21904 84TH AVE W.PDF111111111111
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21904 84TH AVE W
CITY OF EDMONDS ASSET INFORMATION SHEET
FX] NSTREET FILE ASSET NO.
ADDITION ADDITION TO ASSET NO.
RETIREMENT
DESCRIPTION
d
SERIAL NO.
LOCATION DEPT. NO.
*PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
*PROJECT NUMBER W :L —1 0
4
PROJECT COMPLETION DATE :3 8
COST
B.A.R.S. ACCOUNT NO. q I coc> - f3
ESTIMATED LIFE
INITIATED BY DATE APPROVED BY
SUBMIT -ASSET INFORMATION SH%EET WITH FINAL'PAYMENT REQUEST.
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE
INITIAL
DATE
Lill,
1VkIkIFIED BY
PROCESSED
BATCH NO.
CITY OF EDMONDS
EPPLE CA L
PUBLIC WORKS DEPARTMEN %0rF7T5--2525 Ext.
SIDE SEWER PERMIT
C,
Permit
Issue Date
PEP -MIT MUST BE POSTED ON JOB Ti
'JWAWAWA;
1. Address of Construction....
2. Property Legal Description (include all easements)zo--/
_30
3. Single Family Residence Multi -Family No. of Units
Commercial
4. Owner and/or Builder
5. Contractor & License No. a
6. Invasion into City Right -of -Way: No Yes (�If Yes Right' -of -
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation).
7. Cross other private property: Yes No ,-' Easement required -
attach legal description and county easement number.
READ THE FOLLOWT.NG AND SIGN:
a. Property owners must obtain a permit to install side sewers on
their property. A licensed side sewer contractor must be employed to
construct side sewers in the public right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year ,
C. Commercial establishment requires a minimum of a six inch (6")
side sewer line.
d. Side sewers may not be installed closer than thirty inches'(30")
to any structure. 0
e. Side sewer lines must be laid at a minimum grade. of 2% (1.15
and maximum grade of 100% (450). 0
f. No turn in side s8wer greater than 45 (1/8�bend) is 0 allowed
between cleanout. All 90 turns must be constructed of a 45 (1/8
bend) and wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding\when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 1001 along sewer 'line run.
j. Trenches within City right-of-way,must be re'stored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor c6mpaction of fill.
k. Side sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours only. Two (2) working
days notice required.
z,
DATE:
certify th'at I have read
and shall comply With the above
PERMIT FEE:
CONNECTI'ON-FEE: 0
P4 PERMIT MUST BE
DISAPPROVED BY: Date:'
By: -Date:
APPROVED By- Date:
TED ON JOB SITE *
Side Sewer Drawing
The City. of Edmonds
EASEMENT NO . ...............................
.............
NEW CONSTRUCTION REPAIRS E] LID NO. ASMT. NO . ..................
0 ER ..... C ................. CONTRACTOR ---- . . ......................... PERMIT NO.
WN .........................................
JOB ADDR]ESS eF!� Z"..
.............. LEGAL DESCRIPTION: LOT NO . .............. 4 ..........
.............. BLOCK NO . ....................................
0
PWW4=1-11175(REV.11178)
.......................................................... ------ 1*11, ----------- ** -------------------
NAME OF ADDITION ........................... AD .....
UP
-Q
91
Tk,m r;f%. o%; F:rlrw%#%nAe
Side Sewer Drawing
EASEMENT NO . ........... ................................
NEW CONSTRUCTION El REPAIRS LID NO. ...... ASMT. NO . ..................
OWNER ........ ................................... CONTRACTOR ..... ............................. PERMIT NO.
JOB ADDRESS ... 7.68 .. . ..... 8-4.7� .... IAI ..................... LEGAL DESCRIPTION: LOT NO. ................
... ........ BLOCK NO . ....................................
............................................................ ................................................................
NAME OF ADDITION .......
Approved.
