19910 76TH AVE W.PDF111111111111
6275
19910 76TH AVE W
PUBLIC I FUIST
B�ffl WPET; �REVTLEW
LOT S-ja-"12) 1DOPLax
Street Right -of -Way Existing
REQD
Access Easements Existing c�) �ff-
REQD
Utility Easement Existing f7VC- -t, )
- REQP tA
Lot per Subdivision<3:4&-7 P, Plat
Assessor Map
Site Plan Checked for Accuracy
Underground Wiring Reqd-.
Check Accuracy of Legal Description
Environmentally Sensitive Area
0'
Environmental Checklist Reqd.
Flood Hazard Zone
Shoreline Management Area
Z
Slope, Soil, Vegetation
Stream, Creek, Drainage Basin
Existing Zoning Per Code
Amenities Design Board Approval Reqd.
ADB Approval
Board of Adjustment A�proval Reqd.
Review By: V-1 .11 Date:
Existing Water 1,11ain Size
Water Main Reqd.
Service Line Reqd. -1131
Hydrant Size Existing
Hydrant Reqd. Per Fire Code
Detector Check Meter Reqd. tAr
Cross Connection Inspection
Fire Department CaTments
Water Meter Charge Reqd.
Review by.
OV
Date:
Size
'.4 AOOX� 2'4�
bepti-c -ranK uesign Approvea /-4y uar-e:
Septic Tank Permit Reqd. Permit No.
Sanitary Sewer Availabilin��;2— Proi. 66'�Z- -7 C 6fW,9.
Drawing No. File No.
Side Sewer Availability olu 7776-6111-11�w
Sanitary Sewer Connection Fee Reqd. '�A�"
Revie,.-7 By: Date:
Date
Address
* 40_r-s(�� a
BUILDING DEPARTMENT
PERMIT
Applicant Fill
ZONE NUMBE R
t�
PERMIT APPLICATION Insi de Heavy Lines
JOB
ADDRESS
NAME (OR NAME OF BUSINESS)
P; 7 Al irl"i T_
LEGAL LOT
0 YES NO
LOT AREA
SUBDIVISION NO.
w MAI�LJ-G ADDRESS
Z
STREET R /W
0 CITY TELEPHONE NUMBER
EXISTING STREET R/W FT. DEFICIENCY THI S PROPERTY
P) L/ 3
'53 '�
COMP- PLAN ST. R/W FT. 0 FT.
U
REMARKS
(0
z
W
I-
ADDRESS
It
W
I
CH[jCKED BY
W
U
z
X
CITY
EP ONE N MBER
STREET AND/OR UTILITY WORK
REO'D.
_U
R/W PERMIT REQUIRED
0
Z
]DYES NO
'0
49YEs ONO
ILI
NAME 7)
.
co^i
UNDERGROUND
WIRING REO'D.
0:
.4-S '�' S.� I
V- -
*YES NO
0
ADDRESS
TYPE CONNECTION RYES VERIFIED BY
u,
SANITARY SEWER El NO
Z
TELEPHONE NUMBER
SEPTIC
APPV'D YES PERMIT NUMBE
0
U
) '2 & -%_->-_33 I -
BY CITY ENG.
49NO
STATE LICENSE NUMYE-RFITY LICENSE NUMBER
REMARKS
:Z3-01 CIA
Legal Description of Property (Show Below or Attach Four Copies)
METER SIZE
BUILDING SUPPLY SIZE
LJ
Ir
lq6' (T) i-1_7 S .�7
III
Z
MARKS
0
C N E. NO !!T
SIGN AREA ENV. REVIEW ADB NO.
U
1A
I L,� A4,
ALLOWED PROPOSED COMPLETE EXE
W
-J
REMARKS
W
.J
VARIANCE OR CU
PLANNING REVIEW BY
DATE
PM
ew RrR,S,D,NT,AL GAS
1:1
YARDS
�t.!VFRONT 5_/SI . D E REAR
LOT COVERAGE
LINE
ID NON-RESIDENTIAL SIGN
11
FIRE ZONE
TYP F CONSTRUCT '0
1 �
CODE HEIGHT
MIV '3
R ADD
RETAINING
SPECIAL INSPECT R
REQUIRED ,
AREA
I
OCCUPANCY OCCUPANT
GROUP LOAD
DEMOLISH
1:1 WALL
ALTER EXCAVATE
FENCE
D OR FILL (_
0 YES 0 NO
f
---. .1
PRE -MOVE swim
REPAIR El
PLAN CHECKED BY I HIS SIT E IS LOCATED IN THE CITY
OF EDMONDS. LOCAL
INSP. DPOOL
SALES TAX
------T'u-'
SHOULD BE CODED 31.04.
'0
NUMBER OF STORIES
BER
NUMBER OF
REMARKS
E
DWELLING
L L
NITS
N Ts
z
NATURE OF WORK TO BE DONE
�j
IL
1W
Z PROPOSED
USE
VALUATION
FEE
0.:n�jri.A 'L_
PLAN CHECK
NO.
