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18807 86TH PL W
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Critical Areas Checklist CA File No:
Site Information (soils/ topog'r'a phy'/ hydrology/ vegetation),
1. bite Address/ Location:
— I W . - !I -go zga
2. Property- Tax Account Numben, eft(04 5 G oxb 100,
3. A e(acrei�6i�"` ' f
pproximate Site Siz quare o6t):':
4. Is this site currently developed?-.—t—Yes; no.
If ye ; s; how is site developed?
5. Describe the general, site topography. Check all that -apply.
Flat: less than 5-fe0t elevation change over ent.ire site.
Rolling: slopes on site' ge:n'eraHy' le'ss than 15% (a vertical rise of 10-feet over a horizontal
distance of 664�et).
-Hilly:_- slopes pre�sqn o:�i_.sj,te,of more than- 159/,- and -less . than-30% (A vertical rise of 10-feet
rizo" tal distance of 33 to 66-feet).
over a h6 h
Steep:', grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal
distance of. legs than 33-feet)
Other (please describe):
' 6 Si re
te contains a! as of year-roun&st-inding water: -M6 Approx.Depth:
7. Site contains areas of s6asonal standing water: ;Approx. Depth:
What season(s) of the year?
8. Site i's in the floo6;ay'. M'6 in _IJ41' of a water course.
ifloodpla
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
—Flows are seasonal? (What tij:he of year?
10. Site is primarily: forested meadow shrubs mixed
urban landscaped '(lawn,shrubs L
11. Obvious wetland is present on site:
Critical Areas Checklist.doc/3.19.2001
City of Edm161-irld's
Development 'Services Department
Planning Division
�hone; ",42.5.77 1.0 '0 �J -,.K'
22
Fax: _425.771.0221--:7
The Critical Areas Checklist contained on this form is, to
be filled out by any person preparing a Dev"eilopiniie'pt
Permit Application for the City of.Edmonds prior to
his/her submittal of the application to the City.
Date Received:- i tol.-eq i9
City Receipt
Ceitical.Areas' File #:
C'�,itical..Arbas Checklist Fee: $45.00
]'Ppte Mailed to Applicant:
A.,propq
- ty owner, or his/her authorized representative,
must fifi duftfie checklist, sign and date it, and submit it
to the City. The City will review the checklist, make a
precursory site visit, and make a determination of the
.J— _+ �+ +_ I—+— A I
The purpose of the Checklist is to enable City staff to 0 '"" %.Fa vVillp a lr;v%; VFullcult
appl. "cation.
determine whether any potential Critical Areas are, or. permit
may be, present on the subject property. . The information Please submit a vicinity map, along with the signed copy
needed to compleie the Checklist should be easily of this fbi7n.to assist City staff in fffiding and locating the
_ - J. -6&a-�W aticin!�bthe- -datd _-'i '- ` :,,� - �. %, + � � - .! " � '-. 1, - .. - i - 1 4 __f6rin. In
available f gite'of ivaf6ble at+""' " ce of de d
specific piei l#bperty,-, scribe on this
City Hall (Critical areas inventories, maps, or s6il! additi6n,`:'ifie�"a pplf-c"int .'shall' include other pertinent
surveys). informa ' tion (e.g. site plan, topography map, etc.) or
studies in,conjunction with this Checklist to assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and.assi s, in consideration on the processing of the appjication agrees
. ! gn . . ". . I
to release, indemnify, defend and hold the City of Edmonds, harmless from any and all damages, including reasonable
attorney's fees, arising from any action or infraction' -..based in.w.hole or,part upon false, misleading, inaccurate or
incomplete information furfiished by the applicant, his/her/its agents or employees.
By my signature, I certify 'that the information and exhibits herewith submitted are. true and -correct to the best of my
knowledge and that I am authorized to file isa lication on the behalf of th� owner 'as' listed below.