.11175 (REV. 11178)
- ----- —PATE
A
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0
0
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3.
__70
Property Legal Descripti(;n(include all, easements) 0
60T-s 4-
Single Family Residence Multi -Family No. of Units
Commercial
4. Owner ftn,&/or Bai-ider
5. Contractor & License No.
6. Invasion into City Right -of -Way: No V* Yes ' (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation) .
7. Cross other private property:
Yes LI�No Easement required -
attach legal description and county easement number.
16' (;,� Lo+ * 1 3
READ THE -POLLOWT,,NG AND SIGNW- O-V-d C'.,&tj11rdcJ pri0y 40 -R%44 A?Pv0V
a. Property owners must obtain a perm to inbtall side sewers on
their property. A licensed side sewer contractor mXALbAS4X%U to
construct side sewers in the public' right-of-way *
b. The side sewer contractor assumes full repA199K VOYOUch
installation for one year. tw
1-800-562764 8
c. Commercial establishment requires a minimum'of a six incl (6
side sewer line.
d. Side sewers may not be installed closer than thirty inches (30")
to any structure. 0
e. Side sewer lines must be laid at a minimum grade. of 2% (1.15
and maximum grade of 100% (4,50). 0
f. No turn in side s8wer greater than 45 (1/8,bend) is 0 allowed
between cleanout. All 90 turns must be constructed of a 45 (1/8
bend) and Wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100' along sewer line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for ri . ght-of-way failure
due to poor compaction of fill.
k.. Side sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working ho rs n o (2) working
days notice required.
DATE:
& t 13. 1 q z —
bw
PERMIT FEE: /0 - 0o
CONNECTION FEE: �J,Q.
LI) f r 5 * PERMIT MI
I LpertLfy that I d
and shall comply With the above
DISAPPROVED BY: Date:
By: Date:
APPROVED By: Date:
T BE POSTED ON JOB SITE *
REET FILE
DATE
MEMO TO: Building Division
COMMUnity Development DepartmenL
FROM; Engineeri , ng Division
Public Works Department
SUBJECT: eo
,,',�Fter revie,..! of thc subjec-t building permit: applic, .i !.:c, tj,
the lollowing commelits: I L e
VA-Y-0, '11/6-
111C'1- IMZXL'�-a 5/ -
H
Pmud woRKs DEPARDm cmam=
BUILDING PERMIT REVIEW
(addressT (date)
0
Street Rig�ht-of-Way Existin�
Z
H*
I
Access Easements ExistirlgfiMe_���.._REQI�_
cd
Utility Easement Exist' S-030 _;9
REQD
Lot Per Subdivision. S- 30-29 -'Plat
Assessor
Site Plan Checked for Ac
Z
Underground Wiring Reqd. . SZ&4 o i reA
0
Check Accuracy of Legal Description
Z
Review
94
Existing Water Main Sizd"
Water Main Required
Service Line Required _SA/
Hydrant Size Existing Z
r4
Hydrant Reqd Per Fire Code
Size
Detector Check Meter Reqd.
Cross Connection Inspection
Fire Department Connients
Water Meter Charge Reqd. S-el
Review by
Date 7-3 - 7
Septic Tank Design Approved
Date
Septic Tank Permit Reqd.
Permit No.
Sanitary Sewer Availability
Yroj -
Drawing No.
File No.
P4
Side Sewer Availability
W
Sanitary Sewer Connection Fee Reqd.
:3:
Review
Open Ditch Existing
Reqd._
Culvert Reqd.
Size
94
Catch Basin Reqd.
Indicate on Site Plan
0
Shoulder drainage maintain collection on swale, open runoff ��a-ewa
_70
:Z
�bnhole reqd.
