529 3RD AVE N.PDF111111111111
4896
529 3RD AVE N
ADDRESS:
TAX ACCOUNT/PARCEL
BUILDING PERMIT (NEW STRUCTURE): I
COVENANTS (RECORDED)
CRITICAL AREAS:— DETERMINATION: Ej Conditional Waiver E] Study Require�XWaiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE
LID 9:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED: —
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED: 6
L\TEMP\DSTs\Fonns\S6eet File Checklist.doc
0 PLANNING DATA
0
ST
REET=FILJ��J,'
Name: F-rany- v-a4;htAv
Date: 01. 0(p - 1,00(p
SiteAddress: t3lq -aprd AV-C, lq-
PlanCheck#: c)s5,(Voo
Project Description: ;Loof 6i4e.C.,la. _+_ 4;b;tCL,�V;6 J &X
-b , 0 W_e4* 01 _e r_ I"
Reduced Site Plan Provided: (e NO)
Tzoning: p-!5 (0
Map Page: I-jF -2-
Corner Lot: (YES /0
Flag Lot: (YES
Critical Areas Determination #: cl al 4 .10 6
Study Required
Waiver
SEPA Determination:
0 Needed (for 500 cubic yards of grading or site within 200 feet of Puget Sound or Lake Ballinger).
Fee
El Checklist
APO List with notarized form
Exempt 0 C-Arc4cVv1&3 PKvPbA_1eAo-
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Street-
Side: Side.(,,,).
Rear:
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Street:
Side:
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Rear: W 457i
Detached Structures- ShO"
0 Rockeries: .50-a plaku.
11 Fences/Trellises:
D Bay Windows/Projecting Modulation:
CQ7rs/Deck:_)
Parking Required: 1,
Parking Provid ed: t41D CjjAWGIe
Lot Area: 6. I't a c. 6YA 0
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LotCoverage: t4t)
44
Lot Coverage Calculations:
ldifh Hei
ght
Datum Point:
Datum Elevation:
Maximum Height:
Actual Height: -2, IF
ADU Created: (YES
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES /��O
Other-, -
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APPROVED BY PLANNING
DEC 2 12005
BUILDING DEPARTMENT
CITY OF EDMONDS
STREET FILE
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BUILDING DEPT.
STREET FILE
STREET FILE
APPLICATION
for
The City of Edmonds SIDE SEWER PERNaT EASEMENT No . ..........................................
NEW CONSTRUCTION 0 REPAIRS E]
113-05200
OWNER.......... Mary. ... Djulce ---------------------------------------------------------------------------- CONTRACTOR --------------------------------- ------------------------------------------------- .............. PERMIT No - ----------------------
529 3rd Ave. N.
ADDRESS............................. ---------------------------------------------------------------------------- LEGAL DESCRIPTION: LOT No . .............................................. BL4DCK No . ............................................
NAMEOF ADDITION ............................................ --------------------------------------------------------------------------------------------
T �7
((�� - 1-1
DYE TESTED SEWER RUNS INTO M/H
'BR4"'jr-,) 42-�,-2,f-a by -4-&�./
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ..... ................................................................
00
WIONO. 94 - / 0 �)— ` -
Critical Areas Checklist
Site Infor mition- (soils/topography/hydrology/vegetation)
1. Site Address/Location: -!jWqf 3��o 1-7W-, 6ZX 119o2o
2. Property Tax Account Number: ;N2 - 703 - X - OqT- 0:109
3. Approximate S ite Size (acres or square feet): �/a /-1
4. Is this site currently developed? -,)-( yes; — no.
Z7 /
If yes; how is site developed? 4,<T420 Mawo-
5. Describe the general site topography. Check all that apply.
X Flat: less than 5-feet elevation change over entire site.
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 tha n 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: A)0 -; Approx. Depth:
7. Site contains areas of seasonal standing water: NO 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? Alt
Flows are seasonal?, (What time of year?
10. Site is primarily: forested meadow _; shrubs mixed
urban landscaped (lawn,shrubs etc) X
11. Obvious wetland is present on site: A)O -
RievOl/0094
00
M Al �25 ISS4
&90 .199 -
City of Edmon&
Critical Areas Checklist
The Critical Areas Checklist contained on and submit it to the City. The City will -
this form is to be filled out by any person review the checklist, make 'a precursory site
preparing a Development Permit visit, and make a determination of the
Application for the City of Edmondsprior subsequent steps necessary to complete a
to his/her submittal of a development development permit application.
permit to the City.
