19620 81ST PL W.PDF111111111111
7471
19620 81 ST PL W
51-
TAX ACCOUNTIPARCEL NUMBER: 06 (, 0 (D 0 0 03 0 0
BUILDING PERMIT (NEW STRUCTURE -)--
COVENANTS (RECORDED)
CRITICAL AREAS:— lqq � - 0,92,'53 DETERMINATION: E] Conditional Waiver E] Study Required ��Waiver
DISCRETIONARY PERMIT IPS: '(F
_ C,uE
RA 19930604-1-U515 CUH UIMA:, %W10
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):_ 1995-01o5(ffitc4 093-0=�&4
PLANNING DATA CHECKLIST DATED: 11(p1qF
SCALED PLOT PLAN DATED:
SEWER LID FEE S:
LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S).#:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
OTHER:. A60i qla-
LVfEMP\DSrsTomis\Street File Checklist.doc
PLAN e c -2oo-7— c)-T 9 sr,
M 1' 20'
MAXIMUM HEIGHT - 25 FEET, fijF-42-tm=-,= --------------------------
FROM AVERAGE ELEVAMN 0FiUNDIS'T'-URBE0
SAIL AT CCRNERIS, OF FXTE"NDEri) BUILDING
R`:0TAkNr'! C. SUBJECT T KES''MU
0 FIELI! CHECK BY LOt....LINE STA
ciuir�m'jf'u DEPARTMENT. .. . p F,
zi k- -%E� AT TIMt 0
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BE N PLA
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"Nd m4this'TOrMittawrovalthro shaR be
tb - a all t-j#n "j-
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paygrenglyi-existing illejaL 24'- DO.'
nonponfq.�uing. �� ),e mtt;;�'b ing,structure
o site'c6nditipfii"ie 614111YA619 f
r,''
U r su GXISTINQ
AppPe4flot AWI -%M PR"SEB ROOF
n, , -
dildifij,ik66td��- 10 * *
on e 284 SO FT J� �-
site. Ian, or dr rucwre
� I I -il 10? it I z
HISTING DECK....... --------- -
con
174/
e46 R 'ILDINGS. PROPOSC — —
15'- 00"
Ad5j, Ft -
EXISTING 'y
HOUSETc
T.
FENCE
GATE
52
.... ...............
EST PROPERTY 11 .
MAL-------- --- dlK ..... ------ ............... i .......... DO'.
70'- 00"
APPR VED BY P�ANNING
S, 2 1 'OF RIGHT -OF --WAY
CENTER
81ST PL W R E
----------------------- S
-ET FILE
PROPERTY OWNERS: ATTILA HEGYI & MARIANNA E. HEGYI
PROPERTY ADDRESS: 19620 81ST.PL W' Au
y -16 MI.
ZONE: RS-8
cAmarianna\plotplan.dgn
PLOT. PLAN 0
M : I = 20'
----------
MAXIMUM HEIGHT - 25 FEET. MEASURED
FROM AVERAGE ELEVATION OF UNIIIISTURBED
SOIL AT CORNERS OF EXTENDED BVILDING
RECTANGLE. SUBJECT TO FIELD CICK BY
-BUILDING DEPARTMENT. .................. .......
...........
APPROVAL OF THIS FOUNDATION OMIGN
IS CONDITIONAL SUBJECT TO INSPE�TION
24'- 00"
OF EXISTING.SITE CONDITIONS.
RETAINING WALLS MUST BE DESIGqED, AND
CONSTRUCTED- TO RESIST THE LATEIRAL
PROPOSED ROOF
PRESSURE OF THE RETAINED MATERIAL
A4 SO FT
PROVISIONS MUST BE MADE FOR TFIE
EXISTING DECK
---------
CONTROL AND DRAINAGE OF SURFAE
WATER ARJUND BUILDINGS.
it- 0610
F FXPIRFs 5 w 9-9
CA
LAIJI INU
HOUSE
z
cn,
FENCE
4 ........ PRORRY 1,14- .... , ... *,.; ...
77
UST
U`p A
OF
FOUN',DATNON INSPECTION
15,- 00"
ci
6'- 00"
............ \—Z ................... -----------
70t- 0011
.'OF RIGHT —OF —.WAY
cli
CENTER
81ST PL W
-------------------------- \----
PROPERTY OWNERS: ATTILA HEGYI & MARIANNA E. HEGYI
PROPERTY ADDRESS: 19620 81ST PL W'
ZONE:
M.
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smoll
S, LA, 0 " I- c., 5 � Co L4 t-t 0 W FILE NO.
