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21234 SHELL VALLEY RD.PDF14413 21234 SHELL VALLEY RD 0 - 0 TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: CRITICAL AREAS: DETERMINATION: Fj Conditional Waiver E] Study Required [] Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORTPLAT SIDE SEWER AS BUILT I SIDE SEWER PERNUT(S) GEOTECH REPORT DAT STREET USE / ENCROACHMENT PERMIT WATER METER TAP CARD DATED: LOT: BLOCK: LATEMPOSTsTomis\Street File Checklist.doc APPLICATION The City of Edmonds for EASEMENT NO - -------------------------------------------- SIDE SEWER PERMIT e5F NEW CONSTRUCTION E REPAIRS E] LID NO - ------------------ - ASMT. NO . .................. OWNER -------- ........... CONTRACTOR ------- L_ ---- C --- X ... ------- ----- PERMIT NO. JOIJ ADDRESS ...... --- ----- \t4L!--,r ---- LEGAL DESCRIPTION: LOT NO - --------------- k_<fc�l ---------------- BLOCK NO - ------------------------------------ 0 0 F _IiL ------------------------------------------ NAME OF ADDITION --------- --f ---------- ---------- DATE_ B . . . ... ......... ADDRESS LOCATZON OF Q0002SVOTION ..... . ...... .......... ........ ....................... I .................... K. 4 1. . ............ .................. ...... ... 6") ................... I.,!/ 4.41.-L ....... PROPEOrY LEGAL DZSCXWSSW.. .. .......... .................................. . .............. . ......... T . .......... . ..................................................... .................. ............... . .. ................................................................................... GMWIMAND/OR RU"ER ........ .................. ................................... .................. Y V �MACTOR'8 14AME ADDRESS ...... . ............... i�LE-4AZii� ............. .. .................................................... PermWelon Is granted....2 .... .................................. l.92A31, for repair and/or connection of a side newer to the city 8&xdtV*rY sewer 9yotew In accordance wfth City at Edmonds onlinanom t'T""N IS CALLED TO THE FOLLOWING: X-1.01--Tho 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 newer In street area. Do not cover any portion of sewer before It has been Inspected. NOTE No. 2—All work PWormed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's offim NOTE No. 3—Obtaln full Information z*A*x4tng Ordinance 11.16.030 and Regulations governing side sewers when you got permit. NOTE No. 4—Top of old* newer must have at least 30 Inches coverage at property line and 12 inches inside property line; minimum graode of 2%. No bonds In grade sharper than 'A will be porsaitted. NOTE No. bm—Trenehex in street ralot 4W WSW settled sod surface of street restored to original condition. Contractors shall be responsible for fa4lure duo to Improper work which m46Y 4ev0M*0k* *As year of completion. NOTE No. &_It to UWaWtW to &Ali' aw other work than is provided for In the permit, or to do any work on the maAzx sewer or Its appurtenances ggew to In - sort the nine Into the WSL Ins"PROVED . ..................... By ................ Da ................. By ................ Date .................................. IWW.' ............. BAPPROVED .... 4f ................. ............. . .. . .. ........................................................................................ Remarks: ....... . ...... . ........... . ........ .... . .. . .......................................................... ....................................... . .............. . ................................................... .................................... . .............. . . ....................................................................... . .............. ................................... . ....................................................... ;: Si Permi gned By Owner of Firm Performing Construction PRIOR To Request For Ine"CUM ...................... lation con tmeted under thbi permit ... ............ ........................ ... , hereby, certify that, the side newer instal a (Owner of Contracting Pirso. Performing Construction) 7insta4ed in accordance with all governing ordinances of the City ___._�4&y of. .......... "o citOT 4ASEWNT NO - ------------------------- --------- sm,smw,:Pau NF.V comnumm o UPAMS n LID NO . ...... ............ .. AW. NO, ........ R OWNER 7T9,,�* -- ---------------------------------------------------- ------------- CONTRACTOR ...... ........................ PERMT NO. 6b, .............. OB av ......... JAIDDRM ............ . ....................... ..... LEGAL DEscRwnoN: LOT NO . ..... BLOCK NO . ..... ........................ 7 ........... ................... -------- ----- ------- 7 ............................. ... . ....... - ---------------------------- -7 ----- - - ----------- NAW �Of AMMON ............ . ................ J ........... . . -------- - ------ ..... . .. . ........... . . -- - ----- 7 1/7S 1,17 '. 1 S911 June 7, 1999 0 0 CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 DEVELOPMENT SERVICES DEPARTMENT Planning - Building - Engineering - Zft - k�� Rev. Chan -Woo Song Soyoung Song 21314 Shell Valley Road Edmonds, WA 98026 Re: Address correction BARBARA FAHEY MAYOR The Utility Billing department has asked me to send a letter to you informing you of your correct address. All City Divisions (including Utility Billing, Police and Fire) all recognize your address to be 21314 Shell Valley Road not 21314 Pioneer Way. This was verified in 1987. Please use this address and inform anyone not using this address currently of the cha ,pge. Thank you for your cooperation. Lara Knaak Development Services Cc: Utility Billing Fire Department Police Department Post Master Street File Incorporated August 11, 1890 Sister City - Hekinan, Japan 77z- z - IZFC;F LJ JU' JULI 3 1918#7 FtVICES CTR- V�SVELCOIIT' E M014I)S MFINT ES COMM UNITY -SERVICES D( y OF 1) ADDRESS VERIFICATION FORM DATE ADDRESS TO BE CHECKED: PLEASE VERIFY THE ABOVE ADDRESS AND INDICATE IF CORRECT/INCORRECT. CORRECT INCORRECT COMMENTS: jC(-e-J-J* ff tZa 1-1e�" L e:2 Jam e- LU C-6 7�.f !f,:C�b -F-71WIF -rO a-g-plo%-�6- gngjffij�� /Z) A-4- —770P-J - ADDRESS CHANGED: fl3W 5W2FZ-1— 611#44,6�V 12-v4 C> (ATTACH LETTER) APPROVED By BUILDING OFFICIAL: DATE: CC: FIRE DEPARTMENT-=S��4!5� PUBLIC WORKS UTILITY BILLING Fkt: POLICE DEPARTMENT BUILDING ILENE: WHEN THE NEW OWNERS REQUEST WATER PLEASE NOTIFY THEM THAT THE ADDRESS IS 21314 Shell Valley Road, if they have a problem they can contact me. 3/20/81 CN F� 5- 1 Eden Systems An 11w Xibb 4-26825 SONG CHAN UMMASMNT Scre-en 1-CHG Tenant Information Oviner Information 01 Name SONG CHAN 10 Name SONG CHAN 02 Care of 11 Care of 03 Addr 1 21314 Shell Ualle y Rd 12 Addr 1 04 Addr 2 13 Addr 2 05 City Edmonds 14 City 06 State WA 07 Zip 98026-7347 15 State 16 Zip 08 Phone (425) 742-9696 17 Phone (000) 000-0000 09 Status A 19 Water 35.97 ===Meter Reading Information== 20 Surcharge 2.07 18 Location 21314 SHELL UALLEY RD 21 Sevier 43.94 Current Preuious 22 StrmDrain 7.40 26 Curr 18 27 Date 03/12/99 28 01/14/99 23 Preuious Due 0.00 29 VTD 37 30 Rdng 347 31 329 24 Current Due 89.38 34 LTD 448 32 Rdng 0 33 0 25 Balance 89.38 35 Meter #: 6070 36 Location 37 Extension Dt 00/00/00 ACROSS ST FROM 21311 BY M/BOX 38 Acct Setup 00/00/00 39 Last Pay 03/23/99 40 Last Bill 04/21/99 41 Due Date 05/25/99 Data Ok? (<CR>=S2/S#/HST/OPTIMEM/PGE/REU/CAN/NXTIEND/FLD#) 00 A 0 0 Rev. Chan-Wpo Song or Soyoung Song 21314 Pioneer Way 776-5749 Jesus loves you Edmonds, WA 98026 AN, TO THE /^ d RIDER OF L 11op" — '/ \" - - n1 SMAWAaWK Aurora V111ag Branch 005504 1 112 1 N� 20 th St. Shoreline. WA 98133 FOR - 412SO000241: 9030S G S 7 4. .1 5082 7 ig 19-2/1250 3 DOLI-An Believe In The Lord Jesus And You Shall Be Saved, You And Your Household (Act '6-,31) AV so 8 17. C . , S q \3 City of Edmonds Edmonds Combined Utility WATER - WASTEWATER STORMWATERIDRAINAGE SERVICE ADDRESS: z 0 IM ACCOUNT NUMBER: 4 -- 21 6 3 92 0 PAST DUE AFTER: 5 5 9 9 IM w AMOUNT DUE: a 9 CL Ln RETURN THIS z 0 PORTION WITH YOUR w PAYMENT 600,0( 77& q760 RECI-IVEO JUL 13 1987 COMMUNITY SERVICES DIR. ADDRESS VERIFICATION FORM DATE �,- / 7- 37 ADDRESS TO BE CHECKED: c?:, 1314, 0 / n, �-A F�E (� (,4,1 /� "I PLEASE VERIFY THE ABOVE ADDRESS AND INDICATE IF CORRECT/INCORRECT. CORRECT INCORRECT COMMENTS: ON, L�,( CC �)y -7 15fZ �4 tj �V I T -'I-k -tAi,'-1a /Cl ADDRESSM (ATTACH LE '9"' 5W67e_4 41AZZ-95V 12404 C� APPROVED By BUILDING OFFICIAL: DATE: CC: FIRE DEPARTMENT4:::�� I-D-ft PUBLIC WORKS STRt:t:T FILE UTILITY BILLING POLICE DEPARTMENT BUILDING ILENE: WHEN THE NEW OWNERS REQUEST WATER PLEASE NOTIFY THEM THAT THE ADDRESS IS 21314 Shell Valley Road, if they have a problem they can contact me. 3/20/81 CN