534 2ND AVE N.PDFIiiiii I iiiii
4810
534 2ND AVE N
ADDRESS:
TAX ACCOUNTIPARCEL NUMBER: �-2-7o,-3--214 onzoG2,no
BUILDING PERMIT (NEW STRUCTURE): �dooapll
COVENANTS (?,ECOR-DED)
,M34 0 d ; 05 a'w
DETERMINATION. 0 Conditional Waiver
CRITICAL AR.EAS:-0Z)67&0/,3 El Study Required XWaiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
/9'ID- -
Pd 0
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE
LID #:
SHORT PLAT FILE:
LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
119-0el.00
SIDE SEWER PERMIT(S).#:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED: V,
OTHER:
LATEMPOSTsTonns\Strect File Checklist.doc
01/23/07 11:34 FAX
7777777777
ty. 0
Planning Di,#sid.n
Phone: 425.771.0220
I I
Fax: 425.771.0221
The Critical Areas Checklist contained on this form is to
be filled out. by - aq person preparing a Development
Permit Application. for the City of Edmonds prior -to
his/her submittal of the application to the City.
Ile purpose of the Checklist is to enable City staff to.
determine whether tiny potential Critical Areas are, or
may be, present on the subject property. Ile 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 soid
surveys).
A property owners or. his/her authorized representative,
must ill out the checklist,. sign and date it� and submit ' it
to the City. The City will review the che ' eklist.make- a
precursory site visit, and make a determination. of the
subsequent . steps necessary to complete a. development
permit application.
Please submit a vicinity map, along with the signed copy
of this form to I assist City staff in finding and locating the
specific piece of property described on this form. In
addition, the applicant. shall include other pertinent
information (e.g. site plan, topography map, etc.) or
studies in conjunction with this Checklist to assistant staff
in completing their prelimmaryassessment of the site. ,
The undcrsign . ed applicant', and histher/its heirs,and assigns, in consideration.on the processing of the applicati ' on agrees
to release, . indemnify, defend and hold the City.of Edmonds harmless from any and all damages, including reasonable
infraction based in whole or part upon false, misleading, inaccurate.or
attorney's fees, arising, from any action or
idorihation-ftnished. by -the applicant, bisAierht�sagents or -employee's"."'
By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to n on the behalf of the owner as listed below.
.SI . GNATURE OF APPLICANVAGiNT
Property Owner's Authorization
'By m y signature, I certify that I have authorized the above ApplicanttAgent to apply for the subject land use application,
and grant my permission for the public offi. cials and the staff of the City of Edmonds to enterthe subject property for the
den I
this application.
purposes of inspection d sti a t to
0: DATE
SIGNATURE OF 0
e /A plicant:
r p
Nfdne
i
Street Address
C\,Fc�c
city. State Zip
Telephone: 42)1� —3 R& 22%P:?q
Email address (optional):
Applicant Representative: -
Name
Street Address
City — State Zip
Telephone:
Email Address (optional):
01/23/07 11:34 FAX
12
Q003
ko I i U Ud I - IAI VC2 0 . V". -
21
CA -File N0!A,,AG" &A'"J I
Site information (soils/ topograp . hy/hydtology/vegetation)
1. site Address/Location: 2.�A Am—e— h�.)'
2. property TjxAccount Number: SIO A
3. Approximate Site Size (acres or square feet)-
4. Is this site currently developed? yes; _ n.
0 ate a ce
if yes; how is site developed?
5. Describe the general site topography. Check all that apply.
Flat less -fim 5-feet elevation change over entire site.
RoUing- 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 Wfeet).-
Steep: grades of greater than 30% present on site, (a vertical rise of 10-feet over a horizonta . I
distance of less than 33-feet).
-Other (please describe):
6. Site contains areas of year-round. standing water: 6,30 Approx. Depth:
7. Site contaims areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
B. Site is in the floodway 0 floodplain of a water course.
9. Site contains a creek or an area where water flows across the surface? Flows, are year-round?
. grounds
-Flows are seasonal? (What time of year?
d
meadow nuixe
10. Site is primarily: forested
urban landscaped (lawn, shrubs etc)
-11. Obvious wetland is present on site: M-0
For City Staff Us� 6dy
1.
Plan Check Number, if applicable? 11 .0 1"00 (V —+9
2.
Site is Zoned?
3.
SCS, mapped 90il tYPe(s)? I �t e+CA- -H Vic, -6 a VI a Dam
4.
Gritical Areas inventory or C.A. map indicates Cxitical Area on s ite? W Olt
-S kl 0
5.
Site within designated earth subsidence landslide ha . zard area?.-
kl�' I
'.DEr.,E
77-7-7—.7!
RMNXT16N
Irl I.,
.54,
V.
tnv rtir TTlip
to
IM -b�r.
0 0 -
- PLANNING DATA 11 STREET=FILE
Name: Doug & C.AattdA;y1z Ma(,06Y)atd
Date: 11, C)o (p
SiteAddress: S3+ 17.1"A
Plan Check #: BLD-2006-
Project Description: 2,0,d f_ioor /rcvyvvoLA,1
Reduced Site Plan Provided: (0/ NO)
Zoning: FLS—(.p
Map Page:,;. ig 2�. --Tcorner
Lot: (YES
Flag Lot: (YES /0
o,Critical Areas Determination #: &P-,4. ,
,Z,VQ-4- - 001 V
El Study Required
H Waiver
SEPA Determination:
N Exempt 4 1500 W dto 19 r 4 d,(.,r7,1
El Needed (Requires: (1) Fee, (2) Environmental Checklist, and (3) APO List with notarized form).
Pe Setbacks
Street-
710
T_�ide:
Side: A
Rear:
Actual Setbacks
ftmet:
W
Side-
W -711111
Side:
1 (
Rear:
El Detached Structures:
El Ro"ckeries:
El Fences/Trellises:
X Bay Windows/Projecting Modulation: 1%0DW" wfyldow Mtk&5
El Stairs/Deck:
Parking Required: 2o
Pa king Provided: N I Co
LotArea: iqooj.i�091
Lot Coverage:
Lot Coverage
Calculations: 47
DatumPoint: f�IM "Jr4VJf (IDp)
Datum Elevation: 100.0
Maximum Height: 1,46 -1 ( 1
Actual Height: 1.9 71911
ADU Created: (YES/ GO (7tMrW� nAZY_d,&� 6,15�
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES / to
-Other.
