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21120 77TH PL W.PDF111111111111 6586 21120 77TH PL W , 890 . 199 - CITY OF EDMONDS 250 - 5TH AVE. N. * EDMONDS. WA 98020 - (206) 771-0220 e FAX (206) 771-02.21 COMMUNITY SERVICES DEPARTMENT Public Works e Planning e Parks and Recreation * Engineering March 25, 1993 Mr. Ken Rose 7717 212th Street SW, #404 Edmonds, WA 98026 . Re: ADDRESS CHANGE LAURA M. HALL MAYOR Per your request, and.after review.by the Building, Engineering, and Fire Departments the City has concurred with the need for a change of address. It will be your responsibility to notify unit owners within Rustic Manor #1 of the change. I have enclosed copies of the street map for you to distribute. The City is designating the private drive serving Rustic.Manor #1,. Rustic Manor #2, and the TS South new.development to your east, as 77th Place Vest. The City requires separate addresses for separate buildings; tWe—refore.the seven buildings now addressed as 7717 212th Street SV will be addressed per the attached street mapi These numbers conform to the Snohomish County address g rid adopted by the City. Unit numbers should be assigned by owners and be consecutive within each building"(sample unit numbers have been shown on the street map). A new street sign designating 77th Place W. will be placed by the City, You must post new address numbers within 10 days date of this letter. The City will notify all applicable City departments of the change. It will be your responsibility to notify all others, including the Post Office. Thank you, Sharon Nolan� Permit Coodinator cc: Police Department Fire Department Public Works Utility Billing Address Piles Street Files "CET FILE Incorporated August 11, 1890 Sister Cities International — Hekinan, Japan 1 8 go I qc� - CITY OF EDMONDS 250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works a Planning 9 Parks and Recreation e Engineering March 25, 1993 Mr. Ken Rose 7717 212th Street SW, #404 Edmonds, WA 98026 , Re: ADDRESS CHANGE LAURA M. HALL MAYOR Pet your request, and -after review by the Building, Engineering, and Fire Departments the City has concurred with the need for a change of address. It will be your responsibility to notify unit owners within Rustic Manor #1 of the change. I have enclosed copies of the street map for you to distribute. The City is designating the private drive serving Rustic,Manor #1,. Rustic Manor #2, and the TS South new.development to your east, as 77th Place West. The City requires separate addresses for separate buildings; therefore the seven buildings now addressed as 7717 212th Street SW will be addressed per the attached street map. These numbers conform to the Snohomish County address grid adopted by the City.. Unit numbers*should be assigned by owners and be consecutive within each building (sample unit numbers have been shown on the street map). A new street sign designating 77th Place W. will be placed by the City. You must post new address numbers within 10 days date of this letter. The City will notify all applicable City departments of the change. It will be.your responsibility to notify all others, including the Post Office. Thank you, Sharon Nolan�.- Permit Coodinator cc: Police Department Fire Department Public Works Utility Billing Address Files Street Files "'. V � �k )'* X.- ItET FILLt Incorporated August 11, 1890 Sister Cities International — Hekinan, Japan j R u S r- "C, MA#JorL CoQOO'S ............ o04), 0 -,)1 1.2 o 3!) F T2o—, 172 c '1*4 D L C' 14 14 (502.) (607.) - CIO —3) 03) 3) 17 7 N, q F, IOL IN (601) K IL � ]c,/) 4 '7 6 zl—. —17 A PARk4& -- 1 (7 o7q (70 (701 717 717 LA The Citv of Ed,---,4- Water Service Drawing EASEMENT NO . ............................................ NEW CONSTRUCTION REPAIRS Lia' LID NO . .................. ASMT. NO . .................. OWNER .. . .............. I ...................... CONTRACTOR ...................... ......... I ................................. PERMIT NO. .— ................ JOB ADDRESS TH F L ...... -.7-7 ................... W- LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . .................................... 2.5"elp 1,6ppen PWW-000 1 - 11175 (REV. 11178) 219" I I'Z (). r7 r7T "PL. 4UNITS 7.5 P/4" COP P&R ........................................................................................................................ ...................................... NAMECIF ADDITION --- I ................................................................... 21119 —7 r7 TH PL. UV41T Ica 10% 102- 1 "Cos Pen 7.5 -4— 1I44!'C.OPPeA 77 TA PL. W. NOIRM 14-- At-L- %/ALv9--s Smowt4 Arje 3/V AWO APPrzo-A. I** FR�O fA ZUIL0Ir4GS. ALL- COmt4e-r-T- -ro pKIS-r. GAI-V. PIPF- IRTO 13UILDII�4&S . Approved: DATEM#I�j ... MXA515--- By ........................ 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 Edmonds does not warrant the accuracy of anything set forth on these map(s). Any person or entity requesting a copy should conduct an independent inquiry regarding the information shown on the map(s), in I cluding, but not limited to, the 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 employees or officers shall be liable for the information given on this map(s), nor for any one representation provided based upon said map(s). 9 0 STREET FILE CITY OF EDMONDS 250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-3202 COMMUNITY SERVICES: Public Works * Planning * Parks and Recreation - Engineering February 27, 1990 Mel Steinke Olympic Properties 620 Edmonds Way Edmonds, WA SUBJECT:. RUSTIC.MANOR (7717 212TH S.W.) CONDOMINIUMS Dear Mr. Steinke: LARRY S. NAUGHTEN MAYOR PETER E. HAHN DIRECTOR I have reviewed your account with our utility billing and water supervisor per your request for credit to your account. I will allow our billing office to use the average consumption of the previous six billings, which is .109 units, plus City costs. Should you have any question, please call me or Ilene Larson. Sincerely, ea'69�7 le Bobby R. Mill Public Works Superintendent cc: Ilene Larson Utility Billing Clerk #432250/TXTWATER * Incorporated August 11, 1890 0 , Sister. Cities International Hekinan, Japan 6 01? A CORPORATION February 7, 1990 Commercial & Residential Edmonds 620 Edmonds Way Edmonds, WA 98020 Mr. Bobby Mills 771-1000 Edmonds Water Department :Highway 99 501-Bell Street Highway 99 Edmonds, Washington 98020 Edmonds, WA 98020 774-3500 RE: Meter #432250 Creek ,Mill 1400 164th SW Dear Bobby':' Lynnwood, WA 98037 742-7800 483- 1000 Just a quick letter to request a possible reduction Everett of billing on this meter's water consumption. 4027 Hoyt, Suite 101 Everett, WA 98201 The condominium CRustic Manor) - located at 7717- 353-0100 212th S.W., Edmonds - has been consuming water at an Canyon Park - Relocation Center unusual rate over the last two billings. We tried to 22010 17th Avenue SE - Suite A locate the misuse or flaw - without success, as your -Bothell, WA 98021 485-1504 records might indicate. (We inquired.) 1-800-233-8956 Well, about two weeks ago, we found our problem!!! Olympic Financial Center The parking lot caved in. One of the fella's with a Highway 99 - Suite 205 1",'22727 Edmonds, WA 98020 six foot steel probe - doing his thing, all but lost it 774-4040 as it sunk that*appr6ximat6 dopth.