6914 MEADOWDALE BEACH RD.PDFIIIIIIIIIIIIII
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6914 MEADOWDALE
BEACH RD NW
VIX"FMM'11, q NMI-
t'- d�, OF EDMONDS
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COMMUNITY SERVICES DEPARTMENT
RIGHT-OF-WAY CONSTRUCTION PERMIT
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A. e Owner: B. o
Mailing Address
City State Zip
C PermitNo. 91-0-70
Isa Date
Name
Mailing Address
City State Zip
State License Number Telephone Number
C. * Address or Vicinity of Construction: Cl 10
Z
Type of Work to be Done: 3L)
D. 0 Work in Connection With: El Sub or Plat El Single Family 11 Cit -Projects
0 Commercial 0 Multifamily ",A�U't'ility
E. 0 Pavement Cut: [__1 Y Z N F. 0 Size of Cut: — X
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 einp�oy`eV4, including or not limited to the defense
of any legal proceedings including defense costs, court costs, hfid 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.
Estimated restoration fees 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 Engineering: 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 working day;
NO EXCEPTIONS.
I understand the above that this permit mu available at the job site for inspection purposes at all times.
Signature:, Date: e, �44
Owner or Contractor
This r�rrnit Must be Posted at the Job Site For Inspection Purposes
Call DIAL -A -DIG Prior to BeOnnine Work
APPROVED BY: BV,/ PERMIT FEE:
Time Authorized: Void after I YF_.&P� days.
Special Conditions: No CQTS
Restoration Fee:
Receipt No.: —
Fund I I I Fee:
Street Cut Dimensions- _dcw�
"ateRELEASED BY: �A Date3 - I INSPECTED BY
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Fng. Div. March 1989
FIELD INSPECTION NOTES
(Fund I I I - Route copy to Street ElFpt -) '04
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By:
FINAL APPROVAL BY:
Date:
Date:
Eng. Div. July 1985
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May 19, 1978
MEMO TO: Art Housler, Director
Finance Department
FROM: Leif R. Larson
Director of Public Works
SUBJECT: REINBURSEMENT OF STREET CUT SECURITY DEPOSIT
.ORDINANCE #1935
R/W CONSTR. PERMIT NO.: 78-083
DATE ISSUED: 3-30-78
LOCATION OF WORK: 6914 Meadowdale Beach Road
SECURITY DEPOSIT AMOUNT: $72.00
RECEIPT NO. & DATE: #3049, 3/29/78
COIDLETION DT. OF REPAIR: 5/4/78
Please prepare a Treasurer's Check in the amount of $ NA
made payable to the following:
United Plumbing & Sewer
21607 2nd Avenue South
Bothell, WA 98011
The balance of the deposit in the amount of $ 72.00 is to
remain in Street Division Revenue Fund 111-000-000-389710.
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Av.a�,76,51v � -qw folzzzf-
84--, Sup t Date Saterl'ie Date I in. Sec.' ' Date
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CITY OF EDMONDS
PUBLIC WORKS DEPARTMENT
TO:
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Lu
SUSPENSE DATE:
DIRECTOR
Investigate
and Report -
Take Appropriate
Action
Prepare
letter/memo
for my signature
For Information
Previously Ref'd
Status of Action?
Return to:
ADMINISTRATIVE SECRETARY
ASST. CITY ENGINEER
BUILDING & GROUNDS SUPT.
EQUIPMENT RENTAL SUPT.
STREET DIVISION SUPT.
TREATMENT PLANT SUPT.
WATER/SEWER SUPT.
