218 3RD AVE N.PDFIIIIIIIIIIII
4871
218 3RD AVE N
The City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS
EASEMENT No . ................... ......
OWNER 6.e-z�ze�� .................... CONTRACTOR ....... Z-2-Z,!��
----------------------------------------------------- PERMIT No....
ADDRESS .................................................... LEGAL DESCRIPTION: LOT No. . ...................................
BLOCK No . ............................................
NAME OF ADDITION
Lu
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A, I P R 0 V e.,
Fr B 13 1969'
Approved:
DATE .... �2
........... . ................ 000
BY, .......... ... 4
................ -- — -----------
.. CITY OF EDMONDS Call PRospect 6-1107 when work
civw CENTER — WATER -SEWER DEPARTMENT is ready for Inspection. (No Inspec-
tions Saturday, Sunday or holidays.) N? 3225
SIDE SEWER PERMIT
A,DmEss ----- 218 ---- Th-ird-lor-th
OWNER--� ....... ---- $e-mice ............................... CONTRACTOR ......... Modem. -Sewer ----------------------------------------
February....13— 19-69., for ........................ days to REPAIR or CONNECT a side sewer
PerniissioTf is granted ---------- -
witw.City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No.:i—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 regarding 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 % will be permitted. shall be responsible for
N� )NO. 4�'Tienches in street must be water settled and surface of street restored to original condition. Contractors
falfiRre'due to improper work which may develop within one year of completion.
p
NOTW No. SLIt is �� '-ful 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 a pur
UITt
tenancqw. except to insert the pipe into the wye.
Critical Areas Checklist STREET FILE
Site Information
ProjectName: 1A'S_\ �Zewy-Aa-k Permit Number:
SiteLocation: Q� 3rd lke. b.,, EeWAMaroperty Tax Account Number: 24344-OoGig6g-L&
Approximate Site Size (acres or square feet):
Have you filled out a Critical Areas Checklist for a project on this site before?
General Site Conditions
1. Has:the site been cleared or logged? �f\,O - Date of most recent action:
Soils / Topography
2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? �nzvc U -Sandj 144M
3. Describe the general site topography. Check all that apply.
Flat: 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 of horizontal distance.)
Steep: grades of greater than 30% present on site.
Comments
Hydrology/Vegetation
4. Site contains areas of year-round standing water: ',"I D
5. Site contains areas of seasonal standing water: nl� --Approx. Depth:
6. Site is in the floodway 0 0 floodplain 40 of a water course.
7. Site contains a creek or an area where water flows across the grounds surface? L�__flows
are year-round? Flows are seasonal? Y-0
8. Site is primarily: forested meadow shrubs _; mixed
9. Obvious wetland is Present on site: r\.0
10. Wetland inventory or map indicates wetland present on site:
11. Critical Areas inventory or map indicates any Critical Area on site: n 0
For City Use Only
STUDY REQUIRED: Critical areas study is required.
CONDITIONAL WAIVER: Critical areas study not required if specified conditions -satisfied.
4,-�WAIVER: Critical areas study is not reauired.
Determination Number. �_4 - �,5? - aa 3
Reviewer C��//h 211—
Planner Daw
Rey 3127/92
890.199-
City of Edmonds
Critical Areas Checklist
17he 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 a development -permit
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).
An applicant, or his/her 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.
Mrith a signed copy of this form, the
applicant should also submit a vicinity map
of the parcel with enough detail that City
staff can find and identify the -subject
parcel(s). In addition, the applicant is
encouraged to include any other pertinent
information or studies in conjunction with
this Checklist to assist staff in completing
their preliminary assessment of the site.
