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20112 81ST AVE W.PDF11 lill iiiiii 7377 20112 81 ST AVE W NOTICE: -o-f-a- c-c u--r.a-cy - ------- - ------N-o--wa--r-r-a-n-t-Y- The information'shown on the attached map(s) was compiled for use by the City of Edmonds, its Employees and Consultants. The City of Edrn.onds does not warrant the accuracy of anything set forth on these rnap(�-). Any person or entity -req uesting a copy should conduct an independent inquiry regarding the information shoWn on 7--t-Ke -map(s), including, but not limited to, th . e loc'ation 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 City of Edmonds nor its ernp]-o-yee-s o-r office-rs -sh-a-1.1 be hilab-l-e for the information given on this map(s), nor for any one representation provided based upon said map(s). W "SEWER", "PER MAUT -,QFJED!M DIMS;: -;�7� 1511DE, _07Y WATEIF?�-SEW,ER',.*,DEPARTI�l-ENT. Y Nv ta. 'tcall, 7 !'1 i.,. , .,I d e'.;seWer -!n�r!�ct I onw -,:BEFOIIE.-c6�e�i�'g,-,'�n�,'Poition�-of*,the,:constrii'ction �hdli ay _Inspe&jb�s k.,, nspectlonl:will-,be� proirlded'.Avlthln,�24� r !6uisi after cquq.t r V, DRESSj�LOCAIIONI. F�tCi011i'�T'IkU,CTION A�if�'m U: .......................................... I ............... ............... .................. ......... .................... .................. IPROPERTY -L`EGW-L,'DES'CR1PT-1ON:-- .................................................................................... ............................ ................... ............ ... ................................................................................... ....................................................... ............................................................................ .......... ....................... ............. '-OWN�ER�,AW-lj/.OR�-BU:IL�DER.: ...... . . ...... . ......... ....................... ........ .. ........ ....... 2, CONTWACT6M, �XWMK.,& ADDRES& ........ ... er & . ............ L. : I I . . - . 1. 1 ..................... . ......................................................... ...... ........... ................................................. T! JUP6 gi . ....... ........ ..... 114 for -.rcpali'.and,,6i,,��iinecti6�. v.s . c I wer; ........................ f. JE'drhonds'.ordLna' ordaince,%%vlth�-Clt :o nce§.: jn�,acc -LLE D-,TO,,Tli E AT __,TENT1ON,JS,:CA FOLLO.WING: -of 3 sldle,; ropierity.-Ilh E, No�,. T The ovn�ri. %the )Property,,rna�:obtain a,,perm1t,Aojic, ns�r ..'e, e w'e r, t S la er.InIstreet' ire�-.: 'D'w not �covei, aany,portibn� of e�C,A,Ilcenseld Side S .6;ntr�Lctor mps 9.,(�mi�loy�djto cops ruct- ZL�' - 1 -1 - - � ",'sew �iev�cr - - before, It 'has;-bedn.lnspected� " 1., TE No. !2:�,,AlEwork.ji�rformed In -city,,�rikht7of-wa��,-,rdqLifi6s,:ap lk"am 6n RJghtof-.Way-P6r _ineer's,off`166 mit: obtaina:ble' from the Cjjy:En7g N6TE.,44. 73—'�obtiLiif,�fiifl3,info'rm'ation�regardingnOrdinane . e 11A ; .. . I . . .. . 6�0301.ancl`Reg a ons gov;erni�g_'side-�sekcrs -when: you,geV.p�rr6it.' 'Top,, of, side sewcr,:must t '30-.in,�hes cover� ge,it -,'propierty -1 he:�iLnd, 12,mchei IWAIde 'p6roper��::iine:*"'min'im'u-m�,gra:delof - '2 %: ';Np-* N P' T K", N_ o i 41� h a V. e. , a"t �. I e. a'. s P!n, s:im:gMde "sh"arper will be P6141ifftecl. -tha:ri - st riestored td:ojIgin*jjj,,_4U . ditti)'n-.�',Contractor;s,shzil� re s- ri s'ib 1 e:- f 6 r �f WI I u d e Co-,, I" p'r op. e r. V&TE`446.'�2-Tre street 'must,.,6e �,,�wo nchesAn i. . .. po 4 kki %�'hich�',ziie�y,develo�l.�vithiti 666 �eari&f 'carfiplet'i'oon.', VOTE, No.�,6�I I -.iter-:or:.'do any oihei work tham ls..Pr8vid�d for in Ithe.-perrnit,-,or toA6,*anX �vorlc on Ah� appurte�" t- so,unlawfuYlto.�a maln��sevvertor�its t fie �61pe into:'t wye.' he'. Y , D t . ...... 7—B Im PROVED,- jFq�;: W,66. ...... . . . ............ ... .. B .......... .......... Y- �V ...................................................... .. ,A PRO ....... ........ .................. I ............................ .. .......................................... ......... ......... - ............. ........ ...... . . ............................ .... . .... ......... ................. ........................ . ............. ....... ....... ....... ............ .. .. ....... ........... .. ... ........... ..... ........ ..... .......... ............. .... ....... c ign P, .1-BOT11,_jerniW! opies, AIUST.`-Be ed,..By�-Ow -mink -Construe ion�'PRIOR"To,�:Requ'e�t�.iF�,oi,�1,7)lhsp."�6tib'�""�''� S ne��4 �irn�.,Terfoi "e ... . ................................................................ ...... ;-hereby pertif y-,'th'd1-- I n* ka ation;'c6nstr.�idti�d,,iinder,",.t-his'-l)ermif' the.�ide,s';ewer, 11 tr�ciin*g -Fi�m'?I;ericr`rnin- (Owner.jof'�Con, g 0 c I ..gqver.ning�,ordifiAilc'�s4*6i�'.i.�6 �City -Of `,Edlnond�;;; S"Instahe&in:��ec rdan e:,w th%�11� J, Dift U . ...... ... .19 ....... . ed :.b,S":`.%..,*.......,_ . ..... Oth -1 li�ck,BkFORE�*yowdig: fi)r:-.; as -T61cphon(3riB,- L APPLICATION for The' City of Edmonds ME SIDE SEWER PERMIT SVEU I- I -F UCTION REPAIRS - S�F OWNER.... j ... ---------- ...................... ADDRESS ...... ................................ EASEMENT No . ....... .................................. CONTRACTOR ............................ F .................................................. PERMIT No. h ................. . 7-7 LEGAL DESCRIPTION: LOT No. 4�?-izA t ................ 13LOCK No. 0.0.0 ........ NAME OF ADDITION...., ............ !f4P�. -t5 .......... ;s f "RECE NED ,x -T, r,4 F-2j r) DATE ................ ..................... By ...... c ........ *!STREET FILE 0 302.1 Permit No.— q, 3 4 3 SAOHOMISH HEALTH DISTRICT Division of Sanitation Rockefeller Ave-p-ALpine 9-2061 Thmv-.o+_+ Wanhi mAnn Date -,5 - ..;? J - (0 / APPLICATION FOR PERM TO INSTALL OR RECONSTRUCT SWAGE DISPOSAL FACILIMS Name Address Address of Pro sed ite ;2- 61 Legal Descripwon: 7 2- Lot Block Addition �Aak.,� Type of use ex� No. of bedrooms 3 Lot size 9J-" — /20' Septic tank Capacity___2,00 gallons. Disposal field length__,�fg�- a Sketch: Remarks: Date Inspected by Approval.Mailed to -Installer Pate Rec. #_ SNOROMISH HEALTH DISTRICT 3011 Rockefeller Ave. " $5.00 fee for permit Everett.. Washington Phone ALpine 9-2061 LOT APPROVAL SHEET NAME &k� ADDRESS ADDRESS OF PROPOSED B=ING C,�� 9L.7 LEGAL DESCRIPTION: LOT BWCK ADDITION ME OF USE -Lg_, . NO. OF BEDROOMS_3 _SIZE OF LOT SOMCE OF DRINKING WATER: PUBLIC SUPPLY PRIVATE WELL' A. SURFACE DRAINAGE 1. Is disposal field site well drained? 2. Any water course (stream., drainage ditch., et-c.) through site? B. TOPOGRAPHY 1. Any heavy slopes in field area? 2. Will present topsoil in field area be removed or graded before field tiles are installed? �~&_o 3. Will any fill material be used in the disposal field site?,-,w.If yes., how much C. SOIL CONDITIONS 1. Has a hole at least 4 feet deep been dug in the disposal field area to determiae the tTpe of soil present? 11� 2. After hole is dug record the dbil conditions at the following depths. (Record as sand, gravel., clay, packed sand, loam., etc.) 12 inches 30 inches 18 inches 36 inches 24 inches 48 inches 4. Any ground water encountered before reWching a depth of 4 feet?^,�Jf so at what depth? D. WATER TEST A simple water test will show haw well this soil will drain or percolate water. To perform this test: 1. Dig a hole at least 36 inches deep. Use a shovel or post hole digger -- size of hole makes no difference --only depth. 2. Fill holewith water. Now let all water run out of hole. This soaks -the ground and will give a more accurate reading. 3. Again pour water in hole to a height of 12 inch(�s-from the bottom. Let water run out until there is just 6 inches from bottom left in hole. 4. Note how many minutes it takes for this last 6 inches to seep away. Record the time. Number of minutes for last 6 inches to seep away__� 5. Divide this time by 6 to obtain the rate per inch. (.1 6. Date water test was performed. 