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632 GILTNER LN.PDFiiiiiiii iiiiii 11398 632 GILTNER LN 2ITY OF EDMONDS PUBIJC WCPXS — ENGINEERIWj ACTION REPORT N? 4164 -, SUSPENSE DATE: Date: Time: File # Attachments: Yes 10 No SUM�CT: Ck- TOR: NAME: A ADDRESS: PHONE: REQUEST RECEIVED BY: TELEPHONE CONTACT IN 1111I./-<= OTHER: = RECEIVED BY WMITP Tn MM�J�' - "M ".'. - 0 M KSKOLM, M �) M 11. In a M RM ==am MM ACTION All Concerned Notified Action Completed/File CITY OF EDMONDS SIDE SEWER PERMI-r WATER -SEWER DEPARTMENT PERMIT Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.1 Inspection will be provided within 24 hours after requot. NO Sat., Sun., or holiday Inspections.1 ADDRESS LOCATION OF CONSTRUCTION_ 6_1 Thi rd ArqnamA Orri:', ...... 2 .................................................. 2 ................................................ ........................................................ PR - OPERTY LEGAL DESCRIPTION ... lAt-.1L ... Tn n� I Vcv� e�5, tAJ . ...... r ......................................................................................................................................................... .............................. * ------ * --------------- OWNER AND/OR BUILDERA ... TACOUT .............................. . .................................. . ....................................................... ................... * ............... ** --------- - ------ * ----------------- * ------------------------------------ * ------------ * .................. * --- - -------------- ---- * ------------------- * .................................................... * ......... i Backhm S�,rvic(�, 24096 - 92nd Ave. NI., Edr-ionds CONTRACTOR'S NAME & ADDRESS ... P..n. ... b ..... A.1;31 ................ �t .............................................. . .................................. . ....................................................... Permission Is granted ----------- I ..... ...... . ........... 1 19.34, for repair and/or connection of a side sewer to the city sanitary sewer s in accordance with City of Edmonds ordinances. 4 ACTION IS CALLED TO THE FOLLOWING: NOTE No. 1—The owners of the property may obtaln a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct side sewer In street area. Do not cover any portion of sewer before it has been inspected. NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office. NOTE No. 3—Obtain full Information regaxding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. NOTE No. 4—Top of side iewer must have at least 30 inches coverage at property line and 12 Inches inside property line; minimum grade of 2%. No bends In grade sharper than % will be permitted. NOTE No. 5--Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to improper work which may develop within one year of completion. NOTE No. 6_ t is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or its appurtenances except to in- Iert the pipe into the wye. DISAPPROVED Date Af . ................... By ................ Date ....... B ................ Date ............... . ................... . By ................ Dat .... ....................................................................................... APPROVED 10 _11 ...... -7 BY ... I... I Remarks: ....... . .. ................... . ........................................................................................................................................................................... ..................................................................... . ........................................................................................................... ................ _­ .......................................... ......... BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection I ........... .................................................................. .... hereby certify that the side sewer installation constructed under this permit (Owner of Contracting Firm Performing Construction) 'nstalled in accordance with all governing ordinances of the City of Edmonds. Dated this ......... 