I have completed the attached Critical Area Checklist and attest �that the answers provided are
factual, to the best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
Narne
0 UJ)1 e tL
Title
-V9 2i 3�
Street Ad&ess
City, State, ZIP Phone
Signature
Date
Applicant Representative:
Out -S �edea-
Name
�Re S'd, af
Title
W
Street Address
E�Ja
City, State, ZIP Phone
N, Al&'o
Signature Date
I . 0 0
CITY OF
200 DAYTON ST. - EDMONDS. WASHINGTON 98020 - (206)
DEPARTMENT OF PUBLIC WORKS
i'l -i t--- c: I 1 .16 , 1981
STREET FILE
Dear Resident:
HARVE H. HARR!SON
On February 17, 1981, the Edmond�; City Council Passed
Resolution 488 for construction, reconstruction and repair
of deteriorated sidewalks. A puhlic hearing will be he'ld
in the Council Chambers at the Civic Center on April 21,1981
at 7:30'P.M. You are invited to attend this hearing
for
r -e-p* s
discussing a ',.'pp r't 19 h s of detei�,ioriiEed 'ideWalk
abutting you"r',-p rope rty" The improvenioriiIL 6f -side`�fk's- in
need of repair at the expense of the ahuttinq property
owner is provided by City Ordinance, Chapter 7'.20 and
Revised Code of Washington, Chapter 35.68.
The areas needing repair have he(.--n marked in paint on
-1 -�construct. ion and
the sidewalk adjoining your pronert%. R(
repair of these sidewalks Must be (-'
0111pleted on or before
September 1, 1981. In the event imrrnvenients are not
completed within the above specified ti-le city will
perform and complete the iII1PrOvcI'11011I-.s, M- the expense of ne
abutting property owner.
This action is' in response to mi)ny citizen requests
and pedestrian falling accidents which have been increasing
in recent years as a result of sidewalk deterioration and
increased pedestrian traffic.
Sincecely,
F)'1-:f) F. HEUnERG
Dire(.,tor of Public Works
4
STREET FILE
mm %*# am" BUT""$ xarw
Froal Wf P.. "Mom
City 40gJaw
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Pursu#wmt to our recant dis4usalon a* tum **Sgoottwa ot,
OwAtt"t the oubjOst O"uw bas beaa uWasta.
. .A *
tho feluwtag to I -- - Ap,
(4) 10 this vi4ihity of the Zdmm4s Notor Ooqpwqs
tba curb* OM auttus ohwJA be *stood# mW
tho oldwaUa #bml4 Ue recomtruated, Y
provtous p4totoot it to eowl4ft" tb*t tbo
otdowalks obmlA bo r000motruit#4 ot a Umt
Oborso, to tb* "WN4* **Aw --- - A tbo
WAOO 40A S"U" at t'b* *q"o# Ttb4"*"ty#
Tho "tomwAd O"t, of otth Lot guru* #M4
gattovo, 014#00; oid"mius #1350000.
(b) Tm *Ormt "0
04 somm" s4myo #00—*4k ObO44, bo
04 OU00 toww" %bo, 00b, The
"A "Ot Ot ropusuo tuo OSAM04k to
#uO*OO# VAS *too owuu bo, a 4trftt ObAw"
to %b* WOMWO uk"YO
PLAT OF SURVEY FOR: C. MERLYN ROGERS
Lot 10, Block 5, Plat of Edmonds, according to the plat thereof recorded In
Volume I of Plats, on Pages 26 and 27, Records of Snohomish County, Washington.
Scale: 1" 30 feet
Au2ust_29 1968
STREET FILE
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BELL STREET
REIR MIDDLETN & ASSOCIATES
Unsufting bonpf�rs & Land Sw"ccs
324 Main St FR 8-1171
EDMONDS. wxtWxm"
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Found monument
Set Iron Pin
File No. 3677
FB 258/ 10
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41
Mr. Ce Wayne Jones
Raid, Middleton & Associates, Inc.
324 Main Street
Edmonds, Washington 98020
Dear Wayne:
December 6. 1968
Pursuant to our discussion of this date,, please establish the
grade for a storm sewer in the alley between 3rd and 4th Avenues from the
northeast corner of Lot 10 to Edmonds Street. This grade will be needed
about December 11, 1968.
