20906 HILLCREST PL.PDF11111111111111
11672
20906 HILLCREST
PL
RECEIVED
JAN 3 1 201Z
EDMONDS CITY CLERK
111112211112
2/28,201, 10:16 2 PGS
00
GTON
Return Address: SNOHOMISH COUNTY, W SHIN
City Clerk
City of Edmonds NO EXCISE TAX
121 - 5th Ave. N.
Edmonds, WA 98020 REQUIRED
DEC 28 2011
UTILITY EASEMENT KIRKE SIEVERS, snohomiA Counly Trewer
Property Address: None By KIRKE SIEVERS
Assessor's Property Tax Parcel Nos.: 00373600500713, 00373600500714, 00373600500715
IN CONSIDERATION of benefits to accrue to the grantors herein, the undersigned, Greizory A. and
Wendy J. Jones hereby grant to the CITY OF EDMONDS, a Municipal Corporation, a permanent easement for the
installation, construction, operation, maintenance, repair, reconstruction or replacement of a waterline conveyance
pipe and necessary appurtenances , over, across, through, and below the following described property, and the
further right to remove trees, bushel, undergrowth and other obstructions thereon interfering with the location,
construction, operation, maintenance, repair, reconstruction or replacement of said waterline conveyance nine and
necessary appurtenances, together with the right ofaccess to the easement at any time for the stated purpose.
The easement hereby granted is located in the COUNTY OF SNOHOMISH, STATE OF
WASHINGTON, described as follows:
THAT CERTAIN PRIVATE ROAD OVER LOT 7, BLOCK 5, ALDERWOOD MANOR NO. 9 DESCRIBED AS
THE SOUTH 50 FEET OF THE EAST 135 FEET OF THE NORTH 330 FEET, AND THE WEST 50 FEET OF
THE EAST 135 FEET, EXCEPT THE NORTH 280 FEET THEREOF.
The easement area is depicted in the drawing attached as Exhibit A.
THE CITY agrees to restore to substantially the original condition such improvements as are disturbed
during the construction, maintenance, and repair of said utility or utilities, provided the grantors, their heirs, or
assigns shall not construct any permanent structure over, upon, or within the permanent easement.
DATED THIS DAY OF 20_1/
X"'nvi-
Wendy J. Jones
STATE OF WASHINGTON)
)ss
COUNTY OF SNOHOMISH)
On this day personally appeared before me Gregory A. and Wendy J. Jones, to me known to be the
individual(s) described in and who executed the within and foregoing instrument and acknowledged that they signed
the same as their free and voluntary act and deed, for the uses and purposes therein mentioned.
UNDER MY HAND AND OFFICIAL SEAL THIS ZMDAY 0 20.0/1
Vl&�A Y, BATEMAN
NOTARY PUBLIC
STATE Of tVACNI14GTON NOTARY PUBLIC in and for the
COMMON EXPIRES State of Washington, residing at
fEBRUARY 2?— 2(H3 5
EXHIBIT A
MAIN ST
Li
0�
u
-i
Lot 7, Alderwood 20902
Manor No- 9
20914
�V�xz I
Easement
21105
21109
21113
PLANNING DATA
NAME: � q �-.
SITE ADDRESS:-az:90(o "ILLQu-tir2 -.DATE-:
ZONING: 9) _PLAN CHK#:
PROJECT DESCRIPTION: r% 0,- W:z-��D Rim=
O�Q'e- Q�0!"�Xt t3c" 4 lip,
CORNER LOT (Yes�� FLAG LOT --(Ye
A �! 03)
SETBACKS:��-��'
Reauired �etbacks: L-rr m- r-t NS
W
Side- �-�tSide: Mr
Vctual Setbacks:
Front: Ee-ft SWOVE) 4tight Side: Rear: -7
Street map checked for additional setback required? I —(12jjWNo)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED Jyle
LOT COVERAGE: r�
Maximum Allowed: 30� 0/�D --Actual: F2)��/O
Q'-�;50 D.- <&F
BUILDING HEIGHT:
Maximum Allowed:_ —Actual Height: �), I '% —
Datum Point: \jr-\-rc,,a Datum Elevation: I c3c-!� '
A.D.U. CREATED?: i,� .
