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644 ELM ST.PDFiiiiiiiiiiiiii 11192 644 ELM ST CITY OF EDMONDS - SIDE SEWER PERMIT WATER -SEWER DEPARTMENT P E R M I T Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.) Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections. "i ADDRESS LOCATION OF CONSTRUCTION ......... IAA .................................... I .......... ...... ........... ................. PR�PERTY LEGAL DESCRIPTION ............... 7�1 .......... .................................................... ....................................................... . .......................................................................................................................................................................................................................................................... ................................................................ 0114WERAIWOR BUILDER ............. . . . ....... ..h U, .............. ; . . .................... -V ................................................ CONTRACTOR'S NAME & ADDRESS ............................ ...... . ....... t ............ i------- 1 ---- ., .... .................................. P gran ted . 3 ...... ............. 197;�2�, for repair and/or connection of a side sewer to the city sanitary sewer accordance with City of igdiiionds ordinances. A L", is ATTENTION IS CALIX-1) TO THE -FOLLOWING: NOTE No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct side sewer in street �xea. Do not cover any portion of sewer before it has been Inspected. NOTE No. 2—All work performedin 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 regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. NOTE No. 4—Top of side sewer must have at least 30 Inches coverage at property line and 12 inches inside property line; minimum grade of 2%. No bends In grade shaxper than % will. be permitted. NOTE No. 5—Trenches in street m ust 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—It 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- sert the pipe into the wye. DISAPPROVED0 Date .... ..................................... By ................ Date ........... ------ By ---------------- Date ............... - ------------------- By ---------------- APPROVED F<!bate.:. W ...................... By.. ................... . ... .. . .............................. . ....................................................... Remlawrks . ..... .................. . .. . ..................................... ....... . ...................................... . .............. . ................................................... .............. ........................ . ............. .. . ........................................................................................ . .................................. . .. .......................................... ......... 'r. IsBO P rm' rCopies igne y Owner of Firm Performing Construction PRIOR To Request For Inspection I,_ ... .. .... .. ..... ....................... .................. ... I hereby certify that the side sewer installation constr4ted under this permit er &n'�;�cting .491rrn Perform Construction) wa!; Installtd ac rdance with a ing ordinances of the City of Edr];Ws. 11 10 C'1/04 A A -7 Dated this ....... V ............. day of ..... L .. Iy.w .. ....................... 19 ......... Check BEFORE you dig for: Water E], Gas E], Telephone E], Power [], Sewer E], Other E] 7� SEWER PERMIT C� ONDS SIDIt �.''VWATER-SEWER DEP"TMENT PERMIT Call 775-2525 for side sewer inspections BEFORE cover, Portion of the construction Inspection will be provided withio 24 hours after requot. Sun., or holiday Inspections.) A46 St 0#*0CA'ftQN OF CON N .... .. . .......... . ... . .................. . .................. . .. . .......... ................................ "ESUMMON. ATTACJ ............ . ....... .� ..... ........................ . . . . .......... ........... ....................................... ............. . ...................... . ..................... ................... ............ . ....... '77 .................. . .................................................. 7- .................................... 0 ... . . .......................... . ........................... . .......................... 'NAM & ADDRE ...... ... .. . ................................................ ........ ........... i6d/or city Of reVah connection of a side sewer to the city mrdtary sewer IW3_*X4XD TO THE FOLLOWING: qi��f 464i"'Vors of the property mav obtain s, permit to construct sewer inside P;�y line. A licensed Side Sewer Contractor must be employed to construct id:,:_1swer In street area. Do not cover any portion of sewer before It has beekinspected. ��,+�Alt*brk performed in city right-of-way requires an Invasion of Right-of-waj Permit obtainable from the City Engineer's of =�,ttn full Information regarding Ordinance 11. 16.030, and Regulations governing side sewqs, when you get permit. side sewer must have at least 30 inches covenLge at property line and 12 Inchp-ifiside property line; minimun-t grade of 2%. No bonds in grs," sUrper than % will be permitted. in street must be Water settled and surface of street restored to or condition. Contractors shall be responsible for failure due to I=pMW-,- �':'woz* which May deVelop within ono,year of completion. %,:4,—,It lopiraawf to alter or do any other'work than Is pilovided for in the permit, or to do any work on the main sewer, or its appurtenances except to Inr iWft�ihs pipe into the wye. .. ............ Ovm -0 DW. - B ............... Date ............... ................... BY Jay.. )Vp! ............................ . ....................................................... r ................... . ......................... ............. ....................................... ................. . ..... ... ........... . ............................... .................... I ......... I .......................... ........................ . .................... . ......... ......................... . ........ . ......... ............ rming Constructiw -F BOTH Perrylit Copies MUST Be Signed By Owner Of Firm- Perfe Pmolt To Request For ............. . hereU$, y that the side seVer in an c46t�ucted under- tift permit er of Contracting Firm Performing Construction) ��e.4.�-,aceqpda=ewith aH -governing ordinances of the Ctty,',o Edmonds. ...... ..... ...... ........................ . . ...... 4 Dated this ........... . .. . ........ 