19024 94TH AVE W.PDFiiiiiiiiiiii
9190
19024 94TH AVE W
APPLICATION
The City of Edmondss:m'g ME for
SIDE SEWER PERMIT
EASEMENT No . ................................
NEW CONSTRUCTION E3 REPAIRS
.............
CONTRACTOR ...................... ............................................................... PERMIT N6.
OWNER ,� ......... ........
...................................................................
ADDRESS ................... 9"Z LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ..........
.....................................................................................
:— ----- * ---------- -------------
NAMEOF ADDITION ..........................................................................................................................................
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A P P F?0 V E_ D
FEB 2 8 1968
Approved:
--------------------
DATE ......... ................. . ................... BY
C ITTY OF EDMONDS
CIVIC. CENTE A — WATER -SEWER DEPARTMENT CaJI PROSPeCt 6-1107 when work
is ready,for lnspection� (No Inspec- IkTo
tlons Saturday, Sunday or holidays.) 2767
SIDE SEWER PERMIT
S ........................... -_.9.4t.h ... Ave.n.u.e ... W.est
,.ADDRES 19024 .. .. .... .. .. .... .. .. .. .. ............................................................................
........................................................
OWNE]k ................ L.u.ci.11e Miller Winther CONTRACTOR ...... owner
.. ...................................... .......................
..........................................................................
Perinission is granted ............ Tqkploxy fo . ........................ days to REPAIR or CONNECT a side sewer
with City'Sewers in accordance with application on'ffle and governing ordinances.
ATTENTION IS CALLED 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
be employed to construct side sewer in street area. Do not cover any portion of sewer before It has been inspected.
Nr'-�, No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side -sewers when you get permit.
No. 3—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 sharper than % will be permitted.
-.:NOTE. No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors Shall be responsible for
- . failure due to improper work which may develop within one year of completion.
NOTE No. 5—It Is unlawful to alter or do any other work than Is provided for in the permit, or to do any work on the main sewer or Its appur-
tenances except to insert the pipe into the wye.
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CiTY OF EDMONDS Vrmit No. V- �17
frbBLICWORKS DEPARTMENT STREET FILE Issue Date
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. *Address or vicinity of Construction 9 Permit Issued To:
14 1/119:�*
• Owner: kE;� o Type of Work to be Done:
Name -7
10I.Q. r tZ- 4 Work in Connection With:
Mailing Address El Sub or Plat N Single Family
11 Comml. / Ind. El Apt. Condo.
City, StAte, Zip Code Pavement Cut: K Yes El No
- _�;>4/ 7_2
• Contractor:- :'I�nI42
Name
- 0101.1�
Mailing Address State License Number
- X_ Al e) 1"(1,4, 1-,?,-r 7 74pl— --
City, '/ State, Zip Code Telephone Number
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * Ar
B. APPLICANT TO READ AND SIGN
INDEMITY: Applicant understands and by his signature to this 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 City of Edmonds, or any of it's departments or employees, including or 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 restoration by the Engineering Division.
Funds 14 �ftom thoe Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
he
which time a bit r credit will be processed for issuance to the applicant.
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Work is to be inspe ed. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. eet to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call
i
775-2525, extension X220.
I understand that this permit must be available at the job site for inspection purposes at all times.
Signature:— Date Z A/,7 7
Owner o'rAgent
THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C., Issued By: Permit Fee:
41
Time Authorlie'd: Vold' after 41 —days Security Deposit:
Special Conditions: Receipt No.:
Fund III Fee:
Ammendments:
Street Cut Dimensions
X
* * NO .,WORK TO BEGIN PRIOR TO PERM. -IT ISSUANCE * *
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Eng. Div. December 1978
FIELD INSPECTION S
(Fund. 111 -
e cony to Street Dent.
rnmman-FQ-
Diagram:
Contractor called for inspection Yes No
T
Nork Disaparoved By: Date: By: Date:
Work Aporoved By: Date: -7/
Inspector:
Encr. Div. December 197P
9
NOTICE,
-a-
'0...W-a r-ra,n Y ... 0
the attached
The -information shown on
map(s) was com ' piled for use by the CitY 01
Edmonds/ its Empl-oyees and Consultants.