SUBDIVISION: ioi tp , - an - -:7,
CRITICAL AREAS #: GA- 9-00 1 - 0c)r7 P;'
e-
SEPA DETERMINATIOWE4-
LOTAREA: Coq?)Lj 0
OTHER:
PlanReviewBy: -)T�
c:Ti1cs\pemitkAp1andaLdoc
r
Critical Areas Checklist CA File No: L_A1--U -75
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location: olOMo 61171eee57-,AZ4C&c -, jeWWQWQS1 k-14.
2. Property Tax Account Number: _3736005-007030y
3. Approximate Site Size (acres or square feet): ' 9.5'- *'000
4. Is this site currently developed? X yes; — no.
If yes; how is site developed?
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal
distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10-feet
over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than �0610 present on site (a vertical rise of 10-feet over a horizontal
distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: 1V D Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
8. Site is in the floodway Al D floodplain A) 0 - of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
A10 —Flows are seasonal? — (What time of year?
10. Site is primarily: forested meadow ;shrubs mixed
urban landscaped (lawnshrubs etc)
11. Obvious wetland is present on site: Al Q
9 6A;�J= T T-'-
"IN -��]
if
um
is
2. �iii
3. -ISCS ALZ Ot�j t6MPLE,4� S�, 4
',.ma
4.- CHticaiAreAsmy r
�mtoy or CA: di'
P,,m cate.0 4,pvsiteZ",�
5 Sitewithifi:d: earth subsi&ftc 'I
&:#n&Jidehazi,rd- area,?
6:'* so*
Date�,
Critical Areas Checklist-doc/3.19.2001
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
-.,. 10'
The Critical Areas Checklist contained on this form is to
be filled out by any person preparing a Development
Permit Application for the City of Edmonds prior to
his/her submittal of the application to the City.
Date Received:
City Receipt#: 117(o
Critical, Areas.File M
Critical'Ar6a�bhe'c'klisi Fee: A45.00
.,Date'Mailidto''Applicant: 1V301 0 1
A property owner, or his/her au thorized representative,
m ' f
ust ill out the checklist, sign and.date it, and submit it
to the City. The City will review the checklist, make a
precursory site visit, and make a determination of the
_U 1 A
The purpose of the Checklist is to enable City staff -to; 0MIJO 1MVIV00aty LO comp eLe a evelopmew
determine whether any potential Critical Areas are, or permit application.
may be, present on thesubject property. The information Please submit a vicinity map, along'with the signed copy
needed to complete the Checklist should be easily of this form to Assist City staff M—finding and locating the
available from observations of the site. or data availableL at specific. piece of property, described on thi's form. In
City Hall (Critical areas inventories, maps, or soil addition,. the applicant shall include other pertinent
surveys).
information (e.g. site plan, topography map, etc.) or
studies in conjunction with this Checklist to assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees
to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attorney's fees, arising from any action or in fraction..based in whole or part upon false, misleading, inaccurate or
incomplete information furnished by the applic , I .. its agents oreniplo�ees.
By my signature, I certify that the inform ion ibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to file his ' 1* tion on the behalf of the owner as listed below.
SIGNATURE OF APPLICANVAGE DATE
Property Owner's Autho izatio
By my signature, I certify tha e t o 'zed the above Applicant/Agent to apply for the subject land use application,
and grant my permission for th I icials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and p ting n, ant to this application.
SIGNATURE OF 0 R DATE 1511ele
Owner/Applicant:
A., �7ewe s
Name
,,7d 90 6 W-Aelee-S 7- PK
Street Address
City State Zip
Telephone: ga_!S�-- -7 2,cl- 9�,7
Email address (optional):
''Applicant Representative:
Name
Street Address
City State Zip
Telephone:
Email Address (optional):
Critical Arcas Checklist.doc/3.19.2001
The City of Edmonds Side Sewer Drawing EASEMENT NO . ...................... ...... --- - -----
NEW CONSTRUCTION REPAIRS LID NO - - ---------------- ASMT. NO
OWNER ... -------- ------------------------------ CONTRACTOR - ----- ---------- ---------------------- PERMIT NO.
