17926 TALBOT RD.PDFiiiiii 11111111
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17926 TALBOT RD
a
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER: 00
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
DETERMINATION: [] Conditional Waiver Fj Study Required [] Waiver
P I ERMITS (OTHER): Lo,� -0q49 (pi M
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED: I I I I
M
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
K91
WATER METER TAP CARD DATED:
OTHER
LID #:
LOT: BLOCK:
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CITY of EDMVDS S*E- SEWER PE-R-MI-T
For Inspection Call 7�1-3202 PERMIT NO.
Address of Construction: L 1107 00 j-,
Property Legal Description (Include all easements): C�Ep-p:� ---
0 y rati: r RLE
Owner and/or Builder: T"vk �-A "C—V C—U AC) /I-\ vl� CyVA Es
Contractor & License No: -t1-1 b F--S c f (D b.
RECEIVED
Singl:e Family Residence �000nrvc
LYNNW
NOV 15198f 0,1VC
Mu I t i - Fam i I y (No. of Units PUBLIC WORKS
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No XN, 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 X Yes (If Yes, easement required,
attach legal description and county easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK
I certify that I have read and shall comply
with the items listed on the back.
Permit Fee:
Issued By:
Trunk Charge: 1. Date Issued:
Assessment Fee: Z Z 2 Z 6 --Z Receipt No.:' /Z .9 5;v 7
Date
Partial Inspection:
Comments Date Initial
Final Inspection Approved.: ((, H - P,/, 3, (-1,
Date' Initial J
Rejected:
ason —ffa--te 7—nitial
** 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 F� LID NO - ------------------ ASMT. NO - ----------------
OWNER --- Ft-A-G-U-5-EN --------------------------------------------------------------- CONTRACTOR -------- BA ... �A .... C-0-t4ST-t ------------------ ................. PERMIT NO.
JOB ADDRESS 1.79-2,-G ----- -F&I-B.0-T ----- R-D ............. LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO. — ---------------------------------
0
T-AppeD4 SADDLEM
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NAMEOF ADDITION -----------------------------------------------------------------------------------------------------------------------
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Approved:
... By - ------------
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PERMIT Couhj�, V
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COMC. CULVE41T
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U T I L I T Y E A S E M E N T
IN CONSIDERATION OF BENEFITS TO ACCRUE TO THE GRANTORS HEREIN, THE UNDERSIGNED,
AND 4. �-.e 7"
HE A mum TITO THE CITY OF EDNONDS, A MUNICIPAL CORPIORAT.ION, A PERMANENT EASEMENT FOR
THE INSTALLATION, OPERATION, AND MAINTENANCE OF sro/rm S"-C- k-'Irg 4 Ai J
sAA11 rq )e v OVER, ACROSS, THROUGH AND BELOW THE FOLLOW-
ING DESCRIBED PROPERTY, AND THE FURTHER RIGHT TO REMOVE TREES, BUSHES, UNDERGROWTH AND
OTHER OBSTRUCTIONS INTERFERING WITH THE LOCATION, CONSTRUCTION AND MAINTENANCE OF SAID
UTILITY OR UTILITIES.
THE EASEMENT AND RIGHT-OF-WAY:HEREBY,GRANTED IS LOCATED IN.THE COUNTY OF
SNOHOMISH� STATE OF WASHINGTON, AND IS MORE PARTICULARLY DESCRIBED AS FOLLOWS:
THE EASEMENT LIES WITHIN THE WEST 140 FEET OF THE EAST 300 FEET AS
MEASURED'ALONG THE NORTH LINE OF TRACT 42, TAL60T PARK ACCORDING TO PLAT
THEREOF AS RECORDED IN VOLUME 12 OF PLATS, PAGE 107, RECORDS OF SNOHOMISH
COUNTY, WASHINGTON.
THE EASEMENT BEGINS AT THE SOUTHWEST CORNER OF THE ABOVE TRACTI THENCe
EAST 7 FEET, THENCE NORTHWESTERLY TO A POINT ON THE WEST LINE or THE ABOVE
TRACT, DISTANCE THEREON 50 FEET NORTH OF THE SAID SOUTHWEST CORNER..
THE UNDERSIGNED GRANTOR(S) ALSO AGREE(S) THAT HE WILL GRANT THE CITY OF
EDWNDS A LICENSE TO GO AND ENTERUPON THE SAID PROPERTY A REASONABLE DISTANCE
ONAITHER SIDE OF THE AFORESAID EASEMENT FOR CONSTRUCTION PURPOSES, SAID LICENSE
.10 TERMINATE UPON ACCEPTANCE OF THE WORK WITHIN SAID EASEMENT.
