21717 95TH AVE W.PDFiiiiiiiiiiii
9281
21717 95TH AVE W
'02
SS: ,171'7
TAX ACCOUNTIPARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR -
CRITICAL AREAS:
DISCRETIONARY PER -MIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR: —
PERMITS (OTHER):
I
DETERMINATION: E] Conditional Waiver n Study Required E] Waiver
sm-0
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE LID #: C4-�A� )LA -
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S).#:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DSrs\Fonns\Street File Checklist.doc
APPLICATION
The City of Edmonds for EASEMENT NO . ..... ......................................
STRER FILE SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS 0 LID NO . .................. ASMT. NO . ..................
F= E-�-
'TE
OWNER ........ ....... ......... .............. CONTRACTOR ................................................. ........ ....... - -�-;7
----------------- PERMIT NO. E�: ...............
-7
JOBADDRESS ..... ........................................................................... LEGAL DESCRIPTION: LOT NO . ........... 4.4 ................... BLOCK NO . ..........................
. ...............................
fs
NAME OF ADDITION ------ ......... ..............................................................
e)
Approved:
DATE../ By
--------------
NOTICE:
r
No..War-ranty ... orfa-.-c-cura,
The information on the attached
for use by the City 01
map(s) was com * pi'led d Consultants.
Edmonds/ its Empl-oyees an nt the
Th,e City of EcIrn.onds does. not. warra
n these
accuracY of anything set forth 0
Map(s). An . y person or entity -requesting a
copy should conduct an independent
orm'ation shown-c
Inquiry regarding the infi
ffii�2� -rn a p (S), including, but not Jimited to,
the location of any sewer stub shown, SU(
sewer stubs may or may* not exist and ma�,
t at the location shown.
or may not exis
Neitheir the City of EdmonIcAls, nor it I S for t,
empl-o-yee-s 0-r officers -s-h-a-1-1 be
information given on this map(5), nor for
Ided based
any one represe�ntation prov
upon'said. map(S).
------------------
CITY OF EDMONDS' SIDE SEWER PERMIT
WATER -SEWER DEPARTmENT
— V
PERMIT
Call 775-2525 for side sewer inspections BEFORE covering any 1>0
inspection will be Provided within 24 hours after requst rtion of the construction.%
. NO Sat., Sun., or holiday Inspections.]
ADDRESS LOCATION OF CONSTRUCTION .........
PROPERTY LEGAL DESCRIPTION ................. Lot 24, R.C. er ...... . 3 .............. . ........... . .........................................
. ..... . . ........ ......... Aqd .............. , ..... e.xcep.t ..... th.e easterly
130 feet- thereof -------- * -------------- ......... .......................
...................... . ...... . ........................... ........... .........
........................................... . .................. . ............... ................................... ..................................................
....... . ....................................................... OWNER AND/OR BUILDER_..GF,!RR1E,
CONTRACTOR'S NAME & ADDRESS ------ ....................... . .................. I ....................................
PernIlSSIOn Is granted April I�L ............................. . ................................ .. . ... ...................................................
S -+-7n in accordance nds ord _ inances. OnnOctiOn Of a side sewer to the elty Sanitary sewer
y .... '977., for repair and/or c
Al"'ENTION Is CALLED TO THE FOLLOWING:
NOTE No. I —The owners of the Property may obtain a permit to construct sewer Inalde=Perty 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 inspected.
NOTE No. 2—All work Performed in city right-of-way requires an Invasion of Right -of -Way Permit obtiiinable 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.
work which may develop within one year of completion. Contractors shall be responsible for failure due to improper
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 It& appurtenances except to in-
sert the pipe into the wye.
DISAPPROVED Date ... . .... ........ * -------------------- BY ---------------- D to op
APPP -7_4 ---- BY ---------------- Date ..............
COVED, Da --- 2 . ................... By ----------------
............... By...
a
Remarks: ....... . ............ "V: ---- 0— 0 %� , Wv .. . . .. .. . .............................. . .......................................................
................. . .. . .................................. 04?� ................... . ...................................... . ....................................................................
.................... ..................................... . ...................... ................................................................ . ................................... ............................................. .........
BOTH P it pies igned Owner of Firm Performing Construction PRIOR To Request For Inspection
.. ... ... . .. . . ..... ... ...... ..
>f C 1 9 .. FI . rm . _. erf . crmin . g .. Con . str . uctio . n) ' hereby certify that the side sewer installation constructed under this permit
WtLS Installe i cor e allgoverning ordinances of the City Of Edmonds.
