20829 80TH AVE W.PDF111111111111
7152
20829 80TH AVE W
cc
U_
LU UJ
H
C)
ir
0 Q
c) 8
M CC
LU LU
4X4" Mr. MOM W C45F APPROVED AS NOTED
000 a4. jgWAff UM
BY ENGINEERING CITY OF EDMONDS.
BUILDING DEPARTMENT
"PROVED BY PL�.N71NG. L WORK. r <_rcAf��
Date:' fj .7 ADDRESS 003
)P FWM. WicAmotJ 4AALL MOT OWNER
-Fir Ctskrt A !:,rtF- 011,zirtARLe "AaMLA
c?
APPROVED DATE: /Z//O//15f _v
BLDG, OFFICIAL
v
-PE-RM17T—
W"ER'
MLOW CAP. AAW -2
209th ST SW I REe4a aor ix x
a,
Z07,7
FOLM XGLOW CAP AM Z07.
4w
a0e A X
174496.. Z07-5:
N 013V7' W Hr On Faar is a 7r, s cf)
, 7 A a16' 1K OF ME tWOR.
Mw COR : _�_q
SCAM 1. 30' ArXE awssm E f SO,
�:j .9 OF A&. AWK COR
0' M rZ PROR. COR
LOT COR MOE Is
P :9,
t.ar m a a7r I OF
SF FRW. OGR
LEGAL _Q=W776�.'. RM, r Da au=
Zg F1111OV
LOT A PLAr.OF PLEASANTVAL& ACCORDING TO 771E
'CORDED IN VOLUME 37. OF PLA M 3�7-14
PIA T ThEREOF: K J-90vow
;PAGES NA AND,144, RECORDS OF.S.VOMOMIS-H.. 4W - 11
COUNTY: W.4sHmTON. - Z07.4'
.97VATE IN THE C"TY OF SNOH0MJ_%I,. STATE OF
WASKNOTO/V N\64-- JL20,
TAX:PARCM-NUMBER. 00660WOOWWO
Ocr . - - '. , N SOMIJ2' w
51 ZE ADORM 2082V � 80 TH A W W, EDMONDS, WA
98026
209th, ST SW
EQU4PM0VT.USM- IDCA TERP 1205 ROBO 77C
(j� DIRECT READING THE0Da17r,WTH:F_D.M.) Z07-J. REIC'EIVED.
PRiCISION.OF- CON7ROL ZRAWERSE IS AT A HICHZER 1 11?7- 9
LEMEL� 7HAN.MINIVIAW -STANDARDS REQUIRED BY WAr, fN
.3,32-IJO-oga, OEP�2
2 2014
pplicant Shall. repair/replaosiall damage to
a4STSOFBE4Rffir,
.� : .. .. :I �... or froptag n*tS in City D
PLAT OF'PLEASAN TVAL& ACCORDING 70 THE PLAT ifibes eimprwe EVELOPMENT SERVICES
WEREOF RECORDEDW* VaWhff J7 OF-PLAM PAGES t-of-myper�Qty.St@nrjard. thph Q%WMW -------------- MUNTER
14N. AW 1,K -RECORDS � OF'SVOIHOMM CaWr,,
AX4.00= MOM w
CAM of owum during Me
sussoom ae. pwWed projecL
aw
J-;,-I# . . I I INDEXING DATA:.SE 1/4
SE 114. SEC. 19 TWP. 27 N RGE. 4 E AML
LEGEND
FOUR, lnc�
,4;.—BDIV. CqRNER/FOUND
RECORDING. CERTIFICATE
SURVEYORS CERTIFICATE..
WGROUP:
'A'
+--!SU13D1v. CORNER/NOT FOUND
PO BOX 1059 1 ME VERNM M SM
LAKE STEVENS. WASSM
FOUND CONC. MON., IN CASE
0 FOUND SURF?kCE:MOIN.
%.UR. DIC.
THIS_��-
URRITESPA,
THIS IWAP CORRECTLY REPRESENIS A SURVEY LUDE
13Y ra OR.UXOER my DMECTM IN, CONFCRMMCE WITH
SU
THE REQUIREMENTS OF-, THE RVEY ROCORDOW IWT, �,T
=VLJ mrm.
