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606 MAGNOLIA LN
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STREETADDR-1 'J
CITY OF EDMONDS BARBARA FAHEY
MAYOR
7110-210TH ST.S.W. - EDMONDS, WA 98026 - (206) 771-0235 FAX (206) 744-6057
COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION
July 22,1997
CERTIFIED FINAL NOTICE
JOHN TOMASKO
606 MAGNOLIA LANE
Edmonds, WA 98020
Subject: Backflow Prevention Assembly Testing - Account #121883
On May 1, 1997, you were notified by letter that your backflow prevention
assembly was due for annual testing.
On June 2, 1997, the second notice was sent which stated that you had 15 days
to take care of this matter. Failure to comply, according to the City of Edmonds
Ordinance Chapter 7.20 and Washington State codes WAC 246-290-490, water
service to your premises will be discontinued if test results are not sent to me
within 20 days from the date of this letter.
Should you have any questions or concerns, please contact me at 771-0235,
extension 644.
Sincerely,
Linda McMurphy
Water. Quality Control
wordata\waterWinal
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0 Incorporated August 11, 1890 e
Sister Cities International — Hekinan, Japan
COPY
CITY OF EDMONDS BARBARA FAHEY
MAYOR
7110-210TH ST.S.W. - EDMONDS, WA 98026 - (206) 771-0235 - FAX (206) 744-6057
COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION
'�- — (3
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May 1, 1997
PROPERTY OWNER
606 Magnolia Lane
Edmonds, WA 98020
Account # 12 1883
SUBJECT: BACKFLOW PREVENTION ASSEMBLY TESTING
Our records show the backflow prevention assembly(s) in your water supply system is due
for annual testing as required by state code WAC 246-290-490. Please have the testing
performed by a person holding a certificate of competency as a Backflow Assembly Tester,
issued by the state department of social and health services (telephone 1-800-525-2536).
if your assembly(s) fails its test, please have the necessary repairs made. Upon completion
of a sati * sfactory test, have the certified tester fill out the enclosed test and maintenance
report (see attached form) and return it to this office within thirty days from receipt of this
letter.
Additional information relative to this matter may be obtained by contacting me at.771-
0235, extension 644 between 7:30 AM and 3:30 PM Monday thru Friday.
Sincerely,
Linda McMurphy
Water Quality Control Specialist
Enclosures
BKFL I ST.WPS
0 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
COPY
CITY OF EDMONDS BARBARA FAHEY
MAYOR
7110-210TH ST.S.W. EDMONDS, WA 98026 - (206) 771-0235 - FAX (206) 744-6057
COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION
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June 2, 1997
PROPERTY OWNER
John Tomasko
606 Magnolia Lane
Edmonds, WA 98020
Account # 7 21883
SECOND NOTICES
A previous letter was mailed to you requiring testing of existing backflow prevention
assembly(s) installed in your water system.
Our records show that to date, the necessary inspection test report has not been received. In
order that such assemblies continue to operate properly in protecting water quality, they must
be tested and serviced when required. Accordingly, you are required to have your assembly(s)
tested within 30 days from the date of the first letter. The tester must complete the enclosed
inspection test report(s) and return them to our office.
If the required test report(s) are not received within 15 days of this letter, water service to the
premises may be discontinued as provided in the city of Edmonds ordinance chapter 7.20 and
WAC 246-290-490.
Additional information relative to this matter may be obtained. by contacting me at 771-0235,
extension 644. Please disregard this notice if you have already submitted your test result
form(s).
Sincerely,
Linda McMurphy
Water Quality Control specialist
Enclosures
BKFL2ND.WPS
0 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
CITY OF EDMONDS
ASSET INFORMATION SHEET
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ADDITION TO ASSET NO.
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DESCRIPTION
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SERIAL NO.
LOCATION (o
DEPT. NO.
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* * PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
*PROJECTNUMBER Wol�-50clig
PROJECT COMPLETION DATE fl- 30
COST 1(7z/l () ?
