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CITY of EDMONDS
For Inspection Call 771-320 t E
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Address of Construction:
/76(
SIDE SEWER -PE4MIT
PERMIT NO. ON00
Property Legal Description (Include all easements): 47 xclellh&w
Owner and/or Builder:
Contractor & License No:
Single Family Residence
Multi -Family
(No. of Units
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No. Yes (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No K Yes (If Yes, easement required,
attach legal description and County easement number.)
E READ THE ITEMS LISTED ON THE BACK iL 0
/ MAY 2 3 MV -5
:2Ae , laall90
I cer/fy that I have read and shall comply PUBLIC WORKS D6te
with the items listed on the back.
Permit Fee: �o
Tr unk Charge: 25—
Assessment Fee: I I Z9 2-0-3
Partial Inspection:
Issued By:
IDate Issued:
Receipt No.:
Comments Date Initial
--- P
Final Inspection Approved:
Date' '-I n i ti a I
Rejected:
Reason Date Initial
** PERMIT MUST BE POSTED ON JOB SITE **
Wh.ite Copy - File Green Copy -*Inspector Buff Copy - Applicant
The City of Edmonds Side Sewer Drawing EASEMENT NO . ...................... ---------------------
NEW CONSTRUCTION REPAIRS F1 LID NO - ------------------ - ASMT. NO - ------------------
OWNER - ---------------------------------
------------------------------------------------------------- CONTRACTOR - - ----- ------------------------------------------------------- PERMIT NO.C)8.1-8-9
BLOCK NO - ---------------------- - -----------
-- ----- ------- 77 - 1"' 1E . W -, - -
JOB ADDRESS D - --------------------------- -------- - LEGAL DESCRIPTION: LOT NO - ----- - - ---------------------
NAMEOF ADDITION ----------------- ------------------------------ --------------------------------- ....................................
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2 , De OF
PWW-0001-1 1/75 (REV.1 1/78)
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Approved: (D 7,,.$.j
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-. -qO .............. By �;� ---- --
DATE -.!> .......................... 0-�5-7 -------- �-c
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R E C 0
0060.090.014
JEH/crd
'913 A 0 R - 2" 9 4 -A 3
10/19/88
RE:10/26/88
RE:10/31/88
1EAN V. W-1
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CITY OF EDMONDS, WASHINGTO'N
COVENANT
TO PARTICIPATE IN/WAIVE RIGHT -,TO PAOTEST 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 owners have applied to develop the property
as SF &SideyLt
(insert devel pment type), which will have an
-72-,pd
impact on
1,e1w
(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 8wners 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 impact, 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 of the property described
to enter into this Agreement.
owners warrant that they are the
on Exhibit A and are authorized
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
requiring that such improvements be completed prior to such
approval.
3. Acknowledgment of Special Benefit. owner acknowledges
-1- 1 5 V-!
4 0 2 '115 8.5 23 2A
JEHO1115A iij U
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 descri.bed 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
proportionate share of the' costs of those
improvements. With full understanding of this
consequence., 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 jany
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
VOL. 2324 PG- 15t
JEH0lll5A':u1/ 4)Z
City of Edmonds to enforce a . ny 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.
DATED this �2,744 day of 19%
OWNERS
STATE OF WASHINGTON
COUNTY OF
I certify that I know or have satisfactory evidence
thatQ,9-,.(, t� IL.A signed this- instrument -and acknowledged
it to be �his4her). free' and voluntary act for the purposes
mentioned in this instrument.
DATE9 this day of
NOTARY/PUBLIC
My commission expires:
STATE OF WASHINGTON )
)ss-
COUNTY OF
9*
I certif t at I know or have satisfactory evidence
that 2 (J. A jv_e�-) signed this
L
stated that (he/she)
a —
instrument, on oath
was authorized to
execute the instrument and acknowledged it as the
(title) of (name of party on behalf of whom
instrumenf was executed) to be the free and voluntary
3-
JEHO1115A
act of such party for the uses and purposes mentioned in this
instrument.
