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21810 95TH AVE W.PDFiiiiiiii lill 9287 21810 95TH AVE W I -)-) F- 02 PERMTTEXPIRES CITY OF EDMONDS USE PERMIT ZONE, -45Z NUMBER &DLOWRLI CONSTRUCTION PERMIT APPLICATION JOB SUITVAIT# ADDRESS �F BUSINESS rb PLAT NAmEisusonnsio NO. UD NO. 'AIIII ADDRESS /4LjQ— UD FEE S PUBLIC RIGHT OF WAY TE— A,,—i PER OFFICIAL STREET MAIR TELEPHONE EXISTING — PROPOSED 0 0f4_ZIP 7 ffR REQUIRE. DEDICATION— FT S­. U...,e 1. 13 I irn ­� a NAME METER SIZE LINE SLZE� NO. OF FI—RES PRV REOUIRED ;K N j YES E3 No I 5 ADDRESS x REMARKS z U OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAIAGE 145FE"I RW'D: P;NAL. CITY P PHONE NAME jCBL# ADDRESS 0 E ENGINEERING REVIEWE BY GAT CITY ZIP TELEPHONE JE F FIRE REVIEWED BY DATE 0 STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY VARIANCE OR CU SHOREUNIE OR A11111 INSPECTION BOND E3 R7 YES ___nSTED NOI. PRO��?Xj. PARCEL NO SEPA REVIEW COMPLETE EXEMPT SIGN AREA A D ALLOWED HEII HT PROPOSED C)Ovo 00 I -- P NEW I A LO C VERAGE REQUIRED SETBACKS (Fr) PROPOSED SETBACKS (Fr.) _.FEMENTLAL g4��>ECH AN.. OR OWT ALL EDO PROPOSED FRONT SIDE REAR FRONT 4/s, uR, EAR ADDITION CHAN. IF USE C , .,5'1 ro REMODEL SIGN PARKING RECY LOT AR ING REVIEWED BY DfB I REPAIR OkDNG FENCE CyDS X _FT) REMARKS E..... TANK OTHER IMAGE RETAINING WALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM (TYPE OF UZZZ�� EXPLALN: 71,41, CHECKED BY TYPE OF CONERUGTION NUMBER N UMBER 02 9 JArrl GCCUPA RO P T 5 is OF DWELL No 1 ARREITIC A SA SPECIAL NSPECTION JARFA OCCUPANT STORIES UNITS NUMBE QUIREO C3 YES 14tha:12; b0 I LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC I OS/FINAL INSPECTION REG'D AM 4=12 -eXIV VALUAIFION I o/a// ma Description FEE Description FEE Plan Check ji,:P,�3 State Surcharge LOT SLOPE % I =E Building Permit 44�15 City Surc harge PL491 CHECK NO: �EME.LDA p lumbing -7� Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO B 0 E ONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC 2M DOMAJIN Grading (CURBS, SIDEWALKS, DRIVEWAYS MARQUEES, ETC.) WILL REQUIRE Rr t: SEPARATE PERM;SSION. t Engr. Review 0 PERMITAPPUCATI N: 180DAYS PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN Y So DAYS A I Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATIONI ;APPUCANTI ON BE IF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS LICCES.R. N INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF E Try Fire Review Plan Chk. Deposit I EDMONDS, WASHINGTON ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT BE T a E DEEMED TO MODIFY' WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE CE nd La scape 'nsp Landscapeinsp. Total Amt. Due 0 NOR LIMIT IN ANY WAY THE CrTYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- 'ON ' Recording Fee Recording Fee Receipt # I HERESY ACKNOWLEDGE THAT HAVE READ TH S APPLICATION: THAT THE INFORMATION TION � GIVEN IS CORRECT, AND THAT AM THE OVVNEI�, OR THE DULY AUTHORIZED AGENT OF NT OF APPLICATION APPROVAL THE OWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. T-U.- CALL CALL This application is no a perrhe unW signed by the TION; AND IN DOING THE WORK AUTHORIZED TH REBY. NO PERSON WILL BE EMPLOYED III official or his/her epi�y: end Res we paid; and IN VIOLATION OF THE LABOR CODE OF THE BE E OF WASHINGTON RELATlIr TAT NG TO To FORINSPECT 0 1 SP ION ..ipt Is k.-I.dogrid I. sps. proid.d. WORKMEWS COMPENSATION INSURANCE AND ACW 18.27. E CAT E SIGNED (425) (425) OFF kIS SIGNAT U&A� QW/77- 1 0 771-022 0 REL D Y ATE "kfT TION Off 1333 LAWFUl TO US OR OCCI IPY A RI 1ILDING OR STRUCTURE UNTIL 02 N MADE AND APPROVAL OR A CERTIFI- 1INqPF1TOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 ORIGINAL YPI I ON 04/02 PINK - GOLD�ASSESSOR PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNnNG PLANNING DATA NAME: f9tibimp �-A - ic.HAy- DATE: A /02- SITEADDRESS: .9-1 (0 PLAN CHK#: PROJECT DESCRIPTION: QXZ� &A -A I C? )k ks-n (�X-- - 1-�?