SIGNATURE 017,4PLICANVAGENT DATE —Z C)
Property Owner's Authorization
By my signature, I cer* that I have authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permission for the public icials and the staff of the City of Edmonds toenter the subject property for the
purposes of inspection and postin tt this application.
SIGNATURE OF OWNER, DATE D�i, OL_
Owner/Applicant: Dfiz Applicant R�pr6entative:
Name Name
18do-� qbPL\_�
'Street Address
C-0-9 W Ct 19 b 2-io
City State zip
Telephone:
Email address (optional): A tA6,So;J IA-3 ixc_�
Critical Areas Checklist.doc/3.19.2001
StreetAddress'
Qity State Zip
Telephone:
Ematl Address (optional):
A VE BY Ni ING
AS t4oTED
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RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
0 i A A 0-5, A I
MAILING ADDRESS
I PAFPt-3-7 A(Athi, PI
CITY
.O*n a
NAME
ADDRESS
CITY
NAME. 100�
ADDRESS
CITY
STATE LICi;
NEW
ADDITION
REMODEL
REPAIR
DEMOLISH
oGARAGE
CARPORT
TYPE OF USEj
%,,- ks
ZIP I TELEPHONE
U I PERMIT EXPIRES
USE PERMIT
ZONE
NILIMBER���,�,
JOB
ADDRESS [&j pt
PLAT NAME/SUSDIVISION NO.
LOT NO.
LID NO.
LID FEE III
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Appmved
RW ftm* Ra*dred
Simm Use Pennit Roq'd
EXISTING - PROPOSED
Inspection Required
Smewalk Rew*W
REQUIRED DEDICATION- FT
Undevgr-W
WWII requhmd
METER SIZE
LINE SIZE
I
I NO. OF FIXTURES
PRV REQUIRED
YES E3 NO 0
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
ZIP TELEPHONE fWAL 100EZRW f?4E!4UjRED Ill-OL70
BL 4#� Y% 1 -3 Vp
kyli-.1 0 ENGINEERINA REVIEWED BY DATE
(3
z
z
do.. A I Lim
41RE,REVIEWED iY Y DATA I lux,
TELikOhE
VARIANCE on cu
��SHORELINE -OR ADB#
INSPECTION
ED 'D
BOND
POSTED
EXPIRATION DATE
CHECKED BY
IWY1�
Es 13NO
$
4
,,'$.EPA REVIEWI:
COMPLETE EXEIliff!",
-:.""SIGN AREA-4�>-
��Al. E PRO SED
0 P
HEIGHT
PROPOS
To "(d IND
&RI ��L�
EXP",
AD
Piz
ANLOWID D
146
R PLUMBING I MECH
ESIPENTLAL r
ILOT-00y*EkAGE%,'�,,
'REQUIRED.,SETBACKS ffr-)i�
�.,FRONT
zPROPOSED SETBACKS (FT)
SIDE' REAR
FRONT L/RSIDE REAR
COMPLIANCE OR,
CHANGE OF USE
'-PARKING
.'MULTIFAMILY -SION
REO' D - -PROVIDED
L�=
LOT AREA
PI 51 gR�d DATE
'TF
r
N
GRADING ' FE CE
REMARKS '5-7 C
CYDS X-FT)
13 TANK o OTHER*
ee
-RETAINING WALL FIRE SPRINKLER
ROCKEFIY',.,. FIRE ALARM
1e6T7-.-: .40
8 on Aft
AECKED 6Y
TYPE N CjiON
ICODE
OCCUPANT
-
GROUP
NUMBER OF""'' , *I.,.-
CRITICA 1/&A01_
SPECIAL INSPECTION,'m
-�7_
AREA:
OCCUPANT
DWELLING'�
AREAS
R Ulk 0
ED ED
LOAD
DONE".
