19230 80TH PL W.PDF7269
19230 80TH PL W
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'S LIC NSE APPLICATION
CITY of EDMONDS BUSIN
Civic Center Edmonds, Washington 98020# - LICENSE NO.
0 DATE
City Clerk Phone 775-2525
z5I EET F11 r
TYPE OF BUSINESS ANNUAL FEE
INSTRUCTIONS:
• All items must be completed
or application will not be ac-
cepted.
• Sign and return application
with fee. Renewals received
CLA
YEAR LIC.
EFFEC. DATE
LIC, NO�
SPEC.�
A"
�5, 9 I
JREASG.
. , I I --
, I , ,
I
RECEIPT NO-4
DATE PAID
A —
PRINT X1
0111,14189,1�FOR
IN SPEC. BOX
ISSUE OF
CORRECTED
FEE PAID
PENALTY PAID
LICENSE WITH
'LC' ACTION.
L�j (A) HOME OCCUPATION
E] (6) BUSINESS WITH
1 1-0 3 EMPLOYEES
Cj (c) BUSINESS WITH
4 TO 9 EMPLOYEES
0 (D) BUSINESS WITH 10
OR MORE EMPLOYEES
S 15.00
$20.00
S 22-00
S75.00
AFTER FEB. 15
S 22-50
S 3000
� 33 00
S112.50
after February 15 must pay k! NEW APPLICATION (L A)
penalty in addition to fee. 0 RENEWAL (LB),
NEW BUSINESSES AFTER 0 CHANGE (LC)
JULY 31, 1/2 FEE. (PLEASE MAKE ANY NECESSARY CHANGES) 0 DELETE (L D)
NAME OF FIRM P_,JG k , M A P, GA Q e--- -r *7-,/ plv G .5,f-,e v, BU I N ESS PHON E 0. OF EMPLOYEES
Margaret -Garner --Typing Service-, none--a-t--present—
. 77—, - // Z-1 I Wffb
MAILING ADDRESS NATUR OF USI ESS
L
19230 - 80th Place West 7ICT - G 198"
Edmonds, Washington 98020 �-!"-_Lng �,S ervice
[-:DM0.ND_S_EIRE DEPT.
BUSINESS ADDRESS
INDIVIDUAL PARTNERSHIP CORPORATION
YO
r
same-a-s-home a, 3 07
Fx---] (S) (P) (C)
OWNERS NAME HOME ADDRESS
Margaret Garner 19230 80th Place West
HOMEPHONE DATE OF BIRTH PLACE OF BIRTH SOCIAL SECURITY NUMBER
774-4929 l/l/43 Seattle, Wash. 535-40-5196
EMERGENCY NOTIFICATION (1) NAME 6. TFLEPTIOtNE ---Mar.gar-et-Har-p-r-,-323=7-313--
(PLEASE LIST TWO) (2) NAME & TELEPHONE ___Ru.t-b Rowan _7 7 6=9
WASHINGTON STATE TAX NO. APPLICANT'S SIGNATURE
DO NOT WRITE BELOW THIS LINE
STAFF REVIEW: FILL IN LAND USE CODE UFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR DISAPPROVAL, DATE, AND
SIGN. IF DISAPPROVAL, PLEA,-.3)E COMPLETE "COMMENT" SECTION, ROUTE TO NEXT DEPARTMENT ON LIST.
PLANNING DEPARTMENT DATE LAND USE CODE ZONING CODE
Ne-APPROVE 0 DISAPPROVE SIGNATURE -A /-,- F-E-1—
CONDITIONAL USE PERMIT
COMMENTS -1
RM) E:L�Js_] FED
BUILDING DEPARTMENT D AT E 0 -5
a -'APPROVE 0 DISAPPROVE SIGNATURE -AL.
COMMENTS:
I CAPACITY: (NO. UNITS, APTS. OFFICES, SEATS, BEDS, STUDENTS)
Building
ED
Hotel/Motel
(L)
Permit
0
Apt. Bldg.
(A)
E 1:1:=
El
Office Bldg.
