20428 82ND AVE W.PDF11 lill 111111
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20428 82ND AVE W
9,1020102281,
STREET FILE
STREET FILE STATEMENT ON ACCESSORY -UNITS
Property Addresmei,���,-
??%so �--
Legal Description :
I have read the reouirements for accessory units contained in Chapter
20.21 of the Edmonds Community Development Code and understand that an
accessory unit, including a second kitchen, is prohibited for at least
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
to'a public hearing, and neither this statement nor the issuance of a
permit shall act to limit the discretion of the City in the review of
any application for a Conditional Use Permit.
Property Owner Name. (�6R4 LD 14 Avesw —
JtAt4Ak-7Z J
Date -
STATE OF WASHINffON)
COUNTY OF SNOHOMISH)
I certify that I know have satisfactory evidence that
a ie q P LAe -f I e- M - e,* C. �,-Tee7p/Ije 660-rt?
G 6K P 14 (SO ff- C / 14 signed this instrument and
acknowledge it to be (hA- e
t-1-6-free and voluntary act for the uses and
purposes mentioned in this instrument.
A R Y Iseal or stamp)
Pnv\�J
0,61, MAY ig.
141toF Wks
Dated
SignaTure o!
Notary Publi
Title
My appoint ent
Expires 9z
THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY AUDITOR
in SNOHOMISH County, Washington:
LOT 7, EAST EDMONDS ACRES, ACCORDING TO THE PLAT THEREOF,
RECORDED IN VOLUME 12 OF PLATS, PAGE 33, RECORDS OF SNOHOMISH
COUNTY, WASHINGTON�
EXCEPT THE SOUTH 70.00 FEET;
AND EXCEPT THE EAST 114.00 FEET OF THAT PORTION OF SAID LOT 7
LYING NORTH OF THE SOUTH 85.00 FEET;
AND EXCEPT THE WEST 414.32 FEET.
I (ALSO KNOWN AS LOT C OF SHORT PLAT NO. 5-78 RECORDED UNDER
RECORDING NO. 7805190280.)
SITUATE IN THE COUNTY OF SNOHOMISH, STATE OF WASHINGTON.
which has the address Of 20428 82ND AVE. W. EDMONDS
(Street] [City)
Washington 98020 ("Property Address");
[Zip Code]
NOTICE:
No --warranty. of accuracy.
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of �Edm.qnds does not ' warrant the
accuracy of anything set forth on these
rnap(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
'm a p (s) ,
t including, but not limited to,
th-e location of any sewer stub shown. Such
sewer stubs may or may, not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
ernpto-yee-s o-r offiCe-r-s') -sh-a-11-1 be 1.1-a-b-.11--e for the
information given on this map(s), nor for
ion provided based
any one representat*
upon . said map(s).
4 APPLICATION
The City of Edmonds pt for EASEMENT NO . .......................................
SIDE SEWER PERMIT
ILE
NEW CONSTRUCTION REPAIRS E LID NO - ------------------ ASMT. NO . .............
OWNER ------ �AC-)l -------------------- CONTRACTOR ..... ------ 10- .......... PERMIT NO.
JOB ADDRESS .... zol!��-.-!�� ----- W..�F .......... LEGAL DESCRIPTION: LOT NO . ............ e -- ---------------------- BLOCK NO . ....................................
..................................................................................................................................................................
NAME OF ADDITION .................. :- ........ 7 .... e. ------------------------------------
..................
Approved:
DATE........... ................
P
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F IM MS 't-SID, FRS,1 W.AER"VERM"IF
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WIAT
:4 ER�SEWWER) -bEP26iTrvtEN.,k1
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. .... . PEJRM!1Ytz-,`-
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n' covergij`
f 81"'v.s
C, 11-175 , 2525,'. o de... ewe,_.1 ons, BEFORE g,'�,,�py,,poition, of' Ahe �constructl
, . . , , ?
P hourts: afterr.eq
:Sti'�: -or"iholid Inspect o
l0be, rovided" within 2 4
a y .. ....
%
LRROVON...'...�..- .............................. . .....................................................
PROPE kdA�LODESCR
7 ............ ........ 7_7 .................. ..............................
......................... ........
............................. ........ sz ....... .......................... ....................... .............................. ........................... ......... ........
ER, AND/OR; BUIL . ... .. 2
... .......... ........ ...... .......................................
7
NT-RACT-OR ................... I ................... .......... .......... ........
le". M-�WIE;,&'ADDRESS.., ................. ..
.......... ....... .............
