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19230 94TH AVE W
*TO-W PCOMMUNNOTIINS
JU L 1 1974 DATE 19 Z-epl
TO D"Pt. FROM
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StREET FILE
CITY of EDMONDS.,
Civic Center - Edmondq, Washi'ngton 98020 - Telephone (206) 775-2525
Office of the City Engineer
July 1, 1974
Dr. Jack Wilson
.19230 —94th Avenue W.
.Edmonds, Washington 98040
SUBJECT: Sanitary Sewer Connection
Dear Dr.,Wilson:
The Public Works,Department has referred your situ-
ation to the Engineering Department for review and recommenda-
tions. Your situation will be -investigated and our findings
will be forwarded to the Public Works Department who will
notify you of the City's requirements for your sewer connection.
until you are notified, the Public Works Department
will hold the time limit,for connection in abeyance until a
decision has been reached in your particular case.
If you have any further questions on this matter,
please feel free to call us.
RHA:LRL:mir
cc: Public Works Department
..,yours very truly,
CITY F
1LXE I F 7LARSOk
City Engineer
0
RECEIVED
JUL' �2 1974
NOTICE:
ac..
---W'a r.r a n
No
The information shown on the attached
for use by the City Of
map(s) was com ' piled
Edmonds/ its Empl.oyees and Consultants.
t the
Th,..e City ofEdmonds does. not. warran
accuracy of anything set for.th on t ' hese
M a P ('s"). A n . y person or entity -requesting a
copy should conduct an.independent
'ation shown-o
inquiry regarding the infbrm
_tFe -Map(s)/ including, but not limited to,
the location of any sewer stub shown. Suc
sewer stubs may or may, not exist and may
t: at the location shown.
or may not exis
r-ity of Edmon H-A S. nor its
Neitheir the
emp]-O-Yee-s 0-r office,rss-h-a-1.1 be 1--ja-b-1--e forthE
on this map(5), nor for
information g'v e' Ided based
any one representation prov
upon*sald map(S).
The City of Edmonds
Side Sewer Drawing
NEW CONSTRUCTION M REPAIRS 0
EASEMENT NO - ------------------
LID NO - ------- ---------- - ASMT. lsjo.
'"W - - -
OWNER ----- A �.V - ----- \d-l-t-sat'a -------------------- ------- -------- CONTRACTOR ----- -------------------------------------------------------------------------- PERMIT NO - --------------------
JOB ADDRESS ---- --------- c)4-r"--AvF,-., ---------
1�2, --------- LEGAL DESCRIPTION: LOT NO - -------------------------------- BLOCK NO - ------------------------------------
NAME OF ADDITION ------------------------------------------------
1) b G- TE-SME-D
PWW-0001-1 1/75 (REV.1 1/78)
(0�) sew�,:a
G -Zr7 -'Bro
Approved:
DATE
------------ By
---------------- ----------
CITY OF EDMONDS Z014E
CONSTRUCTION PERMIT APPLICATION
OWNER NAME NAME OF BUSINESS LADORESS
A0 6T- +r LEGAL DE
MAILING ADDRESS
A
PERMIT
NUMBER
SUITE APT -
I
19 2:10 -1 11 1AV 'T 1%j PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP I T FSCP.APP'0,,0d
TELEPHONE NUMBER RW P. d Re .d 0
CITY 41P EXISTING — REQUIRED DEDICATION Sl:ee,,Vse Pe—il Rel-d 0
t I. ce I_ R.Q.il.d 0
77-5 /1 �7P PROPOSED �i Ik A i d 0
C- 1 -`10 Lu "Je t /7 Tj
ADDRESS_ " _,_ o
I w"i
-!',�-ftuk,AH 'K 12 3 -
STATE LICENSE NUMBER C17rN DATE
�L4L
Laos] Descriotion of Property - include all easements
Properly
Tax Account
Parcel No.
