21701 84TH AVE W.PDF111111111111
7925
21701 84TH AVE W
NOTICE:
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-ty-o-t a.c.,
-N:o---wa rra h
The information'shown on the attached
map(s) was compiled for use by the City Of
Edmonds, its Employees and Consultants,
Th�e city of �Edm.qnds does not. warrant the
accuracy of anything set for,th on these
Map(�_). Any person or entity -requesting a
copy should conduct an independent
ation shown on
inquiry regarding the inform
-map(s), Including, but not limited to,
t
th-e location of any sewer stub shown. Such
sewer stubs may or may, not exist and may
or may not exist at the location shown.
nds nor its
Neither the City of Edmo
emp]-o-yee-s o-r office,rs -sh-a-1.1 be l-`1a-b--11..e for -41-he
on this ma p(s), nor for
information g'ven*
ion provided based
any one representat'
upon said map(s).
CITY OF EDMONDS - SIDE SEWER PER -MIT
WATER SEWER DEPARTMENT
PERMIT
Call 775-2525 for side sewer inspections BFFORE 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 .........
.. ............... ........... ---- ------ I , I ....
-------------------------------- - -------------- -------------- * -------------------
PROPERTY LEGAL DESCRIPTION ...... .
..................... ....
.............................. .......................... . . .
.................... ................. :�::.* .................................
.................................................. . ...................... . .............. ....... : ..................................................................... . .................................. . ...................................................
---------------------------------------------------------------- OWNER AND/OR BUILDER ............ " _; � �� 1
.............. ...................... . .......................................................
CONTRACTOR'S NAME &_ ADDRESS .................
Permission is granted ...........
...... . . .. . ........... ... - -------
sYsteln in accordance with City .. o - f .. E . d . monds __ ord . inan .... 19 ---- for repair aM/or connection of a side sewer to the city�-sanitary sewer
ces.
ATTWNTION IS CALLED TO THE FOLLOWING:
0
side sewer in street area. Do not cover any portion of sewer before it has been inspected.
N . 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
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 regaxdi g 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;
sharper than % will be permitted. minimum grade of 2%. No bends in grade
NOTE No. 5--Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for f lure due to improper
work which may develop within one year of completion. ai
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 ......... �* ...... Date ........ . . ..... ....
_dl I - ................ Date ................ ................... . By ................
APPROVED Da
p4l . BY----- . .......... . . .. . .. ........................................................................................
Remarks: ........... ... .. ....... ......................... ..... .......................... ............ . ........
----- L1_JN1_ ��,
........................................................... . .................................... ................................................................ ................... 4 ___f ------
...... ... .....
BOTH Permit Copies MUST Be-, Signed . By Owner o Performing Construction PRIOR To Request For Inspection
...... ... I hereby certify that the side sewer installation constructed under th
on c 9 rm Performing construction) is permit
F1
ww, itistalled in accordance with all governing ordinances of the City of Edmonds.
-f
VCheck BEFORE Dated this ..... ------------- day of .... .................. ................... .................
you dig for: Water 0, Gas E], Telephone 0, Powe.r wer El, Other 0 N/
38 SM
APPLICATION
.;,'.ity of Edmonds for
SIDE SEWER PERMIT EASEMENT NO . ................... ........................
NEW CONSTRUCTION REPAIRS
LID NO. ...... . ASMT. N
OWNER CONTRACTOR -C�� .. �-
/ ------------------------------------------------------ PERMIT NO.
JOB ADDRESS --------------------------- . .......
-------------------------------------------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - -------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------
NAME OF ADDITION ......
------------------------------------------------------------------------------------------------------
7
o 41 "o
FN
Approved:
DATE ....
RECEVVED
MAY 3 1 1974
------------------------------- - By ------------------------------------------------------------
APPLICATION
The City of Edmoncl0i tofi�;t I fi ILJC.� for
EASEMENT NO - --------------------------------------------
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS LID NO. ..A.C)'2__,. _ASMT. NO.