A-.
C) C)
4-10.0
17,J.6-D MO\.X fJ1CA'JV1f_
Plan Review By: 0�w aw�
APPLICATION
for
The City of Edmonds SrDE SEWER PERNaT EASEMENT No . ..........................................
NEW CONSTRUCTION E] REPAIRS E]
113-00100
OWNER ........... Qye Green
.............................................................................................. CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ....... 53.4-2rid-Avenue ... K . .....................
0
0
0
0
................... LEGAL DESCRIPTION: LOT No . .............................................. BL4DCK No . ............................................
NAMEOF ADDITION .........................................................................................................................................
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ......................................................................
0
4,
STATUS: ISSUED 4/10/2007
Expiration Date:
CITY OF EDMO
121 5T 11 AVENUE NORTH - EDMONDS,WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
P6
Parcel No: 27032400205200
PROPERTY -OWN -ER APPLICANT CONTPUCTOR
D OUG & CLAUDINE MACDONALD DOUG& CLAUDINE MACDONALD BARRIER CONSTRUCT [ON
5926 140TH ST SW 5926 140T H ST SW PO BOX 24211
EDMONDS, WA 98026 EDMONDS, WA 98026 SEATTLE, WA 98124
42 5-745-5027 425-745-5027
LICENSE #: BARRlC*943PK EXP:iO/12/2008
JOB DESCRIPTION
DEMOLISH E)(ISTINGCARPORT ADD631 SF GARAGF— ENCUDSEMAIN FLOORCOURTYARD IWO DfNINGROOM 240 SF.
MAIN FLOOR REMODEL KITCHEN/LAUNDRY/OFFICFJHAWCRAFT ROOM. DEMOLISH EUSTINGSECOND STORYADD 2,197
SF (3 BEDROOMS/LAUNDRY/BATEYFAMILY ROOM AND PLAYROOM), 761 SF DECK.
NOT APPROVED FOR A DU.
VALUATION: $333,876
PERMIT TYPE: Residential
PERMIT GROUP: 2 - Addition
GRADING: N CYDS: 0
T YP E OF CONST RUCT [ON: VB
RETAINING WALL ROCKERY: N
OCCUPANT GROUP: R3
OCCUPANT LOAD:
FENCE: N 0 X 0 FT.)
CODE: 2003
OTHER: N ------- OTHER DESC:
ZONE: RS-6
INUMBER OF STORIES: 2
VESTED DATE:
NUMBER OF DWELLING UNITS: I
LXISI'[N'G AREA
iBASEMENT: 0 . I ST FLOOR: 0 . I 2ND FLOOR: 0
PROPOSED ARE-k
�E�MENT- 0 1 ST FLOOR: 240 2ND FLOOR: 2197
13 RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 631 DECK- 761 OTHER� 0
FRONTSETBACK SIDESErBACK RE-kR s ErBAC
REQUIRED: WEST 20 PROPOSED: i2.1 IREQUIRED: NORTH 51 PROPOSED�. TI 1 REQUIRE D: EAST 15 PROPOSED: 19'4"
HEIGHT ALLOWED:25 PROPOSED:23.75 IREQUIRED: SOUTH 5 PROPOSED: 6'6*
SETBACK NOTES: Second story bay (".boW') windowio rerriain out of setback area.
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONS7RUCTION AND IN DOINGTHE WORK AUTHORIZED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATINGTO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
THISAPPL!PnION IS NOT A PERMIT
IIL SIGNED BY THE BUILDING OFFICIAL ORIUISIHER DEWY VD ALL FEESJRE PAID.
I _ JAA. L A. � q -to -oT � a A L�� �n� 0-1-
Name Date
ATTENTION \j I NJ
ITIS UNLAWFUL To USE OR OCCUPY A BUILDING OR STRUCTURE UNnL A FINAL INSPECT10N HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBCI 10/ IRCI 10.
ARCtUVE APPLICANT ASSESSOR OTHER
0 4
STATUS: ISSUED BLD20061279
CONDITIONS
• REQUIRED SPECIAL INSPECTIONS FOR THIS PROJECr:
I)KWICK BOLTS
2)EPDXY HOLDOWNS
• This project does not have approval for an Accessory Dwelling Unit (ADU). Owner has recorded a signed and notarized
"Statement on ADUs" at th i e County.
Lot line stakes nwst be in place at the time of foundation/setback inspection.
Installation, use and maintenance of per manufacturerd equipment and components shall be per manufacturces specifications,
installations instructions, and applicable state codes. Provide manufacturees inforrnation on site for Budding Inspector.
Installer shall provide the manufacturer's installation, operating instructions, and a whole house ventilation system operation
description. A label shall be affixed to the whole house timer control that reads " Whole House Ventilation" (see operating
instructions). .
Ma)dmm Height 25 feet. Measured from average elevation of undisturbed soil at comers of e)dended building rectangle.
Subject to field check by building department.
Special inspections have been called for on this project and are noted on the approved construction plans and building pernit.
it is the owner and/or contractors responsibility to assure that reports are provided to the City on a weekly basis. Be advised —
if special inspection reports are not forthcoming, the Budding Official may issue a "Stop Work" and no City inspections will be
provided until such time as the reporting agency has complied and reports are reviewed and approved by the City.
In addition to the required pressure/relief valve, an approved listed expansion tank shall be installed on all hot water tanks. Per
UPC 608.
Obtain Electrical Pen -tit fro in State Departmen t o f Labo r & I nd u s tries. 425-290-1309
Gas pipe test rnust be observed by City Building Inspector, affidavits shall not be accepted.
Subrnit all special inspection reports to the City Building Inspector on a weekly basis.
Provide combustion air per IMC Chapter 7 for comrnercial and multi-farnily residential installations, and IRC Chapter 17 for one
and two-family dwellings.
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.
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 appropriate provision
of city code or state law does not approve any items not to code specification.