�1-%Jl
k
rLAN (INDICATE ISUILL)ING SETBACKS,
z
W
ABUTTING STREETS)
BUILDING
2
W
A'-T-TA 6 1.4- 1
L
0
PLUMBING
W
J
0
HEAT GAS LINE
>
W
FENCE
>
SIGN
z
RETAINING WALL
0
POOL
1-WIM:'1ING
Z
1�
U
0
U
0
Z
0
LU
V)
�D
0
ClWbfEDMONDS W,
PUBLIC WORKS DEPARTMENT
RIGHT - OF - WAY CONSTRUCTIOqfREET F0
A. *Address or vicipty of Cons ction
0� DkQ, V \M� -) ZOV
Owner: QLd� I %:' �J 1_10� Pot � -LC�
Name
W 0
Mailing Address
City, S ta te, Zip Code
0 Contractor: F' Lk - 1), A k IN 0
Name
..\&k qq
Mailin Address
L �� X)
City, State, Zip Code
Permit No. _79-
Issue Date _4_Z2 —a-242
• Permit Issued ToR Lk. D'A
C L) U �1) 1511 A
• Type of Work to be Done: tS 2) jtL:,' V) L; kJ f) L_W_
V)VC-10LA &W J.0T
• Work in Connection With:
0 Sub or Plat 'D Single Family
El Comml. / Ind. g Apt. Condo.
• Pavement Cut: El Yes El No
State License �,4umb
Telephone Number
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
B. APPLICANT TO READ AND SIGN
INDEMITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless
from any 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 it's departments or employees, including or not limited to the defense of any legal
proceedings including defense, costs, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
following the final inspection and acceptance of the restoration by the Engineering Division.
Funds held from the Security D ' eposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call
775-2525, extension 220.
I understand that this
I
be ivailab)e at thkioq site for inspection purposes at all times.
Signature: r I
Owner or Agent
'I'd _/1 - '? q —
THIS PERMIT MUST BE POSTED AT -THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By:
Time Authorizecl:,, j� rid aft —days
Special Conditions:
Ammendments:
Permit Fee: —
Security Deposit:
�Z�
Receipt No.:
Fund III Fee:
Street Cut Dimensions
X
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. DIV*. December 1978
PUBLIC WORKS DEPARTMENT
Wit No.
Issue Date
Z
1i
U
0
U
W
ca
0
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. *Address or vicinity of Construction
Q, C� \ D -) Aw
�' \ 46�\ b
o Owner: CA � A J t-- �J "T L7 PO? N L L
Name
Ix. I q k4'1
Mailing Address
City, S ta te, Zip Code
0 Contractor: ?, 0 1). �\ k S o 4 ,k C o U i'j T-",
Name
'I) � � �A�
Mailing Address
City, State, Zip Code
0 Permit Issued ToP V, N I
C', I, t J %J
• Type of Work to be Done:
0) 7) �t I
• Work in Connection With:
0 Sub or Plat El
Single Family
El Comml. / Ind. R
, :
Apt. Condo.
• Pavement Cut: 0
Yes El No
State License Number
� 94- d)i.J-
Telephone Number
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
B. APPLICANT TO READ AND SIGN
INDEMITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless
from any 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 it's departments or employees, including or not limited to the defense of any legal
proceedings including defense, costs, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
following the final inspection -and acceptance of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call
775-2525, extension 220.
I understand that this permi.t,,must be available at the
Signatu f re:
Owner or Agent
THIS PERMIT MUST BE POSTED A'
site for inspection purposes at all times.
te A
JOB SIT FOR INSPECTION PURPOSES * *
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By: 4 ol A __A
,W:,, / 7__
Time Authorized: D?c days
,Pid after,'
Special Conditions:
Ammendments:
Permit Fee: —
Security Deposit:
Receipt No.: —
Fund 11IFee: -
Street Cut Dimensions
X —
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Lng. Uiv. Uecember 197H
TES
FI'ELD INSPECTION-10 (Fund 111 - Oute..conv tooStreo;t T
Comments:
Diagram:
Contractor called for inspection Yes (�fj�
Work DisaPproved By: Date: By: Date --
Work Aporoved By: Date: 77
Inspector:
Encr. Div. December 197P
2"
3,
Sal C D, L;, L3"x-
S� wo-,vot, Phi Vounty
I "i 'i . k ARE&
T L 4CT
.0w.10/77 c
ton W.CL No. f64
Locat,
00!
—As Built-
x);P LAF3C L U File No.
4; -Approvals
PKRMIT V CASEMENT ENVIRONMENTAL ANALYSIS
NTACT!
T�
Ile - Ex4mpf, under District SE PA
procedures, Sectio '
-A
n
bate.Gi;6nfed aph Item
PC"
yesm, NOO.