OWNER ------- ...... CONTRACTOR ------ ) ------------------------------------------------- PERMIT NO. .4�5
JOB ADDRESS ....
.. .... --- LEGAL DESCRIPTION:. LOT NO. :5 a..FeR J.T BLOCK NO - ------------------- ................
...................................................................................... ....................................................................
NAMEOF ADDITION .......................................................................................................................
T
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-271 0 -
m
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I claw
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Approved:
DATE...... y ----- .........
L4J,
a7 Si"Z- AV AlAw A/
4,OAWNrt!�, ;V,# '74WO
CONFORMED COPY
. 200107230981
07/23/2001 03:18 PM Snohomish
P-0001 RECORDED County
STATEMENT ON ACCESSORY DWELLING UNITS
Property Address: 411741 Z�(
Edmonds, Washington
Assessor's ParcelNumber: e� C%2 7e5wg 0"
I have read the requirements for accessory dwelling units contained in Chapter 20.21 of
the Edmonds Community Development Code and understand that an Accessory
Dwelling Unit, including a second kitchen, is prohibited until after an Accessory
Dwelling Unit permit has been approved by the City of Edmonds.
I also understand that approval of an Accessory Dwelling Unit permit is subject to
compliance with identified criteria, to public comment, and neither this statement nor
the issuance of a building permit shall act to limit the discretion of the City in the review.
of any application for an Accessory Dwelling Unit permit.
r?
Property Owner Signature:
Date: - 5- Q, e) o /
STATE OF WASHINGTON
COUNTY OF SNOHOMISH)
.1
G RAW-Iro K -. F- RN c--r s r, H u L-LF-R .
ARANI-T-F-El. GrrY of= ErL-)Mc>K1r-)s.
I certify that I know or have satisfactory evidence that
signed this instrument and acknowledge it to be his/her free and voluntary act for the uses and
purposes mentioned in this instrument.
Notary's pressure seals must be smudged. Dated:
P Signature of
r L
e
Notary Public:
Residing at:
My Appointment
Expires:
THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY AUDITOR.
NlNH331SN011VNlNnwwo3i SN3W31S
z'6,.-'? 7,1 -,1 0�,7
RECEIVED
APR 3 0 2001.
PERMIT COUNTER
<— , , ,� . �, � 6/--� E 0�,o �
I f .
-F
r�rlt � T FU
7o-lp
� ME`
STATEMENT ON ACCESSORY DWELLING UNITS
Property Address:
Edmonds, Washington
Legal Description:
Assessor's Parcel Number: ev X'z�we e"ge wq,!5�
I have read the requirements for accessory dwelling units contained in Chapter 20.21 of
the Edmonds Community Development Code and understand that an Accessory
Dwelling Unit, including a second kitchen, is prohibited until after an Accessory
Dwelling Unit permit has been approved by the City of Edmonds.
I also understand that approval of an Accessory Dwelling Unit permit is subject to
compliance with identified criteria, to public comment, and neither this statement nor
the issuance of a building permit shall act to limit the discretion of the City in the review
of any application for an Accessory Dwelling Unit permit.
Property Owner Sign
Date: —I-
STATE OF WASHINGTON)
COUNTY OF SNOHOMISH)
I certify that I know or have satisfactory evidence that GCkLL1-LP-=R-
signed this instrument and acknowledge it to be his/her free and voluntary act for the uses and
purposes mentioned in this instrument.
Notary's pressure seals must be smudged. Dated:
Signature of
Notary Public:
-;�
+
T
ni
Resi
ding at:
U80C ftom%' My Appointment IC3 -,�Q063
Expires:
THIS DO UMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY AUDITOR.