Sound/Noise originating frointemporary construction sites as a result ofconstruction activity are exempt fromthe noise links
of EOCChapter 5.30only during the hours of 7:00amto 6:00pmon weekdays and 10:00amand 6:00pmon Saturdays, e)cluding
Sundays and Federal Holidays. At all other times the -noise originating from construction sites/activites must comply with the
noise litufts of Chapter 5.30, unless a variance has been granted pursuant to ECC, 5.30.120.
INSPECTIONS
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE
PUBLIC DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION.
PERMIT TIME LIMIT: SEE ECDC 19.00.005(A)(6)
I RIMMING (425) 771-0210 EXT. 1333 1 ENGMERING (425) 771-0220 EXT. 1326 1 FIRE (425) 771-0215 -1
PUBLIC WORKS (425) 771-0235 PR&TREATMENT (425) 72-5755 RECYC]LING (425) 275-4801
Whencallin for an ins pection please leave the frillo-Aing information: Permit Number, Job Site Address, Type of Inspection being
9
reauested Contact Name and Phone Number, Date Prefereed, and %bether you prefer morning or afternoon.
E,StortnTightline
&Engineering Final
B-Setbacks
B-Footings
B-Foundation Wall
B-Foundation Drainage
B-Slab Insulation
B-Firs t Floor Frarnmg
B-Plumb Rough In
B-Gas Test/Pipe
B-Equipment-Mech
B-FAerior Sheathing
B-Shear Nailing
B-Height Verification
B-Framing
B-WaH Insulation/Cautk
B-Floor Insulation/Caulk
B-Ceiling Insulation/Caulk
B-Sheetrock Nail
B-Plumbing Final
B-Mechanical Final
B-Budding Final
M*fAf Pxae_ x
77�
&ua�ft
76 4ASr*. e- C6 z
57PAc.&- z
C*/'10,
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60)4)Vw��
TOP OF
F.H. : DATUM
+100.00'
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0 5 10 15 20
'IV
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No sk�--
STREET FILE
ON C
11-301
w
IS RESPONSIBLE
L AND DRAINAGE
APR 0 6 2007
BUILDING DEPARTMENT
CrTY OF EDMONDS
PROP05ED LOT GOVERA6E:
3045 50, FTJ q0013 = 35,8396
t Pi I MR300111", S90UTS
IN'I (CINNECT 70 EMT. SYST.
/6 PROPOSED IMPERVIOUS
00 C"Q=Al"r-r- KAMAC"Dr-r') Tn Ol)nr-
I
LINES AND ED(2E OF PRIVENAY
N(16. 0/ 421b 50. FT. l2ilc 19-1-7
421MOO1.3 = 4(b,b96 PROP05EE
V
HEI&HT GALGULATION:
101.5 + 102.0 + 103.5 + 103.0
AUDITORS FILE NR.: APPR&W BY PLANNING
410.0 4 = 102.5'
+25,0 1215 MAX. ALLOhEP
HE16HT
b 41 D9 10-+ Zone P-e, —(p Comer — Flag —
LEGAL DESCRIPTION: Setbacks Required Actual;
Front W 1,C) Ll I
THAT PORTION OF 6OVERNMENT LOT 2, SECTION 24, TOV4N5HI 2
p I N
RANr5E 3 EAST, KM., IN 5HOHOM15H COUNTY, NA5HINC-;TON, DESCRIBE
FOLLONS: ear
Other
COMMENCINC, AT A POINT OF INTERSECTION OF THE NEST MAR61N 0 2, a" 9
AVENUE AND THE NORTH LINE OF A TRACT CONVEYED NOVEMBER 14,*011 —*NDi- ari A-PL4
HENRY 5TRUDV4ICK HE06E5 AND KFE, BY DEED RECORDER UNDER AUDITOR'S
FILE NO, 236234, RECORDS OF 5NOHOM15H COUNTY,SAID LINE AL50 BEIN6 THE -,-A
SOUTH MAR61N OF THE PLAT OF MORSE ADDITION; THENCE NORTH bqD 5q'40"
NEST ALON6 SAID LINE 120 FEET TO THE TRUE POINC7 OF BE61NNIN6; THENCE RESUB
CONTINUIN6 NORTH 5qD 5CI'40" INE5T 120.00 FEET,
THENCE SOUTH 2cID 18- 00" V4EST &b.01 FEET, MORE OR LESS TO THE MAK 3 0 2007
NORTHPqE5T CORNER OF A TRACT CONVEYED JANUARY 3, Iq2l, TO THOMAS BUILDIN DE . AR ENT
orry G P Mol S
HUNT UNDER AUDITOR'S FILE NO. 400cI24, RECOR05 OF 5NOHOM15H ( OUTY, OF ED
THENCE SOUTH NO 5q' 40" EAST 120.00 FEET;
THENCE NORTH 2qO IV 00" EAST 86.01 FEET TO THE TRUE POINT OF BEC71NNIN6; A AS NOTED
SITUATE IN THE CITY OF EDMONDS, COUNTY OF SNOHOMISH, STATE OF ONEERI
KA5HIN(7TON
SITE PLAN sheet I of 2 PROPOSIM HOUSE 4 I-OlTate/.�(q�o-?
