24310 76TH AVE W.PDF111111111111
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24310 76TH AVE W
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TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS:
DISCRETIONARY PERMIT
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
DETERMINATION: E] Conditional Waiver 0 Study Required n Waiver
ON __ WRIVRNWWNMMN m
PLANNING DATA CHECKLIST DATED: n _�
kW� T ee
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DAI
SIDE SEWER PERMIT(S).#:—
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED: M11.1 tcvo—i
OTHER:
LID #:
LOT.- BLOCK:
LATEMP\DSrs\Forrns\Strcet File Checklist.doc
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
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PLAN CHECK NO: VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
:3 DOMAIN (CURBS,SIDEWALKS, DRIVEWAYS, MARQUEES,ETC.) WILL REQUIRE
SEPARATE PERMISSION.
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PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
to
Cn *APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
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_j IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2
tr EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
4
= ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
0 FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
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0 DEEMED TO MODIFY, WAIVEOR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
x NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
JN,VIOLATION OF THE LABOR CODE OF THE, STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
DATE SIGNED
SIGNATURE (OWNEL3 PR AGE
1/-7
ITC IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
5/98
ZONE
NU-MB-ER
JOB
SUIT& PT#
ADDRESS
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EGAL DESCRIPTION CHECK
SUBDIVISION NO.
I LID NO.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved 0
RW Permit Required 0
EXISTING - REOUIRED DEDICATION -
Street Use Permit Req'd 0
Inspection Required 0
PROPOSED
Sidewalk Required 0
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REOUIRED
YES 0 NO 0
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REMARKS
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SEPA REVIEW SIGN AREA HEIGHT
COMPLETE EXEMPT ALLOWED , PROPOSED ALLOWED PROPOSED
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ALLOWED PROPOSED FRONT SIDE, REAR FRONT UR SIDE REAR
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PROGRESS INSPECTIONS PER UBC 108
FINAL INSPECTION REQUIRED
VALUATION FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
GRADING/FILL
STATE SURCHARGE
STORM DRAINAGE FEES
ENG. INSPECTION FEE
PLAN CHECK DEPOSIT
TOTAL AMOUNT DUE
APPLICATION APPROVAL
CALL This application is not a permit until signed by the
Building Official or his/her Deputy: and Fees are paid. and
FOR INSPECTION receipt is acknowledged in space provided.
(425) OFFIlCI LS IGNATURE DATE
771-0220
(/ELEASg'lj
DATE
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ORIGINAL - FILE YELLOW - INSPECTOR
PINK - OWNER GOLD - ASSESSOR
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(4z�r) 670 41 PROPOSED
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1,11EI: EDI LINE SIZE NO. OF FIXTURES
ZIP —TTELEPHONE NUMBER
ZIP TELEPHONE NUMBER
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EXPIRATION
STATE LICENSE NUMBER t2
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on oTPrOperty— include all easements
Property
Tax Account AO OC) 0— 01C) /00(p
Parcel No. r
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PLUMBINGIMECH
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(TYPEOFU
O�NUMB�ER NUMBER OF CRITICAL
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SEPA REVIEW
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YES 0 NO 0
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—xilmm nv DATE
REQUIRED YES
REMARKS
PROGRESS INSPECTIONS PER UBC 108
FINAL INSPECTION REOUIRED
VALUATION
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FEE
PLAN CHECK
BUILDING
HEAT SOURCE�
GLAZING
%
PLUMBING
Plan Check No. "j? -7
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRAbINGIFILL
rts, sidewolks,
Any construction on. the public domain (cu ate permission.
driveways, marquees, etc.) will require separ
STATE SURCHARGE
Permit Application: 180 Days
STORM DRAINAGE FEE
Permit Limit: I Year - Provided Work is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns an
ENG, INSPECTION FEE
I nify, defend and hold
successors in interest, agrees to indemi
Edmonds, Washington, its officials,
harmless the City of
and agents from any and all claims for damages of
employees,
whatever nature, arising directly or indirectly from the issuance
shall not be deemed to
PLAN CHECK DEPOSIT
of this permit. issuance of this permit
modify, waive or reduce any requirement of any city ordinance
limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
nor
vision
.�w
I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL
information.given is correct; and that I am the owner, or the duly
authorized agent of the owner. I agree to comply with city and THIS PERMIT This application is not a permit until
on; and in,doing the work authoriz- AUTHORIZES signed by the Building Official or his/her
state laws regulating constructi �mployed in violation of the Labor ONLY THE
ed thereby, no person will be e WORK NOTED Deputy; and fees are paid, and receipt is
Code of the State of Washington relating to Wor kmen's Compensa- acknowledged in space provided.