Indicate an Site Plan
Soil Conditions and Ground Water Field Checked
Review by
DateI7
Revised: 1v10-1977
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Transamerica
Traukidw IM) le urancefompany
Title Insurance Seav�E
ET
Please address correspondence to the office checked below. �1 1� L
EVERETT 98206 LYNNWOOD 98036 MARYSVILLE 98270
2939 Coloy Avenue 19720 44th Ave. West, Suite K 803 S t ate Street
Box 508 Box 2625 (206) 659-7636
(206) 252-1156 (206) 743-3211 (206) 774-41.�6
Cascade Savings & Loan Your Order No. MATTSON
19419 Hiway 99
Lynnwood, VIA 98036
Our Order No. 192637
L
CC: T. A. Lynnwood
PRELIMINARY COMMITMENT FOR TITLE INSURANCE
Washington Land Title Association Form
Builder's Rate Amount Premium Sales Tax Total
Owner's standard coverage
Purchaser's standard coverage
Mortgagee's standard coverage
(X Mortgagee's ALTA coverage $71,200.00 $180.00 $9.72
Tax Registration
Total
Date: May 14, 1979 at 8:00 A.M.
TRANSAMERICA TITLE INSURANCE COMPANY agrees to issue on request and on recording of
any appropriate documents, its policy or policies as applied for, with coverage as indicated, based on this Pre�
liminary commitment that title to the property described herein is vested on the date shown above in
KEN MATTSON and SHARON A. MATTSON, husband and wife.
subject only to the exceptions shown herein and the terms, conditions and exceptions contained in the policy
form. This report and commitment shall have no force or effect except as a basis for the coverage specified
herein. -
Description:
As hereto attached.
By
Title Officer
A"
Continued , N
NPTE: 1. Invest;gat;on sbould be made to determine if There are any service,,;nstallation, maintenance,
or construction cbarges for sewer, water or electricity.
.1;"" f 1�
order No. 192637
Page 2
EXCEPTIONS:
A. Delinquent general taxes for 1979 in the'sum of $52.04.
A 4-terest.
CL L I
(Tax Account No. 302704-2-083-0005)
he co-�porate
B. Subject.propertV is located;.within t
limits of the tity of Edmonds. We are 'll
currently checking L.I.D. assessments"and wi
further supplement this report.
o make necessary slopes for cuts
1. Right of the publi.c t
or -fills upon property herein described in the
reasonable original- grading of - streets, avenues
alleys�and roads, as . dedicated in the plat
2. Covenant to bear equal share in the cost of construction
or . repair of roadway, easement for which was granted over
adjacent property by instrument recorded under
Auditor's File No. 7809250104.
3. Declaration of Short Subdivision and of Covenants as
recorded under Auditor's File No. 7809150374.
(Copy Attached)
Amendment to above'Short Plat recorded under Auditorls
File No. 1905150157', copy attached.
4. DEED OF TRUST AND THE TERMS AND CONDITIONS THEREOF:
Grantor: Ken Mattson and Sharon A. Mattson,
husband and wife;
Turstee: Transamerica Title Insurance Co.
a Washington Corporation; ciation
Beneficiary: Cascade Savings and Loan Asso
a Corporation;
Amount: $66,000.09
Dated: May 18, 1978
Recorded: May 25, 1978
Auditor's File No.:' 7805250209
5. Our ALTA inspec I tion and our report of the matters disclosed
.thereby will be made when the mortgage lien is perfected.
