21218 95TH AVE W.PDFiiiiiiiiiiii
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21218 95TH AVE W
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1 8 go . 194
STREET FILE
CITY OF EDMONDS LARRY S. NALIGHTEN
250 - 5TH AVE. N. *.EDMONDS, WA 98020 - (206) 771-3202 MAYOR
COMMUNITY SERVICES: PETER E. HAHN
Public Works e Planning * Parks and Recreation * Engineering DIRECTOR
November 5, 1991
Al Torgerson
21218 - 95th Ave. W.
Edmonds, WA 98020
Dear Mr. Torgerson:
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.
Sincerely,
Ro-n Holland
Water/Sewer Supervisor
BM/l k
cc: Ilene Larson
Utility Billing Clerk
#206575/TXTLMK41
0 Incorporated August 11, 1890 9
- - T.- , - ': - - -I T-T - I . :.- - - T- - - -
14121
CEIVEC)
Nov
1 PUBLIC
LJ WORKS' DEPT.
a4,e- . 4
Lo
6,��
CITY n1' EOMONDS
ENGINEERP(-', DEPARTMENT
STREETFILEAT I ON F*0.`1 RIGHT-0E-','1AY CWISTRUCTION PERMIT
(Arr1,',-2-t to Cc:7v(',.,-te A B mid DuvZ-�'i�a-te)
As
Permit to be issued to:
For work at: (address or inity) 022 9
lv�ti I
/ V�� ,
Type of work ' to be done:- '.5?
(AtEach Drawing �Iien Applicable)
Time Required qtdrt:.—Q&)a Finish:
Owner:..SQU
Name
Mailing Address
city State Telephone Numb.er
Contractor: AJrA 9A 4
"A C,
am State Licens'e Number/
a
M -fl 1 n g d do es
city State Tiblephone Nu(bber
iNDEM'NITY:* Applicant understands and by his signature to this application, agrees
to hold the City of Edmonds harmless from any injuries, damages or'claims of any
kindror description whatsoever, foreseen or unforeseen, that may be made against
the applicant or the City of Eft.ionds', or any of its departments or employees,
.including but not limited to the defense of any.legal,pro * ceedings'including defense
costs, court,costs, and attorney fees by reason of granting this pprmft.
Upon.i�suance of t.his.permit,the contractor is resp . onsible for workmanship and
materials for a period of one year following the final inspection and acceptance
of the restoration by the Engine.ering Department.
Work subject to inspection -and restoration in accordance with City Code.. A
24-hour not1ce is required for inspection by the Engineering Department.
Call 775-2525.
Signature:
Owner or Agcnt Date Signed
DO.NOT WRITE BELOW THIS LINE (To be ccmpleted by IBsuing Agency)�
Permit Issued (Date)±—q*i Permit Number.
Fee: 211`5 Bond:
Time Authorized:
Subject to inspection and restoration. All work to,,he done in accordance
with Ord. No. 1394-A. For inspectio
cali 77671107.. A )A fA A
L
I -:R'S 1'1?()'%!A
ENGI NEI DATE
M*ftclo P-y wz-,-%�
APPLICATION
The City of Edmonds for
EASEMENT NO - --------------------------------------------
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS LID NO. ........... &MT. �� ---------- -------
OWNER -------- CONTRACTOR 0�4t-ra[Z)
------------------------------------------------------ ----------------------- --------------------------------------------------------- .......... ......... ----- PERMIT NO. 5?4;?�55P
JOB ADDRESS \N -e�
-------------------------------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - -------------- 7? -------------------
------------------- ..............................................................................................................................................
0
N I r��- j--
r-411 "A, -AL
------------- t - ------
.... ..... ......
Approved:
DATE Z�/ ............... - By�'. �.. ..... . ..........
7
~
--- City
�n ,~. E_'---'_-
11
�
�
APPUCATION
for
SIDE -SEWER
;7 REPAIRS
NEW CONSTRUCTION
EASEMENT NO - ------
LID NO --'---_'- A8MT. NO ''-_'—.�
CONTRACTOR -----'---------------.--------_--'PERM[T NO. -
LEGAL ' LOT NO. -----------------------------
BLOCK NO - ._-_.--_
----'------' -----------`---'-----------------------
BY
'
NOTICL:
w-*ar-r a n ty ... 0' Y
N:O
The information on the attached
map(s) was cc)mpiled for use by the City 01
Edmonds/ its Empl-oyees and Consultants.