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COMMENTS:
FROM:
DATE: 0
CITY OF EDMONDS
PUBLICORKS DEPARTMENT, ENGINEERI,* DIVISION
APPLICATION FOR RJGHT-OF41�1 CONSTRU�TJON PERMIT
THIS PERMIT MUST BE AVAILABLE AT THE JOB SITE FOR INSPECTION PURPOSES
Applicant to Complete Parts A and B
A. Permit to be issued to:- "Al Lot.. ko�j L^..) -P-
For Work at:(address or vicinity) '40 L.&A C16, / e__
Type of Work to be done: 4- 7oL e- L�J- L
(attach drawing when applicable)
Time Required -- Start: —Finish:
Owner:
Name
KW
Mailing Address
Q��-E
City State Zip Telephone Number
Contractor: e-e, W'e '--
Name State License Number
.�"' /' 0 7 - 2
Mailing Address
;? 7r
City State Zip Telephone Number
B, 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, foreseen or unforeseen, that may be made against
the applicant or 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.
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 Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until
the final street patch is completed, at which time a debit or credit will be
processed for issuance to the applicant.
Work is subject to inspection and restoration in accordance with City Code. A
24-hour notice is required for inspection by Engineering. Call 775-2525, ext. 220.
I understand that this permit must be available at the job site for inspection
purposes at all times.
Signature: Date:
Owner or Agent
TO BE COMPLETED BY ISSUING AGENCY:
Date Issued: Permit No.: Fee:
7—X
Security Bond: 7 2 1 "X
Time Authorized:
APPROVED BY Date :J
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CITY OF EDMONIN RECEIPT
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Department
Date 11 Z
RECEI 7
VED OF
Check Cash
I
Utility Charges
Citizen Deposit
Trunk Charges
Water Meter
Water Turn on/off
Sewer Permit
Dumpster Permit
Septic Tank Permit
Building Permit
Curb Cut
R/W Invasion
Recreation Class Fee
Swim Class Fee
Rentals
Fingerprinting
Fire Permit
Fireworks Permit
Sale of Maps — Books
Sales Tax
Other
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CITY OF EDMONDS
OFFICE OF PUBLIC WORKS
WATER DEPARTMENT RECEIPTS
Date . ..... A
. ..........
Received of ........
ForNo. x ............... ........................................................
ForNo. 2 ............... --------------------------------------------
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AmountNo. i ------------------------------------------------------------------------------------------------------- $ .... .................
Amount N . ....................................................................................................... $ .... !,—�D ...............
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By...... ............................ .......
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APPLICATION
for
The City of Edmonds. SIDE SEWER PERMIT EASEMENT NO.
L NEW CONSTRUCTION 0 REPAIRS F� LID NO . .................. NO . ..................
� E � _-i pa w 0.
OWNER ... .......... ------------------- CO NTRA CTOR --rr--- Q ............. aF4-: --- PERMIT N
-----_------- ---- -----------------------
Pt -I--- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
JOB ADDRESS -------------- ------- 4 -------- -------------------
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NAMEOF ADDITION ---- ----------------------------------------- - ------------------------------------------------------------------
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VOLUME --
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'PO - 'TO'_ PLAT 7HER WASHINGTON,,.
CH H COUNTY?
`BEA. SNOHcimls, 'NORTH
THENCE
'PAGE 38 T 144';
COR�ER OF SAID TRAC DISTANCE
FOLLOWS- iUTHWEST SAID TRACT 144 A
COMMENC.ING AT THE -,SC OF . FEET TOTHE
� THE WEST. LINE, 100.1
'ST ALONG . 3 12111 EAST :'THENCE
0022'421''W,F- I .,-NCf SOUTH8911 2 FEET; -
- Oo,`-FEET; H, OiD22142" WEST 172 CURVE -ro THE
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OF 160. NORT'
INNING, OF
P INT OF- BEGINNING;',, THE BEG �tOUTHEASTER LONG
o - It EAST.-J7,65, FEET TO, Ly A
3T.' 2 7 70.06 FEET;_THENCE.&.Ojf��4N ARC DISTANCE OF
SOUTH . 630" V 150,12_-. '512711- EAST-
GHTv HAWN4 A RADI US 8 2,.