Order No. 192637
DESCRIPTION
The Westerly 110 feet of the Northerly 80 feet of the South 1/2
of the East 1/2 of the Southeast 1/4 of the Southeast 1/4 of
the Northwest 1/4 of Section 30, Township 27 North, Range 4
East, W.M.;
TOGETHER WITH an undivded 1/3 interest in Tract A, a Drivate
road for purposes of ingress, egress and utilities described
as follows:
Beginning at the Northwest corner of the South 1/2 of the East
1/2 of the Southeast 1/4 of the Southeast 1/4*of the Northwest
1/2 of.Section 30, TownshiD 27 North, Range 4 East, W.M.;
Thence.Southerly along the Westerly line of said tract.a distance
of 80 feet;
Thence Easterly parallel to the Northerly line of said tract a
distance of 130 feet to the true point of beginning;
Thence Westerly parallel to the North line of said tract a
distance -of 20 feet; 0
Thence Northerly parallel to the Westerly line of said tract a
distance of 80 feet to the Northerly line of said tract;
Thence Easterly along the Northerly line of said tract a
distance of 190 feet;
Thence Southerly parallel to theWes'terly line of said tract
a distance of 25 feet;
Thence Westerly parallel to the Northerly line of said tract
a distance of 140 feet;
Thence Southwesterly a distance of 62 feet more or less, to
the true point of beginning.
ALSO KNOWN AS Lot 4 of Short Plat recorded under Auditor's
File -No. 7809150374.
Situated in the County of Snohomish, State of Washington.
AK-535.1
,rrn No. 80 SP)
by Cbecked —Date Plat VoL—PG._Ordef No.
SKETCH OF PROPERTY SE OUT IN ATTACHED ORDER
To assist in locating the premises. It is not based on a survey, and the company
assume3 no liability for variations, if any, in dimensions and location.
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T�16 is to certify that the properties Ps shown an the attached map (Exhibit "A and i K�
See Exhibli "B" .......
.......... :::::::: . ........ . ..... ......................................
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have be" d!vidfd under the Provisions of the Edronds Subdivision Ordinance (sec-12.10) ....... ............................ .................
File No.
subJect to the following conditions and requirements:
Exhl�it ...................
"C Hold F-ar'lleSS Agree=�nt ....... ...............
d-3dlc3�'!On on 64-1n A�e
'ess eas�ncrir a, iue West requ I rod. AF 7 8 0 9 15 0 3 7 3 . .... ...... ..... . .. ..... ........ . . ...... ........
ut L .............................. . .........
I Ity ;4.,ja�
-ent there to. -----------
.......................
On aCCOSS ease:!ant re:jjire�. ........... .......... ..
..........
re-4uiral on access easer�ent Der City stand . . ............... ............................
....................... ..... :�*
- -v�nezlion of all rds.- . . .......................... ..... .
..... ....... ................
7. A.*.., r,. v lots TO sanitary sever required.
na�!e plan pe- Oreinanc-, ig,4.—
...........
re;ufred in jccjrj2n':e wl�h Ordinance 11387. ........... . ......... ............... ..
.............
C-7T;��7 restricticnt for all trees 8" In diameter or o
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,.s,: ver per Z23
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I!iS-AL'-z-.D PRIOR TO ISS�4,��--CE CF :�u!Lol
.................... .......................
...... ....
f&e certl.fy the: R I ............ . .. . .......... ...................
warrant —.2- Ii'we are the legal o�-jer(s Ir ::*.".::::*.,.-.,.,.,.,.*.*.'.*.'.'.*.*.'.'.*.,.:* ... . ............................................
of the property described above. ................ ....... .
...........
................ ... .. . . .. .. .. ........
-ith.the coceitions and r,�Sulazicns set
or fai!ure to cOmPlY % I/we
or an, re;,resentations cre true and correct and understand that in the event
fO.-:1. h t--e C"rY Of Z�=cnds shall ha�e tl�e right to declare .............. . .........
ar.-j -e.-c:'
...........
