654 WALNUT ST.PDF11111111111111
13673
654 WALNUT ST
0 0
DATE ADril 25, 1977
Plemo to: Director of Public 111ofts
From: Assistant City Engineer
Subject: Sewer Connection Charges
Legal Description:
Lots 17, 18, 19, and 20, Block 93, City of Edmonds, according to the
plat thereof recorded in Volume 2 of Plats, on page 39, records of
Snohomish County, Washington; ALSO, the east 135.09 feet of the north
30.00 feet of the northwest quarter of the northwest quarter of Section
25, Township 27 North, Range 3 East, W.M.; LESS the east 16.65 feet -
thereof as conveyed to the City of Edmonds for 'Street by deed recorded
under Auditor's File No. 1829170, records of.Snohomish County, Washington.
Cormionly lma�m as: 654 Walnut Street. a,.mer: Myron Sjoblom
Z. F. F. Calculation:
v/�cc: Owner
) Z. F. F. X $ 300.00 Connection Fee (minimum)
) Lateral X $ Lateral Cliarge
Unit X $ 25 $ 25.00 Trun1-1 (liarge
$ 10.00 -Permit
335.00 TOTAL
RICHARD H. ALLEN
C I T.Y OF
EDMONDS
P U B L I C W 0 R K S DEPARTMENT
TO:
SUSPENSE DATE:
LU
D
0
DIRECTOR
Investigate
and Report
ADMINISTRATIVE SECRETARY
Take Appropriate
BUILDING MAINT. FOREMAN
Action
Prepare
EQUIPMENT RENTAL FOREMAN
letter/memo
for my signature
PARK DEPARTMENT SUPT.
For Information
STREET DEPARTMENT SUPT.
Previously Ref'd
TREATMENT PLANT SUPT.
Status of Action?
Return to:
WATER/SEWER SUPT.
COMMENTS-
LFROM:
DATE: /22 7
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LPST
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Site Plm (3,cc!:ed for Accurac.v 4-,,1 E2 1-7
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Indicate on Site Plmi
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3PEDING DEPARTMENT
Applicant Fill
USE
ZONE NUMB�R
PERMIT APPLICATION
Inside Heavy Lines
JOB
ADDRESS
NAME JOR NAME OF BUSINESS)
At/ V,-, )0 0 '5 � �
LEGAL LOT
0 YES NO
LOT AREA
SUBDIVISION NO.
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NIAIL17G I ADDRESS
ICITY ELEPHONE NUMBER
STREET R/W
EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W FT. FT.
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NAME/
REMARKS Diiveway slope not to exceed those
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indicated on Standard Drawing #103
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ADDRESS
CH KEP BY
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CITY
TELEPHONE NUMBER
STREET AND/OR UTILITY WORK
REQ'D. C1 YES 10 NO
R/W PERMI ED
WYES ONO
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NAME
UNDERGROUND
IU Y) P _S' h
WIRING REQ'D. ii�ym NO
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ADDRESS
TYPE CONNECTION S
%YE
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IVERIFIED
SANITARY SEWER
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CITY
1'�:)l 0 h )�" I S A
TELEPHONE NUMBER
2—
SEPTIC SYSTEM El YES
APPV'D BY CITY ENG.
JO�N 0
EFMIT NUMBER
LICENSE NUMBER
CITY LICENSE NUMBER
REMARKS
ISTAT.
,�,2 3 -di- _5 H - 14 - L J -,P.A -7-3)
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—
Legal Description of Property (Show Below 6r Attach Four Copies)
METER SIZE
BUILDING SUPPLY SIZE
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REMARKS
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SIGN AREA
ENV. REVIEW
ADB NO.
U
ALL -OWED PROPOSED
COMPLETE EXEMPT
REMARKS
W
J
VARIANCE OR CU
PLANNING REVIEW BY
YARDS FRONT SIDE REA
RILOT COVERAGE
GAS
NEW RESIDENTIAL LINE
NON-RESIDENTIAL SIGN
ADD 'ID
r F� DEMOLISH RETAINING
1:1 WALL
F� ALTER EXCAVATE FENCE
F� OR FILL E-11— X—FTI
F�REPAIR PRE -MOVE swim
F� INSP. POOL
FIRE ZONE
7
YPE OF CONSTRUCTION ICODE
SPECIAL INSPECTOR AREA
REQUIRED
0 YES 1:1 N 0
OCCUPANCY OCCUPANT
GROUP LOAD
1 1
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
REMARKS
NATURE OF WORK TO BE DONE
cc
9L
PLAN CHECK
NO.