............ 497*7!!�i, for-.jrepair'�aridvor.l�conit�ctio:n, of.a:- 4lde--sew.er,-t,othe:,c t.*o�s4nipdr S.Pwe�P
yr.:
'teMAn- -accord 0 S.,
�.'igys anceiwith�CiVi,—of Edrni_iid&:ordtna;nce
!:CkkLLED�TO',,THiC.I�.OLLOWING':
X_4 Ko.,:.!-L�,The,,c,wnir;,.of'the,,prop�rty may.obtain,a permit,� to., construct, sewer. Inside pr6perty line: A)IIcensed Side- Sewer, C'c'�ntractor must�6e-�mp Ioyqd.to,,consCruet'.
side"Be-wer tri itreet.area. - Do not -cover. anyportion 'of,isewer bifore It 'haw.been inspecte&
NOTE;N6.f 2�*111'work;lperforrned ; in- city right-of�way requires� an- InVasioh; of -Right-6f-Way Permit� �obt� �al nable .,from, the Clty'Englneer'�
.�NOTEI)NO�,'�3"�Obtain,,full-informitioni.�egaxdliig,�ordinarice�1-1.16tO3O�andc Regdlati()ns-�fgoveriiing,�idei�se%�ers;.when, you get',pTrmit'.,
V'e.-,atlle"t:.36.4inches-,covei�age: at,property�. line.:&nd�,',12,ifiches,�insideLI �iopefty.,.,Iirie:!*Imlnimum�',gradel'of -12%'. o,�be I
Z40T&,N6.. 4-��Top,,,of.�'side,,,sew�r,,'mu�t.,I�a nlds� in,,'�grade
sharper th&r� �.'.wjII116ie.permItted.
:NO,T-F to, orlginal;'4condition�-,,,,'.Contractors, shall:',be, responsible, !for..*failu e.,due7..,tO,,,:jmprOpq
T'Noi,'�5--iTrenchesiin, street.,miist;be' water 'settIedk,and,:surfaceof �street'restor d
work.,which� may develop Within �or4j. year of copnpkttjon�:
:4L ther-',workAh&ft-i*s,p' r !'i es,jqxc PVA6,�
A PI"Y o rovided, for- W the,pe mIt_or,Aodo- any' work -on the. maAm sewer. t6r� Its-. app'urtenanc e in
.*'sert',theepi�e-into4the,wye.*,I
............ ............ t..�'ft- ................. . ..............
DIS",PROV*6 Datei...!10 ... 0: .... .......... . ..........
_7
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APPROVED"',,— ........
- - , , . .14....�i ...... ! ................. ....... ............................... . ........
4'.
............................ ...................................................... ................................... ...............
-P
............................ ....... ............ ........... ..........
............... * .......
............................... ............... . ........................................ ............................ ................. ........................ I ...... 7 ........ !7,:t':7, 77"
Wner- of Tirm P 's t'r'- u c't
,_;BOT -,Termit o;p,,i'e& M T�.Be�pigned�-By 0 erfoii�ifi �n dom
4
:,hei�.eby'certif-y'�,thE�t,.�the-,si e�sew.er,*Ilns al aiion, constructed, underAhis,,perxnit,,,';
. . . ............... . .. ............................. .
Insa,
it rmi %-Performing, Co uction-Y.. 7
r:of��Contr:ac
-install 4n.-accordan I g n. y :of, Edm6fids.,.
6e. -Jal oypr inj� indncestof: the�Cit
. ...... .............................
;D4ted!,thls..:q'2,;`..? ... "Of ...... ....... . ....... :7 ..... 9
Y
&ORE j
Chee . Alg-for:. Water',:E]". elm 01,,._,,Teleph*onw Powe Sewer i[3_
li ai You 6iher'',E]j
#0 APPLICATION
The City of Edmonds for EASEMENT NO - ---------------------------------------
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS F] LID NO - ------------------ - ASMT. NO . ..................
ojW 6t1t , '
_57
OWNER .... ....... ---- CP�-0$e4V ..... CONTRACTOR .. ... ....... 0-0 . . ....... ..................... PERMIT NO.
JOB ADDRESS --- 6;2-10.�-4190 --------------- 0,0-\ LEGAL DESCRIPTION: LOT NO . ........ r - ----------------------- BLOCK NO . ..........................
----------------------------------------------------------------------------- 7 ...................................... .............................................
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4
4
DATE....................................... .... By ................................................... ViWE
0
STREET FILE
'C 'COPD
1-'l).!M,l)s, I)tjl)-]c DE
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-T-\NC)
PUBLIC 14ORKS DEPART= CHECKLIST -7e?)