ZDATE this A day f 1 9yo
d ;, : ,
d ;, -
v
NOTARY/PUBLIC
My commission expires:
4
-4- VOL. 2 3 2 4
JEHO1115A
CITY OF EDMONDS
UZ/NEW
ADDITION
RETIREMENT
ASSET INFORMATION SHEET
67j'-`677T E'
ASSET NO. a Z42-=eR
ADDITION TO ASSET NO.
DESCRIPTION
Ujater 54e-.r v ('lc�e_ %
4n
SERIAL NO.
LOCATION 6 -7 2
DEPT. NO.
* * PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
*PROJECT NUMBER WoTs in 17 3
PROJECT COMPLETION DATE 6
COST
B.A.R.S. ACCOUNT NO. 411 , 60 (D. 014 - 73 4S,- 00 -
ESTIMATED LIFE yrs
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
'SUBMIT, ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
V'DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
40
G.L. ENTRY
REFERENCE DATE
INITIAL
k�np
DEPARTMENT FILE
IVVL ti-,/-
VERIFIED BY
PROCESSED
BATCH NO
5, z-./ v 7
N
14
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TO: Permit Coordinator, Building Division
FROM: Dan Smith, Engineering Inspector
ADDRESS 1,2 �;ewl �7 zlltl
OWNER 'dewze,2-
7
PLAN CHECK #
After review of the subject -building permit application, we have the
following comments:
1. Construction hours are: WEEKDAYS ............ 7:00 a.m. to 10:00 p.m.
WEEKENDS/HOLIDAYS..10:00 a.m. to 6:00 p.m.
2. A Right -of -Way Construction Permit is required for any work on
City property.
3. Connection to City water system required.,
4. Connection to- City sanitary sewer system requiried; obtain s'.eparate
permit.
5. Water and sewer lines to be separated by 10-foot minimum.
6. Driveway must be paved a minimum of 20 feet back from City
right-of-way; separate permit required.
7. Driveway slope not to exceed 14%.
8. Back water valve required if downstairs plumbing is below
elevation of upstream manhole.
9. Builder/Owner responsible for containing all temporary runoff and
erosion control on site. Construction may not impact neighboring
properties in any way.
10. No burning of construction refuse without approval from Fire Dept.
11. Street to be kept clean of debris, dirt" mud, and construction
materials. Contractor responsible for dust control.
12. Inspection required on drainage system, catch -basin installation,
driveways, and sidewalks. A final engineering inspection is
required prior to the builoing division granting occupancy.
13. Repair or replace all defective existing curb, gutter, and
,sidewalk. If intersection is involved, installation of wheelchair
access may be required.
BLGPER/TXTFORMS
DETENTION WORKSHEET
UPPER
C A.-MI4
BAZ44 DETENTION PIPU LRNC.'r14 COKMOL CATCH
(yr.%T) -
) r— I' M154, 2' MAX COVER
% 5LOPE-w
9
4 14-OVYLET
cowltoe
SYSTEM CROSS SECTION
j:� 4'
'To OL: 'r
(N P RA,�%R
RUNOFF
SPREkDER)
21 . 2, D 4t. r." SPALLS �" Rau^,.)
