21724 92ND AVE W.PDFiiiiiiiiiiii-
8927
21724 92ND AVE W
bTHEET FILE
CITY OF EDMONDS
Address of Construction: Vl,�
f,� /_-� '4111
0
SIDE SEWER PERMIT
PERMIT '��2 8452
DM
Property Legal Description (include all easements): 0,4 S
It !PELA
37
j6p- 007-01
UFCF
.IVF-D
EFg i , 1993
PUBLIC WORKS DEPT.
Owner and/or Contractor: �f 445 _-C
State License No. Building Permit No.
Single Family
Multi -Family (No. of Units-)
Commercial
El Public
Invasion into City Right -of -Way: 01 No C3 Yes
RW Construction Permit No.
Cross other Private Property-0 No Yes
Attach legal description and copy of recorded easement
I certify that I have read and shall comply with all city requirements
as indicated on the back of the Permit Card.
Date
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
FOR INSPECTION CAL ll DEPT.
"I M. I y M.Aw
'Ji'l . . . . . . . . . . . .
Permit Fee: 130, a424
Trunk Charge- Date Issued:
Assessment Fee: Receipt No.: ZV
Lid No. -
Partial Inspection: Date -*Initial-
Comments
Reason Rejected: Date -initial
Final Inspection Approved: Date2_-_1?L-?__;
Initial(
PERMIT MUST BE POSTED ON JOB SITE
White Copy: File Green Copy: Inspector Buff Copy: Applicant
Revised 3190
9304"016 0329.,
r4,0 EXCISE TAX '93 FEB 16 All :37
REQUIRED
EASEMENT
f EB t 6 1993 ,k h V
at+
1"N'Iff sliffis, sftohmisi (ouniy Noma 1EPUTY_._.... 06
Oy- NSIDERATION OF BENEFITS TO ACCRfE�TO THE GRANTORS BY
KZAbUN OF THE CONSTRUCTION -AND ESTABLISHM7Nr OF A SANITARY SIDE
SEWER �THE UNDERSIGN hereby grant
ED,,
to .�UA it.
Ly /A PERMAMENT EASEMENT FOR THE
INSTALLATION, OPERATION 11D MAINTENCE OF A SANITARY SIDE SEWER
OVER, ACROSS, THROUGH A;D ELOW THE FOLLOWING DESCRIBED PROPERTY,
AND THE FURTHER RIGHT TO REMOVE TREES, BUSHESt UNDERGROWTH AND
OTHER OBSTRUCTIONS INTERFERING WITH THE LOCATION, CONSTRUCTION AND
MAINTENCE OF SAID SANITARY SEWER LINE.
The easment herby granted is located in the county of
SNOHOMISH, STATE OF WASHINGTON, AND IS MORE PARTICULARLY DESCRIBED
AS FOLLOWS:
BLK 007 D-09-85100 FIT oF N 200 FT LOT 14 PLAT
ALDERWOOD MANOR OF SNOHOMISH CO. WA.
A 1O'X1O' STRIP OF LAND AS DESCRIBED BELOW:
COMMENCING AT THE SOUTHEAST CORNER OF LOT 14,
THENCE ALONG THE WEST LINE 10'r THENCE NORTH
10',THENCE EAST 10', THENCE SOUTH TO THE POINT
OF BEGINING OF LOT 14.
AGREES TO RESTORE TO SUBSTANESALLY THE
ORIGINAL CONDITION SUCH IMPROVEMENTS AS ARE DISTURBED DURING
THE CONSTRUCTION, MAINTENANCE AND REPAIR OF SAID SEWER LINE,
PROVIDED, THE GRANTORS, THEIR HEIRS OR ASSIGNS SHALL NOT
CONSTRUCT ANY PERMANENT STRUCTURE OVER, UPON OR WITHIN THE
PERMANENT EASEMENT.
