21818 95TH AVE W.PDFIIIIIIIIIIII
9290
21818 95TH AVE W
NOTICE:
a n
ur—a-
The information shown an the attached
lied for use by the City Of
map(s) was comp
Edmonds, its Empl-oyees and Consultants.
Th,,.e City of'Edrn.onds does. not. warrant the
accuracy of anything set for.th on t * hese
map(S"). An . y person or entity -requesting a
copy should conduct an independent
inquiry regarding the infbrm . ation shown-o
tF�e -rna P (S) / including, but not i'mited to,
-er stub shown, Suc
the location of any sew
sewer stubs may or may' not exist and may
or may not exist at the location shown.
of Edmoincl-Al S nor its
Neitheir the
e m pl- o-y e e-s 0 -r 0 ff ic e,r s s h- a- I- I b e 1--i a. b-Ife f o r t h
this map(5), nor for
information g Ven on
any one representation provided based
upon said map(s'.
APPLICATION
The City of Edmonds for
rM, SIDE SEWER PERMIT - ------------------------------ -------------
NEW CONSTRUCTION REPAIRS LID NO - ------------------ ASMT. NO - ------------------
OWNER ---
-------- --4 ----- ---------------------------- CONTRACTOR
t�,c -T(
. - — ------------------ PERMIT NO.
JOB ADDRESS --- ----------------- LEGAL DESCRIPTION: LOT NO - -------- *'--.%.2 --------------------- BLOCK NO - --------------- --------------
------ - ... I .... ------
NAME OF ADDITION ... - - (Z stir,
-------- -------------------
pproved: // � 111)
- 1/1 . . .. . ......
DA TE
----- 4.;,c ----------------- ............
7
SEWEk PERM, 117
,,Cl,,,T,,Y OVEDMORDS SIDE'
IRTMENT'
WATER-SEWER'DEPA
PEIRMIT 58 41
,(call 715�2525 for side�, sewerinspiction& BEFORE. covering: any portion, of the const!uctipmj,
lnspectlon�wlll be pro�id6d! Within, 24 hours . after requst. NO, Sat., Sum, 6r holiday inspectionsj'
2 1-818, 9 5 th Avenue. West,
U- ON t CT ......................................... ................
NS, RU � -ION ..................................................................................... .......................
"Munger. Addition #3,
_ikt4EkTY�i'EdA1L DESCRIPTION .... I Lot,' 1.2,R.'G-.
...................... ............................ ........................................ ............................................ ..............................
........................ ................ ....... I ... . .................................... 11
7: ---- 7 .................................... ................................................. ............................ ..........................
RRJJCR'W
EWAN IL, DER: .......... ............ ........................... ..........
...................................................... .......... 0 vvv#W D/0 BU ....... .......
:4C r—TRACT-OR' Elk --- ...... ................
,S�NAMRI&ADDRES& ..... ........ ................................... ......... ......... ................. .................................
7 `7
nyls�� anted June 3
P4,rd�'sslo 0 -
9T .............. ....... ........ . ............ 19 ....... i, for, repair and/or connectioncof, a sid6 Sewer ta Ahe; city', rsanitary ,sewer
th I �4ec'ordhn . ee)w1th,;.0 Ity, of, Edmon s%ordinance&, 'P,
d-
E-DiTO THE: F OLLOW
ATTENTIONIS� CALL
NOTE-,No� 1�The owners, of the"'�roperty may' obtalW a construct sewer, Inside. property line., :A licensed Side Sew6r'Contractor, must,be employed to construct
side' sewer,i�,,st,re.et are&...,Do., ri�t cover, any'�portion�,of'�sewer before It has been, Inspected.
obtainable, frorw the City. Engineei's office.
'work' requires,'an.1
_NOTE 146. 2-L�All, performedhin city, ht-of-way' rivailon;�of lUght-of-Way Permit
NOM Noi, 3—'obtaim,fUll"Inf6��Won- regarding Ordinance goyerning,,side sewers when, you -get -permit.