Datedthis ---------------- ----------- day of ................................................................ 1 19 .........
N/ N/ Check BE"RE you dig for: Water 0, Gas C1, Telephone 0, Power 0, Sewer C19 Other 0 V V
E
DATJ,__,�Rr i 1 12, 19 7 7
Hemo to: Director of Public 11�orks
Frolli: Assistant City Engineer
Subject: Sewer Connection (1arges
Legal Description:
Lot 24, R. C. Munger Addition No. 3, as recorded in Volume 16 of Plats,
page 36, records of Snohomish County, Washington, except the easterly
130 feet thereof.
Comionly lna%,n as: 21717 95th Avenue W. Q%ner: George Musgrove
Z.F.F. Calculation:
67.2 Z.F.F. X $5.50
Lateral X
1 Unit X $ 25
cc: Mr. Musgrove
369.60 Connection Fee
-0- Lateral Cliarge
$ 25.00 Trunl< Oiarge
$ 10.00 pemit
404.60 TOTAL
Richard H. Allen
Th6 City of Edmonds
APPUCA71ON
for
SIDE SEVVER PERMIT
NEW CONSTRUCTION [-] REPAIRS F1
OWNER ------ Y-M-1j.4. ----------------- - -------------
V
JOB ADDRESS ....... ---------------------------
a
/ c"
w
EASEMENT NO - ---------
LID N0AZ-----.,A9M.-Ft-iL6 - ------
CONTRACTOR --- A;O,Jk ----------------- -------------- -------------- ----- PERMIT NO--:!!r?-
LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
----------------- ---------- ......... ------------- ------- ------------------------------------------------------------------------------------ -------------
NAMEOF ADDITION ----------------------------------------------------------------
Approved:
DATE .....
RECEIVED
APR 18 1977
Puw Works DUA.
BY---------------------------------------------------- fi7fg
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FORm L58
THE GRANTORS, EARLE A. RARBER -and MILDR70 T%1. BARBER, hi c wife,
4
for and inconsideration of Ten Dollars and other good and valuable consideration
in hand paid, conveys and warrants to GEORGE_14. T�LiUSGROVE and JOSEPHINE IIUSGROVE, his wife,,
7 --) 5- q9 12-
the following described real estate, situated in the County of Snohomish State of
Washington:
Lot 2,1-, R.C. 11"unger Addition. No. 3., as recorded in volil-ne
1r) of T)lals, -page 3(7,, records of Snohomish County, IMashington,
EXCEPT the Easterly 130 feet thereof.
Q'U ur m
. j j-� T-1,1' ance Co pany
I _Qj_CT to mortgage of record to Prudential Ins
of America, as recorded under auditor's file No. 1340663.
Grantees herein agree to assume and pay said mortgage, according
Uo the terms and conditions thereof.
SUBJ-ECT to easeirentsj rights and restrictions of record.
E ST4;�
CHIBOIAWSOF1935
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Dated this 11th. day of 11,11ay,
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REGARDING: 21717 95th Avenue West 7 QS-
(address)
R E C 0 R D 0 F C 0 N T A C T S
DATE NAMEI PHONE NO., & CMENTS
ADDRESS of CALLER
4/4/77 George Misgrove Certified Letter No. 406803 sent
requiring hook-up by 7/1/77.
4/18/77 L. J. Roth obtained Permit #5757
and connection fee of $369.60 paid.
CONNECTION COMPLETED 4-23-77
LU
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ACTION TAKEN
Letter received.
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INITIALS
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CITY of EDMONDS
200 Dayton Street - Edmonds, Washington 98020 - Telephone (206) 775-2525
Department of Public Works
CERTIFIED MAILVbLyo3
Mr. or Mrs. George W. Musgrove
21717 95th Avenue West
Edmonds, Washington 98020
Dear Mr. or Mrs. Musgrove:
April 4, 1977'
Following a petition by a majority of the residents in your neigh-
borhood, the City Council of Edmonds accepted the annexation in-
corporating your property, located at 21717-95th Avenue West,
within the City limits. Officially, the annexation became effective
November 6, 1976. The City has now transferred accounts from the
Alderwood Water District to the Edmonds water system. Billing has
been converted to the Edmonds water rate and utility fee.
The major motivation for annexing to the City was to obtain avail-
ability for sewer hookups. Our records indicate that your property
abuts an existing sewer main and you are, therefore, required to
make.connection. City Ordinance normally requires connection within
60 days. However, on annexation we allow for inclement weather con-
ditions and additional time for the home owners to make necessary
arrangements. We are establishing a date of July 1, 1977, as the
time'in which you must have your'residence connected to sewers.