R I ... - 'A :CEN -144;
`.'�THROUG-K� TRAL ANGLE,�br 'OF TRACT'�
v CURVE GENCY;'THENCE S6UT "FEE
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6*5 -. F f ET- T E OF.SAID WEST 2 0 0 ""CIO FEET;
.71. :AST LI-N �INE
To THE E SAID EAST I NmI NGI.
3,3AS FEET - 14211 EAST ALONG, 'BEG
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THENCE �'SQU - ..WEST 10.0.0
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October 4, 1976
MEMO TO: STREET FILE- SEPTICISEWER
MEADOWDALE BFACH ROAD
FROM: RICHARD 11 ALLEN
ASSISTANT CITY ENGINEER
SUBJECT: 6914 MEADOWDALE BEACH ROAD
Confirming conversations with Jack Mitchell on September 29, J976,
3:30 p.m. the subject house can not reach sewer stub. 'nsrlt Of tu, 1#1
RHA: mj r
CITY OF EDM ONDS STREET FILE
ENGINEERING DEPARTMENT
505 BELL STREET
EDMONDS, WASHINGTON 98020
APPLICATION FOR INVASION OF RIGHT-OF-WAY
(Submit In Duplicate)
Permit to be issued to: r:71 eir cy S-0 IV' 0- 1
For work at: (address or vicinity) 0 o W b 4 �,6 t6?- �4 C-14
Type of work to be done: —
(Attach Drawing when Applicable)
Ownm,--:� A-f'z z/
N�-
6 z-cj
Melling Address
�Ctty state
Name
Meiling Address
city State
Signature:
Ownerlor Agent
Telephone Number
Telephone Number I
Date Signed
DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency)
Permit Issued (date
Remarks:
4?. 76
4M
Permit Number— ;?(;� - / ;,48
'I,
Lxxx4wo Aa UI-)on i,!;i.:,-)rce of Vis m,
I rmnt vi,2 contractor is
AL DATE
r.la-Leria!S for
a
' - _� y -: :, f.:,! i;,,sprnticn of
the restnaltion Ly tho Epcir:eerin'g Dept.
1117 Y- 6
f . Al�'
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STRECU FILE
MEMO TO : Harry Whitcutt
Building Official
FROM : Richard H. Allen
Assistant City Engineer
SUBJECT : Buildina Permit ADDlication
RHA:pab
April 23. 1976
6r 6914 Meadowdale Beach Road
1. Grading must comply with driveway slopes of 14% Max. and
plan 75-218.
2. Culvert requested in ditch, driveway right-of-way permit
is required.
3. Grading to be coordinated with lot -to west and access
.easement over this tract.
A^
Permit Address
PAN=
Legal Desgrip�J.ontn± -5—
STREET FILE
BUILDINIG PERMIT RFVIE1,J - FMCINFFRING DEPARTr,4FNT
CHECK LIST
Reviewer's
Intials
Septic Tank System nesign Approved
Sanitary Sewer Availahilityyg� Sht.1 9b of Dwn. No
.1 1,
Project: L side Sewer Availab.ility:
3. Any Sanitary Sewer Connection Fees
Site nrainage Checked.
Sewer Availability: Sht. of Dwq. No.'s-'s—lev
Project: �,Oadside nitch J!SM&)(9
Grading Final Contours
Sidewalks (Sitp,Tnspection shows condition of existinn vialks as.follows):
�"urbs
/,Curb Cuts-
1. Underground 1,liring Pt Street Linhtinq
V11 Street Riqht-of-iqa,Y. A Bldg. Setbacks:vhl S h t.
of Dwg. No.. of Official Street Map.
Existing Utility Easements
e-`I;s Easements
14. Oater Mains A Fire 11Ydrants (Indicate Size '-later Main)
Bonds for Site Work -
Special Requirements listed in memo.to Bldg. Depf.
V MV
Commercial Apt. ReqUirpmpnts form completed
1 Drawings stamped & notations made
1 Site Inspection made on 1740
_X,'00
.2 All items filled in on PUg. Permit Application_4
T Tt
his Lot included in Subdivision!S— .(List.any special requirements):
3/9/76