714 BIRCH PL.PDF11111111111111
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714 BIRCH PL
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TAX ACCOUNT/PARCEL NUMBER DO !M-8-mmnC QQ
BUILDING PERMIT (NEW STRUCTURE): l ! ?'5o&4 6 t4
COVENANTS (RECORDED)
CRITICAL AREAS: y�
DETERMINATION: ❑ Conditional Waiver ❑ Study Required ,] Waiver
DISCRETIONARY PERMIT#'S: \�JV�(A�fIb1��J�imlfl"I������
✓1
DRAINAGE PLAN DATED: � I1100
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED: , A G
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #: 32.3
SHORT PLAT FILE:
LOT: 4 BLOCK:
SIDE SEWER AS BUILT DATED:
/
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DSTs\Forms\Street File Checklist.doc
ITY OF EDMONDS
USE
_� PERMIT I�3/1/_qp
BOO JJ
CONSTRUCTION PERMIT APPLICATION
NUMBER
OWNER NAMEOF BUSINESS
JOB I �
ADDRESS
SUITE/APT
e
-r )NAME
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/r 1 OV�I a C'(JV(_
LEGAL DESCRIPTION CHECK
SUBDIVISION NO
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MAILING ADDRESS
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ZZe-IIS U.)00bwAy PAr2k (16A'b'
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CITY ZIP TELEPHONE
NUMBER 11 -
gl18LIC RIGHT OF, WAY PER OFFICIAL STREET MAP.
TESCP Approved ❑
RW Permit Required ❑
_
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Mod 0 U %
I
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EXISTING REQUIRED DEDICATION
9
Street Use Permit Req'e ❑
NAME 1 -
)L A
/
PROPOSED F-•-y
-
Inspection Required
Sidewalk Required
V
"
RE MARKS
AD RESS
W
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2
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CITY ZIP TELEPHONE NUMBER
i
z
NAME
I
!ADDRESS
ENGINEERING MEMO DATED M EVIEW BY
✓�f
U4
!,'
METE$ ZE f
BUILDIN SUPPLY SIZE
I/
NO. OF FSIXTURES
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CITY ZIP TELEPHHONE
NUMBER
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ppZ
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- / -i �y
REMARKS n
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STATELICENSENUMBER EXPIRATION DATE
K
-
C.)ESTCD,ZI(y N< fiP,zl� q
SION AREA
SEPAREVIEW
ADS NO.
Legal Description of Property - include all easements
ALLOWED
ROPOSED
COMP) ET E
MPT
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Z
C,. C%')G 4,_.
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OR LINEe
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OQ / T- , 1�
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EXP
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ur
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VARIANCE OR CU NI BY
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SETBACKS —FEET HEIGHT
LOT COVERAGE
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Properly ...._
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.FRON . _ SIDE REAR
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•
3a11'ACCDUAI _....-.._�___.. _.._.___....
REMARKS - -..
"ParoeTNCL
NEW
2.RESIDENTIAL
.PLUMBING
11
ADDITION
COMMERCIAL
MECHANICAL
11 APT. BLDG.
REMODEL
LJ SION
'
O FEI NCE
56
CHECKED BY
TYPE O NSTRUCiION CODE
NEIGHT.
REPAIR W 11C1.6L CYDS. x-�
-
DEMOLISH ❑ WOODSTOVE a SWIM POOL
INSERT HOT TUB/SPA
BPECIAL INSPECTOR
AREA OCCUPANCY
OCCUPANT
gEDUIRED YE9
` GROUP
LOAD
9shmmmGARAGE Q RETAINING WALL/O
�� RENEWAL
MARKS
ROCKERY
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
PROGRESS INSPECTIONS PEI�•UBC 305
9
0
W
- /�f/-
NUMBER
NUMBER OF CRITICAL
�/�1�AL JuL�2/�31 f� I/IA
o
OF }
`�.
DWELLING
D
AREAS''
�� O
m0
STORIES
UNITS
NUMBER
-'
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) j -'
. •'
{r
C61 S-,'-1 ' A C. IT
FINAL INSPECTION REQUIRED
0, ?e✓Y, c. •r��ae
VALUATION
FEE
-
PUN CHECK FEE75-5
...