Dovq I Clavdine MocDonold Residence 23 JAN 2001 T. C. k4otson, Archite,
534 2nd Avenve North REV. 4 30 MAR 2001
Edmonds, V4A
.7
8 9 6 . , 9-9 -
%-.1ty oframonds
VA
RIGHT-OF-WA�Y--'C-ONi'�cl�rl"�R.UCTION
P ERA41 lu
Permit Number:
TA rL,-7
J,V-q,�L IssuO Date:
0 r�.OV
A. Address or Vicinity of Construction: 534 2; Avenue North
B. Type of Work (be specific): Install 2" PE IP Main in 2 -Avenue North
from 160' South to 560' South centerline Casper Street. Pee
ttaihad Dminfi: c 9LO-
k c
V07 (2)
C. Contractor: Washington NAtura as ompa y on c: Gary �wanson
MailingAddress: 815 Mercer Street, Phone: 224-2680
State License #: Seattle,' WA 98111 Liability Insurance: Bond: $
D. Building Permit # (if applicable): Side Sewer-Perrim-t � (if applicable):
M Commercial E] Subdivision El City Project a] Utility (PUD, GTE, WNG, CABLE, WATER)
Multi-Falmily [:] Single Family M ?ther
INSPECTOR: INSPECTOR:
F_ Pavement or Concrete Cut M Yes FlNo /?-4) G. Size of Cut: 14. Charge
APPLICANT TO READ AND SIGN
/ � - cr - e, / I
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmlessftom injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeen, that. may b. quie against the City 9f Edmonds, or any of its departments or employ-
ees, including or not limited to the defense of any legal proceedings including d '_e coS61 and'dtto;,i��Ifees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIPAAD MATE FORaf;VERIOJOF�WYEAR FOLLOWING THE FINAL INSPEC71ON
AND ACCEPTANCE OF THE WORK EST[MATEDRESTORAHTON BE HELD UN77L THE FINAL STREET PATCH IS COMPLETED BY
CITYFOReES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE'�O TH
EPPLICANT
Construdion drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineeicing Department- 771-3202.
Work is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engin r
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working daU
NO EXCEPTIONS.
I have read the above statements and understand the permit requirements and the pink copy of the permit will be availa rrle\1v
on site at all timesfor inspectiot!tpurposes.
Signature: MeAf"44.op Date: December 4, 1991
(Contractor or Agent)
CALL DIAIA-DIG PRIOR TO BEGINNING WORK,
N
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Engrg. Div. 1991
Eng. Div. July 1985
O-Z I;,. a �-j I
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""d that I have ra'
I herebY aekn-leda, that I "-Is r,.& thl, appli, tl-n; that t
formation giv- Is Correct; h
�"rc,
TOTAL AMOUNT DUE
d C In.
an, that I a,n the owner, On the duly aMjor-
"a that I = the 0
'zed "ent Of the Owner. I ag,t, t�
Iler a " t'
-------
C'mp'y With
1CMPIY with city "d .
lating C003tMCtlon; and let. law. ,g�_
'ad 0 if
In doing the work
auth-Iled thereby,
will be IMP;oYed In violet, on of e L no Person
Labcr Code of the
ATTENTION
State .1 W_hl.gt.n
a Ing to WorkMen-. C..,.,
THIS PERMIT
NOTE: Permit Limit
AUTHOJUZES
0, (..c
One Year (Except
shalt t day.: AtOVy hJ,h
be CUMPleted In ninety
, , Y. . "'OV"D
ONLY TlIr
. N I
it
Pitied n.slx mor,.hs af,ILDI.V" shall be corn-
VORK NOTED
IIATU�. lc�W, A T,
11,1111 AGENT,
ATE BIGNED,
IN BPECTTON
DEPARTMENT
CITY OF
NOTE: Applira?lt Subject to Plant Cl k F
I-11111 Ile
J-013IONDS
This
..... I -Ilk W 11 do", on
be
775-2525
P.h,,C t , 'k,_aik. rir,�N
�B U I LD ING. DEPARTME NY
USE
Applicant Fill
PERMIT 1PPLICATIO I"Olde Heavy
I
ZONE PFRNTrT
Nuf'JuRR .74.0-363
Lines --
N:.%Ir, 1OH 11A.IdE OF BUBI EBB)
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ULDG AREA�
NA2dE
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FRONT----7�-11)p-- RFAR FFRON PROP08FI) YARDS
ON SIDE
- HEAR
-UD 25!: j i:
�U 1 10
Cl T K fJ(11 CONDITIONAL U9E
CITY
I T ,HONE NUMBEIC
PLANNfWr DEPT. Al
—AT
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STRETT
FNIST:NO STREFT R/W FT. DFFICIENCY THIS ParpEn-ry
iiEC30i'n'�;LAN ST. R/W ............ I.-r.
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71TY— ------------------------
T Ti.;
IME1,110 —NUMBEII
CHECXFD 13Y —11
Wr-A�TL�
LI--".-
AIE
� , CITY LICENSE NUMBEI,
C111AIIANCE CHECK, By
C"E"K
:"get escriptsion
HE
V'Ji E
P PEUM11
0
F W
7177 ZONE 'YPU 11" `ONI1TI1U-,O 11TH1111T
ElNEW RESIDENTIAL
-11oIECTolt -R-e(JU-1Rk- 2 Yra L] NO
) OCCTU—PANCT GROUP-
I'
!r--s 0 NO
EJ NON-nESIDEN T
SIGN
,,A. CiECR�E]3-13Y
THIS STTE IS LODA�ED Ilq —TIECTy
ADD
RETAININO
DEMOLISTI WALL
OF EDMONDS. LOCAL SALES TAX
It -1,FA-R—KB-----iH-0V BE COkEk L31 01.
LTER -XCAIATE E
OR FILL El N!,
..F,.)
EJ -EPAIn
E SWIM
0 INISIP:*.N 01, POOL
.—MEN
DWFLLI,NO
UNITS
NATUP.I: OF WOPX TO BE DONE
V.1-tt-
"An Check No.
PLUMBING
IILAT & CAB MINE
FE.N,E
sic",
nETAIINING WALL
NG POOL
DMIOLirio,; :—iEEE i
PItE.Arov-
E INSPFCTION
EXCAVATION OR FILL
0
APPLICATION APPROVAL
This application is t a permit until
not a T '
Official or 'p-
signed by the Building lclalptir h:s D
Uty; and fees are Paid. and receipt is ac-
knowledged in sDaca n—ia—
0
INSPECTOR
8U.ILDING DEP A RTM ENT W]"App 71caj., 11
F1
'PERMIT APPLICATION I Inside Ifeavy Lincs
NAM�1' (Oft NA -ME OF BU812NK38)
OVE CT4ZGtA_)
TA-1UNG 0_1)RES8
-3
TELEPHONE RUMBLIt
NAME
0TY TELEPHON
—7—
V L/
ADDREss
W�
CITY
TELEVIIIIN11 NUMBER
0.1
'ENSE
r
NULIBE:I
-7,
CITY LICENSE TUMI'Flt
t0w Below
or Attach F.. C ie.,
USE
ZONE PERMIT
NUITHER
JOB 13 6.3
ADDRESS
6 p-1
iz.Fr-Ry� lftz�6 I !