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RECV0
e 6ASA-vu.�
tj:�'% C.46. \j
% -*-- -1 9. ILOT,4LOPE %
PLAN CHECK NO: 00-) — � go I VESTED Dkfr; 0
THIS PERMIT AUTHORIGMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERUffAPPUCATION: 180 DAYS
PERMIT UMM. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGrON. ITS OFFICIALS, 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 MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GWEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION 9KHE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S QISMPEVSATION INSURANCE AND RCW 18.27. 1
nNATULUN aGEt ,
�L I DATE SIGNED
n d1h k",
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapoinsp.
Recording Fee
CALL
FOR INSPECTION
11110
%425)
771-0220
Description FEE
State Surcharge
City Surcharge I �:
Plan Chk. Deposit
Receipt #
Total Arnt Due
Receipt #
APPLICATION APPROVAL
Me application Is not a pern* until signed by the
Building Official or hi0er Deputy: and Fees are paid, and
receipt Is acknowledged In space provided.
F%!A�S SIG,4TURE DATE
ATTENTION M 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL / / 1AIJ
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - 1pfspr-&n
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
Critical Areas Checklist
CAFileNo: 012--V5
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location: 189 C> 7 S(O PZ- W , C-IDM
2.
3.
�, I
Property Tax Account Number:
Approximate Site Size (acres or square feet):
is this site currently developed2-A-yes, no.
If yes; how is site developed?. G41KI-4 6MA
5. Describe the general site topography. Check all that apply-
Flat.- less than 5-feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal
distance of 66-feet).
Hilly: slopes present on site of more than 15'A and less than 30% (4 vertical rise of 10-feet
over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal
distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: too Approx. Depth:
7. Site contains areas of seasonal standing water: h)o Approx. Depth:
What.season(s) of the year?
8. Site is in the floodway M floodplain 0,0 of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
Flows are seasonal? (What time of year?
10. Site is primarily: forested meadow shrubs mixed
urban landscaped (lawnshrubs etc) Y,
11. Obvious wetland is present on site:
sta.f.
Pk& , 4Mi&-k,-'
!� '
-,N -a
>
HUI
map
�br C-A;,'
S iw�Aesigna—d eqWsubsidende W
ite.
5. .. ":.. '_. ,, - 11- -- -,,;, -,� -I
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Y
LMUCal AMM f;h=KIj9t.d0C(3.19.2UUI
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
The Critical Areas Checklist contained on this form is to
be filled out by any person preparing a Development
Permit Application for the City of Edmonds prior to
his/her submittal of the application to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are, or
may be, present on the subject property. The information
needed to complete the. Checklist should be easily
available from observations of the site or data available at
City Hall (Critical areas inventories, maps, or soil
surveys).
Date Received: P1,4 .0,
City Receipt #:__
CriticalAreas File #:
Critical Areas Checklist Fee: $45.00
Date Mailed to Applicant:
A property owner, or his/her authorized representative,
must fill out the checklist, sign and date it, and submit it
to the City. The City will review the checklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map, along with the signed copy
of this form to assist City staff in finding and locating the
specific piece of property described on this form. In
addition, the Applicant shall include other pertinent
information (e.g. site plan, topography map, 4tc.) or
studies in conjunction with this Checklist to assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees
to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, includ ' ing reasonable
attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or
incomplete information furnished by the applicant, his/her/its agents or employees.
By my signature, I cer* 4hat the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to file is a lication on the behalf of the owner as listed below.
SIGNATURE oF APPLiCANT/AGENT 7.A -DATE
Property owner's Authorization
By my signature, I certify that I have authorized the above Applicafit/Agent to apply for the subject land use application,
and grant my permission for the public qfficiqs d the staff of the City of Edmonds toenter the subject property for the
purposes of inspection and postin Z application.