VOLUME
THE REQUESTIV LAOA OLDS
OF SURVEY -
EXISTING��APPED REBAR -
RECORDS 0 . ............. ..... RTON
Ttp
FOR
'CAPPED.:REBAR #39450
J045D
LINDA OLDS'
o. ..SET UNE ST�,KE
RE— LAMP —r4FYOR'
SNOHOMISH COUNTY WASHINGTQNL
COLY *-STREET FILE_
PUBLIC :S 1111:PT. OTT.!, 11.5T
1.11PILDING. P111"UT PFVM.y
Strcet Pdght-oF-1,ay Existinr_ M -f ) J)
4:6
Access Eas'Cillents Fxi.�tinsl R1Y)D
P-4
Utility Miscinent Existin REOD
Lot Per Subdivision Plat A.�scssor TTaD
Sito Plxi (Iccl:od for Accura
CY
u
0',Cz,t pC4.)l(au �Tteafd p
�Ovlc.,.r �)v Da. tc
7!
Water Voct!iro
H\ (Ini'l t -izu
Hv(Iran-, red (\.or t-ire
t
I)Ctcctn-r n,ccl: "'c-'er Rcmlircd
; i zo
&4.ptic Tzm,: Ritc
scptic rccl�,drcd Povii t '7o.
Side 5cv.re� Availabili
Er mi V117Y _(�y j,,,,j(�Ctj.()jj 17�C,. J1C(jjjjyC(j
r )nncc .01, ra, i I -Co
S, _0
C,�: In,
D i t d I !:.N 3 " t I
"'Ci, C',
r4
CIIIVC'lr7 IT d
0
Catch Basin !'%C,(;Ull d
C
H
Irl
0 CCLI) D i
"ro I .
HIC �O.
— IZ C o. u i r
S I
j.zC
7.
Nailholc roquil-CO oil S1
soil coildit.jol',F, OL13111 1*.',1'LCl' IiCld (11OCLC1
Rate
!,'7i 1:0 Plan
zu 11
I
s t I 'aV i I Ig Rujilircd
(T ---------
t "' "i",
ftirb -UlJ C�lt - Rcollirc(I
- I � I t
sida!'111- Pcollircd
Dlilb Ou t for Privuway Rkcquircd
t I. P,
Pj.-h Construction .11t Rc C,Ilircd
'j
0
on tru
cto,
",--,Zc
t
Bond 11couired Iblic I mp r 0 ve F. e ts
)
-C
_i 1,c
Strc xie S j. an !\Icqiircd
Othcr S i - n i r. g PCO.16 3-cc!
11rc I)cr,,,ii -c lnsn-,,�ction T-.-aclo on
BY: Scwer
L
u
Water
Strcct
Yllf"IncCul P'T
I-cd in
Spoci, Rc(:ui mts Ii.st
to Bui) j n t.
p
Date
Al I fill.ccl ill on ]ICTI-lit
Apphc,a--�,- ion
c
Stanped zmild 1%,otaticils �!,.alc
C4
Dato
Approvc(I lb�, PulDlic 1',orhs Yk�pzfftw�cnt
BUSIOSS LICENSE APPLICATION*
STAFF ACTION
APPL. NO.:
CITY OF EDMONDS
SIDE
�R�EVERSE
DATE:
250 5TH AVENUE NORTH
EDMONDS, WASH. 98020
(APPLICATION FOR:
TELEPHONE (206) 775-2525
NEW LIC LICENSE
BUS. RENE YEAR
[:]
ANNUAL FEES
TYPE BUS. CLASS FEE PENALTY
HOME A $10.00 $ 5.00
SMALL 6 15.00 7.50
*GENERAL C 50.00 25.00
10 EMPLOYEES, OR EMPL WORK
OVER 120 MAN -MONTHS PER YEAR.
FELASS FEE PAID PENALT,Y PAID
LICENSE RENEWAL
RE71EW BELOW INFORMATION. PRINT CHANGES AT RIGHT
L--)
r2. APPLICANT
IAL SECURITY NO.