The purpose of the Checklist is to enable
City staff to determine whether any
potential. Critical Areas are or may be
present on the subject property. The
information needed to complete the
Checklist should be easily available from
observations of the site or data available at
City Hall (Critical Areas inventories, maps,
or soil surveys).
An applicant, or.his/her representative,
must fill out the checklist, sign and date it,
With a signed copy of this form, the
applicant should also submit a vicinity map
or plot plan for individual'lots of the parcel
with enough detail that City staff can find
and identify the subject parcel(s). In
addition, the applicant shall include
other pertinent information (e.g. site
plan, topography map, etc.) or studies in
conjunction with this Cheddist to assist
staff in completing their'preliminary
assessment of the site.
I have completed the attached Critical Area Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriate column below).
Owner /. Applicant:
Name
Street Address
City, State, ZIP Phone
Signature
Date
Applicant Representative:
. JWD
Name
e012- ;Z N
Street Address
72q
0-02 G - 30
City, State, ZIP Phone
Signature Date
The City of Edmonds Water Service Elrawing EASEMENT . NO . .... ..................................
NEW CONSTRUCTION REPAIRS 0 LIP; NO . .................. . ASMT. NO . ..................
. ..... .... PERMIT tio. 4xoo.3271
OWNER .... ... CONTRACTOR ........................................................................ .
.... . ....... ..........................................
43 7-01 h44, VA LEGAL DESCRIPTION: LOT..NO . ..................................... BLOCK NO . ...................................
JOBADDRESS - ........................................................................ ..
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NAMEOF ADDITION ............................................................ .................................. ........ ..............
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DATEA-I�a-.-0.0 ................. By --- M ................................................
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CITY OF EDMONDS
250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works 9 Planning e Parks and Recreation * Engineering
October 13, 1992
Mary Duke
529 - 3rd Ave. N.
Edmonds, WA 98020
Dear Resident:
LAURA M. HALL
MAYOR
You we ' re notified by the City of Edmonds earlier this year that your
sidewalk area is in need of maintenance.
The City of Edmonds has an ordinance that requires abutting property
owners to maintain the right-of-way butting your property. The
maintenance may require trimming trees, shrubs, or cleaning sidewalk
areas.
Upon a recent inspection, the maintenance of your right-of-way has not
been done. If you cannot find your area needing attention, please feel
free to give me a call at 771-0235, extension 348.
I thank you in advance for your attention to this matter.
Sjincerely,
Bill Stroud
Street Supervisor
Enclosure
BS/1 k
SI/LETTE/TXTSTREE
STREET FILE"'
Incorporated August 11, 1890 0
.L.
BECEIVFLU
3 1984
ENGINEERING
Ma*Sollars Duke
529 Third Ave. No.
Edmonds, Wa. 98020
Au.sust 3, 1984
Mr. Jim Adams
Edmonds City Engineer ATT: Mayor Naughten
Edmonds, Wa.. 98020
Dear Mr. Adams,,
Due to years:and y ears of many, many, accidents on Third Ave.. No.
which have created constant danger, financial loss, and in some cases
increas;ed insurance rates., and due to there being no -Stop signs.on
Third Ave. No. from Casperls-Corner to Main St., so that there is no
safe pedestrian crossing,, we are re-peating our request for the following:
Sp,eed limit reduction from 30 M.P.H. to 25 M.P.H. on. Third Ave. No-..
A stop sign installed at i.nters,ection.. of Third Av e.. No . an d
Edmonds St. making this intersection. a Four way Stope.
. Four years ago on. primary election,night the residents of Third
Ave. No. and adjoinang Cul-de-sacs did address the City Council.. (Our
testimony was last on- the agenda,, and Council member- Tom, Carns had left
early).
We werte PROMISED that posative action would.be taken as,per our
r-equests. There is no valid reason for us to continue living with this
dangerous, costly,, situation any longer.
Therefore, beginning again with your position as City Engineer,
'we ask that the promises, of Four years ago be kept, and that immediate
action will be taken.