NOTV No;. 4--Top,df � side'sewer 7must hive,at least'30 inches,'C6�6�age' at property 'line anii 12,'in6hes' Ins . Ide pro�erty, line;, minimurn,'grad I e.,of 2,%., No, �bends, In grade
sharpci-Aba�n %, will.be permitted.-,
*NOT& No. street must 'be, water, s6ttledi an& -surface of :Atrbet� restored, to3 6riginall condition. Contractors, shall, be. responsible for failure, due to Improper
),--Trenches 1w!
work which'may develop within one year of completion,.-
NOTID No. 6�—It is,unlaw ful toi'alter�,or do, any other work 't�anL is,,,provided- f I or in the permit, -or to, do, any'work on the main: sewer,olr its �appurtenances, except to, in-
sert,the pipe, Into.t.he, wye!
DISAPPROVED, E]! Date ... . .. . ......................... By:" . ........ Dat .... By Date ...............
......... ...... .......... ....................... By ................
APPROVED� Date ... .... ---- Y., .. . ....... ... ...... ............ ................................................
D pa -., t
Remarks:�..FJ I lm�vection. p nd na of connection fee.
................. ..
......... .......................... ...............
.............. .... .... .........
C.
22, zz ... .........
.................................... A,
BOTH, Permit'Copi6& MUST Be 'Signedl By, �Oxvner of Firm, Performing! ConstructioiTFRIOR, To Request For Inspection
6f_
........ he�pby qertify that, the. sid& seWer installation constilicted undert is permit
(6�`ner 'i-Zo�tractK� :hrm Performin&.0onstruction),...
'4, in's, �ord ith:all
�was,lnstall C ance�.wi -governing,ordfh,a�iices,of'�the� City,',of Edmonids.:
',!Dated'AMS, .414Y 'Of ...... ........
................. .............................. A ...........
�Z
-Check BEFORK:,you Aig, lor:L'Wjq��j"j[�]."'�_,�_ �GsS; E],.;,L. Se er'i[]�
..Te1ephon&2E]1, .,k6wer!'E] W '_'i0t4er, C]�
APPLICATION
for
The City of Edmonds SME SEWZR PMNW
NEW CONSTRUCTION E] REP
/I
OWNM F . ........ -------------------- CONTRACTOR --- PERhM
--- /- / .... ................. ----------------
ADDRESS 7.14��.4 ----- - w -------- ........... LEGAL DESCRIPTION: LOT No. -------------------------- BLOCK No . ............................................
NAME OF ADDITION >
s ....... A--t."p f�3A ..............................
NO- -------------------------
Approved:
DATE -------------
......... BY ----------
REff"117-7)
JUN V3 0 1977
Pubi,
0-
0
Date June 30, 1977
MEMO TO: John B. Mitchell
Water/Sewer Superinteqe'n�t/'
FROM: Richard H. Allen
Assistant City Engineer
SUBJECT: SEWER CONNECTION CHARGES
Legal Description:
Lot 12, R. C. Mungers Addition #3
Commonly known as: 21818 95th Ave. W. Owner: Bruce Warhol
803 Melody Lane, Edm.
Z.F.F. Calculation:,
75 Z.F.F. x $12.00) $
Lateral x $
1 Unit(s) x $25 $
Balance of $900 still owing. $
APPROVED BY:
L ----I P -Lar
ei
Director of Public Works
900.00 Connection Fee
Lateral Charge
25.00 Trunk Charge
10.00 Permit
935.00 TOTAL
CC: . Owner
9 / 1 n / 7 7
0
ADDRESS:
TAX ACCOUNT/PARCEL #: 00�5,,07-7 q e7oco to
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS(RECORDED)FOR:
CRITICAL AREAS #: DETERMINATION: Ej Conditional Waiver [] Study Required [:] Waive r
CRITICAL AREAS #: DETERMINATION: 0 Conditional Waiver E] Study Required 0 Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE:
LOT:
BLOCK:
SIDE SEWER AS BUILT DATED: 1-7-7 1
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE/ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
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Street Pdght-oF-11-:ay Existinr
Access I-ascinents Existing 0 7k; REnn
Utilitv Fascmcnt Existinc, PEOD
Lot Per Sli:1)division---plat Y" A!-.scssor ','ap
S i to Plan (1ccle(I for Accuracv
u I
p
rau "160,
J:Xisting 1,:,itc-l-
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I iyd nw
ram t 7-('
r,"tector
("ptic
.- I
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711,0 m
Filc.:O.
