss County of�l I certify that I know or have satisfactory evidence that �-U�Cda Lej� signed this instrument, on oath stated that he/she was authorized to. execute the,, ins rument and acknowledged it as the 6 40ALr .(fitle)of Lu('Ik' (name of party on behalf on whom * Instrument was executed) to be the free and voluntary act of such party for the uses and purposes mentions in this instrument. Subscribed and sworn to before me this day of I-eq 66, Notary Public in and for the State of ashington. My commission expires 0 V0774 I certify t ctory evidewce,that.' signed thl I d that he/she was authorized to. execute the instrume e (tide) of half on whom instrument was executed) to be the free a IgIgip suc— arty for the uses and purpos6s.mentions in this instrumeAt. 18aicribidiiid gw-orn to before me this day of 19 Notary Public in.and for the State of Washington. My conunission expires AUTHORIZED FOR RECORDING I Edmonds By: Date: Zpage of 'I—, L-.\TEMMUU,DING\FORMS\ADF�-COV.DOC2JlO/O4 TDAI� RECEIVED [PERMIT EXPIRES PERMIT CITY OF EDMONDS NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE APT OWNER NAME/NAME OF BUSINESS ADDRESS 171 7,/ 4 1 t Al R& I d PLAT NAME/SUBDIVIeION No. LOT NO. LID NO. MAILING ADDRESS I LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCPApproved 17glo 74� 7/,7 able, to - RW Permit Required CITY ZIP TELEPHONE EXISTING PROPOSED Street Use Permit Required Inspection Required �7 01 Sidewalk Required REQUIRED DEDICATION FT unoer,,,,0,und nnIt �urd NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YESO NO13 ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSIQN CONTROIJORAINAGE TELEPHONE NAME 0 M Uj W z 0 z W ADDRES EERING REVIEWED BY ENGIN11 DATE FIRE REVIEWED BY DATE CITY ZV& tTELEPHONE STATE LICENSE NUMBER EXPIRATION DATE CH ECKED, BY �SHORELINE OR ADB#` �iNSPECTION L! kEQ-D V' ES M'NO� Y SEPA COMPLETED I EXEMPT �'CA# WAI �'E. STU.DY,,13,,., F ZONE SIGN AREA ALLOWED PROPOSED, HEIGHT ALLOWED PROPOSED Ak, PROPER TY TAX ACCOUNT PARCEL Na. V NEW ADD �ITION REMODEL RESIDENTIAL PLUMBING IVTCH, VK COMMERCIAL A&P LL =11A N C �p R CO C 0 CHI NGE OF USE MIX I ED USE CHA 13 MULTIFAMILY SIGN LOT COVERAGE ALLOWED. PROPOSED 0 REQUIRED SETBACKS (FT.) FRONT SIDE REAR "'PROPOSED SETBACKS (FT.) FRONT UR SIDE REAR z PARKING REQ 'D PROVIDED LOTAREA z PLANNING REVIEWED'BY DATE REPAIR DEMOLISH GRADING FENCE 1:1 CYDS E] x FT.) 13 TANK OTHER tic, 6/11 t6- REMARKS AA--* J!=�, k., GARAGE CARPORT RETAINING, WALL, FIRE SPRINKLER ZCKERY FIREALARM (TYPE�F USE, BUSINESS 0 ACTIVI Y) EXPLAIN: TYPE OMCTICN -,,:co6E T - _7� NU4BER OF _[_D11WUM tpEiR OF - LL Nd, SPECIAL INSPECTION CONSULTANT' OCCUPANT STORIES 'UNITS REQUIRED. S 13 YE' LOAD DESCRIBE WORK TO BE DONE REMARKS PRE J 'F0TF( I T BY--7 flm /01 RUC T Y* ZQ4 WOE I ,YALUArON ;D Description FEE Plan Check State Surcharge HEAT S RCE LOT SLOPE% �SVESTMDATE V City Surcharge rmit I Ou I uilding�Pe Fo f, e (2�L PLAN CHECK NO: A,,,'-- [Plumbiirg' Base Fee THIS PERMIT AUTHORIZES ONLY THE WORK P�OTED. THIS PERMIT COVERS WORK TO Mechanical t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC Grading DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review uj PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5) Engr. Inspection PERMIT LIMIT: SEE ECDC 119.00.005(A)(6) SEE BACK OF PINK PERMIT FOR MORE INFORMATION Co 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS Fire Review Plan Chk. Deposit Lu IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Ix Fire Inspection Receipt # < ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY X FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE In j DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape Insp. Total Amt. Due 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* x Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF This application is not a permit until signed by the THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. S SIGN U DATE SIGNATZOI�khliii OR AGENT). DAT SIGN7D (425) (V V u k� , 1,( -0 � 771-0220 P IDATE I RE ILASS:D BY ATTENTION EXT. 1333 4W "m 2/, IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- f FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC110. ORIGINAL -FILE YELLOW INSPECTOV PINK -OWNER GOLD - ASSESSOR 10/04 PRESS HARD - YOU ARE MAKING 4 COPIES