13 ............. day of .................. . .. ......................... 19.7f. V 4 Check BEFORE you dig for: Water F], Gas [], Telephone E], Power F], Sewer E], Other C] V -V October 2, 1972 File No.-4,08 LEGAL DESCRIPTION FOR HARRY GILTNER PARCEL GC The Westerly 100-00 feet of the, . Easterly 343.00 feef of that por-Hon of Government Lot 2 in Section 24.. Township 27 North, Rlange 3 E-ast, in Snohomish Countyi, Washington, described as follows: Beginning at The Norl-heast corner of said Government Lot 2; thence We.st for 30.00 feet; thonce South for 30.004eet, to.tho- co�ner of the paved. rodi and Seventh Avenue North produced in the -City of Edmonds; thence S 0*12100"W, ---,!c)ng ihe West I ine of Seventh Avenue North produced -for 233.67- -hence N 89'39100"W, aforl(�,' feet'fo the True Point of Beqi,'nning of this doscripflon; I a line -drawn parallel will, the- Norl�h line,of said Govornment Lot 2 for 611.'07,feot to an Intersection with the Easterly margin of Third Avenue North; thence S 29*18t00"W, along -said Eastetly margin for 86.85 feet; thence S 89*39"00"E,' for 653.71 feet to an Intersec-l-ion with the Vlesi' line of Seventh Avanue, N�ori-h produced; thence N 0'12100"E, along said West line for 76.00 feet to the True Point of Boginning. EXCEPT that portion -1hereof conveyed to the City of. Edmonds for street ri ght-of -way by deed recorded under Auditor's File- No. 2270223, records of Snohomish County,' Washington. of E 1),V 4 0 Un CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDSMA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 41 *PERMIT MUST BE POSTED ON JOBSITE* STATUS: ISSUED ENG20080130 SIDE SEWER PERMIT (1-Single Family) Permit Number: ENG20080130 Expiration Date: 6/3/2008 Job Address: 632 GILTNER LN, EDMONDS �APPLICANT CONTRACTOR THOMAS DORAN SOUTH COUNTY PLUMBING 632 GILTNER LN PO BOX 6157 EDMONDS, WA 98020-3001 EDMONDS, WA 98026 425-775-7377 LICENSE #: SOUTHCP 19302 EXP: 8/22/2008 * * JOB DESCRIPTION REPAIR N PROPOSE TO REUSE LATERAL LIDNUMBER.- CRINDER PUMP N I PROPOSE TO REUSE SIDE SEWER SIDE SEWER REPAIR LAS EMENT tiN FO RNIATION • PROJEC7 CROSSES OTHER PRIVATE PROPERTY • VERIFICATION OF RECORDED EASEMENTS COMPLETE 1ADEMATTY. The Applicant has signed an application which states helshe holds the City ofEdmonds harmlessfrom injuries, damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City ofEdmonds or any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and atiorneyfees by reason ofgranting this permit. CALL DL41,A-DIG (1-800-424-5555) BEFORE ANY EXCAVATION CALL FOR INSPEMON (425) 771-0220 EXT. 1326 24 HO UR NOTICE REQUIRED FOR ALL INSPECTION REQUESTS THIS APPLICATION IS NOT A PERMT UNTIL SIGNED BYTHE CITY ENGINEER OR HISMER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN SPACE PROMDED. A Pvinted: Thursday, Aprd 03, 20( q1310 $kjol��ECOPY XINSPECTORCOPY E] APP11CANT COPY STATUS: ISSUED ENG20080130 • Refer to City of Edmonds Side Sewer Information handout for approved pipe materials, inspections and other requirements. • A 6" cleanout with 12" locking cast iron laniphole cover is required at the property fine. • Maintain 10'separation between the sanitary side sewer and the water service line. • Applicant shall repair/replace all damage to utilities or frontage improvements in City fight -of -way per City standards that is caused by or occurs during the permitted project. * E-Sanitary Side Sewer Inspection PARTIAL INSPECTION DATE: INITIAL: NOTES: PARTIAL INSPECTION DATE: INITIA L: NOTES: FINAL INSPECTION APPROVED DATE: INITIAL: City of Edmonds Plumbing & Mechanical, Tank & Demolish Permit Application Form C Site Address: ('_ -S a a � � �_ V., Suite#: Business/Tenant Name (if applicable): PROPERTY OWNER:-!'N Mailing Address: -2 Tax Parcel #: I OV ED 01, city: State: �'j Zip:_ C;l Phone: -7 FAX: E-Mail: CONTRACTOR: C,\ c�S -7 Mailing Address: _� c) ?