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610 DALEY ST.PDF
11111111111111 10744 610 DALEY ST Sty of Edmond* —INTER-OFFICE'CORRESPONDENCE *TO /�Q FROM Is- DATE SUBJECT 610 aMev -5�4 lll?lffAd #Oftf Air 4y kv -f k C/ /I J-//W 7�/- A joA 1a4;1&,1t tA1Atd-%- Nill on-teloyt 120 V�W- OY� C(1411V� l4hl� 111�kV (-(&�016)�014V) J� 0�— o4-- opq�e 2 J)WX5) '3mff� '51-S-1-Ar Sty of Edmond* 17NTER-OFFICE CORRESPONDENCE OTO FROM DATE SUBJECT ho' 44 A � Wrll— /0 Ar RECEIVED ,vo Aeool-67!-v /,r ecIZN,!Fx 'Poe MAy 4 1968 ��4 -ru"Z001,04 P-UBLIC WORKS T VCK INSURANCE EXCHANGE INTE CERTIFICATE AS TO EVIDENCE OF IORANCE THiS IS NOT AN INSURANCE POLICY. THIS IS ONLY A VERIFICATION OF INSURANCE. IT DOES NOT IN ANY WAY AMEND, EXTEND OR ALTER THE COVERAGE PROVIDED BY THE POLICIES LISTED BELOW. Named Insured Hummel Homes, Inc. Address 6525 188th St. S.E. Po c a - Gen Liab. 60 60 4'� 31 Snohomish, WA 98290 79 48 360 Agent Policy III - Auto Liab. This is to certify that policies for the above named insured are in force as follows: OWNED AUTCI- MOBILES, IF COVERIED Policy N - CARGO Policy # - Work Comp. This Interim Certificate As To Evidence of Insurance shall expire sixty days from M., 1,9—, unless cancelled prior to such date by written'notice to the named insured. COVERAGE COMBINED LIMITS OF LIABILITY COVERED NOT AUTO COVERED LIAMILITY 0 Owned Bodily Injury $ 000 each person 1:1 El Hired $ 000 each occurrence El F] Non -Owned Employer's Non -Ownership Property Damage $ 000 each occurrence 1:1 EJ Contingent Liability Single Limit Liobility for Coverages checked X above $ 000 each occurrence GENERAL LIABILITY M8C - OLT Bodily Injury $ 000 each person Owners & Contractors $ 000 each occurrence Contractual * $ '000 annual aggregate products so* Elevators Property Damage $ ,000 each occurrence E] 11 Products and/or $ '000 annual aggregate Completed Operations products s s s Single Limit Liability for Coverages checked [M above $ 1,000 000 each occurrence $ 000 annual aggregate products s s s CARW $ 000 each vehicle $ 000 each occurrence WORKERS' COMPENSATION Statutory * Includes Uoods or Products Warranty, Written, Lease at Premises, tosement Agreement, municipal Urainance Agreement, Sidetrack Agreement, Elevator or Escalator Maintenance Agreement only, unless accompanied by specific endorsement providing additional Contractual Coverage. Described Description belo. woi�ecl YEAR, MAKE, TYPE OF BODY. -LOAD CAPACITY IDENTIFICATION NUMBER POLICY NUMBER Umbrella Liability LAST 3 DIGITS SHOWN $ _,000 retained limit $ each occurrence $ - aggregate If this Interim Certificate As To Evidence Of Insurance is to be cancelled prior to the expiration date, we shall provide in days advance notice in vvriting� to whom this certificate is issued. City of Edmonds is named as additional insured as their interests appear. Certificate issued to: Narne And -City of Edmonds Address Countersigned 04 4A-UA AA_ Jnme.-, H_ Krnim, Not Applicable in Texas. Authorlied Representative 4 is In Texas the aggregote olso-opplies to owners and contractors protective, controctuol and/or completed a erotions. 