0 0 L - 2-o ?,t cj e- 01 Co CrAaAr9r5jrsMbVMk1ist -
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Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: a:L�- qL - E-�D H-0&/-yt W-M ::t eoz C-
2. Property Tax A ccount Number: 60�r- 000 —003- -04D 0 -C-
3. Approximate Site Size (acres or square t): &I
4. Is this site currently developed'- = RECEIVED
yes; no.
If yes; how is site developed? 6 0 C T 15 1993
5. Describe the general site topography. Check all that apply.
PERMIT COUNTER'
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):
6. Site contains areas of year-round standing water: P0 Approx. Depth:
7. Site contains areas of seasonal standing water: 4/0 Approx. Depth:
What season(s) of the year?
8. Site is in the floodway V0 floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? k/O Flows are seasonal? (What time of year?
10. Site is primarily: forested meadow ;shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site:
For City Staff Use Only —
I. Site is Zoned? t7
2. SCS mapped soil type(s)?
3. Wetland inventory or C.A. map indicates wetland present on site? tl 0
4. Critical'Areas inventory or C.A. map indicates Critical Area on site?
S. S,ite within designated earth subsidence landslide hazard area?
6. Site designated on the Environmentally Sensitive Areas Map?
DETERNMATION
STUDY REQUIRED CONDITIONAL WAIVER
WAIVER
Reviewed by:
Planner J Datl
Rcv0q/29/0
4
6,90 - 199-
City of-E.dlmon&
-Critical Areas'Checklist
The Critical Areas Checklist contained on
this form is to be filled out by any person
preparing a Development Permit
Application for the City of Edmonds prior
to his/her submittal 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. The
information needed to complete the
Checklist should be easily available from
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 checklist, sign and date it,
and submit it to the City. The City will
review the checklist, make 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 form, the
applicant should also submit a vicinity map
or plot plan for individual lots of the parcel
with enough detail that City staff can find
and identify the subject parcel(s). In
addition, the applicant shall include
other pertinent information (e.g. site
plan, topography map, etc.) 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: Applicant Representative:
-KG G'/J, A T T I L A
Name Name
,I � G 2- C) el 1L
Street Address
E�l H-0 2 6
City, State, ZIP Phone
SignatuTe Date
Street Address
City, State, ZIP Phone
Signature
Date
PLANNING DATA
NAME:—"
SITE ADDRESS:—J� DATE: J111149
ZONING: —Pt) 6 PLAN CHK#: 12 -,1Z
PROJECT DESCRIPTION:
CORNER LOT--4Q--(Yes/No)
SETBACKS:
FLAG LOT—Mb (Yes/No)
Required Setbacks:
Front:--96 Left Side: Right Side:_1y_-z1_Rear:
Actual Setbacks:
Front: �27 Left Side: /1'0" Right Side: Rear: -
Street map checked for additional setback required?-q —(Yes/No)
I
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED N -(Y/N)
LOT COVERAGE:
Maximum Allowed: ale� ----_Actual:
BUILDING HEIGHT:
Maximum Allowed: —Actual Height:
Datum Point: Datum Elevation:
A.D.U. CREATED?: 4
SUBDIVISION: YO]t4 1"0 Zd 3
CRITICAL AREAS
SEPA DETERMINATION:
LOT AREA:-. �64D I
OTHER:
Plan Review By:
c.\ri1cs\pcffnjf\Ap1and2Ldoc
APPLICATION
for
The City of Edmonds SEDE SEWER PERNaT
EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS
4.
OWNER ..J�.f?fl-nk'M ........ 4�1.tp-
............................................ CONTRACTOR .................................................................................................. PERMIT No
�/a LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ...............................................
ADDRESS----- ....... .......................... ..... ................
11
NAME OF ADDITION ..........................................................................
7 1�& d
hij,e, --- 'Q?s
Y.10
"- '19V
Approved:
072
tc) c
DATE................................................ By ..................................... .............................
0�
Iq C. 18 ()'1,
0 0
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
Website: www6edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
June 9, 2009
Mr. Attila Hegyi
19620 8 1 " Place W
Edmonds, WA 98026
RE: Second kitchen in basement at 19620 8 1 " Place West
Dear Mr. Hegyi,
GARY HAAKENSON
MAYOR
As a follow up to our meeting at the counter last week in response to City letter dated
June 1, 2009, 1 spoke with the Planner and Planning Manager regarding the zoning issue
of the second kitchen in the basement of your residence at 19620 8 1" Place W. They
understand that you reside in the home, and have viewed permit 199' )-0270 issued to
finish out the basement, as well as the floor plan and recorded Statement on Accessory
Dwelling Units. Based on this information, they have now determined that as long as the
residence does not contain an Accessory Dwelling Unit as set forth in Chapter 20.21 of
the Edmonds Community Development Code, the kitchen may remain.