JOB ADDRESS I .... F'L-. LEGAL DESCRIPTION: LOT NO - ------------ ?') ..................... BLOCK NO - ------------- --------- -----------
P-j
�j
............. I ................................................................................... ------- - ------------------------ --------------------- -
NAME OF ADDITION ............ E—:�Wnc�m ------- - . .....
Approved:
u-%
vc.-7-
A
PWW-0001-1 1/75 (REV.1 1/78)
DATE .....
By--------------
CITY OF EDMONDS
rTJBLIC WORKS. DEPAWNT
SIDE SEWER PERMIT
FOR INSPECTION CAL
775-2525 Ext. 220
"
Permit
Issue Date
PERMIT MUST BE POSTED ON JOB SITE
1. Address of Construction
2. Property Legal Description (include all, easements)
. I � �1,
n fr ff 0 3o, L) 4�'
3. Single Family Residence 1�----'Multi-Family No. of Units
Commercial
4. Owner and-/or-Bui1dex
5. Contractor & License No. Q. M. SeCAJEVC UM -SC- - 60- 471
6. Invasion into City Right -of -Way: No &--� Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation).
E-1 7. Cross other private property: Yes No Easement required -
attach legal description and county easement number.
�4 READ THE FOLLOWI.NG AND SIGN:
a4
a4
4 a. Property owners must obtain a permit to install side sewers on
>4 their property. A licensed side sewer contractor must be employed to
M - -
construct side sewers in the public' right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year.
41
�4 C. Commercial establishment requires a minimum OCARV RMS"')
P4
z side sewer line.
0 d. Side sewers may not be installed closer thanBEFG* YWEDIG 30
to any structure.
e. Side sewer lines must be laid at a minimum gja*Xf5Q-447.&o)
0 and maximum grade of 100% (45'). 0
E-4 f. No turn in side sSwer greater than 45 (1/8,bend) is 0 allowed
between cleanout. All 90 turns must be constructed of a 45 (1/8
bend) and wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100' along sewer line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k.. Side sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours only. Two (2) working
days notice required.
DATE:
I certify that I have read
�and shall comply With the above
PERMIT, FEE:
CONNECTION FEE:
DISAPPROVED BY: Date:
B Date:
APPROVED By: ate: I-,.>
0
44
PERMIT
T BE POSTED ON JOB SITE
7
APPLICATION
The City
of Edmonds
for
SIDE SEWER PERMIT EASEMENT No . ..........................................
NEW CONSTRUCTION E] REPAIRS E]
4:0 �7
�OWNER ................ e ................. i ..................
R..u;�.2E ........................................
CONTRACTOR .................... ................................................. PERMIT N . . ..............
7:AD
_DRESS,
...... cp-?Y.:5� ..............
.......
LEGAL DESCRIPTION: LOT No . ..............................................
BLOCK No . ............................................
/9fsr kfe-a
NAME OF ADDITION ............. 44-0 ...... ............................................................................
0
!)A k L /A
'ro I
FAS c- M
,/ 6 c 1,
q ILL- '!Z.-Q-E- S-r 1p L n c 1-�
Approved:
APPROVED
SEP 19 1969
'T;l
DATE B,
CIA ZoneD/G S.W. 1/4, SEC. 19 T.27N, RA E.W.M. 205
202
0201 1 .
202!4 20208 ?0209
20206
a w 15 202as __,20
'10 202 D U
20217 Q9
26;07 209z; or. W 2�Z*7
1 zorz-4
2 CZ09 :
Q QD 00
t ;202�6 'k 20'2P7 L
20311 LU �Ri 'm 3'. 2030Z ?-&Zcs 20?.09
2030
4C zo 0 20307
20-51!ji 2030 0301 305 in z0a, 0 ZoZ13 —
X 00 N ;� 20 a rp,—,,.