4 'Gas 0, Telepboas 0, yowdis,fo. Water 0, sewer other . . . . . . . . . . o 0 INTER OFF -ICE COMMIKICATIO01 DATE TO 1A1, e�7-- Ze�c.-,r, FOR. 41 - LITTLE'S FROM SUBJECT: Z� 145 AC- C 7 /0 IV C. 1:5� Al gzE-,,7.V 7' --- 7-; 71ZAIX�s '01 - 0 ADDRESS: WLJ �QJ44 S-�- TAXACCOUNT/PARCELM �,7-763Z6C)630o&66 BUILDING PERMIT (NEW STRUCTURE) #: COVENANTS (RECORDED) FOR: CRITICAL AREAS#: 16 -,�Fj DETER MINATION: Conditional Waiver XStudy Required 0 Waiver CRITICAL AREAS #: DETERMINATION: Conditional Waiver Ej Study Required Ej Waiver — DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORD FOR: PERMITS (OTHER - list permit Vs): PLANNING DATA CHECKLIST DATED: IL411 Q SCALED PLOT PLAN DATED: LP/oho SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: --FBLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE/ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: OTHER: L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc fimlh� CORRECTED LW 0 DECK PLOT PLAN Center of Right -of -Way bo ELM STREET W N 0 rIG J� CD 06 CD > OQ Sidewalk ------------------------------------------------- ZY) -- - - - - - - --- - - - - - - - - - - 38' Proposed Rplerrint Deck w/stairs 34' 3" EXISTING HOUSE C� Y -C 4- rl- 1 51 Corrected Property Line! 18' 14 Driveway I Cf) > 75.36' .............. --------------------- 94' 0 M Property Owner: Stuart & Kathleen A. Hitchner Tax account Parcel # 27032500300600 z: 644 Elm Street, Edmonds 98020 Zone: Deck Sq ft = 240: with stairs = 275 sq ft Nothing in �Jjis jxnnit approval process shall be pterpreteJ as ,,11oming or pennittilig the maintetiance of any currently existing illega. noncoaforming Or L111I)CM11tted tmildin& structure orsite condidon whicli Is otitside me scope of the permit application, regardless of whether such buildi ag, structure or condition is shown on the site plan or drawing. Such building, structure or condition may be the subject of a separate ,liforcement action." STPh"EET FILE �r , *. I i 5P - M I �' JUN 0 9 2010 BUILDING DEPAR-WENT CITy OF EDMONDS I? 0 Q 0 0 PLANNINGDATA SINGLE FAMILY RESIDENTIAL 11 STREETF:I:L:�Ej] Name: 4�, -� A"', Date: � — I I — ( 0 Site Address: 6 q, "A 'euy" Tax Parcel q -7 03 )- !�-O C) 3 0 0 6 0 Project Description: Plan Check #: T L,,D a c) i k) ta 6 7 Reduced Site Plan Provided: (RI NO) Zoning: L Map Page: I Corner Lot: (6s NO) Flag Lot: (YES /.NO) Critical Areas Determination #- tpp�g-oto 00 5- 0- Study Required E] waiver SEPA Determination: P--Exempt El Needed (for over 500 cubic yards of grading),-, 0 Fee 0 Checklist 0 APO List with notarized form Required Setbacks Stre t: Side: I Is I-r=> - I ActualSetbacks Street: Side: T Side: 3-7 Rear: Ll El Detached structures: El Rockeries: El Fences/Trellises: El Bay Windows/Projecting Modulation: ,MStairs/Deck: — Heiglit Datum Point: Datum Elevation: Maximum Height Allowed: Actual Height: Offier Parking Required: Parking Provided: Lot Area: Maximum Lot Coverage: 35% Proposed: Lot Coverage Calculations: ADU Created: (YES / NO) Subdivision: Legal Nonconforming Land Use Determination Issued: (YES / NO) Comments le c0v-, �e- vle,�\axe) r-KU 1-7,9o. P)-L2 VA- Q> O�V') Plan Review By: tc Planning Data Form 07-14-09.doc LOW 4 - Ep",6- PUBLIQ WORKS DEPART10 CKLIST i3 , e2 I BUILDING PEERP,11,TIT ST �address) (date) U Street Right-of-Tday Existing REQD Z Access Easements Existing 'REQD__—hkAe--- C4 Utility Easement Existing REQD NA W Lot Per SubdivisionS!!j_ �-6-PS Plat Assessor W Site Plan Checked for Accuracy Z Underground 14iring Reqd. Check Accuracy of Legal Description — Z Review by_ 15 QL;Ax.,6 Date Existing Water Main Size Water Main Required Service Line Required Hydrant Size Existing 1:4 Hydrant Reqd Per Fire Code Size Detector Check I-L-ter Reqd. A-) Cross Connection Inspection /00 Fire Deparment Comments ,4ater Mater Charge Reqd. 15 C:) 1 Review by, Date :2-41-7(-78 Septic Tank Design Approved 11,4- Date Septic Tank Permit Reqd. Permit No. Sanitary Sewer Availability Proj. Dra�%7ing No. File No. Side Sewer Availability c)k-) Att)-P— C-J-� \3 10:. k�--3 ArtAb Sanitary Sewer Connection Fee Reqd. V-tn_-- �3 Review b Date z (n Open Ditch Existing__,�V�/� �Reqd. Culvert Reqd. Size in4 Catch Basin Reqd. Indicate on Site Plan 0 Shoulder drainage maintain collection on swale open runoff T,lanhole reqd. Indicate'on Site Plan Soil Conditions and Ground Water Field Checked. Review by, Date =Z,7— Revised: lvlO-1977 BUILDING DEPARTME icant Fill 4 'pp' USE PER I ZONE P I /�, I/ I C/1 - j nside Heavy L nes PERMIT APPLICATION 1 —1 —7, JOB . ADDRESS rv--, _4 NAME .(OR, NAME OF BUSINESS) C & H Fomes LEGAL LOT NO YES LOT AREA _71S SUBDIVISIgN -4- NO. W MAILING ADDRESS z 3: 0, 403 Main St CITY TELEPHONE NUMBER Edmonds 775 11424 1 77M STREET R/W EXISTING STREET R/W 6_� FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W FT. FT. --- 0 NAME REMARKS z U Ron X Johnson ILI t 1 U ADDRESS 23308 96th V! CHECKED--" twm W ILI z 0 CC < CITY Eclinonds TELEPHONE NUMBER 542) 6697 STREET AND/OR UTILITY WORK REQ'O. El YES -21�NO R/W PERMIT REQUIRED YES 4RNO z NAME�a UNDERGROUND. WIRING REQ'D. 0 YES SNO 0 ADDFIESS TYPE CONNECTION 4PYES VERIFIEJ B I- U SANITARY SEWER NO z CITY TELEPHONE NUMBER SEPTIC SYSTEM DYES APPV'D BY CITY ENG. jbNO PMMIT NUMBER 0 U STATE LICENSE NUMBER CITY LICENSE NUMBE REMARKS Legal Description of Property (Show Below or Attach Four Copies) METER/IZE BUILDING SUPPLY SIZE W REMf/RIIS z 0 SIGN AREA ENV. REVIEW ADB NO. U 0 W ALLOWED PROPOSED COMPLETE EXEMPT REMARKS W VARIANCE OR CU PLANNING REVIEW BY DATE YARDS AO FRONT tp SIDE REAR LOT COVERAGE NEW RESIDENTIAL GAS IX-1 1x_ EILINE E : NON-RESIDENTIAL SIGN 0 ADD LE 1:1 DEMOLISH RETAINING 0 1:1 WALL DALTER EXCAVATE FENCE OR FILL I— X—FT) PRE -MOVE swim F-1 REPAIR INSP. POOL FIRE ZONE TYPE OF CONSTRUCTION ICODE 1 HEIGHT SPECIAL INSPECTOR REQUIRED E) YES 1:1 N 0 ]GROUP OCCUPANCY OCCUPANT LOAD PLAN CHECKED BY THIS SIT LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. I - z W NUMBER OF STORIES NUMBER OF DWELLING UNITS REMARKS NATURE OF WORK TO BE DONE Construct a house CL W 13 PLAN CHECK NO. VALUATION FEE z 0 z PROPOSED USE Single Family W (L PLOT PLAN (INDICATE BUILDING SETBICKS, 1> I X U 0 W AMA1X_T_1Ura_5_T_RF_ETS1 G LM 2 0 BUILDING L 0 J ILI PLUMBING III 0 — HEAT & GAS LINE a 74 > 1- FENCE SIGN z T 0 RETAINING WALL U SWIMMING POOL 1 00 CITY OF EDMDFMDS HARVC H. HARRISON MAYOR CIVIC CI=NTF=R - �DMONDS, WASHINGTON 98020 - (206) 775-2525 COMMUNITY DEVELOPMENT DEPARTMENT March 28, 1978 C & H Homes 403 Main Street Edmonds, Wa. 98020 CHANGE OF ADDRESS FOR PERMIT #780096 Per our conversation of today this will serve as notice that the new address will be 644 Elm Street. Harrly—M. Whitcutt Building Official HMW/ae cc: Utility Billing is APPLICATION The -dity of Edmonds for EASEMENT NO - -------------------------------------------- SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS F� LID NO . .................. ASmT. NO - ------------------ OV'NTER ........ ------ .................................. CONTRACTOR .......... ---------------------- PERMIT NO. JOB ADDRESS ... ........ :f�5. ---- E LEGAL DESCRIPTION: LOT NO. BLOCK NO - ------------------------------------ .................................................................................................................................................................. NAME OF ADDITION ------------ ;Al DATE ... 0 The City of Edmonds APPLICATION for SIDE SEWER PERMIT EASEMENT NO - -------- ----------------------------------- NEW CONSTRUCTION F] REPAIRS LID NO - ------------------ - ASMT. NO - ------------------ 4— '� �� ------------------------------ OWNER �� ------------- ....... .. ........ JOB ADDRESS ------ -------------------------------- 0 CONTRACTOR ....... ------ -- ------------------- PERMIT NO. LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------ ..................................... ........................... ................................. ------------------ Approved: DATE By--------------------------------------------------- yi7yir Date *March 7', -19,78 MEMO TO: John B. Mitchell Water/Sewer Superintendent FROM: Richard H. Allen Assistant City Engineer SUBJECT: SEWER COt�NECTION CHARGES Legal Description: The East 75.36 feet of the following described property: All that portion of the east half of the Northeast quarter of the Northwest quarter of the Southwest quarter of Section 25 Township 27 North, Range 3 East, W.M., described as follows: Commencing at the Northeast corner of said subdivision; thence South 10 09' 30" West 20 feet; thence North 880 18' 30" West 30 feet to true point of beginning; thence continue North 880 18' 30" West 150.78 feet; thence South 10 11' 50" West 0 97 feet; thence East 150.78 feet to a point which is south 1 09' 30" West 97 Feet from true point of beginning; thence North 10 09' 30" East to point of beginning. Situate in the County of Snohomish, State of Washington. Commonly known as: 646 Elm Street Owner: C & H Homes Z.F.F. Calculation: 79.23 Z.F.F. x 5. 50 $ 435.77 Connection Fee Lateral x 0 0 Lateral Charge Unit(s) x $25 $ 25.00 Trunk Charge $ 10.00 Permit s 470.77 TOTAL APPROVED BY: Leif R. Larson, P.E. Director of Public Works DLD:jac cc: Owner CC: Bob Hacker, Bel Air Homes 1'� '403 Main Street, Edmonds, Wa 5/101/77 CITY OF EDMONDS CRITICAL AREAS RECONNAISSANCE REPORT Site Location: 644 Elm Way Tax Acct. Number: 27032500300600 Determination: Study Required Determination CRA20100051 Owner: Stuart Hitchner Applicant: Same as owner CRITICAL AREAS RECONNAISSANCE REPORT: STUDY REQUIRED During review and inspection of the subject site, it was found that the site is adjacent to a stream, pursuant to Chapters 23.40 and 23.90 of the Edmonds Community Development Code (ECDC). GENERAL CRITICAL AREAS REPORT REQUIREMENTS Critical Areas Reports identify, classify, and delineate any areas on or adjacent to the subject property that may qualify as critical areas. They also assess these areas and identify any potential impacts resulting from your specific development proposal. If a specific development proposal results in an alteration to a critical area, the critical areas report will also contain a mitigation plan. You have the option of completing the portion of the study that classifies and delineates the critical areas and waiting until you have a specific development proposal to complete the study. You may also choose to submit the entire study with your specific development application. • Please review the minimum report requirements for all types of Critical Areas that are listed in ECDC 23.40.090.D. There are additional report requirements for different types of critical areas (see below). • Note that it is important for the report to be prepared by a qualified professional as defined in the ordinance. There are options on how to complete a critical a�eas study, and there is an approved list of consultants that you may choose from. You may contact the Planning Division for more information. General Mitigation Requirements for all Critical Areas are discussed in ECDC 23.40.110 through 23.40.140. REPORT REQUIREMENTS — STREAMS A stream is located on the adjacent properties to the south of the subject property. Thus, the subject property may be located within the minimum required stream buffer and/or critical areas building setback. • Streams are areas where surface waters produce a defined channel or bed which demonstrates clear evidence of the passage of water. Streams need not contain water year-round. • Streams are regulated as types of Fish and Wildlife Habitat Conservation Areas. • Streams are classified according to whether or not they run year round and whether or not they support fish populations according to the classification system listed in ECDC 23.90.010.A.l. • The minimum buffer widths for streams vary depending on the type of stream and are listed in ECDC 23.90.040.D.l. • In addition to the general requirements for Critical Areas reports referenced above, specific Critical Areas report requirements for Fish and Wildlife Habitat Conservation Areas are provided in ECDC 23.90.020.A to C and additional technical information requirements for streams are listed in ECDC 23.90.020.D. Page I of 2 0 0 DEVELOPMENT PROPOSALS ON A SITE WITH A STREAM Development proposals that encroach into streams or their buffers or building setbacks may be allowed through the approval of certain processes. The width of a stream buffer may be reduced through buffer enhancement through the review of a Stream Buffer Enhancement Plan that meets the specific requirements referenced in ECDC 23.90.040.D.2. The maximum amount that a buffer can be reduced through buffer enhancement is 50%. A buffer may also be modified through a process called buffer averaging. The criteria applied to buffer averaging are listed in 23.90.040.D.2. The maximum amount that the buffer width can be reduced at any single location through buffer averaging is 50%. Development proposals that propose encroachments into buffers beyond what is allowed through the above methods