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IMPORTANT! Press Firmly While Wriling Application! _
MOVE ,
'v Applicant FllI 2��� �'7 % ( PERMIT 1 .G /'-_ -/
Radldin Dilarni4an Permit i id H Lines NUMBER 1V1
SNOHOMISH COUNTY Nc 7— Al eSSA 91
ITE
g B eeyOWNERS NAME OF NEW B!__fl_
NEW SITE ADDRESS- KITACII LF.C.ALDESCRIPTIONv
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t4B1G wocKs Nrnuwll
/MAILING
KING COUNTY /V o i /!l a 5 yri /( Ix
() i • O. W rUl ASSJ
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RECE�P
AD R 88"fir �, fiull� '�✓1.I�7•/' fig?
SKOM BeSPECTI PRE•MOVE�%
Power CemDIlny
PERMIT
FEE § G✓
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ERMITNO.
PERMIT APPROVAL
ATTENTION:
CITY T TEL. NO.\\\ I ;. (� �.
FIRE Z•/L9e PERMIT NO.!
12 3 ROR WORE
THIS PERMIT
AUTHORIZES
•THIS PERMIT DOES NOT BECOME
VALID UNTIL SIGNED BY THE
BUILDING OFFICIAL OR HIS DEPU-
7
ZONE 'AT NEW BITE
ONLY THE
RELOCATION
MOVING ONTRACTOR� /�A(i
MOVE CONTRACTOR'S INSURANCE COVERAGE
the Information given i8 correct; and that I am the owner, a
OF THE
8 R ET A) RESB (�
NAME I P.L. &/6,7c
PROVIDING P.L.&uP.D. COVERAGE /•/ �y[/t/CL'QIC(JQC[TY
BUILDING
of these. I agree to comply with city and state laws regulating
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building relocation; and In doing this work, no person will be
employed in violation of the Labor Code, State of Washington
TATE
TEL. NO.
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Bnadiag omd.1. Si-1—
Signature oL Owner,
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DIEPARTM EN TAuthorized
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CITY OF
EDhIOND9
Address ..�p ....G......... ..Clu.................
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LICENSE NO. K, & x 7,,
DISTRIBUTION OF COPIES
VALID I SURANCE POLICY CHECKED BY:
(Bldg. Dept.)
SITE DESCRIPTION
771-3202
(DATE
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A FSSOFP SENT BUILDING SITE-AWAC14 LEGAL DESCRIPTION
2zSH.noe.
BUILDING DESCRIPTION
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NAME OF OWNER
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ke.UR10-1i'u.c,keT%
DESCRIBE BASIC CONSTRUCTION & PRESENT USE OF BUILDING:
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ADDREE ti -',9 f�G
U,FS s, LENGTH OF BUILDING: (,/(,'. FT.
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A3 LOADED WIDTH AS LOADED BLDG. AREA
MOVINGROUTE d
x
HEIGHT
.l ,vd <1v — r3ert 3 AL+ JR es —
FT. „ PT,
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POLICE DEPT. APPROVAL OF MOVING ROUTE DATE
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By: 1
Time eo commence ovl :......................... ... GZ.
Time to Flniah MDvinp: .. ..._.... ......4�7. .P_......_......_
FIRE DEPARTMENT CLEARANCE OF ROUTING DATE
�„�M-A+t+hE7LS G*01.E �-"^^-'^----'
By: _q0
CLEARED BY: 2 C �.c F�[J
ENGZNEERZN CLEARANCE p
DATE
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SNOHOMISH COUNTY Nc 7— Al eSSA 91
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KING COUNTY /V o i /!l a 5 yri /( Ix
() i • O. W rUl ASSJ
W
RECE�P
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RELOCATION`t•a1 KOJPt'j
Power CemDIlny
PERMIT
FEE § G✓
Toiephone Company
PERMIT APPROVAL
ATTENTION:
OTHER
THIS PERMIT
AUTHORIZES
•THIS PERMIT DOES NOT BECOME
VALID UNTIL SIGNED BY THE
BUILDING OFFICIAL OR HIS DEPU-
7
ONLY THE
RELOCATION
TY, THE FEES ARE PAID, AND RE-
CEIPT IS ACKNOWLEDGED IN THE
I hereby acknowledge that I have read this application; that
the Information given i8 correct; and that I am the owner, a
OF THE
SPACE PROVIDED
duly licensed moving Contractor, or the authorized agent of One
BUILDING
of these. I agree to comply with city and state laws regulating
NOTED
building relocation; and In doing this work, no person will be
employed in violation of the Labor Code, State of Washington
,,,,, ,,,., ....... ........
relating to Workmen's Compensation Insurance.