44 3 q (.o - 1) 0o - 0 o & o ( o
D NEW
IK RESIDENTIAL
PLUMBING
ADDITION
13 COMMERCIAL
MECHANICAL
REMODEL
APT. BLDG.
El SIGN
REPAIR
rRADING C,.S
FENCE
I— X —FT)
DEMOLISH
W COOSTOVE
INSERT
SWIM POOL
HOT TUB/SPA
GARAGE
CARPORT
RETAINING WALL/
III ROCKERY
RENEWAL
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
,S//"" L I - 4YI4 11 'f
/ I t
NUMBER
OF
STORIES 2-
NUMBER OF
DWELLING
UNITS /
CRITICAL
AREAS
INUMBER
DESCRIBE WORK TO BE DONE IATTACH PLOT PLAN)
P 0A. t- A -^ I ?- k-ij 7-
".) 6
do.& Q. e
METER SIZE I LINE SIZE I NO. OF FIXTURES PRV REQUIRED
YES 11 NO 13
SIGN AREA SEPA
ALLOWED I PROPOSED I COMPLETE
I I EXP I I I
VARIANCE OR CU PLANNING REVIEW BY DATE
SETBACKS — FEET GHT I LOT COVERAGE
I FRONT SIDE REAR 7
1-1—, - A-) 141,--, 1, ^ I I, / I
SPECIAL INSPECTOR AREA
REQUIRED
13 YES
REMARKS
1PROGRESS INSPECTIONS PER UBC 305
FINAL INSPECTION REQUIRED
VALUATION
OCCUPANT
PLAN CHECK FEE
BUILDING
HEAT SOURCE:
GLAZING %
PLUMBING
Plan Check No.9,7
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curts, sidewpiks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
I—
- Applicant. on behalf of his or her spouse, heirs. assigns and
ENG, INSPECTION FEE
Uc Ce ssors in interest, agrees to indemnify, defend and hold
2 harmless t he City of Edmonds, Washington, 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
PLAN CHECK DEPOSIT
modify, waive or reduce any requirement of any city ordinance
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
ATTENTION
APPLICATION APPROVAL
information given is correct; and that I am the owner, or the duly
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
This application is not a permit until
:late laws regulating construction; and in doing the work authoriz-
AUTHORIZES
THE
signed by the Building Official or his/her
d I hereby, no person will be employed in violation of the Labor
Code of the State of Washington relating to Workmen's Compensa.
ONLY
WORK NOTED
Deputy; and fees are paid. and receipt is
Ion Insurance and RCVV 18.27.
INSPECTION
a cknowledged in space provided.
IGNATURE IOWNER OR AGENT) DAT
DEPARTMENT
CITY OF
So I RE DATE
EDMONDS
UALL FOR
U(ELEASff06Y?,V, DATE
ATTENTION
INSPECTION
All
IT S UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771-0220
ORIGINAL — F.Ie YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. USC
r.WAPTFP I
PINK — Owner GOLD — Assessor
I
STREET FILE
City of Edmonds
Critical Areas Determination
Applicant: Bob & Eileen Iguchi Determination CA-93-7
Project Name: Permit Number:
Site Location: 1 19230 94th PI W I Property Tax Acct #: 1 4346-000-060-06 1
Project Description:
Residential Addition and Remodel
Waiver Criteria (all criteria must be found to apply):
xx There will be no alteration of the Critical Area or its required buffers;
XX The development proposal will not impact the Critical Area in a manner contrary to
the goals, purposes, objectives and requirements of the Critical Areas ordinance;
xx The development proposal meets the minimum standards of the Critical Areas
ordinance;
xx The above findings are based on the following conditions of approval:
1. The applicant must comply with- any requirements the Building Official
might call for, due of construction on steep slopes (ECDC title 19.05, 19.00-
UBC chapter 70).
2. The applicant must follow the requirements of the Engineering Division for
erosion control (ECDC title 18).