2! P 2' S' DEEP, CRUSIAED POCK
0 Lrr L E-r
CON-r%k0L
RIPRAP OUTLET
WA3KED &RAVIFL� r OLrrrL0W TRENC", MIN 10' LONG q
-rop 4 A, PEFtF psPE -ro ou 6P-VEL
'FROM
C)Vrh.ET
CONTROL
L
4� PF-RF PIPS WITH CAPS
RUNOFF SPREADER OUTLET
FOOTING DRAINS SHALL NOT BE
STANDARD DRAINAGE PLAN
DETENTION SYSTEM
for A - /- z� 5
location 179'IZ� 7
plan by
phone
date-
DESIGN DATA
System Imperm Pipe Pipe Orifice
Number Area Diam Length Diameter
NOTES
1. Call Engineering Division (771-3202) .
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the resvonsibility
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
mpn at all times-
0
FE D
MAR 2 8 19,90
PERMIT COUNTER
CITY OF EDMONDS
Page 9 of 9 CONNECTED TO THE DRAINAGE SYSTEM
t-'/oL/ - ' ' �,// 7t� A
96
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAVIE OF BUSINESS
6ij MAILING ADDRESS-
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IMEM-41111115AWAOR
ADDRESS
CITY I TELEPHONE NUMBER
N� E=
a: ADDRESS
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CITY TELEPHONE NUMBER
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STAfE LICENSE NUMBER
's I C-A,4 e-H (Z,-Z- 0 a" IQ
Legal Description of Property - include all easements
(show below or attach two copies)
USE PERMTr
ZONE NUMBER
JOB
ADDRESS /71�0(0 Ale
�EGAL DESCRIPTION CHECKISUBDIIISION NO. LID NO.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP
EXISTING _jk(:L_ REQUIRED DEDICATION APPROVED BY
PROPOSED__o�__
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED>4_
STREET USE PERMIT REQUIRED :
SEE ENGINEERING MEMO DATED ^EVIEW BY
REM R
METER SIq IBUILDING,PUPPLY SIZE IFIXTURE UNITS
V &1w
SIGN AREA ENV. REVIEW AD13 NO.
ALLOWED I PROPOSED I COMPLETE i EXEMPT
'f VARIANCE OR CU PLANNING REVIEW BY DA
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SETBACKS - FEET HEIGHT LOT COVERZI?
'a 0 7" �4 7 e%5.5 57 5,,C'r
FRONT t5- / SIDE 7Z2- REAR �_j
M BaT
lu
L614d NEW
fu
L69 RESIDENTIAL
F] PLUMBING
ADDIALTER
El COMMERCIAL
El MECHANICAIL
REPAIR
APT. BLDG.
SIGN
EXCAVATE
FENCE
E]
DEMOLISH
REMODEL
OR FILL
CARPORT
GARAGE
I- x _FT)
swim
POOL
WOOD STOVE I RETAINING WALL/
INSERT ROCKERY
RENEWAL
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS I
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
I sF &.�jdplvq_ I
NE#
CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT
AOA I �a/_v 1 0 B 2.51
SPECIAL INSPECTOR AREA U ANA3 OCCUPANT
REQUIRED GROUP LOAD
n YES - L] NO occ P
REMARKS
PROGRESS INSPECTIONS PER UBC 305
I -AWL &./I— /f r,6 t041_c_Ae4 6 V
L�.I(71DIV Z§!Q�
VALUATION
PLAN CHECK FEE
BUILDING
O&OW6 Y&
PLUMBING
1�
, 61
7S
MECHANICAL
11411144�Alelck
This Permit covers work to be done on private property ONLY.
4
GRADINGIFILL
Any construction on the public domain (curts, sidewalks,
driveways marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
ENERGY CODE
"Applicant, on behalf of his or her spouse, heirs, assigns and
(n successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
.2 employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of. this permit shall not be deemed to
PLAN CHECK DEPOSIT
modify, waive or reduce any requirement of any city ordinance
0
X nor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE'
provision."
I hereby acknowledge that I have read this application; that the
4 information given is correct; and that I am the owner, or the duly
ATTENTION
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
state laws regulating cons4ruction; and in doing the work authoriz-
AUTHORIZES
it ed thereby, no person will be employed in violation of the Labor
ONLY THE
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
tign Insurance
I NSPECTION
DEPARTMENT
SIGNAT
DATE SIGNED
Z
CITY OF
EDMONDS
ATTENTION
771-3202
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS 8 ' EFFIN MADE AND APPROVAL
OR
A CERTIFICATE OF 'OCCUPANC` '.S BEEN GRANTED. UBC
CHAPTER 3.
102:0
1/6
45-
41,_ 0
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his
Deputy; and fees are paid, and receipt is
acknowledged in space provided.
OFFICIAL'S SIGNATURE DATE
RELEASED BY:
DATE
ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD — Assessor
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