-Grant, Date
169 Posted - ve
In ed By --i
Interpret
ation Referred To.:
Tr�W%f.CardL ]Poli
map Po 40rasit,
6i" lieliomed P;6r Constr� t'
uc Ian- Date —By —
Date Work. Completed- Foreman
;. -Subsitaiion- O.H. U.G. Conic! KV
_Circuit Number
Add Ckt.Ft
PH
Remv—Ckt'Ft—PH'
�Net___�� Ckt, Ft
Water
Sewer
ST
-3 l:lv r-
J.
\f k
C T
P,
'k:Z L) A�T Av M. P-S.
'I" Pv C 7- R G
-31 t,_1 41. C.,V.A f),A_ pa
r
C T S ;T 01: L-, 4'L;'�
N A,
NT�O
V
' H
IH
W.O.:No.- T1
CITY 0 F E DMONDS _4
PUBLIC . WORKS DEPA04ENT FOR INSPECTION CAL* Permit N? __ 64
SIDE .,- SEWEWWE=T FILE75-2525 Ext. 1 220 Issue Date
PERMIT MUST BE POSTED ON JOB SITE
43!"-r) 17-Ir A
1. Address of 7onstruction 4?)A rt�W_._W, 11902-0
2. Property Legal Description (include all, easements)
nF Z-1+-�7q
3. Single Family Residence Multi -Family of Units
Commercial co
4. Owner and/or Builder V, b r-1 r4
5. Contractor & License NO. 0"-DA
6. Invasion into City Right -of -Way: No Lo� Yes - (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation �)r
7. Cross other private property: Yes No Easement required -
attach legal description and county easement number.
READ THE FOLLOWING AND SIGN:
a. Property owners must obtain a permit to install side sewers on
their property. A licensed side sewer cc employed to
construct side sewers in the public right of wa *b 1EDW&MG0 ch
b. The side sewer contractor assumes f on,
48 HOURS
installation for one year.
c. Commercial establishment requires a-�"ini f JW-Oggh 6")l
side sewer line. YO, I
d. Side sewers may not be installed h (30')
to any structure.
e. Side sewer lines must be laid at 0 1�
and maximum grade of 100% (45 SNOHOM1____
SH COUNT
f. No turn in side s8wer greater tha. 12gyfigy cdoffllA
between cleanout. All 90 turns must be constructed of a
bend) and wye with removable cap.
. g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each'plumbing exit line
and at minimum intervals of 100' along sewer 'line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for ri ght-of-way failure
due to poor compaction of fill.
k.. Side sewermust be left uncovered until inspected and,approved
by the City.
1. Inspection during normal working h2ou Inl:y. :Two working
days notice required.
eoDATE: Pz� S 6 0
I 6ertifT that I have 4pluu
0 WOOd _Ven+ L4 A /__� 9 and shall comply with the above
PERMIT FEE: /r,)-00
f 1z
rrVAX 0
CONNECTION FEE:
0 �od a3
44 . * PERMIT MUST BE
DISAPPROVED BY: Date:
By: -Date:
APPROVED By: Date:
ON JOB SITE *
Ou 1j OR OWMV 1,4:6 f, ai:EW. 0 674L
a'* I. -
Au
1 201 i a
FILE,
10>22Q�-: -%maw
I( 2---Z7- cz?-A
(address) (date)
0
Street Right -of -Way Existir���..._REQD
aC)
Z
H
Access Easements Exist'
g
Utility Easement Exist
D
W
Lot Per Subdivision Plat Assessor Map_.,:�
W
Site Plan Checked for Accuracy__O�.........
Z
Underground Wiring Reqd.
Check Accurac gal Description
Z
Review by.
Date
Existing Water Main Size
Water Main Required 1111A
Service Line Required
Hydrant Size Existing
94
Hydrant Reqd Per Fire Code.
Size
Detector Check Meter Reqd.
P
Cross Connection Inspection
Fire Department Conments
v4ater Meter Charge Reqd.
Review by. M,17_e�
Date i�
Septic Tank Design Approved
D a t'e
Septic Tank Permit Reqd.
Permi� No.—' All,&
Sanitary Sewer Availability
Pro* . . If
j 74���
Drawing No.lel
- , - -
le No. Z �
Z
Side Sewer Availabili
tion Fee d.
Sanitary Sewer Connecty421'��q
:B:
Review by V,.v
Date z. z-:D�
Open Ditch Existing, /VO_X�
__�eqd..
Z
Culvert Reqd. - .4,
—Size-
(14
Catch Basin Reqd. 44—_ g- , , " "f- �
-Indicate on Site Plan
o
Shoulder drainage maintain collectign an
swale open runoff
W
Manhole reqd.
�n/dfcal;47',�, Site Plan
Soil Conditi Water Field Checked
Review by_40
r
V_eks I
Revised: lvlO-1977
Page 2
Street Paving Reqd.
Curb and Cutter Reqd.
Sidewalk Reqd.