-ano..RCW 18.27 INSPECTION — A -
nsurance ED DEPARTMENT D A�, E,,---�, C,
RE(OVVNERO:� �UtNlj CITY OF OF , F , I I CIA A G TURE
-f EDMONDS
1-11 3h
ILE'ASE'018Y� Ir
CALL FOR
jAT
INSPECTION
ATTENTI014-/ iUCTURE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STF 1 nl�'dINAI File YELLOW — Inspector
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 RI
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
15INK — Owner GOLD — Assessor
SECTION 109
1102-1217
IeA I ylq
CITY OF EDMONDS
USE
ZONE
PERMIT
NUMi3ER 9 9 0 1113
CONSTRUCTION PERMIT APPLICATION
JOB SUIT�APT
ADDRESS -7 K, - t/ li, ,
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OWNER NAME/NAME, OF BUSINES/
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LEGAL DESCRIPTION CHECK
SUBDIVISION NO.
LID NO,
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MAILING ADDRESS
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PUBLIC.RIGHT OF WAY PER
OFFICIAL STREET MAP.
TESCP Approved 13
CITY
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ZIP TELEPHONE NUMBER
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EXISTING REQUIRED
DEDICATION
AW Permit Required 13
Street Use Permit Req'd 0
NAME
PROPOSED
Inspection Required 0
Sidewalk Required 0
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METER SIZE
LINE
SIZE
NO. OF FIXTURES
PRV REQUIRED
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ADDRESS
YES 0 NO 0
REMARKS
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CITY zip
TELEPHONE NUMBER
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NAME
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ADDRESS
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ENGINEERING MEMO DATED
REVIEWED BY
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CITY ZIP
TELEPHONE NUMBER
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FIRE MEMO DATED
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STATE LICENSE NUMBER EXPIRATION DATE
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VARIANCE OR CU
ADB#
SHOREL17 11
Legal Description of Property - include all easements
SEPA REVIEW
SIGN AREA
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EXEMPT
ALLOWED
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P06POSED
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LOT AREA
PLANNING 5EVIEW BY
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Parcel No. t-Il 19
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RESIDENTIAL -
PLUMBINGfMECH_
RE&jAjRKS
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GRADING FENCE
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CHECKED BY
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OCCUPANT
GRO
EIREPAIR WOODSTOVE
DEMOLISH SWIM POOL
1:1 INSERT HOT TUB/SPA
SPECIAL INSPECTOR
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OCCUPANT
GARAGE RETAINING WALL/
CARPORT RENEWAL
1:1 YES
REMARKS
LOAD 2-5�_
ROCKERY
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(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
PROGRESS INSPECTIONS
PER UBC 108
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NLTm-B'ER JI
NUMBER OF
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DWELLING
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STORIES
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INUMBER
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
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FINAL INSPECTION
REQUIRED
VALUATION
FEE
PLAN CHECK FEE
lb
HEAT SOURCE:
GLAZING
BUILDING
/V(1
PLUMBING
Plan Check No. q9
MECHANICAL
This Permit covers, work to be done on —private property ONLY.
GRADINGIFILL
Any constructiori on the public domain (curts, sidewalks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Within 180 Days.
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns an
ENG. INSPECTION FEE
successors in interest, agrees to indemnify, defend and hold
W'n
harmless the City of Edmonds, Washington, its officials,
2
empioyees, and agents from any and all claims for damages of
cc
<
whatever nature, arising directly or indirectly from the issuance
0
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
modify, waive or reduce any requirement of any city ordinance
0
2:
nor I.imit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
provision."
I hereby acknowledge that I have read this application; that the
information given is correct; and that I am the owner, or the duly
ATTENTION
APPLICATION APPROVAL
authorized agent of the. owner.. I agree to comply, with city and
,
THIS PERMIT
state laws regulating construction; and in doing th6 work authoriz-
AUTHORIZES
This application is not a permit until
ed thereby, no person will be employed in violation of the Labor
ONLY THE
signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
Deputy; and,fees are paid, and receipt is
tion Insurance-alfici RCW 18.27_,,
INSPECTION
acknowledged in space provided.
AGE
SIGNATURE Q!INER NT) _r04 TE SIGNED
DEPARTMENT
.�)OR
O/V ?
L
CITY OF
OFFICIAL'S SIGNATURE DATE
JAW)
EDMONDS
C,
3h A7 �
ATTENTION
CALL FOR
INSPECTION
RELEA91!DtB�. DATE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771-0220
O'RI'GINAL — File 'YELLOW
— Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
SECTION 109
PINK — Owner 000 — AsseSSor
im;n?
PL ING DATA ,
ttem�� -Tr
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NAME: (V�
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SITEADDRESS: 2_4';cb- -76-Ay-0. DATE: 101"?619&
ZONING: PLAN CHK#: 9,?-34-0
PROJECT DESCRIPTION: m&n4 46-
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Ah
USE(S) PROPOSED: An: ^�,4 9, 4::�'4t4lA ( b,-Z' -7 ALLOWED?:
LEGAL NONCONFORMING LAND USE DETERMINA ISSUED A) g!±jY/N)
CUP File: 6tc - 99 - ZO& Al"09 NP"-4 "'t'f .4 "f- C*"0-16� �
P-4 -Fgue
ADB FILE #: OR DATE WAIVED: 2-12- '9�
PLANS MATCH APPROVED PLAN: t-" �-'Arr V-Lq
PARKING: t.