nt the
The CItY ofEdrn.onds does. not . wa rra
set forth on these
accuracy of anything
M a P (s). A n . y person or entity -requesting a
copy should conduct an independent
arding the inform'ation shown' c
Inquiry reg
including, but not J"m'ted to,
tRe -rn a p (S)
n of any sewer stub shown, Su(
the lotatio
exist and ma\,
sewer stubs may or may
t at the location shown
or may not exis
Neither the City of EdrnoinlrJAS nor its
empl-oyee-s 0-r off i-ce-rs -sha,H be 1--jab],,e for th
information given on this map(5), nor for
3ny one representation provided based
upon said map(S'.
NO (ICE
TO PERMITTEE AND/oR OWNER
[I PARTIAL APPROVAL STF
1Z VIOLATION
9,CORRECTIONS REQUIRED
PERMrT
NUMBER (o q-2
JOB ADDRESS -1
I I cl —1341-7-H Ave --lA I ,
NO PERMIT - STOP WORK - REMOVE CONSTRUCTION OR OBTAIN
PERMIT AND MAKE WORK COMPLY WITH BUILDING LAWS.
CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED'PLANS
AND PERMIT - STOP WORK. MAKE EXISTING WORK COMPLY WITH
APPROVED PLANS AND PERMIT OR REMOVE IT.
STOP WORK - UNTIL AUTHORIZED TO CONTINUE By INSPECTOR
CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN
BE APPROVED.
WORK DESCRIBED BELOW HAS BEEN INSPECTED AND IS "PROVED.
ECONTACT INSPECTOR AND
ARRANGE FOR APPOINTMENT. RECALL FOR INSPECTION.
THE eTIONS OR
CORRECTIONS INDICATED ABOVE ARE REQUIRED
WITHIN .................... DAYS OR
,14.kPLIED. FOR INSPECTIONS
PENALTIES IMPOSED BY LAW MAY BE
CALL: 775-2525. k/&.
=BUILDING DIV.*
CT R
Il/-7
PUBLIC WORKS
CITY F
EDMONDS
_L2
DA
Ej FIRE DEPT.
C.*-,TY OF EDMONDS
"T FOR
INSPECTION CA4
UBLIC WORKS DEPA ! MENT
Permit DIG 00696a
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1 775-2525 Ext. 220
SIDE SEWER PERMIT
Issue Date
PERMIT MUST BE POSTED ON JOB SI
1. Address of Construction -T
/P I )2-o
2. Property Legal Description (include all easements) Por+ox;vt
_T'trn + eA _r(f a
r CAA (114 5; _!�
C_�
3. single Family Residence Multi -Family
No. of Units
Commercial
L
sv,� Ve _S
4. Owner and/or Builder o Au ni
5.1 Contractor & License No. Cr,,z,,Jp4
C0-A)L-&TA)3,-a_oC)
6. Invasion into City Right -of -Way: No bl�iles
(If Yes Right-of-
way Construction Permit Rdquired - Call)Dial
Dig (342-5344) before
excavation).
E-4
7. Cross other private property: Yes No Easement required -
attach legal description and county easement
number.
�4
READ THE FOLLOWI.NG AND SIGN:
a4
a4
a. Property owners must obtain a pe =,ict'to
instal 111� n
>4
I
their property. A licensed side sewer
s d t
construct side sewers in the public rig
IAL I
b. The side sewer contractor assum sA
s bil4kt?uTbr eac
installation for one year.
BEFORE
c. Commercial establishment requir a m
m 0 a(0U<D1r&X
JAGc (6'
P4
side sewer line.
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d. Side sewers may not be installed c r
h th rt es ( 0")
14
to any structure.
e. Side sewer lines must be laid at
SN%CQ
A
and maximum grade of 100% (450).
