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-)EN G I N EER S CERTIFICATE.
DESCRIPTION
e er and Land Surveyor do t� ereby certify fhs�
Civ1*1 Enqine
-A Replat. of Lots /and, 2 Block / A Iderwood Ma'.ndr No. -9) dS r-ecorded ROBERT E. THOM,�t, 21VD ADD.` is based upon an ic-tual survey and. -fhg� all
fy) Wa5h- n et as shown.
In Volume, /0 of Plat-�, P,3qe 6 �ecord3 of Snohomi5h Coun, lot-9 ,-)ave been 5taked and mo'uments, -5
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OOD MANOR NO. 9.
A REP-1-A-T OF. L?TS 1 &2 'BLOCK-1 -'-.ALDERW
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LEE ABBOTT SEPTEM B ER
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RECEIVF-o
STREET USE PERMIT APPLICATION JUL -L 21994
pUBLIG
\IVORKS DEPT
NAME OF
APPLICANT:
H(CHAEL A. WFC-L
NAME OF
BUSINESS: PIA
8/' 00
MAILING
ADDRESS: /_01�0i�
CONTACT
PERSON AND PHONE NUMBER:
ADDRESS OF PUBLIC USE: t-- t-, /A pi JUL--
Ir RECEIVED
ibe dhe publicplace or portion ol public space to be utilized:
-C'r' 7-
i 0. , (?F 'A , -TC) APR 2 � 1994
4 Z14CEA):Z
118.T rc- P PW �F P 7- -T P; V- ( C A 7- M F -\ OA -� �tAI-7
NDS FIRE DEPT.
ttach a plot plan.
Specify the type of use
Specify the length of time for use
NTTE.- The issuance of this permit is understood by the applicant to be of a temporary nature and that
vested right is granted.
INDEAINITY. The applicant understands and by hiAer signature to this application, agrees to hold the
City ofEdinonds harnilessfroin any injuries, damages or claims of any kind or description whatsoever,
foreseen or unforeseen, that may be inade again * st the applicant or the City of Edinonds, or any of its
departments or employees, including but not limited to the defense or any legal proceedings including
defense costs, court costs, and attorneyfees by reason ofgranting this permit. In addition, the
application understands that the City shall be provided a Certificate ofInsurance to indemnity and hold
harmless the City ofEdniondsfrom all clainis andlor property damage, and naming the City ofEdinonds
as an additional insured
CODE A PPLIC4 TION. By signing the application below the applicant warrants that s1he has read or
had the opportunity to read Chapter 1� Jothe Edinonds Community Development Code and Ae
understands that all ternis of the adopted ordinance are incorporated herein as ifsetforth in full and this
application andperinits therefore are subject to the terms of that Chapter.
SIGNATURE DATE
A�m t L,
SIGI\TATURE OF APPROVAL FROM ABUTTING PROPERTY OWNERS
When applicable, if the street use proposal directly impacts any adjacent business or private property
oNvncr the applicant must obtain NN,rittcn approval from tile affected parties. This requirement is evaluated
by City Staff after the initial submittal of the application.
Signature
Signature,
Signature
Signature
:Address
Address,
Address
—Address
DO NOT WRITE BELOW THIS LINE ... FOR CITY USE ONLY
Planning Division Review: ADB#
Approved By
Date
Cry-- D
&o. d
Public Works Review:A dBy at
ate ,4
Fire Department Review: Approved ByAM-6,-z L
Police Department Review: Approved B Date —
Permit Coordinator Review: Certificate of Insurance Verified 7-4�
Engineering Divi.sion Review: Bond Required A) 4 Amount $
Approved By Dated
Remarks or
Comments-,
PERMIT 9 .
RELEASED BY
-DATE OF ISSUANCE
RECEIPT
M a zrw eer'j pt qTve—
A'rj y 44Z — Low— OeS jeoJ,3 i L ( TY
-'rOAJ
A-44) L. eSS o sr— LO CA,
0
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LdCA7L (W
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WPEAT� If
co IWF- P- TIC -A Ki
4F S'k R 0 6.r
(-VCA-C(QA)
ISF-CTWA) OF
k(GkT Or W,4Y
pnevlool owvcu
PAOE
fw p IS-EI)
WAT C k METER
G kklec
City of Edmonds
Plan-Rvview-C-off-ec4iop,&
Project Name-?/,6C—// Plan Check #
)� L-10' C t C�, C ;T-
WRIP17, -,TTIMMEMINUMM
Reviewer Department Date
"y 0
D-U C, Lasbc
CITY,of EDMONDS SS LICENSE APPLICATIQN,
a", Civic Center - Edmonds, Washing LICENSE N3e!6';—
sip
City Clerk Phone 775-2525 Dir. 01 '.'-t*0e60% USI NESS ANNUALFEE AFTER FEB. 15
ICLASSIYEARI LICRMPW.lWbmL-*6&fii�--LiC-.UO.ISPEC.1 X (A) HOMEOCCUPATION $15.00 $ 22.50
INSTRUCTIONS:
All items must be completed
or application, will not be ac-
cepted.