11- I hereby certify the above information to be correct and the above tests were per- formed by me as prescribed. Address NOTE: A septic tank permit is issued on the basis of the above information. If therf, are any changes or alterations in the above stated soil conditions it may result id tbLe installation beimg ria-Sected at the time of inspection. 0- 0 STREETF&LSH HEALM DISMUCT Division of Sanitation 302.1 Rockefeller Ave.,,-ALpine 9-2061 Everett, Washington Permit No.— Date_ S.,?,,3 - � / AppLICATION FoR PMMT To INSTALL On REC2pSTRUCT- S51AGE DISPOSa FACMMES OA-4-A-", a - � Ja--�� Address e(b Name ±X - Address of Proposq"d site -20/ .0 41 zz �e Legal Descrip&ny: 7-', Lot---.4 Block Addition Type of use e-,� No. of bedrooms Lot size Septic tank CapacityyLo gallons. Disposal field length!�4��. Sanitarian I s Remarks: Date Inspected by. Approval,Mailed to. Rec. # Installer Pate SNOHOMISH HEALTH DISTRICT 3011 Rockefeller Ave. 0 0 '$5.00 fee for permit Everett, Washington Phone ALpine 9-2061 LOT APPROVAL SHEET NAME a, ADDRESS _1 -7 - ?'/ -6d—d-p ADDRESS OF PROPOSED BUIMING_ 7 &t4t LEGAL DESCRIPTION: LOT BLOCK ADDITION, TYPE OF USE /%-k� NO. OF BEDROOMS 3 SIZE OF LOT. 4 S_ Y, / 3G SOUKE OF DRINKING WATER: PUBLIC'SUPPLY -,-.A PRIVATE WELL A. SURFACE DRAIXAGE 1. Is disposal field site well drained? 2. Any water course (stream, drainage ditch., etc.) through site? OWCON0221-1 �'_ 1. Any heavy slopes in field area? 0-1-t�o , 2. Will present topsoil in field area be removed or graded before field tiles are installed? 0 3. Wi" any fill material be used in the disposal field site?o22&.If yes., how much C. SOIL CONDITIONS 1. Has a hole at least 4 feet deep been dug in the disposal field area to determine the type of soil present? 2. After hole is dug record the soil condittions at the following depths. (Record as sand, gravel, clay, packed sand, loam,, etc.) 12 inches 30 inches 18 inches 36 inches 24 inches 48 inches 4. Any ground water encountered before reaching a depth of 4 feet?,U!,If so at what depth? D. WATER TEST A simple water test will show how we" this soil will drain or percolate water. To perform this test: 1. Dig a hole at least 36 inches deep. Use a shovel or post hole digger -- size of hole makes no difference --only depth. 2. Fill hole with water. Now let all water run out of hole. This soaks the ground and will give a more accurate reading. 3. Again pour water in hole to a height of 12 inches from the bottom. Let water run out until there is just 6 inches from bottom left in hole. 4. Note how many minutes it takes for this last.6 inches to seep away. Record the time. Number of minutes for last 6 inches to seep awav---:2 5. Divide this time by 6 to obtain the rate per inch. 6. Date water test was performed. I hereby certify the above inform tion to be correct and the above tea a were per- formed by me as prescribed. /a n Signed 0. Address IF& pL R / W , NOTE: A septic tank permit is issued on the basis of the above information. If thez-f. axe say changes or alterations in the above stated soil conditions it may result in - the inate3-lixtion bop_dmg "_3ected at the time of inspection. -p NINO 167:.?, i4p, wa,,, 00f &TGl Vim (,-rg, WAOt�- M-r(. 1; us I L-L Fm 7o J —A RECEIPT FOR CERTIFIED MAIL SENT TO POSTMAR K Mr. Ted Hollcraft OR DATE STREET AND NO, 1632 Madison Way P.O.jy E ND ZIP CODE WPI N L S AL FEES Sq n FIN 1. Shows to whom an dtdelivered .......... J. -)H' :ECUEIPT With restrietedddel' ---------------- d oil 2. Shows to whom, date and where delivere SERVICES � With restricted delivery ..................... RESTRICTED DELIVERY .................... -- ............ SPECIAL DELIVERY (extra fee required) PS Form 3800 NO INSURANCE COVERAGE PROVIDED— (See other side) Jan. 1976 NOT FOR INTERNATIONAL MAIL GPO: 1975-0-591-452 V, 6 CITY OF EDIVIONDS CIVIC CE;NT�R - FDMONDS, WASHINGTON 98020 - (206) 775-2525 DF-PARTMENT OF PUBLIC WORKS CERTIFIED MAIL Mr. Ted Hollcraft 1632 Madison'Way Alderwood Manor, WA 98036 Dear Mr. Hollcraft: 9 4j_t� 1/ -3 / 7 ? December 14, 1977 HARVE H. HARRISON MAYOP SUBJECT: SUBDIVISION S-30-77 An on site inspection was conducted on December 12, 197.7, by a member of my staff that revealed a drainage problem which now exists which was caused by your -development. Fill has been placed in the backyards, disturbing an,existing drainage swale, causing flooding to occur on the properties to the north. . You are directed to correct this situation within ten working days after receipt of this letter. The design of the drainage system must be prepared by a professional engineer. If you have any questions on this matter, please contact Mr. Bill Nims, Engineering Division, at 775-2525, ext. 220, between the hours of 8 a.m. and 5 p.m., Monday through Friday'. Yours very truly, SIGruD LEIF R. LARSON) P.E. Director of -Public Works WJN: lv CC: Building Division Reid, Middleton and Assoc. Nims date Asd't.C.E.da-te Admin.Sec.(date qq oil, 0: 'IX PY! A 1. ir, t JW49--� t" [17--3 (5t k�N -VA5 200 th. s t. S. W.- NOTE: EXISTING UNDERGROUND FACI LITI ES.HAVE BEEN SHOWN ON THIS -DRAWING FOR THE'PURPOSE.OF ASSISTING THE CONTRACTOR III LOCATING SAID FACILITIES IN THE FIELD. THE CONTRACTOR SHALL BE RESPONSIBLE.FOR CHECKING ACTUAL LOCATIONS IN THE FIELD AND CHECKIN( V, WITH APPROPRIATE AGENCIES THAT MAY HAVE UNDERGROUNI FACILITIES WITHIN THE PROJECT LIMITS. THE CONTRACI jv� I� .1 SHALL BE. SOLELY RESPONSIBLE FOR -ANY DAMAGE TO UNDEI 'It GROUND FACILITIES'RESULTING FROM HIS OPERATIONS. > r EXIST- COA(eRF-TE 40 DRIVEWAY 18' WIDE OND EXIS T 4- AS PqA I F C>91 V,5 WA >,- �j D Pmm IT R _6 -A 4 0 VIF eXIS rlAl&. 7__-0 'K11.0e -EA1 rA(ICA -_0 e.0Cr_=- -,eel A 70 Z. 147 0- 4 G. V.— 0. 0, no eL Ez. r) 0 N I V11 . -i S,N:. A-V 0/4-57 (::ier r-4 /A'S rAl L ar _i?IA_�j /--A" 7- A -T-S'Y. tovl 2 7-,2 yz 6 rc,. v., v4s. J) IV) C5_oe rmz_ej TABLE Ato. I m-H. FIEV Alo. L WA NO - -0 F_7_� I K'k' I I REIM�114ARK: teA s r,=A, 11vL /00 Ass"� J STREET FILE CITY OF EDftq" INDS HARVE H. HARRISON MAYOR CIVIC CENTER - EDMONDS, WASHINGTON 98020 - (206) 775-2525 DEPARTMENT OF PUBLIC WORKS CERTIFIED MAIL Mr. Percy Buchanan - 20112 81�t Avenue West Edmonds, Washington 98020 Dear Mr. Buchanan: January 5, 1978 SUBJECT: LAND GRADING AND ROCKERY INSTALLATION After receiving complaints of water back-up in the yards' in your neighborhood, the Engineering Division staff of the ' Public Works Department made a field inspection to discover what problem there might be. We have found that grading dnd filling' has occurred at the westerly end of your property. This filling has obstructed the natural drainage in the area. We have also found a rockery constructed within a City sewer easement. There is no permit file�for the work involved.' This work, the�efore, is a violation of City Codes. It is, there- fore, requested that you;contact Mr. Bill Nims, Engineering Division, Public Works Department at 775-2525, ext. 220, and Mr. Harry Whitcutt, Building Division, Community Development Department at 775-2525, ext. 253, immediately after receipt of this letter so that this problem can be resolved. Since this matter could involve damage to property and subsequent legal consequences, your prompt attention to this matter is required. RHA: lv CC: Building Division Engineering Division a1A, & it 11-1 4 -As s 1t.C.Ej date 7kdmih.Sec Yours very truly, SIGNED' LEIF R. LARSON, P.E. Director of Public Works JOHN LaTOURELLE, Director Community Development Department CQ C!') CD Cli, RECEIPT FOR CERTIFIED MAIL SENT TO . Percy Buchanan STREET �fft 81st Avenue �4est �O , �STATIANO Zll' Cor -n Edmnds, Wash to 98020 0 MARK 'T TC on DA Ur I IUINF%' date 0011VUTU" tl— delivery where RECEIPT 2, ShOVI d delivery Vo W'D"!' Ve 3"' SERYICES� With 1111"C"' ...... ....... ........ ............ Ry., —_,TR1CTVD DFLIVE11Y f (extra Oe S a ofljor side) (So No iNsURAN E COVERA E PROVIDED— —0-591-452 PS I jan.1 763800 NOT FO INTERNAT 0 AL MAIL GPO: 1975 -vv 0 11 /V C� OR IV ki- 23 09 z o Z z (uo 12-0 65 0 MFNO TO: FROM: SUBJECT: q-01*5 flue DATE: t I -S11-Is Building Division Community Development Department Engineering Division Public Works Department 44:)l 1 - AL-100 r5 1 4 ;=ILL ArN 0 After review of the subject building permit application, we have the EolloWing comments: (1) Coordination of the location of any structure with respect to kvili;ies, streets, property lines and drivewny grades is QF responsibility of the contractor. (2) The contractor is required to keep the abOtting streets clean - CA ot Urt is caused Fv the construction. (3) A "Right-of-Wav Construction Permit" is renuired, from the Engineering Pivision oF Public Works, for any work within the Public Rivht-of-Wav:or public easement. CAI Drivewav slope not to exceed 14%. PW S/77 4 I C. I T M, RT.: 2 rk, 15 7) ! -73 CIVIC CENTEP - EDMONDS, WASHINGTON 98020 - (206) 775-2525 DEPARTMENT OF PUBLIC WORKS CERTIFIED MAIL Mr. Percy Buchanan 20112 81st Avenue West Edmonds, Washington 98020 Dear Mr. Buchanan: January 5, 1978 SUBJECT: LAND GRADING AND ROCKERY INSTALLATION HARVE H. HARRISON MAYOR After receiving complaints of water.back-up in the yards in your neighborhood, the Engineering Division staff of the . Public Works Department made a field'inspection to discover what problem there might be. We have found that grading and filling has occurred at the westerly end of your property. This filling has obstructed the natural drainage in the area. We have also found a rockery constructed within a City sewer easement. There is no permit file for the work involved. This work, therefore, is a violation of City Codes. It is, there- fore, requested that you contact Mr. Bill Nims, Engineering Division, Pub " lic Works Department tt 775-2525, ext. 220, and Mr. Harry Whitcutt, Building Division, Community Development Department at 775-2525, ext. 253, immediately after,receipt of this letter so that this problem can be resolved. Since this matter could involve damage to property and subsequent legal consequences,your prompt attention to this matter is required. You very-- �]c 0_u - ry t ARSON, P.E. RECEIPT FOR CERTIFIED' MAIL or of Public Works SENT TO , Mr. Percy Buchanan STREET fb)12 81st Avenue West POSTMARK 104PHED OR DATE P.O., STATE AND ?IP CODE Edmonds, Washington 98020 '14-kC F'Ei 01,111014AL"VOVICIES FOR "AD61Y16 4 S S�_o;_stivK rn—i—d-dat RET Wito restoicted" delivp'-Y U ShowS th r . I ' ECEIPT 2� whom, date and where delivered SERVICES With restricted delivery RE TkFC�& I—SPECIIAL DELIilffiT(extru fee required) — PS Form [40 INSURA14CE COVERAGE PROVIDED- (See oiher s;de) hm 1976 3800 ':'IT FOR If4TE:1!IA1I0NAL MAIL I . I i: -'.P�) 1,75 ,N LaTOURELLE, Director munitv Development Department Ai co 193 and 194 0 U T I L I T Y E A S E M E N T IN CONSIDERATION OF BENEFITS TO ACCRUE TO THE GRANTORS HEREIN, THE UNDERSIGNED, P. F. Buchanan AND a'q 1041d N71 ;o_EREBY GRANT TO THE CITY 57 -ED,.ONDS, A VUNIC IFAL LORPORATION, A PERMANENT EASEME N T FOR THE INSTALLATION� OPERATION, AND MAINTENANCE OF sa and/or storm sewer ___jjn tary Li__ I OVERj ACROSS, THROUGH AND BELOW THE FOLLOW- ING DESCRIBED PROPERTY, AND THE FURTHER RIGHT TO REMOVE TREES, BUSiiFS, UNDERGROWTH AND OTHER OBSTRUCTIONS INTERFERING WITH THE LOCATION, CONSTRUCTION AND MAINTENANCE OF SAID UTILITY OR UTILITIES.: THE EASEMENT AND RIGHT-OF-WAY HEREBY GRANTED IS LOCATED IN THE COUNTY OF SNOHOMISH, STATE OF' WASHINGTON, AND IS MORE PARTICULARLY DESCRIBED AS FOLLOWS: The north 5 feet of the west 177 feet of Lot 27, East Edmonds Acres Div. 2 according to the plat thereof recorded in of Snohomish County, Washington. Volume 12 of plats, page 66, records A0 C Z' a L, L s4a J/ I /C C a &I S Je5 ilk -4_� 'e C\1 C:) C\I 1z C:� 0 C_> Uj C:1 L'i 0 J !ES _j 5: C_ L �- Z' > Q, . th C� THE C(TY AGREU TO RESTORE TO SUBSTANTIALLY THE ORIGINAL CONDITION'SUCH IM- PROVEMENTS AS ARE DISTURBED DURING THE CONSTRU'CTION, MAINTENANCE AND REPAI-R OF SAID UTILITY OR UTILITIES; PROVIDED, THE GRANTORS, THEIR HEIRS OR ASSIGNS SHALL NOT CON- STRUCT A.NY PERMANENT STRUCTURE OVER, UPON OR W1 THIN THE PERMANENT EASEMENT. DATED THIS ./,S;aDAY OF r�MWmV�QW00 I STATE OF WASHINGTON) ) SS COLr.'TY Or SNjx+0UA?54- AND ON THIS DA'Y PERSONALLY APPEARED BEFORE ME r3(1(, 6t L oe /I- C c -7 1L :'[SCRIBED Cv TO ME kNOWN TO BE THE 11 11-1 �1111UAL �S� '�AT IN AND WHO EXECUTED THE WITHIN AND FOREGOING INSTRUMENT, AND.ACKNOWLEDGED __JL(Le.,Z S I GNED THE SAME AS �_4.' j- FREE AND VOLUNTARY ACT AND DEEDj FOR THE USES AND PUR41OSES THEREIN MENTIONED. :W,iv,,GIVEN under my hand and official seal this ay of , 196, _5 d A NO Fla T STATE O�� PUBLIC 'N� NQ/ R Y I T INGTIN, IESID NI A p A OFFICIAL RECORDS op .......... V ,Irc vot 278 PACUE 78 PUBLIC WORKS DEPAR CHECKLISr BUILDING PER41T REVIEW S) 'eY r St'eef Right-o -Way�Existing_. REQ'D L JA Z Access Easements Existin� 0 K) Lr- REQD H 94 Utility Easement Existing. REQD REQD NA Lot Per Subdivision— ar% Plat Afses sor Site Plan Checked'for Ac&xacy_,��.-_ Z Underground Wiring Reqd. FA 0 Check Accuracy of Legal Description Z Review by Dat6 112o, Existing Water Main Size.. Water Main Required Service Line Required Hydrant Size Existing 'e g s t: Hydrant Reqd Per Fire Code d Per F e Co Size �� r Detector Check �leter Reqd. Cross Connection Inspe on c io I sp I t ts Fire Departmment, ts Water eir ge Reqd._ Zew by Y Date Septic Tank Design Approved Septic Tanl�� Permit No. Sanitai y SZ Pro, Drawing No. File No. Side Sewer Availabili k F4 Sanitary Sewer Gomnne Fee Reqd.... I A4 S �3: Review- by ()pen Ditd?'Exist Rc Culvert Reqd. Size P4 -catch Basin Reqd. Indicate on Site Plan 0 Shoulder drainage maintain collection on swale, open runoff W Manhole reqd. Indicate on Site Plan Soil Conditions and Ground Water Field Checke ZZ --,g, le - Review by Date— /K- 4 !N/ Revised: 1vlO-1977 Page 2 Street Paving Reqd. Curb and Gutter Reqd. Sidewalk Reqd., Curb Cut for Driveway Reqd. Right -of -Way Construction Permit Reqd., Ye r Ae aAxe gw AMre astew.Z Bond Reqd. for Public Inprovenents Street Nanv-- Sign Reqd. Other Signing Reqd.. Pre Permi� Site Tnspection made an z 0 BY: SEWER WATER z STREET ENGINEE;;G 1-4 Special Requirements listed in mem to Com=ity Developmeant Deparnnent, Building Division BY Date o All item filled in on Building Permit Application P4 BY Date P-1 Drawings Starrped and Notations Made P4 BY Date Approved by Public Works Department 1*z A-PPLIC&NX Flu -,CD RIS RAU Y020 CAMNEN A 1>21% NAOIL P9:h%LVM o PrLSO M C COMQOP- 090 OqM, SAN. S&rW I N lic Is W-'Nv AIPPL3kWdR Rdvised:. lv 10-1977�. CITY OF EDMONDS STREET WORKS DEPARTMENT, ENGINEERING DIVISION XpaTWA PhD QTr.WT-OP-WAV rnmQTD11('TThf,1 DPDMT'T THIS PERMIT MUST BE AVAILABLE AT THE JOB SITE FOR INSPECTION*PURPOSES Applicant to Complete Parts A and B A. Permit to be issued to:_ /73uc z7w4o/v For Work at:(address or vicinity) Type of Work to be done: (attach drawing when app Time Required --.Start: Owner: Name Finish:' Mailing Address City State Zip Telephone Number Contractor: Name State License Number Mailing Address City State Zip Telephone Number B. INDEMNITY: 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 applicant or the City of Edmonds, or any of its 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 grantingthis 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 subject to inspection and restoration in accordance with City Code. A 24-hour notice is required for inspection by Engineering. Call 775-2525, ext. 220. I understand that this permit must be available at the job site for inspection purposes at all times. Signature/ -' Date: TO BE COMPLETED BY ISSUING AGENCY: 6� Date Issued: 211012,9 Permit No.: —Fee:. Security Bond: Time Authorized: - APPROVED B I F I . . F f 1 7' f T� - . . i - , A I Date. 9 0 City of Edmon& ,0�_ 77 z - ,, - N RIGHT-OF-WAY CONSTRUCTION 8 9 0 - 19 () EET FILE PERMIT Permit Number: �5 - _3�- / Issue Date: 9 - ?,i5 A. Address or Vicinity of Construction: 20112 81 Ay W 4,,(9401751) B. Type of Work (be specific): Install New Service C. Contractor: leahinfton Natural Gas Company. Contact: Frank Swan Mailing Address:,815 Mercer St. Seattle, WA Phone: 924-2278 98111 State License #: Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. F] Commercial E] Subdivision 0 City Project [A Utility (PUD, GTE, WNG, CABLE, WATER) F1 Multi -Family E] Single Family E] Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut: 0 Yes iRNo G. Size of Cut: x H. Chargq�_$ APPLICANT TO READ 44;1,� SIGN INDEMNITY. Applicant understands and by his signature to this application, agre4&tu4told the City of Edmonds har11e_.1f2o;; i 'es,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 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 BYCITYFORCES, AT WHICH TIMEA DEBITOR CREDIT WILL BE PRO&SSFD FOR ISS11ANCE 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. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. .5#eet shall be kept clean at all times. T'faffic 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 e,fid of the working day; NO EXCEPTIONS. Ihaveread the above statements and understand thepermit requirements andthepink copyof thepermit willbe available on si�te art all �tes for inspection purposes. Signature: -00'PZ---- Date: November 15, 1993 *""-*�on t_r`actwo4'rT7Mf�r0 CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: TIME AUTHORIZED': VOID AFIPER DAYS SPECIAL CONDITIONS: COMMENTS: DATE: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. Nv. 1991 ra FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.) Comments: I Diagram .: CONTRACTOR CALLED FOR INSPECTION El YES El NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: ACM Nat�yrWGA=';7 AV,69- go &VWC=rCWV , Addendum to City of Edmonds Right of Way Permit Application Submitted by: Guyla Connors Engineering Aide Washington natural Gas 521-5248 00\ k2, Ot \AJ A /"� 0411+ /V. AWNG to window 44 Water main depth unknown gas main,,-- �Ij 0 CIUF� All , Key: -w- water -g- gas -ss- sewer -9-- water hydrant 0 -water valve 815 Mercer St. (P.O. Box 1869). Sc4ttk, WA 99111 (206) 622-6767 LYLE THORPE 3023 NW 75TH STREET SEAT-rLE, WA 98117 783-6427 RECEIVED FEB 2 5 1994 PUBLIC WORK3 DEPI. FEBRUARY 25,1994 RON HOLLAND 200 DAYTON STREET EDMONDS, WA 98020 REF: LEAK CREDIT ACCT. NO. 428525 DEAR SIR: ON OCT. 15,1993 WE PURCHASED THE PROPERTY LOCATED AT 20112 81ST AVE WEST IN EDMONDS. THE HOUSE HAS NOT BEEN OCCUPIED YET BUT WILL MOVE INTO SOON. ON NOV. 27,1993 WE VISITED THE HOUSE ONLY TO FIND THAT A CARTRIDGE IN THE SHOWER VALVE HAD COME OUT AND WATER HAD BEEN RUNNING FOR A UNDETERMAIN- ABLE LENGTH OF TIME. I REPLACED THE CARTRIDGE AND NEW RETAINER PIN. THE WATER DAMAGE WAS COVERED BY ALLSTATE INSURANCE COMPANY. IF POSSIBLE WE WOULD LIKE A CREDIT TO OUR WATER BILL. THANK YOU, L.M. THORPE RE17URN THIS City of -Edmonds. Combined t Utility, "i seii stIme I-R2 PORTION IF* YUU'r'O NOT HAVL A PRCSSUnC RCCULATXNG VALVE ON WITH YOUR YUUR WATER SYSTEM TO�PROTLCT rRom PRESSURE SMGESp,," PAYMENT A .'YUU EPIOULD IWj* 'ALL ONC- r, rzrz C�' LIMONDC C'A"TY CODE'RE— Qui, r_* ;,. I I REMLNTS* OR MORI— 'INF'ORMATION CALL THE',WATER Message DEPAR,rHENT AT 771-02135p cxT. 3412. For JUST A RL MINDE-rZ 'TO CURDOIDE RCCYCLCr�cjt,. KJ'NSF- CAN3 & CONTAINrr4s, ncimovc Lx)BCLS'FROW TIN ZI 0: You F'001) CANS ON-Y; DISCARD CAPO & JAR LIDS IN THE M*&- BAUE ' & ' FLATTEN BOXES* **-xYARDWA0TC WILL -BE PiCKED LNO 8 9 0 9 0: ONCL A MONTH DECEMBC114 VC-DRUARYo, ruR.xwo* CALL SUOND (778-2404) OR LYNNWOOD Diar=AL (778-0188). City of Edmonds Edmonds Combined Utility R:� MkTER:FEA "':'CONSUM al F WA TER - WASTE WATER 0: ACCOUNT NUMISER: .346 392 46 *5 22 STORM WATER ORA INA GE 0 _4 11/17/93 1/10/94 2 ;ERVICE _J. 3. kDORESS* cc SERVICE 20112 SIST AV W ADDRESS Lu. FLUORIDATLD 20112 i�161' AV W PAST DUE 1b. 3/07/94 AFTER TOTAL AMOUNT DUE 105#L17* CCOUNT NUMBER: 42e525 'AST DUE AFTER: 3/07/94 �:KEEP THIS -MOUNT DUE: 105 17 P6RTi6w---t THORPE L.YLE ��F6RYOOW 3023 NW 75TI-i—' SEATTI.JE. WA COMBINEDUTILITY.WATER— WAS TEWA TER--- STORM WATER/ DRAINAGE STREETFILE CITY OF EDMONDS 250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206)1771-0220 FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT C) Q) Public Works * Planning e Parks and Recreation e Engineering February 28, 1994 LAURA M. HALL MAYOR Lyle Thorpe 3023 NW 75th Seattle, WA 98177 20112 81st Ave. W. Leak Credit Dear Mr. Thorpe: I have reviewed your account and will