SIGNATURE OF OWNER DATE?() ck�, _01_
PLEASE PRINT CLEARLY
Owner/Applicant: Applicant Representative:
Name Name
I & do--� 9, b 9 L V,-)
'Street Address
e-9 W a4v VQ CtgC) 216
city State zip
Telephone:
Email address (optional):. A Mo,�0,4 IA5 i,ccrv\
Street Address
city State Zip
Telephone:
Email Address (optional):
CTitical Ams Checkfist.dodl]9-2001
DA Zone B S.W. 1/4, SEC. 18 T27N.5 RA E.W.M. 308
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Snohomish County, WA Assessor Parcel Data
Page I of 2
Property and Tax Data
444k Snohomish County, WA
County[ Quick In ] [-gLrectory] f Departments] [-Employmen Calenda [ Questions [ Search [ County
links: Home
Common LAssessor Home
] [Treasurer Home
links: Information on which [Department to contact
Snohomish County disclaims any warranty of merchantability or warranty of fitness of this data for any particular purpose, either
express or implied. No representation or warranty is made concerning the accuracy, currency, completeness or quality of data
depicted. Any user of this data assumes all responsibility for use thereof, and further agrees to hold Snohomish County harmless from
and against any damage, loss, or liability arising from any use of this data.
DatelTime: 10/9/2002 10:08:28 AM
NEW A link has been added below in "Assessor's Property Data" for recent sales for this
parcel
Parcel Number 00645600001300 Prev Parcel 64560000130001
Reference
Return to Property Information [erit
ry-p-age]
Answers to [Frequently Asked Questions about Parcel Data (opens as new window)
Names/Addresses
Taxpayer Name 11 Address (contact the Treasurer if you have questions)
MASON N B / DOCKWEILER D 1118807 86TH PL W --- EDMONDS, WA 98026
If the above mailing address is incorrect and you want to make a change, see the information on [Name and
Address Changq�sj
Owner Name 11 Address (contact the Assessor if you have questions)
MASON N B / DOCKWEILER D 1118807 86TH PL W --- EDMONDS, WA 98026
Street (Situs) Address (contact the Assessor if you have questions)
18807 86TH PL W --- EDMONDS, WA 98020
Treasurer's Tax Data
Taxes* If you have questions about taxes owing, please contact the [Ireasurer's officel
2002 Taxes for this $4,060.00
parcel
(Taxes may include Surface Water Management and/or State Forest Fire Patrol fees.) * (LID charges, if
any, are not included.)
To obtain a duplicate tax statement, either download our [Tax Statement Request form or call 425-388-
3366 to request it by phone.
Assessor's Property Data
Property Characteristics and Value Data below are for 2002 tax year.
Characteristics Values do not reflect adjustments made due to an exemption, such as a senior or disabled
persons exemption. Reductions for exemptions are made on the property tax bill.
If you have questions about property characteristics or values, please contact
the [Assessor's Office]
Tax Code Area 00217 View Eqxing Districts and Revaluation Period for this Parcel (opens as new
(TCA) window)
Neighborhood 3104000 Explanation of [Neighborhood Code (opens as new window)
Township 27 Range 04 section 18 Quarter SW Find parcel maps for this Township/Range/Section
http://l98.238.192.103/propsys/Asr-Tr-PropInq/PrpinqO2-ParcelData.asp 10/9/2002
Snohomish County, WA Assessor Parcel Data
Page 2 of 2
Use Code I I I Single Family Residence - Detached
Size Basis ACRE Size 0.28
Property Values
— Tax Year 20 Market Land Market Improvement $2 MarketTotal $311,0001
— Tax Year 20 Market Land $1 Market Improvement $2 MarketTotal $311,0001
View [Property Sales Information since 7/31/1999
Parcel Legal Description
HANLEYWOOD BLK 000 D-00 LOT 13 SUBJ TO ESE PUD I & GEN TEL OF NW INC
Page updated January 2002
http://198.238.192.103/propsys/Asr-Tr-Propinq/PrpinqO2-ParcelData.asp 10/9/2002
Water Service Drawing
The City of Edmonds
EASEMENT NO . ........ ... — ........... ...... ..........