MATING C UNCI
0
EA
f. No turn in side,sSwer greater th �t/,U155
n is 0 allowed
between.clehnout. All 90 turns must be constructed
of a 45 (1/8
bend) and wye with removable cap.
g. No down spouts, footing drains or floor drains can be -connected
to side sewer system.
h. Pea gravel is require d for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 1001 along sewer 'line run.
j. Trenches within City right-of-way must be*restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k.. Side sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours only. Two (2) working
days notice required. J
DATE: X_,/11 -,Z-j
I cbrtify that I have�,-r�'ead
aA4 shall comply with the above
PERMIT FEE: 0100 DISAPPROVED BY: Date:
W kj,-: � 1, - -- a: t �— B Date:
'n CON NECTION FEE: APPROVED By: Le_rz� ate:
P4 �3 D
0
PERMIT MUST BE POSTED ON JOB SITE
The City of Ed Side Sewer Drawing
n5MEET FILE EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION E] REPAIRS LID NO - ------------------ - ASMT. NO - ------------------
OWNER ------- - ---------- -------------- W--.. CONTRACTOR .-,,7
--- ------ ------ - ------------- 7" ""'. CO3P?4-
.......... ................. V ---- .......... - PERMIT NO . ....................
JOB ADDRESS ------ .............................. ... LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------
.... .. .........
............. -1 ................ ................. . ...... I ..........................................................................................
NAMEOF ADDITION ................... ---------------- * -------------------------------------------------------------- ---------------
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PWW-0001-11175 (REV.11/78)
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CITY OF EDMONDS MW
PUBLIC WORKS DEPARTMENT
RIGHT - OF - WAY CONSTRUCTION
A. *Address or vicinity of Colistruction
/ - ?d a 91- y �,�/ (J
Owner: PorctL & Lq,&Z
Name
,3 4 "z t:,,_
Mail* Address
zal7f./W5 Q,7 C)
City, State, Zip Code
0 Contractor: 044 i� 'e-
Name
Mailing Address
City, State, Zip Code
.Permit No. seo —//.
Issue Date Ah. /3- 0
0 Permit Issued To: y- 6, A '01 Ca"'l-a
9 Type of Work to be Done: -A s 1k 4,t Z t & Z, #--
Work in Connection With:
El Sub or Plat ^ Single Family
El Comml. / Ind. El Apt. Condo
9 Pavement Cut: El Yes ���No
C 6 h�/I_ 6: ;r ci 3
State License Number
776 — 16-0 0
Telephone Number
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
B. APPLICANT TO READ AND SIGN
INDEMITY: Applicant understands and by his signature to this 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 City of Edmonds, or any of it's departments or employees, including or 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 restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call
775-2525, extension 220.
I understand that this permit b at the job site for inspection purposes at all times.
Signature: Date
Own?�,rAgent
THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued B Permit Fee:
y
Time A horized: Vold after -,20 —days Security Deposit:
Special Conditions: Zey Q�9// e" �V4,:J- Receipt No.:
.,�c ., !�� - 4--
.rs 4_k- Fu nd 111 Fee: .-K 14 -
Street Cut Dimensions
X
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. Div. December 1978
EDMONDS
The City of Edmonds Side Sewer Drawing TREATMENT PLANT
EASEMENT NO . ...............................
.............
SJNR FILE NEW CONSTRUCTION REPAIRS LID NO. ..tV ...... ASMT. NO . ..................
OWNER ..... %.V] ........
................................................ CONTRACTOR .... 8.0.b .... 8.K
.............................................. PERMIT NO.
JOB ADDRESS ... .... . .......... . LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . ....................................
po.ytipA Gract (oz
sea- Vie-w
.........................................
NAME OF A DDITION
Side- SeWeV-c0,K-StV-,Vc-tcj
oF 4" P-V-C- pipe (saj--3o-&4.)
Glaske-teA
-(cq
cyll
lq-
4
-Moo—"
t
VC-0
Exisli"i Sewer.