,/.,..01Ajse: No. Spaces Required: 13 cz�'_
X 1AW* I C)a (floor area,# employees, etc.)= se,-uf
U s e: 'n�_ (Cjas� f�' ejj�4 "O.W�) No. Spaces Required: jg/ 2,ac,
X 56o Q'(fl-oor area, # employees, etc.) �3
Total Required: 9 2AL'( Actual Provided: 10 03-5�h224
SETBACKS:
Required Setbacks, - (00 -tc N-
Front: 0 Left Side: 0 Right Side: 0 Rear:
Actual Setbacks:
Front: Left Side: Right Side: Rear:
Street map checked for additional setback required? (Yes/No)
MAXIMUM FLOOR AREA:
Maximum Allowed: 'P/v to-ap_ Actual: Ck.
�� M 6-e
V
BUILDING HEIGHT: m:, �� - ',� L';"
Maximum Allowed: 251 Actual Height:
Modulation Allowed?: Modulation Height: 'j
Datum Point: —Datum Elevation:
LANDSCAPING: N-.(- A'�V&n -
Matches ADB apptoved:_
Bond:
SUBDIVISION:
4'ec'�" L., "."r ( t1'4' E V--- -� )I
CRITICAL AREAS M g- Nw_�_ 02!!�
oAfi1dkpermAt^PLANDAc.D0C
0
0
SEPA DETERMINATION: !�� r-
SHORELINE REQUIRED?: 00
LOT AGGREGATION REQUIRED?: ko
OTHER: Aps- 92- 14,4 - oat, 9 Awl M4nf rOVI
A,V. A"At""eA 0(', 'Z - I I st-,,e-
t- V-,ak-!A ot -kC (-.-I k CAk
119(4?J see(
Plan Review By:
U
3-.Zs
No
No A"
tj,11 be- 6LK (7A*w
Or 4 1 Ye4
14 (13 +
6�
6W;y or%
Ar
00' 0 oc)o V-,�c
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f,(.. CL., 4- t "a le-- Am
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cAfllcs�pc rmRt^FLANDAc.D0C jaA3 (�oo
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?,,4 4'� z 96. 300 7 '7'
NOT CE:
No warranty of accuracy.
The information shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of Edmonds does not warrant the
accuracy of anything set forth on these
map(s). Any person or entity requesting a
copy should conduct an independent
inquiry regarding the information shown on
the map(s), including, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may not exi anal may
or may not exist at the location shown.
Neither the City of Edmonds nor its
employees or officers shall be liable for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
APPLICATION
timonds— for
irbo C! F"W*-v - f Us SME SEw= PEMMT FUSEbIENT No . ............................
;0 1 Rw NEW CONSTRUCMON 93" RMIAIRS 0
OWNER ---- 4-ZI....
... .... .................................................. ....... CONTRACTOR ....... JA�4:: / 0
ADDRESS 0-- ......... ......................... MUM x
.............. --------------------------------- LEGAL DESCRIM011q: LOT No . ........................... ------------------ 13LOCK No . ..............................
a NAME OF ADDMON
ltey�al "Vl,;�'dec;lll
eq"Z&�/
Approved:
DATE
APPROVE-
OCT 8 I:Jbi
CIM.-OF EDMONDS
CIVII '_DE NTER : �— WATER -SEWER DEPARTMENT
. SIDE SEWER- PERMIT
Coil FRospect 6-1107 when work
is ready for Inspection. (No _Inspcc-m
tions Saturday, Sunday or h6lida. I yi.) .1 0: 2484
24300 - 76th Avenue West
-ADDRESS ....................................... .................................................................................................................................................................
OWNER ............. 7-11 ... S.tor.es ..................................................... CONTRACTOR ...... Mode.rn ... Sewe.r --- C.ons.truc.t.i.on .......
.... .. .. .. ....... .... . .......... ..... .. ....... .. .. ....... .......... .. . .....
PermiSsion -is -granted ....... Pq - tob - er "*'*"*" 18 ...... lg..6.7-, for ........................ days to REPArR 6r.CONNECT a side sewer
accordance with application on file and governing,ordinances
.Wltlocify -sewers in
A TT ENTION IS CALLED TO THE FOLLOWING:
NOTE No. 1—T.h.e owners of the property may obtain a permit to construct sewer inside property iine -A licensed Side Sewer Contractor must
ke. employed to construct side sewer In street area. Do not *cover any portion of sewer before It has been inspected.
NOTE.No. :2�Obtaln full information regarding Ordinance 11.16.030 and Regulations governing side sew�rs when you get perrnJt.
NOTE.No. 3—Top of side sewer must have at least 30 Inches coverage at property line and 12 inches inside proiierty line; minimum grade of 2%.
No bends -in grade sharper than % will be permitted.
WOTE -No 4---wTr6nches.ln street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
fillure--due to Improper work which may develop within one year of completion.
NOTE N o.- 5�ItAs'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 appur-
t�nafices except to Insert the pipe Into the wY6.