Date
STREET FILELD ING PERMIT REVIEW
D�, et-'j B_
Address
Street Right�of-Way Existing (poz�o o REQD
Access Easements Existing 5t�MA�1�)t-A\j REQD
Utility Easement Existing REQD
Lot per Subdivision' Assessor Map
Plat
Site Plan Checked for Accuracy Ile
Z
Underground Wiring Reqd.
P4
Check Accuracy of Legal Description
Environmentally Sensitive Area
Environmental Checklist Reqd.
Z
Flood Hazard Zone
U
Shoreline Management Area
Slope,.Soil, Vegetation
Stream, Creek, Drainage Basin
Existing Zoning Per Code
Amenities Design Board Approval Reqd.NC'jL-j[_-=5 ADB # Approval
Board of Adjustment Approval Reqd. jnt\
Review By: t2 -N� I;Al� Date:
k.
Existing Water Main Size
Water Main Reqd. A-J119-
Service Line Reqd.
Hydrant Size Existing C- t-
Hydrant Reqd. Per Fire.Code Size
Detector Check Meter Reqd. A)O
Cross Connection Inspection
Fire Department CamLents
Water Meter Charge Reqd.
Review by: Date: 5�2p
Se tic T
Septic Tank Permit Reqd. Permit No.
Sanitary Sewer Availabief� Proj Z-1
Drawing No. File No. It,(O
Side Sewer Availabi lity 'r?b t-(k
W
Sanitary Sewer Connection Fee Reqd.
En
RevieT By - Date:-E;-- "7
UILDING DEPAR * TMENT Applicant.Fill
PERMIT APPLICATION Inside Heavy Lines
NAME JOR
NAM OF BUSINESS)
C/) 6
W MAILING ADDRESS
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3: f— 4) 114/
0
�Ily ELEPHONE NUMBER
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NAME
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ADDRESS
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m C TELEPHONE NUMBER
14A , E
0 ADDRESS
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CITY
TELEPHONE NUMBER
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U STATE LICENSE NUMBER CITY LICENSF—NUMBER
30
Legal Description of Property (Show Below or Attach Four Copies)
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USE PERMIT
ZONE NUMBER
JOB
ADDRESS 8'� "V.
/qu-c.
SUBDIVISION NO.
PLAT NAME
ASSESSOR MAP NO.
PUBLIC RIGHT OF WAY PER ORDINANCE NO.
EXISTING RIGHT OF WAY
o
PROPOSED RIGHT OF WAY
DEFICIENCY OF RIGHT OF WAY
0
STREET/UTILITY WORK REQUIRED
YES
NO
PERMIT FOR WORK IN. PUBLIC R/W
YES
NO
UNDERGROUND WIRING REQUIRED
eYES
NO
CONNECTION TO SANITARY SEWER-
415YES
ONO
SEPTIC , TANK PERMIT REQUIRED
1:1 YES
I&N 0
SEPTIC TANK PERMIT NO._
SEE MEMO:D:AT:ED
-�EMARKS
ol;z)
1-1,q
.
CHECKED
mLmk�
LDING SUPPLY SIZE
SIGN AREA NV. REVIEW ADB No.
ALLOWED PROPOSED I COMP� I
I LETE I EXEMPT I
REMARKS
VARIANCE OR CU
YARDS_
NEW F-I'R"ESIDENTIAL GAS a -CS FRONT
I a' 11 1EILINE FIRE ZONE YPE OF
ADD Li NON-RESIDENTIAL SIGN
DEMOLISH RETAINING
WALL
ALTER EXCAVATE FENCE
El OR FILL Ell— X—FT)
EIREPAIR PRE -MOVE swim
INSP. POOL
---7
SpEzi�CTOP
REQUIRED.
0 YES 0 NO
PLAN CHECKED BY
N UMBER OF STORIES
NUMBER OF
REMARKS
2-
DWELLING
UNITS
NATURE OF WORK TO BE DONE
(2"'Alo /-P- d e- /-" 41, "/ ' 0 /�Z'
-Az �' /4 /L� /f�
PROPOSED USE
PLAN CHECK FEE
1-2,,� .57 li- //9-
PLOT PLAN IINDICATE BUILDING SETBACKS,
ABUTTING STR E ET S
BUILDING
PLUMBING
MECHANICAL -
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
P LANNING REVIEW BY DATE
LOT COV ERAGE
SIDE ISIREAR 350/6
CO.
iCONSTRUCTION CODE lHEIGHT
AREA JOCCUPANCY CCUPANT
LOAD
L
--7—H�CATED IN TH[E CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
VALUATION I FEE
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