1124 8TH AVE Siiiiiiiiiiiiii
14772
1124 8TH AVE S
City of E d m d s .6 �.g 98-239
Edmonds, Washington STREET FILE 1251
Edmonds, Washington, January 23 1978
„ 1 „
Ip11..........
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PAY -DOLLARS $-28.50-
_
TO THE
ORDER.
OF Northlake Concrete
5906 - 238th St. SE
Woodinville, Washington
L
EDMONDS BRANCH
PEOPLES NATIONAL BANK OF WASHINGTON
EDMONDS, WASHINGTON
98072
City of Edmonds
DESCRIPTION
RNIMMORMN Refund Security Deposit 001-000-000-
I nra'Finn 119.4 _ 04-k A. c /c+..,.,.+ r..a-%
WARRANTS REDEEMED
BONDS & COUPONS REDEEMED
PRINCIPAL
INTEREST
DESCRIPTION
IDENT. NOS.
BONDS
COUPONS
CLAIMS
SALARY
L.I.D. NO.
L.I.D. NO.
L.I.D. NO.
RECEI\17^
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b
JAN`'
P%blic'Works ,, :4.... -
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MEMO TO:
FROM
Lila Crosby
Finance Director
Leif R. Larson, P.E.
Director of Public Works
January 11, 1978
SUBJECT: REIMBURSEMENT OF SECURITY DEPOSIT - STREET CUTS
Please prepare a Treasurer's Check in the amount of $ 28.50
made payable to the following:
Northlake Concrete
..5906 238th St. S.E.-
Woodinville, WA 98072
M-K• Northlake Concrete had posted a security deposit
with the Street Division of Pub is Works in the amount of
1988 on to guarantee site restoration in connection
with the right-of-way construction permit associated with the
Street Repair Ordinance #1935, under receipt #18,12 dated
11-1-.77
The balance of the deposit in the amount of $ 169.50 is
to remain in Street Division Revenue Fund 111- 00 000-310.
Invasion Permit Issued 11-1-77
Completion date of repair 12-16-77
Location 1124 8th Avenue South
AB: jac
MEMO TO
FROM
SUBJECT:
January 11, 1978
Lila Crosby
Finance Director
Leif R. Larson, P.E.
Director of Public Works
REIMBURSEMENT OF SECURITY DEPOSIT - STREET CUTS
Please prepare a Treasurer's Check in the amount of $ 28.50
made payable to the following:
Northlake Concrete
5906 238th St. S.E.
Woodinville, WA 98012
MX• Northlake Con'rete.___ had posted.a security deposit
with the Street Division of Public Works in the amount of
S 19800 to guarantee site restoration in connection
with the right-of-way construction permit associated with the
Street Repair Ordinance #1935, under receipt J,11812 dated
11-1-77
The balance.of_ the deposit in the amount of $ 169.50 is
to remain in Street Division Revenue Fund 111-000-000-389.10.
Invasion Permit Issued 11-1-77
Completion date of repair 12-16-77
Location 1124 8th Avenue South
SIGNED
AB: jac
Sup. date Ass t.C. date A 7
n. ec. d to
CITY OF EDMONDS
-PUBLI WORKS DEPARTMENT, ENGINEERRG DIVISION.
APPLICATION FOR RIGHT=OF=WAY CONSTRUCTION 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: d5lo f¢k - Cd.t/errf, L _
For Work at :(address or vicinity)- dA S
Type of Work to be done: S��e�e - Si. aJ e 41
(attach drawing when applicable)
Time Required -- Start: L6) �� Q� � t_& , Finish: k lal 1
Owner : 0 Gry, fJ'
Name
Mailing Address
City State Zip Telephone Number
ContractorW�Jg8(AIt/ r. e0NC
Name
l oA J � � eS c
Mailing Address
2-
City State Zip
State License Number
v
TdIephone 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. 7,1
yte"IV.
e or Agent
TO BE COMPLETED BY ISSUING 'AGENCY:
Date Issued: Permit No.:-�.0LFee:
Security Bond:
Time Authorized:
APPROVED BY
1.0-771v (Revised)
D . -WWITZPWul
F: CITY OF EDMONDS
• PUBLP WORKS DEPARTMENT, ENGINE NG DIVI ION
11.30
APPLICATION FOR RIGHT-OF-WAY CONSTRUCTION PERMIT ��&A6,
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:
For Work at :(address or vicinity)
Type of Work to be done: 57 " e
(attach drawing when applicable)
Time Required -- Start: 0:2 ISM- Finish:)
Owner: ,[?0 h/
m
Name
Mailing Address
City State ZipTelephone Number
Contractor:&o�lT/1/A/lam CoNC
Name State License Number
Mailing Address
City State Zip T ephone Number i
INDEMNITY: Applicant understands and by his signature to this application, agrees
B� 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: e:
e or Agent
TO BE COMPLETED BY ISSUING AGENCY: nt-� y�/ /
„ �` 1 Imo(C Fee: Imo- C�
Date Issued: 1\ � � � Permit No.:
Security Bond:
Time Authorized:
APPROVED BY
Date �/
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STREFT FILE
DATE:
MEMO TO: Building Division
Community Development Department
FROM: Engineering Division
Public Works Department
SUBJECT: 1 1 2 4► —AT}* A
After review of the subject building permit application, we have
the following comments:
(1) Coordination of the location of any structure with respect to
utilities, streets, property lines and driveway grades is the
responsibility of the contractor.