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Bnadiag omd.1. Si-1—
Signature oL Owner,
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Agent .........
DIEPARTM EN TAuthorized
Ly
Date
Signer's / �2.� r'� Phone -! [
No....72i _; ..•h,J ...
CITY OF
EDhIOND9
Address ..�p ....G......... ..Clu.................
DISTRIBUTION OF COPIES
(Bldg. Dept.)
city ..4�1!!�YI/..fC®L7�L ..........................amts ....'�Z._............
771-3202
WHITE —Fns
YELLOW — Move Inspector
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Date ... Gf!.:::../r%......................................................................
GREEN R Assessor
GOLDENROD Police Dept.
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PINK —MovingContractor ]
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It is agreed that General Telephone Company of the Northwest, Inc. will raise, lower or move their property with
adequate advance notice to alJovsSage of above described building at the loaded height, width, time and route
for a deposited sum of $ At its option, General Telephone Company will be present while
the building move is in progress along the described route. It is understood that the deposit does not constitute
payment in full, and that actual costs will be computed upon completion of the work, based on labor and material
costs (including overheads) in effect at the time the described work is performed. It is recognized that any change
of move date and time will require adjustment of General Telephone Company's work schedules. Mover agrees to
ela,rrainini ,W � hours' ice to P �llo�inp olice of General Telephone Company
CT < r / (ALJ /� % prior to change of date or
time. (TELEPHONE NUMBER & TITLE OF RESPONSIBLE SUPEt-SOR)
I� LJ>�Cr 0iF /Y'[�y �Iv OWNER`5.5/IGNATURE DA
MOV jSSIGNATURE 'DATE
G L rsTri co yPanr
BY: ` 1`
SIGNA U E, TITLE DATE
WORK ORDER NUMBER:
GUARANTY OF PAYMENT
(Signature Required)
I/we personally guarantee and assume responsibility for payment of the account with General Telephone Company
of the Northwest, Inc. Payment shall be made within 30 days of the invoice date. In event of suit to collect pay-
ment, [/we further promise to pay reasonable attorney fees and costs. Any delinquent statement shall bear interest
at the highest legal rate allowed until collected. `F _
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AUTHORIZED 5IGNAT URE DATE
SEND INVOICE TO THE ADDRESS BELOW:
/-lam n !T - ' : ��i / `;�• it.!�. .
l tJCITy STATE ZIPCOOE
ATTACH ORIGINALTO FORM 604060 WHEN SUBMITTEOTO S -S FOR BILLING. PINK RETAINED BY ORIGINATOR. YELLOW TO APPLICANT
ATTACH COPY OF COUNTER RECEIPT SHOWING ADVANCE PAYMENT.
FORM 606516 (REV e•]9)
SAFETVINSTR. NO. 13
BUILDING OWNER T LEPHON �`
ADDRESS
21 � .� /a U'. L Ali , t
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ADDR�E�/E -........
PRESENT LOOATION OF 7U I'"
TO 8E MOVED
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BUI/�DING BEIyN-G MOVED TO
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EXACT ROUTE OF BUILDING MOVE ("
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WIDTH �LOAOE%µEtGHT� �(
BUILDING DATA � (/
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It is agreed that General Telephone Company of the Northwest, Inc. will raise, lower or move their property with
adequate advance notice to alJovsSage of above described building at the loaded height, width, time and route
for a deposited sum of $ At its option, General Telephone Company will be present while
the building move is in progress along the described route. It is understood that the deposit does not constitute
payment in full, and that actual costs will be computed upon completion of the work, based on labor and material
costs (including overheads) in effect at the time the described work is performed. It is recognized that any change
of move date and time will require adjustment of General Telephone Company's work schedules. Mover agrees to
ela,rrainini ,W � hours' ice to P �llo�inp olice of General Telephone Company
CT < r / (ALJ /� % prior to change of date or
time. (TELEPHONE NUMBER & TITLE OF RESPONSIBLE SUPEt-SOR)
I� LJ>�Cr 0iF /Y'[�y �Iv OWNER`5.5/IGNATURE DA
MOV jSSIGNATURE 'DATE
G L rsTri co yPanr
BY: ` 1`
SIGNA U E, TITLE DATE
WORK ORDER NUMBER:
GUARANTY OF PAYMENT
(Signature Required)
I/we personally guarantee and assume responsibility for payment of the account with General Telephone Company
of the Northwest, Inc. Payment shall be made within 30 days of the invoice date. In event of suit to collect pay-
ment, [/we further promise to pay reasonable attorney fees and costs. Any delinquent statement shall bear interest
at the highest legal rate allowed until collected. `F _
l
AUTHORIZED 5IGNAT URE DATE
SEND INVOICE TO THE ADDRESS BELOW:
/-lam n !T - ' : ��i / `;�• it.!�. .