_� City: S_ State: Zip: Phone: (1-12_;�) -7?S-- 73 2_2 FAX: E-Mail: State License Number: Exp: Date: City Business License No: WAb4— ,2bO,-rl4 a P I I-50;a (A),AA MECHANICAL -7 PLUMBING Fixture Type Fixtures Total Fixture Type Fixtures Total Gas Fu mace/Fi replace: Water closet BTUs Location Sink Gas logs/direct vent fireplace Lavatory BTUs Location Tub/Shower Air Handler BTU Location Dishwasher a Electric Hose Bib a Other Gas water heater w/expansion tank Boilers _BTUs Location _BTUs Location Hydronic Heating Expansion Tank Vents, Single Duct # Floor Drain Other: Pressure reduction valve Water Service Line =ft Gas Piping ft Other: # of Outlets DEMOLITION sqft Gas Outlets TANK _gallons 0 AC Unit 0 Furnace 0 Fill Material 0 Water Heater a Boiler 0 Pump, Rinse & Cap 0 Dryer a Stove/Range 0 Removal a Fireplace a BBQ Critical Area Chklst 0 Other Gas Outlet 0 Study Reg. 0 Waiver L:\TEMP\BUILDING\WEBchecklists\MECH.PLUMB.APP.doc 8/31/06 55 1?'fla /'�— R.TREEN I m lum 4 NAME: PukrAW9 tgs�t,3 PROJECT ADDRESS: -RECEIPT DATE: PROJECT FILE PROJECT REVIEW CHECKLI I ST REVIEWED B : Initia Dme) PLAN. WATER -COMMENTS FIRE BLDG. SEWER STREET ENG.- Setbacks/Variance/Setback Adjustment Conditional Use Permit ADB Requirements Other Zoning Requirements .4 Underground Wiring Required -------- - - - - - - - Lot Slope 15% -.6 SEPA Environmental Checklist/Hydraulics Permit . . . . . . . . . . . . . . . . . . - - - - - - - - - - - - - - - - - 7.; Tree Cutting Plan . . . . . . . . . . ....... ........... . . . . . . . . . . . . Plat/Subdivision Requirements 57-4-11 :9: Legal Description Verification 5-el-171 . . . . . . . . . . . . . . Quit Claim/Street Dedications ........ -------- - - — - - - - - - - - - - - - - - - - - - - - - - - - - - Easements - Public/Private Engineering Storm Drain Review Fee a Engineering 2.2 Inspection Fee Drainage Plan (On -Site) Setback - Top of Bank, Stream, WaterZourses g ............... I . .. "'. `� 05 M A m -.1 Setback - Storm Drain Line Open Ditch - Existing AS - Culvert Required 10 41,20 F,_-.4 9 Culvert Size :Aon Shoulder Drainage/Shale Open Runoff . . . . . . . . . Catch Basin Required - - - - - - - - - - - - - - - - - - - - --------------- - - - - - - - - - - - - - - - - - - - - - - - - ............ Driveway Slope & Vehicle Access OZ-- I DO . . . . . . . . . . ......... Sidewalk Required . Curb & Gutter Required - - - - - - - - - - - - - - - - - - - - - - - - . . . . . Curb Cut For Driveway Re uired lop Street Paving Required 1 27. Right -Of -Way Construction Permit Required Street Name Sign Required 29 Other Signing Required �.�30 Bond Required For Public Improvements FEMA Map Check/Water Table 32 Side Sewer Availability . . . . . . . . . . . . . . . ............ ...... . 3 Calculate Sewer Connection Fee If No* LID # . ........... 34: Create Street File ...... . . . . . . ..... ...... Existing Water Main'Size Water Meter Size Service Line Size Water Meter Charge Required F, x, Hydrant Required .................. ........ . . . . . . . . . . . . . . . . . 4 0 Hydrant Size Existing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ........... 41 Fire Line Charge Required - Sprinkler 42 Street Cut . . ... .. .. .. ... T� 43 Miscellaneous . 44 Reviewed By: FIRE PLANNING ENGINEERING WORKS "T FILE 5- 1 T-f-- FL-4� -gVJ7— (5 / Z rl'1,6 R A ^16 41 4' DiA. TIGHTLINE TO CATCH BASIN DOWN SLOPE EXIST. HOUSE L &�; '. &7" RECEivEr) �511011 MAR 2 9 1993 PERMIT COUNTER DRIVEWAY APRON SHALL CONFORM TO CITY STANDARD DESIGN REQUIREMENTS PI.A( LIGHT POLE PROPERTY LINE u CONTROL C.B'.� WASHED AGGREGATE Driveway, z L TYPE 1, CB 15 CONCRETE SURFACE -a�rCONCRETE. PAVEMENT t __v 42 LF, .5% MIN. S DETENTION PIPE, dLECT. 1 0 18" DIA. N- 12 ADS, EXISTING PAVED SERVICE PE SURFACE TO BE ENTRANCE I ui REMOVED 0 z Z :is i Proposed Residence ui ui IV) 0 0 0 cc 1cr ju cc 0. LLJ Lu INLET C.B., %D TYPE 1, C.B. 15 4' DIA. TIGHTLINE '!