nt the
The City of Edmonds does. not. warra
n these
accuracy of anything set for.th 0
Map(s). An . y person or e.ntity -requesting a
copy should conduct an independent
inquiry regarding th-e infcbrm . ation shown c
-7t Fi-�� -M a p (s),, including, but not Jimited to,
th . e lotation of any sewer stub shown, Su(
not exist and ma\,
sewer stubs may or may
or may not exist at the location shown
Neitheir the City of Edmoinals nor its
empjo-yee-s O-r office-rs -shal-1 be 1--ja-b-1--e forth
inform at i on given on this map(5), norfor
oresentation Pro . Vided based
anyone re,
upon said. map(S'
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT
Call 775-2525 for side sewer inspections BEFORE covering any Portion of the construction.
Inspection will he provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.)
ADDRESS LOCATION OF CONSTRUCTION ..... N
X77?�AJF.� — .... . 5 . �A� ....... --- : --- .... ..........
..... . . .. . ......... ..................................
PROPERTY LEGAL DESCRIPTION ............
....................... . .......................... . ...................... . .......................................................... I ..... I ........ . .............. . ................................... ....................................................
---------------------------------------------------------------- OWNER AND/OR BUILDER ...............
..............................................
CON'TRACTOR'S NAME & ADDRESS .......
........ ... %.
--------------- . ............ ............
......... ...........................
Permission Is granted ..... Q� ---------- 19�_2, r repair and/or connection of a side sewer to the city sanitary sewer
system in accordance with City of Edmonds o'r"d_'inan'_ce's.
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 heen inspected.
NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit Obtainable from the City Engineer's office.
NOTE No. 3--Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when You get Permit.
NOTE No. 4—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.
NOTE No. 5---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 any work on the main sewer or its appurtenances except to in-
sert the Pipe into the wye.
DISAPPROVED El Datey ...... ---- By ................ Date ...... ......
-- ------ ---- -- -----
APPRO17ED 0 ............. ... ........... Date --------------- - ------------------- By ................
Date.
Remarks----------------------------- By: .. . ........... I ...............................................................
I ....... . . + I
---------- _w ......... ....
T.-P-I.C4 ...............................................................
..................................................................... . ............. - ............ ............................................................. . .................................. . ............................................. .........
BOTH Permit Copies MUST Be Signed By owner of Firm Performing Construction PRIOR To Request For Insppetion
Ll
....... .... hereby -,certify that the side sewer installation constructed under this permit
liM-0111?lpc!toion*gq"cllo�'s-t-r-u--ction)
t
:�Anstalled in ac-- rrdance with all governing ordinances of the* City of Edmonds.
------ 27
Datedthis --------------- - ----------- day of ............................................. ................... 1 19 .........
V V Check BEFORE you dig for: Water Gas E], Telephone 0, Power E], Sewer C], Other
I
9
tl(
Memo to: Director of maintenance & Operation
Public Works
From: City Engineer
Subject: Sewer Connection Charges
Date October 20, 1976
0 1 2 .19,
Pubirc wouixb vop,.
Legal Description: All of the�west 125.00-ft of Lot 4, Blk 7, Alderwood
Manor No. 9. according to the plat thereof recorded
in Vol. 10 of Plats, Pago 6, records of Snohomish
County, Washington EXCEPT the S 535.50 ft thereof
Commonly kn I own as:: 21218. 95th Ave. W.
Z.F.F. Calculation:
�90.6 Z.F.F. x ( $5.50
1 Lateral X ( $100
1 unit x $25
-7
CC:
Owner: Hagan -Construction
$ 498.30 Connection Fee
$ 100.00 Lateral:Charge
$ 25.00 Trunk Charge
$ 10.00 Permit
$ 633.30 TOTAL
2108
Date. (revised) 1/4/77
STREET FILE �61
Memo to; Director of Maintenance & Operation
Public Works
From: Cit'
y Engineer
Subject: Sewer.Connecti,on Charges
Legal Descriptio,11:* All of the west' 12S.00 ft of Lot 4 B11, 7, Alderwood .