RZACI
C,
E Lo— COI&GE
PERM18SIBLE IIEIG;!T
7CTUAL 'LOT AREA ______1ZTAL _HLDG. AREA
FROXYF—tEQUIRHEELD YARDS PROPOS YARI��
A H FRONT SIDE REAR
_711�(kl- —LOT —VARIANCl', OR CONDITtONAL USE
0 YES 0 NO PERMIT NUMBER
APP�ROVA',
hTILLET R/ IV
EXISIING STREET R/W FT rl�FIC.RNCY THIS PROPERTY
COMP. PLAN ST. R/W FT FT
RENIARKS
CH CKE�,_By
I —SKINIEE "'tZE.
_717 ANCE
--�W) =7 Z171 TA 1-1, CKEL) 13Y
CJ`,�'
L,.,L
It ',MAA
TYPE �COINLCT_W.l
P EST PERMIT NUIMIIL�j
t rA —1t k _8
W
TYPE Cu" noN 8TRXET IM11UQVI,;U
—IN8PECTO
0 YES 13 NO
7PEUAL
OCVUPANCY GROUP---"
Oc
Nw
.."HIENTIAL
GAS
LINr
Y'S
R N
I
L]
�tF
PLA.
THIS SITFIS LOCA. ED �N THE CFTy
ADD
Ej
DEMOLISH
f—j
SION
RETAINING
WALL
Tt—EmAryS
OF EDMONDS. LOCAL SALES TAX
1.04.
ALTER
EXCAVATE
PENCE
Ej
OR FILL
0
( x F1.)
..PAIII
PRE -MOVE
INSI.
sWiNI
POOL
val—th.. I Fee
Pl.. Ch-ek No.
BUILDING
PLUMBING
RETAINING WALL
SWIMMINI, POOL
DEMOLITION
PRE-MOVF INSPEc,rio.�
EXCAVATION On FILL
I hereby acknowledge that .1 have read this application; that the In.
TOTAL AMOUNT BUE
formatt- g' is correct; =d that I = the owner, or the duly author.
,zed agent o' 'he own". I ag"I in comply with C,tY aud rt.t. I"' r'g'- .
lating construction: nd In doing the werk authorized thereby, on
no pe.
ATTENTTIO�-;
be _'i oYed in of the Labor Code of the State of W_blpgton
relating to Workinen's Corape ... tl.a Inuiu,axice.
THIS PERMIT
NOTE: Permit Limit One Year
AUTHORIZES
ONLY THE
(Except DE.moLITIONS which
ahall be completed In ninety day.; MOVED -IN RUILDINGS hall be corn.
WOnI[ NOTED
Pleted 1 .1. month,.
INSPECTION
DEPARTMLN,
CITY OF
NOTE: =ppficant Subject to Plan Check Fee
ED11IONDS
Thla� P Unnit covers w0d, to be d— on pi,,t. Pm,ty T).Ni V—
775-2525
Any onstructi— on the P�bllc d—in (Ctlrbm. Md,walk., dri—sys,
rnarquern. ele.) will require Reparatj
N". I I .
00 K'M7
APPLICATION APPROVAL_�
This application is not a permit until
eignee by the Building Official or his Dep-
uty; and fees are Paid, and receint Is ac-
knowledged in space -provided. '
FILE
I
CITYOFEDMO WASHINGTON — DEPARTIVIEN�,.O-r- BUILDINGS
BUILDING PERMIT
Applicant hereby certifies that a plot, plan, draw . ings, and sufficient details to indicate
the intention to fulfill all requirements of this code arc attached hereto.
Application is hereby made for permit to do the following work:
.. ......... A .... .....................................................................................................
........ .................. ...............
. ... .. ... ..... ...
..........
ih 1� wa"l-, P. 4
...........
..... . ...
at.. ..... ....
...........
(Sum number or lot And block numbers)
I. Building dimensions are .. ... 1:52 ............. .
2. Lot dimensions are
... 6"1
... . ...... .
. . .................
3. Budding will be ........ Z ................ stories in height . . ......................
4. Number of basements .......... 12-4-0
... .......
5. Occurancy of building-svill be ........... .... �.-< ............
6. Building wil e . . ......... feet from ares adjoining 1: 7 . ...............................
7. Owner .... .... .. ...... ......... &) lot
8. Ov-rncr's Address ........ . ..............
..w .. ................................................. .. . . ...........
9. Builder ........ �5. a—Itz's.a.
1 0. Builder's Address ... ... .. ...........
-f/ ... .......... ........
11. Architect or engineer .......................... ...... i .......
Date- 1.1 1 9.��
nt's Signaturel)�
(Owner Or hi . .....
2 ar
0 =
I.. o 2-
0
CL
to
r
'U
r
U
-0
U
1A 0 �4
T
i
F�
z
>
a 0
.4
t
z
z
Estimated cost s /-115-
I .... 1-/ 0� ..........
Group No....
Life of permit ..... /�, '� *.'to* - *
Plans fled: Y.
Permission is hereby granted to do the work described hereon, according to the approved plans and speciE'cations pertaining ilerr.to,
subject to compliance with the ordinances of the City of Edmonds. This c:)py is receipt for the following fees:
I
1. Building permit fee .................... ......................
2. Swer permit fee ...............................................
3. Inspcctionand supervision fee ...........................
4. Total
$
. ................................
ltivgz�- -
..........
PERMIT N? 503, Department of Buildings
CiCity
ty of Edmonds
1. 7le building per"'it fee which Applicant pays when permit is im
F1000.00 of C— If the , ed $hall be based .. timated cog Of the Proposed structure, At the rate of $1.00 for _h
of $2.00 for each Sl000. Of I�A arm —11, when finally d—r-i—d. exceeds the estimated cost by more t An applicant agrees to Pay - addidw.1 fee
,.too Of ucb "cess Co.. In —h event .. use permit sjall be issued until such "di—ep-Chy fee�'- is paid.