(2) The contractor is required to keep the abutting streets.clean-
ed of dirt and debris caused by the construction.
(3) A "Right -of -Way Construction Permit" is required, from the
Engineering Division of Public Works, for any work within
the Public Right -of -Way or public easement.
(4) Driveway slope not to exceed 14%.
PW 5/77
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Utility F.ascinent Existing � 0 N �, _ pro!)
P4 Per Suildiv isi on � - Plat � Assessor i'at]
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II Site Plan (11ccLcd for Accuracy
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Soil Conditions f Groullcl t;atcr ricicl (:13cci:ccl
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Street Paving, Required
0-irh and (,,ittcr KC0.11.i.rcd �
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n.irl) Out for Priveimy R.Cquircdd_��i¢-
P.ig ht-of-l":a.• Construction Pcmii t Required
Bond Rcc iirc(l for Rihlic Improvulients —
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c' Street \v'le Sian Required
Other Sin.in�; ?tccnli rcd�
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f ' A:!J. items filled in on ?stlilcling 1'cnrlit ,1pnli.cation
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Utility F-,isc;-I,:!Ilt Existing PFOD M L
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Sit:: Pl;m for Accuracy
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BUILDING DEPARTMENT
Applicant Fill
VSE PE
ZONE n _ NUMBER
PERMIT APPLICATION
Inside Heavy Lines
,OB
ADDRESS / ^(/
NAME (OR NAME OF BUSINESS)
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MAILING ADDRESS \
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LEGALLOTLOT
WYES ❑NO
AREA
SUBDIVISION NO.
PL�
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STREET R/W A
EXISTING STREET R/W �s O FT. DEFICIENCY THIS PROPERTY
COMP. PLAN ST. R/W �' U FT. OFT.
CITY '
ELEPHOIWE NUMBER
xU
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NAME
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REMARKS
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ADDREC `?
CHECKED
BY
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CITY.
TELEPHONE NUMBER
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STREET AND/OR UTILITY WORK
REQ'D. ❑ YES Sallo
R/W PERMIT REQUIRED
❑ YEs 15NO
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NAME
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UNDERGROUND
WIRING REQ'D. ❑ ONO
pu'NO
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ADDRESS
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TYPE CONNECTION q
GpYES
SANITARY SEWER
❑ NO
VERIFIED BY
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CITY 1
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(�jt
TELEPHONE NUMBER
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SEPTIC SYSTEM ❑ YES
APPV'D BY CITY ENG. �NO
PERMIT NUMBER
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STATE LICENSE NUMBER
CITY LICENSE NUMBER
REMARKS
Legal Description of Property (Show Below or Attach Four Copies)
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METER SIZE
BUILDING SUPPLY SIZE
W
F
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REMARKS
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SIGN AREA ENV. REVIEW ADB NO.
ALLOWED PROPOSED COMPLETE EXEMPT
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REMARKS
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VARIANCE OR CU
IPLANNING REVIEW BY
ATE
�-13-17
YARDS
�d, FRONT SIDE
LOT COVERAGE
2 NEW RESIDENTIAL ❑GAS
lllIIILLLLLLIIIIII LINE
❑ NON-RESIDENTIAL ❑SIGN
❑ ADD
❑ DEMOLISH � RETAINING
WALL
❑ ALTER ❑ ❑ EXCAVATE ;
OR FILL X—PLAN
FIRE ZONE
TYPE OF CONSTRUCTION
CODE
SPECIAL INSPECTOR AREA
REQUIRED
ElENCE.❑ YES . NO
OCCUPANCY
GROUP
OCCUPANT
LOAD
CHECKED BY THIS SITE IS LOCATED IN THE CITY'
REPAIR PRE -MOVE ❑swim
INSP. POOL
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
REMARKS
F
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NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
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F
NATUR OF WO TO BE DO •
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PLAN CHECK
NO.
VALUATION
FEE
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PROPOSED USE
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PLOT PLAN INDICATE BUILDING SETBACKS.
ABUTTING STREETS)
BUILDING
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PLUMBING
HEAT & GAS LINE 3
F
FENCE
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SIGN
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RETAINING WALL
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SWIMMING POOL
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