56-0514 6-86 11501 2001ST PRINTED IN U.S.A. ADDR ESS: _7140000b 1-bD -?bQ TAXACCOUNT/PARCEL NUMBER: (7b BUILDING PERMIT (NEW STRUCTURE): lqwb�hb COVENANTS (RECORDED) CRITICAL AREAS Z DETERMINATION: [] Conditional Waiver [-] Study Required [] Waiver DISCRETIONARY PERMIT #'S:Abh-12t-E�a DRA1114AGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED PERMITS (OTHER): ft?k bl-k�J! (tiffi e U'05�A I V1 (o -7 0,4q o (DgInt) =Dqlgq 2 nog 0 9, �0 a: t-j)p 2pCF) pgr =7MRZ2, j� % z0c60135g (duA -) PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: I�Vjwl SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK:. SIDESEWER AS BUILT DATED:- ul -V�, SIDESEWER PERMIT(S) #: bis2l GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #:- s 8 -1 WATE.R METER TAP CARD DATED: I I I -LI S, � OTHER:-2)�\J bowl -e�6yie LATEMPOSTsTomis\Street File Checklist.doc . 4 CITY of—EDIVIO&S, ""S I E V` R E R-A I T PERM;IT: `NO",�, For Inspection',Call 771-,KO2 'S JUN- Address of Construction:' 610' D�ley Street N -4,5 6 Proper" Legal 'Descr.iption (Include all' '�easNgnftkgS-Lot�' Biock 101 City of Edmonds Plat # 4342 ,Owner and/or Builder.- BRUCE-HUMEL.' FRED THIELE k� WEITZEL .Cont I ractor & License No: HUMMEL CONSTRUCTION & DEVELOPMENT INC H%tGaft HUMMECD126CQ Singl:e Family Residence Mu 1 t i - Fam i 1 y (No. of Units 8 Commercial (No... of*fixture Units Invasion into City Right -of -Way: No X Yes (If Yes; Right -of -Way 'Construction'Permit required. Ca'l 1, One -Call -Center '(1'-800-424-5555) before any excava t i on. Cross other Private Property: No X Yes (If Yes, easementrequired, attach legal description and county easement number-) PLEASE,. READ THE'ITEMS LISTED ON T H E, BACK EDMO TREATMEN Jan, Slater 4/1/88 I q&,tify thd.-t T';ffave read and shall comply Date w i'th the i\tems listed on the back. Permit Fee: 30.00 �Jss.ued BY: _265 Trun k Charge: 7_00. 00' 10'a t e Issued: 6/2,0 /0 6 Assessment Fee: Receipt No.: F -76LZ Partial Inspection: Comments Date Initial Final Inspection Approved: Date I n i. t.i a1 00 Rejected: C) Reason [fate Tn-itial PERMIT MQST.BE'POSTtD ON JOB SITE > CK: White Copy File Green'. Ccfpy- Inspector Buff Copy Applicant The City of Edmonds Side Sewer Drawing EASEMENT NO - --------------------------------------------- NEW CONSTRUCTION REPAIRS n LID NO - ------------------ ASMT. NO - ------------------ "OWNER CONTRACTOR P FRMIT NO. 019Z-7 0 -------------------------------------- --------------------------------------------------------- JOB ADDRESS (e--(-() ------- 1A n - ------ -- S - ------------------------------------ 1"01 PWW-0001-1 1/75 (REV.1 1/78) (A i LEGAL DESCRIPTION- LOT NO - -------------------------------------- BLOCK NO - ----------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ NAMEOF ADDITION ....................................................................................................................... L L (,, V 14 'Qeg:V ,Z) -\L,. %) Approved: A �ez, DATE------------- By ....................................................... __11 I �101 0 B USE PERMIT R ZONER/;j/. 