NAME
DATE OF BIRTH PLACE OF BIRTH
M A DRESS
3. BUSINESS IDENTIFICATION
NESS I BUSINESS PHONE
WASH. STATE TAX NR. I EMPLOYEES I ORGAN. JOCCUPANCY
TYPE ORGANIZATION
IF BUSINESS IS:
HOTEL/MOTEL
TYPE
L
CAPACITY
NR OF ROOMS.,UNITS
C
0 C CORPORATION
APT.BLDG.
A
NR OR APTS
D L LTD. PART
OFFICE BLDG.
0
NR OF OFFICES
E P PARTNERSHIP
RESTAURANT
R
NR OF SEATS
S S SOLE OWNER
HOSP./NURS. HOME
H
NR OF BEDS
I I
. SCHOOL - - - ---
S
NR OF STUDENTS
4. BUSINESS ADDRESSES
BUSINESS ADDRESS
LICENSE MAILING ADDRESS
r5. EMERGENCY NOTIFICATION
NAME
AREA]
TELEPHONE
(1 1
(2)
OFFICIAL USE ONLY
U.F.I.R. CODE
BLDG.
PERMIT
OCCUP1
C.0 . . PERMIT
LAN72-0�
-7 �IWAL
C-ENSENUMBE�
V_�t Q Ly
LA - NEW BUS.
nf
LB RENEWAL
LC CHANGE
LD DELETE
CL.ASS[YEAR
I LIC. EFFEC. DATE
I REASG. LIC. NO. I
SPEC
RECEIPT NO. I DATE PAID
Y, / fr1l 71 1 P N SPEC. BOX
Fo ISSUE OF
FIE PAID PENALTY PAID CORRECTED
LICENSE WITH
6 1 1 ! I
-1 LC' ACTION.
LICENSE APPLICATION AND CHANGES
PLEASE PRINT CLEARLY
c
2. APPLICANT
. ILAST NAME, FIRST INITIAL SOCIAL SECURITY NUMBER
I 10.�5-3 I (.117? I;t 13
DATE OF BIRTH PLACE OF BIRTH
MO. J.DAY IYETRI CITY - '757TI
kPlakioirld 11 Ill� it falo Ii IWIA I
HOME ADDRESS
/3. BUSINESS IDENTIFICATION
BUSINESS NAME (FULL)
PAL I I I I I I
NATURE OF BUSINESS (DRUG STORE, CPA, ETC) BUSINESS PHONE
ma I ol I I I A, 1 71?,11137,1`1
p WASH. STATE TAX NR, ANTICIPATED TYPE OF OCCUPANCY
k,,�R,EGISTRAT N . EMPLOYEES ORG N. TYPE CAPACITY
ENTER APPLICABLE TYPES AND CAPACITY t t
4. BUSINESS ADDRESS
B I . 7STRUT
OAJA Pvegg;�' ?I ai�
-rrcrmt - MAiLINU
F-aLDG Nu-m-13ER1 I STREET I FA-P-T- —NO---]
CITY I I STATE I I ZIP
tl
5. EMERGEN Y NOTIFICATION (IN EVENT OF FIRE, BURGLARY, ETC.)
(1)
(2)
L
LAST NAME, FIRST INITIAL.,,,
KAUT50,U, 44 MTM+l IQ
AREA CODE
Alo IG
TELEPHONE,
11_3 fill
L7.iv 19.L-
TELEPHONE
2is 1 iL
A L ;Z-2
LAST NAME, FIRST INITIAL
Aj(JI7� -qqc�� I IV,
ISIOI�)j I
AREA CODE
alol(;
5S OFFICIAL USE ONLY
LI.F.1 R I PRIM. UNITS BUS. BLDG. PERMIT OCCUp. GBp.
