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RECElVED.
MAY 1.7 2001
PERMIT COUNTER
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APMCATION
The City of Edmonds for EASEMENT NO. — --------------------------- -------------
SIDE SEWER PERMIT
NEW CONSTRUCTION E] REPAIRS K LUINO - ------------------ ASMT. NO - - ---------------
. .........
OWNER --------- ................ CONTRACTOR ---
- - --------
...... PERMIT NO.
JOB ADDRESS ----- 77—.1-0 ...... 7-Z, hjj�-C'--
------ ----------------------- ---- N_4 --- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
NAME OF ADDITION ----------------------------
Approved:
DATE-------------------------------------------- BY ------------------------------------------------------------
Ar- j
A14"
or
RPLIC, ATION,
N
,kThe City 6� Ed _nd's---,
EASEME T
IDE i.jViik PERM"
NEW CONSTRUCTION -�R-E]?Alk-S LID NO. ------------
A 1.
OWNER .... ---------- CONTRACTOR tr--� t4k - --- ------------------------------------------------- PERMIT—N
c- .........
A,
JOIf -,ADDRESS ----------------
--------------------------------------------------------------
A:� N E�_ �EGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ---------- .......... .......
----------------------------------------------------------------------------------------------------------------------------------------------------------------
NAME OF ADDITION ----------------------------------------------------------------------------------
........... .......
0
411
Yw.
Approved:
loe DATE ..... :x ...... By;.
A,`
"t
7—,
CITY OF EDMONDS SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT
on.)
Call 774�25M for side sewer inspections BEFORE covering any portion of the constructi
ctio
(Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspe us.
1A
rz n cA r-
ADDRESS LOCATION OF CONSTRUCTION ------------- ................ .................................... ........... -------
PROPERTYLEGAL DESCRIPTION ...................... --------------- .......... ........................................................
.................................................. . .......... . .......... . .......................................................... .............. .............. . .................................. . ..................................................
.................. O-VAIWERAND/OR BUILDE .................
--- -------- - -- ..... --------- f ..............................................
............... ..............................
TRACTOR'S NAME & ADDRESS. ... I .......
e,---Jj IN A V ..................... . .......................................................
..................... 7t .....
........... lEr— fortrepair and/or connection of a side sewer to the city sanitary sewer
Permission is granted .....
system In accordance with C1tj'of_j9dnio_id_s ordini;��-
0
A4��'�` TION IS CAIJ D TO THE FOLLOWING:
to construct
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
-t- side sewer in street area. Do not cover any portion of sewer before it has been Inspected.
-of-Way Permit obtainable from the City Engineer's office.
NOTE No. 2—All work performed in city right-of-way requires an Invazion of Right
—Obtain full Information regaxding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. 7
NOTE No. 3
inside property line; minimum grade of 2%. No bends in grade
NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 inches
sharper than % will be permitted.
h mproper
NOTE No. 5---Trene es in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to 1
work which may develop within one year of completion.
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 appurtenances except to in -
NOTE No. 6—
sert the pipe into the wye.
..........
DISAPPROVED Date .... ........ ........................ By ................ Date .... .............. By ................ Date ............... . ................... By ---------------
APPROVED . ...............
........ BY .......... ............. . .............................. . .......................................................
,ur
----------- - -----------------------------------------------------------------------------------------------------------
Remarks: ....... . ...... . .............................. . ...............................................
..................................................................... ......................................... .......... ....................................................................... . .......................................................
q-
on
BOTH Permit Copies MUST Be Signed By Owner of Firm (Performing Construction PRIOR To Request For Inspecti
hereby certify that the side sewer installation constructed under this permit
... ............................................................ ---------
-ting Firm Performing Cons ruction
Owner of�, dontraZ
ances of the City of Edmonds.
mstalled in accordance with all governing ordiK
7.
Datedthis ............................ day of ............................................. .................. 19 .........
7
Check BEFORE you dig for: Water E], Gas E], Telephone E], Power 0, Sewer E], Other
7-
wt. 7 _7�
When recorded mail to:
City Clerk
City of Edmonds
121 Fifth Avenue North
Edmonds, WA 98020
CONFORMED COPY
200106040087
06/04/2001 10:05 AM Snohomish
P.0003 RECORDED County
SPACE ABOVE THIS LINE FOR RECORDER'S USE
Assessor's Parcel No.
Project No. & Name:
ENCROACHMENT AGREEMENT
This ENCROACHMENT AGREEMENT, (' ') is entered into between the
'A eement'
CITY OF EDMONDS ("City") and
("Owner[s]"), in accordance with Chapter &.70 of the Edmonds Community Development
Code.