"Cold: of the Cry of Fdm`
contract ior const ' Ion ls�cxel�ted f0f,dni K;ucmre 'costing more th
the building ond', the 1PPI:c-ti-4 for '.,b.iIdi.g permit hall 'be"'no"o� If., Wch . lic—ca hl,," or ,gineer is not required by
-putificul.". CcomPm edl by A COPY of the contract and a copy of the cjuliled
3. Prior to employing any labor of -3mmencing work. notify the I-d—li-1 I—ra.ce Division of the Department of Labor and Industries, giving go estimate of
the P-Y:-'dHK.Wm'ke - -Y' , oil instructions should be obtalacd from the ne-Cat Office of the Department of Labor and Clore
final Payment. he cv�jrl—t�VldC ;01XtP Its. �F
�oT —tr.c shoul.d, obtain. release from all suh-contractcIr., r T�hould be
oM 'A �. And lndu,,,i..- 't". ` equ
\01cesned by"the DCp2fTmtoC o I A P,-,d-.-- he State Industrial Insurance Act.
...............
$ ......................................
$ ..... ................................
L( (o 3
P.��AN ADDITION TO RE3jj:,!:,.NcE
OF OVE & ELEANOR R. GR.EZ:;
534 2nd AVE. N., EDYIONDJ, dA3j-,.
D�'SCRIPTIoN OF LOT:'
Thatportion of Gcvernment Lot 2,�: Section 24,.
T.,)wnshtp 2- " North, RanEe 3 East, d-*V., In Snohumisli
C-.)unt7, 'Xashir�ton.
described as foijows: JommuncInE
: I it. a point of Intersect!or of the d0:3t marEin ,.)f rhtrd
%venue und the �� 'orth line or t)ic trucL conveywi
N-)vember 7,, 1,917 to Herry Stru�jwj ck iiedges., and w1f c,
bv dcted recorded under Auditur's -FIle No. 235234,
r,3corda of Snohomish County,sald ',In
1 �4 also beInE the
Jruth marpin of the P1,-tt of Morse Addition; thona.e:
North 89"59' 40" leSt'alonp, said line 120 feet tj the
t.,Ue point;of bCLr1nnInF; t�enc,i contlnutnE Nort�,
408 t 120 -CC f0etl : thonce, "�Ioutll 29" 1$31 0011
4-3st 86 01 feet, more or jcj,33,� t?) the Northwo.,3t*
cornor,01' a tra!t conveyed january�3, 1-927, to rhomri,]
Hunt undler Auditor's File !;a. /;C',)92,'� records of
j�lohomlsh Countl;:thence South 89'5.9140" East 120 feet;;
Vionce !%Drth 2�,, 1810011 East 86-01 feet. tt) th2' true
P)lr;t of beginninir.
-? 0, 0.3 f, -3
BECORD OF
�_LN S P �C:,l
Date Passed
FOLIVIdation
PlurnbinF (Partial)
(Rough)
Frarne
Furnace & Fuel Lines
Final
OF
et
on cc
7-
5�
Cation "LAN I'ILE NumnExt
Permit Appli Appile—an Fill BUILDING
nalde Heavy Lines PERMIT
NAME OF BUSINESS)
JUB ADDRE88
4r,
81DE YARD
I IIIIAR YARD
SET BAC11
TELEPHONE NUMOER USE ZONE
VA. Az�rr SITE
BUILDING AREA ' —AREA— Es No o
VARIANCE NU&jE.R
Lo,
HEIGHT
G BE CK
Es
7/
88
,DD
C ER EcK
"D
TELICPIIONk: N _� ---------- 0 N
A --KVIcE 81
METER SIZE
W;z S ZE AIL4-NCF CHXC
HXc
T5 I
HE NUMI19
TYPE CoNj;_jC—Tjo�
VERIFIED BY
RC. TEST
PzRM1.r
YIHE ZONE TYPE OF
CONSTRUCTION
z 8TRK"ET IMI, oV
%
No
SPECIAL 1.EcTGR RE UPANCY GRoUp
YEs [3 no
oc,
.........
BuILDIN z
VALUATI N
. C r, '2
BUILDING P, IT
It RUI O,,,ToUE*, 2
oz.18H
NE", PLUMBING
A.D. 31 PERMIT FEE
ALTER
El RE---NT. I NUMBER 01, HEAT & GAS LINE
REPAIR DWELLING PERMIT FEE
[] NON-...I..N I -iTE—MOLITIoN
I-OposED, USE
PEr-MIT FEE
-------------- 6 AMOUN—, LUL,
I hereby ae�kncjedge that I have read thlB ap�jj_tjoz; that the ln�
f..
Uon given iB eorreet; and that I am the _r. or '.he d.11
Ized agent Of the O,vne, I agree to ..PIY Vvith CRY and tate I— r,,U. ATTENTIOV
th- APPLICATION APPROVAL . .....
la"DW t`oetl0n; and 1. domg i.%� 1k —thorlzed therrby, on Per... THIS PERMIT
v11II be emPloyed In violation Of the Lab- Code of the State of WaahIngton AUTHORIZE This application is not a PCrrnit Until
ral&U"K to Workmen'. C.ropatjon Iraufar". ONLY THE" signed by the Director of Bull
ding Inspec.
NOTE: PERMIT LIMIT ONE YEAR WORIC NOTED tfun. or his deputy; and fees are paid, and
USE (OWNER OR AGENT) I receipt is acknowledged In space Provided.
13ATE SIGNED INSPECTION D I TO11>6
DEPARTMENT li, rURE
1111111M1 CITY OF
ATE
'APPROVED 1 4 -_
EDMONDS
P P N c
P.
FILE
ld�
0 0
APPLICATION 'BUILDING PERMIT. JAJ
C1, Appl. No . ......... ...
ITY OF EDMONDS ...... . ........ . .....
Building Depa6ment Permit limit� one year
APPUCATION is hereby made for a permit to construct the following work, in accordance with the acco'ml
panying plans and specifications. Two sets are submitted herewith for approval.
new / alter
Work addr,-/ repair ................. Off,st.