JL
ce
FOWEER Co., ][N
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P
SH 6-8400 P.O. BOX 160..� 13440 S.E. 30th ST. - BELLEVUE, WASH. 98004
lerel
li I , e 147
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Co 0'>1 ezq1__
,0,/
ooc
Mr. R. A. Quigley
Post Office Box 192
Lake Stevens, Washimpton
Re: 24323 -
Dear Mr. Quigley:
June C, IG68
Fenu �est. Edrionds
Ve have received numir\b1dYscomrlaints regarding, the residence
owned by you at theabove- a tioNd%address, steniming from the fact that
this property is 4,6,V connect\e to sanitary sewer systen. Our city
ordinance reads Oq(t any resii� nce A hin two -hundred feet of a sanitary
sewer must connect'within sixty days to said sewer; and as this sewer
was installed approximately e nt years ago, you are hereby requested to
make this connectl prior t ny future rental or use of the property.
_We ave :t
a 1 n m the licensed contrattors with the city avail-
able,,Ai the Public Works Department; and if we can he of any further help
111�
in piiting this property connected, pleasL- contact us.
Yours very truly,
CITY OF U11401i'VIS
JEM: ek
JOHN E. Momi
Director of Public Works
.4
I
(ttftp of (1b oub
DEPARTMENT OF BUILDINGS
Ir IT
,A6-ALAL
PER International Building Code Section"I 10
—76... Ave W,
Occupancy established by this cert ificate: Dwelling Units: N/A
I&
rvp -Ponstruction: VB
No. Stories: 2
Basement: N/A
Maximum Occupant (Per IBC 1004)
Room -,'pa acity signs, st remain posted at ali times.
P
Ih
Owner of Building: Goffette 'Wddti�is-1T0'0'aP�.$pP6e: 24310 —76 Ave W
BEEWINSPIk WITH THE REQU REMENTS OF THE
THE Jaicee Desian
2003 EDITION OF THE INTERNATIONAL-BUILDIN133". 6ROUP AND DIVISION OF OCCUPANCY AND THE
I .P�q
AS ADO
USE FOR WHICH THE PROPOSED OCCUPANCY
Issued this. ..':d6y f May,2008
CHIEF BUILDING OFFICIAL
BY: —
This certificate shall be posted in a conspicuous public area and shall not be removed, mutilated or obscured and shall be maintained in legible condition at all times. Any change ofoccupancy or use requires a building permit and a new
Certificate of Occupancy issued by the City of Edmonds Building Official.
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KREET FILP
CIT
ftAFFIC
Name of Proposed Project:
Owner/Applicant:
Name
Street/Mailing Address
city State Zip
Telephone:
Y OF EDMONDS
IMPACT ANALYSIS
VORK SHEET
FEB 2 8 2008
&A
Applicant Contact Person:
W��
Name
RM
ZEE &W-t�
Street/Mailing Ad&ess
t
City State Zip
Telephone: —Ce�,56
Traffic Engineer who prepared the Traffic Impact Analysis:
Firm Name
1. PROJECT DESCRIPTION
Contact Name
a. Street address (if known): ZZ AeA6,
b. Location:
Telephone
(Attach a vicinity map and siteplan.)
c. Specify existing land use:.-.. f-7-70-r-OS- 77
d. Specify proposed type and size of development: 9� (— — 04 &5 sr--
e. When will the project begin construction and when will it be completed?
f Define proposed access locations:
-- e00000-,
g. Define proposed sight distance at site egress locations: (56641? VIEW - 4d(ly
L.4y
Page I
0 .0
2. TRIP GENERATION
a. Existing Site Trip Generation Table:
Land Use
Daily (ADT)
PM Peak -Hour Trips
IN OUT
b. Proposed Project Trip Generation Table:
Land Use
Daily (ADT)
PM Peak -Hour Trips
IN OUT
c. Net New Project Trip Generation Table:
Land Use
Daily (ADT)
PM Peak -Hour Trips
IN OUT
d. State assumptions and methodology for internal, link -diverted or passby trips:
Pap,e 2
. I . 1 0 0
3. TRIP DISTRIBUTION
Prepare and attach a graphic showing project trip distribution percentages and assignments.
4. SITE ACCESS ROADWAY/DRIVEWAYS AND SAFETY
a. Have sight distance requirements at egress location been met per AASHTO requirements?
b. Intersection Level of Service Analysis:.
Existing Conditions
LOS Delays
Year of Opening
LOS Delays
Five Years Beyond Change of Land Use
LOS I Delays
(Intersections to be evaluated shall be determined by the City ofEdmonds Traffic Engineer.)
c. Describe channelization warrants:
d. Vehicle Storage/Queuing Analysis (calculate 50% and 95 % queuing lengths):
50%
• Existing Conditions
• Year of Opening
Five Years Beyond
Change of Land Use
e. If appropriate, state stop sign and signal warrants:
f. Summarize local accident history:
(Attach st ingplan.)
rip
95%
Page 3
E
0
5. TRAFFIC VOLUMES
a. Describe existing ADT and peak -hour counts, including turning movements, on street adjacent to and
directly impacted by the project.
b. Describe the estimated ADT and peak- , hour counts, including turning movements, the year the project is
fully open (with and without project traffic).
c. Describe the estimated ADT and peak -hour counts, including turning movements, five years after the
project has been fully open (with and x�ithout project traffic).
d. State annual background traffic growth factor and source:
6. LEVEL OF SERVICE ANALYSIS
Summarize Level of Service Analysis below and attach supporting LOS analysis documentation. Provide
the following documentation for each arterial street or arterial intersection impacted by ten or more peak -
hour trips. Other City -planned developments must also be factored into the LOS calculations.