. Z-)/U
S rel
ince i y
Mary ollars Duke
TS
W-CEIVED Mary lars Duke
529 Ard Ave. No.
1AUG 13 1984 Edmionds, Wa. 98020
August 72 1984
Dear Mr. Adams and MaVWEUW§hten,
As of this date, I have had it. Letter,I wrote to Mr. Adams as,
per reduced speed limit and Stop sign is intact, but does� not bear
signatures of total residents.
I cannot spare. the tim.e to run up and down the street to; get the
signatures.of all. Four years ago all.were at the City Council meeting
to complain., and som.e were irate, like the neighbor that had a vehicle
that had jui#ped the curb, and ended up in his living room, meanwhile
destroying the parked vehicle in front of his home.
Today, I recieved notice that our FULL COVERAGE, insurance through
Ohio Casualty is cancelled as of Sept.. 23.. Due to last claim, which
did not end up being a claim.because after I found out that the woman
that hit my truck was uninsured, I went Attorney, and the husband gave
me a cashierls�check for damages., made out ot Edmonds Auto rebuild and
Mary Duke. Sdi there was no claim. But'Insurance agent got letter
stating that they cancelled due to number of accidents, HIT AND RUN,ETC.
I HAVE NEVER HAD AN ACCIDENT, I HAVE NEVER GOTTEN A TICKET. I AM
53 years old.. been driving for over 30 years. Athe accidents were not
of my doing. Do I have to sue the City? Have been told that a first
class -Law suit could become a reality. This is,my town,, I'm an old
timer, I loveethis town,, Why in the bejabbers is it not possible for
RESIDENTS to be protected?17 Law enforcement is denied us, I told you
before that all the ordinances.are not worth the paper they are written
on, due to NO Law enforcement. Our Street is DANGEROUS. This has been
going on- for years and years. Time to halt it. My neighbor across the
street just got increas,ed insurance rates, same deal. We are the victims
and by all that is holy, SOMETHING HAD BETTER BE DONE, OR I WILL SHOW
UP AT A COUNCIL MEETING, AND LET LOOSE* IN FRONT OF EVERYONE.
I have problems with a husband that had Cancer surgery,. the roof
leaks., and no money for a new roof. IRS just sent notice that I erred
in. figuring out disability claim for husband so we owe them V16.00, and
I don't have that either, now the vehicle insurance is cancelled. So
I am. in. a very dangerous state of mind. I cannot take anymore, So
something had better be done, to HELL with the State Highway department.
I live in.Edmonds, and have for most of my life, I'm not asking
for anything impossible.. Neither are my neighbors. I do not have the
monies to sue anyone.. I do not beliAevein, suing people anyway. So
time to do the right thingg: and RIGHT NOW.
r - , " -- 0
CITY OF EDMONDS LARRY S. NALIGHTEN
MAYOR
250 - 51h AVE. N. - EDMONDS, WASHINGTON 98020 - (206) 771-3202
OFFICE OF THE CITY ENGINEER
August 21, 1984
Kern Jacobson
Traffic Engineer
Washington State Department
of Transportation
District No. 1
6431 Corson Ave. S.
Seattle, WA. 98108
Dear Kern:
Attached is a copy of a letter from Mrs. Duke of 529 Third
Avenue N., Edmonds, and my reply.
We have had numerous requests to reduce the speed limit on
Third Avenue, from Casper.Street south, from 30 miles per hour to
25 miles per.hour. Would you please review the speed limit on
this section of SR 524 and consider reducing the speed limit.
Please give either Dale Schroeder or me a ca.11 at 771-3202 if
you have any -questions or suggestions.
Sincerely,
JA S E. ADAMS, P.E.
MS
C*Engineer
JEA/st
Attachments (2)
4
CITY OF EDMONDS
250 - 5th AVE. N. - EDMONDS, WASHINGTON 98020 - (206) 771-3202
OFFICE OF THE CITY ENGINEER
August 21, 1984
Mary Sollars Duke
529 Third Ave. N.
Edmonds, WA. 98020
Dear Mrs. Duke:
LARRY S. NALIGHTEN
MAYOR
I received your letter dated August 7, 1984 with the
attached petition. Police Chief Prinz stated that the Police
Department will continue to enforce the established speed limit.,
and I will assure that the traffic signs are maintained.