1. The Prop
3o-7 'P,,,e t( P-, -,�- zt c,
Assessor's Parcel Number
"A" attached hereto and iii
S,
:Ly. Owner is the owner of that certain real property located at
A) 14 , within the City of Edmonds, Washington,
3 and more particularly described in Exhibit
*rporated herein by reference. Business owner,
is the business owner of that certain real
C`5` rty noted above.
2. The Easement. The City currently owns an existing easement over, under, and
across Owner's property for street, alley, sidewalk, other (
which is described in Exhibit "B" attached hereto and incorporated by reference.
3. The Encroachment. The City hereby covenants and agrees and grants its
permission to Owner or Business Owner to allow -
to remain in a portion of the City right-of-way/easement. A plat map showing the lo'cation -of the io
encroachment is attached as Exhibit "C" and incorporated by reference. This Agreement is
subject to the following terms and conditions:
a. The encroachment shall be installed and maintained in a safe and sanitary
condition at the sole cost, risk, and responsibility of the owner and its successors in interest.
b. The Owner shall agree at all times to indemnify and hold the City free and
harmless from any and all claims, demands, losses, damages or expenses resulting from the
4D
- I -
construction, maintenance, use, repair or removal of the structure installed hereunder, including
any loss, damage or expense arising out of (1) loss or damages to property and (2) injury to or
death of persons.
. C. The Owner must remove or relocate any part of the encroachment within
ten (10) days or such other time as specified in the notice after receipt of it from the City
Engineer, or the City Engineer may cause such work to be done and the reasonable cost thereof
shall constitute a lien upon the property.
d. Whatever rights and obligations were acquired by the City with respect to
the easement shall remain and continue in full force and effect and shall in no way be affected by
city's grant of permission to construct and maintain the encroachment structure.
4. Entire Agreement. This Agreement constitutes the entire agreement between the
parties with respect to the subject matter hereof and supersedes and replaces all other
agreements, oral or written, between the parties with respect to the subject matter.
5. Notices. Any notice which is required or may be given pursuant to this
Agreement shall be sent in writing by United States mail, first class, postage pre -paid, registered
or certified with return receipt requested, or by other comparable commercial means and
addressed as follows:
If to the Cit :
City Engineer
City of Edmonds
121 Fifth Avenue North
Edmonds, WA 98020
If to the Owner:
e--e-.
. t
-30 -7
which addresses may be changed from time to time by providing notice to the other party in the
manner described above.
6. Waiver. City's consent to or approval of any act or omission by Owner shall not
constitute a waiver of any other default by Owner and shall not be deemed a waiver or render
unnecessary City's consent for approval to any subsequent act by Owner. Any waiver by City of
any default must be in writing and shall not be a waiver of any other default concerning the same
or any other provision of the Agreement.
-2-
7. Successors and Assigns. This Agreement shall be binding and inure to the
benefit of the parties hereto and their respective legal representatives, successors, and assigns.
Owner agrees to incorporate this agreement by reference in any subsequent deeds to the
property, but any failure to do so does not invalidate this provision.
8. Capac ' ity. Each party represents that the person(s) executing this Agreement on
behalf of such party has the authority to execute this Agreement and by such signature(s) thereby
bind such party.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on this 11th
day of MaY —'20 01 .
ME
STATE OF WASHINGTON
COUNTY OF SNOHOMISH
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This day, personally appeared before me, DoucTlas K. Spee
to me known to be the person(s) who executed the within and foregoing document and that
(helshelthey) he signed the same as (hislherltheir) hig free and voluntary act
and deed for the uses and purposes therein mentioned.
Notary Public
F-icarda C. Spee
Typed or Printed Name
My Commission expires: 11/16/03
CITY OF EDMONDS
By: /Dr��
ENGINEER.ING DIVISION
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FOR CALLOUTS
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EXCAVATION ELEVATION
PER PLAN.
LEAN CONCFf-TE
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St. I W) ENCROACHMENT PERMIT APPLICATION
J
PROPERTY OWNER NAME:_Ta'-"� C? "AJ "D c--- V_ Phone 7 -7
PROPERTY OWNER MAILING ADDRESS:
BUSINESS NAME for Conunerical applications: e�27?44_,�),JbS 2-00-0 44(!_�'
ADDRESS OF PUBLIC USE: 13fPll '9Ct_.j_ 157-_�
Describe the portion of public space, City right-of-way or easement area to be utilized (i.e., overhead space of
sidewalk, 10 foot City utility easement along north property line, etc):
Tel(
Describe the type of encroachment or use desired (i.e., fence 6 feet by 150 feet, awning 3 f wide by 7 feet
long, etc.): k C.'_' r C.;/,r"
-C 4 -
'e. ;Z
Specify the len
'&th of time for use (i.e. awning for life of building, espresso cart for summer months, etc.),
,7
NOTE.- - The)ssuance of thispermit is understoo&*�the applicant to be of a temporary nature and that no vested right is granted
INDEMNITY.- The applicant understands and by hislher signature to this application, agrees to. hold the City of Edmonds
harmless from any injuries, damages or claims of any 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 or
any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. In addition, the
application understands that the City shall be provided a Certificate of Insurance to indemnity and hold harmless the City of
Edmondsfrom all claims andlor property damage, and naming the City ofEdmonds as an additional insured
CODE APPLICATION.- By signing the application below the applicant warrants that s1he has -read or had the opportunity to read
Chapter 18.70 of the Edmonds Community Development Code and s1he understands that all terms of the adopted ordinance are
incorporated herein as ifsetfirth in full an4is qpp�catio
,Rrndpermiis therefore are subject to the
', termds of that Chapter.