COD Y1111115#11 I I F'
WND. US PERMIT LAND USE
ul IOMO
CITY CLERK'S
SIGNATURE
E] APPROVED [:]' DISAPPROVED DATE
;t'Rlm CC 1 '10 1,31
APPLICANT'S
.SIGNATURE Q�L
BUS. TITLE
Rr.-, I I'(') (-.I*. "I., cldi-' R-K
DATE -17'
'Citly 0
' � ") ( `3 f)
CITY of EDMONDS
B LICENSE
UOSS LICENSE APPLICATION DA*
NO.
Civic, Center Edmonds, Washington
98020
ANNUAL FEES
Ud
IT FI.LE
PENALTY AFTER FEB. 15
City Clerk Phone 775-2525
alit E HOME OCCUPATION
INSTRUCTIONS:
CLAS S
LIC. EFFEC. DATE
LIC. NO.
SPEC.
$10.00 (A)
ADDITIONAL $5.00 0
All items must. be completed
5YEAR IREASG.
_L1
0 SMALL BUSINESS
or application will not.be ac-
RECEIPT NO.
DATE PAID
A�
PRINI 'X'
$15.00 (B)
ADDITIONAL $7.50 0
cepted.
I 15X
IN SPEC. BOX
I
0 Busines.s with 10 or
Sign and return application
FEE PAID
PENALTY PAID
FOR ISSUE OF
. CORRECTED
more employees
ADDITIONAL $25.00 0
with fee. Renewals received
LICENSE :WITH
'LC' ACTION.
$50.00 (C)
after February 15 must pay
0 NEW APPLICATION (LA)
penalty in addition to fee.
KI RENEWAL
(LB)
NEW BUSINESSES AFTER
0 CHANGE
(LC)
JULY 31, 1/2 FEE.
(PLEASE MAKE ANY NECESSARY CHANGES) 0 DELETE
(I_D�
NAME OF FIRM
I BUSINESS PHONE -
I NO.
OF EMPLOYEES
P -%\I[) L FNITFRPRTSF__�
MAILING ADDRESS
1-1.9 Rqx ?')P
L Y N A n
7 7 .'�- -3 9;� L
NATURE OF BUSINESS
", % I L G R D I R
I
BUSINESS�_A-DDRESS
INDIVIDUAL
PARTNERSHIP CORPORATION
rl�? 3
Qt�?9 1 OTI-I
AV
(S)
(P) = P
OWOERS-NAME_�
HOME ADDRESS
77
v ,,, t j T S !, 1,\ I 4p
2082'P 30T11 AV
vi 15�3 6
HOME PHONE
r5_1&TE OF BIRTH
_r'
PLACE 6P9i TA�
SOCIAL 803URIV-N(JIM8E]�.�
EMERGENCY NOTIFICATION: (1)
NAME & TELEPHONE
;e 77T
(PLEASE
LIST TWO) (2)
NAME & TELEPHONE
20.f, - 71 17 ?3
WASHINGTON STATE TAX NO. 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 DATE LAND USE CODE ZONING CODE
C�"APPROVE 0 DISAPPROVE
SIGNATURE 1/z 15 1 1 F],
CONDITIONAL USE PERMIT
COMMENTS U= =1
ILDING DEPARTMENT DATE
APPROVE El DISAPPROVE SIGNATURE
COMMENTS: -Koffie—
CAPACITY: .(NO. UNITS,'APTS,,
FICES, SEATS, BEDS, STUDENTS)
FIFtE DEPARTMENT DATE
& APPROVE 0 DISAPPROVE SIGNATURE
COMMENTS:
PF
,�C,E DEPARTMENT
Ey "
PPF -DATE Z
ROVE 0 DISAPPROVE
COMMENTS:
SIGNATURE
Building
13
Hotel/Motel
(L)
Permit
E
Apt. Bldg.
(A)
0
Office Bldg.
(0)
Occupancy
El
Restaurant
(R)
C
'aroup
0
Hosp/Nurs Home
(H)
0
School
(S)
11UMAIN MTN in FAIRS 1111 -91
PUBLIC WORKS DEPARTMENT DATE '_ :�� I -
0 APPROVE 11 DISAPPROVE - SIGNATURE
COMMENTS:
41W Cava Am w a4sF-
DONN 44. WISQUARE LEAD
4f CGFER TACK
7 ----------
7 4=251
209th ST SW
FULM VEUaW. W ANO
1 'd� =a 5' N� X
0-7
1 4011
- -14
3.7
FFOUND )TILOW CAP I
w;i�-aow Ile X,
Z 07.6
Z07 5,
N 8073b7' W
NE COR FENCE IS an, 1.
l2adl
& ais, s: CF MF
COR.