When the paving was completed on State Route 524 (Casper,
9th Ave. and Puget Drive), we requested the State Department of
Transportation (W.S.D.O.T.) to reduce the speed li_m:!�t� on the high-
way through the City. We also asked them.- ma e a study to
determine what traffic control devices, stop signs, traffic
signals, etc. were required. They determined that the speed limit
on Third Avenue, north of Edmonds, could be reduced from 35 miles
per hour to 30 miles per hour. The City adopted this change, and
the new speed limit was posted. W.S.D..O.T. determined that no
additional stop signs or signals were required on Third Avenue.
I have again asked that W.S.D.O.T. consider reducing the
sp ' eed limit on Third Avenue to 25 miles.per hour. I hope to hear
from them soon regarding this request. Since this is a state
highway, the City does not have jurisdiction over the speed limit
or stop signs. Washington State Department'of Transportation
retains this authority. We are required to place the authorized
signs'and enforce the speed limit.
I am forwarding.a copy of your letter and the petition to the
Department of Transportation Traffic Engineer.
I If you have any further questions, please call Dale Schroeder,
our Traffic Engineer, or me at 771-3202.
JEA/st
cc: Dan Prinz, Police Chief
Sincerely,
C4J S E. ADAMS, P.E.
S'.
1 vyEngineer
Im
0 0
13
8 9
CITY OF EDMONDS
2 50 - 5(h AVE N. * EDMONDS, WA 98020 - (206) 7 71-3 202
COMMUNITY SERVICES:
Public Works 9 Planning e Parks and Recreation * Engineering
October 7, 1988
LARRY S. NAUGHTEN
MAYOR
PETER E. HAHN
DIRECTOR
Mary Duke
529 - 3rd Ave. N.
Edmonds, WA 98020
Dear Resident:
On October 6, 1988 a door hanger was put on your door regarding a
possible water leak in your water system.
Our most recent reading of your water meter indicates unusually high
consumption and/or current water leak in your system. Please check for
leaking faucets, toilets, pipes etc., as no billing credit is allowed
an these items.
If you have any questions regarding this, please call Utility Billing
at 771-3051 or Water Maintenance, 771-3202, extension 317 or 318.
Sincerely,
Archie Brena
Water/Sewer Supervisor
AB/lk
STREET
FOLLOWUP/TXTWATER(ricorporoted August 11, 1890
Sister Cities International — Hekinan, Japan
STREET FILE
0
RECEIVED
DEC 3 1984
.ENGINEERIRG
November 30, 1984
IN, L- - - , ,, -- �.
AUG 2,�, 198S
'Wft�'VVE D
PUBLIC WORKS
MEMO TO: Jim Adams RECCZ IVED
City Engineer
FROM: Bobby Mills AUG 01 1985
Acting Supt. of Public Works COMMUNITY SERVICES DIR.
SUBJECT: EASEMENT TO;,529 THIRD AVE. NORTH
As you can see from the attached sewer stoppage report and
memo for record, we have had many problems with this sewer
line.
It is requested that you obtain proper easements so that we
can place a clean out at,the property line of 529 Third Avenue
North. If you have any questions, please contact Archie.
BRM: rm
Attachments
/�Wo'j (�e- C) Q's,
t
I VJ-rl-
CITY OF EDMONDS
250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-3202
kw7 COMMUNITY SERVICES:
(Z� Public Works e Planning * Parks and Recreation Engineering
November 13, 1990
Ms. Mary Duke
529 - 3rd Avenue North
Edmonds, WA 908020
Dear Ms. Duke:
LARRY S. NALIGHTEN
MAYOR
PETER E. HAHN
DIRECTOR
It has been determined that the city's responsibility for the sewer
main that services your property legally ends 100' north from the S.W.
corner of 427 - 3rd Avenue North. We have installed a clean -out in the
S.W. corner of 431 - 3rd Avenue North property.
If there are any future plugs in this area, please contact us so a
determination can be made whether the plug is on city main side or on
private property. The city crews will maintain the line every six
month with a root cutter up to this clean -out to keep it clear.
Attached is a copy of the easement recorded at the time of
installation. Should you have any questions, please contact me at
771-3202, extension 317.