.. .. ....
: ...................................................... Parking . . ...... . ...........
Occupancy ................................ Const. type . ...............................
Use zone ....... F73�1 ....... Fire zone ..........
Address ....... �41 . ... . ..... eel
............... .....
Lot frontage .......... . At ........................ Blk ............... ....... Addr ......................... . ............
................. ........... Area ............................................ Septic tank ...............................
Bldg. set -backs — front ...... r. side .............................. L side .............................. rear ........... 1�
-Owner7:&4.0
. . ........ Address .... s-� Tel.
Builder ...........
.................. Address. ................................................... Tel. No .....................
Plans. . . by ................................................................... Address .................................................... Tel. No ..............
Remarks
The above is a correct statement, and I agree to comply with ad! applicj-ble Codes and State laws regulating tjis
work.
Signed Owner/Agm .............................................................. Address .........................
................. Datp ................... . ...
PERMIT for the above work is hereby approved, subject to the above conditions, and to co:.npliance,with thi ap,
Proved plans and specifications, and Building Department notations thereon.
Valuation ....
........ ..
............................. Permit fee ........ ...... ............... Recd, by ... .......... ..
Building Department, B I,-?, - r-.-,—
Y ... 1/4v�-,d4 . .............................. ................... Date ......
..................
INSPECTION RECOR6
Fdn, OK ............................................. Frame, OK ................................................. Final, OF . .. . .....
This Permit does not cover Plu.mbing, Sewcr or j5lectricl installations.
J
no
1.1�lit - p
t,�, vu-1
VdWil
N N
......................
TL,
...........
io
VIC11,C,� �es
M Ml
'ALI
Snohomish County, WA Assessor Parcel Data Page I of 2
SnohomishOnllno Government Information & Se"Ices
CountyAl*
Washington
* R E AL * Property Information
County Home Assessor Home Treasurer Home Information on which Department to contact
Please view Disclaimer If you have questions, comments or suggestions, please Contact Us.
Date/Time:12/27/20061:42:56PM Answers to Frequently Asked Questions about Parcel Data (opens as new window)
Return to ProDertv Information Entry page
Parcel Number 27032400205200 Prev Parcel Reference 24270320520001
h
11 View' Map of this parcel (opens as new window])
General Information
Taxpayer Name 11 Address (contact the Treasurer if you have questions)
LAPIERRE CLAUDINE R & MACDONALD DOUGLAS 11534 SECOND AVE N ---
EDMONDS, WA 98020
If the above mailing address is incorrect and you want to make a change, see the information on.Name and
Address Chanqes
Owner Name 11 Address (contact the Assessor if you have questions)
LAPIERRE CLAUDINE R & MACDONALD DOUGLAS 11534 SECOND AVE, N ---
EDMONDS, WA 98020
If the above name and address is incorrect due to a recent sale, please see the infort-nation on Name and
Address Changes After a Sale
Street (Situ s) Address (contact the Assessor if you have questions)
534 2ND AVE N --- EDMONDS, WA 98020-3106
Parcel Legal Description
SEC 24 TWP 27 RGE 03 RT-12A) BEG SE COR TR I I MORSE ADD TO EDMONDS TH N89*59 40W
ALG S LN SD TR 11 120 FT TH S29* 18 OOW 86.01 FT M/L TH S89* 59 40E 120 FT TH N29* 18 OOE
86.01 FT TO TP13
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Treasurer's TaxInformation
Taxes For answers to questions about Taxes, please contact the Treasurer's office (opens as
new window)
2006 Taxes for this parcel $4,250.23
(Taxes may include Surface Water Management and/or State Forest Fire Patrol fees. LID charges, if any, are not
included.)
To obtain a duplicate tax statement, either download our Tax Statement Request form or call 425-388-3366 to
request it by phone.
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Assessor's Property Data Characteristics and Value Data below are for 2006 tax year.
Please contact the Treasurer's office for answers to questions about Taxes (opens as new window)
For questions ONLY about property characteristics orproperty values (NOT taxes),
please contact the Assessor's Office (opens as new window)
http://web5.co.snohomish.wa.uslpropsyslAsr-Tr-PropInqlPrpinqO2-ParcelData.asp?PN=2... 12/27/2006
Snohomish County, WA Assessot rcel Data Page 2 of 2
Property Values do not reflect adjustments made due to an exemption, such as a senior or disabled persons
Values exemption.
Reductions for exemptions are made on the property tax bill.
Tax Year 2006 Market Land $256,000 Market Improvement $162,9001 Market Total $418,9001
Tax Year 2007 Market Land $314,000 Market Improvement $203,0001 Market Total $517,0001
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Property Characteristics
Tax Code Area (TCA) 00210 View Taxing Districts for this Parcel (opens as new window)
UseCode Ill Single Family Residence -Detached
Size Basis ACRE Size 0.20 (Size may include undivided interest in common tracts and road parcels)
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Property Structures
Type Yr.Built Structure Description
Dwelling 1955 2Story View Structure Data (opens as new window)
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Property Sales since 7/3111999
Explanation of Sales Information (opens as new window)
Sales data is based solely upon excise affidavits processed by the Assessor.
Transfer Receipt Sales Excise Deed Grantor (Seller) Grantee (Buyer) Other
Date Date Price Number Type Parcels
11/20/2006 11/22/2006 $542,000 110613 W GREEN OVE & LAPIERRE No
ELEANOR R CLAUDINEIMACDONALD
DOUGLAS
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Property MapS Township/Range/Section/Quarter, links to maps
Neighborhood 1605001 Explanation of Neighborhood Code (opens as new window)
Township 27 Range 03 Section 24 Quarter NW Find parcel maps for this Towns h i p/Ra nge/Section
View Map of this parcel (opens as new window)
I
http://web5.co.snohomish.wa.uslpropsyslAsr-Tr-PropinqlPrpinqO2-ParcelData.asp?PN=2... 12/27/2006
9 0 Page I of I
SnohomishOnlino Government Information & Services
County4*
Washington
Structure Information
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General Description
Parcel Number 27032400205200 (R01)
Structure Class Dwelling
Structure Type 2 Story
Year Built 1955
Exterior Features
Foundation Conc or CB
Exterior Brick & Wood
ROOF Type: Gable Pitch Low
Interior Features
Bedrooms 5
Full or 3/4 Baths 2 1/2 Baths 0
Floor Area
Heat Forced Hot Air - Gas
Fireplace Masonry fireplace
Cover Built Up
Floor 1 Base SF 1968 Finished SF 1968
Floor 2
Garage(s) & Carport(s)
Attached Garage SF 252
Carport SF 528
Other Features
jlPhot not yet�av�=ilable
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Base SF 252 Finished SF 252
http://web5.co.snohomish.wa.uslpropsyslAsr-Tr-PropinqlPropinfoO5-StructData.asp?parc... 12/27/2006
NOTICE STREET FIL7
AU
.798
0
Claim MUST be presented to the City Council and filed with the City Clerk within 120 days
from the date of Accident or Accrual of Damages.