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE 2-5 ES
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
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MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
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REFERENCE
VERIFIED BY
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BATCH NO.
DATE
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DEPARTMENT FILLE
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CITY OF EDMONDS' SIDE SEWER PERM:
PERMIT ' 0
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Property Legal Description (Include all easements):
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Owner and/or Contractor: )C-ULW0041\ f:JV_, a AA U- 3 LL.-
State License No. C Building Permit No.
Single Family
Multi -Family (No. of Units-)
El Commercial
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13CT 2 4z 1990
Invasion into City Right -of -Way. El Yes
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RW Construction Permit No.
Cross other Private Property ;)� No 0 Yes
Attach legal description and copy of recorded easement
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'rea��d,.�hall comply with fall city requirements Date'
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* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
OFFICE USE ONLY
FOR INSPECTION CALL 771-3202, PUBLIC WORKS DEPT.
Permit Fee: EX0 Issued By
Trunk Charge: Date Issued:
Assessment Fee: Receipt No - /32-03
Lid No.:
Partial Inspection: Date -initial.
Comments
Reason Rejected: Date -Initial
Final Inspection Approved: Date/LZI,�_61nitial�
PERMIT MUST BE POSTED ON JOB SITE
W�lte Copy: File Green Copy: Inspector Buff Copy: Applicant
Re,sed 3/90
,The City of Edmonds Side Sewer Drawing EASEMENT NO - --------------------------------------------
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NEW CONSTRUCTION REPAIRS F� LID NO - ------------------ - ASMT. NO - ------------------
OWNER ------------------------------------------------------------------------------------------------ CONTRACTOR ------------------------------- ------------- ---------------
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LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
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Approved:
DATE ............. By
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINES
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Tax ccount Parcel No.
NEW
RESIDENTIAL
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ADDIALTER
COMMERCIAL
El MECHANICAL
APT. BLDG.
SIGN
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NUMBER OF
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NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
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Plan Check No. qy
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curts, sidewalks,
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
STREET FILE
USE PERMIT
ZONE NUMBER
SZiITE/APT #
JOB
ADDRESS KCXkC L-arlo—
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP- APPROVED By
EXISTING REOUIRED DEDICATION
PROPOSED
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RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED C1 W
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STREET USE PERMIT REQUIRED 0 z
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REMARKS
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SETBACKS -FEET HEIGHT LOT COVERAGE
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TYPE OF CON5THUUIIVN
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FINAL INSPECTION REQUIRED
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GRADING/FILL
STATE SURCHARGE
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"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
; —, ,, �ii for damaoes of
TO: Permit Coordinator, Building Division ST""'EET RLE
FROM: Dan Smith, Engineering Inspector
ADDRESS
OWNER ::] PLAN CHEC
After review of the subject building permit application, we have the
following comments:
Construction hours are: WEEKDAYS ........... 7:00 a.m. to 10:00 P.M.
WEEKENDS/HOLIDAYS..10:00 a.m. to 6:00 p.m.
2. A Right -of -Way Construction Permit is required for any work on
City property.
3. Connection to City water system required.
4. Connection to City sani'tary'sewer system required; obtain separate
permi
5. Water and sewer lines to be separated by lo foot minimum.
6. Driveway must be paved a minimum of 20 feet back from City
right-of-way; separate permit required.
7. Driveway slope not to exceed 14%.
8. Back water valve required if downstairs plumbing is below
elevation of upstream manhole.
9. Builder/Owner responsible for containing all temporary runoff and.
erosion control on site. Construction may not impact neighboring
properties in any way.
10. No burning of construction refuse without -approval from Fire Dept.
11. Street to be kept clean of debris, dirt, mud, and construction
materials. Contractor responsible for dust control.
12. Inspection required on drainage system, catch basin installation,
driveways, and sidewalks. A final engineering inspection is
required prior to the building division granting occupancy.
13. Repair or replace all defective existing curb, gutter, and
sidewalk. If intersection is involved, installation of wheelchair
access may be required.
BLGPER/TXTFORMS
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