Based on the above findings and conditions, the requirement for a Critical Areas Study
associated with this development permit is hereby Waived, as authorized by Chapter
20.15B. 150 (B) of the Edmonds C;ommun* DevMelnt CCode.
Stt,phen F. Bullock
Name Signature Dat
90-194,
City of Edmonds
Critical Areas Checklist
'Me Qidc*d Areas Checklist contained on
this form is to be filled out by any person
Prcparing a Development Permit
Application for the CitY0f Edmonds prior
to his&cr s;ubmitta of a development permit
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- no information needed to
Complete the Checklist should be easily
'lablc f
ava' rOm observations of the site or
data available at City Hall (Critical Areas,
inventories, maps, or soil surveys).
An applicant� or his/hcr representative, must
fill out the checklist, sign and date it, and
submit it to the City. The City will review
the Checklist, xnake a precursory site visit�
and make a determination of the subsequent
steps necessary to complete a development
permit application.
With a signed copy of this for.,,, the
applicant should also submit a vicinity map
of the.parcel with enough deWl that City
staff can find and identify the subject
Parceks)- In addition, the applicant is
encouraged to include any other pertinent
information or studies in conjunction with
this Checklist to assist staff in completing
their Preliminary assessment of the site.
I have completed the attached Critical Area Checklist and attest that the answers provided -'are
factual, to the best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
bn b it -m i i !,, - _T
Name at2c-L�
CkA-)n P-f-
Title -
Street Address
-EQf"C-r77�25 Q8020 -7 S-.13-7,5
City, State, ZIP
Phone
Applicant Representative:
A -rc-0 i:� -t
Name
Street Address
3 6P 1 1 1 1 . .
City, State, ZIP ' Phone
Signature
Date S 7tgnature
Date
R-C-ZoL-TS7 TZ).
4Z7 C-ec .
e.. — . - -j-,
Critical Areas Checklist'
Site Information
P-E51X>enT'A1- Ai>r.>t*rO'n
Project Name: q Permit Number.
Site Location: 192.3,::> T�-4 c-6 Property Tax Account Number
Approximate Site Size (acres or square feet): Zf7,-s2-e> se
Have you filled out a Critical Areas Checklist for a project on this site before?
General Site Conditions
'15q& - cOe-> - CGO - C�6C>C�
NO
1. Has the site been cleared or logged? rior eu--o ajemr4 Date of most recent action:
Soils / Topography
A4. V6& U-10CA. I - C: VC
2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? Cr"ur`J-Y sAnvy t-onl"'
3. Describe the general site topography. Check all that apply. SS tr 170 L Q4,0 rctS7
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.)
ffilly.- slopes present on site of more than 15% and less than �01/,o ( a vertical rise
of 10 feet of horizontal distance.)
Steep: grades of greAter than 30% present on site.
Comments.
Hydrology/Vegetation
4. Site contains areas of year-round standing water: Nd
5. Site contains areas of seasonal standing water: 00 —Approx- Depth:
6. Site is in the floodway Mo floodplain___po of a water course.
7. Site contains a creek or an area where water flows across the grounds surface? _Uo flows
are year-round? Flows are seasonal?
8. Site is primarily:- forested meadow. shrubs ;mixed "X
9. Obvious wetland is present on site: 00
10. Wetland inventory or map indicates wetland present on site: hio
11. Critical Areas inventory or map indicates any Critical Area on site:
For,City Use Only
STREET FILE
City of Edmonds.
Critical Areas Determination
Applicant: I Bob & Eileen Iguchi Determination #: I CA-93-7
Project Name: Per it Number: F
Site Location: 1 19230 94th PI W Property Tax Acct #: 1 4346-000-060-06 1
Project Description
Residential Addition and Remodel
Waiver Criteria (all criteria must be found to apply):
xx There will be no alteration of the Critical Area or its required buffers;
xx The development proposal will not impact the Critical Area in a manner contrary to
the goals, purposes, objectives and requirements of the Critical Areas ordinance;
xx The development proposal meets the minimum standards of the Critical Areas
ordinance;
xx The above findings are based on the following conditions of approval:
1. The applicant must comply with any requirements the Building Official
might call for, due of construction on steep slopes (ECDC title 19.05, 19.00-
LJBC chapter 70).