Curb Cut for Driveway Reqd.
r4 Right -of -Way Construction Permit Reqd.
Bond Reqd. for Public Improvements
Street Name Sign Reqd. A /-ry
Y - .
Other Signing Reqd. k IV,
Pre Permit Site Inspection made on
z
0 BY: S94ER
F4
L)
W WATER
H z S=T
f-4
ENGINEERING
Special Requirements listed in memo to Commmity Development Departrmt,
Building Division
BY Date
c). All items filled in on Building Permit Application
BY Date
P4 Dr s�'8tarrped and Notations Made,,
BY Date
Approved,by-Publi6 Works Department
Revised: 1v 10-1977
7U307 DIVISION Applicant Fill
USE PERMIT
ZONE*R NUMBER
Inside Heavy Lines
'PERMIT APPLICATION
'OB
NAME-JOR NAME OF. BUSINESS)
-q
ADDRESS
/
LEGAL DESCRIPTION SUBDIVISION SUB No.
41 "Af/ f "c') A
W MAILING ADDRESS
JSHORT
z
0
CITY ELEPHONE NUMBER
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
/" ""12 "'? " ) () f) X5-- 9, 7-:�� 1�-
EXISTING
NAME
PROPOSED_ 0
U
DEFICIENCY OF RIGHT OF WAY 0
-0
W ADDRESS
PUBLIC IMPROVEMENTS REQUIRED 0
9
M
L/
DRAINAGE IMPROVEMENTS REQUIRED El
0
3:
U
it CITY TELEPHONE'NUMBER
4 1 -
2
DRAINAGE PLAN REQUIRED 0
U
.1">9,f;
UNDERGROUND WIRING REQUIRED
oz,
M
NAME
4�� �, A4)-,)
CONNECTION TO SANITARY SEWER
PERMIT REG'a 0
.-:::
SEPTIC TANK
0 ADDRESS
ELEVATION OF PROPERTY CORNERS 0
U
& FOOTINGS REQ*D
CITY
TELEPHONE NUMBER
;?-3-0
zo 1LA,-)1121,,A:>e) CI-/
SEE ENGINEERING MEMO DATE.-
U STATE LIC NSE NUMBER
CITY LICENSE NUMBER
CHECKED BY -
.OM",a
Legal Description 6f Property (Show Below or Attach Four Copies)
METER SIZE UILDING SUPPLY
B SIZE 7
REMARKS
z
Y'
0 Ze'
I..
SIGN AREA ENV. REVIEW ADB NO.
U
ALLOWED PRoposEc, COMPLETE EXEMPT
14
W
SHORELINE
0
REMARKS
W
VARIANCE OR CU PLANNING REVIEW BY E
LOT C'
YARDS LOT COVERAGE
GAS
M\/
FRONT IEA
SIDE R
NEW RESIDENTIAL LINE
FIRE ZONE TYPE OF C014STRUCTION ICODE HEIGHT
I
NON-RESIDENTIA SIGN
ADD
DEMOLISH RETAINING
WALL
SPECIAL INSPECTOR OCCUPANCY OCCUPANT
REQUIRED GROUP
F1ALTER EXCAVATE FENCE
OR FILL I. X.FT)
JAREA
LOAD
0 YES 0 NO 1
--
N CHECKED BY THIS SITE IS LOCATED IN THE CITY
F-1 REPAIR PRE -MOVE swim
INSP. POOL
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
Z NUMBER OF)STORIES NUMLER OF
REMARKS
I-
2 OWE LING
UNITS
z
NATURE OF WORK TO BE DOME
-W
cr
U
W
0
L
to
IW
0
PLOT PLAN
PLAN CHECK FEE VALUATION FEE
I-
z
W
BUILDING
0
PLUMBING
W
>
MECHANICAL
W
0
FENCE
"Applicant, on behalf of his or her spouse, heirs, assigns and
SIGN
Z
0
W successors in interest, agrees to indemnify, defend and hold harmless
I the City of Edmonds, Washington, its officials, employees. and
RETAINING WALL
0
0:
-C agents from any and all claims for damages of whatever nature,
I arising directly or indirectly from the issuance of this permit. Issu-
SWIMMING POOL
o ance of this permit shall not be deemed to modify, waive or reduce
J1 any requirement of any city ordinance nor limit in any way the
I I'.- r
APPLICATION
for
The City of Edm'
SME SEWER PERNaT
EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS 0 FEE
CD u I Is& -74
OVVNER............................................................... ...................... CONTRACTOR ............................................................. ................ �SV—=.t.... PERbUT No.4��
ADDRESS........................................................................................................... LEGAL DESCRIPTION: LOT No . .................................... ......... BLOCK No . ............................................
es ra -TWP OF?; F2,c=-[--- C),4
KT-Swcol � " 11g- OF F-- .40C>
,GT. OF S '/?-, KE--=. 1/4., '14
-55 N. NIND m
W. 2jCXD -rHCDr-=
4-:
NAME OF ADDITION ............................................................................