1
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J)j td I 1.-� 4 t 4 Pro-'!
'017t . 1'C"C" 11*)'(, d Y,- c
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to oil te 111;!11
Catch i ro(I
e-r
&ee
1,111,I(Ac roolli I-C(" -it(, oil to PI'll,,
I'' , '44e
Soil conditioi,.s F, Ground 1:atel, Field C-iloc:'cl
Revi cv; 1;
f
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BUILDIN6 DEPARTMMT Applicant Fill
PERNHT APPLICATION inside Heavy Lines
USE
ZOIIER NUMBER
,On
ADORCM
NA -ME (OR NA7E OF BUSINESS)
LEGAL LOT
LOT AREA
SUBDIVISION NO
c�_
my= . 0
W
Z
3:
0
MAILING ADDRESS
`�e_0-2
ML
STROWIr R/W THIS PROPERTY
EXISTING STRIZT R/W FT. DEFICIENCY
comr. . PLAN ST. 1111W eVo Irr.
CITY 1IL9PHON6 NUMBER
NAME
Rl^"" Driveway slope not to exceed those
1--
dicated on Standard Drawing # 03
W
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ADDRESS
CHICKED
BY
W
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CITY
TELEPHONE NUMBER
1
STREET AND/OR UTILITY WORK
REQ'O.
0 YES
RtW PERMIT REQUIRED
0 YES RNO
NAME
UNDERGROUND
WIRING REQ'D. 0 YES ARNO
0
U
ADDRESS
TYPE CONNECTION IPYES
SANITARY SEWER
NO
VERIFIEJ
BY
M
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CITY
TELEPHONE NUMBER
SEFTIC SYSTEM PERMIT
El Y S
APPV'D BY CITY ENG.
MN: rqA
NUMBER
0
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STATE LICENSE NUMBER
CITY LICENSE NUMBER
REMARKS
_U_VCZf_L4 2*-3.446
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Legal Description of Propertv (Show Below or Attach Four C
METER E
BUILDING SUPPLY SIZE
REP
SIGN AREA
ALLOWED PROPOSED
ENV. REVIEW
COMPLETE EXEMPT
ADB NO.
.....
REMARKS
W
J
VARIANCE OR CU
PLANNING REVIEW By
DATE
YARDS
F R 0 N T -7 SIDE REA
RI LOT CO VERAGE
AS
J"NEW XRESIDENTIAL
E LINE
FIRE ZONE
OF CONSTRUCT CODE
NON-RESIDENTIALIE]
SIGN
r
ADD DEMOLISH RETAINING
El WALL
DALTER EXCAVATE FENCE
OR FILL -I
PRE -MOVE swim
F] REPAIR INSP. El POOL
—7/7
ITYPE 710"
�7 73
SPECIAL INSPECTOR
REQUIRED
0 YES ONO I
AR EA
OCCUPANCY
GROUP -
I _55�1
OCCUPANT
LOAD
I>4N11,C.ECKtD Y THIS SITE IS LOCATED IN THE CITY
jj�/ OF EDMONDS. - LOCAL SALES TAX
SHOULD BE CODED 31.04.
L*M R
Z
NUMBER OF STOR19S 7UMBER
7S';;>L-rr
OF
. :WELLING
UNITS
f
NATURE OF WORK TO BE DONE
W
PLAN CHECK
NO.