VALUATION
FEE
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PROPOSED USE
fi e_ .5, 1 J e V) C ('4=1 —
PLOT PLAN (INDICATE BUILDING SETBACKS,
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ABUTTING STREETS)
BUILDING
0
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III
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PLUMBING
HEAT & GAS LINE
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FENCE
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SIGN
RETAINING WALL
0
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SWIMMING POOL
CITY OF EDMOND'S
ENGINEERING DEPARTMEN10
iAPPLICATION FOR RIGHT-OF-WAY CONSTRUCTION PERMIT
(AvrZic--?,-"- to Cc.-mZete A & -;; and Submnt -In DupZicate)
A. Permit to be issued to:_Z� Yp, &1 N � ." ; , I
/3
For work at: (address or vicinity) -
Type of work to be done: ze )::s --CQ 7- Ef)-fL DUNE-Vu L-�-Y
(Attach Drawing �--'hen Applicable)
-PE�a c�t",
Time Required -- �tart: 4— 14— Finish:
Owner: /4'1 r-a /-3 Z
Name
Mailing Address
�- 111 C, d - tj .4 all
City I State
Contraftel
Name
7 -V 2 7
Mailing Address
1
/V chi) W I 15'L
City State
7 -2 �- - 4, -, Y, ;�
Telephone Number
X �2 Z
State License Number
Telephone Number
1N'DF.1,fNITY: 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, foreseen or unforeseen, that may be made against
the applicant or the City of Edmonds, or any of its departments or employees,
including but not limited to the defense of any legal proceedings including defense
costs, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and
materials for a period of one year following the final inspection and acceptance
of the restoration by the Engineering Department. I
'Work subject to inspection and restoration in accordance with City Code. A
24-hour notice is required for inspection by the Engineering Department.
Call 775-2525.
Signature:
Owner�d'r Agent Date Signed
DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency)
Permit Issued (Date)APQIL,14t�277-
Fee:—A ) 2,115 0
Time Authorized:
Permit Number
Bond:
S �9PPOVAL . T —DATE
s-
7-1
APPLICATION
Yhe City. of Edmonds for EASEMENT NO.
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS LID NO . .................. ASMT. NO.
OWNER .... -------- --------------------- CONTRACTOR .......... ------------------- PERMIT NO.
E= LEGAL DESCRIPTION: LOT NO . .................. ---------------- BLOCK NO - ----------- ..............
JOB ADDRESS
NAME OF ADDITION ......... ...... ...... ...........................
0
u 1A, Ir
At
APPLICATION
,The City of Edmonds
for
EASEMENT NO.
SIDE SEWER PERMIT
NEW CONSTRUCTION Iff
REPAIRS LID NO.
OWNER .. .... %5 --- -------------------- --------
CONTRACTOR
.............................
PERMIT NO.5.76P.4 P--.
JOB ADDRESS
LEGAL DESCRIPTION: LOT NO . ....... ------------------------
BLOCK NO - ------ - . .......................
A-6
.............................................
....................................................................................
-------------------------------
NAMEOF ADDITION ........................ . .............................................................................................
tj
APR 26 7977
FuNc Work% tmpL.
Approved:
DATE............................................ By
........................................
11/75
00
.. V
DATI-1 April 25, 1977
Plcmo to: Director of Public I'lor](s
From: Assistant City Engineer
Subject: Sewer Conncction Cliargcs
Legal Description:
Lots 17, 18, 19, and 20, Block 93, City of Edmonds, according to the
plat thereof recorded in Volume 2 of Plats, on page 39, records of
Snohomish County, Washington; ALSO, the east 135.09 feet of the north
30.00 feet of the northwest quarter of the northwest quarter of Section
25, Township 27 North., Range 3 East, W.M.; LESS the east 16.65 feet
thereof as conveyed to.the City of Edmonds for Street by deed recorded
under Auditor's File No. 1829170, records.of Snohomish County, Washington.
Com,ionly lma�m as: 654 Walnut Street
Z.F.F. Calculation:
Z. F. F. x
Lateral X
Unit X $ 25
CC: Owner
R,mcr: Myron Sjoblom
$ 300.00 Connection 1'ce (minimum)
$ Lateral Cliarge
$ 25.00 Trun1,1- (liarge
$ 10.00 Permit
335.00 TOTAL
RICHARD H. ALLEN
'A
1:!.c, c �ls c t C) f t u r t "I
2 7
10
ou .1 -izr of S-1-tion 25,
C-C ci--y of
lur ?'%uditor's Fi Ic '!o. lr'29171), i -�7ords of �'i
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