Sincerely,
Ron Holland
Water/Sewer Supervisor
RH/l k
cc: Bobby Mills
Peter Hahn
Enclosures
at&
Bobb,�/Mills Date
SEWMAIN/TXTSEWER
S T R E " - E T F "' U_7.'15
0 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
Cjl'y ('L.Ej- ' )j�
Civic cc-w,
Eft
U T I L I T Y E A S E M E N T
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IN CONSIDERATION of benefits to accrue to the grantors herein,
the undersigned, ALAN W. MORRIS and JOYCE A. MORRIS his wife
hereby grant to the CITY —OF E orporation, a
permanent easement for the installation, operation and maintenance
of Utilities over, across, through and below the following described
property, and the further right to remove trees, bushes, undergrowth
and other obstructions interfering with the location, construction
and maintenance of said utility or utilities, together with the
right of access to the easement at any time for the stated purposes.
The easement and right-of-way hereby granted is located in the
County of Snohomish, State of Washington, and is more particularly
described as follows:
A 10 ft. wide easement, when measured perpendicular to the easterly
boundary of the following described property, is conveyed to the
City of Edmonds for utilities.
Part of Government Lot 2, Section 24, Township 27 North, Range 3 East,
W.M., described as follows:
Commencing at a point on the Westerly line of Third Avenue, 854.90
feet North 29018'0011 East as measured along the said Westerly line
from the Northwesterly corner of Third Avenue and Edmonds Street
(said point being the Northeast corner of Sunset Addition to the
City of Edmonds as recorded in Volume 15 of Plats, page 41, records
of Snohomish County, Washington); thence North 89056'5011 West for
125.52 feet to the true point of beginning; thence continuing North
89056'50" West for 125.52 feet, more or less, to the Easterly margin
of Second Avenue; thence along said margin North 30048148" East for
188.00 feet; thence East 125.33 feet; thence South 300461001, for
187.87 feet to the true point of beginning; EXCEPT the North 80.00
feet thereof;
Situate in Snohomish County, Washington
The CITY agrees to restore to substantially the origina I condition
such improvements as are disturbed during the construction, maintenance
and repair of said utility or utilities; provided, the grantors, their
heirs or assigns shall not construct any permanent structures over,
upon or within the permanent easement.
DATED This day of Lj .-19—,)1--
STATE OF WASHINGTON)
COUNTY OF SNOHOMISH )ss
.
...... On this-day.norzonnally
JOYCE A. MORRIS,
appeared before me
his wife, to
ALAN W. MORRIS
descTi�bedin
me known to be the Tn—di-idual (s)
and who executed the within and foregoing instrument,
and
acknowledge�
that ALAN W, MORRIS signed the
same as JOYCE A. MORRIS
his
wife,
fre e
vol untary act and deed, for
the uses and puj;po's
therein mention
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To: Herb Gilbo
From: Joy Tomkins
January 4, 1973
Re: Attached -letter from Mary Duke, 529 3rd Ave. No.
I Account 113-05200
Contacted -Mrs. Duke by. -phone. -Told her we had received
her letter of complaint, dated -Jan `,2:,�,1973 and was
calling -her -to -see. -of what -service 11 could be to her.
I Kqt the feeling that she had written.in a moment---�of
anger and was a little -contrite. She told me that the
metr man had informed her that her consumption -was
high,,.'that maybe she had a leak. After checking they
founda broken -pipe in the yard andhad it fixed,. She,
of course received a high bill-, on.which she thought
Ve,jshould make an adjustment. Told-her.'that we.do
-ftif-O the problem was ours, that we must -pay for the
water I and our supplier doesn't give us an adjustment
either, so -we couldn't give our customers one unless
-above-condition existed. She said "We should tell people
we bought our water, they wouldn't get so mad."
As to -the $70-00 water bill-mentioned1n-the letter,
she�':.'said that the one month and two month billing added
up to that amount.-, I -pointed out to her that she had
been,��running a�billing behind., and now that she was'
caught up,.it wouldn't be thatmuch.. She said.she.had
received, ' 7 _rubber,checks."-from someone whi-ch had thrown
thei ri`banking off., and. had ha(t an awful- -time getting
it stralghted out.
No mention'was made as -*to office personn el and she
seemed-satizfted. She.-memtioned she'had'-�,been very
uprset due to the above checks-, pipe, etc. that they,
have six children.and she knows they' "flush" a.lot.
4T R E, ET E.