DATE RECEIVED41
[PERMIT EXPIRES,
',41U 01 71
CITY OF EDMONDS I
ECONSTRUCTION
USE RO PERMIT
ZONE NIJIMEIER"/—j!:�
PERMIT APPLICATION
JOB
ADDRESS
0� I
hD I 1-�
SUITE/A
:�',D
vc,
OWNER NAME/NAME OF BUSINESS
(f /'? Uz 2 -Q
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE $
ILI
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3:
0
MAILING ADDRESS
660 >, '54 5
-5-t
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING — PROPOSED
REQUIRED DEDICATION— FT
TESCP Approved 0
RW Pennit Required 0
Street Use Permit Req'd 0
Inspection Required 0
Sidewalk Required 0
Underground
Wiring required
CITY ZIP
W7Z� lr,..,-
TELEPH,��
P-2 ,
U
NAME
_;
METER SIZE
LINE SIZE
I
NO. OF FIXTURES
I
PRV REQUIRED
E
Y SO NO 0
—
ul
!=
x
cc
ADDRESS
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
z
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CITY ZIP
TELEPHONE
NAME
ix
cc
z
0
fENGINEERING 3' �,'l REVIEWED/DATE
ADDRES27
:IFIRE,.REVIEWED By �k DATE
ul
CITY ZIP� TELEPHONE
VARIANCE OR CU
SHORELINE OR,ADB#
I I
INSPECTION
RE04)
BOND
POSTED
ease
ZME15 EXPIR ATION DATE
BY
1..��CHECKE
SEPA REVIEW
SIGN AREA
A HEIGHT
uj
0j
PROPERTY TAX ACCOUNT PARCEL �O.
'7 0 V-20 00/0 141,01, 0
COMPLETE 1. E E T
EXP
ALLOWED PROPOSED
-'ALLOWED PROPOSED
NEW RESIDENTIAL ME CHI.
ADDITION COMMERCIAL COMPLIANC EOR
CHANGE OF USE - -
JZ REMODEL C:] APARTMENT C] SIGN
E] GRADING 0 FENCE
0 REPAIR CYDS ", X FT)"',,
LOT COVERAGE
ALLOWED PAOPOSED
15
Z/ W&
.,REQUIRED�SETB�CKS;(FT.)
FRONT SIDE . REAR
z I'S.,
$ED SETBACKS (FT.)
W7, UR SIDE REAR
0
I
z
PA ING
Rj8-D PROVIDED
LOT. AREA;:
P ti R I ATE
r I E
REMARKS
Flya
z
w
0'
DEMOLISH 0 TANK C3 OTHER;'-,"'
GARAGE
C3 REtAJINING WALL
CARPORT [] ' RENEWAL
ROCKERY
*otr
F 41:D
4, 9
(TYPE OF USE, BUSINESS OR ACTIVITY) E - XPLAIN.—
CHECKED BY
TYP E OF CQWZ"
OCCUPANT
GROUP L9e2-,)
NUMBER
OF
STORIES C—A
NUMBERIOF,'�:
DWELLING
UNITS
CRITICAL
AREAS
1,NUMBER 4/
SPECIAL INSPECTOR JA
REQUIRED o YES
. REA..-:
OCCUPANT
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
'PROGRESS INSPECTIONS PER,1.116C�1'08/FINAL INSPECTION RE01D
z
a
ooA -,k7? -e.,,-
D
12 ae 4mp ZeF�,uux� Na,
L 2f-z—
VALUATION
FEE
PLAN CHECK FEE
HE OURCE ING % OLOT SLOPE %
a�4�_r 114091 0
,,
eg
PLAN CHECK NO: -j" df VESTED DATE
�:5_
t , -,,f
!PLUMBING
Leo
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADING/FILL
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
t:
STATE SURCHARGE
2v_z
W
uj PERMIT APPLICATION: 180 DAYS
11 PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
-APPLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
LFZE
W
j IN INTEREST, AGREES TO INDEMNIFY� DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
&VINIDSCAPING
cr ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
E
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OFTHIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENTOF ANY CITY ORDINANCE
PLAN CHECK DEPOSIT
RECEIPT
0 NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
TOTAL AMOUNT DUE
7
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLItATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Fees are paid. and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
SIGNATURE WN � R AGEN,� DATE SIGNED
(42 )
IALS SIGNATURE DATE
-
L: I
7
77 - 220
1 ,
R ASED B Y
A17ENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI_
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
ORIGINAL - FILE - YELLOW - INSPECTOR
FAX
PINK - OWNER - GOLD - ASSESSOR
5/98
13
go 199
wSTREfiT FILE
CITY OF EDMONDS
250 - 5th AVE N. - EDMONDS. WA 98020 - (206) 771-3202
COMMUNITY SERVICES:
Public Works o Planning 9 Parks and Recreation a Engineering
SeQtember 7, 1988
LARRY S. NAUGHTEN
MAYOR
PETER E. HAHN
DIRECTOR
Ernst' Schuller
6607 - 234th St. S.W.