2 4 1 Zo?-It 20307 co
20311 co 101 V- -
SIERRA ST 20316 a2l - �Q,11 a A
Su 0 1 to
21 Z,
01 4 03 323 je,31 Roj/ W who bul
20317 20310 14
OXY30
2 04 T" ST &W 2005
20319 20412 4 1 W117
0+
20qI4 1 20411 1
-to 20 204VI — ab 90
ku 'Z 12 A Ill
0 4 20421 204?0
04 1 4 4 1
Zo425 204IS20.41 20424 4T429
t 1 20 .. lei 1� I 20m —
zoses L� 10421 1 c%, 205-04 Z0661 20 X601
20510 Z0509 dz) co > PINE.
00 co co q:( U503 20612
Z05TW _111L� b.W.
r 01 on 2
NIZ 052" -j
907 205,84 CA. R I D
20 w Q� 7 co 2060J.. 20530
10611 20602 -
20610 05 20 2z, 20607 K
r -p 6" e. % 6" 20610 PA
_ I .- 1? /0" 061.5 17 20612 Z0607
r, (A — . 0- r� " — 20620
'r, It L 00 20619
06V
co 00 co m
c H—PL-, S. W.' — ---
20('Z 3\�6 2
207 r 20r.2 0.102 Go
21-7051 .2077" Sr S.
* 00
20710 Do 20710
a57," 17
QD UD 2� POIND
0725 MiRE
M"D
o' !D 207,2
;o Q'I N
723 Oo co FA of K
Q� 13), Q� co 7" 4n
I to SWAMP
MAIN ST
"41
cb
800
20 15 lifis 209
Cal tj
Z082 2081,9
Cr Joe toga
log -d Z0829 01b (ED
3 ZP904 3
1 0944
Zoom
%U
Z909 2G93Z X
4b 0906
20926 209.90 a WOOD
15
z '0928 210041
0 2 L VLO,93) I 4Quj 2tao3
21015
L 110
Il000 at
21003 t, d. 21010 4T 21006
Zlolq 0 ot Do a, lie
)021
21,070 - 9 Z1001 0
1011 102( 'If a
11 toots 2 1100 601V ? lops
L )21014
4, 4 21088) IDS SO
lc3?. 21*jj 2.1110 Z/020 2 2
71 21090 LU 110 w000d-ftle
a X,111 21030
9 21100 211 0 4. 111101 0
21102.
21100
to
21107 c4
7 ZI
Av, zlizi on
Z1106
z12
2H20 C3 mK S
IL Q.
ph Rle 174 oV) CDA 11
WTER w cz
-F -ZI214
st cv '35
pq
ill t'14
��vo�z
05
ol
Al.
.09 LULI 04-
�o 015
1 06 07
3
00- 4
0
Ix .4,
romm
13 oA
___j 209ft &W
W
C= LLJ
AfD lVq > C4%j
0
LCI) 0
w ;z
OP S-12-91 0.- /0 4 o
LLJ
05 io Ix co 05
r
44
3
IF 1 106 2 2
Jfo 1 0 — o7
10 WOOD Of6
(7480)
05 0/
PC
co 05
4
Sob
01
09
06
2 0 04 W
A Vo A
A /A��-A
F r
24 ol
PA RIC
V AfO IfO481) op
go ALDERWOOD MANqR NC4
17-MAY-2001 17:15:40 #11
SNOHOMISH TAX PROPERTY PROFILE
TAX ID#
37360050070304 QSTR: SW 19 27N 04E
STRUCTR
$ 82900
OWNER
JONES GREGORY
A
LAND
$ 94000
CO OWNER
TOT ASSD$
176,900
SITE ADDR:
20906 HILLCREST
PL
% IMPRVD:
46
SITE CITY:
EDMONDS
98026-6915
LEVY CD
: 00217
MAIL ADDR:
20906 HILLCREST
PL
2000 TAX$ 2,267
MAIL CITY:
EDMONDS
WA 98026-6915
EXCISE
#: 10063
TELEPHONE:
425-774-6971
MAIL CAR RT: C034
EXEMPTN
: T
RCDG DATE:
07/01/85
AUDITR FEE#:
SR TAX
$
SALEPRICE$
82,500
STAMP CODE :
TIMBER
$
DEED TYPE:
ECONTRACT
MULT PARCEL:
ACT USE
:
Z ONING
RS-8000
ZONE REST :
PAR TYPE:
PLATTED
LAND USE
11101 RES,SGL
FAMILY RES,DETACHED,l
UN*VOLUME
10 PAGE: 6
LEGAL
BLK 005
D-03 - S 100 FT OF N 430 FT
MAP
454 GRID: H6
OF TR 7
EXC W 140 FT & EXC E 20 FT
NBRHD CD:
501
OF N 20.71
FT & LESS E 10 FT OF ...