Should you desire an Accessory Dwelling Unit in the future, please contact the Planning
Division for Accessory Dwelling Unit Conditional Use Permit information.
Sincerely,
Ann Bullis, CBO
Building Official
Incorporated August 11, 1890
Sister City - Hekinan, Japan
J 4 4.,
PERMIT coMKOFAWONDS
CONSTRUCTION PWMIT APPLICATION_
OWNER NAME mA%.,E OF BUSINESS
PE
C
R
O'�
N
N
M'
4EQY i AT —1fLA
11--L G
116 2 C) gj
'EL-PI-01" NUMBER
6'
NAMC
us[ PERMIT
10"t (6- (:��UMB�E�R
Joe 2ADDRESS
LEGAL OESCRIPT '6—NC-EC1 I SU8DIVISIQ1 IC
PUBLIC RIGHT OF WAY PER OFFICIAL STACEY MAP
EXIST'Nr ___ WEQUIRED D(:C�CATICN
REMARKS
[.0, L" ' E'- 5 — I E L E P . 0 o,; E ,t U k. 8 E P — I
I 'All.
TESCP Apo'-'d
0
RW Pe1 Peo),J
0
SI'..I Use Pel-t Re(3 a
0
IPei:to0.RTQ."e'0
C
S-dellolk Requ,ed
0 a
N-1-E ENGINEERIM15 MEMO DATED REVIEW By
ADDRESS METER SQE SIZE "0. OF ;IXTURES
CITY ZIP TELEP.0-E NUMBER - — P
STATE LICENSE NUMBER EXPIRATION DATE SIGN ARE1. SEPA REVIEW — ADS NO
ALLOWED PROPOSED COMPLETE ExEmPT I
Leqaj __cription of Property - include all easements
SHORE-INE A
A
i" C r- L" "I C-
EXP
L
L L A
U JA1PtANN:NG
- REVIEW By
... DATE
B L 0oo-4b - 0o -
L 0 T,-3
SETBACKS -FEET
EIGHT
ILOT COVER,%GE
FRONT SIDE REAR
Pmpe,ly
Tax Account ocC. 003
603
REMARKS
Li
RESIOENTIAl
FMECHANICAL
Pl
' BLCG
FE] s,�N
GAADI.G
ENCE
CHECKED 9!'
TYPE 0- CONSTRUCTI N
coo�-
'7
I
HE:GH7
-S7
Z
I _FT)
C-DDSIOVE
�Sflsol POOL
TUWSP_
S ECIAL INSPECTOR
A
GROUP
OCCUPANCY.,
OCCUPAN.
LOAD
ENSEAT
-"T
REOUIRED YES
RETAINING VJA�L-
ROCKERY
RE�:EWAL
REMARKS
PROGRESS iNSPECTIONS PER UBC 305
11 YPE CF USE SUSI �SORACTIVITY11EXPLA;N
Vs.IBEP 0'
rn;TICAL
EAS
or .DVIELL'tic
U
SEP
DESCR'.EE WORK 10 BE CIONE (A I T AC� PLO T �--A No
FMAL iNSPECTION REOWRED
VALUATION
FEE
PLAN CHECK FEE
BUILDING
-EAT SOURCE C, A,-!,G %
PLUMBING
Plan Check No. MECHANICAL
This Permit covers Work to be done on priva!e property ONLY. GRADINGIFILL
Any C-3nStruClion Or. the p-iblic domain (curts. sidewi-:ks.
driveways. marquees. e-c.$ will require separate Permission STATE SURCHARGE
Permit APP11--stiOn: 180 Days STORM DRAINAGE FEE
Permit Limit: I Year - Provided Work Is Started Within 180 Days
"Apolicant, on behalf of his of her spouse. heirs, assigns and ENG, INSPECTION FEE
successors in interest. agrees to indemnify, defend and hold
lis officials,
harmless the Coy of Edrorionds. WaShvnglon.
for damages of
2 employees. and ;,gents from any 2nd all claims
whatever nature. arising difeclly,Or inclifectly from !h(;,,isS..nce N CHECK DEPOSIT
this shall not be to
issuance of permit
of ,his permit. ".nan ce
modify. waive Or 7educe any reauirement, o! any city 0! inan,
om not limit or. any � ny the Cily*s ability to entofco any ordinance TOTAL AMOUNT DUE
provision."'