VALUATION
FEE
z
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III
PROPOSED USE
� W'EL� tJ6
0:
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III
W
0
m
0
PLOT PLA N (INDICATE BUILDING SETBACKS,
ABUTTING STREETS)
Ali—% �
BUILDING
1>
I
L
0
-1
W
W
PLUMBING
-
HEAT & GAS LINE
FENCE
z
SIGN
RETAINING WALL
0
U
SWIMMING POOL
r'l-
@STREET FILE 01
Date June 30, 1977
MEMO TO: John B. Mitchell
Atl"
Water/Sewer Superinte4 en
FROM: Richard H. Allen
Assistant City Engineer
SUBJECT: SEWER CONNECTION CHARGES
Legal Description:
Lot 12, R. C. Mungers Addition #3
Commonly known as: 21818 95th Ave. W. owner: Bruce Warhol
803 MeLody Land, Edm;
Z.F.F. Calculation:,
75 Z.F.F. x
Lateral x
1 Unit(s) x
$12.00) $ 900.00 Connection Fee
$ Lateral Charge
$25 $ 25.00 Trunk Charge.
$ 10.00 Permit
$ 935.00 TOTAL
vt'�111i- SL
APPR OVED BY:
Lei P. E.
Director of Public Works
CC: Owner
5/1.0/77
olk)c
&ItOC.6 WAO-44o t..,
a NFLO 9 LA$11) tr
=mom
Lorres - 0 -
-Z, 500
e000e
- wk"OL" ---
Date June 29, 1977
MEMO TO: John B. Mitchell
Water/Sewer Superintendent
FROM: Richard H. Allen
ALssistant City Engineer
SUBJECT: SEAR CONNECTION CHARGES
Legal Descripti -
Lot 12, R. C. Mun er Addition No. 3, according t the plat thereof
recorded in Volume 16--of Plats, page 36,.recor of the Auditor of
the County of Snoho ish, State.of Washington.
Commonly known as: 21818 9 h Ave,. Owner: Jack Kinne
Z.F.F. Calculation:
75 Z.F.F. x $15- 00 $ 1, 12 \,00 Connection Fee
Lateral x $ Lateral Charge
1 Unit x $25 $ 25.00 Trunk Charge
I
rmi
$ 10.00 P, t
$ �1,160.00 TOT
APPRrD BY: Leif R. Larson, P.E.
Director of Public Works
CC: Owner
5/10/77
3y�C4
DI -7,5
15 FF.
sub
?MM tT
mumm"ft
7,7
PIONEER NATIONAL
TITLE INSURANCE
ATICOR COMPANY
Filed for Record at Request of
AFrER RECORDING MAIL TO:
, Z - - /"- !�? X!�_14
THIS SPACE RESERVED FOR RECORDER'S USE:
RECORDED BY
LAND M'
JIM A 1977 9 AM I
HENRY B. W$LEN,
SNOHOAA,2 '/C01jN1
Statutory Warranty Deed
THE GRANTOR JACK KINNE AND JULIA C. KINNE, husband and wife
REVENUE STAMPS
FORm L58
for and in consideration of Ten and no/100 ---------- ($10.00) ------- Dollars
in hand paid, conveys and warrants to BRUCE R. WARHOL, Inc.
the following described real estate, situated in the County of Snohomish State of
Washington:
Lot 12, R. C. Munger Addition No. 3, according to the plat
thereof recorded__�n__Kq�ume_ l.6-9 f . Plalts.,_- page 36, records of
the Auditor of the County of Snohomish, State of Washirgton.
SUBJECT TO: all rights, restrictions, reservations, protective
covenants and easements, if any, of record.
STATE OF Conveyance
'o '..'_—Ta X
ashingtOn
JU14 - 8'77
OF
DIPT
REVENUE P. C. i 0 3
Dated this 2nd day of June, 1977
STATE OF WASHINGTON,
County of Snohomish
R ': STATE S,�LE� T,��
LI--d- L
AMOUNT PAiD
RE:CEIPT NO 7 6_?
J UN 9 1977
I P=
-(SEAL)
CA
�NNE
/C (SEAL)
JULIA C. KINNE
On this day personally appeared before me Jack Kinne and Julia C. Kinne
to me known to be the individual described in and who executed the within and foregoing instrument, and
-r '-, ,
"(�\Vlejfted that they signed the same as
-'.�se�'SxIj��;rposes therein mentioned.
I t..4'
817VFA* (&'jJr my hand and official seal this
fto-O
U1
their free and voluntary act and deed, for the
day of June ' , 1977
Notary..Pu c in and for the State of T�shington,
residin�
0