P-1-anor No. 9, according to the plat thereof recorded
in Vol. 10 of Plats., Page 6)- records of Snohomish
county, Washington EXCTPT the S S3S.50-ft thereof
Commonly known as: 21218 95th Ave. IV. I -lag Tonstruction
Owner: an
Z.F.F.- Calculation:
79.4 Z.F.F. x $ 436-70' connection Fee
La . teral X $ 0 Lateral Charge
Unit x $25 $ 25.:001 Trunk Charge
$ 10.00 Permit
471.70 TOTA'L
cc:
.2108
Da to October 20, 1976
Memo to:. Director of Maintenance &.Operation
Public Work:s
From: City Engineer
subject:. Sewer Connection Charges
Legal Description: Al I of the west 125.00 ft of Lot 4 Bl'k 71, Alderwo,od
Manor No. 9, according to the plat thereof recorded
in Vol... 10 of Plats, Page 6, records of Snohomish
County,.Washington EXCEPT the.S 5�35.50 ft thereof
Commonly known as: 21218 95th. Ave. 1-1. owner: -11agan, Construction
Z.F.F. Calculation:
498.30
Z.P.F. x $5.50 Connection-Fee-
0 $ Lateral Charge
Unit x $25 25.00 Trunk Charge
10.00. Permit
+77 1,1 a �t -6-M-3'G' TOTAL
CC:
2108
CITY Pi-,EDMONDS
ENGINEERIN(', UPARTMENTO
PS a IF R E ETAFJ%LCI C I FOR R1GHT-OF`,,/AY CONS . TRUCTION RERMIT
-:v: t to Cc—,, 7,ete A & P 71 S!&rm
Permit'to be issUed to:
For work at: (address or v ity
/1
Type of work to be done:
(Attact i Draiii ng �-.IienAppl i able)
Time Required __'�tart: Finish:
72
r
-Owner: 4�*L
ame
Al
M ill 'Address
city' State Tdlephone Numbtir
Contractor: 16�04 &A 7iv C 17AZ
Name se Number(
Mailing Address
City State Telephone Numbet
INDEMNITY: Applicant understands and by his signatu're to this application, 'agrees
to Tiold the City -of. Edmonds harmle�s from iny injuries, damages or claims of any
kind or description w-hatsoever, 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 pr ' oceedings including defens*e
.costs., court cost.s, and.attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is.responsible for workmanship and'
materials for " a period -of one year following the final inspection and acceptance
of the restoration by the Engineering Department.
Work subject to inspection and restoration in accordance with City Code. A
24-hour notice is r equired for inspection by the.Engineering Department.
Call 775-2525.
.Signature "zo"I 14 7-:7
-4
7gei t Ifite/Si tied
C;n er oi� .11 9
DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency)
Permit Issued (Dat6), =mw A Permit Numbe
Fee: 4'. Bond:
Time Authorized:
11-1'1:11,'�S Al Ill'tVE, ATE
M
STREET FILE
DATF: October 19, 1976
HBIO TO Harr \1 f1hitcutt
Buildino nfficia-1
FROM: Pichard 1!. All.en
Assistant Citv Fhninpor
SUBJECT: BUILDING PERMIT APPLICATION FOR HAGAN CONSTRUCTION AT 212,18
95th Avenue H.
After review of-tho suh.jPct hUildinq nermit anplication, we have the fol-
lowing comments:
1) Coordination of location of building with utilities is
the responsibility of.the contractor.
2) Connection to san.itary sewer required. A connection-feb
in the amount of $633.30 wil'l be due at the.time of hook -.up.
3) Lot drainage to be contained on site.
4) Driveway slope not to'exceed 14 percent.
I,IJN:RI-IA:mjr
—le 517H ANM*
ZT24
Date LP'AL DF.CJ."I N
BUILMIM-PEPHIT UVIEW - Furupmr. w'PARTMENT CIIFCI,' LIST
Instruction:
Check Accuracy of I.enal nescription
Check Anainst Assessor's Ma n for Lonal SUbdivision
Does it conform to City Approved '�.uhdivisinn?
Rev i ewer's
Initials
1. This lot inClLJ(10.d in
.,iihdivision/Plat Ho.:
2. Site Inspection riad(,
10
3. 1-!Iiat are oround water (and soil conditions? Low L
A
4. site nrainarie. Checked?
F). Storm Sewer Sht. of !'V'q. 110 roje c
MLE
Roadside. Ditch
6. Gradinq P, Final C01-ItOM'S: ?Sj
7. Septic Tank Si/steri [Insion Approved-
8. Sanitary P�Vailahilitv S III t. of rV(j. No.&, Project41 DAIE
06 Ij A
Side sewer availabilitv: LM�Pwlll
9. Sanitary Sewer Connectinin FPes?---�WAW--
10. Uater Mains F� Fire llvdrants (Indicate Size flain)
Check Fi re Dept. 's Comments
11. Sidewalks: L�itn inspection shows conditions of -idewalks as follo".1s)
4s P �rii v (,�i j a �ssl( vs for safety, location,
12. urhs: h Cu
grade and
13. 11nderm-ound Mrinw— Street Li(iht,,::
M7
14. Street Pi(Ilit-of-k-ritv 111(1q. sp
thacks�Rl L773t lit. of nfficial Street flap.
