19500 84TH AVE W.PDF11 lill 111111
7871
19500 84TH AVE W
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City of Ediniohds
C)
RE�IEMLOF-WAY CONSTRUCTION
PERMIT
Permit Number -
Issue Date:
A. Address or Vicinity of Construction: 1,9500 94TO AVC, ki
B. Type of Work (be specific): L4C&TC 4 PJ—PAiP— 0AMJN6 ED
C. Contractor: 1-'AAMG19eS15uPezoP—aA
DIST. CA. 50-F- A-T7A-L--"E-0 PkW4,
Contact: -TOM AADr--z-C4AJ
MailingAddress: .6.53 MAItJ ST Phone: -11-d-514 1/0
StateLicense#: SUPaCC 101 (1A Liability Insurance: Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. E] Commercial E] Subdivision El City Project [@ Utility (PUD, GTE, WNG, WATER)
E] Multi-Farnily E] Single Family n Other I
INSPECTOR: INSPECTOR: Wk; kc-,"
F. Pavement or Concrete Cut: W Yes ; 0No G. Size of Cut: x H. Chargq�_$
As Naf—�neo -To LoC-A-rKl 1ZCPA1a h4MA&ao dA-
APPLICANT TO READ AND SIGN
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City ofEdmonds harmless from 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 or not limited to the defense ofany legal proceedings including defense costs, and attorney fees by reason ofgranting thispermit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMA NSHIP 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 BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work required with permit application. .
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
Wod and material is to be inspected during progress and at completion.
R6sioration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
Ihave read the above statements and understand the permit requirements and thepink copy of thepermit willbe
available on site at d1l times for inspection purposes.
Signature:
Date:
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: RIGHT OF WAY DEPOSIT
TIME AUTHORIZED': VOID AFTER —*w Is. 94 DAYS
SPECIAL CONDITIONS: WA
COMMENTS:
DATE:
DISRUPTION FEE/FUND 111:
RESTORATION FEE:
PERMIT FEE: �? "-) ,
TOTAL FEE: —
RECEIPT FEE:
ISSUED BY: —
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Engrg. Nv. 1991
FIELD INSPECTION NOTES
I Comments:
I Diagram:
(Fund 111 - Route copy to Street Dept.)
0
CONTRACTOR CALLED FOR INSPECTION El YES El NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
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NOTICE:
y of a-ccu r�a-cy---
N'o ... wa r-r a n't
The Information'shown on the attached
map(s) was compiled for use by the City of
Edmon"ds, its Employees and Consultants.
The City of �Edm.onds does not warrant the
accuracy of anything set for.th on these
map(s*'-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the inform'ation shown on
t-Fe -m a p (s) I including, but not I'm*ted to,
th . e 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 11--;ty of Edmonds nor its
1� I
emp[oyee-s o-r officer,-"-) -s.ha-1-1 be I'lable for the
information given' on this map(s), nor for
ion provided based
any one representat'
upon . said map(s).
FILEAPPLICATION
for
The City of Edmonds SIDE SEWER PERMIT,
NEW CONSTRUCTION 4��REPAIRS C]
OWNER.... ....... ....... ... . ........................ .........
..............
ADDRESS ..... / ............................... . ..... ....... ..................
0
EASEMENT No . ..........................................
CONTRACTOR 6 .
V-,Lal It
11 d PERMIT No.
LEGAL DESCRIPTI N: LOT No . ............................................. BLOCK No . ............................................
NAMEOF ADDITION ........ .............................................................................................. .................................
01711
*0"14
TRIP—
Approved:
DATEcq2�--&) n
Y............ ... :;;t ..... .... ...
APPROVEP,
APR 1- 1961
Form P 16 (-)\VNLK,!, UK 1AUhA"Ak-jih1.,-)
P 0 L I c Y N o
'I C H E D U I E ;� A;
The estate or intcrcst of the insur(.-d covcred by this policy.
Fee simple estate,.
Dc"o-ipli''ll 'If (11C IMIJ-1 1(�' Willi ((I Whid) (Ili,, ll()Ii(-y is i C
IN THE
COUNTY OF SMUMTSHI STATE
OF
WhSHIMON
The north 70 fact
of the south 210 Feet
of thr
north 420 feet, of
the easL WIC
of the snukheaM quartep
M the
northeast qnarter of
the SnUtMSK
qU0QnV OF SIRWOH eighreen (18),
Township Wenty-
seven (27) north,
jonge four (4) east,
W.M.,
RXCEPT the wort
136 feet, andi
EXURPT the Pank
20 foot for road.
(Alan) An(voi nit
1"W,hni AW Tinum KhArky-Fivo
(11),
Kh1drNond QWP-,,
:7_ 77:=
CITY OF EDMONDS
Col :PRompect. 6-1107. when work
'C
IVIC, CENTER WATER -SEWER DEPARTMENT Is ready for -Inspection. (No inspee-
tions Saturday, Sunday or holidays.) N2 1987
SIDE SEWER PERMIT
ADDRESS.� ... 1.9.5.0.0 .... 8.4.th...'Av'e.n.u.e .... W.e.s.t ...................................................................................................................................
' '��;.�Harry S.. Adams -Olympic Vi - ew Plumbing
OWNER...... *'.� ....................................................................................... CONTRACTOR ..... ............................................. ...........................
-April 10, 6,?
Permission Is granted .................................. ............ 19 ........ I for ...................... days,� to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. 1—The owners of. the property may obtain & 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 Insbeeted.