�throughl.i.the.underground FAX # (206) 775-8418 cavern the leak had created. Needless to say - we * Commercial immediately called a repair agency and the problem has e Land uselDevelopment been solved. * Administration As a director for Rustic Manor, I.respectfully request your consideration of a reduction in our billing due to this mishap. Thank you. Sincerely MEL STEINKE cc: Pam Sanders, Treasurer F-11 I 7717-212th S.W., Edmonds U C9 �f%LAL At. AGAL.W.Af..'a.M. aL.W. U. AL.W. U. A4.W.41d. U." W.". Af. U. U. A(..*& U. Af. U. U. w. -it. W. W. af. Ae. AL a?, V. 411. -41 2 F'RIN*T KEY FROM-Y4 BY (.J'3f-.:R---IJL-250 02/09/90 1.1. 5 5, 0 3 3 4 6. 7 61 7 a 10 11 9 2/09/90 CII'Y OF EDMONDS UB2011 121 10 1144564*25 AM ITI':LUil"e Cw:i-tofney- History FIE'TAIL L3 1 14 is 112 Customer Key 16 13 Customer No* 432250 RUS*I*I'C MANOR SANDERS 2 14 OLd No+ .40710500 LS is a --n Descr i 2, ti 0 n/ 10 201 Date Elate Reading Ra t. e C o Geq Aniount Ba 1. a Tice 21 4 17 02/0(3/90 01/31/90 000673 2---1 0003 6 PI 000 1 196+00, 8*77.24 22 L3 8, 02/08/90 01/31/90 000673 '.1.---2 0003 60 000 1 37. 0 4 681.24 24 19 02/08/90 01/31/90 000673 .1. -- 1 0003 �_6� 000 1 644.20 644o2O, 20 — 12/19/89 P 474,.36--- L6 27 21 GII-003 246 000 :1 196.00 474*36 2� 22 12/12/89 11/29/89 000984 1 2 0003 246 000 1 15.14 2*78o36 29 23 12/12/69 11/29/89 000984 1 1. 0003 246 000 1 263o22 263.22 TO 31 4 10/?S/R9 P 383,59--- 32 5 10/12/69 09/22/89 000*738 2---1 0003 1.44, 000 1 196.60 381.59 33 6 10/1.2/89 09/22/89 000730 1----2 0003 1.44 000 1 1.0009 185.59 74 51 7 -0 /- 12 /- 8 5L 0-9- 2 2 /- 8 5�-0-0 I 1 —0-0-( P,7L 1 000 08/1.6/89 1 P 175 4.50' 337,,03-- 175450 61 a 9 Due Elate ToIaL Current 1 2 3 3LQA 9-Q 87*7*24 0 00 877.24 400 600 0 C(nd2--D-t L/Sufn F i L L i n requ i red i n-f 01"Mai i OTi a Tid press enter Cnid&--Cs�f R e c ..41 2 Cmd4-Cst Sry HeLp 2 CONTINUE 7 END 2 Cmd5--Src Add Cmd8-Notes 42 43 3 t� 34 35 — 36 L5 L6 j7 Le 37 38 LC 391 si 5 40 L3 41 L4 LS 42 L6 43 57 Te 44 -9 4q a 46 61 47 2 48 3 4 49 5 so 6 L 6 2 L, 3 LO L, L2 5 L3 L4 0 ire gmx-mn A A.R.R.A. a A--yr* -it JK. it )t.)t-x %-It -it 2 2 PRINT KEY FROM---Y4 BY USER—IJI 250 02/09/90 11 56. 4 3 3 4] 4 H7 9 9 2/09/90 CITY OF EDMONDS UB201 1. H12 101 ll*#56*025 AM Inquire C,kistomer History DE *T* o- I L p I Customer No. 432250 RUSTIC MANOR SANDERS - 17 14 0 Ld No 40*710500 JJ3 Ty- a n 20 16 — I'la t e Sry Date Reading TyF)e Rate Cons Seq Type Amount Ba Lance Li 17 00/08/09 0*7/22/89 000594 2 1. 0003 95 000 1 1.96.00 337oO3 L2 2 Is 95 000 1 7o67 1.41.03 21 19 00/08/B9 07/22/89,000594 0003 95 000 1 13�3.36 1.33.36 26 20 - 06/1.9/89 p 340o67— 27 21' 000 1 196,,00 340.67 28 2 2 06/0(3/89 05/30/89 000499 1.--2 0003 99 000 1 7.87 1.44*67 U 3 3 06/00/89 05/30/89 000499 1 1 0003 99 000 1 136oGO J.36o80 Lo 31 4 4 [ 04/19/89 f P 253497 31 5 5 04/10/89.�03/28/89 000400 .2--1 0003 40 000 1 162#96 33 6 6 04/10/'89'03/214/89 000400, 1-2 '0003 40 000. 1 4o95 .253#97 '91o0l 3 3 7 03/28/89 000400 3 . .... 1 0003 40 006 1: F36 e. 06 86.06 3 02/14/09 P 225o55-- 3 Llue Date Tol a 1. Current 1 2 3 9 0 3/04/90 8*77 * 24 00 87*7 24 .00 .00 4 Cmc.12-11-t L/Sum Fi LL i . TI r e-'L U ired information and Press enter Cmd6—Csi Rec '41 C.mcl4---Csi- Sr v �He Lp 2 ':= CONTINUE 7 1 ---'N D 2 CfiidS---Si-.c Add Cmcl!B---No tes 4 H3 3 7 3 9 65 66 s 73 6 L4 75 , 890 . 