CENSUS
504.02 BLK: 3
SUB/PLAT
ALDERWOOD
MANOR 09
BLID#
1
PROPERTY FEATURES
RECEIVED
BEDROOMS
2
1ST FLR SF: 996
BLDG COND :
GOOD JUN - 5 2001
BATH -FULL:
3
2ND FLR SF:
QUAL/CLASS:
BATH-3/4 :
3RD FLR SF:
BLDG QLTY
AVG BUILDING DEPT.
BATH -HALF:
3
4TH FLR SF:
BLDG MATL
BATH TOT :
3.00
LOFT SF:
SIDING MAT:
PLYWOOD
DINING RM:
ABV GRND SF: 996
%BRICK
%STONE:
FAMILY RM:
BSMT FIN SF: 996
FOUNDATION:
CONCRETE
OTHER RMS:
BSMT UNF SF:
ROOF MATI, :
BUILT UP
FIREPLACE:
1
BSMT TOT SF: 996
ROOF SHAPE:
PITCHED
DECK
TOT BLDG SF: 1,992
WALL MATL :
PATIO
GARAGE TYPE: ATTACHED
FLOOR CVR :
CRPT\VINYL
PORCH
GARAGE SF: 600
POOL
DECK SF: 116
SEWER TYPE:
SEWER
TOT UNITS:
1
PATIO SF:
WTR SOURCE:
PUBLIC
BSMT TYPE:
DAYLT
PORCH SF:
ELCTRC SVC:
POLE
BSM GRADE:
AVG
HEATSOURCE:
DEV TYPE
RES
HEAT METHD:
FORCED AIR
BLDG NAME
YEAR BLT
1955
NUISANCE
EFFYR BLT:
1955
STORY
STYLE
LAND
INFORMATION
*** OTHER
INFORMATION
WTRFT TYP:
LOT ACRES:
STR SURFC:
BLKTOP ELEVTR:
WTRFT QTY:
LOT SQ FT: 6,970
CURB/GTTR:
TENNIS:
WTRFRT FT:
LOT SHAPE:
SIDEWALK :
TDE/UPLND:
TOPOGRPHY: STEEP
FIRE SPKR:
LOWLAND :
TOPO PRBS:
STREETLT :
GRND CVR :
CLEARED
EASEMENT :
SCHL DIST:
EDMONDS -NO015ED
*** VIEW INFORMATION ***
*** SALES HISTORY ***
_VjEW PUGET SOUND: PRV SALE AM$
MOUNTAIN LAKE WA/SAM: PRV RCDG DT:
-CITY/TERR: LAKE/RIVER : SELLER
THE INFORMATION PROVIDED IS DEEMED RELIABLE BUT IS NOT GUARANTEED
0
Z
I
7'
�UBL C 14ORKS DEPAMMTENT, CHJ
P71 BUILDING PERMIT REVIEW
%w N 1 O"c I to �L
Street Right -of -Way Existing-- <t50'5/_O REQD
Access Easements Existing REQD
Utility Easement Existing _7 REQD
sp_\74760
Lot per Subdivision /Pfta_�t L-CM-75 Assessor Map
Site.Plan Checked for Accuracy
Underground Wiring Reqd.
Check Accuracy of Legal Description
Environmentally Sensitive Area
Enviro:nmental Checklist Reqd.
Flood Hazard Zone
Shoreline Managen-ment Area
Slope, Soil, Vegetation
Strearn, Creek, Drainage Basin
Existing Zoning Per Code
Amenities Design Board Approval Reqd. ADB # Approval
Board of Adjustment Approval Reqd.
Review By: Date:
'�_UL /77E3
Existing Water Main Size
Water Main Reqd.