require a Critical Areas Variance or a Reasonable Use Exception. If you think that you have a proposal that may require one of these processes, please contact a Planner for more information. ALLOWED ACTIVITIES Certain activities are allowed in or near critical area buffers as specified in ECDC 23.40.20. If you have any questions about whether your proposed development qualifies as an allowed activity, please contact a Planner for more information. EXEMPT DEVELOPMENT PROPOSALS Certain development proposals may be exempt from Critical Areas Requirements (ECDC 23.40.230). If you think that a specific development proposal may be exempt, contact a Planner for more information. Name Signatu Date NOTE: Cited sections of the Edmonds Community Development Code (ECDC) can be found on the City of Edmonds website at www.ci.edmonds.wa.us. Page 2 of 2 iK IF . IMO ELMIM1, WAY 22a !P J, --4b � IV JLI Lut, -� Aft. ----------- Jmh;L� — .' "ffj� A�- AL .4 '1 low t 3,1; t ITT r �41 11. po Is OIL 4 '7� t hm CRA20100051 This map displays LIDAR data at approximate 2-foot contour intervals. This map is for information purposes only and should not be relied upon for any action. Actual topography should be verified in the field by survey for accuracy. This map is provided with all faults on an "as is" and "as available" basis. No warranty of any kind is given. Users of this map agree to indemnify and save harmless the City of Edmonds, its officials, officers, employees and/or agents from and against any claim, demand or action, irrespective of the nature of the cause of the claim, demand or action, arising out of any use or possession of this map. N W+E S I inch = 40 feet 0 10 20 40 Feet I I I I I I I -LJ 0 Windows Live Hotrnail Page I of I "i Windows Live," Home Profile People Mail Photos More , MSNr we Hotmail New I Delete Junk I Mark as , Move to , I Z messenger, I Op journeyfaraway@hot... I Reply Reply all Forward llnbox(155) Critical Areas Determination for 644 Elm Way Junk (14) Drafts (7) From: Machuga, Jen (Mach uga@ci.edmonds.wa. us) G3f You may not know this sender. Mark as safe I Sent Mark as junk Deleted (35) Sent: Thu 5/27/10 10:09 AM Malissa Itschner To: journeyfaraway@hotmaii.com Manage folders 2 attachments I Download all attachments (1280.0 KB) Add an e-mail CRA-10-00 ... pdf (501.2 KB), CRA-10-00 ... pdf (778.8 KB) account Mr. Hitchner, Related places Today The attached critical areas determination was issued yesterday for your property at 644 Elm Way (CRA20100051). Please note that Contact list although your property was flagged as being adjacent to a stream, it is likely that most projects on your property will be exempt from Calendar critical areas report requirements due to the fact that there is an access road between your property and the property containing the Hotmait* stream. If you have any questions on Whether a specific project Chat in would be exempt from critical areas report requirements, feel free to Our i-6-- � contact us. A copy of this determination will also be mailed to you. I Thank you, i Jen Machuga <<CRA-10-0051 Stream.pdf>> <<CRA-10-0051.pdf>> Jennifer Machuga, Planner City of Edmonds, Planning Division 121 - 5th Avenue North Edmonds, WA 98020 (425) 771-0220 ext. 1224 Machuga@ci.edmonds.wa.us --I-Reply-Re.ply-all-Forwartl-l--Delete-I L'' — @ 2010 Microsoft Privacy -1 use Accour http://by147w.bay147.mail.live.com/maiVInboxLight.aspx?FolderID=00000000-0000-000... 5/31/2010 I * '-* 0 0. 0 CITY CIFF EFOWIRIMS CIVIC UNTEP - �DMONDS, WASHINGTON 98020 - (206) 775-2525 COMMUNITY DEVELOPMENT DEPARTMENT March 28, 1978 STREET FILE HARVE H. HARRISON . MAYOP C & H Homes 403 Main Street Edmonds, Wa. 98020 CHANGE OF ADDRESS FOR PERMIT #780096 Per our conversation of today this will'serve as notice that the new address will be 6-44 Elm Street. Harry-1. Whitcutt Building Official HMW/ae cc: Utility Billing 9 0 1 9 City Edmonds 0 0 §�§EET RIGHT-OF-WAY CONSTRUCI FILE "' PERMIT Permit Number: Issue Date: 12-15--?a A. Address or Vicinity of Construction: 644 Elm Street B. Type of Work (be specific): Install New Service C. Contractor: -Washington Natural Gas Company MailingAddress: 815 Mercer Street, State License #: Seattle, WA 98111 D. Building Permit # (if applicable): Contact: Frank Swan Phone: 224-2278 Liability Insurance: Bond:$ Side Sewer Permit # (if applicable): E. E] Commercial F] Subdivision 0 City Project X Utility (PUD, GTE, WNG, CABLE, WATER) F] Multi -Family E] Single Family n Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut El Yes INNo G. Size of ut: x H. Charge$ I �A APPLICANT TO REA AND SIGN " ) ' �_;� I c,'** INDEMNITY. Applicant understands and by his signature to this applicatf , P Ed eZld the Chy of Edmonds hat-nile';S�Ift�qWihjtitil�s,�amages, or claims of any jUnd or description whatsoever, foreseen or unforeen, that may be made Aginst the City of Edmonds, or any of its departments or employ- ees, including or not limited to the defense of any legal proceedings including defense costs, and attorney fees by. reason of granting this permit. THE CONTRACTOR IS RESPONSIBLEFOR WORKMANSHIPAArD MATERIALSFOR A PERIOD OF ONE YEAR FOLLOWING 7HEFINAL INSPECITON AND ACCEPTANCE OF 7HE WORK ES77MA7ED RESTORATION FEES WILL BE HELD UN77L THE FINAL S7REETPATCH IS COMPLETED BY CITY FORCES, AT WHICH 77ME A 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 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 Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the above statements and understand the permit requirements and the pink copy of the permit will be available on site at all timesfor inspection purposes. Signature: m6MA"A-1 Date: January 25, 1992 (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK .............. ... ....... .. ......... .... .......... ..... ... COMMENTSi': .................. ....... RECEIPT. NO.: ............ .. DAIT: ISSUED BY-.. ................. ........... NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. Div. 1991 XIELD INSPECTION NOTES Comments:,. Diagram: (Fund I I I - Route copy to Street Dept.) 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 0 0 WashlnqtoM=�== NaturalGas' AVAZhngb')&-WC—P-V &44 a-�& s�- Addendum to City of Edmonds Right of Way Permit Application Submitted by: Kerry Walsh Engineering Aide Washington Natural Gas 622-6767 x2761 pager 969-1686 \11' \ ' I,-" G to window Key: TYvater ain depth unknown -g- gas -ss- sewer gas mai:7 water hydrant 815 Mercer St. (P.O. Box 1869), Seattle, WA 98111 (206) 622-6767 N 0 C'u-F�� . 