2. The applicant must follow the requirements of the Engineering Division for
erosion control (ECDC title 18).
Based on the above findings and conditions, the requirement for a Critical Areas Study
associated with this development permit is hereby Waived, as authorized by Chapter
20.15B. 150 (B) of the Edmonds Commun' Dev I t Code.
0,
Stephen F. Bullock
Name Signaturee Dat
City of Edmonds
Critical Areas, Checklist
'Me Critical Areas Checklist contained on
this form is to be filled out by any person
Prcparing a Development permit
Application for the City of Edmonds prior
to his/her submittal of a development permit
to the City�
11c 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 hom Observations of the site or
,data available at City Hall (Critical Areas
inventories, maps, or' soil surveys).
An applicant. or his/her representative, must
fill out the checidist, sign and date, it, and
submit it to the City- The City will review
the checidist, make a precursory site visit,
and make a determination of the subsequent
steps ncc=SaIY to complete a development
Permit application.
With a signed copy of this for,,,, the
applicant should also submit a vicinity map
of the parcel with enough detail that City
staff can find and identify the subject
Parceks)- In addition, the applicant is
encouraged to include any other pertinent
information or sttidies in conjunction with
this Checklist to assist staff in completing
their preliminary assessment of the site.
I havecompleted the attached Critical Area 'Checklist and attest that the answers provided -are
factual, to the best of my knowledge (fill out the appropriate column below)
Owner / Applicant:
__ bo
Narne
oc'..)n e-r-
Title -
LA-) -
Street Address
P 207071 1�n i.1-A Q0,-%z,0 2727�Sj_- '13-78
City. State, ZIP Phone
Signature Date
Applicant Representative:
S�Ir_cl_ 11
�� �-11
Name
Si C---) --�i P_z> A,0 A-1
Street Address
3 e, , 1- zs 0
City, State, ZIP Phone
S(t�_at�ure��
Date
PLAG4sc- sC,0-0
A fe�r_,lj I -ro-_e- r,� 4� C-r-
Critical Areas Checklist
Site Information
P_E51r>E/)TAL- AVrWr'0rn
Project Name: 4 Permit Number
Site Location: 192-3,=> - TLA C-6 k/ - Property Tax Account Number.
& Vrn 0 ISVS-
Approximate Site Size (acres or square feet): ZrL_szo s-F
Hav e you filled out a Critical Areas Checklist for a project on this site before?
General Site Conditions
-13q& - ccx-> - 060 -,:�>604-
NO
1. Has the site been cleared or logged? tior ey-P agcuxg Date of most recent action: -56 C 0 A
eurrAc�nvs,sor"Mex- 1Z.
Soils / Topography - C 'm467r
2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? q"Uc.L4,Y SAnVy L-041"45'�
3. Describe the general site topography. Check all that apply. 12 0 2, IQ i-0 r Q5,
-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 distanceo.f 66 fbet.)
ffilly: slopes present on site of more than 15% and less than 30*/,o ( a vertical rise
of 10 feet of horizontal distance.)
Steep: grades of greAter than 30% present on site.
Comments
Hydrology/Vegetation
4- Site contains areas of year-round standing water W e
5. Site contains areas of seasonal standing water. Vg -Approx.- Depth:
6. Site is in the floodway Mo floodplain Po of a water course.
7. Site contains a creek or an area where water flows across the grounds surface? _Uo flows.
are year-round? Flows are seasonal?