— REDUCED SITE PLAN PROVIDED?: (Yes / No MAP PAGE: CORNER LOT: (Yes FLAG LOT: Cy—es-f& ZONING: 1-2-`b- F 2 CRITICAL AREAS DETERMINATIONM CA, Ll Studv Reauired: Waiver Conditional Waiver SEPA DETERMINATION: Ll Fee L) Checklist LJ APO list w/ notarized form Ll (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger) xempt SETBACKS: Required Setbacks: I I I Street: aF5 'Left Side: Right Side: -1.5 Rear: k 01D Actual Setbacks: Street: NIA, Left Side: Right Side: S Rear: Street map chocked for additional setback required? (Yes No /(610A DETACHED STRUCTURES: U ROCKERIES: U FENCES/TRELLISES: L) BAY WINDOWS / PROJECTING MODULATION: U STAIRS I DECKS: PARKING: Required: Actual: r4o a-k\. -7 0--� C� (3 'No LOT AREA: LOT COVERAGE 100 BUILDING HEIGHT: 10.0. Datum Point:-LA3cmq-e- V-CriT Datum Elevation: 100 Maximum Allowed: I Actual Height: A.D.U. CREATED? (No Yes) SUBDIVISION: L��L NONCONFORMING LAND USE DETERMINATION ISSUED: (Yes / No CP NOTIC�. a Uc_�T* 3 '0"*w-a r.r a n. ty ... 0 t- -_ - * N attached The information shown on the piled for use by the City 01 map(s) was co ' M ' nd Consultants. Edmonds,; its Empl.oyees a Th,..e City of *Edrn.onds does ' not warrant the orth on these accuracy of anything set f map(s-). An . y person or entity -requesting a conduct an independent copyshould inquiry regarding the infOrm-ati.on shown, c including, but not Hrn'ted to] t :2 -map(s), the location of any sewer stub shown, Su( sewer stubs may or may- not e.xist and ma�, t the location shown, or may not exist a ,ty of EdmOn(%jA(S/ nor its Neitheir the k_.'j emp-1.0-yee-s O.r offi-ce-rs -sh-a-11.1 be I.Iab]..e. for iffi information given on this map(5), nor for 3ny one representation provided based upon*said. map(s). APPLICATION The City of Edmonds for EASEMENT NO . ............................. . ............ SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS TID NO . .................. ASNIT. No - ------------------ OWNER ....... t--A A. c-j-- -4. - ------------------ CONTRACTOR ----------------------------- ..................................... -------------- PERMIT NO. JOB ADDRESS ------ . .. ... !� ...... LEGAL DESCRIPTION: LOT NO - ----------------------- .............. BLOCK NO - ------------------------------------ ------------------------------------------------ ---- ------- " 2c� ---------------------------------------------- 0 NAMEOF ADDITION ----------------------------------------------------------------------------------------------------------------------- A -f I ................. By 1/ 11/75 A �,,CITY 0F, EDMV 1,*ON1D Z SIDE SEWER: PERM Tj' RTMENT' WATEWSEWER, DEPA 58 RMIT PE' 37 2 for �side, sewer inspections BEFoRE� coverin� 'any, portion of the construc"on!,� I V -7;75-25 5 y, inspectlons�l� �i(",Cf:n.'�gctio*n,wifli�be�,provided wlthln�.24,hours,`after requst. NO).Sat.,. Sun_ or holida v 21.310 9,5 th �.A. 0%, W ................................................................ OCAMT _6_NST' ....... 1, ....... 777­17 AMDRESS,"Ll' AUCTIOM ........................................................... ............... see.atta'h� ....................... c .. .............. T ..... .................... ....... )� ......... M ....................... I ............. I .................... ..................... ROPERTY— LMGAM�,DESdffllk�n, ed .......................................................... W .............................................. ........................... : .................. I ............. ............. .......... .................................. ....................... RA. dhAid .: Michal. 