he S.joh(:zx!sh r- t to that effect 11 the Crantol-C
d a StaLc=en' the su5di--rision void
unLY Auditor. rantee s I--" in 'he office of
SICSFD:
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IS:
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CINDS
C'A' &PPeared before me 4
4.12 V:�i- exec,�rc" the Wit to me known to be the Indi%,Jeuals d2scribed
Z" Z%e sa-e a hin ar,d foregoing inrtr"r*j:, and acknowledged that
s free and voluntary act and deed, f
th�r,�in
or the uses and purposes
C1%'Cn unler "t— I
cy hanj and official seal this-LL--day of 19
Notary ?7b�ic in and for,
t W �Iate of v;ashingto
ding 00'-)-�,, n
15 0 3 7 4
1381 rtFK8
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FILF No. S-30-111
MIBIT "C"
Owners. and all persons having any present or subsequent
ownership interest in these lands.and the successors and
assig-.s of owners or other parties having any said interest,
hereby agree that the City of Zd--onds shall be held harmless
in all respects from any and all claims for damages for in-
junctive relief which may be occasioned now or in the future
to adjacent land or improvements by reason of the construction,
c * peration and maintenance of the drainage system and hereby
waive and release the City of Ed=onds from any and all claims
for dama;es, excludi'n.g damage caused solely by an act or
emission of said City and injunctive relief which the owners,
or their successors or assigns, may themselves have now or in
the future by reason of the construction, maintenance and
operation of said drainage system. I
V011381 P.-,E209
AUTHORIZED
FOR
RECORDING
CITY UF EDMONDS
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AMMENDMENT TO SHORT PLAT
RECORDED UNDER AUDITOR'S
FILE # 7809150374
R;ut
2 Ins,-
-5 9 7 01 AP4 9:C)o
,HENRY B. V,,nUZ1
SNOHOMISH CC)Uii - AUDITCIR
Df,e U Ty, TY, WA,'Jt
�P'AR-CjE7,—�Ln_rr—p oviding' For ingress, egress and utilities for lots 2, 3, & 4
Beginning at the NW corner of the S 1/2 of the E 1/2 of the SE 1/4 of the SE. 1/4
of the NW 1/4 of Sec. 30, TZ7N, R4E, WM. thence southerly along the westerly
line of said tract a distance of 80' ; thence easterly parallel to the northerly line
of said tract a distance of 130' to the true point.of beginning; thence westerly
parallel to the north line of said tract a distance of 20'; thence northerly parallel
to the westerly line of said tract a distance of 80' to -the northerly line of said tract
thence easterly along the northerly line of said tract a distance of 190': thence
southerly parallel to the westerly line of said tract a distance of Z5'; thence
westerly parallel to the northerly line of said tract a distance of 140'; thence
southwesterly
a distance of 62'more or less,- to the true point of beginnin'
9-
Situated in county of Snohomish, state of Washington.
C,
Lots 2, 3 and 4 of said tract, each shall have a one/third undivided interest
in the above described, Parcel "A"
STA T E OF WASHINGTON Signe d
A d d r e s s PLO Aatz -ED"I,z 6jrps a a
SNOHOMISH COUNTY
On this day personally appeared before me Kenneth Mattson, to me
known to be the individual who executed the forgoing instrument, and acknowledged
that he signed the same as his free and voluntary act, for the uses and purposes
therein mentioned.
19 79 Given under my hand and official seal this 14th day of Mav
S t a Wa s h.
Nota y Pu ic rn and f�i, 'e fe
Cotinty.
Snoh i
527 IN-Tain Street, Edmonds WA 03020
A 1 0 . 0
YLOT 4.
The Westerly 110 feet of the 11ortherly 80 feet of the South 1/2-
of the East 1/2 of the Southeast 1/4 of the Southeast 1/4 of the
Northwest 1/4 of Section 30, Township 27 . North,.Range 4.East, WM;-
TOGEThER WITH an undivided interest in Tract a, a private road
for purposes of ingress, egress and utilities;
Situate in the County of,Snohomish, State of Washington.
KEN MATTSON
778-0329
(REVISED LEGAL FOR LOT 4 OF SHORT PLAT RECORDED UNDER . AUD ITOR'S
FILE NO. 7809150374)
19 79
Given under my hand and official seal this 14th day of Mav
Notary Public ?n and ti 'e State ofWash.
Snohomis-h��ounty.
527 Main Street, Edmonds WA 98020