Mountlake Terrace, WA 98043
DL=al- Mr-. Schuller:
I have reviewed your account and founcl tjj,3t :, jpttF�
April 1, 1988 informing you of a leak. Since you did nol: ta�(e
action for immediate repaii-s, I cannot allow cj'-edit to all of -yo(j�- past
bill�nqs. I will however, allow a credit per oui- policy f" -) I- t f", E
billing period of March ' 31, 1968. Out- billing office wil I make ti-ip
necessary adjustments on you account. If you have any furthe)-
qUeSt ions., Please cal lene t-a�-son at 771-130151
Bob�Dy R. Mills
Public Works Supei-intpndp
L t
BM / I k
C c Ilene L.ar-qor
Utility 4illing Clerk
4l144-I40('/'TXTWATER,
0 Incorporated ALI_qUSt 11, 1890 0
Sister Cities International — Hekinan, Japan
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8/23/88 CITY OF EDMONDS UB20il
14*03**15 AM Inquire Cu'sf-omer History DE I Pil I
Customer Key
Customer
------ -SCHULLER-E---OR`--OCCUPANT
Not
Old No#
40827500
Tran
Description/
Tran
Date
Sry Date Reading Type Rate
Cons , Seq
Type
Amou.nf
BaLance
08/08/88
08/01/88 000920 2-1 0001
129 000
1.
20*00-
285*09
08/08/88
08/01/B8 000920 .1-2 0001
129 000
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07/05/88
P
132,01--
138*91
06/08/89
05/27/88 000791 2-1 0001
121 000
1
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270*92
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12
1
64-47
5 0
06/08/88
05/27/88 000791 1-1 0001
121 000
1
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05/23/88
P
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04/07/88
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216 000
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210 000
1
188098
204*14
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Due Date
TotaE Current
2
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9/01/88
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PRINT KEY FROM--Y4 BY USER-IJL250 08/23/88 11*03*29
8/23/88
CITY OF
EDMONDS
UP2011
1114'033*15
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In-tuire Customer His;fory
TAIL:
Customer
Key
Customer
No*
441400
SCHULLER E
OR OCCUPANT
Ol.d Not
4092750.0
Tran
Description/
Tran
Date
Gry Date
Reading
Type Rate
Cons Seq
'Type
Amount
Na—Lance
02/05/88
01/25V88
000460
2-1 0001
-163 000
1
14*.91
232.16
02/05/88
01/29/88
000460
1-2 0001
163 000-
1
8,54
217.25
02/05/88
Of/29/98'000460
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163
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40,00--
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12/08/87
-
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1
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12/03/87
11/24/87
00029*7
1-2 0001
44 000
1
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125*24
12/03/87
11/24/97
000297
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44 000
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- 1
741 am-
1
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(64,56
10/06/07
09/28/87
000253
1-2 0001
41 000
1
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61*45
10/06/87
09/28/97
000253
1-1 0001
41 000
1
4,3*64
58,94
-0-9-/-lWG7
2218 7--;---3
+ 60
Due Date
TotaL
Current
2
3
9/01/88
'285*09
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146*18
138091
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