F6 4 411E
IISEP)
5! r
1 1 - rol
3! *4,�* W.'a
Approved:
By
DATE .4,3v
-wr-m-w.o*
z
ju
gja �p
1-4
) M
(PIP: IE 0 01 W K, -SEWOER1PE It
CITY: MIM j (SIDE"
P ER-M IT ZJ? 45 7 4,/�
an, 175 2525, foil -side inspections!'BEFORE. fcoverffig �any.',Oorflo'nt pf �the constru6tl
on
�tion�,3vill-,be,,providedrwithin- 2ik, ihours -after requst. NO Sat;; S' ay ectib
um, or�lhollcl ns
*PDRESSA,Oc ATION 'OF' CONSTRU.0 THON 'Avinm -Rp st. ............
........................................................
..............
n
PRO PE RT Y LE GAL I �,b 1E S Cffll�. Mom ... Rt 1.9. T . WP. 7
Rq' :.QC� Rt:3.61. A j '/?.. f
.. ..... ... ... ... F ... 4 ... .. ........................
_LL aod 1 30 F. t 16 �s-:,Vl - 2:00� -ff THOF
2,14 1/4 NE 1/4"' , -'s' �.
......................................... ................. ....... S�
............................ 1 ................................
........ ...... ............. .................. -
................
....... .... . ................ ...... ........ OMWERAND/Ok BUMIL DEK N 14 q - HTAI �FZ.y
............ : ... . .... . ........................
ir - , .. . ................. ............. .
OW&INAMIRA,"AMDRES'S ....
jr ;. , " , , ,
........ . .........
. . , " I r I . , . t ; I - .
. ................. 7
A�ernftglomfgqgranted ....... Febrowky. 9 4:,_for
.............. 11I.H. ,repa r,andVer,' (d6nne;ct1&n:,,6f La sew,
I �jifi,,(accqrdancei).\With!�Ci�y,. of',Edmonds,,6rdinances. er.
A!j.,--N,T-ION,'ISIICAIL-LED)!TOI'THE; FOLLO.WING:
NO TE; V o ,I: The,4oWners
of the pr6pertk,,.rriay,'Obtain�,a,,pe�rmit ito �construct t�ewer ln�lde,prbp�rty,llne� W14icensed:SIde'Sewer Contraetor,�
iRde isewer,th dtreet,arew: Do,,n�t.-(cover !any �Portlon,�of,:seW�r lbefore if',:has been, Insp'ktedt mus employedito,,,construct
i'VOTE Wo. !2--��,11,�W.6tk,perf6rmed,,in�icity,right�of*wby, -requires V'aslo&of
N OM-,-No�_3�40bthl .,an, In Right �of-WayPermit�(obtainable",frDm, Ahe City. Englne6r�is 'off e..
full' iinformdflon regardiiik,*tordinance��.If.�f6'.1030 andi -Regula:fions, governing;1sid'e! sewers- wheniyoul,get,p
,NOTEPoi�6�-,4''—"Top,�6f,sld'e,isewer,,must I I haveaf least !30�dn&es. �covrerage a.L�property JIrfe,Ien,d- 12AhchesAnsidenji 6rrnit.
1-:'ahE6ip'i��tha�n�',iAt,will�ibeipermitt6-dt
r6perty iine; minimunr,�grade;'(6V 2,%-r �Vo;lbenclsi 1nt �grade�
,N�OTE,,Noi 4-4Trenches-A6!street��must �be� water, iettlekl�Ai4 sufface of, ts6eet,.restore
pre,jg.. ds to �orlglnali,con Ion- �contisxtois �shall-ibe respod ibfe��for"- allur�� ld'uelito 'Impropen
,NK6fk�which- 'may Advelop, 'With In one-,yeav,of,com 0 f
for rm t -4bv,tc�Ad
,VOTEJ Wo�, (GLL� s unlawfiiil lo. falter, �ortdo);an�, `o�k. itimn 'is' pr�N;Ided� An�"the,.Pe i 1�
: 2 Y,': r�,on' Ahe, mairi,s'6w�e, or� its appurtenarfe :,exc
iert,�thb,�prlpe;Ahto, i.the,,w�,e.'�: . an �o* es qpV!to1;In,.
'Date:..
.. ................
...............
DISATPROVE "Date .......
. ............. ...........
.................. B3
APPIiOME
..................................................................................
01
�iarksV
....................................... ............... ......... ..................... .
............................................................. ............. ..... ..............
...........
............ ........
............. .... ................. .....................
............ ............. ............
'enn Cbpi Be* S1 edf)By (Owner (ofFirm, Performiq&C bnst-ru txctk1,PA1OR,'To;,Req e!�t- 0*,,1nspedfi6n1
U
X
...................
