20419 81ST AVE W.PDF111111111111
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20419 81 ST AVE W
CITY CLERK
CITY OF EDMONDS
121 STH AVENUE NO.
EDMONDS. WA 99020
CONFORMED COPY
200107230980
07/23/2001 03:18 PM Snohomish
P-0001 RECORDED County
STATEMENT ON ACCESSORY DWELLING UNITS
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Property Address: 1EDVkc>eQbS1 WA,
Edmonds, Washington
Legal Description: 1w;-11N"-s,0A-L6 A��PLT LL 113 71r. [4
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Assessor's Parcel Number:
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I have read the requirements for 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 until after an Accessory
Dwelling Unit permit has been approved by the City of Edmonds.
I also understand that approval of an Accessory Dwelling Unit permit is subject to
compliance with identified criteria, to public comment, and neither this statement nor
the issuance of a building permit shall act to limit the discretion of the City in the review
of any application for an Accessory Dwelling Unit permit.
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Property Owner Signature:
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Date:
e CU '614 —Y.
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'All OF WAS` XVP
STATE OF WASHINGTON
COUNTY OPSNQ4QNU&H-)—
I certify that I know or have satisfactory evidence that
signed this instrument and acknowledge it to be his/her free and voluntaj��ct- f�ilthe uses and
purposes mentioned in this instrument.
Notary's pressure seals must be smudged. Dated: C,
1
Signature of
Notary Public:0'04 VL—,9-4A
Residing at: Ld c,,
My Appointmbnt
Expire s: __ / r�— — /I
THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY AUDITOR.
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CITY OF EDMONDS ATREE7 ILE
COMMUNITY SERVICES DEPART
RIGHT-OF-WAY CONSTRUCTION PERMIT
A. 0 Owner: Washington Natural C:as B. 0 Contractor:
W 156 Av NE
Mailing Address
.Bellevue, WA 98007
City State Zip
e Address or Vicinity of
Type of Work to be D
C/L frm +/-289'S CA
Work in Connection With:
Pavement Cut: El Y 0 N
APPLICANT TO READ AND SIGN
F Sub or Plat
El Commercial
PermitNo. ?9-&4/0
Issue Date q — 0?6 - oyhy
Name
Mailing Address
City State Zip
State License Number
9 81 Av W
447-0700
Telephone Number
0 Single Family El City Projects
El Multifamily Ix Utility
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, forseen or unforseen, that may
be made against 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 granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE
YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed
by City forces, at which time a debit,'or-credip I will be processed for issuance to the applicant.
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• A 24 hour notice is required for ins'pection; Please call Public Works: 771-3202
• Work is to be inspected during progress and at completion.
• Restoration to be in accordance with City Code.
• Street to be kept clean at all times.
• Traffic Control to be in accordance with City regulations.
.0 All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
no exceptions.
I understand the above and that this permit must be available at the job site for inspection purposes at all times.
— . . I
Signaturrem4l Date: 9-15-88
V Owner or Contractor
This Permit Must Be Posted at the Job Site For Inspection Purposes
Call DIAL -DIG Prior To Beginn ing Work
ISSUED BY: CM - Ohua-'�
Time Authorized: Void after —days.
Special Conditions:
Amendments:
PERMIT FEE: '4; 0,0 Q-0 (,A /-.( �ta
Security Deposit:
Receipt No. 4,
Fund I I I Fee:
Street Cut Dimensions:
X
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. July 1985
FIELD INSPECTION NOTES
(Fund I I I - Route copy to Street Dept.)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION ' 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved. By: —
FINAL APPROVAL BY:
Date:
Date:
Eng. Div. July 1985
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NOTES:
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BEFORE. YOU DIG
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ITEM QUANT. DESCRIPTION
BILL OF MATERIAL
PERMITS: E-Dmot�jtxc��, 1/4SEC: SFE 19-?-'7-4
PLAT:, 163-069,
OP MAP.- 16o-c)69
AREA:
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20419 81 ST AV W
52-650
85-940
70-260
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DESCRIPTION
DATE
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CHK'D:
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DRAWING
883-692
REVISIONS
SCALE: i "=SO'
A PPQ\
APPLICATION
for
LY.t4N PLANT
SIDE SEWER PERMrr EASEMENT No . ....... /'9----
C3
IRIMT NEW CONSTRUCTION E] REPAIRS �' / /D J3 !2
PERMIT No.
CONTRACTOR........... .....................................
OWNER ---- A.k ...... O.'nv-4.0 .........
LEGAL DESCRIPTION: LOT No . ..... ....................................... BLOCK No - --------------------------------------------
ADDRESS .... q.(:0.0 ....... ........... .........
NAMEOF ADDITION ........... --------------------------------------------------------------------------------------
I'Ll 1 '0 e,
APPROVED
CJTY��,Off EDMONDS
CIVIC,�GENTER WATER -SEWER DEPARTMENT Can PP-OsPect 6-IL107 when work
is ready for inspection. (No inspe,
SIDE SEWER PERMI'T i"ous S�t�aY, Sunday or holidays.) 'No 2 If- 6 4
ADDRESS ------------------------- 2041 81st Avenue West
OWNER;.,j ----------------------------------------------------------------- - ---------------------------------------------
.. a-1-d-0 --- 4-aagme-P-atex ------------ ... CONTRACTOR Owner
Pernlission is grante . . ........................................
.d Jjja'y ------------------
with City Sewers in ... ......... ................. nk-7-, for
accordance 'With applicatio., on ------------------------ days to REPAIR or CONNECT a side sewer
ATTENTION IS CALLED TO THE FOLLOWING: file and governing ordinances.
NOTE NO. I —The owners of the Property may obtain a 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 inspected.
NOTE No- 2—Obtain full information regarding Ordinance 11.16.030 and Regulations
N"TE No- 3—Top Of side sewer must have at least 30 inches coverage at Property line governing side sewers when you
No beads in grade sharper than % will be Permitted. get permit.
-E No. 4—Trenches in street Must be water settled and surface of street restored t and 12 inches inside Property line; minimum grade of 2%.
failure due to ' *
Improper work o original condition.
NOTE No. 5--It is which may develop within one year of comPletion. Contractors , shall
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 appur
tenances except to insert the Pipe into the wye. ble responsible for
Approved:
. .................. By .................................. * ................
DATE �� ............. X7 ..... -
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