199 STHEET FILE CITY OF EDMONDS LARRY S. NAUGHTEN 250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-3202 MAYOR COMMUNITY SERVICES: PETER E. HAHN Public Works * Planning * Parks and Recreation * Engineering DIRECTOR July 16, 1991 Dorothy Hunter 9022 - 25th Ave. N. W. Seattle, WA 98007 SUBJECT: RUSTIC MANOR (7717 212TH S.W.) CONDOMINIUMS Dear Mrs. Hunter: I have reviewed your account and will allow a credit to your account according to our City policy: the average consumption for the same period during the previous year charged at normal customer rates, plus the excess usage charged at the City's cost, plus a surcharge of 15% applied to the excess only. Only one leak credit will be granted in any three year period. Should you have any additional questions, please contact Ilene Larson, Utility Billing Clerk. . . -4> - Sincerely, 24 a4J2 Ron Holland Water/Sewer Supervisor BM/l k cc: Ilene Larson Utility Billing Clerk #432250/TXTWATER/2 Incorporated August 11, 1890 0 Z- L t -, -),u vo /0 tn� ,v ,�Y rY7 'S-fl-o�kllf P-:E/ X-'WP /- /2,L nq 07 yy /7 , 7Z;x lid el:� 7 71;7 PIP & -jr DON & PHIL'S LANDSCAPING CO., INC. Piz General Contractor Since 1964 23319 39th Place West C, Brier, Washington 98036 OP 483-59W !cr, k7-1 0 CONTRACTOR'SUCENSENO.223-01-DO-NP-Hl-'214PN 'IPING INVOICE N2 5936 SOLD SHIPPED TO STREIT & NO. �2zz�— STREET & NO. — CITY STAT� ZI CITY STATE ZIP , QUANTITY DESCRIPTION UNIT PRICE AMOUNT v k�J)Alj eq Is �-o f to 50 -C, PAY LAST A MOUNT 09"Iymb` IN THIS COLUMN -X- -X- 2 PRINT KEY F:*R()M--Y4 BY USER-IJI-250 07/3.0/91 13.01.450 2 0 3 4 4 D r I 6 m M m m 12*027*026 PM —UR201. In---jjIi)-e Customer History DETA I I ,7110 9 0 !11 0 17, Customer No. 432250 RUSTIC. MANOR -HUNTER 0 Ld No 40710500 1-2 Fla A- e Gry Itate Read i w.) Type Ra te Cons Se.j. Type Amount Ba 1. a n(--- e r2 "I 22 06/14/91 P 904.59--- >6/0.6/9-1. 05/21/91 000599 2-13 00()3 546 000 1 2,53. 40 804.59 06/06/91 05/21/91 000599 1-2 0003 546 006 1 29 * 97 551*3.9 ;2S 06/06/91 05/21/91 000599, 1-1. 546 006 1 521.22 521 # 22 )-4 -/- -2 -9 /-9 - I .0003, ........... '761. ... . -70 04/09/91. 03/25/91 00OW-53 2-1. 0003 516 000 :1 237.79 761.70 04/09/91. 03/25/91 000053 1.--2 0003 516 000 1 28*49 523.91 -3119 04/09/91. 03/25/91 000053 I.---:L 0003 53. 6 000 1 495.42 495442 1.32 03/05/91. P 595.68-- 02/07/91 01/25/91-000537 2 1 0003 .344 000 1. 228.20 595.68 02/07/91 01/25/-(91 000537 -j.,-2,,,,00Q3, 344- 00Q 1 19.98 _367.40 02/07/91 01/25/91 000537 1--1 0003 344 000 1 347.50 34*7*50 IL71 z Due Da-te To ta 1. Current 1 2 3 Sa C 7 /-0. IZ-9-1 000 .00 000 Cmd2---D-t L/Sum F i L L i. n r. eq u ir ed i n-F o r ma I o n and press enter C'md-6-Cst Rec 4 Cmd4---Cst Sry He Lp. 2 COW I NUE END 2 Cmd5---Src- Add CmdB--No-tes 9 L A fa U (-,ryq S ;S s'b-ej,) 0 43 44 45 1)16 < 'lie 11 .-F -Z -n� ! I * 1574 G 3 7 17J 9 E PRIN'T KEY FROM-Y4 BY USER---lJL250 07/10/91 13.0lo53 3 14 -3 4 s 7 61 7 8 9 7/10/91.­1 Cl'TY OFEDMONTIS UB2011 12, 10 12 *4 2 * 7 to 21, 6 PM Inq.uh-e Customer Histor-y DETAIL- _�i 13 is 12] Customer- Ke 16 131 Customer- No. 432250 RUSIJC, MANOR --HUNTER 117 14 OLd Noo 40710500 1� 19" TO 16 — Da t e Sr-v Date Reading I*yl:)e Rate Cons Se-1 TyPe Amount Ba Lance 17 — 1.2/18/90 F' 45B * 35--- Is 19 12 /_1_0 /-9-0-1.142.8. /j.?_O_O_0_0_1!?_3_2 �12/10/90 11/28/90 00 03.93 -- 1-0-0-0-3—IL? 1­2 0003 3__SLQ_Q__l_ 1.93 000 1 _.Z2 1.2o5l 4' 230*15 -5 12 20 .1.2/1.0/90 11/28/90 000193 0003 1.93 000 1 217.64 217*64 171� 211 - p 2]2 10/08/90 09/27/90 000806 2 1 0003 36 000 1 2284-20 33.5. 5*7 23 10/08/90 09/27/90 000806 1­2 0003 36 000 1 4*75 87*3*7 131 24 10/09/90 09/27/90 000806 1-1 0003 36 000 :1 82,.62 B2*62 .32, 25 p 26 08/09/90 07/23/90 000770 2-1. 0003 33 000 1 228#:20 3:1.2 84. 3f 27 06 9/90 07/23/90 000770 -1­2 0003 33 000 1 4-60 �j 2 2 08/09/90 07/23/90 0007*70 1-1. 0003 33 000 1 80*04 80*04 9 Due Date ta L Cur-y-ent 2 3 3 7/01/91 +00 1100 too 1100 .00 31 Cmd.2. - Elt L/Sum Fi LL i TI U i r- ed i n-f o r ma t i o n a nd pyess enter- Cmd6---Csf Rec: 32 Cmd4_--C�st Sv­v �:He L p 2 CON'TINUE 7 END 2 C foc!5-Sr�c Acid CmclB­Notc�s 313 34 lb 5 6 7 4 39 5 52, 5Z 40 41 42 43 't57 44 *9 4 46 131 47 48 49 52 53 — 54 711 55 3 74 L S PRINt'KEY Fr-mm--Y4 14Y USEIR---IJI-250 07/10/91 1.3.,01.57 3 4 4 5 6� 7 -61 9 9 7/10/91 ' CITY OF EDMONDS UB201.1. 