: t-.sreb,,- ackno.i -qe -hat I have read th,s apClication: that the ATTFNTIQN
APPLICATION AF;PROVAL
information giver -orre:t: an�' that I am tne owne.-or, or the d0v
n�
authoriZed agent :T' P �,Wner. ! Zg;E� jo cornoly With Ci;y ai T�'S RE-T
Th ap ication is not a permit until
is pi
�_r '_ A., � QES
ng the work, 0
s au CILY T-C
ta, laws, egulating (,onstruction: and in 00i
I siigTied tkV the Building Official or his/her
_.t)o,
ed thereby. no pers�--n will be ernpioyed on viola:ion of Ifle ..jCpl, 'OTED
Deputy: and fees are paid. and receipt is
Code of the Stale ol %Nashington relating jol,'Jorkme-Vs Compensa-
acknowledged in space provided.
I nsL,,Lnce
,i n I oan_� S.Gr'ED
'r"_
RE
I IA Tu DATE
OFF. I.
RE ICI;I-
5-Gs,.TU CIT OF
EDIIONC�
affisellim OMMMERNMEW CALt. FOR 1-11 PELE DITI
ATTENTION on OCCUPY A BUILDING OR STRUCTUPE INSPECTION
IT IS UNLAWFUL TO L.ISE A1.C% ADDOnVAi nP 771-0220 - ORIGINAL - F,:e YELLOI,'J - in! neclor
I
0
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ..............
FOUNDATION:
Footing ................
Waif...................
Pier/Porch .............
Retaining Wall ..........
PLUMBING:
Underground ..........
Rough -In ..............
CF....................
s;-- *1 -3 HEATING:
Gas Test ...............
Gas Piping .............
Equipment .............
CF....................
FRAMING ...............
SHEETROCK NAILING...
SPECIAL INSPECTION ...
FINAL APPROVAL
FOR OCCUPANCY ......
T.;
#OvOJ-40219�
SAMENT ON ACCESSORY DWELLARUNr'FS
Property Address: M20 91 TL LU E�DHovD-sj
Legal Description
CD %6
13LK 000 -D-00 L-OT 3-
cn:'
VA Ll- CY LA VG ?A(� E- 9 6
C7
5k)o4+c, M 1 C-0 L-"J"y
I have read the requirements for accessory dwelling unit-, contained In Chapter 20.21 of the
Edmonds Community Development Code and understand that an accessory dwelling unit,
including a second kitchen, Is prohibited for two years after cccupancy by the current owner is
granted and until after a conditiona! 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
— r, I
-TTLA
Property Owner Name A7
Date
STATE OF WASHINGTON
COUNTY OF SNOHOMISH
OPY
ORIGIN'AL ON FILE IN
COUNTY A':*J;TORT)' OFFICE
I certify that I know or have satisfactory evidence that
sityned this Instrtiment and acknowledge It to ba his/het fr,,e and voluntary act for the uses avd
purposes mentioned in this Irstrument.
0
;�ou,? e.
PUBLI
-7
t 01-
Dated 5-1(1-q3
Signature of
Notary Public k/7 a
Title
My appointment
Expires:
THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY
AUDITOR
ACDU".DOC
I
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A.-P
PC' V4
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7"
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RECEIVED
MAY 1 3 1993
PERMIT COUNTER
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.411 tt� .
Mr -
City of Edmon'dit"
RIG , HT -OF -WAY CONSTRUCTION
PERMIT
Permit Number -
Issue Date: -'a?0::2!�7
A. Address or Vicinity of Construction: . . 19620 81stwPlace W
GTE to place, operate, and maintain a burieU -service
890 - oc) 03 B. Type of Work (be specific): wire from existing pedestal #2320 located at 19620
81st PI W then west to a residence at 19620 81st Pl W. GTE to plow 75,feet
ushing no driveways nor no --roads- R'�o W 15 feet
Mary A Bower, Permit Coord.
C. Contractor: GTE Northwest IncorRorated Contact:Qennis Alexander 771-9036 or mobile 388-1358
Mailing Address: 2312C W Casino Rd Phone:
Everett, 206A489-16-28
State License #: Liability Insurance: _ Bond: $
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. El Commercial El Subdivision E] City Project X5LJ Utility (PUD, GTE, WNG, CABLE, WATER)
Multi -Family E] Single Family 0 Other 2100-9POOlDB 242310
INSPECTOR: INSPECTOR: yA 14
F. Pavement or Concrete Cut: 0 Yes EINo G. Size of Cut: x H. Chargq�,$
Please see attached sketch.