(0)
Occupancy
Restaurant
(R)
Group
Hosp/Nurs Home
(H)
RL�_15�
[i
School
(S)
fFI5E DEPARTMENT
V,APPROVE El DISAPPROVE
DATE
SIGNATURE
g'2-
U. F. 1. R.
COMMENTS:
POLICE DEPARTMENT
APPROVE 0 DISAPPROVE DATE SIGNATURE
COMMENTS:
PUYLIC WORKS DEPARTMENT
MAPPROVE D DISAPPROVE DATE Z SIGNATURE
COMMEN
PLFA.qF RFTIIRN TC) r.ITY C'_Lr�21< %i
0. 74
A/i
0.�Ivy
CITY of EDMONDS BAESS
Allfi?WX /
LICENSE APPLICATION D ef� LICENSE NO.
"A I
I Civic Center - Edmonds, Washington 98020
STREET FLE ANNUAL FEES
City Clerk Phone 775-2525
PENALTY AFTER FEB. 15
'A HOME OCCUPATION
INSTRUCTIONS:
CLASSIYEAR
LIC. EFFEC. DATE JR.EASG.
LIC. NO.JSPEC,j
$10.00 (A) ADDITIONAL $5.00 0
• All iterns must be completed
0 SMALL BUSINESS
or application will not be ac-
RECEIPT NO
DA . TE PAI
11
PRINT-'X' A-
$15.00 (B) ADDITIONAL $7.50 0
cepted.
1�1
-1 -.94
SPEC. BOX
R ISSUE OF
0 *Business with 10 or
• Sign and return application
FEE PAID
PENA P
CORRECTED
more employees ADDITIONAL $25.00 0
with fee. Renewals received
L_j /I //i/1
i i I
LICENSE , WITH
'LC'ACTION.
$50.00 (C)
after February 15 must pay
A NEW APPLICATION (LA)
penalty in addition to fee.
.0 RENEWAL (LB)
NEW BUSINESSES AFTER
0 CHANGE (LC)
JULY 31, 1/2 FEE. (PLEASE MAKE ANY NECESSARY CHANGES) 0 DELETE (LD)
NAME OF FIRM
BUSINESS PHONE
NO. OF EMPLOYEES
/J7
7 7-1
MAILING ADDRESS
NATURE OF BUSINESS
1-77
,01 -�51 N F-55-A-UD-RE35 INDIVIDUAL PARTNERSHIP CORPORATION
/'� 2- -3 6, i`v Z-4 ;AZL =1 (S) .. . = (P) P
- 0 N-ER-S-*A-M-E HOME ADDRESS
67 /,j 'PX;
I — / �; 2- - 3 c, , ? X j)
kOME PHONE D�TE OF BIRT PLACE OF BIRTH ALSECURITY NUMBER
Z -),- - ".?-
SOPL
';7 -7 V 3 pe
EMERGENCY NOTIFICATION: (1) NAME & TELEPHONE zz--,ve
.46
(PLEASE LIST TWO) (2) NAME & TELEPHONE
WASHINGTON STATE TAX NO
APPLICANT'S SIGNATURE
DO NOT WRITE BELOW THIS LINE
STAFF REVIEW: FILL IN LAND USE CODE, LIFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR
.DISAPPROVAL, DATE, AND SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT"
SECTION. ROUTE TO NEXT DEPARTMENT ON LIST.
PLANNING DEPARTMENT DATE 201 LAND USE CODE ZONING CODE
ErAPPROVE El DISAPPROVE
SIGNATURE
CONDITIONAL USE PERMIT
COMMENTS
BIJXDING DEPARTMENT
EVAPPROVE El DISAPPROVE DATE
SIGNATURE 11VA
COMMENTS:
CAPACITY: (NO. UNITS,,APTS., OFFICIfS, SEATS, BEDS, STUDENTS)
F�RE DEPARTMENT
;k APPROVE 0 DISAPPROVE
COMMENTS:
POLICE DEPARTMENT
�X7-
DATE SIGNATURE
APPROVE 0 DISAPPROVE
COMMENTS:
Buildigg
0
Hotel/Motel
(L)
Permit 0
LI 1 0
Apt. Bldg.