S
PROPERTY OYirMR/BUSINE5(S OWNER
DATE
Encroachho.docjlg 10/00
CRITERIA OF PERMIT APPROVAL
The applicant shall follow the noted conditions on the building pen -nit. For applications that do not require a
building pen -nit the following criteria shall be maintained at all times.
Provide safe pedestnian travel for sidewalk encroachments. Maintain a clear zone of 44 inches minimum.
See definition of clear zone below.
> Exterior light fixtures, banners and flags must be a minimum of 7 feet above City rigbt-of-way.
> Maintain clear landings on the exterior side of all required exit doors of 44 inches or no, less than width of
door, measured toward the street.
No projections into City alleys are permitted unless the projection exceeds 15 feet above pavement
surface.
> Do not block illumination from City light fixtures or hang objects from City light standards.
> Architectural projections from buildings must be approved by the Design Board and conforrn to Uniform
Building Code requirements. A building permit shall be required for such projections.
> Maintain 3 feet of clearance around fire hydrants, standpipes, manholes, water meters, blowoffs,
cleanouts and valves.
> Bistro dining tables and chairs must be placed in accordance with City Ordinance No. 3293.
> Merchandise racks, espresso carts, flower planters, benches must not be located within the "clear zone".
> Ramps require a separate building permit and must conform to UBC standards.
Clear Zone Definition: Clear Zone refers to an area 7 feet in height and 44 inches in width providing
level, safe walkinp, surface along the public sidewalk (i.e. measuring 44 inches from edge of street tree grates
or newspaper stands toward place of business and from the juound up to a height of 7 feet).
------------- DEPARTMENT APPROVALS --- FOR CITY USE ONLY -------------------
Planning Division Appi
Remarks or Comments
Public Works Approved By
Remarks or Comments: -T
Engineering Division Approved By
Remarks or Conunents:
Certificate of Insurance Verified By Date
Easement Agreement sent to City Clerk for recording Date
ENCROACHMENT PERMIT4 -ZOO 1 —000
RELEASED BY
ANCEDATE
- -7 -Z -
BUILDING PERMIT # RECORDING # a�C04 �X76 �Z/Zl 7
Encroachho.docjlg 10/00
#:
PERMIT
ONCE YOUR REVIEW IS COMPLETE.'PLEASE ROUTE TO THE NEXT
DIVISIONIDEPARTMENT ON THE LIST.
PUASE ROUTE IN THE ORDER SHO RW
PLANNING DTVISION Date Stamp Received.,,
MAY 2@-01
0 DEPT.
PU13LIC WORKS Date Stamp Received:
C ii'.',
14.4 .1 S�
04
"NU0,41 7�P
0
ENG11SMERING DMSJON Date Stamp Received:
RECEIVEr"
mAy 2 3 2GO1
Ds ADAUNISTRATION' Date Stamp Receiv,ed:
ENGINEEFiliiG DN�3�C-N
F.
RECEIVED
APPROVAL SIGNATURES AND REAL4RKS OR COAIWNTS ARE TO BE MADE
UNDER ME "DEPARTMENT APPROVALS" SECTION ON THE PERMIT
routing
61� - c I C)
CA FILE NO.
Critical Areas Checklist
---------------------------------------------------------
Site Information (soil s/topography/hydrology/vegetation)
1. Site Address/Location: t�o(_EL
2. Property Tax Accou . nt Number: -oj I -(Yvs
3. Approximate Site Size (acres or square feet):
4. Is this -site currently developed? 4-- yes; _ no.
If yes; how is site developed?
5. Describe the general site topography. Check all that apply.
Flat: less thai 5-feet elevation change over entire'site.
Rolling:' slopes on site generally less than 15% (a vertical rise of I 0-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
I 0-feet over a horizontal distance of 33 to 66-feet).
Steep: grades o f greater than 3 0% present on site (a vertical rise of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: rslp Approx. Depth:
7. S ite contains areas of seasonal standing water: NO ____;Approx. Depth:
What season(s) of the year,?
