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19401 82ND PL W.PDF111111111111 7620 19401 82ND PL W r ADDRESS: W/ az- BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: CRITICAL AREAS: DETERMINATION: [] Conditional Waiver [] Study Required [] Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #- SOILS REPORT DATED: STREET USE / ENCROACHMENT PERMIT FOR: WATER METER TAP CARD DA OTHER: LATEMP\Dsrs\Forms\Sftwt File Checklist.doc Also see 19400 19401 19402 194.03 0 NOTICE: Nb--warranty of a ' ccuracy. e a'ttached The -information shown on th map(s) was compiled for use bytheCity of Edmonds, its Employees and Consultants. The City of �Edm.onds does not warrant the accuracy of anything set for.th on these- map(�_). Any person or entity -requesting a copy should conduct an independent inquiry regarding the information shown on -map(s), including, but not limited to, th-e lociation of any sewer stub shown. Such sewer stubs may or may- not exist and may or may not exist at the location sh own. Neither the City of Edmonds nor its emp-l-o-yees or offiCers -shalrl be 1.1-a-b-1--e for the information given on this map(s), nor for ion provided based any one representat' upon said map(s). 'Cr­� 112 CITY OF EDMONDS. SIDE., SEWER PERMIT WATER-SEWEAj DEPART KENT Urri PERMIT 4414 coverI4 any portion of the con:truction.) (Call 7,76-1107 for side sewer Inspections REF01]BIE N6 S&L., Sun., or holiday in pections. Ijispection will be provided within 24 hours afteij request. est ADDRESS LOCATION OF CONSTRUCTIO� 19403! - ......... ............................ . ......................................... ............. W lewj�� ........... ........ Lot Map . .................................................. . ...................................... . ......... PROPERTY LEGAL DESCRIPTION ------------------------------------------------ —1 ....... 11,—, ............. . .................................. . .................................................. ............................................. .................... ... . .............. ............. �: ..................................... . ............ ..... ................. ................................................. ................ ....... ...... OWNER AND/OR BUILDER ...... .......... ................. * ---------- ........ ewer` Meadowdale Road Rus.s..John.s..wi ... $* ...& ... Nqrt� .......... ............................................. CONTRACTOR'S NAME & ADDRESS ----- 73 wer July Is 19 .. ...... for repair suWar connection of a side sewer to the city sanitary se Permission Is granted -------------------------- .............. ................. "stem in accordance with City of Edmonds ordinances. N FOT,LOWINr,: _11rENTION IS CALLED TO THE to construct NOTE No. I —The owners o the property may obtain a permit to construct sewer 'inside property line. A licensed Side Sewer Contractor must be employed I f inspected. I � . I side sewer n street area. Do not cover any portion of sewer before it.; has been y Engineer's office. NOTE No. 2—All work performed in city right-of-way requires an Inv:dsion ofjUght-of-W&Y Permit obtaInable from the Cit 0 N TE No . 3—Obtain full information regarding Ordinance 11.16.030 & Regulations governing side sewers when you get permit. No bends in grade NOTE No. 4—Top of side sewer must haveat least 30 inches coverage at property ;line azxd lVinches inside property line; minimum grade of 2%. harper than % will be perm tted. to original condition. Contractors shall be responsible for failure due to improper NOTE No. 5�—Ire.�hes in street must be water settled and surface of street restored work which may develop within one year of completion. any work on the main sewer or its appurtenances except to in - NOTE No. 6--It is unlawful to alter or do any other work than is provided for In the permit, do Pert the pipe into the wye. ............... y ----- Date ............... . ........... ....... By. DAPPROVED f:] Date .............. ........................ By ................ Date..� ............ .. ..... IS ............ B . . .............................................................. I .............. ...... APPROVED E] Date.— ... .. ..................................................... . ......................................... Remarks: ............ .................................................................... .................... I . " I . .......................... . ....................................................... . .............. ........................ . . ....... ............... ...... e ----- \— ---------- ............ ------------------- ............ ..... BOT I wasins ed in virit C ies Be Signed By Owner of Firm �Performil ---- ---------------- ... ....... ... hereby Fertify th r o aing Firm Grming Cons tion) e with nances of the Cit�, of Edmt Dated itils .... I ------ Check BEFORE you dig for: Water E], Gas Construction PRIOR To Request For Inspection the side sewer installation construfted under this permit S. 19 ......... ............ day of ........................................................... :Power Sewer 0, Other, CA FILE NO. Critical Areas Checklist Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: /7-YOa Fa?2 P1. W. 5,qo-2(. 2. Property Tax Account Number: 6 -3 q? - 6D (D - 009- 00 0,9 RECEIVEE) 3. Approximate Site Size (acres or square feet): 14,375 P�2- 4. Is this site currently developed? v*' yes; — no. MAR 2 3 1995 If yes; how is site developed? LkQ I e-Y, PERMIT COUNTER '4 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% and less than 30% ( a 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): Rev 09rNM3 S SIDE S*EWER PERMIT CITY OF EDMOND YATER-SEWEJ�,, DEPAR MENT PERM 'IT 4414: Call 7.76-1107 for side sewer Inspections BEFO - RE coverI4 any portion of the construction.N Iflspection will be provided within 24 hours afteii request. N 0 Sat., Sun., or holiday inspections.1 ucno� West ADDRESS LOCATION OF CONSTR jC .. �1949 D .e .................. ..... act . ......................................................... ............................................. Ma A PROPERTY LEGAL DESCRIPTION ........ 1-.,).t ........... M.a.p .... ewo.o.,. . .. .. . ....... .. ..... ................ .................................................................... ................................ I .......... .................. ...... * ......... ...... ................. .... . ................................................................................ ...................... ....................................... ......................... OWNER AND/OR BUILDER ...... 9-i.o rd H ............. qws ........................................... ................................................ CONTRACTOR'S NAME & ADDRESS ...... Q115.$ ... North Meadowdale Road ....................................... I .......................................... July IS 73 Permission Is granted ............................................................ 19 ...... .., for repair and4or connection of a side sewer to the city sanitary sewer :,,�tem in accordance with City of Edmonds ordinances. .,TENTION IS CALLED TO THE FOLLOWING: NOTE No. 1—Th ' owners of the property may obtain a permit to construct sewer 'inaide propeity line. A licensed Side Sewer Contractor must be employed to construc 0 1 aid's sewer in street area. Do not cover any portion of sewer before It has been inspected. NOTE No. 2—All work performed In city right-of-way requires an Invazion ofWght-of-Way Fermit obtaInable from the City Engineer's office. NOTE No. 3—Obtaln full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. NOTE. No. 4—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 tha'n 1/s w 1 11 be perm I tte d NOTE No. .5—Trenches in street must be water settled amd surface of street restored to original condition. Contractore shall be responsible for failure due to improper work which may develop within one year of completion. NOTE No. 6—It Is unlawful to alter or do any other work them is provided for in the permit, or sert the pipe Into the wye. to do any work on the main sewer or its appurtenances except to In - DISAPPROVED 0 Dat ................ By.... Date... ..... . .... .... ........ .......... ;0,% 'BY ..... ...... Date .................................... By ................. APPROVED Da .................................................................................. Remarks: ........... ....................................... tl.---- . ........................ .......... .. . ..................... _--.7 .................................................................................. ............... .. ...... .................. ........................................................................................................... ............ ...... ...... .......... ....... BOT I P it C ies Be Signed By Owner of Firm Performijg Construction PRIOR To Request For Inspection 7 1 ..... ................ .... ....... ... I hereby :r-ertify th W' 4t the side sewer installation constructed under' this permit er of n cting Firm Grming Cons tion) .�as in S ed in ac a e with inances of the M3� of EdMohds. DatedjhIs ........... ................ day of .................................. .............................. q.,V Check BEFORE you dig for: Water Gas "'Telephone Ej, Power Sewer, 0, Other 0 APPLICATION mm 0 for f. The City of Edmoni'd' SIDE SEWER PERMIT OsT RRIEET, FU EASEMENT­No'�'V.Z�_.'