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Description
FEE
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THIS PERMIT AUT BRIMS ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO
t OF. DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUMIOH ON THE PUBLIC
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= 0 OM,MN (CUISS, SIDEWALKS, onIVIEWAYS USES, EYC.) WILL REQUIRE
SEPARATE PER Mi IMAI ORN.
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RE MITAPPLICATION: 160DAYS
I DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STA EDWITHIN ISIDDAYS
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Engr. Inspection
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I—PUICANE ON 51HALF 01 HIS OR HER SPOUSE. HIIII. ASSIGNS AND 111CCES0.1
AR P THE I TY OF
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
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Fire
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2 EDMON'S.""S"INGTO"' ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
or Y OR 'NB'R ECTLY
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1 ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
Receipt # 44,4543
PERMIT ""ALL NOT BE
FROM THE I SUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscapeinsp.
Latin
Total Amt. Due
9 DEEMED To MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
' ANY CITY "noHANGEt
RG'NANGE PROVISION -
2 NOS LIMIT IN ANY WAY THE CITV6 ABILITY TO ENFORCE ANY ORDINANCE PROVISION,'
Recording Fee
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Receipt # 1/10153_�
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPROVAL
GIVEN Is CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
CALL
aD panai-111,1gand by am
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E WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
I SON WILL BE EMPLOYED
TION' IN 00 TH L BOB CODE OF To. RELATING To
IN ON E A THE STATE OF WASHINGTON RELATING TO
Viol!
04HNSATION
1 0 "I""Wher dine, and Fees am paid. and
receipt is
FOR INSPECTION askjanatedged In space pro,ldred,
W ORK S C 0 INSURANCE AND RCW 18.27,
DATE
1,11.61-1
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SIGN IT (0 R 0 BE DAT SI
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IT If; LAW L TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORGINALIFJL� YELJLOW-IIISPEG,J�
CATE OF OCCUPANCY HAS BEEN GRANTED. LED SECTION 109
P�NK-061911 GOUD-ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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DUPLICATE
When recorded mail to:
City Clerk
City of Edmonds
121 Fifth Avenue N orth
Edmonds, WA 98020
CONFORMED COPY
200211210003
11/21/2002 09:16 AM Snohomish
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P.0005 RECORDED County
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APPLICANT IS:
SPACE ABOVE THE LINE FOR %ORDERS USE
tX Prop" Owner
Assessor's Parcel No.: -/-/0
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0: Business Owner
Applicant:
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ENCROACEBIENTAGRFTMENT
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This ENCROACHMENT AGREEMENT ("Agreernent!) is� entered into between the
CITY OF EDMONDS C'City") and __DAVID 13-��
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-Owner[s]"), in accordance with Chapter 18.70 of the Edmonds Community Development
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Code.
Owner is the owner of that certain real property located at
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-11,5Z01-36ft Ane (A within the City of Edmonds,
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Washington, Assessor's Parcel Number 0 41,917 OA 0 061!� 00 and more
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particularly described in Exhibit "A!' attached hereto and incorporated here by reference.
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Business owner, [L110 SAICtIt is
the business owner ofthat certain real property noted above.
2. The Easement The City currently owns an existing easement over, under,
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and across Owmer's property for street, alley, sidewalk, other
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which is described in Exhibit "B" attached hereto and incorporated by reference.
3. The Encroachment. The City hereby covenants and agrees and grants its
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pelmission to Owner or Business Owner to allow 4?.Mnd,q#n
to remain asement. A plat map showing the location of
in a portion of the City right-of-way/e
the encroachment is attached as Exhibit "C" and incorporated by reference. This Agreement
is subject to the following terms and conditions:
a. The encroachment shall be installed and maintained in -a safe and
sanitary condition at the sole cost, risk, and responsibility of the owne r. and its successors in
interest.
b. The Owner shall agree at �all times to indemnify and hold the City free
and harmless from any and all claims, demands, losses, damages or expenses resulting from
the construction, maintenance, use, repair or removal of the structure installed hereunder,
including any loss, damage or expense arising out of (1) loss or damages to property and (2)
irjury to or death of persons.
