21524 96TH AVE W.PDF11111111111111
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21524 96TH AVE W
51111111110
GARY HAAKENSON
CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
Website: www.d.edmonds.wa.us
DEVELOPMENT SERVICES DEPARTMENT
it, c. C) "I Planning - Building - Engineering
STREET FILE
May 14,2003
Mr. John Kolstad
21524961hAve W
Edmonds, WA 98020
Re: Address Change due to subdivision
Dear Mr. Kolstad;
This letter is to inform you that due to a recent subdivision *in your area, it is necessary
that your address be changed. This is so that your address is in accordance to the City
grid for Fire and Police. Your address has been changed from 21524 961hAve W I to 9610
21511 PI W. I will inform all City Divisions including Fire, Pohce, Utility Billing, Public
Works and Building.
It is your responsibility to inform the Post Office, the Phone Company for Enhanced 911
emergency purposes and all other interested parties of this correction. We apologize for
the inconvenience this may cause you and greatly appreciate your cooperation.
S'
Tcerelv"N
-Lara Palmatier
Permit Coordinator
Cc: Fire Department
Police Department
Utility Billing
Public Works
Building Official/Street File
L\Temp\DST's\Master Letters\Address Cbange
0 Incorporated August 11, 1890
Sister City - Hekinan, Japan
I
APPLICATION
Th�,, Cit of
Edmonds ,
j
I, ---, k.
for
EASEMENT NO . .... - ........... ----------
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS E] LID NO . ..... ............ . ASMT. NO.
TRACTOR 44t!�4!77� ------
----------------------------------------------------------------- -------------------- CON
ADDRESS ----------------------------------------------------- I ............................ LEGAL DESCRIPTION: LOT NO . ......... ................... -------- BLOCK NO . ......... ..................
---------------------- I ------------------------------------------------------------------------------------------------------------------ ------------------------
NAME OF ADDITION -------------- ------------------------------ 3� ----------------------
---------------------- -- --- I ----------
DATE By
-------------- - - Al 4-- ----------
-------------
NOTICE:
-c
NO the attached
The information shown on
for u-se by the City 01
map(s) was compiled
Edmonds/ its Empl.oyees and Consultants.
Th,.e City of *Edrn.onds does. not . warrant the
accuracy of anything set forth on t ' hese
Map(s). An . y person (Dr entity -requesting a
copy should conduct an independent
orm'ation shown-c
Inquiry regarding the inf*
t_F� -rn a p (s), including, but not Jimited to,
er stub shown. Su(
the location of any sew
sewer stubs may or may' not exist and rna�,
or may not exist at the location shown
Nei -their the City of Edmonc-AIS, nor its
e M 0-Y e e-S Of (D ff i -c er s *s h. a, I. I b e 1..,, a. b-1--e f 0 r t'll.
information given on this map(5), nor for
3ny one representation provided based
upon'said. map(s).
STREET FLE
Date March 25, 1976
Memo to: Director of maintenance & Operation
Public Works
From: City Engineer
Subject: Sewer Connection Charges
Legal Description: All the E 90.00 ft of the W 186.00 ft of the S
126.00 ft of the E 1-2 of the 'U V. of the NW 3r, of
the NE k of Sec...25, T 27 N, R 3 E, WM (Parcel "B")
Commonly known as: 21524 96th Avenue W.
Z.F.F. Calculation:
Z.F.F. x
0 Lateral X
1 Unit x $25
Subject to $ 300 minimum connection charge
CC:
owner: unknown
300.00 Connection Fee
$ 0 Lateral Charge
$ 25.00 Trunk Charge
$ 10.00 —Permit
$ 335.00 TOTAL
2108
Date
Memo to: Director of 'Maintenance & Operation.
Public Works
From:.. Cit Y Engineer
Subject: Sewer Connection Charges
Legal Descriptiola:
All of the S 126.00 ft of the E 1-2 of the SE 34
of the NW 31,. of the NE 1-, of Sec. 25, T 27 N, R 3 E
WM (Parcel C)
Commonly known as:. 21522 96th Avenue W.
Z.F.F. Calculation:
AS SESSED IN L.I.D. 96 Z.F.F. X
Lateral X
Unit x $25
CC:
owner: unknown
$ 0 Connection Fee
$ 0 Lateral Charge..
$ 25.00 Trunk Charge
$ 10_00 —Permit
35.00 TOTAL
C
13
/
�NN�
Date Marcb'25. 1976
Memo to; Director of Maintenance & Operation
Public Works
From: City tngineez
Subject: Sewer Connection Charges '
'
Legal Descriptio�: All of the W 90.80 ft of the S l36,UD ft of the
E 1-2 of -the SE 3^ of the 0W 1x of the NC��, Sec. 25,
T 27 N R 3 E WM
' Commonly known as: 21526 96tb Avenue W.
Z.F.F. Calculation:
( > Z.F.F. x ( ) =
( 0 ) Lateral x
( l )'Unit x ( $25 ) =
'
'
�
Subject to $300 minimum connection
Charge
CC:
Owner: unknown
,
$ .300,00 Connection Pea
$ D Lateral Charge
$ 25.00 Trunk Charge
Permit
$ 335.00 TOTAL-
� 2108
�
November 12, 1968
Memo to: John E. Moran
Director of Public Works
From: Leif R. Larson
City Engineer
Subject: Sewer Connection Charges for Subdivision
Vicinity of llth Ave. and Pine Street
Legal Descriptions:
PARCEL "All
All of the West 90.00 feet of the South 126.00 feet of the East 1/2 of the
SE 1/4 of the NW 1/4 of the NE 1/4 of Section 25, T27N, R3E, W.M.
Parcel "A"Jassessed in L.I.D. No. 96.
PARCEL
"B"
All of
the East 90.00 feet of the West 180.00 feet
of the South 126.00 feet
91
of the East li2 of the SE 1/4'of the NW 1/4 of the
T27N, R3E, W.M.
NE1/4 of Section 25,
Parcel
IIBII subject to $300.00 Connection Charge�.
PARCEL
IICII Z/6 zz— fe A416—
All of
the South 126.00 feet of the East 1/2 of the
SE 1/4 of the NW 1/4
of the
NE 1/4 of Section 25, T27N, R3E, W.M.; LESS
the West 180.00 feet and
the East 30.00 feet thereof.
Parcel IICII subject to $300.00 Connection Charge,
Attachment
cc: 'Alf Anderson
75052.3
BUILDING DEPARTMENT ;4,pr,,,. FM
"2
PERMIT APiLLL&if6i_
W
"we "4 A,. ,f4 )rvics 240
1"154D
e7
3:
o .......