8. Site is primarily:- forested meadow. _; shrubs mixed 'X
9- Obvious wetland is present on site: U0
10. Wetland inventory or map indicates wetland present on site: �Io
11. Critical Areas inventory or map indicates any Critical Area on site: �E�s
For.- City. -Use Only
PUBLIC TAORKS DEPARM'— MIST
TF)
-F Xm
BUIMING P'W.,V--T- 1� Del
�address) date
7 F1
Ic LE
Street Right -of -Way Existing
RE w-
Access Easements Existing
1?EQDtN
H
-94
Utility Easement Exist'
Lot Per Subdivision Plat
Assessor
Site Plan�Checked for Accuracy
.Z
Underground -Wiring Reqd.
J A
H
Check Accuracy of ion
"gal�script
Review by
Date
Zx-i&sting Water Main Size
qui
Water red
Re
Service Line qui-
�U]
Hydrant Size Existing
P4
Hydrant Reqd Per Fire Code
Size
Detector Check qd.
Cor v j
Cross ction Inspection
Fire Department Comnents
Water �tter Charge Reqd.
Review by.
Date
Septic Tank Design.Approved
Date
S ic Tank Permit Reqd.
e Ic T
Permit No.
Sanit Sewer Availability
Pro*.
Drawing No.
File No. —
Side Sewer Availa i ity
Z
Sanitary Sewer Connecti Fee Reqd.
�3
Review by
e
[4
Open Ditch Existing_
Reqd.
Culvert-Reqd.
Size
:Indic '�e
P4
Catch Basin Reqd.
on Site Plan
0
Shoulder drainage collection
on swale open ru no
!��in
IvIihhole
Indicate on Site Pl
:reqd.
Soil Condi fons amnd Ground Water Field Checked
Review b
Date
Revised: lvlO-1977
xe-vised: Iv 10-1977
I
CITY of EDm% % ETFILE
200 Dayton Street -� Edmonds, Washington 98020 - Telephone (206) 775-2525
Department of'Pubfic Works
July 19, 1974
CERTIFIED MAIL
Dr. Jack M. Wilson
19230 - 94th�Avenue West
Edmonds, Washington 98020
Re: Sewer Connection for Property Located
at 19230 - 94th Avenue West, Edmonds
Dear Dr. Wilson:
The matter of your sewer connection for the above referenced
property has been investigated by the Engineering and Water/Sewer
Departments. It has been concluded that a waiver'is to be granted you
on the sewer connection of your property because: House is
over 200' from the sewer stub at the SW corner of property, and
property is over 20,000 square feet in area. Also, the house is
too low to reach the sewer in 94th Avenue Wes,..
Although a waiver for the connection of your property has been
granted, it will be honored only if the following stipulations are strictly
adhered to:
The existing septic system shall be maintained properly.
2. Should any problems arise,with the septic system, the owner
will immediately connect to sewer.
3. The owner will immediately connect to sewer if the lot size
Is reduced by subdivision to'less than 20,000 square feet.
71, ?1,,,4
-Mitchel 1 ME
CIL h
AdOi n
Di rectof Dt.
Sincerely,
CIT DMONDS
G L
i - Hco
33 11 or
Direc or
lb
JBM: te
A�
SENDER' f 0. f 6II'0Wjh',,trudIo'hs on-ol er, si
tHECKED BLOCK(S)
PLEASE FURNisk" §tRVICE(S) INDICATED, 13Y
�(Additiw i , al.bhal'ges 2 . -equired"for.these B& - Vices)
Show address- -Deliver. ONLY.
0
Eddres nze
Ejwhere delivdr'e'd'
RECEIPT
Ri�'cived��fhd,numbered'�arti'cle discHbe'd-lbelow
- ------ ----------
I g d In)
R,ADD ESSEE�(M :�e Ile,'
'ISTERED NO
J 13NATURE: FQ AME" usl!':�
ZERT,IFIED 140.,:
MAT"U DDRESSEE'S A ENT;
INSURED NU.