DATED THIS DAY. OF 1993
-2
( te
t
STATE OF WASHINGTON)
COUNTY OF SNOHOMISH)
0 this day personally appeared before me_=S�Iotz�L-p J;�_IIAS
a nd /—I I Fe;� .1he.0 6 S . , to me known to be the individual (s)
described in and who executed the within and foregoing instrument
and acknowledged that _ signed the same as free,and volun-
tary act and deed, for the uses and purposes therin mentioned.
GIVEN under my hand and
1993.
A V�%AAAANWAAAAWANWA"AP% $I
q9"'Op AnA fIl. WfAnl ANU
J! A
V VVI, �AVV,V,V.
official seal this day of
NOTARY PUIBLIC'in and for the state of
WASftNGT0N_- residing at 1o7jAf.,,,4
1�711Y,Vej o tn- /-)%V-
NO EXCISE TAX
030216 0328
REQUIRED
FEB 16 1993 '93 FEB 16 A11:37
EASEMENT
KIRKE SIEVERS, Snohomish (ounty Now q tktj ,. i .. , � '
L3y- KIRKE-5MY R5 at+
IN CONSIDERATION OF BENEFITS TO ACCRUE TO THE GRANTORS BY
REASON OF THE CONSTRUCTION AND ESTABLISHMENT OF A SANITARY SIDE
SEWER, THE UNDERSIGNED, el'41-SH4 ' hereby grant
to A PERMAMENT EASEMENT FOR THE
INSTALLATION, OPERATION, AND MAINTENCE OF A SANITARY SIDE SEWER
OVER, ACROSS, THROUGH AND BELOW THE FOLLOWING DESCRIBED PROPERTY,
AND THE FURTHER RIGHT TO REMOVE TREES, BUSHES, UNDERGROWTH AND
OTHER OBSTRUCTIONS INTERFERING WITH THE LOCATION, CONSTRUCTION.AND
MAINTENCE OF SAID SANITARY SEWER LINE.
The easment herby granted is located in the county of
SNOHOMISH, STATE OF WASHINGTON, AND IS MORE PARTICULARLY DESCRIBED
AS FOLLOWS:
BLK 007 D-09-85100 FT oF N 200 FT LOT 14 PLAT
ALDERWOOD MANOR OF SNOHOMISH CO. WA.
A 1O'X1O' STRIP OF LAND AS DESCRIBED BELOW:
COMMENCING AT THE SOUTHEAST CORNER OF LOT 14,
THENCE ALONG THE WEST LINE 10', THENCE NORTH
10',THENCE EAST 10', THENCE SOUTH TO THE POINT
OF BEGINING OF LOT 14.
AGREES TO RESTORE TO SUBSTANESALLY THE
ORIGINAL CONDITION SUCH IMPROVEMENTS AS ARE DISTURBED DURING
THE CONSTRUCTION, MAINTENANCE AND REPAIR OF SAID SEWER LINE,
PROVIDED, THE GRANTORS, THEIR HEIRS OR ASSIGNS SHALL NOT
CONSTRUCT ANY PERMANENT STRUCTURE OVER, UPON OR WITHIN THE
PERMANENT EASEMENT.
DATED THIS DAY OF 1993
STATE OF WASHINGTON)
COUNTY OF SNOHOMISH)
On this day personally appeared before meCA--T14-5_(ttk)E-
and , to me known to be the i-ndividual (s)
described in and who executed the within and fOFegoing instrument
and acknowledged that 5t.,Q signed the same as KL11- free jand volun-
tary act and deed, for the uses and purposes therin mentioned.
GIVEN under my hand and official seal this A�-Tl- day of -r-'C-4L4�
# 1993.
NOTARY PUBLIC in and fo te of
WASHINGTON, residing atrjZ�&
The City of Edmonds Side Sewer Drawing EASEMENT NO - ----------------------- -------
NEW CONSTRUCTION REPAIRS F� LID NO. ----- - ASMT. NO - ------------------
OWNER--- ----------------------------------- ------------------------------- ------------------------ CONTRACTOR ------------------------------------------------ ----------------------------------- PERMIT NO. __Tt5�_;R
JOB ADDRESS ... ZIT�2.q ------ -AV E_!VL --------------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO. _ -------- ------------------------
!5 9
1
13
qAWD
PWW-0001-11/75(REV.11/78)
NAME OF ADDITION --------------------------------- ...............
