21921 86TH PL W.PDFIIIIIIIIIIII
8261
21921 86TH PL W
0
NOTICE:
0 CC.
The -information on the attached
map(s) was comPiled for use by the City of
Edmonds/ its Employees and Consultants.
The City ofEdm.onds does not . warrant the
accuracy of anything set for.th on these
Map(�_). Any person or entity -requesting a
copy should conduct an independent
-ation shown on
inquiry regarding the inform
ffi-�� -map(s), including, but not limited to, -h
th . e lociation of any sew..er stub shown. Suc
sewer stubs may or may, not exist and may
at the location shown.
or may not exist
Neither the city of Edmoinds nor its
f o r t h e
empto-yee-s o-r office-rs shal] be 1--lia-bi
information given' on this map(s), nor for
tation provided based
any one represen
upon . said map(s).
CITY OF EDMONDS SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT
Call 775-2525 for side sewer inspections BEFORE covering any portion f the construction.
Inspection will he provided within 24 hours after requst. NO Sat., Sun., oroholiday inspections.)
ADDRESS LOCATION OF CONSTRUCTION --------- QJ!257.A-..— !21 PL,
. ....................................................................................................................................
PROPERTY LEGAL, DESCRIPTION ............... I
..................................................................
.................................................... ...................... . ......................................................................... ................ ................................... ..................................................
....... . ........................................................ OWNER AND/OR BUILDER .......... ------ K .
.............................................................................................
CONTRACTOWS NAME & ADDRESS ........
- ----------- ............. ...........................................................................................
Permission Is granted ......... ........
A - ------------------------- 197��, for repair and/or connection of a side sewer to the city sanitary sewer
systern in accordance with -City of Edmonds ordinances.
A--ENTION IS CALLED TO THE FOLLOWING:
NOTE No. 1-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-All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtain -able from the City Engineer's office.
NOTE No. 3-Obtain full information regarding Ordinance 11.16.030 and Regulations
NOTE No. 4 governing side sewers when you get permit.
-To,p 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.
NOTE No. 5--Trenches in street must be water settled and surface of street restored to original *condition. contractors shall be responsible for failure due to improper
work which may develop within one year of completion.
NOTE No. 6-It is unlawful 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 appurtenances except to in
sert the pipe into the wye.
DISAPPROVED Date --- - ----------------------------------- By ................ Date B, Date ---------------- ------------------- By ................
Date .................
APPROVED -1t;2 -P
............... 7 .......................... BY --- --- ----------- *1 ........ . ................
Remarks: ....... . ...... . .......................................................................................... . ..................................................................
..................................................................... . ................................... I ........................................................................................ . .......................................................
0 �6T Be Signed y Owner of
H Pe it
BOT ,Vpies MUST Be Signed y Owner of Firm Performing Construction PRIOR To Request For Inspection
I---- --- . . ..... ......
..... .. . ... hereby certify that the side sewer installation constructed under this permit
nt, P.rf.rm��. -&n ruc �on
. ........ .. ............. ....
(Owner of Contracting FIrm Performing Con truction)
W-.--Anst ed /in accordance with all -governing ordinances of the City of Edmonds.
Datedthis ........ kk ......... day of -------- ........... . ............. ...... ................
V V Check BE I FORE you dig for: Water E], Gas El, Telephone E], Power E], Sewer diher E] -%/
APPLICATION
The City of Edmonds for EASEMENT NO - ------------ ........................
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS LID NO - ------------------ ASMT. NO - ---------------
TE I,
OWNER CONTRACTOR F5 ...... ------ PE MIT NO . .................
JOB ADDRESS ... > 2 -; ... . ... ........... LEGAL DESCRIPTION: LOT NO . ......... ................ BLOCK NO . ............... ....................
Approved:
7
DATE -- - ------ / - ------ By --------- !!!!ii;;;
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT EASEMENT NO . ............................... ............
NEW CONSTRUCTION F1 REPAIRS D —_ ..... &MT. NO - ------------------
art-
OWNER ....... / ......................................................................... CONTRACTOR ---- 4,�� ------- 00 A S ..... PERMIT NO.
.........................................