BUILDING
Q
•
HEAT SOURCE:
1✓'/"�
GLAZING
p
�O 7Z e/D
PLUMBING
c.V06 ci v
Plan Check No. 1�
MECHANICAL
7-
This Permit covers work to be done on private property ONLY.
GRADING NL
Any construction on the public domain (curbs, sldewPlks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
J
Penult Application: 180 Days
STORM DRAINAGE FEE
Q
Permit Limit: I Year - Provided Work Is Started WIINA 180 Days .
me
"Applicant, On behalf Of his or her.spOUse, helrs, assigns and
ENG. INSPECTION FEE
successors in interest, agrees to Indemnify, defend and hold
harmless the City of Edmonds, Washington, Its officials,
i
employees, and agents from any and all claims for damages of
<
whatever nature,.arising directly or Indirectly from the Issuance
2
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
°
i
modify, waive or reduce any requirement of any city ordinance
in City's
nor limit any way the ability to enforce any ordinance
TOTAL AMOUNT DUE
provision."
I I hereby acknowledge that 1 have reed this o that the
Information given is correct; and that I am thea owner, orr the duly
ATTENTION
APPLICATION APPROVAL
authorized agent of the owner, 1 agree to comply with city and
state laws regulating construction; and In doing the work authoriz-
THIS PERMIT
AUTHORIZES
This application Is not a permit until
ed thereby, no person will be employed in violation of the Labor
ONLY THE
signed by the Building Official or his/her
Code of the State of Washington relating t0 Workmen's Compensa-
WORK NOTED
Deputy; and fees are paid, and receipt is
ti n Insurancd
INSPECTION
acknowledged In space provided.
SIGNATU NER OR AG f) DATE SIGNED
�7_ /G y3
DEPARTMENT
CITY OF
OFF) IA 'S SIG TUBE DATE
ay /
EDMONDS
ATTENTION
CALL FOR
RELE f9 / .' DATE
%,,` <
INSPECTION�.
-9 -=
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
771-0220
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
"+APTER 9.
PINK — Owner GOLD — Assessor
1
p c El: I VEr- D
.SEP 2 19e
PERMIT COUNTER
0
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130.90 11
85 00
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BL-VvXIJGH—TLI NE MATERIAL
N-12 AD&
Sch 40 PVC
35"$TM D3034)
REVISED
8-6-93
MONTE
CLOUSTON RES I DENCE —DRA
Sc LE:1/8" =C
LOT
MONTE CLOUSTON-------_j
4 COASTAL WATCH 22415 WOODWAY PARK
ROAD
PLOT/DRAINAGE/GRADING.PLAN EDMONDS, WA. 98020
775-1948
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4
:30
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WrREET FILE Go RECEIVED
NEED
Critical Areas Checklist 5 lye
PERMIT COUNTER
Site Information
Project Name: 1, bas —d W ° `��� Permit Number.
Site Location: �U►/c'G L-• Property Tax Account Number.cA
Approximate Site Size (acres or square feet): 2D I FbAs TgiqC K too = 10 Oq !e
Have you filled out a Critical Areas Checklist for a project on this site before?
NO
General Site Conditions
1. Has the site been cleared or logged? Date of most recent action: G Z
Soils / Topography
2. In the Snohomish County Soil Survey, what is the mapped soil type(s)?
3. D -be the general site topography. Check all that apply.
Flat less than 5 feet elevation change over entire site. iy
K Rolling. slopes on site generally less than 15% (a vertical rise of 10 feet Qk4 1993
horizontal distance of 66 feet)
Hilly. slopes present on site of more than 15% and less than 30% ( a �&*Zfj
of 10 feet of horizontal distance.)
Steep: grades of greater than 300/6 present on site.
Comments
Hydrology/Vegetation -
4: Site contains areas of year-round standing water: A16
5. Site contains areas of seasonal standing water. _ f� Q Approx. Depth: _
6. Site is in the floodway --floodplain r of a water course-
7- Site contains a creek or an area where water flows across the grounds surface? — flows -
are year-round? —"Flows are seasonal? -
8. Site is primarily: forested : meadow X_;shrubs ; mixed
9. Obvious wetland is present on site: �-
10. Wetland inventory or map indicates wetland present on site: A9 Ap-j A CtZ�{ i
11. Critical Areas inventory or map indicates any Critical Area on site: �uy -TD STIZ'fpm
'1=or City Use Only
Determination Number. Ct Revie
Planner �� Oat
Rev 3/27/92.