Yours very truly,
CITY OF EDMONDS
JAMES H. CONWAY
Assistant City Engineer
JHC:rf
-1*r- 4 -4-lr -IN
CITY OF EDMONDS
200 DAYTON ST. - EDMONDS, WASHINGTON 98020 * (206) 771-3202
DEPARTMENT OF PUBLIC WORKS
CERTIFIED MAIL
Resident
218-3rd Ave. N.
Edmonds, WA 98020
,PROPERTY DESCRIPTION:
Dear:Resident:
File No. 05.2.21
March 31, 1983
Lots 10, Blk. 5,
Plat of Edmonds (4344)
Re: 218-3rd Ave. N.
Edmonds, WA 98020
HARVE H. HARRISON
MAYOR
STREET FILE
'On February 17, 1981, the Edmonds City Council passed Resolution 488 for
construction, reconstruction, and repair of deteriorated sidewalks. A letter
dated March 16, 1981 was sent to residents that were required to repair the
sidewalk abutting their property. A certified letter was also sent dated June
15, 082. The improvements of sidewalks in need of repair at the expense of
the abutting property owner is provided by City Ordinance, Chapter 7.20 and
Revised Code of Washington, Chapter 35.69.
i
:The areas needing repair have been marked in paint on the sidewalk
adjoining your property. Reconstruction permits must be obtained from the
Building Department located at 250-5th Ave. N. within thirty (30) days upon
receipt of. -this final notice. The permit fee for the sidewalk repair has been
waived by'the City of Edmonds. In the.event you have not obtained the
reconstruction permit within thirty (30) days, the City forces will commence
with the reconstruction of the sidewalk, and the City will bill the abutting
property owner.
.This action is in response to many citizen requests and pedestrian falling
accidents which have been increasing in recent years as a result of sidewalk
deterioration and increased pedestrian traffic.
.If you have any questions regarding this final notice, please call Bill
Stro6d at 771-3202, extension 289.
Sincerely,
117)
-V-7
BOBBY R. MILLS
Acting Supt. of Public Works
BS/ml
0 07 y 0 F, M M 0 N 0 S HARVE H. HARRISON
MAYOR
200 DAYTON ST. - EDMONDS, WASHINGTON 98020 - (206) 771-3202
DEPARTMENT OF PUBLIC WORKS
CERTIFIED MAIL
June 15, 1982
STREET FILE
Mr. Charles M. Rogers
8525-192nd S.W.
Edmonds, WA 98020
PROPERTY DESCRIPTION: Lot 10, Blk. 5
Plat of Edmonds (4344)
Re: a rWd-iWMv-1&V-%-'A0-o.- It,
Edmonds, WA 98020
Dear Resident:
On February 17, 1981, the Edmonds City Council passed
Resolution 488 for construction) reconstruction, and repair of
deteriorated sidewalks. A letter dated March 16, 1981 was sent to
residents that were required to repair the sidewalk abutting their
property. The improvement of sidewalks in need of repair at the
expense of the abutting property owner is provided by City
Ordinance, Chapter 7.20 and Revised Code of Washington, Chapter
315.68.
The areas needing repair have been marked in paint on the
sidewalk adjoining your property. Reconstruction permits must be
obtained from the Building Department at 501 Bell Street within 30
days upon receipt of this certified letter. The fee for the
sidewalk repair has been waived by the City of Edmonds. In the
event these improvements are not completed within ninety (90) days
upon receipt of this certified letter, the City will employ a
privatecontractor to perform the designated repairs and the City
will bill the abutting property owner.
This action is in response to many citizen requests and
pedestrian falling accidents which have been increasing in recent
years as a result of sidewalk deterioration and increased
pedestrian traffic.
If you have any questions, please call Bobby Mills at 771-3202,
ext. 289.