Office Bldg.
(A)
(0)
Occupancy
0
Restaurant
(R)
Group
0
Hosp/Nurs Home
(H)
0
School
(S)
=own
UJUMN,
PUBLIC WORKS DEPARTMENT
��PROVE U. DISAPPROVE DATE.3 SIGNATURE
COMMENTS:
NOTICE:
No warranty of accuracy.
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of �Edmonds does not warrant the
accuracy of anything set forth o.n these
map(�-). Any person or entity -req uesting a
copy should conduct an independent
inquiry regarding the information shown on
th-e -map(s), including, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may, not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
.1. -r officer-,-) sh-d-111 be Hlalu-le for the
empio-yee-s o
information given on this map(s), nor for
any one representation provided based
upon said map(s),
xl�-- 46.
The City of Edmonds
-u, LLZ
-.-,I
APPLICATION
for
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS E] LYNN
OWNER& . ...... i/rAf. ------------------------------------------------
ADDRESS .......... .......................
EASEMENT No. ..........
CONTRACTOR ..0 ..... 1C ... ........ . . .............................. PERMIT No(:!!!-;,
LEGAL DESCRIPTION: LOT No. ........................... BLOCK No . ........ ...................................
NAME OF ADDITION . ...... ....... .........
4/ ....................................
APPROVED
Approved:
DATE ..... ................ By
........... .. ... ......
ijP00= _Z�
Y.OVEDMONDS
CIVIC CENtERm_*_-MATE -SEWER DE .7 r"n roqk
R PARTkENT Call pRospect -.6-1 - 10
S or
SO -PERMIT holidays.) N 2 .90
0—Yon (No 114pec'
- DEWER Mons Saturday, iind. . y
E
7.7,
19230-8oth Place
ADDRESS ..... : .... � . West
........... .................... ........
- : ...... ..................................................... ................. .....................
R. K. Robinson
OWNER..�.� ................ ...... -nstr.
................................ .................................. coNTR,�
R C. -�-,E....U. '* Co
. . .. ..... . ... ............................ ..................... ...... .
'Perinikslon Is' -granted'., A.p.r.i.l.._3,
.. .. .. .. .. ................. I 1 9 ......... for ........................ days, W:REPAIR or CONNECT a
with C!ty:Sewers In accordance with side sewer
application on file -and governing ordinances.
ATTENflON is I CALLED TO THE FOLLOWING:
NOTE No.- 1—The. oyqiers of the 'property. may obtain
a. permit to constr ne. A,Ilcensed Side S6wsr C n actor must
ctsewer Inside prop y lj�
bew,emplbyed to construct side -sewer In street area:. Do not cover any portion of sewer before it has been Inspected.
e
0 tr
NOTE No. 2�Obtain full information regarding Ordinance 1
1.16.030 and Regulations governing side* sewers 'when. you get. permit.
NOTE No; 3—Top e f Ade sewer must have at least 30 inches coverage -at property line and 12 inches Inst de property line; mini
0
No b J� rmitted.
ds In grade sharper than will be pe mum.grade of 2%.
1E. No. 4—Trenches In street must be water settled a I nd . surface of street
w0i -restored to original condition. Contractors shall be responsible for
failure-due.to Improper k which may develop within one year Of completi6n.
NOTE..No.'5—It is unlawful to -alter or do any other work the . n Is Provided for In the permit, or to d . o any w . o , rk on 'the main sewer or Its ap-
purtehances except to insert the pipe In to the wye.
C I T Y 0 F E D M 0 N D S
Civic Center
Edmonds, Washington
Date August 17, 1967
Ballard Mortgage Ca=mg- Tne-,-
2401 N. W. Market Street
Seattle, Wanhington 9AI07
Gentlemen:
This is to certify that the house at 19230 - 80th-Place West 9
within the City of Edmonds, has been connected to the City sewerage system
according to the City of Edmonds standards.
Very truly yours,
John E. Moran
Superintendent of Public Works
JEM:jw