'ON"JER AVID -ORBUILDEN ............................................. ............................... �: .................................................... ..................................... .. ........ .......... Roth cotist. 1 0 ........................... . ............... ............ ........ L. J C' 23520 :84th� VT. ....................................................... . .. ........... ... ..... ................... ................ June 2 2 sewer, �to;the��: city sanitary, sewer -]�ermisslonls,,granted.. 19'3.7, for repair and/br.connecti'an of aside .... ............... ........ ? ........ I ............. F� `-an in bx�cordaTtce,-,,v�ith�,City,:of Edmonds, ordinances. ATTENTION 18, CALLEDT TWTHR FOLLOWING.: . employed �to construct ners I of the -property may, obtain a Permit to construct sewer inside, property,.line� A -licensed Side Sewer 'Contractor,must be NOTE No. 1—The,Pw - 'before it haw-beenAnspectedt ,side sewerArk, streef,,area�,' Do not cover,any, portion of sewer NOTE No. 2—All, work,performed';l I n;,c:ft�,.�ight-&f'way,�requires amInvaslon,,of Mght-of-Way,�Permlt, obtain -able from, the City, Englneer�vo.fflce; forniatloni'rega�:ding. brdinance 11. 16�.'()Wand Regulations governlng'�side �sewers when' you get,pernlit., NOTE No.. 3—'Obtaft� Wilt in. -in� grade NOTF'No. 4—Top, of. side, sewer mustqhaVe 30, inches., coyerage :at- property.. line and­12� inches 'inside property, line;.'min'Imuly� grade,,of, �2 No bends. sharper.than�:-'X, vjill�.be�permitted_ I . . . '! , . . L �'. � I . I . o .1 . I 1- 1. 0 lnal�,,condltlon. Contractors sball be responsible �fov failure due to improper N TF No. &-.Trenches! lm.stredt, mus t�lbei water. settled' andl surface, of street.,restored t6:ortli work which�,inayVde-Mop - ;�within­one year, of completion. . lts�.app . urtenances -except to, in- y other, worli than Is providedt for in- the, pernilt!,,,or, td,do,any work on the main sewer.or NOTE' -No: 6,—It isl'urLiaivful,,to,,a,lter,,.Iorl: ouan -iert �thefpipe. into) lthe� wye�'-. DISAPPROVER E],, -Date ....... .............. Date..- ......... By Dgte� .................................... BY ................ A' 77" .................................................................. : ... W-4.7'. .. By ......... . .... . .. ............. .... APPROVED� .................. ............ P, 0 .... ................................. ......................................... Remarks; .............. I .............................................. . I ........................... .................................... ............................................................................................................................................................................................. ........... ......... s ......................... I ......... BOTH Permit 6s,_MIUST Be Sj*gned BY owner of Firm!. Performing Construction, PRIOR'To; Request For Inspection opi 11ation tconstructed �under, this permit ...... ?O'or ... . ...... .............................. ...... hereby certify-tha t thel,,side sewer.insta (0 oU'ContOtlin , Firm PerfGiming Construction,), Iledl, d, t ccor itly Pf -Edmonds., ��jns alled'i coordan'*ce�,.wit�h-,;a.11�--governing, ordinan6eS 'of the.: Q —day, of.'. .......................... ................ ........... 19-77 Datedithi&_� ........ ......... k Power, u it Gasl hec o �,dig'for:­Watei,�E],, APPLICATION The City of Edmonds for EASEMENT NO - ----------------------------------- SIDE SEWER PERMff NEW CONSTRUCTION REPAIRS LID NO - ------------------ 'AsmT. NO - ------------------ OWNER -------- �,Zcztl 7' ................................... CONTRACTOR - ----- ---------------------- PERMIT NO. -------------------- - -------------------- -------- JOB ADDRESS ..29-1-Y10 --- - ---- ---- ------ < -------- ----------------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------ ..................... .......................................................... ....... ------------------------------------------------------------------------- NAME OF ADDITION --------------------------------------------- km91 bl'', =0 Approved: DATE BY--------------------------------------------------- yi7.yg .17 Date June 15. 1977 MEMO TO: John B. Mitchell Water/Sewer Superintend,-,nt FROM: Richard H. Allen Assistant City Engineer SUBJECT: SEWER CONNECTION CHARGES Legal Description: Lot 11, R.C. Munger Add'n. No. 3 as recorded in Vol. 16 of Plats, Page 36, Records of Snohomish County, Washington Commonly known as: 21810 - 95th AVe. W. . Owner: Richard Michal Z.F.F. Calculation: 75 Z. F. F. x $5.50 $ 412. 50 Connection Fee Lateral x $ Lateral -Charge 1 Unit(s) x $25 $ 25.00 Trunk Charge $ 10.00 Permit $ 447.50 TOTAL APPROVED BY: Leif FJ Larson, P.E. Direciror of Public Works CC: Owner s / i n/77 Crifical Are8s Checklist CA File No: 02-143 Site Information (goils/topography/hydrology/vegetation) 1. Site Address/ Location: u) 2. Property Tax Account Number:66,�;�'7500epo/ Ion 3. Approxininate Site'Size (acres or square feet): 4. Is this site currently developed? -,—/Yes; no. If yes;. how is site developed? Le 5. Describe the general site topography. Check all that apply. Flat. lessthan 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-fe et). 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 t6:66-feet). r, . an 30% re t*le (a 'r t i, O�MZQ M,l M U p 10 Steep: grades of greate th' distance of less', than.33-feet).. Ma Other (please describe): M fit 6. Site contains areas of year-round standing water: 1"t 6 Approx. Depth: 7. Site contains areas of seasonal standing water: )N/0 Approx. Depth: What season(s) of the year?. 8. Site is in the floodway nO floodplain of a water course. 9. Site contains a creek or an. area where water flows across the grounds surface? Flows are year-round? \Jj, 0 1 — Flows are -seasonal? — (What time of year? 10. 11. Site is Primarily:, forested " I I meadow, - shrubs mixed urban iandscaped (lawnshfubs etc) 1,� Obvious wetland is present -on sitl N--,b Critical Areas Checklist.doc/3.19.2001 a OV 'EID)Af 44 City of Edmoa4 TP Development Services Department Planning Division. Phone: 425.771.0220 Fax: 425.771.0221 46. 1%911 The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Developmept Permit Application for the City of Edmonds prior -to his/her submittal of the application to the City. .. � s. The purpose of the Checklist is to enable City staff �to` determine whether any potential Critical Areas are,..q�, may be, present on the subject property. The informationi" needed to complete the Checklist should be easily available from observations of the site or -data available at bhgtVas inventories, maps, or soil MUING PERW -Pate R"eived: Cit�-Reicfdipt#: Cribip.11-Areas,, File* 411. *' """i""' '" klistF Critical.Area.s Chec ee: $45.00 ,_Date'Mailo.to Applica' nt:,: A'property owner, or his/her authorized representative, must. fill out the checklist, sign, and date it,i and submit it t o the -City. The City will review the checklist, make a precursory site irisit, afid'make a deiterrmin"adon-of the ,subsequent. steps necessary to complete a development permit application. 