C( I SIDE J7 V A' RVAR
FRO -AT
... .... ICA "tc
10
C"
I Cl— A
4
pll t, A.IV
0 . . . . . .
.C; %_T"CCT Dznc,c"cv T"all p"o-
--"ose
t to excee
111"I VL-wa STOPOS no
S y
indicated on ta,= Dg. Ho. 103
11.57—
A
So
.1 Nco.1, 0� fill" C, l~ C, pbnI STREET AND/OR VrILITY L) YES
WORK REWD 0 PAO
umorpanauma 0 ves
D
2 wIRImG Rco,
T coft"scTko.
u ca
a c". c,*. C3 Ile
A
_j &t .4—re
ott.,
o
C..A.T
A
El
LTC. IN TH C179�_
T AT
El C "'"C' OF tOM3ftOS. LOCAL SALES TAX
EJ
A,
A T
C—C.
0
'L(5TWLAW'lI=�;Ty6uI=bft "**CA$.
IOUs Ctst
—.Lo..a
A?/
0
Mo.
ALL
IJIAI
TOTAL AMA XINT OM
ATTENTION
APPLICATION APPROVAL
c CIA 1",. a hftme—
T —..IT
This appH-cati= Is not a permit tmtU
A,%Ded by the ftodtng Of0c.'al or Wis Dep-
NOTE: Pemit Limit C.— Year mL-.w arlmo-rum"
—C
vCA'.
utr. and f� a- paid, And rwdyt is ac-
1 c,"el,a = —Ay 4�: nrmu=�cm lAlAl w
kno-ledred in sp— Provided -
I _CT. —
ELI`
CITY Or
ai.
,VO77.'- Applima Subject to PLIn (7'et* FCC
EDMONDS
775-2525
This Pvlolit ecll—& k ,, be dctlo all elimIts pmpen, ONLY.
dftASKW7a!kXcbilA ",
OVEINAL - F,!� YELLPW -
qm6 wpmAvttpmt
?IN7.0 CAXD A�,
- � il I . p � .1 1 1 1 1-141-1
4�
Lq
Ir,
o v
,
9A.
J�- 't
Qw
0e-,04:,
r4
e4frerc>,
Aff ol� tkc '�O.6C -*cc--
Ph,!
-76
+�%C- o"t"
74
t,;t -+.t �5e
March 26, 1976
MEMO TO: Harry Whitcutt
BUilding Official
FROM: Richard H. Allen
Assistant Citv Engineer
SUBJECT: Building Permit for 21524 96th Avenue W.
The following conditions apply to this property:
1. The proDerty was subdivided under s-1-61 which did not
indicate any street or utility requirements except dedica--
tion of 20 feet �qhich was done in 1961.
2. Per the official Street Map, there is no deficiency on
this property.
3. Underground wiring is not required.
L�. The developer has indicated that he plans to pave the
right-of-way with 16 to 18 feet of asphalt.
5. The water Department will make arrangements for installing
water services as required.
6. The existing 6-inch sanitary sewer will be extended
westerly with additional clean out and with all clean outs
being exposed to the pavement surface for cleaning purposes.
RITA: mj r
cc: Planning Department
Sewer Department
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 be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.)
ADDRESS LOCATION OF CONSTRUCTION ..... 21524 - 96th Avenus West
................................................................................................................................................................
PROPERTY LEGAL DESCRIPTION ..................... S.EE ATTACHED
-- -------------------------------------------------------- * -------- -------- I ----------- -------------- * --------------
.............................................. . .......... . .................................................................................................... .................................... ..................................................
----------------------------------------------------------------- O'WNERAbMIOR BUILDER ......... I�IRN ... A - N - D - ERSO - N
UNITED PLUMBING & SEVIER
CONTRACTOR'S NAME & ADDRESS ....................................................................................... . .................................. . .......................................................
Permission Is gTanted ........... - A.-D-Til .... 1_9 --------------------- 19.7k, for repair and/or connection of a side sewer to the city sanitary sewqiC
--stem In accordance with City of Edmonds ordinances.
TTENTION IS CAM D TO THE FOLLOWING:
NOTE No. 1—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 been 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 'A 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 E:] Date__ --------------- By ----_------ 7-- Date .............. OL�_� -- - ----- By ----__-_--- Date .............. . ................... By ................
APPROVED Date ---
-------------------------- - --------------------- ------- * ---------------------------------------------- * ------
Remarks: ................................................................................. 4�
--------------------------------------------------------------------- - ---------------------------------------------------------------------------------------- - ------------ : ..................... . .......................................................
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
;. .. . .. .... hereby certify that the side sewer installation constructed unde
-- --- -------
ner o ontrac ing irm. Performing Construct7io-n)
(9W ;t F: _r, this permit
was installed in acc4dance with all governing ordinances of the City of Edmonds.
Datedthis ............................ day of ----------------------------------------------------- ............. 19 .........
V Check BEFORE you dig for: Water Gas 0, Telephone E], Power E], Sewer E], Other
TRe City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT
NEW CONSTRUCTION F� REPAIRS F-1
EASEMENT NO . ............................................
LID NO - -_-------_--_- ASMT. NO - ------------------
OWNER ------------------------- CONTRACTOR RMIT NO.
........... . Z-14E
LEGAL DESCRIPTION: LOT NO....,.
JOB ADDRESS ...... ................... �F� ..................... ....... BLOCK NO,_.__ - - - - - - - - - - - - - - - - - - - - - - - - -- - -
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NAME OF ADDITION
.2 -7
21,
V
4.,_:,�,.PEGElVED
APR 11976
Nblic Works vapL
NOTICE:
n
ur—a- c--c-u- r7ac���� - - -
formation*shown on the attached
The in
Hed for use by the City 01
map(s) was com ' p
Edmonds/ its Empl.oyees and Consultants.
Th,e City of *Edm.onds does - n ot. warrant the
these
accuracy of anything set for,th on
m a p (S). A n . V person or entity -requesting a
copy should conduct an -independent
inquiry regarding t-he infcbrm'ation shown' c
-Map(s), including, but not i1mited to,
the 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 Edmo-mr-AIS/ nor its
e m P`o-yee-s o,r off rcers *sha-H be 1.1ab-1--e for th
I n on this map(5), nor for
information g Ve
prese.ntation provided based
any one re
upon'said map(s),
M MAR
76
Date- March 25, 1976
J.UV out.