�;' 00 FROM DOWNSPOUT COLLECTOR AND D/W DRAIN DATUM POINT: TOP OF CONCRE VAULT EL. 100'-0" E WATER METER EXIST. FLFCIRIJC_ VAULT E OF ROOF OVERHANG ABOVE EXIST. GTE UNDERGROUND VAULTS.-YER FY LO( EXIST. HOUSE - rrr,. T IUAVEv% 7 EXIST. HOUSE FILE EXIST. HOUSE EXIST. HOUSE APPLICATION 11 The City of Edmonds for � EASEMENT NO . ..................................... SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS F� LID No ASMT. NO - ------------------ OWNER C) �4 .............................................................................................. CONTRACTOR ---------- --------------- --_---_--------------- PERMIT NO - ----_------------- -t� -Tt -c= CD JOB ADDRESS .... LE6AL DESCRIPTION: LOT NO - ----------------------------- w -------- BLOCK NO.--.-: ---------------------------------- 40 uj !lu ME ................................................................................ , C_j %.- %_ I .................................................................. Approved: DATE ........ ........ By --------------- "71 /11ft-0 ----------- APPUCATION 11 The City of Edmonds for . EASEMENT NO - -------------------------------------------- SIDE SEWER PE"Aff NEW CONSTRUCTION REPAIRS F] LID NO - ----- ------------ ASMT. NO - ------------------ --------------------------------------- ........ PERMIT NO. bVNER ........ ------- -- ---- ------------ ----------------------------- CONTRACTOR --F ------- JOB ADDRESS ----- ��ig ---------- 3 -- -------------------------- I ------------------ LEGAL DESCRIPTION: LOT NO - ------ j ----------------------------- BLOCK NO - ------------------------------------ DATE BY--------------------------------------------- STREET FILE* CITY of EDMONDS --- PUBLIC WORKS DEPARTMENT Routing of Building Permit Applications Proposed Property Address of Application: 632 - 3rd Avenue North DEPARTMENT COMMENTS DATE V A T E R S T R E E T S E V.E R N 0 T E S BUILDING DEPARTMENT COMMENTS '. '11 r. I b. � n onni '4 02 04 BUILDING DEPARTMENT Applicant Fill Inside Heavy Lines PERMIT APPLICATION U or, PERMIT ZONE NUMBER JOB ADDRESS & .3 C� NAME (OR NAME OF BUBINESS) MAII ING ADDRESS PERMISSIBLE 7, ACTUAL LOT COVERAGE LOT COVE'ROAGF PFR.NIISSIBLE Hl!',IGIIT PROPOSED HEIGHT 0 CITY TELEPHONE NUMBER �7 ;74�r AC`TUAL LOT AREA TOTAL BLD-G. AREA 1z REQUIRED YARDS PR,)FIOSEn YARM� FRONT SiDE REAR FRON r SIDE REAR NAM ADDRESS LEGAL LOT VARIANCE OR CONDITIONAL USE C] YES NO PERMIT NUMBER PLANNINn DEPT. APPROVAL DATE: CITY TELEP14ONE NUMBER STREET R/W EXISTING STREET R/W.. ..FT. DEFICIENCY TIIIH PROPERTY COMP. I'LAN ST. R/W _147. ....... Fl,. z i 0 N AM I-1, -1 t iWZR K _8 ADDRESS CHECKED BY CITY 4TA TELEPHONE NUMBER METER SIZE SERVICE SIZE CLEARANCE CHECKED BY .9 F LICENSE NUMBER CITY LICENSE NUMBER REMARKS Legal Description of Property (Show Below or Attach Four Copies) TYPE CONNECTION VERIFIED BY PERC. TEST PERMIT NUMBER 09 REMARKS FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED I C] YES NO SPECIAL INSPECTOR REQUIRED [] YES 0 NO OCCUPANCY GROUP I GAS NEW RESIDENTIAL LINE NON-RESIDENTIAL SIGN ADD RETAINING DEMOLISH El WALL A LTER EXCAVATE FENCE F OR FILL ( x Ft REPAIR PRE -MOVE swim 1:1 INSP. POOL,' PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. REMARKS NUMJiER OF STORIES NUMBER OF DWELLING UNITS NAT JRE OF WORK TO JAE DONE Plan Check No ............... Valuation Fee Recelpt No. BUILDING PROPOSED USE PLUMBING HEAT & GAS LINE PLOT PLAN (Indicate Building setbacks, abutting streets) 0 1914 FENCE SION RETAINING WALL SWIMMINO POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL E 8 9 0 - I C) C) - �7­ A;�7 f'% N�" STREET FILE City.of Edmon& RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number. 