'co; '? / A /I L,
JOB ADDRESS ......... .......................................................................... LEGAL DESCRIPTION: LOT NO - ----------- 4 . ...................... BLOCK NO . ....................................
0
2 & /
. ........................................................... I ..................................................................... ................................
NAME OF ADDITION ---- ........ (�/,--,o�x,/
. ................... ............................................ I -----------
C.0
Approved:
DATE............................................ 9- ................. . .........................
Memo to: Director of Maintenance & Operation
Public Works
Fromi City Engineer
Sep
Subject: Sewer Connection Charges 6 ig?4
.Legal Description:
Lot 6, Plat of Donny Glenn as recorded on Page 113,
Volume.14 of.Plats, records of.Snohomish..,County,..
Washington
Commonly known as: 21921
8kh, Pl W.
Owner: McPherron
Z.F.F. Calculation:
77 )-Z. F.F.
x $7.50
577.50
Connection Fee
I Lateral,
x ($150.0.0 ) =
150.00
Lateral Charge
Unit
x S 25 ) =
25.00
Trunk Charge
10.00
Permit
762.50
TOTAL
cc: McPherron
Form 6
Standard Form 1034-A PUBLIC VOUCHER FOR PURC
7 GAI? 5000 PEWS AND
1- 1034-211 . . 01 SERVICES OTHER THAN ONAL
VOUCHER NO.
U. S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
FEDERAL HOUSING ADMINISTRATION
MAN IC.Q(�TROff
500 LOW BLW.
5th & MICH REQUISITION
8ZL=s, 'WA.
DATE VOUCHER PREPARED
0 .... N-) 9U
SCHEDULE NO.
UJI"TIE�R AND DATE
NUMBER AND DATE
PAYEE.S r— CITr 01? F&=DS INCLUDE
NAME ZIP CODE
AND PUMIC; UOM WARTMIT IN YOUR
ADDRESS 2W DAM AM ADDRESS
LF&WDS9 WA. 98020 DISCOUNT
I NAME CONTROLI Rpi. Code PAYEE'S
SHIPPED FROM TO
DATE INVOICE RECEIVED
TERMS
ACCOLIN r NUMBER
WEIGHT GOVERNMENT
B/L NUMBER
NUMBER
,6ND DATE
OF ORDER
Purchase Order
Nos., If any
DATE OF
DELIVERY
OR SE RV ICE
ARTICLES OR SERVICES
11,pply
Services on acquired property(ies) shown on
affachment(s). FHA Case Number(s)
%.1-1.5929.5—M3
=W=(N CB=ES CK
219.U-"U PL. W. FZMDSOWA.
QUAN.
TITY
LIN - IT
PRICE
AMOUNT
COST
PER
LI L
%2.50
(Use continuation sheet(s) if necessary) (Payee must NOT use the' space below) TOTAL
$
PAYMENT:
OMPLETE
PARTIAL
FINAL
0 PROGRESS
OADVANCE
APPROVED FOR
50
EXCHANGE RATE
S 1.00
DIFFERENCES-
.--.50
By 2
_zca
ITLE
Amount verified; correct I
�,,Lnafure or initiaho
MEMORANDUM
ACCOUNTING CLASSIFICATION
MAIL WITH CHECK
so
CHECK NUMBER ON TREASURER OF THE UNITED STATES
CHECK NUMBER ON fN--,- of bank)
Q
CASH DATE
S
PAYEE3
PART 3— To Assistant Commissioner -Comptroller (MAIL WITH CHECK COPY)
STREET FILE
Memo to: Director of Maintenance & Operation
Public Works
From: City Engineer
Subject: Sewer Connection Charges
Date Sertem�er S. 1974
Legal Description: Lot 6, Plat of Donny Glenn as recorded on Page 113.
volume 14 of Plats, records of Snohomish County,...
Washington
Commonly known as: 21921 86th Pl. V1. Owner: McPherron
Z.F.F. Calculation:.
77 Z.F.F. x S%50
Lateral x (�150.00
Unit x ( S 25
cc: McPherron
$ 577-511 Connection Fee
$ isn.nn Lateral Charge
25.0n Trunk Charge
$ iml Permi t
S 762. �Y) TOTAL
7�1
E; 0 N, P.