5— NUMBE T?05X CITY OF EDMONDS CONSTRVCTION PERMIT APPLICATION JOB NAME (OR NAME OF BUSSlNt5b) ADDRESS THIELE-HUMMEL CONST. 6 n8V, INC KN C11C1rBDIVIbION L�CAL IJISCI`111 NO LIU NO. Z MAILING ADDRESS 10008 - 151st Pl SE CITY TELEPHONENUMBER PUBLICRIGH 1?A:�P.ISROIRCIALSTREE1 MAP, Snohomish WA 481-4348 No SRED DEDICATION— Ro D P POSE NAME MYRWANG ASSOCIATES RIGHT OF WAY CONSTRUCTION PERMIT REOUIRED ADDRESS STREET USEPERMIT REOUIPiU.- i 17967 Noll Rd NE --rTF—LEPHONE NUMBER SEE E-4GINEERING MEMO DATED CITY Poulsbo, WA 1 697-9434 AELI R 5 NAME Hummel Construction & Development, Inc /;xq, ��IY6 /We CSe 1-16 R IS, 0 ACORESS 10008 - 151st Pl SE METER SIZE /y G SUPPLY SIZE 1111TURI UNITS j1UILDI"jy ;try .... ONE NUMBER 2 :8 Snohomish, WA 4"81-4348 REMARKS Pe U A Uk "Oem r da--f 3: STATE LICENCE NUMBER HUMEI-224C3 SIGN AREA ALLOWED PROPOSED ENV.RE EW V'EXEMPT COMPLETE ADS NO. Lo 81 Description of Property - Include all easements 11119--belowor attach four copies) I le' 0 RELINE Z j;e' ,P 9- Lots 3,4,5, & 6 VARIANCE OR CU PLANNING REVIEW By DATE Block 101 YAR I- COVE AGE , Z I .0 R SIDE REAR "Z i77 & Plat Of City Of Edmonds REMARKS P4 Z44 NEW RESIDENTIAL PLUMBING j 'I AcIDIALTE. COMMERCIAL MECHANICAL ElREPAIR RETAINING WALL 0 SIGN EXCAVATE FENCE CHECKED By ONSTRUCTION CODE TYFjjZ_ HEIGHT OEM... OR FILL I— 7Z7M j // P V301 NS REMODEL =V.�ICE PNJSI. =1 S ECIAL INSPECTOR AREA RPEOIJIFIED IOCC GPOUPANCY Up fV OCCLIPANT LOAD []WOOD STO El Al. BLDG RENEWAL 0 YES C NO REMARKS INSERTV _-ThUMj" OF uc,/_ s� NUMBER OF STORIES TWO (2) -ELL SIG EIGHT (8) UNITS /2,4/rd 3111 NATURE OF WORK TO BE DONE (ATTACH PLOTPLAN) Construct an eight (8) unit TN.SPelt 711);Y Condominmum building VALUATION PLAN CHECK FEE D BUILDING 565 000 PLUWBING -7f- MECHANICAL '17C P A%L ONE (LIA IT This Permit covers work to be done on private properly ONLY. GRAWNGIFILL Any construction on the public domain (corts, sidewalks, ITT driveways, marquees, etc.) will require separate per Ission. STATE SURCHARGE 3. Permit AppliCal Ion: 180 Days Permit LI ITS It: 1 Year - Provided Work Is Started Withl IT 180 Days ENFPGY COCE /0. 00 "Applicant, on behalf of bis or her spouse, heirs, zssigns and, s ccessors in interest, agrees to indemnify, defend and hold u its harmless !he City of Edmonds, Washington, Officials, employees. and agents from any and all claims fordamageS of < whatever nature, arising directly or indirectly from the issuance of this permit. iss ance of this permit shall not be deemed to PLAYS CHECK DEPOSIT —/SOO 2 0 modify, waive or reduce any requirement of any city ordinance 6 nor limit In any way the City's ability to enforce any ordinance T OTAL AMOUNT DUE provision." I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL Informatio given Is correct; and that I am the owner or the duly authorized agent of th3 owner. I agree to comply �;Ith city a 1? d THIS IERIIIT This applic:tion