SCALE 1" 30'
AW Cat FENCE Is
L76' E X a6W a
FENCE CROS= E e SO,
CF. AL W. PROP. COR VA= FENCE
OF ALE.FRW..CCR
3
LOT:
TAU WOW
COR FENCE IS
tar m & a 7r E. OF
SZ PROF. COR
FW 2" CIA. BRAW
-LOT. 8, PLAT.0F PLEASANIVAL&-ACCORDING'70 7HE,
SURF, AO�
RECORDED 94: VOLUME 37�OF PLA IS,
FEWIF CROSSES It
PA I AND 144; OF SVOHOMISH
Ty
tX E & a2'
L-m2;1
sme.pc F"T.
R-42a&
Z07 �4
S17WEIN: THE. COUNTY oFSNmovisH.. sTA7F OF
m2oil . L-45-W
Ir. WOO FMCE,
CROSSES F 9 1 W
FMCE CIRCISSES I e 9-r
J4's
M OF IF PRIP. COR
TAX -PARCEL
W OF SE PC COR
N UMBER.-:OD660800000800
N eyw1m, w
9 7E ADDRESS- 20629 80 TH A W, W.: EDMONDS, WA
F7ENOE CROSSES S. e 1181
98026,
*:OF IF �PRCF. COR
209th ST SW::
SIVRW-y MOMS,
EQUIPMENT USED:* LE7CA TCRP 1205 ROB077C
(1-aRECTREADING THEODOWERWH W.M.)
zo/
j
PRE a-qON.OF CGNTROL,:WW9?SE IS :AT A HIGH7ER
Z 07'. 2 1
LEVEL WAN MINIMUM STANDARDS REOUZRIED:By� WAr,
HEAgiNa
PLAT OF PLEASANTVAL&ACCORDIW TO THE PLAT
THEIWOF RECORDED: hV KXUME 37 OF PLA M: PAGES
— — — — — — -
1,.M: AND 14A flECOROq OF. WiWO&M COUNTX,
4X4 cava,mom ay.
— — —
— — — — — — — — — —
CASE� DOW 06.
�BRASS aisc wl x-
NDEANG
DATA:;:SE 1/4
SE 114. SEC. .19 ;TWP.27N,RGE. 4E W.M.
LEGENbs
— -------
w.
GROUP FOUR, In C.
SUBDIV.: CPRNER�TOUND
REC RDING. CERTIFICATE
SURVEYORS CERTJFICATE�
+ SUBDIV. CORNER/NOT. FOUND
-AQO
POEOXl=Il&liVMUlONR1XSM'X'
LAKE STEVENS, WA NEW
;:.up,
!Nr-
THIS MAP CORRECTLY REPRESENTS A SURVEY MADE
q?;:.,FOUND CONC MOWAWCASE:
I '. . .. �� 1 7 . I
Tms
BY ME OR UNDER My DIRELMRN IN: c. CE WITH
M.-
0 FOUND SURFACE.MON.
MINUTIBS PA
VOLUME
",".CORDED IN
THE REQUIREMENTS OF .,THE: SURVEY RECORDING WT, AT
THE REQUIW OF LMA olm,
:�RFECORDOFSbRVEY:'
EYJSTING- CAPPED REBAR
ItEWRDsoF
�'.!!�U,N.GTON
.
-TMS- WIN O�
XD 14
FOR
sE T: CAPPED 'R 8
.,E, A �:#N*50
.' .
- : . . . ..
=450
L
LINDA OLDS.
i
. _.
a SETUNE STAKE.
W.
1.
�-HEGWrgftlio LAND SUR��R
"..NO.
-
SNOHOMISH dOUNtV WASHINGTO
N