OPL.
.4 Memo to: Director of maintenance & Operation
Public Works
From: City Engineer
Subject: Sewer Connection Charges
Legal Description.: All the E 90.00 ft of -the W 180.00 ft of the S
126.00 ft of the E 3� of the SE 3q, of the NW k of
the NE ;4 of Sec. 25, T 27.N, R 3 E, WM (Parcel "B")
Commonly known as: 21524 96th Avenue W. Owner: unknown
Z.F.F. Calculation:
Z.F.F. x 300.00 Connection Fee
0 Lateral X $ 0 Lateral Charge
1 Unit x $25 $ 25.00 Trunk Charge
Subject to 300 minimum connection charge $ 10 . .00 —Permit
335.00 TOTAL
gR
CC:
2108
A
Memo to: John E..Moran
Director of Public Works
From: Leif R. Larson
City Engineer
November 12, 1968
Subject: Sewer Connection Charges for Subdivision
Vicinity of llth Ave. and Pine Street
Legal Descriptions:
PARCEL "'All hefr- 2-1 "c
All of the West 90.00 feet of the South 126.00 feet of the East 1/2 of the
SE- 1/4 of the NW 1/4,of the NE 1/4 of Section 25, T27N, R3E, W.M.
Parcel "A" assessed in L.I.D. No. 96.
i::LI.I.D. No. �96.
PARCEL IIBII
A
9 VU All of the East 90.00 feet of the West 180.00 feet of the South 126.00 feet
of the East lh,of the SE 1/4'of the NW 1/4 of the NE1/4 of Section 25%
T27N, R3E, W.M.
'Parcel IIBII subject to $300.00 Connection Charge.
PARCEL IICII Z rZ Z - A-V6
All of the South 126.00 feet of the East 1/2 of the SE 1/4 of.the NW 1/4
of the NE 1/4 of Section 251, T27NS R3EI, W.M.; LESS the West 180.00 f*eet and
the East 30.00 feet thereof.
PARCEL ' C"
C 11
Ahe Sout'
of t
of the NE l/ 4 01
the East 30- 0 1
P rc
arcel IICII subject,to $300.00 Connection�Charge.
Attachment
cc: *Alf Anderson
RECFI
Puba�
March 26, 1976
MEMO TO: Harry Whitcutt
Bbilding Official
FROM: Richard H. Allen
Assistant City.Engineer
SUBJECT: Building Permit for 21524 96th Avenue W.
The.following conditions apply to this property:
1. The property was subdivided under S-1-61 which did not
indicate any street or utility requirements except dedica-
tion of 20 feet i4hich.was done in 1961.
2. Per the Official Street Map, there is no deficiency on
this property.
3. Underground wiring is not required.
4. The developer has indicated that he plans to pave the
right-of-way with 16 to 18 feet of asphalt.
5. The Water Department will make arrangements for installing
water services as required.
6. The existing 6-inch sanitary sewer will be extended
westerly with additional clean out and with all clean outs
being exposed to the pavement surface for cleaning purposes.
RHA:mjr
cc: Planning Department
-Department
PL I ul- FAi-,kY
- e)'A'
PORT I O'N OF! F E C T i ot4 25, I'27N, k3L,
(/lL50 K.NOWN A:, -%CT 4, (-NAVU PARK, AN UNRECORDED
Pt; A T I TI, A 7 1. 1) 1 N "')NI'MOM I SH COUN T Y WASH I N(;TON-.
MIA Y 29, 1 4 1
-W
��CALE
------------ ............
Su
0. 50 7
rA77
JOA
C/o
1-4
�)'a or, 17 IJ
�Llwj
Al"SY5 '52'27 "IV J27 IJ'
1Y
JOB No. 1892
FB W-1/59
joel rJo.
MAY '31,
LEGAL DESCRIPTIONS FOR: XSEPH C. PARRY
PARC�L "All
A L L. or THE WEST 90.00 FEET OF THE SOUTH 126.00 FEET OF THE EAST OF THE
'E�' OF Tiir.. N,,,',!- 1, OI-..3EcTiot4 25, "T27N, R3E, W.M.
') 14 1 OF THE NF-I..
PAIRCEL
ALL OF THE 'EAST 90.00 FFET OF THE WEST 180.00 FEET OF THE SOUTH 126.00
FEET OF THE EAST j.
OF THE SE� OF THE, 'N OF THE NEj- OF SECTION 25, T27N, RK,
4 Wi,7' 4
P A L " C "
ALI.
M 111r. SCMTH
I
IP6.00 F-ErT OF THE CAST OF TiIE f)E-,!. oi
-riiF. N��cl;
01 THE
Nt-j !
or '-;curim4 2�3,
T27N, LESS THE Wt-si- 190.00
rErT AtIr. THE
EA3T 30.00
F'FET 111C.RF.01
SERVICE
ROAD (TO BE DEEDFf-; 1-0 CITY OF Ei�mwjvs)
ALL
OF THE NORTH
20.00 FEET OF THE SOUTII 14G.00 rECI OF
THE EAST 2 OF
T14F SE-11"
OF
THE Nlv'�71; OF THE
NE-1�,.OF SECT'M4 25, T27N, PH, W.M.
APPLICATION
for
The City of Edmonds SEDE SEWER PERNaT
EASEMENT No . ................................... ......
NEW CONSTRUCTION REPAIRS
OWNER ............ ....... P"�-,te'y ............................. .... CONTRACTOR ...
5
. ............................................................ PERMIT No . ......................
Z),
ADDRESS .... PIA)j6 ....... ck ..... -��-LEGAL DESCRIPTION: LOT No . .................. ........................... BLOCK No . ............................................
.f ........... :�
.. ............. ........
NAMEOF ADDITION ....... ...................................................................................
L:--x
-
.APPROVED
JAN 6 1969
Approved:
9
DATE../a ... ............ .... By
k
on..
Jb2a
88* 572-'27"W
196 oc� ..... 1�
12-4-60 4.
*ke-
lp +1
G� 4.vt
L b
W.- M.
Oo*
A ki%j D
�A
PO-rce-.
oo�
- ------ - ---
N ?
APPLICATION
The City of Edmonds for EASEMENT NO . ................................... ......... i
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS F� LID NO - ----------------- :-ASMT. NO - ---------------
OWNER ---- ------------------------------ CONTRACTOR \k'--!4/6PERMIT NO . .....
---- ---- -- ------- ----------- ----------
JOB ADDRESS 7"11 LE*
. ..................... I ........... GAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . ....................................