'Please 'submit avicinity map, along with the signed copy of this fbrm�io 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 S`td&e's',n-co'nJdnction with this, Checidik"to assistant staff iinbornpietin' their preliminary assessment of the site. 9 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/AGENTM 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 ofthe City of Edmonds to enter the subject property for the purposes of inspection and postin attendant to this application. SIGNATURE OF OWNER DATE 170 ner/Appficant: , C�� iee� CA& ok Name '! / � / 0 AV( - Street Address 6�� 4 ds �Lc) city State zip Telephone: Zg 7 �P 7 Email address (optional):. Apoocant Representative: Name Street Address City State Zip Telephone: Email Address (optional): Critical Areas Checklist.doc/3.19.2001 Critical Areas Checklist CA File No: 01 - 143 Site Infomiation (soils/ to ,pography/hydrology/ vegetation) 1. Site Address/ Location: q65--r-6 ;4a,", Lt), 2. Property Tax Account Number: CAQ �5�'�75 10 QQ 0 /Z 0 n 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? -,—/Yes; _ no. If yes; how is site developed? A u S !2 6,�? le 5. Describe the general site topography. Check all that apply. . L/ 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 over a horizontal distance of 33 to 66-feet). n Steep: grades of greater than 30% pre r1tortsitel(axertic fise,,j61q"�Avgr:a distance of less than 33-f eet). Other (please describe): 6. Site contains areas of year-round standing water: n, 6 Approx. Depth: 7. Site contains areas of seasonal standing water: N\.,D Approx. Depth: What season(s) of the year? 8. Site is in the floodway n 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? Flows are seasonal? (What time of year? 10. Site is primarily: forested meadow ;shrubs mixed urban landscaped 0awnshfubs etc) 11. Obvious wedand is present on site: \r\,b Critical Areas Checklist.dod3.19.2001 City of Edmonds Development Services Department Planning.Division Phone: 425.771.0220 Fax: 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 Cn cal areas inventories, maps, or soil s .bARENT BUHING PERU a-355 Date Received: I /I 13LV 4— City Receipt#: -2Z-k-)ffq Critical Areas File #: Critical Areas Checklist Fee: $45.00 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 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, inaccurute or incomplete information furnished by the applicant, his/her/its agents or employees. By my signature, I cer* 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 APPLICANVAGENTb� 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. I -70 ner/Appffcant: 1-, J� -3. NNIA 1�11 CA&ak Name 11vo Street Address 1r;-A C) city State zip Telephone: 1� Z9 — -7 0 7 f' Email address (optional):. Appticant Representative: Name Street Address city State zip Telephone: Email Address (optional): Critical Areas Check] ist.doc/3.19.2001 STREET FILE 0 Date June 15, 1977 MEMO TO: John B. Mitchell Water/Sewer Superintendent FROM: Richard H. Allen Assistant City Engineer SUBJECT: SEWER CONNECTION CHARGES I Legal Description: Lot 11, R.C. Munger Add'n. No. 3 as recorded in Vol. 16 of Plats, Page 36, Records of Snohomish County, Washington Commonly known as: 21810 - 95th AVe. W. Owner: Richard Michal Z.F.F. Calculation: 75 Z.F.F. x $5.50 Lateral x 1 Unit(s) x $25 $ 412.50 Connection Fee $ Lateral Charge $ 25.00 Trunk Charge $ 10.00 Permit $ 447.50 TOTAL APPROVED BY: Leif Larson, F.E. Direclor of Public Works CC: Owner 5/1-0/77 7.7 /e 6,Er, effr 6 7/,gP, A -.I E� A/" Alo 3 S�v .44 40'A" Jr,40 6 -OAAO-C OP I Z iz. 5. 