21813 84TH AVE W.PDF111111111111
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21813 84TH AVE W
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ADDRESS:21 Sic AI�Ufj 1A1
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:PbJ 2pupORDES2_11
CRITICAL AREAS:
DISCRETIONARY PERMIT X&MICO-13
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
DETERMINATION: [] Conditional Waiver 0 Study Required F] Waiver
PERMITS (OTHER):2C(-'o' cl tc& o (=mn i msD)
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE
LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:- ID-269H
SIDE SEWER PERMIT(S) #:-5m?)
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
OTHER:
L\TEMP\DSrs\Fonns\Street File Checklist.doc
STREW FILE
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RECEIVED
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DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
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APPLICATION
for
The City of Edmonds
EASEMENT NO. -- ------------ ............ ............
SIDE SEWER PERMIT
NEW CONSTRUCTION F� REPAIRS F LID NO. ASMT. NO.
E�> e�D —7
OWNER ...... F:::: --------- f P F—:- ----------------- CONTRACTOR ... F� ---------------------------------- PERMIT NO . ........ ---------
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JOB ADDRESS ----- --- . ...... ...... �-N ....... LEGAL DESCRIPTION: LOT NO. .... NPT ...... BLOCK NO . ....................................
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ADDITION.. ....... ---------------------------------------------------------------- ---------------- ---------------------------
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Approved:
DATE ...... �)� 26 ....... B, --- - -----------------
--------------------
NOTICE:
N�ow a rr a nty
The information'shown on the attached
Map(s) was compiled for use by the City Of
Edmondsl its Employees and Consultants.
Th,,e City of 'Edmonds does not warrant the
accuracy of anything set for.th on these
rnap(�_). Any person or entity -requesting a
copy should conduct an independent
-ation shown on
inquiry regarding the inform
ited to,
tF�e -m a p (S) / including, but not lim'
er stub shown. Such
the location of any sew
sewer stubs may or may, not exist and may
or may not exist at the location shown.
Neither the ,-;ty of Edmo'nds nor its
%�_' I
empto-yee-s o-r office-rs -sh-a-11.1 be 1--ia-b-Ife for tLhe
information given on this map(s), nor for
ion provided based
any one representat'
upon . said map(s).
CITY OF EDMONDS SIDE SEWER PERMIT
WATER-SEViER DEPARTMENT
PERMIT
Call 775-2525 for side sewer inspection$ BEFORE covering any portion of the construction.
(inspection will be provided within 24 hours after requst. No Sat., Sun., or holiday inspections.)
.... ......................................
AAMESS LOCATION OF CONSMUCTION ------ - �iA- - ......... ........ .............................. .... .............. . .. . .....
4.1 ... . .............
.. ........ L --- ;-3...
rUOPERTY LEGAL DESCRIPTION ...........
.............................. . ..............................................
............. - -------------- - ---
.......... ........... ...
................ ..... . .......... . ... ...... . ........
.... ......
... ........... . ...................
OV*V#11*1= AND/01% BUILDER-:-�L.. ..... . ...............................
C( �ACTMRPS NAME & ADDRESS ----------- ... . ................................................ . ...................... ...................... . ...... ... . ... ....... .....................................
or conmetion of a side sewer to the city §101t%rY
Permission is granted ----------- - . ........ ---- ------------ 19 ... L.11-1 for repair and/
1, secordance wtth City of Edmonds Ordlusilces-
A:. -ANTION IS CALT.ED TO THE FOLLOWING: ed constPOK
NOTE No. 1—The owners Of the Property may obtain a permit to construct sewer inside property line. A licensed Side Sewer CGntractor must be employ , to
mW portion of sewer before it has been inspected.
side sewer in street ama� Do not cover permit obtainable from the City Engineer's Office -
NOTE No, 2—All work perf—ed in city right-of-way requires an Invasion of Right-of-WELY
NOTE No. 3--ObtaJa full information regarding ordinance 11-16.030 and Regulations governing side sewers when you ge I t permit.
NOTM No. 4—Top of side sewer must have at least 30 inches coverage at property I line and J�Jnches Inside property line; minimum grade of 2%. No bandx in SON'
sharper than % will be permitted. e of street restorei to original condition. Contractors; hall be responsible for failure due to improw
NOTE tilo. 5--Trenches in street must be water settled and surfac
work which may develop within one year of Completion. rk on the main sewer or its appurtenances except to W
NOTM No. 6—It Is unlawful to alter or do any other work thari is provided for in! the permit, or to do aftY wO
sert the pipe into the wye.