7
........... w ........................................................................................... ------------------------------------------------------
NAME OF
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0 0 16 6,
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............
Approved:
DATE............................................ By .............................................................
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'PO
STREET FILE cl'TY OF EDMONDS
ENGINEERING DEPARTMENT
505 BELL STREET
EDMONDS, WASHINGTON 98020
APPLICATION FOR INVASION OF RIGHT-OF-WAY
(Submit In Duplicate)
Permit to be issued to:
For work at: (address or vicinity)
Type of work to be done: /7/ V1 6- 4)
(Attach Drawing When Applicable)
Owner:. X�/ C/' 1'1t-- X"'. - - - ,
Name
MAlling Address
Z
city State
7/
-&me
Mailing Address
�Vd 0 V/
city State
Signature:
'f -
Telephone Number
Telephone Number
r—A��— "201-- —
Date Signed
DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency)
Permit Issued (date) ZQ - :26 Permit Number Z,1-,
# 0�
Remarks: A�
NOTICE:
Upon issuance of this permit, the contractor is responsible Work subject to inspection and restoration in accordence
for workmanship and materials for a period of one year with city code. A 24 hour notice is required for inspection.
following inspection of the restoration by the Engineering Call 775-2525
Dept.
Y OF EMONDS
CIT
'ENGINEERING DEPARTMENT tjj ..-tot AdD, IS
Axe 'Do
01A. IRAC - ----- - -------- ................... - ------- A14LOU40
----- - -----------
------ By ------ ... ...Remarks
Tnsp T) te.f-. - --"" P.,* P
InsD Date ---- —By ------------------------- Remarks ------------------------------------------------------------------
--------------------
.By ----------------------- Rema
Insp'PdtO -------------- — Ron . arl's ------------------------------------- * ------------ * --------------------------------
'Insp Data -- ----------- - By ........................
Final ---- By ....... * � .....
pp
4 -1
`46411100po
9 0 ._", 9
City of Edmonds
:F-ThtkbIT-OF-WAY CONSTRUCTION
PERMIT Permit Number: 9-A - /,2
H15 O%rT Issue Date:
A. Address or Vicinity of Construction: 21524 96 Avenue West
B. Type of Work (be specific): Install New Service
C. Contractor:- -Washing ton Natural Gas Company
Mailing Address: 815 Mercer Street,
State License #: Seattle, WA 98111
Contact: Frank Swan
Phone: 224-2278
Liability Insurance:
Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. F] Commercial F1 Subdivision [I City Project n Utility (PUD, GTE, WNG, CABLE, WATER)
n Multi -Family E] Single Family F1 Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut R1 Yes E]No (1) G. Size of Cut:. * 2 x. 4— H.&Charge $
@ Gas
APPLICANT TO READ AND SIJG/, N.") C_
4/ — "�� C=� '_ 7
INDEMNITY. Applicant understands and by his signature to this application, agrees to hogrC �i of Edmonds harmlessfrom injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeen, that maybe made-dkainst the City of Edmonds, or any of its deparoftn orem;�oy_
ees, including or not limited to the defense of any legal proceedings including defense. costs,, L?md attorneyfees by reason of ;�4nting thls`p�.it.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC77ON
AAD ACCEPTANCE OF YHE WORK. ES77MA7ED RESTORA77ON FEES WILL BE HELD UN77L THE FINAL STREET PATCH IS COMPLETED BY
CITY FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Department- 771-3202.
Work is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
.I have read the above statements and understand the permit r1quirements and the pink copy of the permit will be available
on site at all timesfor inspection purposes.
Signature: MCAAA4.&I i Date: April 17, 1992
(Contractor or Agent) i
CALL DIAL -A -DIG PRIOR, TO BEGNNING WORK
....... .. . ...... .. .. .......
.......... ......
ANCE
Engrg. Div. 1991
A,
FIELD INSPECTION NOTES (Fund I I I - Route copy to Street bept.)
Comments:
I Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. Jul)
V&shkx on
jt_
NaturN Gasl��
A -MftVlon &-W C-V-N
Addendum to :
Submitted by:
2,tG 24 q(-p A�j v\)
WNG
4Fater main depth
unknown
2-11 gas main
City of Edmonds
Right of Way
Permit Application
Kerry Walsh
Engineering Aide
Washington Natural Gas
622-6767 x2761
pager 11(p9- jLveWp
I r z y- z+` -) (� �" C-; - A 5
-w- water
-g- gas
-ss- sewer
water hydrant
815 Mercer St. (P.O. Box 1869). Seattle, WA 98111 (206) 622-6767
^-rM
KELKEEDMONDS
PUBIJC WC1W — MUINEERIM
ACTION REPORT
N9 1085
SUSPENSE DATE:
Date:
F�Y Time: Oj File #
Attarhmpntq- r--Iypq
2)
REQUESTOR: NAME: ffA�q
ADDRESS:
PHONE:
REQUEST RECEIVED BY:
TELEPHONE
CONTACT IN OFFICE
OTHER: -
RECEIVED BY: C/n.
DnIITP Tn-
.
M����MMMM
"Ma
-,
EMMM
Mo.
MM
ACTION::B2�9 b. MLKM- 1-6 ReSIDQ�E-SWSGESlk
R(L -WNSA (01,) G W i T4 R LgAC— k — i F:-- TaMl,-K-
1- WC Ef LE CLA(P/\
All Concerned Notified
Action Completed/File
4 foil City of Edmonds
C.
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number:
Issue Date:
A. Address or V, cinity of Construction: 21524 96 Avanne West
V.
jz� B. Type of Work (be specific): Inst Ik" PE IP Main in 11 Ay. S. from 151W ot
8 9 0 . I qc�
ell of 11 Ay. R. tn 101W nf e-11 of 11 Am. S.
Aft.Attached Dr�wing:920002(2)
Contractor: - Wash.. Nat'l. Gas Co. Con Frank Swan
Mailing Address: 815 Mercer St. Seattle, Wn. Phone: 994-2278 — I
State License #: 9110i I Liability Insurance: - Bond:$
D.- Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
io
E. 'R Commercial E] Subdivision 0 City Project [Z Utility (PUD, GTE, WNG, CABLE, WATER)
E] Multi -Family E] Single Family F� Other
INSPECTOR: INSPECTOR:
F. Pavement or ConcreteCut 0 Yes MNo G. Size of Cut: H. Charge$
APPLICANT TO READ 4" SIGN �v
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold_�7he..Piy of Edmonds harmlessftorn inji�ries, damages, or
claims of any jUnd or description whatsoever, foreseen or unforeen, that may be made against the City of Ednionds, or any of its departments or employ-
ees, including or not limited to the defense of any legal proceedings including defense costs, 'and attorneyfees by reason of grantil"g' this! pei;�it.