AD
-,_q RAI
104
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04—"l
November 30, 1984
MEMO TO: Jim Adams
City Engineer
FROM: Bobby Mills
Acting Supt. of Public Works
SUBJECT: EASEMENT TO 529 THIRD AVE. NOIRTH
As you can see from the attached sewer stoppage report and
memo for record, we have had many problems with this sewer
line.
It is requested that you obtain proper easements so that we
can place a clean out at the property line of 529 Third Avenue
North. If you have any questions, please contact Archie.
M&I95F4M"
Attachments
STREET FILE
C I T Y. 0 1, j, i) tip N 1) S
1-1
- SDVER DEPAIM11:1\47 -
STOPPAGE OF SANITARY SFIVER MIN REPORT
DATE:
CALL
Rr.cEIVFD:
VIV
LOCAT I ON OF STOPPAGE:
)j
TINT OF ARRIVAL ON THE JOB SITE: -7 * c, ?. v-n
TINE NORML FLOW OF SANITARY SLIVER REESTABLISHED:
CAUSE OF STOPPAGE:
-fo
ACTION REQUIRED 1-0 CIZkR MAIN XND/OR LAjj:jzAI,:'
IN
CITY CRBV ON STOPPAGE CALL our (Per-somiel Involve(l):
LOCATION OF RESIDENCE AFFECTED: z-)
ADDRESS, A.ND P11ONE NUNIBER OF PROPER'l'y oj�Nr-R:
DESCRIBE DANjq;E To pRIVATF PROPERTY:
PJ--.%L�RKS:
�.,j 0 r2_ K' 3co-3 - G99G
�T
MEMO FOR RECORD
MEMO TO: File
FROM: -Larry Ocile
December 15, 1980
SUBJECT: PLUGGED SE14ER - 509 3RD AVENUE NORTH - ALAN MORK, OWNER
On Sunday, December 14, 1980, at approximately 12:00 noon, I was notified
by Alan Mork of 509 3rd Avenue North, that his side sewer was backing up
into his shower drain.
At 12:15 p.m. , I arrived at Mr. Mork's residence to make a visual inspec-
tion of his stoppage. The toilet was full as well as the floor of the
shower stall. I then went and checked the manhole that serves the Mork
property approximately 150' to the south. There was a small amount of
flow in the manhole comina from the direction of the Mork property. I
then checked the neighbors property to the north and south and they were
experiencing no difficulty with their sewers.
I advised Mr. Mork to call Roto-Rooter to deroot his line. At 3:00 p.m.
the Roto-Rooter company arrived and beaa ' n to deroot the line from Mr. Mork's
clean out -inside his house. The company rodded approximately 150' and found
no obstruction that would cause the problem and left the Mork residence at
about 4:45 p.m. The Mork property,was still backing up, but the Morks had
not used any water. It is my opinion that the s 1)
to,pace then was past the
property to the south.- 431 3rd Avenue North. The City's responsibility
ends at the southeast corner of the 431 3rd Avenue North property (see
attached drawing). I then called two other employees, Jim Jensen and
John Koyles, to assist me with URit 40 and we rodded from a manhole on
Second Avenue North through that manhole approximately 40-45' and hit
a stoppage of toilet paper and sludge. That broke loose and Mork's
property drained immediately. The stoppage was on the City side. (See
attached drawing to indicate direction roaded by City and approximate
location of stoppage).
Normal flow to the line was re-established at 8:30 D.m. and I then checked
the Mork property to double c.heck that his sewer line was running at a
normal rate..
Mr. Mork asked about a reimbursement for his Roto-Rooter charge and I
advised Mr. Mork to go to the City Clerk's office and file a claim for
damages form for processing.
I left the Mork residence at 9:15 p.m. and returned to the shop.
LARRY D..OGLE
L DO: jky
Attachment
CITY -.-F EDMONDS
ti cw c[NITEP - [CvAo?,';q-Sl?lN'-l0N 98070 - (706) 7,7�4525
PURCHASE REQUEST INVENTORY REQUEST
am
V
t
N
D
Al,
0-
R
VENDOR No.