is not a permit until. state laws regulating construction; and in doing the work authoriz- �UTNO ZES THE 'u 1, signed by th Building Official or his ,he b ed thereby, no person will be employed in Violati on o I a a or ITS La s Or pen a- Code of the State of Washington relating to Work me n*s Compensa- WO LY ORK NOTED jhl. ,Pt IS Deputy: and fees are paid, and t -celpt Is ,Qnnsurance. INSPECTION acknowledged In space provided. SiGNATURE (OWNER OR AGENTS DEPARTMENT CITY OF T OFFICIAVS SIGNATURE DA E EDMONDS 771-3202 RELEASED BY: DATE, ATTENTION IT S UNLAWFUL TO USE OR O�ICUPY A BUILGING OF I STRUCTURE I' 'ORIGINAL — File YELLOW — Inspector HAS PEEN MADE AND APPROVAL OR UNTIL A F114AL INSPECTION A CERTIFICATE OF: OCCUPANCY HAS BEEN GRANTED. UBC PINK — Owner GOLD — Assessor CHAPTER 3. 102 78 0. W071 7W ROUT NG :SLIP ..�.-�NEW R- k , ON, k T'ALLATI SE V/I,,- 4NS ADDRESS� DATE: 0 VA D IAL A DIG # P.U.D. TELEPHONE CABLE:I.Y.: lNi GAS ZVI FOREMAN STORM SEWER OTHER fUTURE SERVICE INSTL: YES ORE- UT: IOCK CREW DATE.. INITIAL� OCK' .....DATE: Vc /BR INIT METER SHCIP-- ACCQUNT.,NTJMBER:--,j� 7 SUPPLIER: TOREMANw RI T R TMENT B T. FOREMA , N' ANIt DATE: /N� TAP.tARD -METER SHEET" APPLICATION1. UTILITY'. - DISPATCH BILLING '7176.; I �j Distri t c m nd 'o � s- Water beiipartm ent. TAP- CAAD Remarks: INCOMING index Rcg.-Rouw' Bk. Sieri�il-C�rd YR� fto Of- CREW', D9 T �MONDS -NEW El ADDITION El RETIREMENT ASIRT INFORMATION SHEET ASSET NO. ADDITION TO ASSET NO. DESCRIPTION SERIAL NO. LOCATION DE ,K. NO. P"d * * PURCHASE ORDER NO. PURCHASE ORDER DATE COST PROJECT NUMBER PROJECT COMPLETION DATE COST �Fo �/ // B.A.R.S. ACCOUNT NO. o 0 - 0 =--; zx/, 5 6_3 a) 0-i ESTIMATED LIFE 13 INITIATED BY DATE APPROVED BY ;-OVA "SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST T1 I *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY 2/DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT G.L. ENTRY REFERENCE DATE Itnp INITIAL DEPARTMENT FILE VERIFIED BY PROCESSED BATCH NO. Z U 0 U 0 E_ >4 �4 Z >4 U 1% 0 vo CII'Y OF EDMONDS COMMUNITY SERVICES DEPARTMENT RIGHT-OF-WAY CONSTRUCTION PERMIT A. 0 Owner: Alowjw4 lAle4e /57/ A-ddress q City State Zip e Address or Vicinity of Construction: Type of Work to be Done: Permit No. . . . Issue Date lo— 2 -7 7)+ 9- 1241-e B. e Contractor: Name P'6' &x Address city State zip ?fly, -21�3-09n State License Number Telephone Number Work in Connection With: 0 Sub or Plat 0 Single Family 0 City Projects Paveme . nt Cut: 0 Y 1-,4 0 Commercial '�)�ul.tifamily 0 Utility W W27 APPLICANT TO READ AND SIGN IN13EMNITY: 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, forseen or unforseen, that may be made against the City of Edmonds, or any of its 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. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed by City forces, at which time a debit or credit will be processed for issuance to the applicant. A 24 hour notice is required for inspection; Please call Public Works: 771-3202 4D Work is to be inspected during progress and at completion. ip Restoration to be in accordance with City Code. STREET im Street, to be kept clean at all times. ;-,'.