---------------------------------------------- --------
Cr-,10NDS
----------------------
40
to W)
(5 eD. R'Dceq.
Ll
ee'l(9V.t_ e-c>. 13,I)e6p.
Q T C - T L-;,>.
Approved:
-i,?- L73
DATE..2 ................ I ..............
I - V 8�-
By ........ �'a ___ - _
V
NOTICE,
-N'o ched
The information shc)wn on the atta
-ty of
Map(s) was compiled for use by the CI
Edmonds, Its Empl-oyees and Consultants.
Th,..e City of*Edm.onds does. not. warrant the
accuracy of anything set for.th on these
M a P ('s"). A n y person or e. n.tity -requesting a
copy should conduct an independent
I orm'ation shown- or
Inquiry regard*ng the 'nf'
-t-He -M a P (S) I including, but not Hrn*ted to,
-er stub shown. Sud
the location of any sew
sewer stubs may or may not e.Xist and may
or may not exist at the location shown.
o nrd s n o r Its
Neitheir the city of Erim
a. b4-e f o r t- h e
emproyee-s o-r off ice,rs,shal] b e
this map(5), nor for
information g ven on
1ded based
any one representation prov
upon said map(s).
CA FILE NO _q I'—Z4
Critical Areas Checklist
Site Information (soils/topography/hydi6logy/vegetation)
Alt
I Site Address/Lockion:�
2. Property Tax Account Number: S —7 L o o oi
.3. Approximate Site Size (acres or square feet): gog
4. Is this site currently.developed? —4ZYes; no.
If yes; 4owis s,it9,:d.,-e.ve.,1oped?
5. Describe th general site topography. Check all that apply.
1104401
IRS7
Flat: less than 5.4eet elevation change over entire site.
R,olling: slopes on sit ge erally less than 15% (a vertical rise of I 0-feet over
e n
horizontal distance of 66-feet).
slop* present on site 4more than 15P/o� and lossthan 3 3 0 %.' a, vertical' r. j se!bf
iH.illyt: qS
10;-fee�f over: a,horiz0htal distance' Of 33 to 66feet).
Steep: gta es, of greater than'30% present �6n s ife (d vertical rise of I 0-feet over a
hdti��Ohtal Idistdn''c'e of.
'less than 33-4ee
Other (p le4se'des� ribO:
6. Site contains�ardas,ofiyear7round. s i water: A-fiD .Appt6x',.,,D' th--
tatidjng ep
7. Site contains areas:of seasonal standing�Water: AJ 0 Approx. Depth:
What season(s) of the ypar?
8. Site is in the floodway A) p f1podplaill
of a water course.
9. Site contains a.creek or anArea where water flows across the grounds surface? Flows are y�ar�
round? Flows are seasonal? . (What time:otyear?
10. Site is primarily: forested meado:w� ;shrubs mixed
urban landscaped (jawn,shrubs e.t.9)
&
11. Obvious wetland is present on site: �jo
�— Ak A— 2— taffi-V07
OV ED
City of Edmonds
Criti,cal reas! Checkfist
A
The Criticftl�Areas Checklist contained on
. t �11 ". . .
th,is.-;.foiiii'isto,.�pfillp494t�y.an person
y
preparing a%.;De�elopment. Permit
Application for iiie" City of Edmonds prior to
his/her submittal of a development permit to
the City.
The purpose of ,the Checklist, jsto. enable
City staff to determine whether.any potential
Critical Areas, are or may be present on the
subject pifope'r4y. 'The information needed. to
complete the Checklist.541puld be easily
available -from observatibns:tof the site or
data available at City-M.I.-(Critical Areas
invent
.....'Pries, maps;.o.p$oi1.,sU.rveys).