15. Existinrl Utility FaserIents.? .4\) n
16. Access Fas011ents
17. Site plan checked fo r accuracy?—.-
-18. Special Pequirtrient,; listed in Henn to lildg. Pe
.pt._
19. Commercial P, Apt. Penuit-upients form completed?
20. Drawin(is stamped P, noti'�I.ions Plarle?
21. All Items filled it, oll Pormit App 1 i ca t ion?
22. Bonds po5ted for site I."Ork?
23. Pirtht-of-way Invasion P(,I-n)it reouired?
CONHENTS:
op
STREET FILE
CITY of EDMONDS --- PUBLIC WORIKS DEPARTMENT
Routing of Building Permit Applications
Proposed Property Address of Application: 21218 -- 95th Avenue W.
DEPARTMENT
COMMENTS
Z
DATE
W A T E R
S T R E E T
S E W E R
-1�2' 76
N 0 T E S Y?ey - /'d
BUILDING
DEPARTMENT COMMENTS
UILDUNG DEPARTMENT Applicant Fill
USE
ZONE�
PERMIT
NUMBER.
PERMIT APPLICATION
lnsi.de Heavy Lines
JOB
ADDRESS
a
C
NAME (OR NAME OF BUSINESS)
VARIANCE OR COND. USE -NO.
AD B. NO.
HEIGHT
m
W
M 'L
M ILIN AbORES..
z
PROPOSED YARDS
COVERAGE
0_4
f i��
FRONT SIDE
R E"R
ILOT
11 ti 1Al2":a
W ADDRE�;S
oo
U
M CtTY L
G1�11�
0 ADORES
I_
U
Ir C171Y
z
0 L _w
U STATE LICENSE N
/� A 4,A - Ah
z
0
I- —
IL
m
U
m —
w
a
J
w
.J
IBER
SIGN AREA
ENVIRONMENTAL REVIEW
ALLOWED PROPOSED
0 COMPLETE El EXEMPT
Z
REMARKS'
PLANNING DEPT. APPROVAL DATE
ELEPHONE NUMBER
LEG . AL LOT ILOT AREA SUBDIVIS [ON NO..-
E] YES No
STREET R/W
EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W FT. FT.
ELEPHONE NUMBER
ITY LICENSE NUMBER
r.or Attach Four Copies)
CHECKED BY
z
STREET AND/OR UTILITY WORK
R/W PERMIT REQUIRED
w
w
REd-D. El YES 11 NO
1:1 YES E) N 0
UNDERGROUND
z
w
WI . RING REQ'D. DYES NO
TYPE CONNECTION YES
By
SANITARY SEWER d NO
IVERIFIED
SEPTIC SYS�TEM
0 YES
ERMIT NUMBER
APPVD BY CITY ENG.
No
1P
.REMARKS
METER SIZE
SERVICE SIZE
CHECKED By
ICLEARANCE
3/(�
3kf
w
.
REM.AOKI
R,ESIDENI GAS
LINE
NON-RESIDENTIAL SIGN
ADD EE 11:1
FSPECIAL
DEMOLISH RETAINING
WALL
ALTER. EXCAVATE FENCE
OR FILL 1-,X--)
F� REPAIR PRE -MOVE SWIM
El INSP. El POOL
FIRE ZONE
TYPE OF CONSTRUCTION
CODE
w
Z1
INSPECTOR
REQUIRED
C YES 0 N 0.
JAREA
OCCUPANCY
GROUP
I
OCCUPANT
LOA D
I
PLAN CHECKED By THIS SITE IS LOCATED IN THE CITY
OF; EDMONDS.' LOCAL SALES TAX
SROLILD BE'CODED 31.04,
REMARKS
NUMBER OF STORIES
NUMBER OF
DWELLING
'UNITS
r�A,TURE OF WORK TO BE DONE
. PROPOSED USE
z
PLOT PLAN (INDICATE BUILDING SETBACKS,
ABUTTING. STREETS)
U
tn
w
0
PLAN CHECK
NO.
BUILDING
PLUMBING
HEAT& GAS LINE
FENCE
SIGN
RETAINING.WALL
SWIMMING POOL
VALUATION
FEE