8. Site is in the floodwa Q floodplain of a water course.
9. Site conta:ins a creek or an area where water flows across the grounds surface? Flows are year-
round? C�M Flows are seasonal? _ (What time of year?
10. Site is primarily: forested meadow shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site:
---------- For.C.Iry Staff Use Only-,!-* ---------------------------- --- ----------------
7. -------- ------ 7 --- -----------
ite- is Zone ?
J. . :
d
C� '7.
$C$ mapped soil type(s) -S
_j �_j
icates.wetland present on site.
:9. Welland* inventory'b� C.A."titap*irid
`L indicites Criticaj'Area' on* site?
4.' 'Critticaj Areas Inventory oE.:, -A inap.
5. '8ite within deslg6aie'6.6a�rth �ubsidddcq laridslide.. hazard: area? NO
ro nsitive Areas Map? NO
at6d.ontheEnvi nmetitA.4+Se
�.. �h6d 0—, IAMIMI
City of Edmonds
RECEIVED
A11H 0 3 1998
COMMUIVI SERVIGc
-1W CRITICAL AREAS CHECKLIST'
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 a development
permit to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are, or
may be, present on the subject property. The
information needed to complete the Checklist should
be easily available from observations of the site or
data available at City Hall (Critical Areas inventories,
maps, or soil surveys).
An applicant, or his/her representative, must fill 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
subsequent steps necessary to . complete a development
permit application.
Please submit a vicinity map along with the signed
copy of this form to assist City staff in finding and
locating the specific piece of property described on
this form. , In addition, the applicant shall include
other pertinent information (e.g., site plan, topography
map, etc.) or studies in conjunction with this Checklist
to assist staff in completing their preliminary
assessment of the site
I have completed.the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of 'my knowledge (fill out the appropriate column below).
Owner/Applicant:
Name
Street Address
t---A i2q o 20 2-L
City State Zip
Telephone
Signature
4 /'-s
Date
Applicant Representative:
Name
Street Address
City State zip
Telephone
Signature
Date
c:rccept1onYana\cac1.doc
(over)
City of Edmonds
RIGHT OF'WAY CONSTRUCTION*
PERMIT Permit Number. -,27L
1-7 q�l
Issue Date:
A. Address or Vicinity of Construction: 210 3 AV4A (9425913)
890 C) C) B. Type of Work (be specific): Install New Service
C. Contractor: -Washington Natural Gas Company Contact: Frank Swan
Mailing Address: 815 Mercer St, Seattle, WA Phone: 224-2278
9 i
State License #: Liability Insurance: Bond:$
D. Building Permlit # (if applicable): Side Sewer Permit # (if applicable):
E. n Commercial F] Subdivision [:1 City Project gg Utility (PUD, GTE, WNG, CABLE, WATER)
Multi -Family EJ Single Family F1 Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut 91 Yes []No - G. Size of Cut: 2 (2—x-:,,4) H. Chargt�
APPLICANT TO READ AN XN
t 1_�_ F
INDEMNITY. Applicant understands and by his signature to this application, agrees to.h i ty of E dm o nds h a rm le;`frAm t njl5st, Zin ages, o r
claims of any kind or description whatsoever, foreseen or unforeseen, that maybe made d* t#e City of Edmonds, or any of its departments or
tns �
ag N 10dattorney fees by /"' on
cos
employees, including or not limited to the defense of any legal proceedings including 9�ganrvzg this permit.
ro
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALMR1
A� PERIOD OF ONE YEARF(MLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATIO F JVT* BE HELD UNTIL TqEE114,,CL SI?WFT PATCH
IS COMPIETED BYCITYFORCES, AT WHICH TIME A DEBITOR CREDIT WILL BEPR I OCESNED FOR ISSUANCE TO 7 F�16(NT.
Construction, drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
Work and material is to be inspected during progress and at completion.
Restoration is to be in accordaAce4"Ith City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with�"C ity regulations as required by the.City Engineer.
1, 1 1 1 k
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
Ihave read the above statements and understand thepermit requirements and thepink copyof thepermit will be
available on site at �all t�ime inspection purposes.
Signature: Date: August 11, 1994
(�'N rTt r—a-c t o r o&_rA*'fg_en �t�
lk
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
'jc r
APPROVED BY: W"�' -
TIME AUTHORIZED: VOID AFTER DAYS
SPECIAL CONDITIONS: RESTORATION FEE:
PERMIT.FEE:
TOTAL FEE:
RECEIPT FEE:
NO WORK SHALL BEGIN PRIOR TO PERMIT IS�bANCE Engrg. I)iv. 1991
FIELD INSPECTION NOTES
Comments:
Diagram.:
4
(Fund 111 - Route copy to Street Deot.Y'
CONTRACTOR CALLED FOR INSPECTION El YES
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
0 NO
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