'I, 0 STREET FILE CITY OF EDMORMOS CIVIC CENTER - EDMONDS, WASHINGTON 98020 - (206) 775-2525 COMMUNITY D�VELOPM�NT DEPARTM�NT March 28, 1978 HARVE H. HARRISON MAYOR C & H Homes 403 Main Street Edmonds, Wa. 98020 CHANGE OF ADDRESSFOR PERMIT #780096 Per our conversation of today this will serve as notice that the new address will be,644 Elm Street. Harrly—� . W-hitcutt, Building Official HMW/ae cc: Utility Billing BUILDING DIEPARTME"' Applicant Fill PIRMIT APPLICATIOP Inside Heavy Lines NAME JOR NAME OF BUSINFSS) C & H Homes W MAILING ADDRESS z 3: 403 Main St 0 CITY ELEPHONE NUM13ER Ed.monds 7?5 34-24 NAME I- Ron K Johnson U W ADDRESS t x 23308 96th W U PERMIT 6—m-to ADDRES� . _J2�� LEGAL LOT LOT AREA _]SUBDIVISI N No. M YES EINO STREET R/W EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W 6-1c) FT. FT. REMARKS it CITY TELEPHONE NUMBER STREET AND/OR UTILITY WORK R/W PERMIT REQUIRED < Edmonds 1 5 42 6697 R EQ'D. El YES .2p, 1 0 YES 4allo NAME UNDERGROUND. WIRING REO'D. 13 YES UN 0 0 ADDFIESS TYPE CONNECTION �WYEs BY I- SANITARY SEWER 1VERIFIE1 U ONI a m CITY TELEPHONE NUMBER SEPTIC SYSTEM E-1 PLAMIT NUMBER APPV'D BY CITY ENG. YES z 1 1 0 _bNO UISTATE LICENSE NUMBER ICITY LICENSE NUMBER]REMARKS z 0 I- (L W 0 J Legal Description of PropertV (Show Below or Attach Four METERJIZE BUILDING SUPPLY SIZE A. I I SIGN AREA I COMPENV. REVEEW PT I ADB NO. ALLOWED I PROPOSED LETE I XEM REMARKS VARIANCE OR CU IPLANNING REVIEW 13) YARDS FRONT t), SIDE GAS REAR --r— El NEW El RESIDENTIAL EILINE' A RAE OZ O'N E YPE OF CONSTRUCTION CODE NON-RESIDENTIAL 1:1 SIGN L ADD DEMOLISH RETAINING EIWALL SPECIAL INSPECTOR REQUIRED JA ALTER F1 EXCAVATE OR FILL FENCE I— .._1 .1 0 YES 0 NO REPAIR F PRE -MOVE INSP. swim POOL PL.AN CHECKED BY NUMBER OF STORIES, NUM13ER OF REMARKS DWELLING UNITS NATURE OF WORK TO BE DONE Construct a house PROPOSED USE z PLAN CHECK 0 Single Family NO. PLOT PLAN (INDICATE BUILDING SET - M ARLITTLUr.-S.T-R EZ��CKS, BUILDING U L M 0 15— W PLUMBING 20 0 - HEAT & GAS LINE i4 7 FENCE SIGN T RETAINING WALL SWIMMING POOL OCCUPANCY I OAT LOT COVERAGE IHEIGHT I HIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. VALUATION I FEE 1) z M W W z W M ILI 3: z W (L W Z W L 0 j W W z 0 U PUBLIC, WORKS DEPARDO ]HECKLIST LO t:> 4 - ( ::Pt:5 BUILDING PEI .4 ic -:r-- S-T - address) . (date) Street Right -of -Way Existing REQD Access Easements Existing Kc--� REQD C4 Utility Easement Existing K) f5r, REQD N.A. W Lot Per SubdivisionS-4-60S Plat Assessor 14,ap__�.. Site Plan Checked for Accuracy Underground Wiring Reqd. Check Accuracy of Le 1 Description Review by_ 9 0 Date Existing Water Main Size Water Main Required Service Line Required Hydrant Size Exist' Hydrant Reqd Per Fire Code Size Detector Check �,Later Reqd. A-,)o Cross Connection Inspection It-JO Fire DeparnTrant Comments :3 Water 1,-Ieter Charge Reqd. Review by Date 9--�1-7�78 Septic Tank Design Approved' Date Septic Tank Permit Reqd. -Permit No. Sanitary Sewer A�,ailability___��- Proj. Dr,Tqing No. File No. Side Sewer Availabilit--Y_C�)-� -7 t ' mo,�� Sanitary Sewer Connection Fee Reqd.—V-C--.f--, Revia,7 by_j�� /7 U) Open Ditch Existing__,��/ _Reqd. .4 Culvert Peqd. 0- Size 0� Catch Basin.Reqd. Indicate on Site Plan 0 Shoulder drainage maintain collection on swale open runoff "Im-tiole reqd. Indicate'an Site Plan Soil Conrlitions and Ground Water Field Cliecked - Review by_,,-- Date ZN1, Revised: lv10-1977 I STREET FILE te March 7, 1978 MEMO TO: John B. Mitchell(��'.",',D'-10 Water/Sewer Super P erident FROM: Richard H. Allen Assistant City Engineer SUBJECT: SEWER CONNECTION CHARGES Legal Description: The East 75.36 feet of the following described property: All that portion of the east half of the Northeast quarter of the Northwest quarter of the Southwest quarter of Section 25 Township 27 North, Range 3 East, W.M., described as follows: Commencing at the Northeast corner of said subdivision thence South 10 09' 30" West 20 feet; thence North 880 18' 301, West 30 feet to true point of beginning; thence continue North 880 18' 30" West 150.78 feet; thence South 10 11' 50" West 97 feet; thence East 150.78 feet to a point which is south 10 09' 30" 0 West 97 Feet from true point of beginning; thence North 1 09' 30" East to point of beginning. Situate in the County of Snohomish, State of Washington. Commonly -known as� Owner: 646 Elm Street C & H Homes,--) LiAa-e-� - Z.F.F. Calculation: 79.23 Z.F.F. x 5. 50 $ 435.77 Connection Fee Lateral x 0 $ 0 Lateral Charge Unit(s) x $25 s 25.00 Trunk Charge $ - 10.00 Permit s 470.77 TOTAL APPROVED BY: tcin� Leif R.,Larson, P.E. , DLD:jac Directorl of Public Works CC: Owner CC: Bob Hacker, Bel Air Homes '403 Main Street, Edmonds, Wa 5/10/77 r 7 Io Tlt2 0-8242 EXHI B I T A ".T it .4 'T P,8'E Y'� F'- f HE 1FOLLOWING D P THE!�'Ei4� 75`i�36; E S C R I 'B ED" '.,, ROPE RTY: T IIAT:-'�!--POK J.ON,fk,(. U T �AL ':EAST':.HALF,,OF� THE.A4ORTHEAST T' j'F T H E`i ;q UAR T E 9,,)4 ON. 2 15. -10UARTE� 4RA DESCRIBED -AS:'tFOLLOWS;' NIOTHI N E LAS V' 'COMMENC444 .NORTHEASTT�-, CORNER OF. -,SAID S U804 V G-', '-kT:1J'HE LSJON;�:wTHE SOUTH:;,',10109`--;30 -;:WEST,?-Z0:'FEET','THENCE NORTHA8018 30 ",TO.,*.TRU P THENCE ;J 4 C E S 0 150*" WEST 97'' ET e.,;`15-0.114 :FEE7:V .-THD THENCE, ".EAST `FE iC H:�,,I. S �,SOUTH 10 0 9 ".J V . THE 'BEG,INRIN.G., -N.C.8 'NORTH.1' 09. 30",%--,EAS- Z'. O�'POJ- '�,Oftli' JROE:�V'OINTTI!'OF..'�', Nl-� ',9j ,N:BEG1NN,I,NGti "�WA t 110A T, i��,XOUNTY STATE OF-, E J'N,'�',V SHING:TO*N' 4 114 4 V e. w '4 te 41 ti L PEALTorr IS, wl; BOB HACKER J: OWNER/BROKER 'ke BEL AIR HOMES m 1 403 MAIN ST. Bus 775-3624 EDMONDS, WA. Res 778-8208 Z 4. 0 Zl N, 'AA, _,g 7 )PT I j �747-7 E 4 ;A, �j_ of! "'t, 1:g�, 0 Date MEMO TO: John B. Mitchell Water/Sewer Superintendent FROM: Richard H. Allen Assistant City Engineer SUBJECT: SEWER CONNECTION CHARGES Legal Description: Commonly. known as: Owner: Z.F.F. Calculation: 7 23 Z.F.F. x s 3 Connection Fee Lateral x 60 $ Lateral Charge Unit(s) x $25 $ —7 S� Trunk Charge $ /6) Permit $ 4-76, TOTAL APPROVED BY: Leif R. Larson, P.E. Director of Public Works CC: Owner/ 5/10/77 TT� 4o), 8 t lb -4- C, o C7 1 0 CIO -.4-0-tr IaP 4 001- + REGARDING: 646 Elm Street (address) R E C 0 R D 0 F C 0 N T A C T S DATE NAME, PHONE NO., & ADDRESS of CALLER C0MME1qrS ACTION TAKEN INITIALS 5/l/74 May Blum Certified Letter No. 406161 sent Letter received. TE S707 241st SIV requiring hook-up within 60 days. 7/1/74 Mountlake Ter. Certified Letter -No. 406505 sent TE requiring response by 7/12/74. 