Service Line Reqd.
Hydrant Size Existing
Hydrant Reqd. Per Fire Code Size
Detector Check Meter Reqd.
Cross Connection Inspection
Fire Department Camients
Water Meter Charge Reqd.
Review by: Date:
Septic Tank Permit Reqd._
Sanitary Sewer Availability
Drawing No.
Side Sewer Availability
-Sanitary Sewer Connection Fee Reqd.
Review By:
Date:
Permit No.
Proi.
File No.
Date:
-Date
!SS
d E
01 D t -i -xistmg,
Reqd.
A A A
Cu Iver t--Rsqd.
Size
P4
Catch Basin Req
Indicate
on Site Plan
0
in
Shoulder clrainage m-iinuiin c
n n U -i
-ii -i c
Lioi -i on
tiol'i an swale open runoff
U)
,�--a-diole rcqd.
�In te on
Site Plan
Soil Conditions and
Ground Water
Field Checked
ew by�
Rite
IOStreet Paving Req d.
Curb and Gutter Reqd.
Sidewalk Reqd.
Curb Cut for Drive�,;ay, Reqd.
r4 Rigj-it-of-Way Construction Permit-Reqd.
Bond Reqd. for Public Inprovenvents
Street Nane Sign Reqd.
ning Reqd.
.10ther Si& 0
;;jPre Pe-nuit Site Inspection made on
BY: SO,.IER
U
w WATER
P'4
S=, T
EI\IGIN=- \-TNIG
Special Rcquirei-,-imts listed in men-o to Commmity Development Depart.ment,
Building Division
13Y Z) � 0 Date
c) All iterm filled in on Building, Peimit Application
0� BY Date
P4 DraiTings Stwmed and Notations 1,1-ide
BY —Date
1,kpproved by Public 1,7orks Department
Revised: IV 10-1977
APPLICATION
for
Th)e City of Edmonds SIDE SEWER PERMIT EASEMENT No . ..........................................
NEW CONSTRUCTION E] REPAIRS E]
Z-
PER11IT NO.
OWNER.......... .... ............................................................. CONTRACTOR -------------------------------------------------------------------------------------------------
ADDRESS 6 .... a.4. ......... ............................................ LEGAL DESCRI11rION: LOT NO. i6CK No - ------------------------------------------
NAMEOF ADDITION -------------------------------------------- 7 ............................................................................................
V L, fI&IiP "r / 5/ e `�-
Ao" -7
CA
V�l
j
CITY OF EDMONDS
C11111d CENTER — WATER —SEWER DEPARTMENT Call PRospect 6-ILIL07 when work
is ready for inspection. (No insper,
tions Saturday, Sunday or holidays.) 3466
SIDE, SEWER PERMIT
215 Hillcre'st Plac
ADDRESS ----------------------------------------------------------------- 9� ----------------------------------------------------- - -------------------------- - -- - ----------------------------
'014WER ----------- -------- -- - --------------------------------------------- coNwucToR ....... QaDer ........ .........................
--------------------------
S413t. 19
P.6r iss' is ranted .......... ---- -J-------------------------- 19._§�9., for
I I M, 1041 9 --------------- - ------- days to REPAIR or CONNECT a side sewer
-�,witfi City,'Sewers in aec6rdance with apolication on file and governing ordinainces.
ATTENTION IS CAZLED TO THE FOLLOWING:
NOTE No. 1—'�he o"ers of the p may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must
be employed to 4ioust e sew& in street area- Do not cover any portion of sewer before it has been inspected.
NOTE No. .2—Obtain full information regairdir.Lg Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
'NOTE 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 % will be'permitted.
"No. 4—Trenches in street must be *water settled and surface of street restored to original condition. Contractors shall be responsible for
fallure*d6e to improper work which may develop within one year of completion.
NOTE No. 5--It is 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.