THE CITY AGREES TO RESTORE TO SUBSTANTIALLY THE ORIGINAL CONDITION SUCH IM-
PROVEMENTS AS ARE DISTURBED DURING THE CONSTRUCTION, MAINTENANCE AND REPAIR OF SAID
UTILITY OR UTILITIES; PROVADED, THE GRANTORS, THEIR HEIRS OR ASSIGNS SHALL NOT CON -
THE PERMANENT EASEMENT.
STRVCT ANY PERMANENT STRUCTURE OVER, UPON OR WITHIN
ZtA 19
DATED THIS ZC7 DAY OF
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STATE OF WASHINGTON)
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COUNTY OF
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ON THIS AT C SO LY APPEARED BEFORE ME e,4
AND le
-,/__ TO ME*KNOWN TO BE THE INDIVIDUAL (S)
DESCR7BED '11N AND WHO EXECUTED THE WITHIN AND FOREGOING INSTRUMFNTP AND ACKNOWLEDGED
THAT SIGNED THE SAME AS FREE AND VOLUNTARY ACT AND DEED, FOR THE
USES AND PURPOSES THEREIN MENTIONED.
GIVEN UNDER MY HAND AND OFFICIAL SEAL THIS DA . Y 0 F ig 1.7
F0, 10 ' '"27,S
ly r 1.3 NOTARY PUBLIC IN AND FOR THE �;(ATE OF
........ . �' ,c WASHINGTON, RESIDING AT
%art
i J4 110 TA R y. Drc 17 126.3
441 1 T
ox*. t- �b, A�
e,*.. - I "A
13) Depu OFFICIAL RECORDS
275 FAci'433
2- 10 -i�
U T I L I T Y E A S E M E N T
ENEFITS TO ACCRUE -TO THE GRANTORS HEREIN, THE UNDERSIGNED,
BE
IN CONSIDERATION
AND
dli�ASEmENT
HEREB-1"GRANT TO THE CITY U� EDHDNDS, A MUNICIPAL CORPORATION, A PERMANENX E
THE�NSTALLATION, OPERATION, AND MAINTENANCE OF A A49
A A// �r,4,e V OVER, ACROSS, THROUGH AND BE.LOW THE FOLLOW-
ING DESCR18ED PROPERTYj AND THE FURTHER RIGHT TO REMOVE TREESj BUSHESj UNDERGROWTH.AND
OTHER OBSTRUCTIONS INTERFERING WITH THE LOCATION, CONSTRUCTION AND MAINTENANCE OF SAID
UTILITY OR UTILITIES.
THE EASEMENT AND RIGHT-OF-WAY HEREBY GRANTED IS LOCATED IN THE COUNTY OF
SNOHOMISH, STATE OF WASHINGTON, AND 15 MORE PARTICULARLY DESCRIBED AS FOLLOWS:
A STRIP OF LAND TEN FEET IN WIDTH, FIVE FEET ON EITHER SIDE OF THE
FOLLOWING DESCRIBED CENTERLINE:
BEGINNING AT A POINT ON THE NORTH LINE 220.25 FEET EAST OF THE NORTH-
WEST CORNER OF LOT 42, TAL130T PARK ACCORDING TO PLAT THEREOF RECORDED IN
VOLUME 12 or PLATS, PAGE 107, RECORDS OF SNOHOMISH COUNTY, WASH.; THENCE
SOUTHEASTERLY TO A POINT ON THE SOUTH LINE OF SAID LOT 42, DISTANCE THEREON
AST OF THE SOUTHWEST CORNER OF SAID LOT 42.
THE UNDERSIGNED GRANTOR(S) ALSO AGREE(S) THAT HE WILL GRANT THE CITY OF
ED40NDS A LICENSE TO GO AND ENTER UPON THE SAID PROPERTY A REASONABLE DISTANCE
ON EITHER SIDE OF THE AFORESAID EASEMENT FOR CONSTRUCTION PURPOSES, SAID LICENSE
TO TERMINATE UPON ACCEPTANCE OF THE WORK WITHIN SAID EASEMENT.