5d F, liz. 1 4'4-" Se 41A-1 7-or'-149 e- El REGARDING: 21810 95th Avenue West (address) R E C 0 R D 0 F C 0 N T A C T S DATE NAME, PHONE NO., & COMMENTS ADDRESS of CALLER 4/4/77 Richard Michal Certified Letter No. 406807 sent 14724 40th Ave. W. requiring hook-up by 7/1/77. Lynnwood CONNECTION COITLETED'6'-22'- .77 5 6, am ACTION TAKEN Letter received. INITIALS JT CITY of EDMONDS 200 Dayton Street - Edmonds, Washington 98020 - Telephone (206) 775-2525 Department of Public Works CERTIFIED MAIL V0686? Mr. or Mrs. Richard D. Michal 14724 40th Avenue West Lynnwood, Washington,98036 Dear Mr. or Mrs. Michal: 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 21810 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. Yo s very t "o ly, LEIF LAR�ON, P.E. C Dire (or of Public Works r, JBM: RHA: j t u) 0 �ENDER: CornPlete ite-S 1 and 2. -n �4d your address in the RtTAN -t6­ s�ace on revers r 3 w 1 The following* servic& is request6d (check dfi�e) ShQwAo.whorn and date delivered -_--------- - 15.0- ZFM Show to whom date, & add ss of deliverY.- Mo 0 re DELIVER ONLY TO ADDRE.SSEE�.an.d '-and. date deliv6 65 hom'' red ------------ show to . w �TO ADDkESS9L blid, DELIVER ONLY .show, to,-', -whom, date, and address of.. deli%ry. ---------- 7 Ti 2 ARTICL Ap&ESSED TO: X) _h Mr.,' or _;e,_,RiC1h8:V� c 1-41-24 40th, AVo_riu,2� - We 9.t z .;­ M L3%PT�.O.bd, Vashirigtbrt 80 3.6 M. 0 3;-A RTICLE DES ChIPtIO.N.. REGISTER kN 6 _CtRT1iFI5ED N6.1 INSURiD NO... ED� 401 (Alway cn -iF— degeribed abdv rn ive the a ci rn S G A. RE' p U) r_ C. CIV �RY M I E E POSTMARK, `Z .5... DbkE_S 0, "onlyif7.r., y6fte� C/ 0 'TO D fi—NA90t > r If:- *_GPC '17803, 406807 No. cc c c q, Pioneer Nationpl Title insurance Company 4 WASHINGTON TITLE DIVISION Filed for Record at Request of t 4- TO CONTINENTAL, INC 8th Floor 1! f4 11-11di Seaftle, Washinpton 98104 M/C 885 13 — REVENUE STAMPS THIS SPACE RESERVED FOR RECORDER'S USE: `,-r4ZC0R-Uz[j U7 pj�l -r M-A 7 FN flurt C 0, MAY 13 f9T4 9 AM HENRY El. WHALEN. AUDITOR SNTOMISH CftvY, WASH. P J1 U r 5: OFIFICIAL RECORDS 0 FORm L58 Statutory Warranty Deed T.HE GRANTORS, WILLIAM W. WANGLER and MARY ANN WANGLER, his wife - for and in consideration of TEN DOLLARS AND OTHER GOOD AND VALUABLE CONS IDERATIONS in hand paid, conveys and warrants to -RICHARD D. MICHAL and VIOLA E. MICRAL, his wife. - the following described real estate, situated in the County of Snohomish State of Washington: Lot 11, R. C. Munger Addition No. 3, according to the plat thereof recorded in Volume 16 of Plats, page 36, records of the Auditor of the County of Snohomish, State of Washington. ('011viv r, r, 01 F,1 X 0 8. r 7 19k PE V'r. NUE SUBJECT TO: N' 'Deed of Trust dated December 12, 1967, recorded December 20, 1967 in Snohomish County, Washington under Auditor's File No. 2004155, which the Grantee herein agrees to assume, pay and maintain in accordance with the terms and conditions contained therein. PEPIT: ESTATE S!kIES, -HON' Easements, restrictions and reservations of record. AMOUNT PAID-;2- -371 RECEIPT NO. MAY 13 x� Dated this 3rd day of May, 1974. WAN (SEAL) IMI W GLER W I K-7,7-) PAI 4e�Z�� (SEAL) MARrANN WANGLER STATE OF AVASHINGTON, K P I ss. County On this day personally appeared before me William W. Wangler and Mary Ann Wangler to me -known to be the individuals described in and who executed the within and foregoing instrument, and free and voluntary act and decd, for the �q141!o%%QcP�rd"othat they signed the same as their �sc§1AU'lifitposei'the rein mentioned. CQ ay 1974. seal this day of It VEN uji�qr:my hand and official C-3 v; u -Y ......... Noia;� Public in a�d J`oir 11he State of �Njhinglon, residing at vot. 776 P�-q 138 /190 APTrIO:)