12. 10 12 *0 .2) 7 6 PM Inquire Customer History DETAIL. t1S 14 Its 12 C us I. o mer Key H16 13; Cust omer No. 432250 RUSTIC MANOR-4-1UNTER 14 OLd No+ 40710500 ........... I'a 16 Date Sry Elate Reading Type Rate Cons se-4. Type Amount Ba Lance .2 T' 17 06/25/90 P 316+48--- 18 06/0*7/90 06/07/90 05/30/90 000737 00073*7 2­1 0003 1-2 0003 37 000 3*7 000 1 1 228*20 4.80 316.48 E31B * 21B 24, 19: .05/30/90 06/07/90 05/30/90 000737 0003 37 000 J: 83,,4(3 83*48 t2711 291 -0 /-0--? .0 .201 22 04/09/90 03/29/90 000*700 2­1 0003 27 000 1 202+44 281.o63 23 - 04/09/90 03/29/90 000700 1­2 0003 27 000 1 4*31 79.19 ao ARI 24 )_4 /-0-9- lZ2_0_0_3 03/14/90 /_ 25?_ op- 000 1 P 74,,88 .,617 * 711�--- 74*88 4 03/09/90 00/00/00 000000 1--2, 0003 0 000 A 14+11- 617*79 .3 7. —03 /-0!?- /-9-0-0-0. 02/08/90 /_O_O /-0-0-0-0-0-0-0-0-1.: 01/31/90 000673 --'L _0_Q 2­1 0003 _000� 689 000 A._ 1 __n445.. 34-. 196+00 "��O 877.24 8 9 Due Date TotaL Current 1 2 3 3 �9_'! 0 Y/ U4. 1 000 600 000 400 400 3 1 Cmd2----D":+:LAS�`u' fit FiLL i n requ i red, i Yvf ormat i On and pr�.?SS eT ter Chid6--Csi Rec 32 Cmd4- t :Sr\i HeLp 2 CONTINUE 7 END' 2 C(nd5--Src Add CmdS­N61es 33 34 35 31 37 9 3d: 51 �S 40 41 42 43 44 4� 4 41 49 6 50:. 51 52 3 71 4 S d 6 7 2 PRINT KEY FROM---Y4 BY IJSER--IJL250 07/10/91 13*02+02 3 3 44 4 5 6 7 6 7 a 9 8 ;Z4 9 CITY OF EDMONDS UB2011 12, 10 — 12*42*74426 PM Inquire Cu-E-i-totner Notes 14 12 13: 14 C us t o (ner No. 432250 HUNTER I)OROTHY 19 is S Ce 1:1 a t e Note 16 000 03/09/90 LEAK CREDIT 2 17 2 1,2 is 000 10/11/90 N M*TR 000 W 20: .......... . ... ... 22 3 t2Q 31 t3_ bg [4 6 )3� 7 28 2-9 13 Of Alk 30 31 — 32 14 V Ro L L Dn End of Fi Le Reached Cmd3—Iyl':L Sy-yl 42 1 CHANGE 2 CONTINUI:-7 4 DELETE 7 END 2 33 34 35 36 14 37 38 39 52' 40 C4' 41 � 0 0 42 43 44 E7 90 45 ISO 46 k2 47 48 .. 4 49 6S so 51 52 161 53 0 54 55 3 56 95 0 STREET FILE CITY OF EOMOIM93S 250 51h AVE. N. 9 EDMONDS, WASHINGTON 98020 # (206) 771-3202 COMMUNITY SERVICES March 25, 1986 10,q LARRY S. NAUGHTEN MAYOR PETER E. HAHN DIRECTOR Ms. Sharon Hanning 7717-212th St. S.W. Edmonds, WA 98020 Dear Ms. Hanning: SUBJECT: ACCT. #407-10500 This is to inform you that an adjustment will be made to your water bill. Due to the unusual circumstances of snow making it impossible to read your meter, I will allow an' average bill plus City cost for water. If you have any questions, please'feel free to give me a call at 771-3202, extension 296.- Sincerely, BOBBY R. MILLS Superintendent of Public Works BRM/ml cc: Utility Billing c?" Ak,-�� BRENA DT MARtH DT PUBLIC WORKS PLANNING PARKS AND RECREATION ENGINEERING 01) La CO C-D LLI c::X . . . . . . . . . . . . . . . . . . . . . . . . . . . ... ... ...... . ML I �� 0 CITY OF EDMONDS-UTILITY BILLING ACCOUNT NUMBER It 0- j 0 4G 1- 10500 SERVICE ADDRESS 771-7 212TH s-r sw MA L NAD A I D M L R E N S G S' I C) 4L L)eL TELEPHONE METER SIZEO -3/4 NO. OF UNITS� 7 SEWER CHARGE /0�' 37 WATER BASE 0 CONNECTED Y;.- SUPPLIER A CODING� j� W 0 A,`�B 902 2C METERNO. I' 66L29 LOCATION DATE READ CONS. NOTE DATE READ CONS. NOTE 1-0 A—n.� 53 q -r S E p I? qj 1'- 4' r 4 ks- ��5 o/ 7 33 3b —I OF' V'l 7 I a-7- 74k DATE COMMENTS 32 (91 �4 —I, 1 IL pr 1 10 7!.*".." .33 - iez: L - is"'. , 0 9 34 ele —6 eL co a G 6. 14 '7 Ze.