Existin I! LOS:
Existing Condition:
Year of Openinp, LOS:
With Project:
Without Project:
p2ai- A
Five Years After Opening LOS:
With Project:
Without Project:
Note any assumptions/variations to standard analysis default values and Justifications:
7. MITIGATION RECOMMENDATIONS
State recommended measures and fees required to mitigate project specific traffic impacts. Traffic impact
fee shall be calculated from the Edmonds Road Impact Fee Rate Study Table 4 (attached) and as identified
in ECDC 18.82.120, except as otherwise provided for independent fee calculations in ECDC 18.82.130.
-7&JANT)
MF--W -20 ITZ-
SAENGR\DwcH\City Projects\TIA Guidc1incs\TrafimpAna1yWork 9-04.&c Nee 5
Cll:,'� OF EDMONDS
PUB . UC WORKS DEPARTMENT Our FILE
��'IGHT - OF - WAY CONSTRUCTION P%NMEET
A. *Address or vicinity of Construction
2 Z, 400 7r.
e Owner: Diashington Alatural IL,as o
Name
305 5156 AV j9E
Mailing Address
Bellevue, Washincton 98007
City, State, Zip Code
e Contractor: Same As Above
Name
Mailing Address
Prmit No. ��? -*, , -.; ?) �/
Issue Date
0 Permit Issued To:
V_
Type of Work to be Done:
ReDair a leaic
e Work in Connection With:
D Sub or Plat 9-5�ngle Family
El Comml. / Ind. D Apt. Condo.
9 Pavement Cut: El Yes El No
State License Number
Z b
< City, State, Zip Code Telephone Num er
U
04 NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
B. APPLICANT TO READ AND SIGN
INDEMITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless
from any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made
against the City of Edmonds, or any of it's departments or employees, including or not limited to the defense of any legal
proceedings including defense, costs, court costs, and attorney fees by reason of granting this permit.
0
U
W Upon issuance of this permit, the contractor is responsible for workmanship and,,materials for a period of one year
following the final inspection and acceptance of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call
775-2525, extension 220.
I understand that this permit must ksvailable at thhge�ob sitiz-fpr inspection purposes at all times.
I N__
Signature: r77;*,,. Date —
Owner or Wrer�t f
THIS PERMIT MUST BE PdSTED AT THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By:
Time Authorized: Vold after —days
Special Conditions:
Ammendments:
0
Permit Fee: 4/, � o. n n
Security Deposit:
Receipt No.:
Fund I I I Fee:
Street Cut Dimensions
X
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. December 1978
FIELD'INSPECTTON 4W-s (Fund. 111 - Roe conv to Streetfj-�Iot
r^rnm�" +- c -
e
Diagram:
Contractor called for inspection_ Yes No
Work DisaPproved By: Date: Bv: Date:
Work Approved By: Date:
Inspector:
Encr. Div. December 197P
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ftzo,,, *
tTREET FILE
,5-0 Al- 0 7,;z 0 0
�(3 D 6 7&
4&
7- -
x
-11S
�w —2-
7-ELEVEN FOOD STORES DISTRICT 2331
10415 BEARDSLEE BLVD. BOTHELL, WASHINGTON 98011 PHONE (206) 485-9571
May 14, 1981
Attn: Billing Deptartment
To Whom It May Concern:
RECEIVED
"LIN 2-198T
C)jf 01 PAlic, Works
Effective June 15, 1981, the North Seattle Office will have
a new mailing address.- Please change your records to read:
Soutbl * and Corporation
Suite C-300
909 South Broadway
Everett3, Wa. 98204
Your cooperation will be greatly appreciated.
Sincerely,
Pat Batdorf
District Accounting Manager
PB: cr
DIVISION OF
THE SOUTHLAND
CORPORATION
STREET FILE
Chester L. Lindsey, Architect
Sixth and Lenora Building
Seattle, Washington
Attention: Mr. -Lou Estes
Gentlemen:
November 3. 1967
The enclosed sketch indicates corrections to the storm sewer
system in order to meet City standards for the 7-11 Store at 24300 - 76th
Avenue West.
Yours very truly,,
CITY OF EDMONDS
RON WHALEY
Assistant City Engineer
RW/rf
Enclosure
'R
v MEET FILE
Chester L. Lindsey, Architect
Sixth and Lenora Building
Seattle,, Washington
Attention: Mr, Lou Estes
Gentlemen:
November 3, 1967
The enclosed sketch indicates corrections to the storm sewer
system in order to meet City standards for the 7-11 Store at 24300 - 76th
Avenue West.