W iERE DELIVERED (Ojjyi r6queited, vd inchide ZIP.Cdde)
DATE DE��11 S
'7Y
c\J
Q0
W
CD
qctl
PS Form 3800
Apr. 1971
IED MAIL-30� (plus postage)
POSTMARK
oil DATE
GE pROVIDED—
No INSURANCE COVER4
NOT FOR INTERNATIONAL MAIL
(Soo oflior side)
G, 0 1 J 9-10 0-397-460
0 .0
. 0
CITY ENCTNEER'S SEWER CONNECTION RECOMMENDATION
Date July 3, 1974
Address of Property to be Connected, 19230 94th Avenue W.
Owner Name & Mailing Address Dr. Jack M. Wilson, same as above
Legal Description: Lot 60, Edmonds Seaview Tracts. S 86 ft of N 356
Ft. of the N k (L.I.D. 151 Assess. No. 612)
j&Z
j 119?4
Recommendation: House is 200 ft from sewer stub at SW corner of property.
Property is over 20,000 sq.ft. in area. (Policy No. 4)
Also, house is too low to reach sewer in 94th Avenue.
Recommend sending letter of waiver with the following
stipulations:
1. The existing septic system shall.be maintained
properly.
2. Should any problems arise with septic system,
owner will immediately connect to sewer.
3. Owner will immediately connect to sewer if Lot
size is reduced by subdivision to less than 20,000
sq.ft.
0
En7r. 6/14/74
0
STREET FILE
CITY ENGINEER'S SEWER CONNECTION RECOMMEND ATION
Date 74n
Address of Property to be Connected;-/ 9Z,10
Owner Name & Maili . ng Address WILud &"M
Legal Description:
MWrS
AY I er.' pp AW All
Z
to
r4071
Recommendation: 0
,qGuse if zoo' Fj",1 arwex J116f, MWOM OF v
pg*fffx_r is ovgg. Zopee so.rr. #A1 Axr4 - (FIDAICY-04)
Atle Mayst 03 r" "W re AOMO sewex 10i 14"Mrs
ArC*,*f#fVjj> 5fiWVj,#J9 U7M OF WI1r*
FWAW104 ST1?')"4'T#0*j5 :
TW EXIS11dev
P96MLY
SA6 ULD A147
010" Witt
0
16wavIL W ILL
sirepc. syclat S*ut or HAIMmarb
toy 51tv Is
pso6Le"f AltIff WITO SMIL SYMP�
1"14OV1411my C409vartor * SOJSX
1#4"6D$AY!t1 e"Necr ra AWOL IF
itepocro S I UMVIVIS100 Ira Las
TW*4 2.00eo SQ.IFTt
Engr. 6/14/74
h 1.
f
vow
9z
/9 cip
9 y
C)'(2 c) Ci
tc? o
00
19)14/ 931(0
9
NO
or- 1
41 Sr'O
11430
430
IL,j 16.
. I lqlq
14 Q
-& �/o
00
0
U��-.� ZO
I
mi
REGARDING: 19230 - 94th Avenue West 3 6 V - 0,2
U1 (address)
..I R E C 0 R D 0 F C 0 N T A C T S
LL.
DATE NA�E, PHONE NO., & COMMENTS
ru ADDRESS of CALLER
Ul 5/l/74 Jack Wilson Certified Letter No. 406240 sent
5/74
7/S/74
7/19/74
reqf1iring hook-up within 60 days.
May be too low.
Received recommendation from Engr.
stating house is over 200 feet from
sewer and is also too low.
Certified Letter No. 406620 sent
granting waiver.
ACTION TAKEN
Letter received.
Referred to Engr.
Letter received.
INITIALS
TE
TE
TE
TE
CITY of EDMONDS
200 Dayton Street - Edmonds, Washington 98020 - Telephone (206) 775-2525
Department of Public Works July 1, 1974
CERTIFIED MAIL
Mr. or Mrs. Jack M. Wilson
19230 - 94th Avenue West
Edmonds, Washington 98020
Dear Mr. or Mrs. Wilson:
You previously received a Certified Letter dated May 1, 1974,
which required the sanitary sewer connection of your property located at
19230 - 94th Avenue West, Edmonds --- within sixty (60) days. As
of this date, that sixty-day time periro—TEas expired, and our records
still indicate that your property is unconnected.