FILE
RECEIVED
f
9
—20
1 V, ,I
-;qo, qf
7(10,-�Al
W,=Alelilli
I
64"m
WK ./
ASAK
*V;A I Od
kY,o)AgA
JUN - 5 2001
BUILDING DEPT.
t u
. --tolo 1, 1�0 I
Pei
0 N
v a uesf - k
Jwr
f or
vo o4kle Soo 00 LOA,
60 00-1 o 1)
4kA ei(erg
pU W&ROVED AS NOTED
BY ENGINEERING
D%
---j'Z2 MAY'
It + q6 4,100+ 100 4 A). 5
.0V WM4e
ice W,� v
olk.
iDTAd,
GUMP tn^Ufkll;ool rrs GUTTERSADOWNspoUTS
TO CONNEM To CONNECT TO F-M.T.,sver
z
DATE RE`!; 01 1 1PERMIT EXPIRES,
USE PERMIT
CITY OF EDMONDS ZONE g S NUM13EP,,Q0/_ 616ra,3
JOB ITE/APPL
CONSTRUCTION PERMIT APPLICATION ADDRESS 'I
OWNER NAME/NAME OF BUSINESS (9 41
e:!571e
J-0
PLAT NAM E/SU BDIVI SION NO. LOT NO. L�D NO.
MAILING ADDRESS I D FEE $
W TESCP Apprmed 0
z /7 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required 0
3: al.
0 Street Use Permit Req'd 0
CITY ZIP TELEPHONE EXISTING — PROPOSED Inspection Required 0
Sidewalk Required 0
REQUIRED DEDICATION— FT Underground
7�;W_ 4 5? wiring required 0
NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
YES 0 NO 0
Ix
2
ADDRESS REMARKS z
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE a
z
CITY ZIP TELEPHONE &W6r,7_Ah5AJ 0--ZirIT-Ac!� 4d A3krX5,;OW;�
IF A10 —<V-C al..05, h7>3 _4;'PZ�M �a S
NAME
e ee
�EN!�
,�EERI, TE
REVIEWEI/D
ADDRESS
Ir
BY DATE
;FIRE1REVIEWED I W
z CITY Z101 FTELEPHONE, cc
rL
0
STATE LICENSE NUMBER EXPIRATION DATE CHECKED By VA \IANC E OR CU^,, ;..SHORZLINE,,9R.,ADB# INSPECTION POND
RgO'D P
YES &,NO
& A /A. t SEPA REVIEW SidN"AREA HEIGHT
-JI PROPERTY TAX ACCOUNT PARCEL -NO
COMPLETE .EXEMPT .-ALLOWED ROPO L PROPOSED
uj
3 -737er'O -0X0 EXP
_j
r-1 NEW RESIDENTIAL PLUMBING MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
'ALLOWED' PROPOSED
C3 COMPLIANCE OR, 7 z
A COMMERCIAL,
%7
DDITION CHANGE OF USE z
PARKING. LOT AREA, "NUING REVIEWE
IL
REMODEL APARTMENT 'SIGN PROVIDED
E] GRADING FENCE 0�
CYDS 0 X FT) REM6RKS
Cusr-r 1 ,-0 :�iii it
or 7) SIR
0 OTHER
EMO SH
MO S' TANK L41 i &a.
MRAfG RETAINING WALL
z CARPORT ROCKERY 'C] :RENEWAL'
(TYPE OF USE, BUSINESS OR ACTI�3
CHECKEDBY TYPE OF CQW1;TF2IIrTtC)N., OCCUPAINIT23
cc _11i?17
GROUP
w NUMBER NUMBER OF CRITICAL�
DWELLING,. AREAS SPECIAL INSPECTOR' AREA OCCU
OF � , I .,;. PANT
o STORIES UNITS NUMBER' REQUIRED ES LOAD
DESCRIBE WORK TO BE DONE ' . - '. t -_ -
REMARKS
PROGRESS.INSPECTIONS,PER UBC 108/FINAL INSPECTION REO'D 0
AA Lxttnu rk PE
W,
VALUATION FEE
P:
AN CHE% FEIN
Pxlnuo rz 104-u—
ZING %
D nd
HEAT SOURCE FKYLOW) f UIL INT��-_q
PLAN CHECK NO VES DATE
in -4PLUMBING 140
—zun
THIS PERMIT AUTHORIZES ONLY THE WORK N I OTED. THIS PERMIT COVERS WORK TO MECHANICAL —40
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADING/FILL
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
STATE SURCHARGE
PERMIT APPLICATION: ISO DAYS
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
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
.j LANDSCAPING
M EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
* FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT RECEIPT/,M
* DEEMEDTO MODIFY, WAIVE OR REDUCEANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANYORDINANCE PROVISION.'