Requirements for obtaining a Side -Sewer Permit are as follows:
1. Payment of connection fee. Please bring the legal
description of your property to the Public Works De-
partment prior to your request for a Permit so that
the connection fee can be computed.
2. Payment of $35 Permit fee.
3. Copies of all recorded easements (where applicable).
4. A plot -plan drawing of the proposed connection.
Side -Sewer Permits may be obtained at the Public Works Department,
200 Dayton Street, Edmonds, between the hours of 8:00 a.m. and
5:00 p.m., Monday through Friday.
Please phone Mr. John B. Mitchell, Water Sewer Superintendent, at
775-2525, extension 226, for any information or assistance you may
desire.
yXo s V X_ Itru Y'
L I LARSON, P.E.
Dire tor of Public Works
J BM: RRA: j t 0
STREET FILE
517e e7 - 14 c -14A =
DRAINACE PLAN
FOR
21717 95th AVE W.
MMONDS , MSHINGTON
RECEIVzo
A
ENGINEERING
ow rn
0
LAWIN I L 11�w N
INTERMITANT S70RM FLOW L
GRASS
L <
41
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SCALE
DATU M * C ITY OP E DMONDS
AERIAL PHOTO
IMPER AREA 1400 X
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DRAINAGE PLAN
2 17 17 c? 5- _L6 'V\/ AAEYRING ANO ASSC.
W 130.0 FT' LOT 24 MUNGER ADD 3 P-3-42-3 HiGHWAY 9q
IN SEC_ 2 57 T P-'7 N R 3 E WM EDMON05 VVA 99020
778-3101
EDAAONDS \NA
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STAND' ARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE I OF 2
for --00,1j H05KWt�
location- 22(5q 217-fk
plan by Q0 W
rt.0
phone
date a 1 (.1 Izz
OESIGN., 04,TA
TTnch Perc LF per Imperm Trench
Nu ber Rate 1000 sq.ft. Area Rea.
NOTES
1. Call Engineering Division (771.3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of.drainage systems on
priva te property is the responsibility
of the Property owner(s). Preventive
maintenance consists of preventing
soil and other materials from entering
trench during construction as well as
after construction. Catch basins should
be cleaned of floating material and
sediment at re ular intervals (at least
twice Per year?.
"OF
CITY OF EDMONDS
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TO:
CITY O"F EDMONDS
PUBLIC WORKS DEPARTMENT
Dick Allen
DIRECTOR
ADMINISTRATIVE SECRETARY
BUILDING.MAINT. FOREMAN
EQUIPMENT RENTAL FOREMAN
PARK DEPARTMENT SUPT.
STREET DEPARTMENT SUPT.
TREATMENT PLANT SUPT.
WATER/SEWER SUPT.
Lu uj I SUSPENSE DATE:
D
0 <
investigate
and Report
Take Appropriate
Action
Prepare
letter/memo
for my signature —
For Information
Previously Ref'd
Status of Action? -
Return to:
FCOMMENCTS:HaS connection fee for CG-'-n--- MAZE been
eor e:
calc lated yet 21717 25th A -,?
M Mr M ov C
r. Musgrove c Iled and would like it a.s.a.T).
is a
YbU 4;jyer
'(—OA/ AJ
Ere r/ OA/
..............
P
0�
J �0 ie S x
FROM: Jack Mitchell DATE: 3/17/77
""'u"At MAIL
(000 Otl)Or sido)
PO: ....
0
DRAINAM PLAN
010
21717 95th AVE W.
ENGINEERING
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DATum:CITY OF EDMONDS
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EDMOND5 VVA 99020
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STANDARD DRAINAGE PLAN
jNFILTRATION SYSTEM
PAGE I OF 2
for —1)0t-J H059'Klf�
location— 2204f 217-11,
plan by 6 R 5-P G r,-13
phone
date--- Glulz'Z
OESIGN..
D� ,jTA
Tnench
Perc
LF per Imperm' Trench
Number
Rate
1000 sq.ft. Area Req.
�4
I S
I M 2- 6
1 t,� o o
1 3 -7
NOTES
1. Call Engineering . Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property I s the responsibility
Of the Property owner(s). Preventive
maintenance consists of preventing
soil and other materials from entering
.trench during construction as well as
after construction. Catch basins should
be cleaned of floating material and
3 ediment at re ular Intervals (at least
twfca per year?.
CITY OF EDMOND S
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