�FILE ip Traffi� Control to be in accordance with City regulations. All street -cut ditches must be patched with asphalt or City approved material prior to end of working day; no excentions---- I irderstand the above and that this permit must be available at the job site for inspection purposes at all times. ;ign e- Date: �Owner or Contractor This Permit Must Be Posted at the Job Site For Inspection Purposes Call DIAL -DIG Prior To Beginning Work ISSUED BY: Time Authorized: Void after days. Special'Conditions: Amendments: PERMIT FEE: So Security Deposit: Receipt No.: "s- Fund I I I Fee: Street Cut Dimensions: x NO WORK TO BEGIN. PRIOR TO PERMIT ISSUANCE Eng. Div. July 1985 Eng. Div. July 1985 -REP, Y OF EDMONDS COMMUNITY SERVICES DEPARTMENT RIGHT- OF- WAYC'ONSTRUCTION PERMIT A. *Owner: HUM �ICL QQQ' --)I ZQZ-1 "N B. *Contractor: Name Go 5� Mailing Address UN City �tate Zip M OV.", Address or Vicinity of Cor�siructi Type of Work to be Done:1 k-P&\v\ \-P-s it, '�&_ P it No. — Issue Date 6-j - / C/ - Name at wn o� C? Mail�g .Address L-1w E) 0 City State Zip I //, , :�� -..(- State License Number Telephone Number ok �.'K_"� !�� W P, k L,) - i �-49zA N k 'e,�e CA� ( k r- A Work in Connection With: 0 Sub or Plat El Single Family El City Projects 0 Commercial XMultifamily 0 Utility Z Pavement Cut: 0 Y �_N U APPLICANT TO READ AND SIGN INDEMNITY: 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, forseen or unforseen, that may be made against the City of Edmonds, or any of its 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. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. 0 U Funds held from the Security Deposit (estimated restoration fee)'will be held until the final street patch is'� completed by City forces, at which time a debit or credit will be processed for issuance to the applicant. 0 • A 24 hour notice is required for inspection; Please call Public Works: 771-3202 • Work is to be inspected during progress and at completion. • Restoration to be in accordance with City Code. • Street to be kept clean at all times. • Traffic Control to be in accordance with City regulations. • All street -cut ditches must be patched with asphalt or City approved material prior to end of workin no exceptions. %. �A I understand the above and that this permit must be available at the job site for inspection purposes at all time& Date: Signatur Owner 6r Contractor This Permit Must Be Posted at the Job Site For Inspection Purposes Call DIAL -DIG Prior To Beginning Work >� ISSUED BY: PERMIT FEE: 0_� ( % Z Time Authorized: Void after 3 days. Security Deposit: 0 Special Conditions: Receipt No.: Fund 111 Fee: Amendments: Street Cut Dimensions: U P4 X 0 NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. July 1985 i FIELD INSPECTION RES '(Fund I I I Route copy to Street De Comments: Diagram: CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO Partial Work Inspection by P. W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: Eng. Div. July 1985 vcccc� 1476 REV. 7184 LOCATION POLE NO. REASON FOR Ll. El PUBLIC UTILITY DISTRICT No. I of Snohomish County 4� C_17%� — Area DATE 22 W. 0. NO. rsw 1/4 S :��_T 2_7 R REVISION DWG. NO (j EDO ENGINEER U. G�'FILE NO. DRAFTER SCALE APPROVALS DATE WORK COMPLETED BY FOREMAN ENVIRONMENTAL ANALYSIS SUBSTATION FEES REOUIRED YES C& NO El EXEMPT D NOT EXEMPT CIRCUIT NO. PRIMARY OVERHEAD: PARA. ITEM LEO O�H. U. ' G. COND. — KV ADD — CKT. FT. — PH. @ FT. REMV — CKT. FT. PH, XX 1 0# NET — CKT. FT. O.H. U.G. COND. — KV FT. ADD CKT. FT. — PH. REMV. — CKT. FT. PH. SECONDARY. OVERHEAD: — NET CKT. FT. — PERMITS METER POLE $ DATE TYPE GRANTED PRIMARY UNDERGROUND: (RESIDENTIAL) 0 TREE TRIMMING BASIC FEE 0 STATE xXU # $_1 FT. ED COUNTY El CITY LEU 0 $—/FT. $ SECONDARY UNMT NO: BASIC FEE $ 0 $_2_00FT EASEMENTS El REOUIRED NOT REOUIRED UNDERGROUND PLAT: BASIC FEE $ (t FT. @ $_ t (L FT. = $_ STREET LIGHTING: DATE RELEASED t FT. @ $ Vt FT. = $ FOREIGN CONTACTS 0 GTNW JPN NO. PRIMARY UNDERGROUND: (COMMERCIAL) C) CATV JPN NO. BASIC FEE $ — X_ JOINT TRENCH GTE & CATV $—/FT. $_ 13 OH/UG SUBDIVISIONS (5 YR. REFUNDING) POLE STENCILING ESTIMATED COST $ FROM TO NUMBER OF LOTS TAKE OFF POLE MISCELLANEOUS FEES: IDENTIFY PRE-CONST. REOUIREMENTS 0 TREE TRIMMING El PUD LOCATOR $ ONE CALL )<BACKHOE OTHER $ $_ LOGS POSTED I G. E.TC. E. TOTAL DUE: $ _fPOLE TRANSF CARDS I + U-MAPS DATE PAID: DEPT. CIRCUITS NEW SVC. APPLICATION # LOCATION DATE PRINTED I 0 h ci \17 \__v "C-10�J_\NA �')v3zTSZl_ PON") \Ocs cD 7 0 >-,C V A C-11 4��>T DISPATCH ERPOSTED -7 cl':_�_U DWG. NO. HUMMEL CONSTRUCTION & DEVELOPMENT INC. Custom - Residential - Commercial June 20, 1988 City of Edmonds 505 Bell Street Edmonds, WA 98020 AITN: Dan Smith RE: 610 Daley Street Performance Bond Dear Dan, I am submitting the information you requested to determine the amount of the Performance Bond for the above referenced project. Following is the cost of the improvements: 1. Landscaping $ 5,329.00 2. Paving 2,479.00 3. Storm Water Retention 192.00 (Connection Only - The property is to be connected to an existing retention system in alley.) TOTAL COST OF IMPROVEMENTS: $ 8,000-00 If you require additional information, please contact me. Sincerely, Bruce C. Hummel President L, &V-- - LIF�- - 61 * W 10008 151stPlaceSE - Snohomish, WA 98290 - 481-4348 Name of Applicant: CITY OF EDMONDS DATE RECEIVED S-IZ186 MUNITY SERVICES DEPARTMENT 11 250 5th Ave N DATE ISSUED 020, 771-3202 0 PERMIT NO. 0111;?_ 7- APPLICATION FOR STREET USE PERMIT y HUMMEL CONSTRUCTION & DEVELOPMENT, INC Mailing Address: 10008 151st Pl SE Snohomish, WA 98290 Telephone Number: 481-4348 Date: 4/19/88 W Description of Public Place or Portion thereof desired to e used: (exhibit M may be attached) M 20 Lineal feet of curb space on Daley Street le y -n Type of Use desired to be made of"Public Place: —Park temporary construction r� t,_4 LO rL t- 4�, X M iRgLPr rty 1. �4:R�b _ �]qp