95- /'3 Is -sue Date: 61 - 30 - 'Ps - A. Address or Vicinity of Construction: 632 Giltner Ln ( 9519483 'r B. Type of Work (be specific): Inata.11 Service C. Contractor: - Washington NaturAl Gas "'Mailing Address: 1122 75 St SW Everett State License #: 98203 D. Building Permit # (if applicable): Contact: Frank Swan Phone: 447-3284 Liability Insurance: Bond: $ Side Sewer Permit # (if applicable): E. El Commercial EJ Subdivision El City Project [3[ Utility (PUD, GTE, WNG, CABLE, WATER) n Multi -Family Single Family F1 Other INSPECTOR: INSPECTOR: WA;4c--H F. Pavement or Concrete Cut: R] Yes 0No G. Size of Cut: x H. Chargi�,$ cut APPLICANT TO READ AT�kSJGN INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City ofEdmonds harmless from injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any Of its departments or employees, including or not limited to the defense of any legalproceeding8 including defense Costs, andattomeyfee8 byrea8onofgrantingthi8Permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material 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 Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. Ihave read the above statemenq�d understand thepermit requirements and thepink copy of thepermit will be available on site at all t7le 4Tr-inspPctiofz d4woses. Signature: Date: (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: TIME A I UTHORIZED:,VOID,AFTER Au(A 3b— DAYS SPECIAL CONDITIONS: A- 60h g COMMENTS: -RIGHT OF WAY DEPOSIT DISRUPTIONFEE/FUND III:, RESTORATION FEE: PERMIT FEE: _-TOTAL FEE: RECEIPT FEE: DATE: ISSUED BY: �' NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. 1994 FIELD INSPECTION NOTES Comments: Diagram.: (Fund 111 - Route copy to Street Dept.) CONTRACTOR CALLED FOR INSPECTION El YES Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: 0 NO A-- Washli-awl N mt at ral Gas AWa,IwiqIrxibx,iqy(rxv4),-vN Addendum to: City of Edmonds Right of Way Permit Application Submitted by: Mariamne Kingsbury Engineering Aide Washington Natural Gas 1356-7500 X7596 Key: Watermain depth -G- -SS- gas main -& 0 -9 4 12$ -2-1 Water Gas Sewer Water hydrant Water valve Washington Natural Gas Company 1122 75th Strect S.W.. F%-crett. Washington 98203. (206) 355-3331 CA FILE NO. Critical Areas Checklist Site Information (soils/topographyjhydrp I etation) 1. Site Address/Location: 2. Property Tax Account Number: i�`) Z) 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? k1l no. If yes; how is site developed? 5. Describe the general site topography. Check all *9 apply. Flat: less than 5-feet elevation change over entire site. � If 4 � 2 tlYJ , J U L 14 1994 PER'V'IT C-0,1J.-NITER Polling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-fect). Hil1r. slopes present on site of more than- 15% and less than 30% ( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contaCm areas of year-round standing water: Approx. Depth: 7. Site contains areas of seasonal standing water. Al I/ ; Appr9x. Depth.: What season(s) of the year? NO 8. Site is in the floodway floodplain of a water course. 9. Site contains a cr ellor an area where water flows aqm the grounds surface? Flow§ are year- round? C) Flows are seasonal? (What time of year? 10. Site is p(imarily: forested meadow _; shrubs mixed urban landscaped Qawn,shrubs etc) 11. Obvious wedand is present on site: P"01/0494 ar 90-19' City of Ednon& Critical Areas Che c*klist The Critical Areas Checkiist contained on this form is to be filled out by any person preparing a Development Permit Application for the City of Edmondsprior to histher submittal of a development 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, and submit it to the City.. The City win. review the checklist, make a precursory site visitt; and malm a determination of the subsequent steps necessaryto, complete a development permit application. 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 (eg. site plan, topography map., etc.) or studies in conjunction With this Checklist to assist. staff in completing th6w 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). Own pplicant: Applicant Representative: p ican N=e Nam Stree Ad&= City, State, ZIP Phone Signaftue Date