22502 72ND PL W.PDFlill iiiiiiii
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22502 72ND PL W
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TAXACCOUNT/PARCELM 00�z'?V?0690005-60
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: DETERMINATION: Conditional Waiver [] Study Required E] Waiver
CRITICAL AREAS #: DETERMINATION: Conditional Waiver El Study Required E] 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:
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
APPLICATION
for
The City of Edmon SIDE SEAVER PER3HT
OUTSIDE E] INSIDE [:] REPAIRS F1
CARDNo . ......................................
EASEMENT No. ..
OWNER.... .......................................... CONTRACTOR ........................................................................................ ........... PERMIT No('&--�
STREET
HOUSENo. ----------------------- 7R ..... ................. ........ AVENUE LOT No . ...................................................................... BLOCK No . ...............................................
NAME ADD - ----------- IhR96-4-r ....... 7- R0049 ...... &..'/
PL
Date
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ .............................................
SEWER WORK ORDER ISSUED ................................
E
Approved:
PPROVED
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DATE -0 / e � '04,
. ..........
. ................... BY , ox
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APPLICATION CARD No - --------------------------------------
The City of Edmonds
F L VUTSIDE
for
SIDE SEWER PERMIT
EASEMENT No
. ......................................
E] INSIDE E] REPAIRS
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OWNER.... --------- ........... . . ..... ------------------------------
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CONTRACTOR ----------- Lz� ............... ......... ....................... ............... PERMIT No
- ----
HOUSE No - ---------- r"Q,5-6,5-
..........................................
................... ..................... .............
STREET
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AVENUE LOT N BLOCK No . ...............................................
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APPROVED
M 719 63
CITY OF EDMONDS
250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221
'44,j � COMMUNITY SERVICES DEPARTMENT
--AENN— (j- Public Works * Planning e Parks and Recreation e Engineering
9 0 - I C) C)
September 14, 1994
Ms. Kathryn Wurzbacher
22502 - 72nd Pl. W.
Edmonds, WA 98026
Dear Ms Wurzbacher:
LAURA M. HALL
MAYOR
I have reviewed your account and will allow a credit to your account in
accordance with our City policy. The policy states that the customer
will be billed at the retail rate based upon the average water
consumption for the same period during the previous year. In addition,
the excess water lost from the leak will be billed to customer at the
City's wholesale rate with a 15% surcharge added for administrative
cost. Only one leak credit will be granted in any three year period.
Should you have any additional questions after you receive your new
billing, please contact Ilene Larson, Utility Billing Clerk.
Sincerely,
dd�
Ron Holland
Water/Sewer Supervisor
RH/l k
cc: Ilene Larson
Utility Billing Clerk
#510175/TXTWATER
9 Incorporated August 11, 1890 0 -
Sister Cities International — Hekinan, Japan
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AUSTIN KOYCE
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INSURED HOME OWNER:
Kathie Wurzbacker
22502 72nd P1. West
Edmonds, WA 98020
PHONE: HM: 774-0078 WK: 562-0640
7/11/94
INSURANCE CO.: TRANSAMERICA (T. 1. G. CLAIM #: A-94104978
ADJUSTER: SUSAN DALQUIST PHONE: 1-800-848-9978-4904
FAX: .1-900-848-9983
SCOPE OF DAMAGE
KITCHEN CABINETS AND COUNTER TOPS, DRYWALL, WALLPAPER AND WINDOW
SILL OVER KITCHEN SINK. 283 SQ.FT. OF HARDWOOD FLOOR, 20 SQYDS OF VINYL
AND UNDERLAYMENT, 18 SQ YDS OF LIGHT COMMERCIAL CARPET. SOME MINOR
ELECTRICAL CIRCUIT DAMAGE, MISCELLANEOUS ROOM CONTENTS IN LIVING
ROOM, KITCHEN, NOOK, AND UTILITY ROOM. NO STRUCTURAL DAMAGE -
ELECTRICAL DAMAGE IS TEMPORARILY REPAIRED IN "EMERGENCY DAMAGE
CONTROL."
CAUSE OF DAMAGE
A
RUPTUR6YK-ItCHEN SINK VALVE - FLOODING AREAS DESCRIBED FOR 72 TO 96
HOURSf.,
DAMAGE CONTROL & TEMPORARY REPAIRS - Affected 7/7/94
1. REPLACE BROKEN KITCHEN SINK FAUCET WITH SINGLE CONTROL CHROME
DELTA 400.
2. CHECK ALL KITCHEN ELECTRICAL CIRCUITRY AND REPAIR WIRING TO
GARBAGE DISPOSAL AND DISHWASHER.