Wff
le
T 1 11
6
- Te-
Ins e
witk
Rlse-Y -
( AD" cl-eT)
T"H
E7DMONDS
TREATMENT PLANT
I
4 .11/78)
PWW-W0l-11/75(REV.11/78)
'*It /-\\/C. W.
Approved:
be-c 2-1
DATE.......................... By
-- - ----------------------
STREkT F144
0 N D S
9y
Engineering Requirements for Plats and Subdivisions
NAME: L %.% V% C1 FILE NO. S
HEARING DATE: REO'D REQ'D
PRIOR TO W/BLDG. BOND
VICINITY: /?a *6 sw go 100 RECORDING PEPJIIT POSTED COMPLETED
1. Riqht-of-Way
2. Paving and Curbs in Public 2.
ri ght-of-way:
3. Turn -Around: 3.
4. Sidewalk & Planting Strip: 4.
5. Access Easements: 5.
6. Water Mains: Connection To City 6.
required.
/X
7. Fire Hydrants: (Per Fire Code) 7.
8. Sewers or Seotic Tanks: 8.
9. Drainage:
a. Submit for approval plans and 9.
install public storm facilities.
b. Submit and obtain approval
of site drainage plan,per Ord. 1924
10. Utility Easements and Access 10.
.thereto:
1
11. Underground Wiring: To be providea-
in accordance with ordinance #1387
Street Liqhtinq shall also be pro-
vided with the necessary street liqh-(
standars and underqround wiring con-
nection.
TWO
ENGINEERING REQUIREMEN S FOR PLATS
AND �QBDr\/ISIONS
RF-,(), b & REQ'D
PRIOR TO 9IN/BLDG7.
RECORDING PEP24IT
BOND
POSTED COMPLETED
12. Excavation and Grading: Exca- 12.
vation and Grading shall conform
to the requirements outlined in
X
Chapter 70 of the Uniform Building
Code.
13. Public Improvements Bond (see 13.
page three) let-�er required by
K:f W_ D
(2±—d*a� -5er hedring
14. Monuments (Per Section 12.10.120)
15. As-�-Builts: 15.
16. 2.2% Inspection fee 16.
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ADDITIONAL REQUIREMENTS & COMMENTS:
X
a. Approved legals for each lot a.
required
b. Approved Plat required showing b.
n/a/71
lots, easements, section, town-
X
shiQ & range, etc.
C. C.
d. d.
e . e .
21-4
E 7!)
C _- DINEER OF EDMONDS D
PUBLIC WORKS DEPARTMENT, ENGINEERING DIVISION.
The Engineering requirements have been completed and the subdivision
can be recorded.
Authro.ized for recording by: —Date:.
ENGIYT,'E`P1!,G. REQUIREME'NTS FSPLATS AND `UBDIVTST:`NS
Page Three
ENGINEERING ADMI141STRATIVE REQUIREMENTS
Section 104-10-060 -(B), (4) Edmonds Citv Code Application and Fees: Public Improvement Inspection
Fee - An inspection fee in the amount of 2.2 percent of the �_StimateTconstruction cost. for the
public improvements shall be Dro'vided subsequent to the approval of the development and engineer-
ing plans by the Engineering Department.
In accordance with the platting ru ' les and regulations of thr� Edmonds City Code, 12.10.120, the
sponsor, or the applicant shall advise "the City Ena:ineer, in writinp within 21 days of -the
hearing date, the method of assuring U
performance for the installation of required improVeThentS.
Improvements: Improvements to Drovided by the develooer shal 1 1 conform to Section 12'.10.050
of the Edmonds City Code and to the foregoing list of,engineering requirements:
Alternate method of providing the improvements are as follows:
1. By furnish.ing the City of �dTjjonds with performance.bond satisfactory to the City Engineer
in which assurance is given -the City that the installation of the min-im-um IM-Drovements �_�ill
be carried Out as Drovided in Section 12-10.050 of the Edmonds Citv Code. T1 . -,e amount of
bond shall cover 110 percent of the Engineers' estimate of public w'orks and utilitv imorove-
ments.