An applicant, or his/her representative. must
fill out the chee ist, s
.�l igo and date it, and
submit..it"to the City. The City will review
the che&list, make a prec&s
ory site visit,
and make a determination of the subsequent
steps necessary to complete a development
pprm it application.
With',a's'ig`ned*co of this form, -the
py
applicant, should alsq.--submit a - vicin�ty.Mqp
orpjqt..p�qn� for individual lots of the parcel
.with enough detail �that City staff can find
and.1dentify the, su�j dot patcel(s). In
a ddition, the applicant shall include other
fo t. 0.
pek#oept in rma, ion .7 ite
top6gfrAphy ma
p, etc ).or sty ies in
con unction with this Checklik:w"A's-gkit
staff in,completing their prAiminal'T
assessment of the site.
I have completed the
attached. Critical Area e
e
,,h cklist and at.t st thatAhe a4s"rs brovide.&`,
factual., to the best of my knowledge (fill out the appropriate column belol
Owner Applicant:
Applicant Representative:
CA.U*
Name
Street Address
Street'Addfess
MOO
Citj, si�iei,' Phone City, State, ZIP Phone
S'ipatur'e bate Signature 'Date
CITY OF EDMONDS BARBARA FAHEY
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0�20 - FAX (425) 771-0221 MAYOR
COMMUNITY SERVICES DEPARTMENT
Public Works e Planning/Building - Parks and Recreation * Engineering - Wastewater Treatment Plant
C
October 30, 1997
Chuck Warner
20021 88th Avenue West
Edmonds, WA 98026
Subject: Determination regarding Critical Areas Checklist * 97-206
Dear Applicant:
Enclosed please find a copy of the Critical Areas Checklist you submitted, The "DETERMINATION" reached by the City is
located on the reverse side of the form (bottom of page).
It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records.
IMPOR TA N T IN#0RM0Idi&:Td Bt N6, TEb:.
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAYNEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIST OR CRITICAL AREAS STUDY.
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
Ngep, You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
Enc: Determination
* Architectural Design Board
C:ReceptionUana\CRLTR.doc
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit applications.
Thank you.
Diane Cunningham
Planning Secretary
0 Incorporated August 11, 1890 *
Sister Cities International — Hekinan, Japan
890 - .199-
t STREET FILE
iTH
CITY OF EDMONDS
250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works e Planning * Parks and Recreation e Engineering
February 9, 1993
Dear Resident:
LAURA M. HALL
MAYOR
As you were informed last month, sewers are available for connection in
your area of the ci.ty. Property owners having failed or failing septic
systems should connect as soon as possible. All other owners are
encouraged to do so as well.
At this time, there is no established deadline to connect to'the sewer
system. However, the City does reserve the right to require hookup
within 60 days if a septic system is failing or if other health hazard
exists.
Following our procedures as described below should simplify the
installation process and minimize inconveniences.
1. Obtain a side sewer connection and inspection permit at the
Community Services Building, 250 Fifth Avenue North.
2. Read all requirements located on the back of the permit.
Flyers will be available from the Permit Coordinator when
your side sewer permit is issued.
3. If you or your contractor have any questions at this time,
please contact Everett Akau at 771-0235, extension 354 or
myself at extension 349. This way we can clarify anything
before the actual installation takes place.
4. Proceed with the installation.
5. Schedule an inspection providing the City 24 hours advance
notice. Make sure that you provide the permit number at this
time and have the permit at the job site.
6. Once an inspection is complete and accepted by our inspector,
you will have two (2) days to break in the top of the
existing septic tank and fill it with sand. Required by the
Uniform Plumbing Code. At this time, our inspector will
finalize your permit.
0 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
Sewer Connection
Page 2
Please feel free to contact this department if you are unsure about any
steps in this process. I will be glad to have an inspector meet with
you and go through the procedure so we can make the entire process as
simple as possible for you.
Thank you for your cooperation.
Ron Holland
Water/Sewer Supervisor
RH/l k
SEWER/LT/TXTSEWER