. NEW CONSTRUCTION gj REPAIRS ACTOR OWNER ........................... .......................... ......................... ..................... --- CONTR 1 _26 ................................. --PER-MIT-No, . ...................... -BLA),CK'No: LEGAL -DESCRIPTION: LOT No . .......... ........... w ADDRESS _ K�!)AicnNkc_�.__ - .................................. ................... ............ .. ........................... .... NAME OF ADDITION ... .... L-tSST .... PF M- W� ............ .......................... ................................................................ kj -\,WEST , v Approved: DATE By_', zt, LO-T* ....... sil�l ';el ITT a % CITY of EDMONDS B S LICENSE APPLICATION LICENSE NO. Civic Center - Edmonds, Washing City Clerk ton92O Phone 775-2525 RTPFFT ANNUAL FEES PENALTY AFTER FEB. 15 F11 1:E1 HOME OCCUPATION INSTRUCTIONS: CLASSIYEAR LIC. F 17 LIC.wNO SW . w $10..00 (A) ADDITIONAL $5.00 0 • All items must be completed - 1 11 7 -Ja--S LL BUSNESS t$15.00 or application will not be ac- RECEIPT NO. DATE PAID I A PRINT 'X' — 00 (B) ADDITIONAL $7.50 1-] cepted. /I qvola 11 'n 9 IN SPEC. BOX E) rus—ine-ss wwith 10 or • Sign and return application FEE PAID PENALTY P ID FOR ISSUE OF CORRECTED more employees ADDITIONAL $25.00 0 with fee. Renewals received I. I Aoorl �11 I I I LICENSE WITH 'LC' ACTION. $50.00 (C) after February 15 must pay 6�'_NEW APPLICATION (LA) penalty in addition to fee. —n-RENEWAL (LB) NEW BUSINESSES AFTER D CHANGE (LC) JULY 31, 1/2 FEE. (PLEASE MAKE ANY NECESSARY CHANGES) El DELETE (LD) 9F F.IRM BUSINESS PHONE NO. OF EMPLOYEES =E _ tivv—% 4 L4 MAILING ADDRESS NATURE OF BUSINESS �IY7 BUSINESS ADDREV le? V.�ql - F2 I�IA. INDI UAL PARTNERSHIP CORPORAI (P) P OWNERS NAME 4 f9 ell' I 6_7 HOME ADDRE�S OY I-) HOrD,�TE ,,PHONE —zz V# OF B IRTH P4ACE OF.BIRTH SOCIAL SECURITY NUI 0i f-J ��33 -1 -7 S F EMERGIENCY NOTIFICATION: (1) NAME & TELEPHOHE (PLEASE LIST TWO) (2) . L) NAME &. TELEPHONE WASHINGTON STATE TAX NO APPLICANT'S SIGNATURE STAFF REVIEW: BER DO NOT WRITE BELOW THIS LINE ---) 1� t , , 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 3-12-22 LAND USE CODE ZONING CODE &--APPROVE E, DISAPPROVE SIGNATURE 0 IR ID I I CONDITIONAL USE PERMIT COMMENTS DEPARTMENT 'Z> A9 - DATE Vr"ILDING APPROVE EJ DISAPPROVE SIGNATURE I Building Perm it 0 Hotel/Motel TXApt. Bldg. (L) (A) �&a Occupancy 0 Office Bldg. 0 Restaurant (0) (R) COMMENTS: Group 0 Hosp/Nurs Home (H) E==:) CAPACITY: (NO. UNITS, APTS., OFFICES, tSEAT'S, BEDS, STUDENTS) School (S) FIRE DEPARTMENT DATE 2 - 6 - 7 U. F. 1. R. APPROVE 0 DISAPPROVE SIGNATURE e� COMMENTS: PO E7'DEPARTMENT S. L DATE IGNATU 1�- tPPROVE 0 DISAPPROVE RE PL�&IC WORKS DEPARTMENT Z APPROVE Ij DISAPPROVE DATE SIGNATURE 29-2 COMMENTS: P1 FASF RETURN TO CITY D FRK ME S WER PERMIT CITY OF. EDMO,ND.S Tmo, sxwm Dim" XT 4 JIMMIT, tc the 101 t�� tpsp6o#( ortiou wier -isqVost., im M44 sh�-, 'or.; 4oliday 14speadw %I" o1i w1u," del wjthl� liopka fo -00kOF 19.404-1 . -0. - - . ....... ... lotl Ma ....... . . ........ . ... ...... . . ....... ..... 4 -j .......... .......... ...... . ..... 17-7-- ..., - �r ........... ....... ..... D Ap 'p - awar- .... ....... . is x %: 04 im/' 7, F Iv i'�AW-TQ'Vam 'OLLOWIN '1.0" line; -,pro . , V,, I p D,00�ithxbi iawetv ILO,�W*Pa 'JI09good 014e Be DO no�� 00ver r w, dp �A*er�j� .axea,.; ion 0! boo peoted., (*..i,64�freo 'A�, X#iasioxi "06f V4ht4�' W4. lwolt rf9bt;pf-wi f., Od Aegul joris ii,16.036 iA - goveming side -pewerp whaki you fret ]m=1t; ql�at least, 8.0.4ho6k' q-t :22 in of 6id, sewek,`Aluat-m.�, 0 ps in, re muik red, orfainal: cy 0 ei v6tj j�tied ;p r. f i, 6' f. "s't'r 6 ei- t.,.'r'e d b X sjj=6 wqrx,-W�iscwmay develop, wltbs�, ooe�veiw�oi- tiob the'�03 9A �-j mw or' ur# W. alpir (?r�.clo- iiij :dh�r. W— iuL, S, or, b,'W,,Wo*:oa Id t�"tm—uulftw 11 - I u W 7 . ...... Jhstectl.,_i on 0% 41 Ve 11" t So §tped' Y.'OWnrep,�,'qf I riy ........ 6' er r or hax No". - NOT PBX( I I T- 0. th "anceo tbf, t)ie'(.q ��;;Ikrpiij,*dlglonl W*%te 46, wl*,:, Qs. e ro can / no sh (WA) AISM �tl Z�—s Owner :Kaivo Ophelia E 7t I Tq7 23 A� f Parcel :6349 000 009 00 Site :19401-V2Nd Pl W Edmonds 98026 Xf ered :11/13/1992 Mail :3711 164Th St SW #W191 Lynnwood Wa 98037 Price :$200,000 Full Use :12102 Res,Two Family Res,1 Struct,Duplex Phone Bedrm :4 Bath :4.00TotRm : YB1973 Pool BldgSF:2,046 Ac : .33 0 � 0 5- -4-- -7 Information compiledfrom various sources. First American Real Estate Solutions, L.P. makes no representations or warranties as to the accuracy or completeness ofinformation contained in this report.