City of Edmonds
Critical Areas Chec'klist
The Critical Areas Checklist contained on
this form is to be filled out by any person
prepanng a Development Permit
Applica4ion for the City of Edmonds prior
to his/her 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 PrOPCdY the information needed to
eomPletc the Cheddist should be easily
available from observations of the site or
data available at City Hall (Critical Areas
inventories, maps, or soil surveys).
RECEIVED
MAY 0 5 1993
PERMIT COUNTER
An applicant, or his/her representative, must
fill out the chocldist„ sign and date it, and
submit it to the City_ The City will review
the chccidist; make a precursory site visit,
and make a determination of the subsequent
steps necessary to complete a development
permit application.
With a signed copy of this form, the
applicant should also submit a vicinity map
of the parcel with enough detail that City
staff can find and identify the subject
paroel(s). In addition, the applicant is
encouraged to include any other pertinent
information or studies in conjunction with
this Checklist to assist staff in completing
their 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)_
Owner / Applicant:
Name
Title
Street Address
7%4'/038
City, S te, ZIP Phone
Signature
Date
Applicant Representative:
Name
Title
Street Address
City, State, ZIP
Signature
Phone
Date
RECEIVED
{ O C T 8 1993
CITY OF EDMOND& WORKS DEF SIDE SEWER PERMIT
l8 9 p 10
PERMIT' .�12 8,513.
Address of Construction: r /( fi-�,e
Property Legal Description (Include all easements): �ELff `7 Cy -a k fill* ('j r4c, h
EDMONDS
Owner and/or Contractor: %' ► ayt �e.-
% kr-dam,��N
State License No. wsl—g c�a
Building Permit No.
/3d G zq
ffSingle Family
❑ Multi -Family (No. of Units )
❑ Commercial
❑ Public
Invasion into City Right -of -Way: (No FYes
RW Construction Permit No.
Cross other Private Property: V No ❑ Yes
Attach legal description and copy of recorded easement
aa,
I certify that I have read acid shall comply with all city requirements
as indicated on the back of the Permit Card.
/r
i � 9 lz�,; �,7
Date
.t
* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
OFFICE USE ONLY
* FOR INSPECTION CALL 771-3202, PUBLIC ORKS DEPT.
Permit Fee: 7 0 Issued By
Trunk Charge: Date Issued: /D �g 93
Assessment Fee: /14 Receipt No.: �7! Pcq
Lid No.:— ' � a�
Partial Inspection:
Comments
Date Initial
Reason Rejected: Date Initial
Final Inspection Approved: Date/P-10�g lnitialz
** PERMIT MUST BE POSTED. ON JOB SITE **
White Copy: File Green Copy: Inspector Buff Copy: Applicant .
Revised 3!90
i
The City of Edmonds
Side Sewer Drawing
EASEMENT NO- ------------------------------------------- *-
NEW CONSTRUCTION 2---' REPAIRS ❑ LID NO - ------------------ -ASMT. NO.------------------
OWNER-----•---•-------------------------•------•------------------•------------------------------------ CONTRACTOR-----••-----....-----------------------•------------------------------------------- PERMIT NO. .-5.1-S-13
JOB ADDRESS 7 ----- ...12G-1`} C---- •--•---•---------- LEGAL DESCRIPTION: LOT NO. -------- -L---------------------------- BLOCK NO. ------- -----------------------------
i
- 7 01 3 \kr-�, Pc..
y"Y•v.a ao .
G o '
PWW-0001-11/75 (REV.11/78)
----------------------------------------------------------------------------------------------------------------------------- fv'�°v�{3{ DS---- 7
T.
:SEA i tVieT PLANT
NAME OF ADDITION------------------------------------------------------------------------------ ANT
i
y �` P.�. co• 570
Q'4"P•v-c, co
r . -1
3
By ---- ZrZ. ........
I
is
PERMTr APPLICATION PmQunummNTS
TO: Permit Coordinator, Building Division
FROM: Lyle Chrisman, Engineering Inspector
OWNER PLAN CK # /Z9
ADDRESS: 7/0 e/t,4tf PL DATE: 3
After review of the subject permit application, the following requiremeats mustbe met.