THE CONTRA CTOR IS RESPONSIBLE FOR WORKMANSHIP A ArD MA YERIA LS FOR � PERIOD OF ONE YEA R FOLLO WING `TtiE FIAALINSPEC770N
AND ACCEPTANCE OF THE WORK, ES77MA 7ED RESTORA 77ON FEES WILL BE HELD UN77L THE FINAL STREET PATCH IS COMPLE7ED BY
CITY FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Department,,_
Work is to be inspected during progress and at completion. L,
Restoration is to be in accordance with City Codes. 771-0220,,-, t
Street shall he kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
I have read the above statements and understand the permit requirements and the pink copy of the permit will be available
on site at all timesfor inspection purposes.
Signature: Date: gept. 18.,1992
(Contractor or Agent)
CALL DIAIA-DIG PRIOR TO BEGINNING WORK
SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Engrg. Div. 1991
FIELD INSPECTION NOTES
Comments:
Diagram:
(Fund I I I - Route copy to- Street Depf.*)
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: - Date:
FINAL APPROVAL BY: Date:
Eng. Div. July 19
CESC�i!P --;ON
)REVISIONS
No-rv-:!5-
1.
f�MLP LDCA-M
ALL Ul'iLl-rkv-S
CAL-L- i- E500 - 424 - 555 5-
41& HoURS
13SPORE P I, CP& I W--7
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pe DIRECT
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BILL OFMATERIAL
p M 1 S
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AP4- - (ol
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DATE BY 4PP-D
241
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go -,?o
j 7 DRAWING
....... . ..
NOTES
1. Fkc--%-o LXXPI.M ALL LrlrtLlTkSS
CAUL- I - 000 - 424 - 55ST
4S woVRS ssr-oRe M&GOlIG
Z. LA4 r>---TecT- wA?,v-l%tA6 WIRE OVER NL.L-
m D%REa 5UPGAII.- P%m
A it.14irm-l- omr- qnullc� Avloor- Po$z
STREET FILE. Date March 25, 1976
Memo to: Director of Maintenance & Operation
Public Works
From- City Engineer
Subject: Sewer Connection Charges
Legal Description: All the E 90.00 ft of the W 180.00 ft of the S
12,6.00 - ft of the E 1-2, of the SE Ir, of the NW 3y� of
the NE k of Sec. 25, T 27 N, R 3 E9 WM (Parcel "B")
Commonly known as: 21524 96th Avenue V.
Z.F.F. Calculation:
Z.F.F.' X
0 Lateral X
1 Unit X. $25
Subject to $ 300 minimum connection charge
CC:
owner: unknown
300.00 Connection Fee
$ 0 Lateral Charge
$ 25. 00 Trunk Charge
$ l0.00 Permit
$ 335.00 TOTAL
2108
I
I—]
L
November 12, 1968
Memo to: John E. Moran
Director of Public Works
From: Leif R. Larson
. I I City Engineer
Subject: Sewer Connection Charges for Subdivision
Vicinity of llth Ave. and Pine Street
Legal Descriptions:
PARCEL
"'A"
(PIZ 0 9
All of
the
West 90.00 feet
of the South 126.00 feet of the East 1/2 of the
SE. 1/4
of
the NW 1/4 of the
NE 1/4 of Section 25, T27N, R3t, W.M.
Parcel
"All
rassessed in L.I.D. No. 96.�>
PARCEL "B"-
All of the East 90.00 feet of.the West 180.00 feet of the South 126.00 feet
of the East 1/2 of the SE 1/4 of the NW 1/4 of the NE1/4 of Section 251,
T27N, R3E. W.M.
Parcel IIBII subject to $300.00 Connection Charge.
PARCEL IICIII
All of the South 126.00 feet of the East 1/2 of the SE 1/4 of the NW 1/4.
of the NE 1/4 of Section 25 T27N, R3E, VI.M.; LESS the West 180.00 feet and
the East 30.00 feet thereof.
PARCE L ' C"
C 1
A he Sou
1 of t
of the NE 1 4
the East 3 0�0 0
Parcel IICII subject,to $300.00 Connection Charg
Attachment
cc: 'Alf Anderson
iiiiii lill 11'
9395
21524 96TH AVE W
0
W20 CA File No: 09- 00
Critical Areas Checklist
Site Information (soils/ topograX /hydrology/ vegetation)
1. Site Address/ Location: I k`zs 'CL — � G A \) V,- W 1�0 W) W q S, W A 1) 7, 0
2. Property Tax Account Number: 7,1 O's ?,!� 0 0 k I -�'5 0 0 % 1_1 0 S M, 0 1 0 N
3. Approximate Site Size (acres or square feet):
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.
XFlat 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 30% present on site (a vertical rise of 10-feet over a horizontal
distance of less fl-tan 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: W 0 ; Approx. Depth:
7. Site contains areas of seasonal standing water: W 0 Approx. Depth: -
What season(s) of the year?
8. Site is in the floodway tJ 0 floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
W 0 Flows are seasonal? (What time of year?
10. Site is primarily: forested meadow ;shrubs mixed
urban landscaped (lawn, shrubs etc) (I
11. Obvious wetland is present on site: 0
For City Staff Use Only
1. Plan Check Numbejjf applicable?
Le
2. Site is Zoned !,, � 6
3. SCS mapped soil "(s)? A
4. Critical Areas inventory or C.A. map indicates Critical Area on site? K (,) JAA
5. Site within designated earth subsidence landslide hazard area?
SITE DETERMINATION
STUDY
Reviewed by- I ;� Date.
WAJIVER
Critical Areas ChecklisLdoc/2.5.2009
- . 0 ' #P20
0_7-
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
F
ax: 425.771.0221
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.
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).
7
DateReceived; -11-211U1
City Receipt #:
Critical Areas File #: UZA ?o (9 01 On -7- 3
Critical Areas Checklist Fee: $165.00
Date Mailed to Applicant:
A property owner, or his/her authorized 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 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 infraction based in whole or part upon false, misleading, inaccurate or
incomplete information furnished by the applicant his/her/its agents or employees.
'By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to file this application on the behalf of the owner as listed below.
SIGNATURE OF APPLIcANT/AGENT
DATE
Property Owner's Authorization
By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and posting attendant to this application.