- - ---------
C. The Owner must remove or relocate any part of the encroachment
within ten (10) days or such other time as specified in the notice after receipt of it from the
City Engineer, or the City Engineer may cause such work to be done and the reasonable cost
thereof shall constitute a lien upon the property.
d. Whatever rights and obligations were acquired by the City with respect
to the easement shall remain and continue in full force and effect and shall in no way be
in the encroachment structure.
affected by city's grant of permission to construct and ma tain
4. &qELAgrggIMg This Agreement constitutes the entire agreement between
the parties with respect to the subject matter hereof and supersedes and replaces 0 other
ents, oral or written, between the parties with respect to the subject matter.
agreern
5. Notices Any notice which is required or may be given pursuant to this
Agreement shall be sent in writing by United States mail, first class, postage pre -paid,
registered or certified, with return receipt requested, or by other comparable commercial
means and addressed as follows:
If to th
City Engineer
C of Edmonds
ity
121 Fifffi Avenue North
Edmonds, WA 98020
If to the Owner:
lian f2&k,,,-rk . . . .. .......... . ...... .... .
which addresses may be changed from time to time by providing notice to the other party in
the manner described above,
6. Waive City's consent to or approval of any act or omission by Owner shall
not constitute a waiver of any other default by Owner and shall not be deemed a waiver or
render unnecessary City's consent for approval to any subsequent act by Owner. Any waiver
by City of any default must be in writing and shall not be a waiver of any other default
concerning the same or any other provision of the Agreement.
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'This Agreement shall be binding and'inure to the
7. Successors and Assigns.
benefit of the parties hereto and their respective legal representatives, successors, and assigns.
Owner agrees to incorporate this agreement by refer
ence in any subsequent deeds to the
property, but any failure to do so does not invalidatethis provision.
8. Capaci . Each,party represents that the person(s) executing this Agreement
3
on behalf of such party has the authority to execute this Agreement and by such signature(s)
thereby bind such party.
IN VnTNESS WBEREOF, the parties hereto have executed this Agreement on this
day of 20_j:��
O`WNE (S) BUSINESS OWNER(S):
BY By..
111U
STATE OF WASENGTON
COUNTY OF - —54-46F�0 M IIS4
This day, personally appeared before me,=,-tt7Lb
-to me known to be the personN who executed the within and foregoing document and that
(helshelthey) OL' signed the same as (hislherltheir) Q :5 free and voluntary act
and deed for the uses and purposes th
FDONA a. Z-iITE_
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0 T Notary Public
NOTARY PUBLIC
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TATE OF WASHINGTON
COMMISSION EXPIRES I` Typed or Printed Name
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SEPTEMBER 9,2004
My Commission expires: ?A,00 il
CITY OF EDMONDS
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ENGINEERING DIVISION
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EXHIEBIT A
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Legal Descripfion
OF THE NORTH HALF
-HE NORTH HALF
THE WEST 121 FEET OF T
OF TRACT 43, SOLNER'S 5 ACRE TRACTS, ACCORDING TO PLAT
THEREOF RECORDED IN VOLUME 7 OF PLATS, PAGE 25,
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RECORDS OF SNOHOMISH COUNTY WASHINGTON; EXCEPT THE
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NORTH 30 FEET THEREOF CONVEYED TO SNOHOMISH COUNTY
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FOR ROAD.
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FINAL PROJECT APPROVAL FORM
TO:
DATE: -
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE -
ENGINEERING DIVISION DATE-
Y-�,jQ D Q--o PLANNING DIVISION DATE OZ3
PROJECT
SITE ADDRESS ��ZZZ7 7,� 412
PERMIT #4i4� ADB#-.I�,4�44-,�,' DATE INSPECTED ----,-
DESCRIPTION OF WORK TO BE INSPECTED C
A field inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
-X--GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
a Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
117'5_"l 2-
Footing ......................
wall .... .......... _ ..........
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Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
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Underground .............
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Rough -in ...............
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Commercial Final
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HEATING:
Gas Test ..........
CA
O"n k,
Gas Piping ............
Equipment ................
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Commercial Final
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EXTERIOR SHEATHING
NAILING ........... ..............
FRAMING ........................
FIRST -FLOOR FRAMING
INSULATION ...................
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Floor Insulation
Wall Insulation ...........
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Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR...
OCCUPANCY ...............
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