............ .. ihereb.y,,certify -that thewjide �sewwer installation �coii��trudt-ed'�urfder,,'t-his,'�permit
nerp ont -i erfcrmIfig,�Cp�stiuctIon-))-.
rdance" �ajjj -,gp e rifirig(or. inances'(6f ',the,,Cit pi
v., r �d
Y f'Ed'
iDated, �thls ...... (6f
"y ........ . . . ....... .........
'Tel� hofie� 4,
p %werig,, jSbwer 12"
APPLICATION
for
The City of Edmonds S11DE SEWER FERMT
EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS A
OWNER ... 1-0-41e��S ........... A// . .........................................
............. .....
ADDRESS -.Jfflj�� ------------- 7,t::� ...... 4 --� -
CONTRACTOR ... . ... ILS ............. T.0-j/
. /I k.. T. ....... PERMIT No.
LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAME OF ADDITION ...... .....................................................................................
RECEIVED
c) 7� 1 Q7A
�J
I-ld 6�� &-
Approved:
DATE................................................ By .......................................................
<
MAKE REMITTANCES PAYjjILE TO:
1 7
SNOHOMISH COUN TY TREASURER
EVERETT, WASHINGTON 98206) REAL ESTATE TAX STATEMENT
SNOHOMISH COUNTY, STATE OF WASHINGTON
OF ALL STATE, COUNTY, MUNICIPAL,
SCHOOL, AND ROAD TAXES
L E V Y A S S E S S E D V A L U A T 1 0 N T A X
RATE LAND BUILDINGS TOTAL SPECIAL
CODE GENERAL
_7 _71
0 2 3 4 2 ?
YOUR TAX DOLLARS WILL BE DISTRIBUTED TO THE FOLLOWING TAX DISTRICTS:
STATE
COUNTY
CITY OR ROAD/LIB.
SCHOOL DISTRICT
PORT DISTRICT
OTHER
2 C
FIRE DISTRICT
HOSPITAL
WATER
SEWER
FOREST FIRE
DIKE NO.]
DRAIN i;O.
L -J
=17-TV
0 7 3 NAME AND ADDRESS
LEGAL DESCRIPTION
tv'.i S H I t-4"' T Ci.�4 F. j-* 1- k. P- L 0 1, L S E C 19 T �,,'P 2 7 R C- E: 0 4
1-36) Nil/22 F
HIGLEY Ll F E 4"
b 1 R Ij A V E 1/4 L -CES S `4 L "E"
s I
S' -.'F T
SE �,T TL tf 04 L T H (I,t:
C-)
PLEASE PRINT CHANGE OF TAXPAYER [!01
-NOTICE: OR CHANGE OF ADDRESS BELOW 1_5
10
NAME
ADDRESS
ZIP
CITY STATE -CODE
FIRST HALF MUST BE PAID BY APRIL 30
OR ENTIRE TAX BECOMES DELINQUENT.
SECOND HALF DELINQUENT AFTER OCT. 31
TAX UNDER $10.00 TO BE PAID IN FULL.
r
Roo, -9 P1,
PROCESS
NU BER FACCOUNT NUMBER
7
0
1973 <
FULL FULL TAX
CHECK BOX TO . - 11 1 !. 11 ')
INDICATE FULL OR HALF HALF TAX
HALF PAYMENT
0
OMITTED OR DELINQUENT TAX
NOT INCLUDED IN ABOVE TAX HALF-H ' <
OMIT ROLL 0.
YEAR
YEAR
TAX AM FOUNT
INTEREST
FULL-F
CHECK
mo 0
op
0
z
A
Date January 28, 1974
Memo to: Director of Maintenance & Operation
Public Works
From: City Engineer
SubJect: Sewer Connection Charges ,(,Supersedes Memo dated August 12, 1969)
Legal Description: NE 1/4, N 1/2 of E 4001 of S 1/2, S 1/2, NE 1/ . 4, NE 1/4
Less N and E 301 for roads, Less W 2001 thereof, in
Section 19, Township 27 North, Range 4 East.
<;
Commonly known as: 19910 - 76th Ave. W. Owner: Louis M. H.igley
Z.F.F. Calculation:
146. 25 Z. F. F. x $5.50
1 Lateral x $100
1 Unit x 25
CC: Mt. Higley
\,J".
$
804.38
Connection Fee
$
100.00
Lateral Charge
S
25.00
Trunk Charge
$
10.00
Permit
$
939.38
TOTAL
JAMES H. f%E11)
LEROY F. MIDDLETON
C. WAYNE JONES
LLOYD H.'NELSON
Rea,
LEGAL DESCRIPTION FOR M.S. BUMPUS
ENGINEERS e SURVEYORS e PLANNERS
324 Main Street 9 Ldmoncls, wasnington !:rt3vev v 1 zuo, i i 3-jqj%
July 28, 1977
File No. 527i
ENTIRE PARCEL
The south half of the east 200.00 feet of the south half of the south half.of
of the' northeast quarter of the northeast quarter of Sect.ion 19, Township 27
North Range 4 East W.M.,
EXCEPT the east 30-00 feet thereof, and EXCEPT the south 30 feet thereof
Situate in the County of Snohomish, State of Washington.