NEW CONSTRUCTION C] REPAIRS LID NO ............... .. . ASN41'. NO . ..................
OWNER .................................... CONTRAC'TOR ....................................... ....... ..... PERMIT 110. 1.17054
JOB ADDRESS ..... /.esSo.7 ....... Ed-=5 - -FL .......................... LEGAL DESCRIPTION: LOT. NO . ...................................... BLOCK NO . ....................................
.............................................................................................................................................................
NAMEOF ADDITIDN ..................... ...................... ............... ........................................... ..........
7Z
0
Approved:
DATE... .................. By ............ ........ ...............
PVAV-00Ul-1 1175 (REV.11 1178)
,, The City of Edmonds
0
ZEE
APPLICATION
for
SIDE SEWER PERMIT
�-Jj!W CONSTRUCTION
EASEMENT NO . ............................................
REPAIRS 0 LID NO . .................. . ASMT. NO . ..................
-7kPt4 PERMIT NO.
OWNER -------- --------- " - ----------------------- CONTRACTOR 3� 9 � - - - 9 � E.�
............... --------------------
JOB ADDRESS ..�v---\J'PE�-LEGAL DESCRIPTION: LOT NO . ......... - ----------------------- BLOCK NO - ------------------------------------
................................................................................................................................................................
T-JAMP r)-F AnnT-rTnN " C�-" ... E-:::.
------------------
rw
By .. .. ...........
APPUCATION
The City of Mmonds for
SIDE SEWER PERMIT EASEMENT NO. --- -------------------------- ------------
NEW CONSTRUCTION 0 REPAIRS 0 LID NO. -- --------- -ASMT- NO - ------------------
-4-
2
OWNER _,v ........ --- ------------------------------------------- CONTRACTOR PERMIT NO.
------------- —1 416 f � X
JOB ADDRESS --- ---------------------------- P-1 ---- tX�) ---------------------------- LEGAL DESCRIPTION: LOT NO - ------ ------------------------ BLOCK NO - ------------------------
--------------- ........ ----- �-,4 �--- - ---- - --- --- --------------------------------------------------------------------------
NAME OF ADDITION ..........................
k
Appfoved:
jv
DATE-------------- - ---------------------------- By ---------------------------------------- - --------- vuyir
7 wf.04w�"_ 7
T .,7
'Ji
S;
-DM NPS SIDE'- EWER PERM, Itt
�:.CITY OF 'E V'0
W -SE
ATER WER DEPARTMENT,,,
N
PERMIT
Cai 716-2525 for side. sewer tructio
inspections, BEFORE covering, si portion of -the' cons
Inspection will -be provided.within 24'hours�'after requst.,' NO,!Sat;, Sun., or 'holiday inspections.'
`4_-'-ADDRESS'i LOC*i 'OF-CONSTRUCTIO
N.._
................. .......... . ... .......
. ....... ... ft ...... ... . ............................................................
lic
�.PROPERT-y-,.,L"h,G!AL,�DE�CrilP - 1. . -
TTON .......... ... n ..... ii:�....
................................
. .............................
...................... .................................................. ............................................... .................
........................................ ......................... .........................
.................... R ANb/0R.-
.............. : ..................... I ............ OINWE BUILDER, ............... . . ..... ......
.... ......
..... ...... .................. ..............................
r "TTRACTORIS, NAME, & ADDRESS ...
'� j :� , �� - 1. � I! ....................
'� ..................... ..........
... ...... ...
S� ra ............. 19 for repaif and/6r'*,conneict1on,`-of a side-sewei to'th6, elty.-saniffirr,,sei
g
acfiid� W Xity.of'Edmonds ordinances
ATTENTION.,M CA'LLED TO THE, FOLLOWING:
NOTE No. 1—The owners,,of the property may obtain, a permit to construct sewer Inside property line. A-Iicensed� Side Sewer� Contraefar must be;,emplo
slde� sewer in, street,area. Do; not co�er any,poirtiozi of-, sewer, before it has been� nspbcted� �e&, to construct
;N _111� _i% , .