Sign and - ret urn ! application
with fee. Renewals received
after February 15 must pay
penalty in addition to fee.
NEW BUSINESSES AFTER
JULY 31, 112 FEE.
NAME OF FIRM
MAILING ADDRESS
jD0 '130, -708&
V I i 'T 1' 11 41 MO ft
RECEIPT NO. DATE PAID
PRINT '31' 7�
IN SPEC. _x
FOR ISSL 0
FEE PAID PENALTY V'AID CORREPTEDF
I LICENSE WITH
I I I I I 'LC' ACTION.
El (B) BUSINESSWITH $20.00 $ 30.00
1 TO 3 EMPLOYEES
0 (C) BUSINESSWITH $22.00 $ 33.00
4 TO 9 EMPLOYEES
0 BUSINESS WITH 10 $75.00 $112.50
OR MORE EMPLOYEES
X NEW APPLICATION (LA)
0 RENEWAL (L B)
0 CHANGE (LC)
(PIfEASE MAKE ANY NECESSARY Cl-iANGES) 0 DELETE (LD)
z1I BUSINESS PHONE NO. OF EMPLOYEES
775
NATQ_RE OF BUSINESS
-e-
BUSINESS ADDRESS INDIVIDUAL PARTNERSHIP CORPORATION
�2 0 6 &q h d .14 1) k�V' EM (S) (P) (C)
OWNERS NAME HOME ADDRESS
tie A -e o
HOMEPHONE DATE OF BIRTH PLACE OF BIRTH SOCIAL SECURITY NUMBER
__? r:>,
F�r 61
EMERGENCY NOTIFICATION (1) NAME & TELEPHONE '76 :7 -
(PLEASE LIST TWO) (2) NAME& TELEPHONE 3 -1 ? .., _Y("
WASHINGTON . STATE TAX NO. Aq4 APPLICANT'S SIGNATURE
DO NOT WRITE BELOW THIS LINE
STAFF REVIEW: FILL IN LAND USE CODE, LIFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR DISAPPROVAL, DATE, AND
SIGN, IF DISAPPROVAL, PLEASE COMPLETE "COMMENT" SECTION. ROUTE TO NEXT DEPARTMENT ON LIST.
PLANNING DEPARTMENT 'C
DATE / /Vr A LAND USE CODE ZONING CODE
0?""APPROVE 0 DISAPPROVE
71 1 re FS1 H-En
SIGNATURE,�
CONDITIONAL USE PERMIT
COMMENTS
BUILDING DEPARTMENT DATE
Buildigg 1 0
Hotel/Motel
(L)
1�i�PPROVE 0 DISAPPROVE SIGNATURE
Permit 0
Apt. Bldg.
(A)
M I I 1 0
Office Bldg.
(0)
Occupancy 0
Restaurant
(R)
COMMENTS:
Group 0
Hosp/Nurs Home
(H)
CAPACITY: (NO. UNITS, APTS. OFFICES, SEATS, BEDS, STUDENTS)
0
School
(S)
FIRE DEPARTMENT DATE /0 -9-01 U. F. 1. R.
1,Y, APPROVE El DISAPPROVE SIGNATURE 62 44kL�___ I f 171 X
COMMENTS:
POY-GE DEPARTMENT
DATE A SIGNATURE
Q��APPROVE El DISAPPROVE
COMMENTS:
PUBLIC WORKS DEPARTMENT
0 APPROVE El DISAPPROVE
Comm
DATE SIGNATURE
NOTICE:
N�o-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.onds does not - wa rra nt the
accuracy of anything set for.th on these
map(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
-t-He -map(s), including, but not limited to,
the lociation 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 c-ity of Edmonds nor its
emp-1-o-yee-s o-r offiCerS shall] be I'l-a-b-1--e for the
information given on this map(s), nor for
ion provided based
any one representat'
upon said map(s).
APPLICATION
as 50w for
The City of Edmonds bjtit:r. I FILC SIDE SEWER PERMIT
NEW CONSTRUCTION K REPAIRS
EASEMENT No . ...........................
OWNER . ................................ CONTRACTOR .......... 0"l14le . ................................................................ PERMIT No . ...................
ADDRESS ci2.0e?0.6 ...... ............................ LEGAL DESCRIPTION: LOT No. ................................ BLOCK No . ............................................
..........
get 6"'e 4-,-t/ NAME OF ADDITION ... ;PO 1-�(eflZ-YZ ..... ........