SIGNATURE OF OWNER Q� <W�_� DATE o0l
Owner/Applicant:
Narne
PO %0)(- S_�(,Ok
Street Address
�vkwj0000 �'Jfv Iq � N (0 —
city State Zip
Applicant Representative:
Natne
Street Address
City State Zip
Telephone: L013-00-Nol Telephone:
i Ernai I address (optional): V�71 OVAU kA 6 � AWOOWhErnail Address (optional):
0
Cl)
00
LS
Ln
-352
LR
ol
360 Ln
co
Ln
'366
31�4
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21,
9537
0 chlorine: 1�..
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926
w c
T§1
515 923
1016 21208
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:-F Cr AF;4SI 1014 IS- 21214 x 21209 21211
21
9 05
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— 960 1004 1060 21301
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2 tt 21308 Tj
707 21315
>
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ai 1312 < 211011
RE
A
716 721 717 21320
714 711 1006 21323
21317
21313
21401 H
1 .11 — 92
RE IANE 21412 21316 J,bZ
9630 21325 e,
720 4 . I
1010 21329
731 725 718 96 21420 21411 406 21
.2 2
21403 ;z 2140 21
506 408
21412 21424 21419 21
PIN 803 2140'a 327 2141;
Blo 1414 1415
2142.
21423 21
9813 21416 ;7- 920
'R
21427
318 all 9801 21415 r7 21
9811 f 19515 9503 9429 9423 . . . . . . . . .
9527
21
1425 2150
902
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9808 2
R12 21511 21506 21510 P
mu 9802
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2152,
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N E S TNI-
9202
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sw.- [2lIM
1024 1013
1015 21628
9730 9704 9626 9610
w
2
> 21630 21629 21626 21627
1036 21628
x ,217.TH ST.S.W.
21701 2
21704
C, 21702 21703 21700 21701
2MO
0
21709 21706 21705 . . . . . . 2
21714
048 21707 21710
1041 21708
rj 21715 21714 21719 21716 21717 94D4 9317 922!9 21714 ul
<. 2172: 21715 > 1 21
1051 925 926 21716 1;—" 21722
5 21718
21720 21729 MI
9325 9223
0,41. 21723 F- 21730 7.
1061 922 21728 21726 i 21727 9405 21
21729 21726 21731 9331
1109 918 21804 21802 21802 - 9224
8 1 8TH"P W. 21801 2180,
108 21607 21806 MJ — " , ; 9230
— 4 121805
21810
1811 9330 M05
915 916 21812 We 211
1123 21817 21814 21819 21816 2
C�, M12 21811 2181
1136 912 — — 21823 21824 21811 2 815 21818 >1 21819 9404 21818 0. 21819 A�
�j 1125 913 21820 21821 21822 — — �J —
6
-�j 21825 21826 M, 21827
901 9615 9603 2182 21821 2182;
131 910 21124 ZIBZ9 21926
911
IN 21 21900 �183;
21901
906 21910 21900 21915 21830
141 t. 21821 21823
902 904 21920
9630 21909 21902 21909 2190E
900
21912
Ts'
905 413
2191(
21926
21915
0
21925
16
7 94171, 9407
4 9215 9205
s
Z2005 22004 22DO5 22006
9414 94W 304
22011
9
-22015 22014 22015 22014
iij, 14
N1 22017 .01
'I I-- 1�1 22017 72022 L.O, 2.14 220la 229
1'.? 18 () 13
0 0
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
Website: wmci.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
December 10, 2009
Edward Tokarz
PO Box 5161
Lynnwood, WA 98046
MEMO TO:
Puget Sound Energy
Verizon Northwest
SNOCOM Police and Fire Dispatch
SNOPAC
Snohomish County E911
U.S. Post Office
Snohomish County Assessor's Office
Snohomish County Information Services
Snohomish County P.U.D.
Edmonds Fire Department
Edmonds Police Department
Edmonds Utility Billing
Edmonds Public Works
Edmonds Building/Street File
Edmonds Address Files *
Edmonds Information Services
Allied Waste
Comcast Cable
GARY HAAKENSON
MAYOR
This letter is to inform you that due to a change in access to your property, it is
necessary that your address be changed. We apologize for the inconvenience this may
cause you and greatly appreciate your cooperation.
Occupancy: Residential
Old Address: 21524 961h Ave W
Tax ID Number: 27032500113300
New Address: 9608 215th Place SW, Edmonds
If you have any questions regarding this letter, please contact me at 425-771-0220 or
Harrison@ci.edmonds.wa.us. Please contact me if you wish to be removed from this list.
Respectfully,
M11i'vL11ilon
Senior Permit Coordinator
Edmonds Building Department
it, c. 18 C) "I
0 0
CITY OF EDMONDS
121 STH AVENUE NORTH - EDMONDS, WA 98020 - (425) 7714(YM - FAX (425) 771-0221
Website: wwwci.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineeflng
August 14, 2006
MEMO TO:
Puget Sound Energy
Verizon Northwest
SNOCOM Police and Fire Dispatch
SNOPAC
Snohomish County E911
U.S. Post Office
Snohomish County Assessor's Office
Snohomish County Information Services
Snohomish County P.U.D.
Edmonds Fire Department
Edmonds Police Department
Edmonds Utility Billing
Edmonds Public Works
Edmonds Building/Street File
Edmonds Address Files
Edmonds Information Services
Allied Waste
Comcast Cable
GARY HAAKENSON
MAYOR
Please be advised that 21522 9611, Ave W has been retired from the Edmonds address
system. It has been replaced with 21524 961hAve W, Edmonds, WA.
Occupancy: Single Family
Short Plat (see attached)
Tax ID Number: 27032500113300
Lots (see attached)
If you have any questions regarding this letter, please contact me at 425-771-0220 or
Harrison@ci.edmonds.wa.us. Please contact me if you wish to be removed from this list.
Respectfully,
AM5��
Senior Permit Coordinator
Edmonds Building Department
Snohomish County, WA Assessor Parcel Data Page I of 2
Snohomishonline Government information & Services
County4*
washiliftloola
-' R E A L * Property Information
County Rome Assessor Home Treasurer Flome friformation on which Department to contact
Please view Disclaimer If you have questions, comments or suggestions, please Contact Us.