If applicable, attach plans and specifications for any utility or structure to be erected and/or maintained on the Public Place: Job site/construction trailer 81 x 181 TEMPORARY PERMIT: Unless otherwise designated herein, this permit is understood 4- is by applicant to be wholly of a temporary nature, that it vests no permanent, right whatsoever. If the permitted use becomes dangerous or such structure shall become insecure or unsafe or shall not be constructed, maintained or used in accordance with the provisions of this title, the same may be revoked and the structure and obstructions ordered removed by order of the City Engineer. If this application is for a specified period of time, the terms of said application is: INDEMNITY: Applicant understands and by his siqnature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages or claims of any FHE kind or description whatsoever, foreseen or unloreseen, that may be made against the applicant or the City of Edmonds, or any of its department or employees, including but not limited to the defense or any legal proceedings including defence �1, i;;.: 3 costs, court costs, and at-torney fees by reason of granting this permit. In addition, applicant'. understands that the City shall -be provided a certificate of insurance to indemnify and hold the City of Edmonds harmless from all claims and/or property damage, naming the City of Edmonds as an also insured. APPLICATION OF CHAPTER 18.70 OF THE COMMUNITY DEVELOPMENT CODE: Applicant warrants ffi—athe-Thas read, or had the opportunity to read, Chapter 18.70 of the Community Development Code, attached herewith, and understands that all terms of that Ordinance are incorporated herein as if set forth in full and this application and permit therefore are subject to the terms of that Chapter of the Edmonds City Code. i�'Applicant's Signature Jan Slater Office Manager 411q.189 - Uate City of Edmonds., Community Services Department APPLICATION FOR STREET USE PERMIT - - Page 2 Approval (and Agreement, if applicable) of Abutting Property Owners: SIGNATURE PRINTED NAME ADDRESS DATE N/A DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency) City Council Approval (if appl.icable)(Attach Minute. Entry): MIA ADB Approval (if applicable)(Attach Minute Entry): A/ ,16- Building Official Approval (if applicable): 11114- Signature Date Provision for Indemnity: Terms and Provision of Performance Bond, if applicable: le*wl #t,2?0 12 O/of PERMIT AUTHORIZATION BY: 0`(i g n at uTr e Date PERMIT NO. XX—I_-7 Date Issued: 14�1 ,,7 Permit Fee: 25-, CD RELEASED BY J76, RECEIPT NO. �;76-41 BUILDING PERMIT # ?,R0'Y07 Remarks/Comments: 6'le FIRE DEPARTMENT APPROVAL e!5�t ��I� .0 D A T E 7 POLICE DEPARTMENT APPROVAL DATE ENGINEERING DEPARTMENT APPROVAL -DATE 0 0 HUMMEL CONSTRUCTION & DEVELOPMENT INC. Custom - Residential - Commercial FA June 21, 1988 City of Edmonds 250 5th Ave N Edmonds., --WA-- SW20, Attn: Jennine RE: Street Use Permit Dear Jennine, We have applied for a street use permit for a.job site