Ydf .............. I
0
.0
Approved:
APPRaVE D
SEP 17 1969
C
DATE..�.!A ..........
Al
CITY OF EDMONDS
CIVIC CENTER —'WATER-SEWER DEPARTMENT
SIDE SEWER PERMIT
Call ]FRospect 6-1107 when work
Is ready for Inspection. '(No 'nspec- N2 '1456
tions Saturday, Sunday or boldays.) ej
ADDRESS............. 5:0PhOP ... Ry� ... 41py ............. ....................................... ..........................................................................................
�OWNER ................. 2 10. 8.0 5 .. . .... 8.2nd .. AYg, ... W .......................... CONTRACTOR ........... !?�!ner
... ................................................................
Permission is granted ..................... 19. � 9, for ........................ days to REPAIR or CONNECT a side sewer
With City Sewers in accordance with application oil file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
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.
N!i \1o. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
N(,,,No. 3—Top of side sewer must have at least 30 Inches coverage at property line and 12 Inches Inside property line; minimum grade of 2%.
No bends In grade sharper than 1/8 will be permitted.
NOTE No. 4—Trenches In street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to improper work which may develop within one year of completion.
NOTE No. 6—It is unlawful to alter or do any other work than is provided for in the permit, or to do a ny work on the main sewer Or its appur-
tenances except to Insert the pipe Into the wye.
OV EDAf
CITY OF EDMOA47FILE
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: APPROVED ENG20130185
Permit Number: ENG20130185.
Address of Public Use/Encroachment: 20806 82ND AVE W, EDMONDS
PROPERTY OWNER BUSINESS OWNER
20806 82ND AVE W
EDMONDS, WA 98026
fence encroaches into row on 208th St SW (originally permitted in 1994)
STREET USE.- Placement of any temporary or movable objects in any portion ofpublic space or City right-of-way shall
meet all code requirements as selforth in thefollowing chapters of the Edmonds Community Development Code.
ENCROACHMENT. Permanent structures encroaching upon any portion ofpublic space, City right-of-way or
easement area shall meet all Code Requirements as setforth in thefollowing chapter of the Edmonds Community
Development Code.
CODE APPLICA TION. Chapter 18.70, 17.65, and 17.70.040 of the Edmonds Community Development Code. All terms
of the adopted ordinance are incorporated herein as ifsetforth in full and this permit therefore is su1ject to the terms of
those chapters.
FOR THE TERM IN WHICH THIS PUBLIC USEIENCROACHMENT IS IN EFFECT, THE OWNER SHALL COMPL Y WITH
THE PERMIT CONDITIONS SET FORTH B Y THIS PERMIT
NOTE. The issuance of this permit is understood by the owner to he of a temporary nature, shall vest no permanent right
and shall he issued and may in any case he revoked at. the sole discretion of the Cily per ECDC 18.70.040. Applicant is
responsible to provide a copy of the insurance cert�flcate to the City at the beginning of each calendar year, no later
than the 21st day of January.
INDEMNITY. The Applicant understands and agrees to hold the City of Edmonds harmlessftom any injuries, damages
or claims ofany 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 but not limited to the defense of any legal
proceedings including defense costs, court cost, and attorneyfees by reason ofgranting this permit. In addition, the
applicant understands that helshe shall provide and continually maintain during the term of the permit a ceritificate of
insurance naming the city as an additional insured, with respect to liability, andproviding that it shall be primary as to
any otherpolicy of insurance.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HISMER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED.
Printed: Thursday. At)ril 11. 2013
F� FILE COPY F--] INSPECTOR COPY F--] APPLICANT COPY
STANTMAPPROVIED ENG20130185
The proposal will not adversely impact public space open to vehicular or pedestrian travel.
Architectural Design Board Approval has been granted or the process has been administratively
approved.
The proposal will not unreasonably interfere with the rights of the public.
The,proposal either benefits the public interest, safety or convenience (e.g., supports or protects the city
street) or is an accessory structure such as fence normally associated with residential use of the property
as fully complies with the requirements of criteria above.
Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per
City standards that is caused by or occurs during the permitted project.
Sound/Noise originating from temporary construction sites as a result of construction activity are exempt
from the noise limits of ECC Chapter 5.30 only during the hours of 7:00arn to 6:00prn on weekdays and
I 0:00arn and 6:00prn on Saturdays, excluding Sundays and Federal Holidays. At all other times the
noise originating from construction sites/activities must comply with the noise limits of Chapter 5.30,
unless a variance has been granted pursuant to ECC 5.30.120.
Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify
defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from
any and all claims for damages of whatever nature, arising directly or indirectly from the issuance fo this
permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirements of any
City ordinance not limit in any way the City's ability to enforce any ordinance provision. '
I INSPECTIONS
a None