TO THE CITY COUNCIL OF THE CITY OF EC14ONDS:
PLEASE TAKE NOTICE$ THAT
(if married, give husband's name)
�4 Av 1, - T�' -) �) ' -
WHO NOW RESIDES AT 11 . Aj i-) tkJ -,, � . 1. * [) M ( f)
(State present actual address by street, number and city)
AND WHO FOR SIX MONTHS PRIOR TO DATE OF ACCIDENT HAS RESIDED AT '::�A I-k
(Give residence by street, number and city)
CLAIMS DA14AGES OF AND FROM THE CITY OF EEMON�S IN THE SUM OF
I
arising out of the following circumstances:
Describe Claim, giving
DATE and TIME injury or
damage occurred, PLACE
and full particulars.
Accurately locate and
describe defects caus-
ing injury or dama e
and all acts of negli-
gence claimed.
r
T
-14 ed) e
—144 E
Accurately describe
injuries or Aama e
�j
CC o 7
State items of damage
claimed. Itemize all
expenses and losses.
<
7'
(Claim must be sworn to by claimant)
t
Ts-ignature of claims,t)
SUaSCRIM AND SWORN TO
before me this _day of
6 C-e-, - -,w_
,Not&rX//Public in and for the State of
Washington, residing at
I a' --u vi�,ia FL - LUli,6110-S, WaSh.
A. tl
S'
—19
10 .2"".
Address
City
Ll
-7 r
I E ;,A E IN T
STRFPT FILE
CITY CLERK
CITY OF EDMONDS
121 STH AVENUE NO,
EDMONDS. WA 98020
STATEMENT ON ACCESSORY DWELLING UNITS
Property Address: 5342 nd Avenue North
Edmonds, Washington
FOP- FILIE 4� 5t-p - I-100(p -
Legal Description: SEC 24 TWP 27 RGE 03 RT- 1 2A) BEG SE COR TR I I MORSE
ADD TO EDMONDS TH N89*59 40W ALG S LN SD TR 11 120 FT TH S29* 18 OOW
86,01 FT M/L TH S89* 59 40E 120 FT TH N29* 18 OOE 86.01 FT TO TP13
Assessor's Parcel Number: 27032400205200
I have read the requirements for accessory dwelling units contained in Chapter 20.21 of the
Edmonds Community Development Code (ECDC) and understand that an accessory
dwelling unit as defined in ECDC Section 21.05.015 is prohibited until an Accessory
Dwelling Unit Permit is approved.
I also understand that an Accessory. Dwelling Unit Permit cannot be approved unless all
the criteria in Chapter 20.21 are met, and all the necessary items are submitted, including
an affidavit of occupancy and a covenant to be filed with the Snohomish County regarding
the regulations imposed on Accessory Dwelling Units,
IProperty Owner Signature: '-Z� �O
Property Owner Name (printed):
Date: -�,O�a
STATE OF WASHINGTON
COUNTY OF SNOHOMISH)
I certify that I know or have satisfactory evidence that
signed this instrument and acknowledge it to be his/her free and voluntary act for the uses
and purposes mentioned in this instrument.
Notar��'��' ossure.��'�.ajs must be smudged.
Signature of
Notary Publii
v,
Residing at:
. -1 ..* . A�) :� My ppointment
-OZ
Expires:
x
THIS DOCUMENT MUST BE RECORDED WITH SNOHOMISH COUNTY AUDITOR.
�41 4 1 -�V
��
STATEMENT ON ACCESSORY DWELLING UNITS
Property Address: 5342 nd Avenue North
Edmonds, Washington
FOF- F1 LE 4� - 7,,00(p -
Legal Description: SEC 24 TWP 27 RGE 03 RT-12A) BEG SE COR TR I I MORSE
ADD TO EDMONDS TH N89*59 40W ALQ S LN SD TR 11 120 FT TH S29* 18 OOW
86.01 FT M/L TH S89* 59 40E 120 FT TH N29* 18 OOE 86.01 FT TO TPB
Assessor's Parcel Number: 27032400205200
I have read the requirements for accessory dwelling units contained in Chapter 20.21 of the
Edmonds Community Development Code (ECDC) and understand that an accessory
dwelling unit as defined in ECDC Section 21.05.015 is prohibited until an Accessory
Dwelling Unit Permit is approved.
I also understand that an Accessory Dwelling Unit Permit cannot be approved unless all
the criteria in Chapter 20.21 are niet, and all the necessary items are submitted, including
an affidavit of occupancy and a covenant to be filed with the Snohomish County regarding
the regulations imposed on Accessory Dwelling Units.
Property Owner Signature:(
Property Owner Name (printed):
STATE OF WASHINGTON
COUNTY OF SNOHOMISH)
I certify that I know or have satisfactory evidence that 4d Lmd&rlll�
signed this instrument a ' nd acknowledge it to be his/her free and voluntary act for the uses
and purposes mentioned in this instrument.
Notary.1�15ossure.s , Ns must be smudged. Dated:
Signature of
cj
Notary P ublic:
cp
Residing at:
My Appointment
"'
Expires:
P7-
THIS DOCUMENT MUST BE RECORDED WITH SNOHOMISH COUNTY AUDITOR.