Date/Time:7/13/2009 7:24:50 AM Answers to FrequgrItly.AsKed-Questions about Parcel Data (opens as new window)
Return to P r)ertv I nformati r1_E "t pagg
Parcel Number 27032500113300 Prev Parcel Reference 25270311330005
lap of this parcel (opens as new wind:0:W:)11
General Information
Taxpayer Name 11 Address (contact the Treasurer if you have questions)
TOKARZ EDWARD 1121522 96TH AVE W - - - EDMONDS, WA 98020-3917
If the above mailing address is incorrect and you want to make a change, see tile information on NaMP-an-d-
Address Changes
Owner Name 11 Address (contact the Assessor if you have questions)
TOKARZ EDWARD & DOROTHY 1121522 96TH AVE W --- EDMONDS, WA 98020-
3917
If the above name and address is incorrect due to a recent sale, please see the information on Nameand
Address Changes After a Sale
Street (Situs) Address (contact the Assessor if you have questions)
21522 96TH AVE W --- EDMONDS, WA 98020-39t7
Parcel Legal Description
Section 25 Township 27 Range 03 Quarter NE -- TH S t26FT EXC W 180FTOF FDT ALLTH PTN OF
NWI/4 NE 1/4 DAF BEG SE COR SD SEC TH N88*52 27W 30FTTPB TH NOO* 35 56E 146FTTH
N88*52 27W 297. t5FT TH SOO*34 35W t46FT TH S88*52 27E 297.09 FT TPB EXC N 2OFT THOF FOR
RD
Go to top of page
Treasurer's Tax Information
Taxes For answers to questions about Taxes, please contact the Treasurer's office. (opens as
new window)
2009 Taxes for this parcel $2,696.52
Payments: Receipt No. 4896575] 3/3 t/20091 $1,348.251
(Taxes may include Surface Water Management and/or State Forest Fire Patrol fees and any fees related to late
payments. LID charges, if any, are not included.)
To obtain a duplicate tax staternent, either download our Tax Statement Request form or call 425-388-3366 to request it
by phone.
Go, to top. of page
Assessor's Property Data Characteristics and Value Data below are for 2009 tax year.
Please contact the Tre.asur.ees o-ffice. for answers to questions about Taxes (opens as new window)
For questions ONLY about property characteristics or property values (NOT taxes),
http://web5.co.snohomish.wa.us/propsys/asr-tr-propinq/PrptnqO2-ParceiData.asp?PN=270... 7/13/2009
Snohomish County, WA Assessor Parcel Data Page 2 of 2
please contact the Assessor's Office
Property Values do not reflect adjustinents; made due to an exemption, such as a senior or disabled persons
Values exemption.
Reductions for exemptions are made on the property tax bill.
Tax Year 2009 Market Land $230,000 Market Improvement $99,1-001 Market Total $329, t001
Pendinar Property Values
r_1
TaxYear 2010 Market Land $220,000 Market Improvement $68,8001 Market Total $288,8001
Go to top qf p.@gp
Valuation, Pavment, and Property 'rax History
View Histo!y (opens as new window)
G.o. t0,t.pp_g[.page
Property Characteristics
Tax Code Area (TCA) 00213 View !axing Districts for this Parcel (opens as new window)
UseCode tit Single Family Residence- Detached
SizeBasis ACRE Size 0-35 (Size may include undivided interest in common tracts and road parcels)
Go. -to top pf page
Property- Structures
Type Yr.Built Structure Description
Dwelling 1950 1 Story View Structure Data (opens as new window)
Dwelling 1950 1 Story View Structure Data (opens as new window)
Go -to.top-qf page.
Property Sales since 7/-3.1/1999
Explanation of S.ales Informati-on. (opens as ne%v window)
Sales data is based solely upon excise affidavits processed by the Assessor.
Transfer Receipt Sales Excise Deed Grantor (Seller) Grantee (Buyer) Other
Date Date Price Number Type Parcels
3/26/2009 3/3t/2009 $225,000 3t7I58 W LOWE DONNA LEE ESTATE & TOKARZ EDWARD & Yes
PATRICK A DOROTHY
GoJo. top_qf p4gp
Property Maps Township/Range/Section/Quartei-, links to maps
Neighborhood t605OOO Explanation of Neighborhood Code (opens as new window)
Township 27 Range 03 Section 25 Quarter NE F.indparcelmaps for this Township/Ran.ge/Section
View Map of this parcel (opens as ne:w:=,window)
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http://web5.co.snohomish.wa.us/propsys/asr-tr-propinq/PrpinqO2-ParceIData.asp?PN=270... 7/13/2009
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2-;;' 938 935 o 940 943 93S
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21930
1001 964 955 9S8 951 62
— 980 967
98TH AVE W
9727 214 9723
2180511 t, 12 2
A ;j , , - - - - a ( 1002 401
— 1003
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1009 ---- 1012
070 �j 7 6 -- 1018 :E 1017 ---
lols 1020
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970 1021 f4
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P. T 1048
Dais
c 1050
1045 1046
p 0
-4 9611 9814 9 9609
10 1051
0605 21420 214 1054
2 410 1067 106,
1 9601
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96TH AVE W
628 VE W
96 HA
21615
218 2 213094 "21227 2 215
*4% 21201,
9 18 L
6 020 9617
2016 V22 3
9612 — '9533
21727 2'1709 9502 6 2 22
9614 9612 07 9503 -- 9509 9530 96TH PL
9606 219io L, V L. 9608 9527
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22 9430 to
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9323 9328 9327
9316 9309 9312 1
9 9309
9301 9316 9318 9317
9308 5
9307 9308
'230 1308 Fri t, 2
9301 9229
92287 IF, 222 -- 9222 9223 9230 9229
9221 92.ND PL W 92ND PL W
9212 9211 9218
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21321
9216
9207
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92ND AVE
9123
.126
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I
The S 126' except the W 1801 of the following described tract:
All that portion of the NW 1/4 of the NE 1/4 of Sec. 25 . Township 27 North, R3E, W.M.
described as follows:
Beginning at the SE corner of said NW 1/4 of NE 1/4; thence N 88052'27"
W 301 to the TPOB of this description; thence N 003515611 E 1461
thence North 88052127" W 297.151; thence S 003413511 W 1461; thence
S 8805212711 E 297.091 to the POB.
EXCEPT the North 201thereof conveyed to the City of Edmonds by Deed
recorded under auditor's file No. 1560715.
(Also known as a portion of Tract 4. Onavu Park Diviston No. 1,
according to the unrecorded plat thereof.)
CITY OF EDMONDS
CIVI C CENTER — WATER-SEWE R DEPARTMENT
SIDE SEWER' PERMIT
Call PRospec, 6-1107 when work
1. ready for Inspection. (No Inspee..