In accordance with the Edmonds City Code, you were instructed
to accomplish one of the following:
1. Make the necessary sewer connection, OR
2. Appear in person at the Public Works Building, 200 Dayton
Street, Edmonds, and indicate by signature your intent to
execute an agreement to form a Local Improvement District
(L.I.D.) in the future; for the purpose of connecting your
property's sanitary sewer system to the City of Edmonds'
main line sanitary sewer system.
Since this is the second notice, if one of the above (Item 1 or Item 2) is
not accomplished by July 12, 1974, water service to the subject property
will be terminated in accordance with Edmonds City Code 11.16.240.
It is possible that our records regarding your property are
incorrect. If you feel your property is connected to the City sanitary sewer
system, or if you have record of the connection; please advise this office
on or before July 12, 1974, so that we may accomplish the necessary procedures.
Please phone Mr. John B. Mitchell, Water/Sewer Superintendent,
775-2525, extension 226, for any information or assistance you may desire.
Sincerely,
�JTY OqF : MONDS
I AJ. A4 G B
Director
JBM: te
RECEIPT FOR CERTIFIED MAIL-30� (plus pqstage)
PO&TM -&K,
3.0-1-02800 OWDATE
r-D WILSON, JACK M. <)
1.9230194TH AVE. W.
c\j EDMONDS, WASHINGTON
.8020
OPTIONAL SERVICES FOR ADDITIONAL FEES
whom and !ate delivered 150
RETURN 1- Shows to delive y to Id
Witi r dressee only . 650
RECEIPT 2. Shows to whom, date and where delivered 350
SERVICES With delivery to addressee only 850
DELIVER TO ADDRESSEE ONLY .... 50d-
SPECIAL DELIVERY (extro fee required) -
PS Form NO INSURANCE COVERAGE PROVIDED— (Soo ther side)
Apr. 1971 3800 0
NOT FOR INTERNATIONAL MAIL G1101 1070 0-397-400
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FEB 0 8 1993
�o- PERMIT COUNTER
STREET FILE
4,
940120 01-
STREET FILE
STATEMENT ON ACCESSORY DWELLING UNITS
Property Address: 19230 94th Avenue West, Edmonds, WA 99020
Legal Description :
The south 86 feet of the north 356 feet of Tract 60, Edmonds
Sea View Tracts, -according to the plat thereof recorded in
Volume 3 of Plats, page 76, Records of the Auditor of the
County of Snohomish, State of Washington; together with an
easement.for road and utility purposes over the west 15 feet
of tract 55 of Edmonds Sea View Tracts, according to the
plat thereof recorded in Volume 3 of Plats, page 76, Records
of the County Auditor of the County of Snohomish, State of
Washington, except the south 401.46 feet.
I have read the requirements for accessory dwelling units contain�d in Chapter 20,21 of Lhe
Edmonds Community Development Code and understand that an accessory dwelling unit,
Including a second kitchen, Is prohibited for two years after occupancy by the current owner is
granted and until after a conditional use permit. has been approved by the City of Edmonds
Hearing Examiner,
I also understand that approval of a conditional use permit Is subject to a public hearing, and
neither this statement nor the Issuance of a building permit shall act to limit the discretion of
the City review In the review of any application for a conditional use permit
Property Owner Name — Robert Eileen Iquchi
Date / —/'; 7y -
STATE OF WASHINGTON
COUNTY.OF SNOHOMISH
I certify that I know or have satisfactory evidence that
signed this Instrument and acknowledge It to be his/her free and voluntary act for the uses and
purposes mentioned in this Instrument,
Dated
Signature of (7
Notary Public
Title
CJ
My appointment
Expires:
THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY
AUDITOR
ACDUSTM.DOC
EET FILE
r%ITV r)g: 9:r)KAnKInQ NZONE /11.,
CONSTRUCTIO N PERMIT APPLICATION
OWNER NAME /NAME OF BUSINESS
p,-r_>e_,,_0_-r d
MAILING ADDRESS
I �) 2- 3 A',l I —
CITY ZIP TELEPHONE NUMBER
FPH0�J-P-5 '93020 1(404)77�;
NAME
50P_
ADDRESS
a
CITY ZIP TELEPHONE NUMBER
C
1.15 9
NAME
.� �; �Nj r IL -
ADDRESS
TELEPHONE NUMBER
STATE LICENSE NUMBER EXPIRATION DATE
of Property - include all easements
TaiAciount 1(+ 06 0 — 0 6, 0
Parcel No.