2. By actual installation of improvements.in accordance with the Drovisions of Section
12.10.050 and in accordance .-iith-the installation requirements and Linder the SUDervision of
the City Engineer. -
Regardless of -the method emploved hl, the developer for the installation of im-,)rovements, "No
improvements shall be finally accepted by the City of Edmonds until the develoDer F,,Irnishes
-the City with a bond in the amount of 15 T)ercent of the cost of said improvements to guarantee
said improvements against defects in �,.,orkmanship and/or materials for a period of two (2
%Tears from the date of such final acceptance."
Also, before final acceptance, an as -built drawing of site improvements shall be submitted
by the developer's engineer and approved by the City Engineer.
Convenant: 0,,.,,ners, and all persons having any present or subsequent ownership interest in
these lands, and -the successors and assigns of owners or other'parties havin'g any said
interest, herel)y agree that the City of EcIlmonds shall be held harmless in all resT)ects
from any and all claims for damages for injunctive relief which may be occasioned now
or in the 1"uture to ad�acent land or improvements by reason of the - construction, operation
j
and maintenance of.the drainage system, and here!)v v'iaive and release the Citv of edmonds
trom any and all claims for dariages, excluding damage caused solelv by an act or omission of
said City and injunctive relief which the owners, or their successors or assigns, ma-.,7 them-
selves have now or in the future by reason of the construction, mainenance and or)eration of
said drainage system.,
The City Engineer will revie,.-i plans for improvements, prior to the start of construction.
N'otify the Citv 171, gineer of the schedule C,4' construction prior to'(-_,o,-mrenc.iijF w r
WOR
K T.-IILL BE U�;DERTAKEN Ir", THE PUBLIC RIGIiT-OF-WAY UNTIL AUTHORIZED BY THE ENGINEERING
DEPARTMIE,,'T.
If you have any quesitons concerning the above, please contact the City Engineer's Office.
0 11/15/78,)
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CITY OF EDMONDS
P. W. DEPT. ENGINEERING 01V.
.EXAMINED
BY DATEZZI
REMARKS
RL A T 0,'c" 5LIR VE Y.
PA LIL & EL IZABE TH L LJAID
/A/ IVE'14 5,5.�14 5,EC. 15, T27M,
0 / T y OF EDMOIV99 I W,4 -591AI6 T01V
S DATE ,
Reed, nad&eo'g & '4adca4&j' '2're, -T - 0 - 7?_ FILE NO.
ENGINEERS* SURVEYORS- PLANNERS P5 74 //5 -3896-A
324 Mo;n Sircet - Edinon&,, Washinqton 980�'o c H - SCALE 40' SHEET OF
Real N44ace4a *70te. ENGINEERS e SURVEYORS e PLANNERS
324 Main Street 0 Edmonds, Washington 98020 a Telephone (206) 775-3434
August 23, 1979
File No. 3895-A
Dr. & Mrs. Lund
LEGAL DESCRIPTION OF PARCELW,
That portion of Tract 62, Edmonds Sea View Tracts, as per plat recorded in Volume
3 of Plats., page 76,' records of Snohomish County, Washington, described as follows:
Commencing at the southwest corner of said Tract; thence S89*15123"E along the
southerly line of said Tract, a distance of 225 feet, thence NO'19127"E parallel
with the westerly line of said Tract a distance of 90 feet to the true point of
beginning; thence continuing NO*19127"E, 90 feet; thehce S89*15123"E parallel
with the southerly line of said Tract a distance of 125-71 feet to the easterly
line of -said Tract and the westerly margin of 94th Ave. W.; thence S6'46,33"E
along said easterly line of said Tract a distance of 80.74 feet to westerly margin
of Knob Hill P*Iace; thence S9*03127"W along the easterly line of said Tract a
distance of 16.21 feet to a point which bears N9*03'27"E, 34.81 feet from the
southeast corner of said Tract; thence N89*15'23"W parallel with the southerly
line of said Tract a distance of 65-88 feet; thence N76*53'03"W, 45.42 feet;
thence S81*44111"w, 23-31 feet to the true point of beginning. Containing
12,220 square feet more or less.