-I 4 5 7 - , .1 I I �411 . z 04 3 0) 19 't) is 17 16 - Lli 0.2 to cr cc, 1-12 0�1 2.0 05 Q w STY 0 BUSINO LICENSE APPLICATION l/ ;,'4t CITY OF EDMONDS 250 5TH AVENUE NORTH EDMONDS, WASH. 98020 n TELEPHONE (206) 775-2525 STREET FILE INSTRUCTIONS PRINT APPLICABLE LICENSE CLASS, FEE AND PENALTY PAID IN ANNUAL FEE BOX AT RIGHT. PENALTY DUE ON RENEWALS RECEIVED BY CITY CLERK AFTER FEBRUARY 15. NEW BUSINESS: COMPLETE ALL LICENSE APPLICATION BOXES. LIC. RENEWAL: REVIEW LICENSE INFORMATION BELOW. PRINT CORRECTIONS AND ADDITIONS AT RIGHT. SIGN AND RETURN APPLICATION WITH FEE (AND PENALTY). LICENSE WILL BE MAILED TO YOU UNLESS YOU ARE NOTIFIED TO APPEAR FOR APPLICATION REVIEW. LICENSE,RENEWAL �:REVIEW BELOW INFORMATION, PRINT CHANGES -AT RIGHT. !DATE OF BIRTH I PLACE OF BIRTH HOME ADDRESS 3. BUSINESS IDENTIFICATION �VASH. STATE TAX NR. EMPLOYEES I ORGAN. JOCCUPANcy . ANNUAL FEES TYPE BUS. CLASS FEE PENALTY HOME A $10.00 $ 5.00 SMALL B 15.00 7.50 *GENERAL c 50.00 2500 'OVER 10 EMPLOYEES, OR EMPL WORK OVER 120 MAN -MONTHS PER. YEAR. C ,4SSI FEE PAID j PENALT Y PAID TYPE ORGANIZATION IF BUSINESS IS: TYPE CAPACITY HOTEL/MOTEL L OF OOMS/UNITS NR )F I C CORPORATION APT.BLDG. A NR 0 APTS L LTD. PART OFFICE BLDG. 0 NR OF 0 FFICES 0 P PARTNERSHIP RESTAURANT -Fr NR OF EATS S SOLE OWN ER HOSP./NURS. HOME H NR , BEDS SCHOOL S AR F STUDENTS 4. BUSINESS ADDRESSES 1% Jw 5. EMERGENCY NOTIFICATION I NAME 'U AREA I TELEPHONE (1) (2) OFFICIAL USE ONLY U.F.I.R. CODE BLDG. PERMIT OCCUP1 I C.U. PERMIT 7L AND USE ZONING low STAFF ACTION SIDE SE APPL.. NO.: . 'Tq! I DATE:. 4 APPLICATION FOR: < NEW [-] LIC. LICENSEFI_�7,7g BUS. RENEW YEAR LICENSE NUMBIE'll ZE T 180 LA iiEw' B-U-S LB RENEWAL-,. LC CHANGE Is 1 9' M�' LD DELETE ASSI YEAR I LIC. EFFEC..DATE I REASG. LIC. NO. I SPE� ^ rl e%,, - � - . _-­: [1�11 RECEIPT NO: I AID Ah-.. PRINT W 9i IN SPEC: -."BOX :.FOR ISSUE OF'. :, PAHD� PENALTY PAID CORRECTED LICENSE WITH i 15Y I *LC* ACTION. -LICE N SE'APPLICATION AND CHANGES q PLEASE PRINT, CLEARLY DATE OF BIRTH MO. I DAY IYE L& I I A HOME ADDRESS . .; g,� TIAL SECURITY NUMBER Q­` PLACE OF BIRTH CITY STATE 3. BUSINESS IDENTIFICATION IBUSINESS NAME (FULL) NATURE OF BUSINESS (DRUG STORE, CPA, ETC) &ftgg��A- � vr� fvi\�4 WASH . STATE TAX NR. I ANTICIPATED TYPE (REGISTRATION) NR. EMPLOYEES ORG L Lis -o ENTER ARPLICABLE TYPES AND CAPACITY BUSINESS PHONE OCCUPANCY TYPE CAPACII 4. BUSINESS AD I>01�1_,<MBER LZ74A�&1-7cIdI STREET— APT NO. 1 9130RESS BLDG. NUMBER STREET APT. NO. y hg&amp . I I I I I I I 'I . I STATE &A 5. EMERGENCY NOTIFICATION (IN EVENT OF FIRE, BURGLARY, ETC.) LAST NAME, FIRST INITIAL AREA CODE TELEPHONE (1) LAST NAME, FIRST INITIAL AREA CODE TELEPHONE (2) 1 *1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 --Li-il -1 I-f, I PRIl* 'UN U.F.I.R rODE,, USE PERMIT L,-j LJ = '011-1:961Uwl DG. PERMIT I-OCCUP, ZONING. C:TY CLERK'S APPLICANT'S S GNATURE SIGNATURE' APPROVED [] DISAPPROVED DATE :==j LBLIS. TITLE RETURN TO 1-1 DATE — ....... W)rl-7- "'APPLICATION CARDNo . ........................ ............ for ._�,SEDE SEWER PERNM. 'Y, EASEMENT No . ...................................... xv -'"REPAIRS ESP. OUTSI INSIDE,:& ell- k ............................. 'i . ................................ CONTRACT(5k-�` T ................................... ......................... ........ .... PERMIT No. STREET No. /�, ..................... ........... BLOCK No - ----- ................................. ..... .......... ...... .. AVENUE LOT ............ i4"o; T _s ...NAME ADD . ................................. ............. ...... ......... ......... .............................. ........... 0";c, 30e ­V­ vz _w. j/; Z., 7 PROVED, FEB Date Approved: BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ ............................................. SSEWERWORK ORDER ISSUED .......................... .... ... .... By .... DATE ... .. .... . ......................... 