F-1
F21
NEW
RESIDENTIAL
VN PLUMBING
M1
LZ\J ADDITION
COMMERCIAL
MECHANICAL
REMODEL
1:1 APT. BLDG.
-E] SIGN
GRADING
FENCE
REPAIR
CYOS.
I x _FT)
DEMOLISH
WOODSTOVE
F� INSERT
SWIMPOUL
HOT TUB/SPA
GARAGE
RETAINING WALL/
1:1
C
ROCKERY
RENEWAL
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
P, E 5 1 z::;,G ,rr IQ < —
NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
DESCRIBE WOR*TO BE DONE (ATTACH PLOT PLAN)
znv FL
Qvorricro 15T FL
T'C
P--E/7 0 0 ,) -r 0-11 0 IC— X S 4- --:7 67 C
ADDRESS
PERMIT
2- NUMBER —91301 L
(7 'n _r�
VX�
)N CHECKI SUBDIVISION NO. ILID NO.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCP Approved
0
RW Permit Required
0
EXISTING —REQUIRED DEDICATION
Street Use Permit Req-d
0
PROPOSED
Inspection Required
0
Sidewalk Required
0 0
Z
REMARKS
7Z
W
ENGINEERING MEMO DATED REVIEW BY
METER SIZE BUILDING SUPPLY SIZE NO. OF FI T R�s
SIGN AREA
ALLOWED PROPOSED
SEPA REVIEW
COMPLETE 1EXEMPT
ZSHORELINE
EXP
ADS NO.
kV
0
/L/ h /I
VARIANCE OR
AN)4ING REVIEW BY
DA;rE
SETBACKS ,fEE-T
FRONT _7 '_�> SIDE A_ REAR 7
_�EIGH! LOT
COVERAG.�,
i
Z
Z
5
0.
CHECKED BY
TYPE OF CONSTRUCTIO
CODE
HEIGHT
SPECIAL INSPECTOR
AREA
OCCUPAgY
OCCUPANT
REQUIRED 0 YES
GROUP
LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 305
71-ffftML)06q 1TV
FINAL INSPECTION REQUIRED
PLAN CHECK FEE
P,olnicq k_6-S1Vr__n6(--
BUILDING
HEAT SOURCE: '
GLAZING
ef .4s 0,or
zs. I/ %
PLUMBING
Plan Check No.
711-S 16
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewalks,
STATE SURCHARGE
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE
successors in interest, agrees to Indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages of
i 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
TOTAL AMOUNT DUE
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 given is correct; and that I am the owner, or thje duly
ATTENTION
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
state laws regulating construction; and In doing the work authoriz-
AUTHORIZES
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
tion Insurance.
INSPECTION
DEPARTMENT
SIGNATURE (OWNER OR AGENT) DATE SIGNED
q/
-
CITY OF
210193
EDMONDS
ATTENTION
CALL FOR
INSPECTION
rol"com
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his/her
Deputy; and fees are paid, and receipt is
acknowledged in space provided.
ICIAL'S SIGNATURE DATE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
10247
ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD — Assessor