OTE!� No. 2—All., work; perforni city right7of-way requires a*n' Invasion of Right -of -Way Permit obtal nabib from the City Engineer's office.
T, N TE, N6. 3—Obtafn1ulb't forffidti= regaxding Ordinance. 11.16.030,.alid Regulations govern ng. side sew6rs when! you� get permit.
n
'NOTE,,No: 4--Topl�of-side-sewer'must have at.least 30 inches coverage at . property line ai . 12 Inches Inside -property line; minimum , �g - rai o f 2
h e��th" 'A will,be ermitted. No'
!17; 1 - _ - I p
'NOTE''No. 5�.�Trenches;4n street m6st be,water settled and-surface.of street restored to orlginaJ conditiom Contractors shall be responsible. for failure due to, improper'
_work;,whlchmay. develop within one year of completion.
NOTE Noi �6--IfAs, unlawful, to �alter, or do any other work than Is provided for in, the. permit, or to do any work on the m'
sert*the pi�e',Iinto,.the wye. aln sewer or Its appurtenai :except to in-
,DIS"MOVED, Date ......................... ......... .... 'By ..... .... Datei ..... ........ 'By. .................. Date ............... . . ....... . ....
. ....... .... . ....
... ..... By ................
APMOVED Z
Date;:.!.. 0777.. ......
.... . . .......... . . ..
.. . ............................... ................................................
By"/7
Reiyiarks:z ..........................................................
......... .................................................... .
. ............................................ .. 77 ............................................. .................... . . ...... ............... ....................
..... .. .........................................................
BOTH, Permit' 0615ies'MUS. T,` Be"Signed By Owner of Firm Performing. Construction PRIOR.To J�eque'st For� I spection,
%
I ..................... h
. .............................................. A -:
....... .. �j, ' ereby certify that,the-pide sewer'insta;l,lation;const'ructed!,,Llnde�'it-his, permit
'�6�,ner,of';C'ontra��'ting'Firm Perfiorry&g -Construction),,-,
S''t"�-11�e.d�,in',��c�6r'dkifce"�*ith, all �gove�ning,�or.',diiiaiices,76f the'City
of'Edmond&
o� -f ........... .. ...... ........
Dated tltl� .... ........ ......... .. day .. .....
ater
Cjie��BEF-ORE yo,u_dlg�jor:,,W, Gas!ti," :Telephoni .`,P(li sewe'r, Cj, 1:.Othibr�,[]j V:V,'
O�'
A.EHEY
MAYOR
CITY OF EDMONDS
J'A
PUBLIC WORKS DEPARTMENT - 7110 - 210TH ST. S.W. EDMONDS, WA 98026
�7 (425) 771-0235 - FAX (425) 744-6057 - E-MAIL: k1ein&i.edmondsma.us
.mF
11-1 " 1 S,4 11 WEB SITE: www.ci.edmonds.wa.us
October 30, 1998
Jeraldine Jones
18807-86 1h pl. W.
Edmonds, WA 98026
Subject: Water Leak Credit Account (#346800)
Dear Ms. Jones:
I have reviewed your account and will allow a credit for the billing period between
September 2 1998 through January 5, 1999 in accordance with our City policy. The policy
states that the customer will be billed at the retail rate based upon the average water
consumption for the same period during the previous year. In addition, the excess water
lost from the leak will be billed to customer at the City's wholesale rate with a 15%
surcharge added for administrative cost. Only one leak credit will be granted in any three-
year period.
Should you have any additional questions after you receive your new billing, please
contact Ilene Larson, Utility Billing Clerk, at 771-0241.
Sincerely,
Jim Waite
Water/Sewer Supervisor
JW/lk
cc: Ilene Larson
Utility Billing Clerk
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