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 Edmonds does not warrant the accuracy of anything set forth on these map(s). Any person or entity requesting a copy should conduct an independent inquiry regarding the information shown on the map(s), in . cluding, but not limited to, the 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 employees or officers shall be Hab-le for the information given on this map(s), nor for any one representation provided based upon said map(s). L ii: ospect - 64107 when work for 1nsPeeU0n. (NO Inspeo- urday, Sunday or boll"".) 1. NT 1206 ID - SS .... ....... (99P:�ic ... Mon.or..A artmeD.-.C.;5).. —p ..... ................................................ Llylt-Qa) CONTRACTOR ....... T."ker ... C.QaS.trUCt 10 .................... SRO Is ... .... ......... 9 ... 5 .5, for ---------------------- daYS, to REPAM or CONNEM a side sewer e ers in co plication on file and governing ordinances. TO THE FOLLOWING: T-E N f the property may btaln a Permit to 0 0 �* 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. NOTE No. 2—Obtain full information regarding ordinance 11.16.030 and Regulations governing side sews. when you get permit. NOTE No. 3—Top of side sewer must ha ve at least 30 Inches coverage at property line-�'a-,nd 12 inches inside property line; minimum grade of 2% No bends In grade sharper than % Will be permitted. NOTE No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contra tors 8 11 failure due to improper work which may develop within one year of completion. ha be responsible for NOTE No. 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 up- Purtenances except to insert the pipe into the wye. CITY OF EDMONDS LOT APPROVAL STREET STREET FILE NAME J ADDRESS A I 1'�J ADDRESS OF PROP&E6 A�o ,,,,J,,.BUItDING JOV LEGAL DESCRIPTION: BLOCK'' 'ADDITION ­ TYPE OF USE NO. OF _�EDR664"S J 6) SIZE OF LOT SOURCE OF DRINKING WATER: Public Supply Private Well a. SURFACE DRAINAGE 1, Is disposal field site well dralned? Y74i 2. Any water course (stream', drainage ditch, etc.T —through site? '.b. TOPOGRAPHY 1. Any heavy slopes in field area? A/10 2. : Will present topsoil in field area be removed or graded before field tiles are installed? J 3. Will any fill material be used in the disposal field I site? A/O If yes., howmuch? c. SOIL CONDITIONS 1. Hasa hole at least 4 feet deep been jig in the disposal f . ield area to deter- mine the type of soil present? yr f 2. After hole is dug record the soil conditions at the following depths. (Re- cord as sand., gravel, clay, packed sand, loam, etc.) 12 inches 70 PS 0; Z 30 inches- S)- 18 incheZW,%��_ 6 inches 24 inches , It IN 48 inches 3. Any ground water encountered before reaching a depth of 4 feet?_ID. If so at what depth? d. WATER TEST A simple water test will show how well this soil will drain or percolate wat r. To perform this test: 1. Dig hole at least 36 inches deep. Use a shovel or post hole digge ' size of hole makes -no difference —only depth. 2. Fill hole with water. Now let all water run out of hole. This soaks the ground and will give a more accurate reading. 3. Again pour water in hole to a height of 12 inches from the bottom, Let water run out until there is just 6 inches from bottom left in hole. 4. Note how many minutes it takes for this last 6 inches to seep away. Record this time below. Number of minutes for last 6 inches to' seep -a 5, Divide this time by 6,to obtain the rate per inch 6. Date water test was performed �� -el i 1960 I hereby certify the above information to correct and the above tests were performed by me as prescribed. , oa rE D, Signe Eng;Mee,rs & Laind Surveyors Addr s _PR C-1171 NOTE: A septic tank permit is issu on the basis of the above on �o c Ae on the b, there are any changes or alterations in the above stated soil conditions it may result in the installation being rejected at the time of inspection.