allow a credit to your account according to our City policy: the average consumption for the same period -during the previous year charged at normal customer rates, plus the excess usage charged at the City's cost, plus a surcharge of 15% applied to the excess only. Only one leak credit will be granted in any three year period. Should you have any additional questions after you receive your new billing, please contact Ilene Larson, Utility Billing Clerk. Sincerely, /W; Ron Holland Water/Sewer Supervisor RH/l k . cc: Ilene Larson Utility.Billing Clerk #428525/TXTWATER 0 Incorporated AUgust 11, 1890 a Sister Cities International — Hekinan, Japan 9 CD tz) �'70 " WHER �J- 30- HEIGHT AR NNING J tocy v STREET FILE ATE RECEIVED �,PEFIMIT,E,XPIRES CITY OF EDMONDS 4SE PERMIT ZONE NUMBER yv,i 0635 CONSTRUCTION PERMIT APPLICATION "OB SUITE/APT# ADDRESW OWNER NAME/NAME OF BUSINESS PLAT NAM E/SUBDIVI SION 140. LOT NO. LID NO. LID FEE $ MAILING ADDRESS 4. TESCP Approved 0 z R' �ZCU12, PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required 0 0 EXISTING - PROPOSED, Street Use Permit Req'd 0 Inspection Required 0 Sidewalk Required 0 PITY ZIP TELEPHONE 6 141S`774- -5_t_44�1 REQUIRED DEDICATION- FT Underground Iring requ a 0 NAME METER SIZE LINE SIZE I NO. OF FIXTURES PR,V REQUIREQ - I YES 0 NO A . . ADDREtS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL(DRAINAGE z W CITY ZIP E NAME ENGINEERING REVIEWED/DATE ADDRESS ir FIRE REVIEWED BY DATE ui z U. CITY ZIP TELEPHONE 0 Fa; 6 ;Ww' - 710. - 99.50. VARIANCE OR CLI SHORELINE OR ADB# INSPECTION REO'D BOND POSTED 29Y. STATE LICENSE NUMBER EXPIRATIO�,PATE CHECKEDB syrye C I 0 YES 0 NO SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOW D PROP ED 7A1 N 07 HEIGHT ALLOWED PROPOSED , I PROPERTY TAX ACCOUNT PARCEL NO. ISO OA 7 A 25 EXIsn% EXP NEW RESIDENTIAL RL PLUMBINGaMECH LOT COVERAGE ALLOWED YROPOSED REQUIRED SETBACKS (FT.) FRON S17E I REAR PROPOSED SETBACKS (FT.) FRONT E REAR ;LWIRSI ADDITION 0 60MMERCIAL Ei COMPLIANCE OR CHANGE OF USE, z PAR,ING- REQ'D I P,R6V, bED LOT AREA I PM41EZ DATE REMODEL APARTMENT S16N REPAIR C] GRADING FENCE CYDS 0 X FT) V E] DEMOLISH C] TANK OTHER GARAGE RETAINING WALL RENEWAL z CARPORT ROCKERY (TYPI OF USE, BUSINESS OR ACTIVITY) EXPLAIN: CHECKED BY TYPE OE.QQtAS-IRUCTION OCCUPANT J, K-1 , . 9�Oup OF / NUM; NUMBER OF DWELLING CRITICAL AREAS. w SPECIAL INSPECTOR AREA OCCUPANT STO e Ae /9 UNITS NUMBER REQUIRED C3 YES I t2 57U= LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC'108/FINAL INSPECTION REO'D M VALUATION' FEE CHECK FEE 15 PLAN HEAT SOURCE GLAZING % LOT SLOPE % BUILDING (90 1*70 PLAN NO* VE§TED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK To BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADING/FILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE .j SEPARATE PERMISSION. _u STATE SURCHARGE 45 PERMIT APPLICATION: 180 DAYS W PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE U) IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF j LANDSCAPING 2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGE NITS FROM ANY AND INSPECTION FEE ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTL�Y.,OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT RECE T 7 7 g 71,.: DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 7 q 0 NOR LIMIT IN ANY WAYTHE CITY'SABILITY TO ENFORCE ANYORDINANCE PROVISION. x RECjI%C'j IS &L, n' TOTAL AMOUNT DUE, ()17 1 0 I HEREBY ACKNOWLEDGE THAT I HAVE : READ THIS APPLICATION; THAT THE INFORMATION -IS APPLICATION APPROVAL GIVEN CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTPUC- CALL This application is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid. and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION /I rec90 is acknowledged in space provided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. �Ifk R AGENi) DATE SIG ED .0 AL N (4.2, 5) Q/T E 1,7 I 7 1, 1 L', 6 2 0 I L AS ATTENTION EXT 133.3 /IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEW MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR 5/98