I
)ATE REQUIRED. SHIP VIA
')NFIRMATION
D'R
THIS NUMBER MUST APPEAR
ON ALL INVOICES,
PACKAGES, BILLS OF LADING'.t
'
WORK REQUEST
AND CORRESPONDENCE.' ':'-
--SHIP PREPAID TO
(OR SERVICE LOCATION)--------,
UMENT NO. RDER DATE
PLEASE FURNISH THE FOLLOWING ITEMS:
BATCH NUMBER
L
QUANTITY,
UNIT
CATALOG
NUMBER
DESCRIPTION
UNIT
COST
TOTAL COST
ESTIMATED ACTUAL
ew
Z:il -< x:
4�5 -oez-s(-2
SUBTOTAL
TAX
TOTAL AMOUNT
45-
REQUESTED BY:
A,PPROVED BY:
RECEIVED BY: I
1
COCE
c, ?3o
PROjECT AM 10 U N T
ESTIMATE ACTUAL
121
31
41
=6.
71
9
.1cl
TOTAL AMO LINT
Z?
7ECEIVE
DEC 16 1980
D E & 1980
CLAIY
Ulf. U, punlic works
FOR DAXAM;
ItY Clerk
NOTICE
Claim KIST be presented to the City Council and filed with the City Clerk within 120 dAys
7
from the date of Accident or Accrual of Dazage6.
Y
W THE CITY COUNCIL OF THE CITY OF EDiONDS:
J
P LEASE TAU NOTICE,
THAT
(if cutrried, g-ive huabamd's name)
WHO NOW PUSS1DES AT
C,
Ts—tate present actu&l address by street, =mber and city)
f
AN"D no FOR six moNns moR To DkTE OF AccinEvr &AS RESIDED AT
(Give reisidence by street,
==ber and city)
CLAMS DXKAGES OF AND YRCM THE CI7T OF E)MONDS IN THE SUM OF I
&rising out of the following circu=tancea:
De3cribe Claim, giving
DA7.—_- &=d T:M_r injury or
da. _age occurred, PLACE
and full particulsrgs.
Accurately locate and
describe defects caus-
ing injury or ela-a e
7_1 r
ard all acts of negli-
gence claized
7 >
6
dogs --:-!be
Accurately
A-
injuries or a
State items of dszage
claimed. Itemize all
7
exp*ZLSO6 &a losses.
(Claim vist be avorm to by Z
L
jBignature of Claimat) 1,
SU&SCRim AND SWORN TO
befory me this
day If
notary public in and for tbA State of
1kabington, rvsidizg at
0
c Y.
T
SSER �,,,N REPORT
TA
rARY
S,IOPPAGE (OF
0. Z.- 00
CALL RECEM
', W �
o p
40
DATE
PAGE: A
5� �
LOCAT1W OF S'TOp1
/V
THE JOB S,
,rj�IE of ARRIV.,l ON, SE)qER p
N"ORIMAL no�j OF SANITARY EESrA.BL1SHFD*. yMA Lj� AM 0I Air
21L,5�, . ....... .... ........ ......
L V �Lv)& All
C.,\USZ OF S-IOPPAGE.
A L),5
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:--! 0��2 r 40
, �OR jAYERAL
TJNN 4 N, �TDR 1.�RAL:
0 CLF-,\R
.kCTION EQu IRED
Op,PAGE (:ALL OUT (Personnel Involve .. ... .. . .. ...
cj,7� C?E,." ON, ST M j
J/
3 RD A%V- tvo
IIIIIII, All All
LOCNT 10\1 OF RESII)ENcE AFFECTED' "It L
AND RIONE OF PIR01)ERTY 01"NER
aDIDRESS ......... ....
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,6-oc?- .. .. . .. ...
ZL,6,l - qgozo -4
O/A 0 1,5 L--- ->
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,ro PpavATE nopo'v I- L- -
— �51 4 L
DESCRIBE I)AMAGE
2i,�d AD
71-1 VVIC-1-
AA
#L AMERICAN PLUMBING
BED & RATH BOUTIQUE
........... 6S9-2671 - 259-6737
1068'/2 STATE STREET - MARYSVILLE, WASHINGTON 98270
C u s t onn 0 r' s
order No.
onto
Name
Address
City
State z
SOLD BY
CASm
C. 0. 0.
CIIARGE
ON ACCT.
MOSE RETO.
PAID OUT
QUAN.
DESCRIPTION
PRICE
AMOUNT
L
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V
THANK YOU
Please 1�eap this cocry for reforence
TOTAL
All claims and returned go(2ds -MUST be accomoanied by this bill,
N2 002004,
80c*d
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