- Percolation Rate and Required Absorption Area. For single Family Dwellings. Perc6lati6n� Rate �(Time in Lineal feet of 4 inch' tile minutes for water to fall us�ng trench with width'of one -in6hy two feet 3 150 minimum 4 5' 190 7 225 -10, 250 0"', 12 265 15 285 30 375 Over 30 Soil Unsuitable eq Te WAS' jw� I "X '0. My.1A M N! "1 0: IWV MY V1158#10, QW-A-0,wo- to ngton �ovtt �V y Mt q, Not oj� t p ]a 1MA(a t7l 41MY, �:`Av JONI T t44: 1.1 here, r tqK�e 2p 6 1, , ;y 44. T- 49e 3e �40t�:*4cditiom. i�re 0�-Ifbwl 70i "I L "10 k 4 q, A 'too, k% 01i A n � & 1- - � . 1w " � a," �,v I 4�an "' " �' - t if Q01 "I 1 77�, 0 f S yocij tgE lot 0 14, w 1 7 ��i�*tioa tq#oP.-, bf 4! %lob7v', i�T WAIT 6wA& 1�ons iorA yntsp`i� needed 4ib�il GO A'9 i* �t"� LOW NO E ry si**L 614 ou t FQR1 IDW,- F n its WOUR hlt "Y' lost. 1p jL �J Imp Why 1401, 5 & f7 7 77, A� AM!, 4 V It, tet*r`4 "i ad 1 Ohio p�wt;46C its left, Ott; IN :1 4 A A Ko -,qqp:� �x �wjn; to- x 'AMA APPLICATION CARD No . ...... ............................... The City of Edmonds for STREET FlLr___ SEDE SEVVMR PERYaT EASEMENT No . ...................................... OUTSIDE INSIDE REPAIRS ljq OR .......... OWNERL.�'�'!.' ..... .......................... CONTRACT ... ................................. ................ ...... PERMIT No .. .. .. ....... .......... ................. ......... STREET eA HOUSE No . ........ .. .................................................. .... ....... AVENUE LOT No . ............. ........ ----------------------- ................... .... BWCK No . ............................................... NAME ADD. ............................................. .......... . TJ 4 -Z� e- APPROVED Wl 2 2 1964 2 �2111�4 Date Approved: BACKFILL WORK ORDER ISSUED ........................... ....... DEPOSIT, $ ............................ ................ DATE .... Z ......................... 4 . .. ... ...... SEWER WORK ORDER ISSUED ................................ ......... 13, a Call PRospect 6-1107 24 hours (plus 'CITY OFEDMONDS Saturday, Sunday and Holidays) be- 902 ,4 CITY EMLL — WATER -SEWER DEPARTMENT fore work is ready for inspection. I - S SEWEWPERMIT DE I ADDRESS .............................. S -Z ...... IOWNER j -fillbbn ............... .............. ...... "CONTRACTOR', . ............... .... ................................. i Permission is granted .......... ......... Jan ...... 22 ............ 19 for ........................ days, to REPAIR or CONNECT a side sewer �64 i with City, S6wer� m` accordance with application on file and governing ordin ,pees. ATTENTION IS CALLED TO THE FOLL&WING: NOTE No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer ContTaGWr must,be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been inspected. I NOTE No. 2—Obtain full in -formation' regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. NOTE No. 3—Top of side sewer must have at le�st 30 inches coverage ai' property line and 12 inches inside property line; minimum grade of 2%. No bends in grade sharper than % will be permitted: I NOTE No. 4—Trenches in street must be water settled and surface of sAreet restored to original condition. Contractors shall be responsible for failure due to improper work which may develop within one year 'of completion. I NOTE No. 6--It is unlawful to alter or do any other work than is proyided for in the permit, or to do any work on the main sewer or its P-- purtenances except to insert the pipe into the wye. - '-- -- ---I- -.- ---- -- f-*,-,-"*",-,"**------,-,*-*---.-�-I 1---. -11----.------.-.- -- ---I. I fl �lj Dt�? Z Vex -ID-1, N �m 4— 0 r-S 0 te> --------- -- fu t ev I V- X Ao, ow T YPICA Z INZ- 0 1,oe, SE VA OZ- PZ,4 TV TRACT 19 D111 EOMON12S Oillur -t v STPII:ET FILL--'