CONTINUED REPAIRS & REPLACEMENT REQUIRED
3. FINAL ELECTRICAL REPAIRS WHICH INCLUDE LIGHTING CIRCUITS IN KITCHEN
& BATH, AND DISHWASHER WHICH AT MINIMUM WILL NEED SERVICE
REPAIRS AND/OR POSSIBLE REPLACEMENT.
4. REMOVE AND REPLACE WITH NEW MATERIAL- 14 LINEAL FEET OF KICHEN
BASE CABINETRY,(TO MATCH EXISTING).
5. REMOVE AND REPLACE WITH NEW MATERIAL 14 LINEAL FEET LAMINATE
COUNTER TOP AND OAK SELF EDGE AND BACK SPLASH (TO MATCH
EXISTING).
6. REMOVE AND REPLACE EXISTING STAINLESS STEEL SINK NEW (TEMP.
INSTALLED) FAUCET, EXISTING GARBAGE DISPOSAL AND EXISTING
DISHWASHER.
7. REMOVE AND REPLACE WITH NEW MATERIAL TliE EXISTING KITCHEN VINYL
FLOORING AND UNDERLAYMENT.
16720 Redmond Way e Redmond, WA 98052 e (206) 881-5151 Eastside * (206) 223-1114 Seattle
AUSTI-R-D-092R7
0 0
8. REMOVE AND REPLACE WITH NEW MATERIAL THE EXISTING BATHROOM
VINYL AND UNDERLAYNMNT, (MATCH EXISTING).
9. REMOVE AND REPLACE WITH NEW MATERIAL YX 19'AREA OF HARDWOOD
FLOORING 3/4 X 2 1/4" MINED RED AND WHITE OAK SHORTS 60 SQFT. -
HARDWOOD FLOOR BEING REPLACED HAS OVER 25% MOISTURE (BY TEST).
10. SWEDISH FINISH: IE, SAND, FILL, STAIN NATURAL, TWO COAT SWEDISH
FINISH TO 283 SQFT. OAK FLOOR. THIS INCLUDES NEW AND EXISTING OAK
FLOOR.
11. HANG AND REMOVE PLASTIC TO PROTECT SURROUNDING SURFACES WHILE
REPAIRING FLOORS.
12. REMOVE AND REINSTALL BASE BOARD AROUND OAK AND VINYL FLOORS IN
KITCHEN, BATH, HALL, AND LIVING ROOM.
13. PUTTY, SAND, PRIME AND FINISH COAT, REINSTALL BASE.
14. REMOVE CARPET, DEODORIZE, AND SEAL CONCRETE FLOOR IN 12'X 13'
UTILITY ROOM.
15. INSTALL NEW LIGHT COMMERCIAL CARPET IN SAME 12'X 13'SQ.Fr. UTILITY
ROOM.
16. REMOVE, REFINISH, AND REINSTALL KITCHEN SINK WINDOW SILL.
17. REMOVE APPROX. 16 SQFT. WALLPAPER AND REPLACE WITH CLIENT'S SAME
SPARE WALLPAPER.
18. BEFORE REPLACING WALLPAPER, REPLACE WATER DAMAGED DRYWALL AND
SEAM AROUND KITCHEN SINK WINDOW.
19. HANDLING OF HOUSEHOLD FURNISHINGS - REMOVE AND REPLACE IN AREAS
WHERE REPAIRS MUST BE MADE: IE, KITCHEN, NOOK, LIVING ROOM AND
UTILITY ROOM.
20. REMOVAL & DISPOSAL OF ALL DEMOLITION DEBRIS.
NOTE: REPLACEMENT CABINETS ARE 15 - 17 WORKING DAYS OUT FROM
PLACEMENT OF PURCHASE ORDER.
TERMS: BALANCE UPON COMPLETION.
COST $6,506.00
10% OVERHEAD $ 650.60
10% PROFIT $ 650.60
SUBTOTAL $7,807.20
8.2% SALES TAX 640.19
GRAN TAL $8,447.39
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CUSTOMER �CCEPTANI'CE --------- E--1 DATE'
NOTE: THERE IS AN AREA RUG& PAD APPROX. 12'X 12'SQ.FT. IN LIVING ROOM -
COVERING HARDWOOD FLOOR THAT IS RUINED AND SOME OTHER SMALL AREA RUGS,
APPLIANCES, ETC., WHICH ARE NOT IN THIS RESTORATION CONTRACT, THAT SHOULD BE
ADDRESSED TO INSURANCE CO. ADJUSTER, UNDER SEPARATE LISTING OF DAMAGES.