APPLICANT TO. ]READ #46,_;GN
INDEMNITY. Applicant understands and by his signature to this application, 4&ees-t&holdAhe Cit ofEdmondsharmlOss from inju
y , �!e8, damages, or
claims of any kind or description whatsoeL�er, foreseen or unforeseen, that may 6e made against the City of Edmonds,.or any of its departments or
employees, including or not limited to the defense ofany legalproceedings including defense costs, and attorney fees by reason ofgranting thispermit.
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 BY CIT4 FORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
Work and material is to be inspected during progress and at completion.
Restoration 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 thepermit requirements and thepink copy of thepermit will be
available on site at a e�� �speion urposes.
J
Signature: Joh!'H. StAwart Date: September 3, 1996
(Contractor or Agent) Oprns Supv-OSP Engrg.
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR, CITY USE ONLY
APPROVED BY:
TIME AUTHORIZED: VOID AFTER F--4�-DNYS
SPECIAL CONDITIONS: A I V,
COMMENTS:
RIGHT OF WAY DEPOSIT
DISRUPTION FEE/FUND 111:
RESTORATION FEE:
PERMIT FEE:
00
TOTAL'FEE:
RECEIPT FEE:
W
DATE:
NO WORK. SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. 1994
FIELD INSPECTION NOTES
I Comments:
I Diagram.:
(Fund 111 - Route copy to Street Dept.)
CONTRACTOR CALLED FOR INSPECTION El YES El NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
PEWT SUBMITTED BY
GTE
PEDS a
POLES 0
ROAD BORES
OvERHEAE) LINES—
I.O.UTILITY POTHOLE CZ1
UG TRENCHING --UGT-
R. 0. W.
--------------- ---------------- I -------------- Eop
---—----------------- 7
%I ST CIL
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PEO MIT SUBMITTED BY
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PEDS a
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ROAD BORES
OvERHEAD LINES
1.0. UTILITY POTHOLE
UG TRENCHING ---UGT-
CD
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11D
R. 0. W.
aw Ara owe
-1 -------------- EOP
— — — — — — — — — — — — — — — — — — — — — 7 — — — — — — — — — — — — — — — - i — — — — — — — — — — — —
%I ST Ul
---------------------------- - ------- ------------------------------
Ln
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CUTS. r-n
oso5.14021, t
STATEMENT ON AC
cEssvFmF-rmEE
Property Address: 81 'PL. L& C
Legal Description
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VA Ll� G!Y LA QG 6*'� 6
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I have read the requirements 11�r accessory dwelling units contained In Chapter 20.21 of the
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 t6 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 G\/1 ATTILA
q
Date 05-114
d:
opy
ORIGIKAL ON FILE IN THE'
STATE OF WASHINGTON COUNTY WUDITOR'S OFFICt
COUNTY OF SNOHOMISH
I certify that I know or have satisfactory evidence that 140a gi 4
signed this Instrumen
t and acknowledge It to be his/her free and voluntary act for the uses and
purposes mentioned In this Instrument.
�E L 'lot
.:r"R 4�,, .1 .
Is Dated
0
Signature of
oo \AOTAR);�",, Notary Public
-P - 5. (35,��6p r
Title All) '1-1.*
My appointment
Expires: 5-qS
THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY
AUDITOR
ACDU".DOC
REGARDING:
19620
TaUdress)
R E C 0 R
D 0 F C
0 N T A C T S
DATE
NAME, PHONE NO., & COMMENTS
ADDRESS of CALLER
ACTION TAKEN
INITIALS
5/l/74
Ken Estes
Certified Letter No. 406319 sent
Letter received.
TE
requiring hook-up within 60 days.
5/2/74
I'm on sewers - please dye test.
Scheduled dye test..
TE
5/6/74
D.T.O.S.
TE
6/-5/74
Certified Letter No. 406486 sent
Letter reci�ived.
TE
rescinding previous letter.
S,
-30,
RECEIPT FOR CERTIFIED MAIL
(plus postage)
CD
4431
6
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419-05100
ESTES, KENNETH
19620 81ST PLACE SW
EDMONDS, WASHINGTON
L SERVIC
-PO SITU
T �K
�,q� bA
�,A
�\J
HE I Shows to whom nd date delivered ... ........ 0
RE�i'I�T W i del 9 ivery to addressee only 6
21 Shows to wh m, date and where delivered _ 3!
SERVICES P With deli v ery to addressee only ............ 8!
98020
PS Form 3800 NO INSURANCE COVERAGE PROVIDED —
Apr, 1971 NOT FOR INTERNATIONAL MAIL
(Soo other side)
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