.. ................................... By -------- ...... Date ------- - ----- .. .. ......... BY ................ Date ........ L .. . .. . .. . ............... BY ................
DIS"PROVED Date- - oe '�Y 7-
"PROVED Date-- al ......... 9�� ...... . ........... BY --- - ------
- ---------------------------------------- -- - --
Remarks:
..... ................................................ .
Copies MUST'Be S1 i3y owner of Arm Performiq Construction PRj[OR To Request For Inspection
------------- hereby certify that the side sewer installation constructed under this permit
wa, (owner of C tracti.g Firm Performing constr on)
talled in accor ce all governing ordinances of the City of Edmondus. -.day of .... ............................. . ... 1 14
Dated this . . ........
-1 V Check BEFORE you dig for: Water 0, Gas 0, Telephone 0, Power 0' Sewer 0' Other [] -J V
e
The City of Edmonds
APPLICATION
for
SIDE SEWER PERMT
NEW CONSTRUCTION 0 REPAIRS
EASEMENT No . ..........................................
OVY'NER ... n�A� ...... 12 ...... . 4 . ... ................................... CONTRACTOR ........... ........................................................ PERMIT No. 6 23
ADDRESS --- K.1-3 ........... li.�? .. ....... W ............................................ LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAMEOF ADDITION .............................................................................. ...................... ...................................
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RECEIVED
RT 2 2 1974
Approved -
DATE................................................ By
STREET FILE
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RECEIVED
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DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
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EXHIBIT"A"
The South 135 feet of the North half of the following:
The West.half of the West half of the North half of the Southwest quarter of the
Southwest quarter of the Northeast quarter of Section 30, Township 27 North, Range 4
East. W.M., in Snohomish County. Washington:
EXCEPT the North 20 feet for road,,
AND EXCEPT the West 20 feet for road.
SITUATE in the County of Snohomish,. State of Washington.
ABBREVIATED LEGAL.
Portion of the Southwest quarter of the Northeast quarter of Section 30, Township 27
North, Range 4 East, W.M.
Tax Account No. 302704-1-026-0007
END OF EXHIBIT "A"
20"h 0 0 o 9 0
50211
0
CITY CLERK
CITY OF EDMONDS
121 STH AVENUE NO.
EDMONDS, WA 98020 200009050211
09/05/2000 11:30 AM Snohomish
p.0002 RECORDED County
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PkE Tiils DO&ME"'T (I.
,POVM0%S O� IN
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ACCESSORY DWELLING UNIT COVENANT
Property Address: 00 aRcac,
Edmonds, Washington
Assessor's Parcel P
Legal Description:
ADU File Number:
1, the undersigned, have attained approval for an accessory dwelling unit (ADU) at the
property address above, in accordance with the provisions of Section 17.40.025
(Nonconforining Accessory Dwelling Units) of the Edmonds Community Development Code.
I agree and understand that it is my responsibility to notify all future property owners or long-
term lessors of the existence of the ADU and that its existence' is predicated upon the
occupancy of either ' the ADU or primary dwelling unit by the owner of the property.
Additionally, I will notify all prospective buyers of the limitations on use and maintenance of
the ADU as stipulated in Chapter 20.21 (Accessory Dwelling Units) of the Edmonds
Community Development Code. An example of the limitations of the ADU per Chapter
20.21 is the property owner is required to reside in the primary or accessory dwelling unit for
6 months out of every year. No changes to the Accessory Dwelling Unit can make it more
nonconforming than it was at the time of registration.
Finally, this covenant shall be recorded in order to notify all current and future property
owners that if any conditions of the ADU approval are violated, the property owner will be
required to remove all improvements which were added to convert the primary dwelling unit
into an ADU and restore the site to a single-family dwelling unit.
Property Owner Signature:
Print Name:
�- ( , A
1303041. W -
STATE OF WASHINGTON)
COUNTY OF SNOHOMISH)
I certify that I know or have satisfactory evidence that Mam Anrx 4o I mf
,6.A�
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:
L. KARBER
Signature of
Notary Public:
fDEBRA
NOTARY PUBLIC
1 1
STATE OF WASHINGTON
C c OMMISSION EXPIRES
Residing at
APRIL 9, 2003
My Appointment
4
Expires:
THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY AUDITOR.