LEGAL DESCRIPTION OF PARCEL'B:
That portion of Tract 62, Edmonds Sea View Tracts, as per plat recorded in
Volume 3,of Plats, page 76, records of Snohomish County, Washington, described
as follows: Commencing at the southwest corner of said Tract; thence S89015123 HE
along the southerly line of said Tract a distance of 212-70 feet to the true
point of beginning; thence N0019127"E parallel with the westerly line of said
Tract a distance of 90 feet; thence S89015123"E a distance of 12-30 feet; thence
NW44111"E, 23-31 feet; thence S76*53'03"E. 45.42 feet; thence S39015123"E,
65.88 to the easterly line of said Tract and the westerly margin of Knob Hill Pl.;
thence S9*03'27"W along the easterly line of said Tract a distance of 84.81 feet
to the southeast corner of said Tract; thence N89*15'23"W along the southerly line
of said Tract 132.65 feet to the true point of beginning. Containing 12,144 square
feet more or less.
CITY OF EDMON09
P. W. DEPT. ENGINEERINd 151Vr
EXAMINED
BY DATE4,�R
REMARKS
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- ----- ( ..........
014MUO�� .. AFTLICATION
REZONING (Fee $25.00)
(Deadline for application: Noon, 2nd Wed.)
SUBDIVISIO14 (Fee $10.00)
(Deadline for application: Noon, 2rid Wed.)
PLAT (Fee as set)
(Deadline for application: Mon.no:ofi, 2 wks.
before 3rd Wednesday)
NAME MkS D)�
ADDRESS- !2
27 -,V PHONE�:
REQUEST
2
CITY, OF EDN40NDS
.................. .
�=IT,Y CL6iZT
FILE NO.
FEE
RECEIPT NO.
DATE —
lm&�Wm
7,
/U'00 2a " 4'Vd xl� //'I)- '01pivc! uvldlif-� mdle.'i .
R-4 r4e— A/0 0 V q- ev e— '1Z /7W9 i/'A/
PROPERTY DESCRIPTION:_ (2/?
SKETCH: (Sketch of property to be rezoned or subdivided showing streets, property
lines, etc. Include vicinity sketch.)
00,4
(UCANIT LOT(..
D-3 Edminds Sea View Trs.
That portion of Lot 62 described as follows. BeCirning SW corn(
FLY ALG S IN 212-70. ft. TPB TH N PL'L" 'd LN 3D IR 9' 0 F7 TH E, E PLT
SD T-R-TO E LN SD-TR TH S,,qY ALG E LN SD TTR TO SE COR THOF TH 19L�
SD TR 132.81 FT TPP
(LOT I,iITH
...--D,lA-,-MMNDS SaVItWMACTS
.—PTa-TR.62 BEG SW.-COR-SD TITI TH FLY ON S LN THOF 225, TH N ?LL IfIr.
W LN. SD TR 901 TPB TH N PLL W LN SD TR 961 TH E PLL'
S LN SD TA TO E LN SD TR TH SLY ALG E
LN SD TR TAP S 890 151 2311 E TPB\ TH N 890 151 2311 W TPB
pk
ZONE PERMIT (3-2
CITY OF EDMONDS NUMBER
CONSTRUCTION PERMIT APPLICATION
V OWNER NAME/NAME OF BUSINESS
joa SUITE Pr�
ADDRESS
2:Z
LEGAL DESCRIPTION CHECKI SUBDIVISION NO. LID NO.
W MAILING ADORES
Z
0 19o2-4- A W
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP, TESCP Approved 0
CITY ZIP TELEPHONE NUMBER
PIN Permit Required 0
EXISTING —REQUIRED DEDICATION Street Use Permit Req-d 0
PROPOSED inspection Required 0
NAME
Sidewalk Required 13
0
REMARKS
a:
ADDRESS
M
4-t?o III 119tA R.