1. Construction.hours are: WEEKDAYS .......... 7:00 A.M.-10:00 P.M. WEEKENDS/FIOLIDAYS..... 10:00 A.M.-6:00 P.M.
2. A separate RIGHT-OF-WAY- Construction Permit is required for all work on Publicproperty. (ECDC 18.60)
3. Truck haul route plan must be submitted and -approved prior to permit issuance.
4. Builder/Owner is responsible for containing alliemporary runoff and erosion control on site. (ECDC 18.30.030d)
S. NO WORK SHALL BE DONE WITHIN IS FEET OFSTREAMS OR 10 FEET FROMANY CLOSED DRAINAGE FACIL_
ITY. BUILDER/OWNER IS REPSONSIBLE FOR IDENTTFYRVG CONDII70NS ON THE DRAWING. (ECDC 18.30.50G)
6. FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION.
(ECDC 18.30)
7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEMS, TIGHTLUM, FOUNDATION DRAINS, AND
CATCH BASIN INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFMLING. (ECDC 18.30)
8. Repair or replace all defective existing curb, gutter, and sidewalk adjacent to the property. If an intersection is involved a
handicap ramp may be required. Contractor shall meet with the City Engineering Staff to determine the extent of repair prior to
issuance of the permit. (ECDC' 18.90)
9. Driveway slope shall not exceed 14 % without a waiver. Every attempt should be made to keep the slope below 14 %.
Waiver granted to __96. (ECDC 18.80.060D)
10. Driveways must be paved from property line to City RIGHT-OF-WAY. A separate perimit is required. (ECDC
18.80.060C)
11. INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIOR TO AND AFTER POURING.
(ECDC 18.30)
12. No burning of construction refuse without a permit from the Fire Department.
13. Connection to City water system is required. There is a separate charge for the water meter. (ECDC 7.30)
14. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole. (ECDC 7.20)
15. Water and sewer main lines should be separated by 10 feet minimum. (ECDC 18.10)
16. Connection to the City sanitary system is required. A separate permit is
LID# 32.3 Fees paid: Yes No Charger, (ECDC 18.10)
17. Underground wiring is required on all new construction; and for additions, alterations, and repairs that exceed 50 % of the tgtal
assessed value of the structure. (ECDC 18.05.010)
I& A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCU `.
PANCY OF THE BUILDING OR STRUCTURE. (ECDC 18.90)
19.
r
20. Y
TRn
4 _ .• � ,yi S. Z
PROJECT NAME:
GOECT REVIEW CHECKLISTft --I "-
Z- O PLAN CHECK #:
PROJECT ADDRESS:/��G/� �L RECEIPT DATE:
EVIEW
D BY: (
nitialJDate
)
PLAN.
WATER
COMMENTS
FIRE
BLDG.
SEWER
STREET
ENG.
. nfV•Y%}.r}+.:;.ry,:;:�:5::'i•:iY}:':?/':•:iti '.^}'.{•�).�'
Setbacks ariance Setback Adjustment
N / :}2�,v:';'+.';�%$afriG'`:t:}": Yr:<k:r••.'•.ifi:r•:%: ?i:'cc+t,+nucc;+::�:!ar
;:i:? �ii i:::;;iiiiiii:
.: ;;;kr+,•::i:;>S:::v.•y,
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..yy��-•i•'1••<':k,f•`.>,+•'''i.}%5,`,?'`;5{:;`.;!.R: :;';;�C`.`•„''�<::;:::v2;?:
Conditional Use Permit ? . "
fii'':;:}�'ti }•::::: /..; vY:4:•Y;;;v:,Y::^:•}}?:::::i::•Y:•iii:;�"':rp••
+: ,;;;;a k:;}:•x•?:•i••
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ADB Requirements
Other Zoning Requirements
4.
Underground Wiring Required f:',,<
Lot Slope 1596 <<;,::'4ti:k ' Y<
SEPA Environmental Checklist/Hydraulics Permit ;..•• • -"•' ' "x:>., ,,, :.,:y�
: 7
Tree Cutting Plan
Plat Subdivision Requirements '" ` > »%'<t<<L{�`
Legal Description Verification
Quit Claim/Street Dedications ::<:<.