Yours very truly,
CITY OF EDMONDS
RON WhALEY
Assistant City Engineer
RW/rf
Enclosure
'Xi .-=Z- - - . - nin
Act,
0 0.
let
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Web Aw
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OV EnAl
City of Edmonds
Traffic Impact Analysis Worksheet
,Name of Propo sed Project: 00
Owner/Applicant Applicant Contact Person:
RaelkO_..
Name / Name
2 Str eUmailing Address W Street/Mailing Address
woo
, JJ93)1�
C(ty State Zip city State Zip
-"Z 3 Telephone:
Telephone:
Traffic Engineer who prepared the Traffic Impact Analysis (if applicable):
Firm Name Contact Name
Telephone: E-mail:
THRESHOLD LEVELS OF ANALYSIS
Pr2ject Traffic Levels
Sections to Complete
1. Less than 25 peak -hour trips generated
-31 and 7 only (Worksheet/Checklist)
11. More than 25 peak -hour trips generated
All sections
1. PROJECT DESCRIPTION
-M
1; . 6- W 4 C/
a. Location - Street address: NO ?6 Z� M 01
1 &64 gc?oAg (Attach a vicinity map and site plan.)
b. Specify existing land use: 12C�TlajL STuoio
/7 Z
: c Specify proposed type and size of development: '&L0.51
(# of residential units ankor squarre f ptyge q
,q,, f building)
Revised on 6124110 E82 - Traffic Impact Analysi) Worksheet APR 03 0 2013 Page I of 5
-g- �j(;Es CIR.
b-ty of FDNIONDS
d. Date construction will begin and be completed: A -el k9
e. Define proposed access locations: t-,_YtS'T/t--�G Acc-ESs -ro rZEM11W
f. Define proposed sight distance at site egress locations: N6
2. TRIP GENERATION
Source shall be the Eighth Edition of the Institute of Transportation Engineers (ITE) Trip Generation
manual. For independent fee calculations, the current edition of the ITE manual may be used.
ADT = Average Daily Traffic
PM Peak -hour trips (AM, noon or school peak may also apply as directed by the Chy Engineer)
a. Existing Site Trip Generation Table:
Land Use
Daily (ADT)
PM Peak -Hour Trips
IN
OUT
b. Proposed Project Trip Generation Table:
Land Use Daily (ADT)
PM Peak -Hour Trips
IN
OUT
c. Net New Project Trip Generation Table:
Land Use
Daily (ADT)
PM Peak -Hour
Trips
IN
OUT
d. State assumptions and methodology for internal, link -diverted or passby trips:
Revised on 6124110 E82 - Traffic Impact Analysis Worksheet Page 2 of 5
7. TIGATION RECOMMENDATIONS
—.--A f�.. — ;—A + + ;f" + ff, ff-I
4. W 5 � F' — aF�v v '" v Fa� a- lu �
impact fee shall be calculated from the Edmonds Road Impact Fee Rate Study Table 4 (attached)
and as identified in- ECDC 18.82.120, except as otherwise provided for independent fee calculations
in ECDC 18.82.130.
CHANGE IN USE
Fee for prior use shall be based on fee established at the time the prior use was permitted. If the
previous use was permitted prior to the adoption of Ordinance 3516 (effective date: 09/12/04),
the 2004 ECDC 18.82.120 impact fee shall be used.
Units in
ITE Land Use Category I Per Unit square feet,
I Fee Rate I # of dwellina
New Use $ X
Prior Use X
r1tv" 5-1
FNew Use Fee: $ Frior Use Fee: $
11 NEW DEVELOPMENT
vfp, etc.
2,4,00
21tv 0
Units in
ITE Land Use Category Per Unit square feet,
Fee Rate of dwelling,
vfp, etc.
New Use $ X
0 OTHER
MITIGATION FEE RECOMMENDATION:
S
INDEPENDENT FEE CALCULATION: $200.00 (+ consultant fee)
$
TOTAL TRAFFIC IMPACT FEE
$
City of Edmonds, Engineering Division Approval
No impact fees will be due, nor will a credit be given, for an impact fee calculation resulting in a net negative.
Revised on 6124110 E82 - Traffic ImpaclAnalysis Worksheet Page 5 of 5
PARKING SPACES REO'D:, ---. I a
PARKING SPACES PROPOSED-. JX
BARRIER FREE PA PKING SPACES:
5T. Mccp 6TOW.
IN NOCIP RAMP
-oil
:P PARONG SIGN
x c.
c
C(—.
c
add God,
APPROVED BY ENGINEERING
rp, m" w Pool, Date:
Coma
%?%IU AM ZU-4 I � I
Front 014-
Sides.
I gx ST. CURIP "Rear f
WdST. ASPWALT PAWING
Other
hAic-le; _/ 1, .
EXIST. Skj-1eigbt 21
MAGaW WALL.