l tJCITy STATE ZIPCOOE
ATTACH ORIGINALTO FORM 604060 WHEN SUBMITTEOTO S -S FOR BILLING. PINK RETAINED BY ORIGINATOR. YELLOW TO APPLICANT
ATTACH COPY OF COUNTER RECEIPT SHOWING ADVANCE PAYMENT.
FORM 606516 (REV e•]9)
SAFETVINSTR. NO. 13
BUILDING OWNER T LEPHON �`
ADDRESS
21 � .� /a U'. L Ali , t
Z Z LJ
-
ADDR�E�/E -........
PRESENT LOOATION OF 7U I'"
TO 8E MOVED
O"i7 oV' -L-, �iC% .L�& A-�-'
BUI/�DING BEIyN-G MOVED TO
V
EXACT ROUTE OF BUILDING MOVE ("
.2 ;2 �1.� L1 `S : r✓�'Z L L• lc"L % % c 5 �'<1. a/
3�r� Yc= h1G./S(��' ✓�,��,S,F/s�� . i9�'��'ss � t % % 0 -z0 �;E,
WIDTH �LOAOE%µEtGHT� �(
BUILDING DATA � (/
D TE hH0 EOF MOVE MOVEg'B EST AYED ED
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• Incorporated August 11. 1890
Sister Cities International — Hekinan. Japan
CITY OF EDMONDS t4PPY GHTEN
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MAYOR
250 - STH AVE. N • EDA10NDS. WA 90020 • (206) 771.3202
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COMMUNITY SERVICES: - +4HN
Public Works • Planning • Parks and Recreation • Eng,oee• =TOP
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890-19
February 20, 1990
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Evelyn Watson
4207 78th Place Northwest
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Marysville, Washington 98270
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RE: House Move
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The City is in receipt of your request for an extension of time on your
Edmonds
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promise to remove the house from its temporary location within
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City limits no later than February 27th, 1990.
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As you are aware, this is the second extention granted on this house
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relocation permit. The City acknowledges the scheduling conflicts that
can arise on this type of special transportation; however, be advised,
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that this type of permit is temporary and therefore, no further
extensions of the permit will be granted.
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If the house remains at its current site beyond the 2/27/90 date, this
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matter will be turned over to the City's Code Enforcement Officer for
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possible legal action, which may necessitate use of the cash bond for
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the house removal.
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If you have any questions please feel free to contact me at 771-3202.
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Thank you,
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Jeannine L. Graf
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Permit Coordinator
• Incorporated August 11. 1890
Sister Cities International — Hekinan. Japan
y CITY OF EDMOl V DS LARRY S. NAUGHTEN
�, -YOe
alir' 250 - STH AVE. N. • EDMONDS, WA 98020 771 3202 -
COMMUNITY SERVICES: PETER E. HAHN
DIRECTOR
Public Works •.Planning • Parks and Recreation • Engineering _
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March 6, 1990
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Evelyn Watson
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4207 78th Place Northwest
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Marysville, Washington 98270
RE: House Move Permit M-1-90
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The City of Edmonds hereby authorizes the return of check #111 in the
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amount of $10,000, which represents the house relocation bond. All
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City departments approve release of the check.
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If there are any questions please contact the City building division at
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771-3202.
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Thank you,
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Jeannine L. Graf
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Permit Coordinator
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• Incorporated August 11.'1890 •
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Sister Cities International — 11ekinan. Japan