THE CITY AGREES TO RESTORE TO SUBSTANTIALLY THE ORIGINAL CONDITION SUCH IM-
PROVEMENTS AS ARE DISTURBED DURING THE CONSTRUCTION, MAINTENANCE AND REPAIR OF SAID
UTILITY OR UTILITIES; PROVIDED, THE GRANTORS, THEIR HEIRS OR ASSIGNS SHXLL NOT CON-
STRUCTANY PERMANENT STRUCTURE OVER, qN Ok�WITHIN THE PERMANENT EASEMENT.
DA TED THIS DAY OF
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STATE OF WASH I NGTON) t3jc' c) 5'.
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COUNTY OF
ON THIS:04Y PERSONALLY AIR EARED BEF&Ri ME
AND TO ME KNOWN TO BE THE I'NO I V I DL
DESCRIBED IN AND'WHO EXECUTED THE WI.;XIN AND FOREGOING INSTRUMENT, AND ACKNOWLEDGED
THAT !25,,,/_ S I GNE D. THE SAME AS FREE AND VOLUNTARY ACT AlSiD DEED, FOR THE
USES AT_0__PdRPOSES THEREIN MENTIONED.
GIVEN UNDER my HAND AND OFFICIAL SEAL THIS A Y o r 1947
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To X
NO SALE_'S TAN
U ! P, --: D NOTARY PUBLIC IN AND FOR,�,fHE STATE OF
WASHINGTON, RESIDING AT
DEC 17 IS63
13Y y
OFFICIAL RECORDS
'VOL 275 PACE432
DETENTOOM OORKSHEE�T - "
LiPPILP,
C A:rC-H
BN5%14 DETENTION PIPE LENGTH COKrROL CATCH
(VENT) IF
I I MIN, 2' MAY. COVF-P,
5LOPF---t-
SYSTEM CROSS SECTION
OUTLET
COWTRoi.!
4-
-ro Z:(N P
P,UNOFF
5PREADER)
2' . 2' . Co" C)SUP, 4t- 16" SPALLS (OIL WOUAL)
Zfx 2' x- V' DEEP, CAUS"ED ROCK
FROM
0 7LJrr L E NT
CON-rROL
RIPRAP OUTLET
V�VA34ED &RAVEL FLOW TRENC", MIN 10' LONG,
A" PERr- POPE -TO BE L.P-VML-
� L
FROM
OLrr-6E-r
CON-rROL
I
4- PERF PIPE WITH CAPS
RUNOFF SPREADER OUTLET
OANDARD DRAINAGE PLAN
DETENTION SYSTEM
for
location
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 resDonsibility
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 al 9 times
Page 9 of 9
CITY OF EDMONDS
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MEMO TO: Permit Coorotor, Building Di . vision
FROM: Dan Smith, Engineering In pector
ADDRESS: a
OWNER:
a�f
After review of the subject building permit application, we have the
following comments:
1) Construction hours are: WEEKDAYS 7:00am to 10:00pm
WEEKENDS!/HOLIDAYS 10:00am to 6:00pm
2) A Right -of -Way construction permit is required for any work on
City property.
3) Conne*ction to City water system required.
4) Connection to City sanitary sewer system required; obtain separate
permit.
5) Water and sewer lines to -be separoted 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
Received of: 7hwl�w C4("4 //&WS
/7?21/, 714-116� 1<01 a 70- ZF5-2-
Water Meter Size:
Water Connection
Sewer Permit/Repair
Trunk Charge
Sewer Connection/LID Fee
R/W Construction Permit
Street Restoration/Street Cut (620 Fund)
Street 6T-s�rwtion Fee
na. e.
L-T:l
S.E.P.A. Review
Recordina Fee
Photostating
Tax
Date of Hearing: Time:
By: Permit #:
CITY OF EDMONDS
ASS* INFORMATION SHEET
NEW
ADDITION
RETIREMENT
ASSET NO. .5:�M'l
ADDITION TO ASSET NO.
DESCRIPTION WjoAe� Sz"'\cx.- Lk -.NC, -
SERIAL NO.
LOCATION
—10
DEPT. NO.
9 r1k, G h 0 A— P-00i
PURCHASE ORDER NO. Property of: PROJECT NUMBER A
CITY O� EDMONDS \' \./
PURCHASE ORDER DATE Q, PROJECT COMPLETION DATE C?
n e,,
COST N2 5981 COST 7
B.A.R.S. ACCOUNT NO. 000 — C) I 3YE
ESTIMATED LIFE
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE
MP) INITIAL
DATE
(Imz
7 VERIFIED BY
PROCESSED
BATCH NO
DEPARTMENT FILE
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