4. wj*c*m& ravlp&
No c.1% propcea 4-c
>
PLANNING
AMR '2) 0 2013
DEVEL04iENT SERviUES CTIA.
c I OFEDMONDS
STR ET FILE
wv% e-olor
=3 '
JL j
EXIf T PARKIM "TMM
2-3 0'
;:3
6TOft
Nw Ullm. 6TOPS
---- ----------- F�J --- _zFft�_�__ - ----------
QCW_ 610EWALK
EXIST. _CA4010'r
6XIST. PARWKI��4 GTRIFES
5�.'O
2W-0'
NEW "EL OTC"
EXIST, 5WILDING
SEMI. 0AW CUT
NOW 3'-'
SX18T. 04AWNIC
7 7'9 'GATE6 w/ GLATS
ON "TE
EDd6T. C44AINLW 4" *8TP1PWP)dbT AOF44AL
1 AS - M
PENC43 9 L
X 6T=
087. WALL 4
W4H BANK
8022'521
............
r
SITE PLAN
SCA-Es P - 20'-0* NORTH J.
Q ( I /- I � ZLVV�j 10. -314
n"r,iNkkNUN KNUWLLb J;Qf-iE 01
RECE11TIEL)
#P20
C I
HY of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425-771.0221
The Critical Areas Checklistcontained on dtk form is to
be filled out by any Pem" preparing a Development
Permit Application fbf the City of Edmonds prior to
his/her submittal ofthe application to the City.
71le purpose of the Checklist is to enable City staff to
determine whether 2nY Potential Critical Areas are, or
may be. Present On the subject property. The information
needed to complete the Checklist should be easily
available fiom observations Of the Site of data available at
City Hall (Critical areas inventories, maps, or soil
surveys).
JUL 9 5 2005
Oate Received: 711 -S
City Receipt 9:
IiZ ILI
Critical Areas File
Critical Areas Checklist Fee:-
-Date Mailed to Applicant.
A property owner, or hiVI= authorind mprcseritativc,
must fill OOA the chmkliA sign and date it, and submit il.
to the City. The CitY will review the checklist make &
Precursory site visit, and make a determination of thc
Subsequent steps necessary to complete a development
permit application,
Please submit a vicinity map, along with the signed copy
of this f'mm to assist City Staff in finding and locating the
sPecifIc Piece Of PrOP=V described on this fixm. it,
addition, the applicant shall include other Knivent
iniormatiOR (e-8- site Plan, topography map, etc.) or
studies in conjunction with this Checklist to assistant stafr
in completing their preliminary assessment of the site.
Ilm urldersigned applicant, and IiM=rlts heiM and assigns, in consideration on the processing of the application
to release' indemnify' defend and hold the City of MmOnds harmless from any And all damages, including rcason*le
MOr"Y's tees. arising fiom any action or infrajAeftbued in whole Or Pan upon &be, misleading, inaccurate or
incomplete information furnished by the applicanf, his&eVits agents or employees.
BY MY sig"ture, I certify that the in
know ledge and that I am authorized to
herewith submined are true and correct to dw best of gly
the behalf of the owner as listed below.
SIGNATUM OF APPLI-CANVAGENT DATE —7 - 0-F
Property Owner's Autherbatien V -LW �
By my signaturc, I certifY d1st I have wxhorized the above ApplicmittAgent to apply f
or the subjoct land use applw i
,a on�
and grant my permission for the public officials and the staff Of the City of Edmonds to enter the S*Cct property for the
purposes Of inspection "&�_ ng attendant to this application.
SIGNATURE OF OWNER �2, DA7E N
Owner/Applicane
iry
.3uuc
I�Iv
Telephone:
Emai( addtess (optional):
Applicant Representative:
ilame
(12
Street Addmss
2, 0
city State Zip
TcicPhowA&r,:wg.!!;r;ft ,
Einail Address (optional):
*tuoo 0(0.-(t
Site Information (soils/
1. Site Address/ Location:
2.
3.
4.
5.
4P20
Critical Areas Checklist
Property Tax Account Number:
togy/ vegetation)
Approximate Site Size (acres or square feet): /-J ( r
AQ 3
Is this site currently developed? Xyes; no.
If yes; how is site developed?
Describe the general site topography. Check all that apply.
Flat. less than 5-feet elevation change over entire site.
,r%e-'
CA File No: Ou -iD9
Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal
distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% (a vertical rise of 10-feet
over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal
distance of less than 33-feet).'
Other (please describe):
6. Site contains areas of year-round standing water: Approx. Depth:
7. Site contains areas of seasonal standing water: ;Approx. Depth:
What season(s) of the year? .
8. Site is in the floodway floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
Flows are seasonal? (What time of year?
10. Site is primarily: forested meadow ;shrubs mixed
urban landscaped (lawn, shrubs etc)
11. Obvious wetland is present on site:
-------
For City Staff Use Only
1.
Plan Check Number, i f applicable?
2.
SiteisZoned?.
3.
SCS mapped soil type(s)? (-W-90J - Oc 6o,, I ov,_& coM
—RC-4
P (W- (2
4.
Critical Areas inventory or C.A. map indicates Critical Area on site?
5.
Site within designated e arth subsidence. landslide hazard area?
DETERMINATION
TUDY REQUIRED WAIVER
Reviewed by._::� Date: joi
0
Critical Areas Check[ istdoc/3.2 5.2004
CITY OF EDMONDS
BUILDING DEPARTMEW
WORK
4�r_
1ADDRESS 2�VaLo -76 d
.iX A/
C"MER—
L�, Y 1,)
,-%r-)G.OFRCIAL r
PERMIT
1211
RESERVED
BLUE 5ACK-
GROUND" W/
WHITE StMBOI-
4 LETTERING
III WHITE::
LETTERS W1
5Tr->. WORD ING
PER HANDICAP
CODE REQ'MT5
A.