". Saturday, Sunday or ho - . NO. 3639
ADDRESS .......................... 21522 - 96th Avenue West
.............................. ..............................................................................................................................................
OWNER ............. !AQ .. ................. ......................... CONTRACTOR ........ Ca.s.ca.de ..Sew.e.rs ....................................
.... .. .... ..... ....... .. ....
Periiiission is granted ApK:4 ... 2 ..... ............. 19 .... 7.0, for ........................ days to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
,�TTENTION IS CALLED TO THE FOLLOWING:
NOTE No. 1—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 been inspected.
NOTE No. 2—Obtain full information regaxding 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 Ys will be permitted.
NOTE No. 4—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. 5-1t 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.
STREET FILE
Memo to: Director of Maintenance & Operation
Public Works
From: City Engineer
Subject: Sewer Connection Charges
Legal Descriptioa: All of the S 126.00 ft of the E of the SE 1,4
of the NW of the NE of Sec. 25, T 27 N, R 3 E,
WM (Parcel C)
Commonly known as: 21522 96th Avenue W. owner: unknown
Z.F.F. Calculation:
ASSESSED IN L.I.D. 96 Z.F.F. X
Lateral X
Unit x
CC:
$ 0 Connection Fee
$ 0 Lateral Charge
$25 $
25.00 Trunk Charge
10-00 Permit
35.00 TOTAL.
I
A
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Memo to: John E. Moran
Director of Public Works
From:
Leif R. Larson
City Engineer
Subject:
Sewer Connection Charges for Subdivision
Vicinity �T—llth.Ave. and Pine Street
Legal
Descriptions:
PARCEL
"'A" ko Y; k, VJ
All of
the West 90.00 feet of the South 126.00 feet of
the East 1/2 of the
SE 1/4
of the NW 1/4 of the NE 1/4 of Section 25, T27N,
R3E, W.M.
Parcel
"A" assessed in L.I.D. =No.966.
PARCEL
IIBII VJ
All of
the East 90.00 feet of the West 180.00 feet of the
South 126.00 feet
of the
East lh of.the SE 1/4 of the NW 1/4 of the NE1/4
of Section,25%
T27N,
R3E, W.M.
Parcel
"B" 'subject to $30 nection Charge.
0.00 Con
PARCEL
IICII Z/ zz—
All of
the South 126.00 feet of the East 1/2 of the SE
1/4 of the NW 1/4
of the
NE 1/4 of Section 25, T27N, R3E, W.M.; LESS the
West 180.00 feet and
the East 30.00 feet thereof.
Parcel IICII I subject to $300.00 Connect�on Charge.
Attachment
cc: Alf Anderson
9rREET FILE
RF(' �Blcn
Date—_ Mxnelb 9 MAR 2Q 9V J 11.971760
Public PL.
Memo to: Director of Maintenance & O-peration
Public Works
From: City Engineer
Subject: Sewer Connection charges
Legal Descriptiou: All of the S 1 26.00 ft of the E of the SE
of the NW k of the NE 14 of Sec. 25, T 27 N, R 3 E,
WM (Parcel C)
Commonly known as: 21522 96th Avenue W.
Z.F.F. Calculation:
ASSESSED IN L.I.D. 96 Z.F.F.. X
Lateral X
Unit x $25
CC:
owner:* unknown
$ 0 Connection Fee
$ 0 Lateral Charge
$ 25.00 Trunk Charge
$ 10-00 —Permit
$ 35.00 TOTAL
2108
Al
November 12, 1968
Memo to: John E. Moran
Director of Public Works
From: Leif R. Larson
City Engineer
Subject: Sewer Connection Charges for Subdivision
Vir—cir-n-ity of llth Ave. and Pi I ne Street
Legal Descriptions:
PARCEL "'All k-
All of the West 90.00 feet of the South 126.00 feet of the East 1/2 of the
SE 1/4 of the NW 1/4 of the NE 1/4 of Section 25, T27N, R3E, W.M.
Parcel "A" assessed in L.-I.D. No. 96.
-=nL.I=.D.No. 9:6�.>
PARCEL "B" q-
Ar
qU All of the East 90.00 feet of the West 180.00 feet of the South 126.00 feet
of the East li2 of.the'SE 1/4 of the NW 1/4 of the N'El/4 of Section 25,
T27N, R3E, W.M.
.,,..Pa.rce,l "B" subject to $300.00 Connection Charge.
e ZZ- 4416
PARCEL "C" Zli
All of the South 126.00 feet of the East 1/2 of the SE 1/4 of.the NW 1/4
of the NE 1/4 of Section 25, T27N, R3E, W.M.; LESS the West 180.00 feet 'and
the East 30.00 feet thereof.
Parcel "C" subj.ect,to $300.00 Connect�on Charge.
PARC
1
L "C"
%; It
VA the South
7f
1 0
of the NF 1/4 of
the East 3 0.9 0 f,
P rc 1 ,C
a e subje,
'Attachment
cc: 'Alf Anderson
APPLICATION
—ET RLE for
,,,r,
The City of Eclmon�717i,— SIDE SEWER PERNaT EASEMENT No . ..........................................
NEW CONSTRUCTION [-] REPAIRS
OWNER ........ ................................. CONTRACTOR .................... . ...... .................... PERMIT N - 0-1---
ADDRESS .................. LEGAL DESCRIPTION: LOT No . ................... .......................... BL40CK No . ............................................
NAME OF ADDITION ................................. ,z . ......... ... . ................................................
A&
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Approved:
APPROVED
APR 6 1970
DATE ... r= ... ............. -
By�...
7
BUILDING DEPARTMENT
?EfMff APPLICAMN
lu*5a ELM"
of 215222 96th Ave. V.
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Wr. and fees are V&K and receipt Is ac-
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PERMIT APPLICATION
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%JH th—M — W— APPLICATION APPROVAL
In v— � W.&.W— —S �— I Ttb appucuj= is not a peffait un,
mgmcd by tb� BuUdlog Offidal w bis De;I-
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NOTE: Pemit Umit Ose Year 11--" a—r— uty. and fIms SX,, Pail w1d rft
H I,, M y dII: SHIN-E�L� OrULDC�1125 tww%edged iu rdsce
CITY OF
EDMONDS
NOTE.- Applimul: &-b!-: to PEw Chwk Fee 775-2525
Th6 P-i' — —A I� b. d— — Pli.." W-0-W ONLY.
A" � —bAs. d—m (—bl ORIGINAL Yll I CW
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