construction trailer. We wQul0,.1ike.to change the size of the trailer to 8' x 301. If this present a problem, please contact us. The size we applied for is 81 x 18'. We haveleased a larger -trailer for this project, so that is the reason why we-need.this change. Sincerely, 9J#f9R eSlater Office Manager C 12. /6? C 9. Aiy Y o4je4uws 7 BUILDING JUN 27 1988 10008 151stPlaceSE - Snohomish, WA 98290 - 481-4348 I* I (yoll I- L 7.5 TIE. C—ft,. i N T C) T( �) K rl f< I— T E H T I 5 T5 ri l* T Cl fob LIK 5 TY P) +1 L4,TEZAL .-3 A L- (6 L 4--L E x I �;> T. S, 'r I. -I PKA I N ........... co, -:�. TV 0 c -1 E� C C- ON� YVA L f 0 Y, T Tc K r-nT\/ wm A�L CO RL 0 AiH iH PQ.AHTIH(S- AKE TY L p A L. P L A,,, N. T' I H G IL iL 15' L -5. 4 S ri, T- C, f, F 'C C' CC), rL L 'L T V c sf\ �� %.- LI WA �b 1 -Eli Ll �- E L. - - I . I i 5 , F L FC_ T R M L:w T E R 4, G U TT,� K Tirl� - r-I T \/ - " I , , f - f - I � I " ". ,`-`�,�"i"., - - -, . � � ��`--", """ � �f- " �";, �*e`�� ,,-. i �! t ,. - I , . � - - - � I ; 10,1 " ; , , , , � t ..... . I lw;��A'�- ; I , ''. " �, �%,, � t: :i �:.mi , -,Y � . 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I + ; � I-,. ,�. �,�- - -. -1 i . / . / // / , '*""\ - - . ". � ;� ;. h 0 T E * P R 0 V I P 5 H A,, N P R Pl, I L G, P,, 5 I 5 H 0 W H 0 H F::IR5T- F�L-R f-L,&,N 4 A,!�, RF-O'D WHERe RAHP c-, L 0 P 5 F- X C EF E:-;- P 5 1 : ?- 6 � ZONE -- - --/,�- SETBACK& /5' FRONT — SIDE /01 . REAR /sl OTHER HEIGHT - 2, 5--' Z; � 9' � .j, ,,, ,,,, ,,,,, ll� � ,,, i, �, �, 1'� I �,, � � , " , � , 0 , , 11 � '�, I I , 01' 11., 0, , � , - RECEIVED MAR 2 9 1988 PERMIT COUNTER gf-5t,18 �`aXle�T. 570KI-I I . P RA I N 1 , r"', T I'll I , , , I " t,� -', - "I �l 1- . � .11 "I "I�l I I , , " � , , ��, I, ,!"'I , , "'", 1z, , ", "I " I , � i "I ,� " -,�',,, I I "I , , , , , 1, �l ,, , , , . F I I I 1�11�1�' — I LL- - - 0 - -` 7,5 ' 4 � I . c ,D I T F— P L- AN, riii] . . . - 1-ti. ,�FN ----- va"41'.0'' . . REVISIONS - I BY -3 /?- .9 A 8 --- -- I I i",- i F MilL C0'NSTRt%ffiQN & DEVELOPMENT INC. 1110 tit Pot. it. 0 to .......... C. H�mih6l OFFICE 481-4348 L 1.708 16008 151 OBILE 972-6672 SpohomisHi 61; m 7 VA 98290, y, 4 4 k- J `WtI. t! 7 14' V"i —3. vys�*�t 4., 11 jZ in" V , iil,4�,�i�`. PIA 4 TL WA ON ont. WALE:-, t 7 it14 . . . . . . . . . . DRA, I HS INTO 5 TO K M'* f?, F_ Tf! H T! 0 H 5 Y 5 T rl Z?V'%JA1 k5 C L) R. L IV. H T I H(v 6 A ........... AIN 7— T If f. L AIH :.6L. 0.6+1 OFF- ALI- C. ON C TO PP. t I 1'. F_ L 5 0' '1k P L P\ IL it4L 10 itTERAL lu— 4�6 itL Utj 6 X I 5T. E, TO P- tl 4 DRAIN �A 15T-F J\A 0 If L + w IF's fi� L x w wi�T ip FA AS I N 1. 75' M AfN W Ai IN I Date 7 a co NC WA. L t- ul� fit W, I`j bot" 1.k III I U h ... .... n, U-T .1 TY 4.0b I T Shoet': 46 A Sheet C4� -7 REVISIONS I BY I 10201 < ? v. V Fil 18 X 24 PRINTED ON NO. 1OWN CLFARPRINT . .......... U) CL E� L 708 ........... 11 a. I -1 ?-5 " N '4 Tit= C. 1-� 5TORI-A KETF-H H 5Y 5 T5 M. 0 N C M C. C, u K ryp) -17LNr4 ING A F 77"71 —7-. 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