7/3/74 Property was field checked and grade Referred to Engineering for TE to new main on the east 6n Elm St. additional field check per JBM is questionable. 7/25/74 Received Sewer Connection Recomend— TE LIL. ation from Engr. stating house is within 2001 and is required to connect. 7/30/74 Certified Letter No. 406630 sent Letter received. JT requiring connection. 8/13/74 Received Connection Fee Memo from JT Engr. in the amount of $2,110.28. 8/27/74 Came into office and paid all fees and JT obtained permit #5018. 8/29/74 Coni-aectiM cp=leje JT 0 SENDER: B4 sure, to follow instructl6avon other S We PLJEASE' FUR.N.ISH SERVICE(S)!,:�lNDIICAAD 6 quired fdr tht& Shbw addre6s belive"r''. ONLY-. - EJ Where deliverea , RECEIPT Received. thi numbered article des, ed'below RATURE�OR N E OF11)DRESSEEL ust a fill4d 44f, CERTIFIED go. 06 fill SIGNATURE OF ADOR SE S AGENT, IF ANY Irizou"to NO. )ATE DE, ERE 0 ..W ERE, 6 ide. ZIP Co&).4_ 3 RECEIPT FOR CERTIFIED MAIL-300 (p_[u-,s.--pqktage) 107-00200 'O'R-0 " \ , %'--, 0 "" ' ..BLUM, MAY EK1% '0 Q0 5-107 241,ST S.W. 30 -r--f MTLK TERR, WASH. OPTIONAL SERVICES FOR ADDITIONAL FEES R ET"N 1. Shows to whom and date delivered 154 RECEIPT With deli v er y to a d dressee only 650:� 2. Shows to who date and where delivered SERVICES With delivme'ry to addressee only ............ y I 350 850 DELIVER TO ADDRESSEE ONLY SPECIAL DELIVERY (extro fee re�.7.,.d) sod — PS,Form NO INSURANCE COVERAGE PROVIDED— (See other side) Ap 1971 3800 . NOT FOR INTERNATIUNAL MAIL QP0; 1970 0-397-405 RECEIPT FOR CERTIFIED MAIL-30� (plus postage) S NT TO POSTMARK OR DATE STREET AND O..)� '7J '7 0 L0 - AND ZIP COD �CEFOR _JSTATE OPTIONAL SER A24001TI NAL F S i 5owi to whom and date delive ad 7 150 RE.. With delivery to addressee only ............ 650 RECEIP�TS � 2� Shows t whom, date and where delivered .. 350 a SERVICE With delivery to addressee only . . . .. ... . .. .. ELVE! T2 ADDRESSEE ONLY ..... ... 501 RS�041_ 5ELIVERY (extra fee required) PS Form 3800 NO INSURANCE COVERAGE PROVIDED— (See other side) Ap . 1971 NOT FOR INTERNATIONAL MAIL GPO; 1970 0.397-450 CITY of EDMONDS 200 Dayton Street - Edmonds, Washington 98020 - Telephone (206) 775:-2525 Department of Public Work8 July 29, 1974 CERTIFIED MAIL-'W-4161,(-Bo Ms. May Blum 646 Elm Street Edmonds, Washington 98020 Re: Sewer Connection for the Property Located at 646 Elm Street, -Edmonds, Washington Dear Ms. Blum: The matter of your sewer connection for the above subject property has been investigated by the City Engineering Department, and a conclusion has been formulated. ..Your property is within 200 feet of the City sewer main and is not below the sewer main elevation. Therefore, the City of Edmonds will still require connection of your property to the City sanitary sewer system. Since the July 1, 1974, deadline date for connection has expired, you will need an extension of time in order to have the connection completed.. Before an extension can be granted, you must obtain a Side -Sewer Permit. To obtain the Permit, you must furnish our office with the property legal description, a plot -plan drawing of the work to be performed, and the Connection Fee; which is calculated by the Engineering Department. It is requested that you contact the Public Works Department regarding this required sewer connection by August 12, 1974. If you have any questions, or need further assistance; please contact Mr. John B. Mitchell. Water/Sewer Superintendent, at 775-2525, extension 226. Sincerely, CITY OF EDMONDS J. HERB GILBO Director JBM:jt Ki tchel 1 Dt. Admi n'. Dt. CITY ENGINEER'S SEWER CONNECTION RECOMMENDATION Date July 24, 1974 Address of PrODerty to be Connected Elm Street Owner Name & Mailing Address May Blum, tame- as above Legal Description: Not ' avai 1 abl e J114 �14) 19?4 Recommendation: House is within 200' of sewer in 7th Avenue S. Lower floor elevation is 2' above grade of 7th Avenue S and can reach sewer by gravity. Per City Code, owner is required to connect to - sewer. Have owner bring in legal description so that we' -,can compute connection charge. SEkDER: liel�sukel to follow- listruc flon S,.O,n!.b the r side-' '%PLEASE FURNISH SEAVICE(S)—INDICATTE' D� BY,CHEC.KED BLoCK S), W hargoq4equ0ed for, thoge'serivioes) J�thovv addresi;. Dellverfo.NL NLN 'to addrbtsm where dbfl�eri3d� RECEIPT Recelved'the numbered'ddicle describ edbelow, IlEqMERED, NO-. IG I N ATURt,lUK:NAME'OF ADDRESSE _b. E m 'DEBT0. ON TURE AD RES E - S1 AGENT, IF -INSURED NO. :DATE DELIVERED y SHOW�. HEW DELIVEREV,,( 41, equab adi aud inOlude'-ZIP C .3 7 RECEI I PT FOR C.ERTIFIED MAIL-30� (plus postage)- SEN; TO_,_, K C) EE AND N . cytl —0 STATE AND Zi CODE co CD SERVICES M ADUIIIU74-1 I -'- to iihom and late delivered RETURN With delivery to,addressee only R ECEIPT Sh Ows to whom, date and where delivered 65 350 SERVICES �It[h cl�.� ry to addressee only ............ 850 RESSEE ........... 4 ...... TO ADD OR Y SPECIAL DELIVERY (extra fee required) ................. . .. .. .. ... PS Form NO INSURANCE COVERAGE PROVIOED�— 3800 Ap r . 1971 NOT FOR INTERNATIONAL MAIL (See other side) * GP0. 1070 0-397-4118 -PAP APPLICATION The City of Edmonds for EASEMENT NO - ---------- .............. ------------------ SIDE SEWER PERMIT NEW CONSTRUCTION N REPAIRS E] LID NO . .............. --- ASMT. -No . ...... ----------- OWNER ..... -------- E!�-).L- U-NA --------------- ............................. CONTRACTOR ---------- ------------ ------ PERMIT NO . .................... JOB ADDRESS -------- - E�LM 5TRF—F—T LEGAL DESCRIPTION: LOT NO.-SI-EE7-: "(3 BLOCK NO . .................................... --- ------------------------------------------------------- --------------------- ........... .................................................................................................................................................................. NAMEOF ADDITION --------------------------------------------- ......................................................................... E=-= I t-A -V I;;-,_ u- z-z_-v WITER tME V) CL. n 0 M-14. --%=1- B�,i RN L--EC=-A-,L— -� 2��, -rC�,\"NS"tP 2-'7 NORTH F-Ef-=-r ab,-5-V t,�'N C.0F;t-3V---P;. F- L�z t,�a /4 i:j�f SOUT" 2,n FEET - -TVVaACU- E..' Zc:�)0.7e!> FEET ; 7VAtH�4C-F— \N, 90 PrEET , TWENCE-H NORTVA W, 150.-15 Pt:F—T; T"SNC=— \N. 2&2 - ZS F=F-V---r , T HEEt-IC--a e'4ST `T0 EEN'=X UNS 0F.5LjE50N1'=,- .XC*4; T14r--=NCr-= V-AOK714 NLC>NC-.