PARCEL A
The west 55-78 feet of the east 200.00 feet of the south half of the south
half of the south half of the northeast quarter of the northeast quarter of
Section 19, Township 27 North, Range 4 East W.M.,.
EXCEPT the south 30.00 feet thereof
Situate in the County of Snohomish, State of Washington..
The est 54-22 feet of the east 144.22 feet of the south half of the south
half of the south hal-f of the northeast quarter of the northeast quarter of
Section 19, Township 27 North, Range 4 East W.M.,
EXCEPT the south 30.00'feet thereof
Situate in the County of Snohomish, State of Washington
PARCEL C
The west 60.00 feet of the east 90.00 feet of the south half of the south
half of the south half of the northeast quarter of the northeast quarter
of Section l9i Township 27 North, Range 4 East.W.M.,,
EXCEPT the south 30.00 feet thereof
Situate in the County of Snohomish,.State of Washington.
Date I August 12, 1969
STREET FILE
�Iemo to: Public Works Department
From: Leif R. Larson
City Engineer
Subject:, Sewer Connection Charges
Legal Description: The N 1/2 of the E 4001 of S 1/29 S 1/20 NE 1/4t NE 1/49
Section 19, T27N9 MEt W.M.9 LESS north and east 30t for
road LESS west 2001 thereof.
Commonly Known as: 19910 76th Avenue West
Owner: Louis Higley
Z.F.F. Calculation:
147. 36) Z. F. F. x. $5.50
810.48
Connection -Fee
Unit x $25.00
2-5.00
-Trunk Marge
10.00
Permit
$
845.48
TOTAL
.cc -1ouis Higley
CID
0 'REET FILE
1
SIDE SEWER EASEMENT
MAr 25 1978 9 AM
8. NALEIN
MOHOMISH cau� , AUDITOR
1.2 WASH.
foo
We, the undersigned.grantors, M.S. Bumpus and Caroline Bumpus, husband and
wife, and James L. Ballard, a single.man, owner of the following described
parcel:
PARCEL A:
The West 55.78 feet of the East 200 feet of the South half of the South half
of the South half of the Northeast quarter of the Northeast quarter in Section
19 Township 27 North, Range 4 East, W.M.;
EX�EPT the South 30.00 feet thereof;
Situate in the County of Snohomish, State of Washington.
HEREBY grant and. convey to the Grantee, the present and future owners, their
heirs and assigns of the following described parcel:
PARCEL B:
The West 54.22 feetlof the East 144.22 feet of the South half of the South half
of the South half of the Northeast quarter of the Northeast quarter of Section
19, Township-27 North, Range 4 East, W.M.-
EXCEPT the South 30.00 feet thereof;
Situate in the. County of Snohomish, State of Washington.
AN EASEMENT for the installation, operation and maintenance of a side sewer
line over, under and across the following described strip.of land, to wit:
The South 10 feet.of.the above described Parcel A.
THE maintenance of said side sewer line easement granted and conveyed.herein
shall be the responsibility 'of and the costs thereof borne by the Grantee, -
their heirs and assigns.
DATEI� this 2nd da .0 May, 1978.
ard
M/ umpus s L. B ft,
e�
-ar-cirihe -Bbimr�ds—
STATE OF WASHINGTON)
ss
COUNTY OF.SNOHOMISH)
On this day personally appeared before me,.M.S.Bumpus, Caroline Bumpus
and James L. Ballard, to me known to be the individuals in and who executed
the within and foregoing instrument, and acknowledged that they signed the
same as their free and voluntary act. and deed for the purposes therein
mentioned.
GIVEN under my hand and official seal this 42';I—day of—ZD�-i�, 1978
NO SALES TAX.
. REQUIRED
MAY 2 5 1978
By Deputy
3
"80525C,blt
Not(ary Public in ate. of
Washingtop, residiogkatO
in' k
0 1
64
STkEET FILE
CITY OF EDIVIONDS
CIVIC CENTER - EDMONDS, WAS14INGTON 98020 * (206) 775-2525
COMMUNITY D�VFLOPMFNT DePARTMENT
DATE: March 22, 1978
TO: M. S. Bumpus
19315 Olympic View Drive
Edmonds, Wa. 98020
HARV6 H. HARRISON
MAYOR
SUBJECT: DUPLEX TO BE LOCATED AT 19916-76TH AVENUE W.
TRANSMITTING: Copy of Engineering Memo of Mar ch 10, 1978.
AS YOU REQUESTED:
FOR APPROVAL:
FOR YOUR FILE:
REVIEW AND COMMENT:
COMMENT AND RETURN:
FOR CORRECTIONS AND
RE -SUBMITTAL:
REMARKS:
BUILDING DIVISION
/I
S"TREET FILE
P.9CEIVED.