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M zip TELEPHONE NUMBER
.i,,IITY
9?0331
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NAME
wrivAe, 6 Assoc
ENGINEERING MEMO DATED REVIEW BY
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METER SIZE BUILDING SUPPLY SIZE 0. OF FIXTURES
CITY ZIP TELEPHONE NUMBER
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REMA14KS
STATE LICENSE NUMBER EXPIRATPN DATE
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SIGN AREA SEPA REVIEW ADB NO.
Legal Description of Property - include all easements'
ALLOWED PROPOSED COMPLETE EXEMPT
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VARIANCE OR CU TLANNINg,,REVIEW BY OZA E
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SETBACKS - FEET HEIGHT L6T C V RA
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Properly
FRONT SIDE REAR
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Tax Account
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EMARKS
Parcel No.
0
NEW RESIDENTIAL PLUMBING
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ADDITION COMMERCIAL MECHANICAL
REMODEL 11 APT. BLDG. El
SIGN
GRADING FENCE
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CHIECKEQ BY TYPE OF CtMTRUCTI CODE HEIGHT
REPAIR CYDS. ( x_
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DEMOLISH WOODSTOVE SWIM POOL
INSERT HOT TUB/SPA
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SPECIAL INSPECTOR OCCUPANCY OCCUPANT
REOUIRED GROUP (
11 YES [;;2 LOAD
GARAGE RETAINING WALL/
CAR RENEWAL
REMARKS
ROCKERY
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(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
PROGRESS INSPECTIONS PER UBC 305
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0 OF DWELLING AREAS
o) STORIES UNrTS INUMBER
DESCRIBE WORK TO BE DONE PLOT PLAN)
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(ATTACH
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FINAL INSPECTION REQUIRED'
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VALUATION FEE
PLAN CHECK FEE
BUILDING
HEAT SOURCE: GLAZING
6; 0/0
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction -on the public domalo (�u rbs;�sldewplks,
driveways, marquees, etc;) will require se�iriiiiiipermlssion.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: I Year - Provided Work is Started WIthIn 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, 'assigns and
ENO. INSPECTION FEE
w successors in interest, agrees to indemnify, Clafend and hold
(n
uj harmless the City of Edmonds, WashingtoM, its officials,
m employees, and agents from any and all claims f6r dAffiages of
a:
< whatever nature, arising directly or indirectly fr6ffi th@ I§Suance
of this permit. Issuance of this permit shall not be dd6ffied to
PLAN CHECK DEPOSIT
modify, waive or reduce any req.�irmgt,qf any city o idldaftb
nor limit in any way the City's dbility o enforce any 0*�alfi4h66
provision." .- - � — :; 2� -1 - , _._ __ � - 1.
fOTAL AMOUNT DUE
11
I hereby ackpq��I�IJO`#,itjji hl" 19
44r,46 tHig I the
in formation. 4;ivep iE i;6pdiIi) 16 1 6 Eir;, t
ATTENTION APPLICATION APPROVAL
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authorized I
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state laws reouikjl�'� i Hd' I H", d, I
P99MIT
AUTHORI This application is not a permit until
WWI% -,h b?"e , d IR liti A f 0
all n@ Ile
6NLY 'THE signed by the Building Official or his/her
WORK
ns 0 pensa-
NOTED Deputy: and fees are paid, and receipt is
—ce.
SIGNATUR NER DATE SIG ED
I NSPECTION acknowledg66 in space piovided.
DEPARTMENT
;R &NT),
CITY OF OFF IAL' SIGNAT�JRE
EDMONDS
ATTENWON
CALL FOR RELEAS If DATE
IT IS UNLAWguL t6 ust OR OCCUPY A BUILDING OR STRUCTURE
INSPECTION
UNTIL A FINAL INSPECTION HAS BEEN MADE AND )VAL OR
771-0220
A,.,.C15,PTjFicArc OF OCCUPANCY HAS SEEN :0. UBC
ORIGINAL — File YELLOW — Inspect6r
CHAPTER 3.
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PINK Owner GOLD — Assessor
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...................
CIT Y CLLRK
'Decem ber,23.,.,'-1963.