Easements - Public/Private
12
Engineering Storm Drain Review Fee `" "'.r''"? ` �i''"
«i3
Engineering 2.2 Inspection Fee
Drainage Plan On-Site;::Y..,h.-"<.J3':k"'`4'>
Setback - Top of Bank, Stream, Water Courses
Setback - Storm Drain Line ..
Open Ditch - Existing'.'3:;:< :�.,; �,,2 3
tiP :..i•:SC::. :•.+'},.}{+•:<vi?iyiii.+•'ii: 't: ::i�Y:i:Y'{{{.}:i; nr'$.
"18-'
Culvert Required
Culvert Size ' {'.,w'4
Shoulder Drainage/Shale Open Runoff
Catch Basin Required :.>{:'.}.;<r :,}.;:.
Driveway Slope & Vehicle Access %'"'
"23`
Sidewalk Required
Curb & Gutter Required A, :,,,.'}°' :v>'' ``?
-�25-
Curb Cut For Driveway Required " " `" " ' ": `": '
26"
Street Paving Required "xJ'': ' ,:;+'"; -.;..
Right -Of -Way Construction Permit Required A4
28
Street Name Sign Required �. . :.:
29:
Other Signing Required
Bond Required For Public Improvements
30 "
FEMA Map Check/Water Ta le
Side Sewer Availability
Calculate Sewer Connection Fee If No LID #AV
•`:.'•l''W'••.++{;< i +�.'•�.<*'•'�{> :'v`:S'•`.:\y:Y•�>�,•+-•+�`,i,41`.,•.i,`: :;.+ ::. ....'i`.•t•:,^'?.';•,>•' :. n'%'ry �'..•}
Create Street File>%<;:.,:.:..;:::>�Q.,:,,:k:::::}<:.<>:...:Js
Existing Water Main Size "
" '' .
Water Meter Size ..
3T
Service Line Size
Water Meter Charge Required
Hydrant Required "` ,•+•:•{<> -�` '
<4f>'
Hydrant Size Existing»'.:..::<. ;yxa:<•:: .i:::,:}::
Fire Line Charge Required - Sprinkler
Street Cut
Miscellaneous
9?( (S r IA3 P SECTION 251 7 N., I R.
AFPRoA. ROOF B%• 91NOLe bTORV
HEIGHT t6b.9t GARA6B' • ' I
t
W
COUNTER
tom.° �� \` \ ` s�� ��"+`�rugn��•aNa 31�
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W .laa 1
CITY CLERK Q
CIVIC CENTER j
EDMONDS. WA 98020
STATEMENT ON ACCESSORY DWELLING UNITS
n
Property Address 71 " ),gc g
Legal Description :
L z-
s z q� <
I have read the requirements for accessory dwelling units contained in Chapter 20.21 of the
Edmonds Community Development Code and understand that an accessory dwelling unit,
including a second kitchen, is prohibited for two years after occupancy by the current owner is
granted , and until after a conditional use permit has been approved by the City of Edmonds
Hearing Examiner. I understand that a "kitchen" is defined in section 21.20.020 of the
:xw.. Edmonds Community Development Code, and that an oven and/or a cook top is prohibited
��. without said conditional use permit.
J
Irk
I also understand that approval of a conditional use permit is subject to a public hearing, and
" neither this statement nor the issuance of a building permit shall act to limit the discretion of
the City review in the review of any application for a conditional use permit
< <.
Property Owner Name xl/
c L cn m
Date lJo 2, 1593 —zos
o
STATE OF WASHINGTON)'�
COUNTY OF SNOHOMISH) ��' N
cn O 01�
r�
'��
I certify that I know or have satisfactory evidence that �c.r--L L--;;,
signed this instrument and acknowledge it to be his/her free and voluntary act for the uses and
purposes mentioned in this instrument.
AUTHORIZED
FOR RECORDING
=®F MONDS
BY
PAGE OF
Dated `7 T 0
Signature of
Notary Public C ��
Title
My appointment =,°� _ �%�
Expires
THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY ",,
AUDITOR
C�
VOL. 2 7 9 0 PAGE 2 3 2 7