TOTAL AMOUNT DUE RECEIP -7,
I
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL Building Official or his/her Deputy: and Fees are paid. and
IN VIOLATION OF THE LAB receipt is acknowledged in space provided.
�gSXQDE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION
WORKMEN'S COMPENS)X4CM"IGRANCE AND RCW 18.27. OFFPIALS siGNATUA, DATE
I A RE (OWNER, AGENT) DATE SIGNP (425)
01_�g
J, ZY 771-0220
L rRhSE D B N DATE
ATTENfION EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 771-0221 ORIGINAL - FILE - YELLOW
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR
;Zz>,�Z>& m11e-,-er1PL
RECEIVE D
JAN 3
EDMONDS CITY CLERK
"" j2211 1 PGS EET FILE
1212 12 1 jljo: I WJ63, 00
SNOHOMISH COUNTY, SHINGTON
Return Address:
City Clerk
City of Edmonds
121 - 5th Ave. N.
Edmonds, WA 98020
UTILITY EASEMENT
Property Address: None
NO EXCISE TAX
REQUIRED
DEC 2 8 2011
KIRKE SEVERS, SnohomiA Counly Treasofer
By KIRKE SIEVERS
Assessor's Property Tax Parcel Nos.: 00373600500713, 00373600500714, 00373600500715
.IN CONSIDERATION of benefits to accrue to the grantors herein, tile undersigned, Gregory A. and
Wendy J. Jones, hereby grant to the CITY OF EDMONDS, a Municipal Corporation, a permanent easement for tile
installation, construction, operation, maintenance, repair, reconstruction or replacement of a waterline conveyance
pipe and necessary appurtenances, over, across, through, and below the following described property, and the
further right to remove trees, bushes, undergrowth and other obstructions thereon interfering with the location,
construction, operation, maintenance, repair, reconstruction or replacement of said waterline conveyance vine and
necessary allnurtenances, together with the right of access to the easernent at any time for the stated purpose.
The easement hereby granted is located in tile COUNTY OF SNOHOMISH, STATE OF
WASHINGTON, described as follows:
THAT CERTAIN PRIVATE ROAD OVER LOT 7, BLOCK 5, ALDERWOOD MANOR NO. 9 DESCRIBED AS
THE SOUTH 50 FEET OF THE EAST 135 FEET OF THE NORTH 330 FEET, AND THE WEST 50 FEET OF
THE EAST 135 FEET, EXCEPT THE NORTH 280 FEET THEREOF. '
The easement area is depicted in the drawing attached as Exhibit A.
THE CITY agrees to restore to substantially the original condition such improvements as are disturbed
during the construction, maintenance, and repair of said utility or utilities, provided the grantors, their heirs, or
assigns shall not construct any permanent structure over, upon, or within the permanent easement.
DATED THIS �7 . DAY OF
ZA? 16-
Wendy J. Jones
STATE OF WASHINGTON)
) ss
COUNTY OF SNOHOMISH)
20i/
On this day personally appeared before me Gregory A. and Wendy J. Jones, to me known to be the
individual(s) described in and who executed the within and foregoing instrument and acknowledged that they signed
the same as their free and voluntary act and deed, for the uses and purposes therein mentioned.
UNDER MY HAND AND OFFICIAL SEAL THIS Z�� DAY OF 20
ANDREA N,. BATEMAN
NOTARY PLJBLIC
STATE OF WASHINGTON
COMMISSION EXPIRES
FEBRUARY 22.2013
NOTARY PUBLIC in and for the
State of Washington, residing at
4;k�,,-, �Xe,--� /-�?
EXHIBIT A
MAIN ST
n
Li
Q�
u
-i I
Lot 7, Alderwood 20902
Mcnor No. 9
20914
Ecsement
21105
21109
21113