(J-fy ENGH"JUR
rorm 6
If
J
january 170 1974
Resident
2,1921 86th PIA00 V!_J
V"Ujiia 98020
SUBJECTs Advanced Sewer Hook-up Notice for Properties Adjacent
to Local r!!provemnt District 192 - Canit!a SOMM
I Upon the approval of the City Engineer of the sewer
main In the vicinity of your residence. it to now PsrakissiblO
for tow property owners to begin connection of their houses.
A
Since your property was not located within L.".D. 192, you wIll
be charged a sewer connection Charge in lieu of an Lor.D. assess -
mot. if you will bring the legal description Of Yomr Property
into the Engineering Departzents 505 Boll Street* your sewer
connection charge -can be calculated; this mot be done prior to
obtaining a side sewer persit. Each owner should then secure
the services of a city -licensed side sewer contractor and obtain
a side sewer permit. Side sewer InformtIon and perwits rM be
obtained at the Public Works Departnentq 200 Dayton Street, t814-
phone 775-2525. office hours are form 0 son& to 5 Pon*
gy ordimmoss residents adjacent to a sewer =in 9"
required to "onget within 60 days of the official notice- Matte"
will be sent to all properties in this ares, when the flo.4 assess -
=ant roll hearing has been cocpleted on-L.I.D. 192.whleh will
take place gogietim In late spring. This advance notice is sent
at the pr*sont tilft for the convenience of the how owner In the
event septic tank problem exist and to allow hook-ups over &
longer period of time. if you have any questions regarding this,
fael free to contact our offico.
I Yom* very tMlys
Mjr
CITY OF EDNOKDS
LEYF R. LARSON
City Engineer
cc; Public Works 2(�-J),Jrtml,
fit F_
SIREET I%ww-
Date September 5, 1974
.Memo to:. Director of Maintenance & Operation
Public Works
From: City Engineer
Subject: Sewer Connection Charges
Legal Description:. Lot 6, Plat . of Donny Glenn as recorded on Page 113,
Volume .1.4 of,Plats, records -of. 5n:o.h.aidsh., County.. .
Washington
Commonly known as: 21921
86th Pl. W.
owner: McPherron
Z.F.F. Calculation:
77 Z.F.F.
x $7. 50 ) =
$
577-50
Connection Fee
Lateral
x (0 50. 00 ) =
s
i5n.on
Lateral�Charge.
Unit
x $ 25
$
2.5.00
Trunk Charge
$
10-01)
Permit.
762.50
TOTAL
R. I-ARLSON, P.E.
EDMONDS CITY ENGINEER
cc: McPherron
Form 6
ILE
Januazy 179 1974
Resident
21921 88th Place V
!, =_J
Edmonds, Vashington 98020
SUBJECT: Advanced Sewer Hook-up Notice for Properties Adjacent
to Local IMprovegent District 192 - GanitM Sows=
Upon the approval of the City Engineer of the sewer
min in the vicinity of your residence. it Is new PeNdesiblS
for some property owners to begin connection of their houses.
Since your property was not located within L.I.D. 192, you will
be charged a sewer Connection Charge in lieu of an L.I.D. assess -
gent. If you will bring the legal description of your prop"
into the Engineering Department, 505 Bell Street* your sewer
connection ch"ge, am be calculated; this must be done prior to
obtaining a side sewer permit. Each owner should then secure
the services of a city-licens*d side sewer contractor and obtain
a side sewer permit. Side sewer information and permits my be
obtained at the Public Works Department, 200 Dayton Street,, t*14-
phone 775-2525. office houre are from 0 a.m. tO 5 P-m-
sy ordinance, residents adjacent to a sower main are
required to connect within 60 days of the official notice. NVtIc6s
will be sent to all properties In this area when the final assess-
ment roll hearing has been completed on-L.I.D. 1929 which will
take place sonatine In late spring. This advance notice is sent
at the present tim for the convenience of the home owner In the
event septic tank problem exist and to allow hock -ups Wor &
longer period of tim. if you have any questions regarding this,
feel free to contact our office.
Yours very truly,
CITY OF EDMONDS
LEIF R. LARSON
city Engineer
mjr
Public Works Departmalt
cc;