-:;, UNN-H To t-4EK sbic) 5uE51D4\j%S1c:)N-- L�..L.ONC-=�, �,�Xt4 LJN�- -rcC) U—:=S!S, -"A'F-- Approved: ......... z", DATE ....... ............... By .... APPUC^TICN Thil",0y of Edmonds EASEMENT NO . ..... -------------------------------------- SIDE SEV"M PERM NEW` CONSTRUCTION W REPAIRS LID NO . .......... N - ------- /s/ OWNER ------- -7 ---------------------------------- --------------- CONTRACTOR ----------------------- PER NO,5�P JOB ADDRESS .. .... ......... ----------- 5-r ----------- --------- LEGAL DESCRIPTION: LOT NO. ----------------------------------- . BLOCK NO - ------------------------------------ ................. . ........ ............. ........................... ..................................... I ................... NAMEOF ADDITION -------------------------------------------------------------------- -------------------------------------------------- 21 N Approved: DATE a BY p, F-C E N E 0 �AU G 2 7 1974 dDate Memo to: Director of Maintenance & Operation Public Works From: City Engineer Subject: Sewer Connection Charges - Supersedes Memo dated August 7, 1974 Legal Description: Section 25, Township 27_,.North, Range 3 East, B.A.A.P. 7 1/2 feet East of NW corner, E 1/29 NE 1/4, NW 1/4, SW 1/4; thence South 20 feet; thence S 88'18'30" E, 290.78 feet; thence S 01*11'50" W, 90 feet; thence North 88*18'30"' W, 150.78 feet; thence S 01011'50" W,� 262.25 feet; thence East to east line subdivision; thence North along said line to NE corner said subdivision; thence West along north line to Point of Beginnings Less the East 30.00 feet thereof. Commonly known as: 646 Elm Street Owner: May Blum Z.F.F. Calculation: (275.37 Z.F.F. x 7.50 Lateral x 1 Unit x $ 25 CC: Mrs. May Blum $ 2,065.28 Connection Fee $ -- Lateral Charge 25.00 Trunk Charge IdiOO Permit $ 2,100.28 TOTAL Ae. 912-71?'f - Form 6 -77 • FOR"YOU' R COM MENTS • FO8.,,YPPR, APPROVAL 0 FOR-YMUR IN�FORMATION • TAKE APPROPRIATE ACTION 0 NOTE & RETURN • CALL ME Q, NOTE & FILE O'FOR YOUR SIGN • SEE ME �TU RE COMMIENTS:, -LAI Wave- e /7-" VJJ "r-" 4LAZ LF 004-2 (Form OA-4) 6( @ Copyright 196E), 1970 Laurel Office Aids, Inc., Bronxvine, r�.Y. ate �Auqust 13, 1974 Memo to: Director of Maintenance'& Operation STR 0 Public Works From: City Engineer. Subject: Sewer Connection Charges - Supersedes Memo dated August 7, 1974 Legal Description: Section 25, Township 27 North, Range 3 East, B.A.A.P. 7 1/2 feet East of NW corner, E 112, NE 1/4, NW 1/49 SW 1/4; thence South 20 feet; thence S 88'18'30" E, 290.78 feet; thence S 01911'50" W, 90 feet; thence North 88*18'30" W, 150.78 feet; thence S 01*11'50" W, 262.25 feet; thence East to east line subdivision; thence North along said line to NE corner said subdivision; thence West along north line to Point of Beginnings Less the East 30.00 feet thereof. Commonly known as: 646 Elm Street Owner: May Blum Z.F.F. Calculation: (275.37 Z.F.F. x 7.50 Lateral x Unit x S 25 CC: Mrs. May Blum 2,065.28 Connection Fee $ -- Lateral Charge 25.00 Trunk Charge $ 10.00 Permit $ 2,100.28 TOTAL Form 6 4� A4 7-,oP- gS: dr- 77 7- Z77 95:-r a I Al At b�/ Cm. 7- -s r- 4S' 0 LP 7- N Joe., zlel 0. 76 s 0 T'#4-0 4S A4 e- Al, 6 3 0 W: 1 5 P-7 a 1 0 . e 7- c 4e� 1)." w 46 Zs C— 7- tS .0 7- r& S' 7- 195r 0 J= (/IS -P/ VI-CIP A/ .4 Al 04- V, 4,0 A/, 6 S e- r /+ 46-** A/. W Cie , C O,Z �ACFAE- OIC= �.57,00 1AP 7 Aol-4C— WL=-S 7- O.A/ e= &F A.J 0 JIM r-�4 &!.. F=lo �,ov r� S dF' A,/, em 0. ate August 7, 1974 Memo to: Director of Maintenance Operation Public Works From: City Engineer Subject: Sewer Connection Charges Legal Description: Sec. 25, T 27 N, R 3 E,.B.A.A.P. 7h ft E of NW cor, E k�q NE 4, NW Is. SW %; th S 20 ft; th S 88018130" E, 290.78 ft; th S 0101115011 W, 90 ft; th N 88018'30" W, 150.78 ft; th S 01011150" W, 2620'25 ft; th E to east line of Subdivision; th N alq sd line to NE.cor. sd Subdivision; th W alq N line to point of beginning. Commonly known asA64 Elm Z.F.F. Calculation:/ 328.98 Z.F.F. x ($7.,50 0 Lateral x ( I ).Unit x '( $ 25 cc: Mrs. May Blum Owner: May B I um 2,467.35 Connection Fee $ 0 Lateral Charge S , 215-00 Trunk Charge $ 16-00 Permit 2,502.35 TOTAL Form 6 OJOS !t 0/. "5p N r4a i.L79mia- 8 2 O'soo �64 .8 L'o 08� 82 �S Z 2 9 s too to (I) /y/ /Y /Y/ 9 1 0,d 0,4 f /.T /At 42 ..7,45 4w5 Zr 07 ZV 4L4 /V 40, 7 6le 7 a tv s A f<7 -J. S-tp, =2 zp r,,-a H-L .1.0s, it/ -H-4 a L S 1 Or 0,9 6 to 5 0 02 0 0 g L /V 4 , = ,e '114 __p , /V 74 7 0-7 */Yt ry --y 0 a I' -2 -4 0 mw _—:;w ry 0 15L - �o -a 74- eo, 0 AJ A94sr, c -1- 0 Co r -r-=- c� CO i%)'^,A E p_ e A-7-r e-oW S77 4P .5 z 7— 7- 7 A-1 -7 )e 3 ar 7 ZF. AJ /,j 4 /V, 4E-. Y4- AZ W. 14/. Y4 7W Z7A/ 00 7-/-/ "'o 5, 893 jig Z f0p. 7-H S-�C v 9 o A/ ISO. 70.P---r., 0 r-�+ 4 =—A/ C VV so#-# vv ool e-*Aj c 4s IS 0 J V/s I OA/ 7- -r-P A9.9 7 $ s Art = - - -.4 Z. /A/ 0 r- -r-A74 49 0 A/ 4 7-V AX\tS7. CeJeAl4c-41 sow - /0 A/. T--A4 46'AJ)%, &,oV Cm A/V &�-14 Z,1"cS 7- p 9 LE 4 IAI A/ /A/ 6 \2 130-18 6 ISO. 6 �4, , Ole, tA 'fi*T r N 7. :4 '0- 7 r A7 0 /v /. XT4, Aof -1, E '002 0 4, Ap W R APO Vj 1 4 44 "I — 77 77 Ve k 2 W-h V P % ow 5-1 Vp W�l 411 �!7 7�V F�r 141 - I - .1% ."t . , #�, IS N'. it �83 /40.,Im t4i� MN A. .46 �o�. -:1p -dg t, A44, IN vo t zj� 7 lot," um 01 -74 a -VM 42 So J:jLE CITY ENGTNEER'S SEWER CONNECTION RECOMMENDATION Date tq-# 1174- f r . Address of Property to be Connected; Owner Name & Mailing Address HAY 81-0H ",rAYf- I Legal Description: N6 -( A UP tke 60"; Recommendation: ?,00 I or- SeA-JVX IAI .7 W'A Vr Noor /S A)17r#ld J.,,M ctVX 6wil, /f ZIAWe 64*0f' OF �07f4�Wr-r #,IJP CAIJ el&U* ceovli7 'V oer Cf_tl C6pK 1j, 0111,ew ?eo AZjAJ6 7'�-( Wr 614 En7r. 6/14/74 co ro:v C;p 01, 61 --L 7q rig* tw& -WAY it tv 7qS ILA 2po 12200 Woo two 00 iris" 40, 7350 wee TOM q scoo at coo 1 jai 9 OT I q4111 toVo 173CO -r3go 2e#e)oip 20100 b. j'Z 0000 0 0 0 6460 oJbb Cf 1� "ids) 0 , 1AP too 14 WAY SW OX7 so C" 41, see 0 QUITCLAIM DEED TheGrantor.... herein .......... MAY ... BLUM .............. ............... ......... -- ----------- - - --- ----------- --- ................................................. .................................................................................................................................................................................................................................. for the consideration of ...... mutiml ... benefits -to -be ... de-ri-ved ............................................................................................. the receipt of which is hereby acknowledged, and also of benefits to accrue .......... her.. ........................ by reason of laying out and establishing a public road through ............. her ............... property, and which is hereafter described,' do ...... convey, release.and quit -claim to the City of Edmonds, State of Washington, for the use of the public forever, as a public road and highway, the following described real estate, including any interest therein which grantor may hereafter acquire, viz: The Easterly 30 feet of that portion of Section 25, Township 27 North, Range 3 East, W.M., described as follows: Beginning at a,point 7.5 feet East of the NW corner of the East half of the NE 1/4 of the NW 1/4 of the SW 1/4; thence South 20.0 feet; thence S 8801813011 E, 290.78 feet; thence S 01011,501, W,,90.00 feet; thence N-88*18'30" W, 150.78 feet; thence S 01011'50" W, 262.25 feet; thence East to the east line of subdivision; thence North along said line to the NE corner of said subdivision; thence West along the north line to the Point of Beginiffog. situated in the County of. Snohomish, State of Washington. The Grantor.... hereby agree.... and consent .... to the establishment of said road as surveyed and of record in the City of Edmonds Engineer's office as Survey No ...................... and to the perpetual maintenance of the same as a City Street, and waive.... all claim for damages of whatever kind which may be occasioned to adjacent land by the location, establishment, construction, drainage and maintenance of said street, and agrees and consents to the right of the City to make all necessary slopes for cuts and fills whenever they extend beyond the right-of-way line, upon above mentioned street, all in conformity with standard practices of City street construction, and to the same extent and purpose as if the rights herein granted had been acquired by condemnation proceedings under Eminent Domain Statutes of the State ofWashington . ........ ............................................................ ......................................................................... ......................... ...... I .................. Said covenants shall run with the land and be binding upon the grantor ..... ......... .......................... successors or assigns. Datedthis ................................. .................. day of ........... ........................ - ......................... — .............................. A.D., 19 ......... — STATE OF WASHINGTON, COUNTYOF .......................................................... Onthis .......................................... day of ................................................................................................. 19 ............ I before'me, the undersigned, a Notary Public in and for the State of Washington, duly commissioned and sworn, personally came ....................................... ............... ........................................................................ ............................ .................................................................... tome known to be the ................................................................................................................................ of the ........................... ........ ................................................................. ................. the Corporation that executed the within and foregoing instrument, and acknowledged the said instrument to be the'free and voluntary act and deed of said Corporation for the uses and purposes therein mentioned and on oath. stated that ...... he ...... w .................... authorized to execute said instrument, and that the seal affixed is the seal of said Corporation. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my seal the day and year in this certificate above written. ................................................................................................................. Notary Public in and for the State of Washington, residing at ............................................................... STATE OF WASHINGTON, ss. COUNTYOF ......................................................... *� On this ................. .......................... day of .............................. ............................. 19 ............. before me, a Notary Public in and for the State of Washington, duly commissioned and sworn,, personally came ............................................................................... to me known to be the individual .... described -in and who executed the within instrument and acknowledged to me that ................................ signed and sealed - the same as .................................................... free and voluntary act and deed for the uses and purposes therein mentioned. Witness my hand and seal the day and year first above written. ................................................................................................................. Notary Public in and for the State of Washington, residing at ............................................................................ rT4 0 (D .4 : 0 0 0 Z 44 0 0 W H Cd �T4 &q 0 V 0 0 r14 0 41 Cd rT4 0 4j Cd Cd 0 -7 MAKE REMITTANCES PAYABLE TO: FIRST HALF MUST BE VERNE SIEVERS PAID BY APRIL 30 1973 OR ENTIRE TAX BECOMES DELINOUENT. =5NONOMISH COUNTY TREASURER SECOI`jD HALF DELINQUENT AFTER OCT. 31 N T AX UNLIDER $10 00 TO BE PAID IN FULL 0 C REAL ESTATE TAX'STATEMENT V EVEREMI, WASMINGTON 98206 SNOHOMISH COUNTY, STATE OF WASHINGTON EACH DELINQUENT YEAR MUST BE PAID OF ALL STATE. COUNTY, MUNICIPAL, SCHOOL, AND ROAD TAXES FULL PLUS INTEREST AT THE CURRENT RAITIE'. L E A S S V A S S E S S E D V A L U A T 1 0 N V YI : T A X ui CODE RATE LAND PROCESS < 7 BUILDINGS TOTAL GENERAL C7 —ACCOUNT NUMBER____� SPECIAL NUMBER 5.1 "31 '2C �-i 751 4 C 2 0 31 YOUR TAX DOLLARS. VVILL -BE DISZRiBU-TED TO THE FOLLOWING TAX D.ISTRICTS: 0 STATE Lu COUNTY r-ITY OR ROAD/LIB. — 1973 < cc SCHOOL DI PORT DISTRICT OT FULL FULL TAX 4 7 4 8 8 7 6 2,:- 4 t:l - __F FIRE DISTRII T OSPITAL WATER , - q2l CHECK BOX TO 0 SEWER FOREST FIRE DIKE NO] v — NO. INDICATE FULL OR --iTA L F HALF TAX z 5 5 HALF PAYMENT :) 14 h 7 7 NAME AND ADDRESS 7 15 6 a- —4, 2 0 0 LEGAL DESCRIPTION OMITTED OR DEL—INQUENT TAX kj NOT INCLUDED IN ABOVE TAX uj OAAIT ROLL < p 7 T 1. �O' 03043 N E I 1 4 T f-f S 2 0, F T"', W, 7 T T t-, T- 6 3 1 7 9 1 "1 5 0 .2 5 T H T D sv!� T A' N' OF PLE SE PRINT CHA G7E-' TAXPA'YEO NOTICE OR CHANGE OF ADDRESS BELOW NAME ADDRESS ZIP CITY STATE_CODE I JIL-1 ff I y-AR YEAR I TAX AMOUNT INTEREST C-IECK 1A 0 CASH El 0 < 0 Z . 40i 09 1 Lu Us" 4A Lu z 0 LU z > t