211 DIA.,STL POST
CENTERED ON
HDC ALL
0
NTS
LINE OF BLDG.
CCNC- SIDEWALi< NEU'ASPH- RAMR
NTS,
UM Editkm MC w1WAC Anwr4mnts
m2o% mion rBc 4wm Anwamws
E2006 Edition UPC� w/WAC Anxmdnients
and Appendices A, & Q 1
&2006 Edition IMC! w?%�k AnwAntents
02006 Fidition IFOC w/WAC Anmdmeats
13200-6 Edition IK wfWAC Arnoxhnents
182006 Edition VIAQ WAC 51-13
M2006 Edition WSEC WAC 5 1-11
,T- ASPHALT
X
N 5a 2rol III, W
F. .. . ..
all be
C4 "Nothing in this permit approval process sh
interpreted as allowing or permitting the
maintenance of any currently existing illegal,
21-011 -------- nonconforMingor unteFmitted building, structure
Q of the
or site conditionwhie, is outside the scope EXIST. cUF;ZB CUT
-1 of whether such
EXIST. ASPHALT PARI<ING termit application, regard,�ss n the
uilding structure or condition is shown o
siteTl;; or drawing. Such building, structure or
con ition may be the subject Of EGParate
enforcement action."
EXIST- SIGN
NEW MASONRY WALL
-0
+24" LAt FtA
/r-T f �-
1) Any request for alternate design, modification,
variance or other administrative deviation
(hereinafter "variance") from adopted codes,
ordinances or * policies must be specifically
requested in writing and be called out and
identified. Processing fees for such request shall be
established by Council and shall be paid upon
submittal and are non-refundable.
2) Approval of any plat or plan containing
provisions which do not comply with city code and
for which a variance has not been specifically
identified, requested and considered by the
appropriate city official in accordance with the
nate provision of city code or state law does
approp
not approve any items not to code specification.
PARKIING SPACES REQ'D-._
PARKINGQP., �OPS PROPOSED:
It BARRIFF- `�R-1111NG
OG,CUFANT LOALD
MERCANTILE = 2264 5F = -jr:;, OCCUPANTS
oFFICE = 13ro SF = 2 OCCUPANTS
�W I T74-L6
t�,FA
obtain Electrical Permit from
State Labor & In
dustries
I
Ap-
D
�ALTMgNT,
FEPAK
I �Iyl r"
E'no
cowmuan�N -PIPE A/7;�,
OCCUPANKCY ROUP
OCCUPANT 1.0AD
I - -- — - . - - I
PARKING SPACES �REQ'D
PARKING SPACES �PROPI OSED
BMRIER FREE PAM= SPACES
W,
WO
-n f
fig
APPROVED BY PI.A UNG
o
THE SOUTH 115 FET OF THE NORTH 3a4 FEET OF THE EAST 150 FEET OF TRAC-< 10 or- MCALEER
FIVE ACRE TRACTS ' ACCORDIMG TO THE PLAT RECORDED IN VOLUME El OF f LAT5, PAGE 4a,
SNOHOMISH COUNTY, WA514INGTONi
EXCEPT THE, EAST 40 FEET THEREOF FOR ROAD,
TOGETHER WITH-. .
THAT PORTION OF THE WEST 2 FEET OF: THE EAST 152 FEET OF THE SOUTH 115 FEET OF THE
NORTH 364 FEET OF TRACT 10 OF THE McALEER FIVE ACRE TRACTS Acr-ORING TO THE FLAT
REcoRDEC) IN VOLUME 5 OF pLAT5, PAGE 4a, SNOHOMISH, COUNTY, WASHINGTON, LYING
-SOLITH Of= THAT CERTAIN EASEMENT DESCRIBED IN INSTRUMENTRECORDEID ON OCTOBER 1%
I-aroro UNZ)ER RECORDING NO, I'3055'BcJ,
APPROVED By ENGINEERING
51TUATE IN THE COUNTY oF SNOHOMISH, STATE OF WASHINGTON
EXC-Er- I FOR I HAT PORTION OF SAID TRACT lo, DF-.5cRI5EjD AS FOLLOWS --
THE SOUTH 29,9, FEET OF SAID TRACT 10, F- Date:
LE56 THE WEST 210 FEET THEREOF AN LESS THE EAST 40 FEET THEREO
TOGETHER WITH EASEMENT FOR INC-ARESS/EGRE58 PER REC. sjso5ase SLOPE EASEMENT TO
CITY OF EDMOND5 REC, #15(oo"133, (I&TH AVE WJ
coNTAINING'12,45i SOUAfRE FEET
REVISED PLAN APPRO'VED
CITY OF EDMONDS BUILDING DIVISION
o TAXNUt*-1f5EF, 0 NIS EXAMINER
004,311-000-000-10
DATE (92)
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