A
MEMO TO:
FROM;
SUBJECT
'1978
City of Edmonds "
Community D!nt
DATE:
Building Division
Community Development Department
Engineering Division
Public Works Department
After review of the sub . ject building permit application, we have
the following comments:
]1±� pur-�'-"Cw0ays r-xfM,-Q-1D NOT 29\41ew VIE
PPUL
A A MOIR n4o 1�
hru—MM-Mi M
-A
i
DUILIAJIMV utrAft I Mr
V ' n Applicant Fil I
ZONE
lInside Heavy Lines
PERMIT APPLICATION
NAME (OR NAME OF BUSINESS)
JOB
ADDRESS
I
it 1,B T—
LEGAL LOT
LOT AREA SUBDIVISION NO.
MAILING ADDRESS
0 YES ONO
1 T�7.
P0
STREET R/W
CITY TELEPHONE NUMBER
EXISTING STREET R/W
FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST, R/W
FT. FT.
REMARKS
Z
�_JNAME
u
:.:I
ADDRESS
W
CHECKED BY III
Z
.r
CITY
-IONE NUMBER
STREET AND/OR UTILITY WORK
REQ'D.
R/W PERMIT REQUIRED Z
1:1 YES
NO
YES NO W
NAME
R
UNDERGROUND
WIRING REQ'D.
.14 V-S
j
YES NO
ADDRESS
TYPE CONNECTION
Ej y
BY
I q3 I i- Y/" Pi 4L
SANITARY SEWER
7ESVERIFIED
El No
L
CITY
TELEPHONE NUMBER
75�-IFIC SYSTEM
Y1 NUMBER
:, 1, LA",
t::! ovtq.-4 T> n
APPV'D By CITY ENG.
ON,
STATE LICENSE NUMBER
CITY LICENSE NUMBER
REMARKS
-213 -01 -A45-N -Ne- -4gg Po
C>:m-
_L-�)o
Legal Description of Propert� _(Show Below or Attach Four Copies)
METER SIZE
Bull DING SUPPLY SIZE
00 fZT .i--
-7
W
R MAHKS
SIGN AREA ENV. REVIEW A
ALLOWED PROPOSED COMPLE
A4, ..
Yc- 17--p—A -`So. co i=:r-- 0i= REMARKS
VARIANCE OR CU LANNING REVIEW BY DATE
1P
YARDS _/ i I LOT COVER . AGE
Zl*'- EW RrIRESIDENTIAL GAS Ca�; FRONT SIDE a REAR
LINE FIRE ZONE Tyll��F CONSTRUCTION CODE HEIGHT
ADD NON-RESIDENTIA ID SIGN -V ., �, 0
r_1 - 11973
DDEMOLISH RETAINING SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT
EIWALL REQUIRED GROUP LOAD
D ALTER F_jEXCAVATE FENCE .13 YES El NO
OR FILL X_FT) I I I -
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
REPAIR PRE -MOVE swim OF EDMONDS. LOCAL SALES TAX
11 INSP. POOL SHOULD BE CODED 31.04.
NUMBER OF STORIES NUMBER OF REMARKS
DWELLING
UNITS Z
NATURE OF WORK TO BE DONE
7—
PROPOSED USE VALUATION FEE
PLAN CHECK
NO. Z
PLOT PLAN (INDICATE BUILDING SETBACKS,
ABUTTING STREETS) BUILDING'
I - 0
PLUMBING
>
W
HEAT Be GAS LINE
FENCE
SIGN Z
RETAINING WALL
0
U
SWIMMING POOL
I hereby acknowledge that I have read this application; that the in-
TOTAL AMOUNT DUE
ination given is correct; and that I am the owner, or the duly author -
I agent'of the owner. I agree to comply with city and state laws regu-
ng construction; and in doing the work authorized thereby, no person
ATTENTION
APPLICATION APPROVAL
I be employed in violation of the Labor Code of the State of Washington
iting to Workmen's Compensation Insurance.
THIS PERMIT
This application is not a permit
OTE: Permit Limit One Year(Except DEMOLITIONS and FILL
AUTHORIZES
until signed by the Building Official or
ItMITS without conditional use permit, which shall be completed in 90
ONLY THE
his Deputy; and fees are paid, and
%; MOVED -IN BUILDINGS shall be completed in six months.)
WORK NOTED
receipt is acknowledged in space pro-
�NAT RE (OW3NER .7 ENT)
DATE SIGNED
I NSPECTION
vided.
DEPARTMENT
DIRECTOR'S SIGNATURE
S
CITY OF
EDMONDS
DATE
NOTE. Applicant, S16ject to, Plan aeck Fee
775-2525
This Permit covers work to be done on private property ONLY.
ay construction on the public domain (curbs, sidewalks, driveways,
�OFI IGINAL - File YELLOW - Inspector
marquees,,etc.) Will,re uire separate
q. permission....
;
GOLD - Assessor PINK - Owner