NOTE No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE 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 'A 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 ap-
purtenances except to insert the pipe Into the wye.
co
ZD
CF)
HI-L�ON
REQUIRED
FEB 23 1983
EASEMENT
CID Deputy
The Grantors, ALLEN JANIK and KATHY JANIK, husband and
wife, and MADISON CARRITHERS and SHERRY CARRITHERS, husband and
;N
wife, and ELT ERICKSON and CAROLE ERICKSON,husband and wife
for 'and in consideration of the sum of .1V0Nr,,
do
hereby grant to JERRY RASMUSSEN and NANCY L.'RASMUSSEN, husband
and wife, an easement fi�r. ingress and egress across the following
des.c.ribed,real property:,
ROADWAY Dmcnprim:
Iliat portion OF-EF9 Northeast quarter of the Southeast
quarter of the Southeast quarter of the Southuest
quartqr of Section 18, Tvawhip 27 North, Range 4 East,
W.M., described as followst'
Convencing at the Northeast corner of . said subdivision;
to thence South 0019'35" West, along the East line of said
subdivision, a distance of 180.00 feet to the true point
of begiru!ing of this description; thence North 89057-47"
West, par6llel with the North line of said subdivision,
a distance of 233.79 feet to the point of curve of a
curve to the right having a radius of 20.00 feet; thence
Westerly, along the arc of said curve to the right and
cor 1suming a central angle of 98000*00", an arc distance
of 31.42 feet; thence North 89 57147* West, a distance
6-Of 18.00 feet to an intersection with a curve having a
1'radius of 20.00 feet, fro. which 1�tersection the radius
point of said curve.bears North 89 57147" west; thence
too Southerly, along the arc of the latter said curve, being
0 a Surve to the right and consuming a central angle of.
98 00'00", an arc distance of 31.42 feet; thence South
0 82'13" West, a distance of 30.00 feet; thence South
89 57'47" East, parallel with the North line of said
suhaivision, a distance of 291.63 feet to an intersection
, th the East line of said subdivision; thence North
n019135" East, along said East'line, a distance of
30.00 feet to the'true point of beginning. LNCEPT the
East 30.00 feet thereof.
Situate in Snohomish County, Washington.
This agre'emen t shall be construed as a covenant running with
the land and shall be binding upon the successors and assigns of
the parties hereto.
This agreement is subject to the successful purchase of the
property located at 19500-84th Ave. W., Edmonds, WA by the
Grantees and sh all not be effective until',Closing of said trans�
action. In the event that said transaction does not close on or
before April 36, 1983, this agreement shall be null and void.
It is agreed and und erstood that the Grantees, JERRY E. and
NANCY L. RASMUSSEN shall share equally with the -Grantors in the
cost of maintaining said roadway.
81�.08� 4 Page 1 1777 P40 8 5.
ko 42 C 0A
0
W"
It is further agreed and understood that MADISON.JCORR'I'-T-HER
. -4A,
and SHERRY, CORRETN S shall not be required to share the cost of
maintaining said -roadway.
0 ATED this 19-2 day of 1983.
/*
RADISON CORA-FI-HERS r..
lb
4HRRY/-CORRITVERS
/7, --e
>
STATE OF WASHINGTON ........
ss
COUNTY OF SNOHOMISH.
On-this�d
ay -:personally appeared befbre*-*me MADISON-CARRITHERS
and SHERRY CARRITHERS to me known to be the individuals described
in and who executed the within and foregoing instrument and
acknowledged to me that they signed the same as their free and
voluntary act and deed for the uses and purposes therein mentioned.
GIVEN UNDER MY HAND AND.OFFICIAL SEAL this -0--) -
day of
February, 1983.
PLIBLIC in and for the—St"a—t—e--oT—
Washington, residing at
A,
DATED this 146yw day of 1983.
RECORDED BY
LAWYERS TITLE CO.
ELT ERICKSON
FEB 2 4 1983
. �AROLE ERICKSON DEAN V. WILLIAMS, AUDITOR
STATE OF WASHINGTON SNOHOMISH COUNly. WASH.
DEPUT
ss 7
COUNTY OF SNOHOMISH
On this day personally appeared before me ELT ERICKSON and
CAROLE ERICKSON to me known to be the individuals described in and
who executed the within and foregoing instrument and acknowledged
to me that they signed the same as their free and.voluntary act and
deed for the uses and purposes therein mentioned.
GIVEN UNDER MY HAND AND OFFICIAL SEAL this
C� day of
February, 1983.
NOTARY U
ef d or th�let5`tep
Washin�to"nip-� lile
;::. -
Page 2
11.1 W11
DATED this day of 1983.
:R!�� I
ALLEN JA!!�K
juc�j 13/
Cj
STATE OF WASHINGTON
ss
COUNTY OF SNOHOMISH
On this day personally appeared before me ALLEN JANIK,and
KATHY JANIK to me known to be the individuals described in and
who execyted the within and foregoing instrument and.acknowle.dged
to me that they signed the same as their free and voluntary act
and deed for the uses and purposes therein mentioned.
GIVEN UNDER MY HAND AND OFFICIAL SEAL this ay of
February, 1983.
NOTARY PUBLIC In and tor t)ie State of
Washington, residing at-.,-,.,, zc('Y
DATED this day of 198
Lul
JEIRYIRASMUSS14N
0. qle�, .2 (1
NANCY L. RAUUSSEN
STATE OF WASHINGTON
ss
COUNTY OF SNOHOMISH
On this day personally appeared before me JERRY RASMUSSEN and
NANCY L. RASMUSSEN to me known to be the individuals described in
and who executed the within and foregoing instrument and acknowledged
to me that they signed the same as their free and voluntary act
and deed for the uses and purposes therein mentioned.
GIVEN UNDER MY HAND AND OFFICIAL SEAL this 1,6'14— ay of
February, 1983.
34s �A E: . 146V�
63U4�24w")'4
IBLIC in--eq
.l for the Ezdte of
.Washington, reF .... ....
. gtqvolat
V/0 V.
Page 3 .......
17 2817