Sincerely,
JOHN D;tMIWCHILLf Public Works
Superi en ent o
BM/ml
�D
ATE -RECEIVED
QPATE I
PERMIT EXPIRES
USE PERMIT
ZONE
CITY OF EDMONDS NUMBER
JOB SUITE/A.PT#
CONSTRUCTION PERMIT APPLICATION ADDRESS
OWNER NAMEINAME OF BUSINESS DOWN
PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
MAILING ADDRESS LID FEE $
T_E_6FP Approved
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required
Street Use Pertnit Recrd
CITY ZIP TELEPHONE EXISTING — PROPOSED Inspectlo Required
'�7 1 SldowalknRaq trod
_S REQUIRED DEDICATION— FT Unde�
Wiftl; required 13
NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
YES13 NO z
I 1 1. -1 . A- I
ADDRESS REMARKS z
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
ZIP TELEPHONE
CITY
NAME
ENGINEERING REVIEWED/OATE
12,rld I -le,
A�908
6)— (?, L
x
FIRE REVIEWED BY
SEEN
DATE
ul
If
CITY
ZIP
�ELEPHONE
VARIANCE OR CU
SHORELIN . E OR ADS#
INSPECTION
REO'D
E3 YES [3 NO
P BOND
OSTED
z
IL
STATE LICENSE NUMBER EXPIRATION DATE
E'E-7- 4 Cl_ A r\ 614
CHECKED 67—
allyA
BEIRA REVIEW
COMPLETE , EXEMPT
EXP
SIGN AREA
ALLOWED , PROPOSED
HEIGHT
ALLOWED , PROPOSED
PROPERTY TAX ACCOUNT PARCE� NO.
NEW 0 RESIDENTIAL LUMBING / MECH
0 ADDITION COMMERCIAL COMPLIANCE OR
CHANGE OF USE
9
REMODEL APARTMENT SIGN
REPAIR GRADING FENCE
CYDS 0 ( _ X FT)
0 DEMOLISH, TANK [j OTHER
o GARAGE RETAINING WALL
CARPORT ROCKERY RENEWAL
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (Fr.)
FRONT SIDE REAR
I
PROPOSED SETBACKS (Fr.)
FRONT URSIDE REAR
I
PARKING
REOD PROVIDED
I I
LOT AREA
:r
NING REVIEWED BY 7ATE
REMARKS
(ME Of�JSE. BUSINESS
OR ACTIV" EXPLAIN:
CHECKED BY
TYPEOF
CONSTRUqION
OCCUPANT
GROUP
NUMBER
OF
STORIES
NUMBER OF
DWELLING
UNITS
CRITICAL
AREAS
NUMBER
SPECIAL INSPECTOR
REQUIRED [:] YES
AREA
I
OCCUPANT
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RECVD
r
C' C VT
VALUATION $
Description
FEE
Description
FEE
Plan Check
HEAT SOURCE GLAZING % LOT SLOPE %
I
Building
rLAN CHEC,K No: VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORIKINOTED.'THIS'PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERW ONLY. ANY COiSTRUCTION ON THE PUBLIC
9 0
D MAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
Grading
Recording Fee
SEPARATE PERMISSION.
Engr. Review
City . Surcharge
PERMIT APPUCATION: ISODAYS
AL PERMIT UMrP I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
State Surcharge
'APPLICANT ON BEHALF -OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Traffic Mitigation
PlanrChk Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
-
a EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
Fire Review
Receipt #
IALL CLAIMS FOR DAMAGES OF WHATEVER MATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT BE
9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Fire Inspection
Total Amount Due 44Z�—_
01 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
iL J;
I
Landscapainsp.
Receipt #
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
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
CALL
This application Is not a pennit until signed by the
Building Official or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKME?!:�,COMPEN
,�ATION_ INSURANCE AND RCW 18.27.
FOR INSPECTION
receipt Is acknowledged In space provided.
06;;p —
SIG AiRE OWN �t E") .
�R G DATE SIGNED
(425)
OF�FIP73NATU) TE
f V
/
1.2 -/5
771-0220
?/
ATTENTION
IT IS
EXT 1333
RELEASED uy DATV
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 - 1Nqppn nA
10/01
FAX.
PINK - OWNER GOLD - ASSESSOR