-Hr s Dan 'F. Miller
9404 - l90th-S;-W.*.
Edmonds,. Washington
Re Ti le 'No. S-39-63
Dear Mrs. Miller:.
This-will-ponfirm that the tdmonds,Pla'nning Commission, at their
regular meetink of December.18,'1963,.approved as submitted the
subdivisiofi- of the�property desdribed in the aboie file.
'Yours v ery truly,
(Mrs.) Jean Thompson
Planning:Commission
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Of,-ACC*q SHALL eC ((41-1,L:,�
CACK S I GN FOR- t4i GMT -T I$AC US�
Z., DIST MAY VARY AS APPROVED E',
ENGt R!
FLACCERS kOUIR'ED *TO CONTROL. TRAf f
-,Dt. CON TPACTOR WST INTU.-.--A
TRAfFid' FIL60'10 ACCESS THE %ORK
WITHUATERIALS OR EO(JIPMENT.
7t
CONE OR CHANNELIZING DEVICE
(SEE STO 702)
WORK AREA
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FLASHING: Or? WITH.
GCA�:ON
(Tv 21-1)
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SHOULD -
WORK
(W It-S)
TRAFFIC CONTROL PLAN
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City of Edmonds Permit No: 00
RIGHT-OF-WAY CONSTRUCTION PERMIT Issue Date:
A. Address or Vicinity of Construction: 19024 94 AV W
B. Type of Work (be specific): GTE to place, operate & maintain a buried service wire, from
existing *edmibal # 8981, located atross from 19024 94 AV W. then West to a residence at
19024 94 Av W. GTE to plow 30 feet.push 0 driveways 0 feet and push 1 road 20 feet.
ROW footage is 50 feet. Wo # 2100-9POOlDB 2423.10
ENGR:Brock Haugstad 425-78777042
C. Contractor: GTE NORTHWEST INCORPORATED Contact: Sherry Jones Permit Coordinator
MailingAddress: 2312C W. Casino Rd, Everett Phone: 425-710-4133
WA. 98204
State License #: Liability Insurance: Bond:$
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable� :.1
E. F-1 Commercial Subdivision El CityProject 0 EUC(PUD,q�iDPS]E CHAMBERS, OVWD)
Multi -Family EJ Single Family F1 Other
INSPECTOR-
F. PAVEMENT: 91 YES E] NO G. SIZE OF CUT x 5 H. Charge:
CONCRETE CUT: YES F-1 NO
APPLICANT TO READ AND SIGN
IDEMNITY. Applicant understands by bis/her st . gnature to this application helshe holds the City of Edmonds harmlessftom injuries,
damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or
any of its departments or employees, including but not limited to the defense of any legal proceedings including defense costs and
attorneyfees by reason. ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS
COMPLETED BYCITYFORCES, AT WHICH TIMEA DERITOR CREDIT WILL BEPROCESSED FOR ISSUANCE TO THEAPPLICANT.
* Traffic control and public safety shall be in accordance with City regulations as required by the City Engineer. Every
flagger must be trained as required by (WAC) 296-155-305 and must have certification verifying completion of the
required training in their possession.
* Restoration is to be in accordance with City codes. All street -cut trench work shall be patched with asphalt or City -
approved material prior to the end of the workday - NO EXCEPTIONS.
* Three sets of construction drawings of proposed work are required with the permit application.
IRAVEREAD THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
THATIMUSTMAKE THE PINK COPY OF THE PERMIT AVAILABLE ON SITE A TALL TIMES FOR INSPECTIONS
Signature: 04:�hlw �_
DAVE HAWKINS - (Contractor or Agent)
01/04/2000
CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK
UPON COMPLETION OF PERMITTED WORK, AN ENGINEERING FINAL
INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THE EDMONDS
COMMUNITY DEVELOPMENT CODE.
FINAL APPROVAL OF PERMITTED WORK.
INSPECTOR'S SIGNATURE DATE:
For inspection requirements see Engineering Information Handout.
/00