1024 4TH AVE S.PDFlillIIII 111111115038
1024 4TH AVE S
ADDRESS: 9 -
TAX ACCOUNT/PARCEL #:
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
CRITICAL AREAS #: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit Vs):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE:
LOT:
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\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
The City of Edmonds Side Sewer Drawing
STREET MEMENT NO - -------------------------------------------
NEW CONSTRUCTION CK REPAIRS E] LID NO- ------------------ - ASMT. NO. ------------------
OWNER .-Ear::x ----- --------------------------------- CONTRACTOR ------
.. ................................................... PERMIT NO.
JOB ADDRESS .... .. . .............. --- LEGAL DESCRIPTION: LOT NO. — ........... -------- ....... BLOCK NO. ......... !Eg ---------------------
I Ave s
NAME OF ADDITION ---- j=l-T.:.Y .... <=F= ------ r— t'Ao%(:��
DATE....... --- LP,-0 ...... - By -----------------------------------
PWW-0001-11175 (REV.11/78)
{CITY OF EDMONDS
„ L Lgg70
�iJBLIC WORKS DEPARTIT FOR INSPECTION CA . Permit l'a
SIDE SEWER PERMIT 775-2525 Ext. 220 Issue Date 9 L4 I
— — — — — — — — — — — —
PERMIT MUST BE POSTED ON JOB SITE
1. Address of Construction
2. Property Legal Description (include all easements) �.U']' ?,
3. Single Family Residence V' Multi -Family No. of Units
Commercial
4. Owner and/or Builder
5. Contractor & License No. L o t,.,? e r )
6. Invasion into City Right -of -Way: Nok___' Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation).
7. Cross other private property: Yes No L•,__�"Easement required -
v'. attach legal description and county easement number.
H
a READ THE FOLLOWING AND SIGN:
a
<-. a. Property owners must obtain a permit to install side sewers on
>4 their property. A licensed side sewer contractor must be employed to
°� construct side sewers in the public right-of-way.
w b. The side sewer contractor assumes full reponsibility for each
E-4 installation for one year.
wC. Commercial establishment requires a minimum of a six inch (6")
side sewer line.
o d. Side sewers ma be in a thirty inches (30")
to any structure.
e. Side sewer lin s'fm ai DIAL -MG. �o�G um rade of 2% (1.15°)
o and maximum grade of 1 0i no
par[-+ f. No turn in sid ss e to 1/8 bend) is allowed
between cleanout. All 90 s ct of a 450 (1/8
bend) and wye with rem v P.
g. No down spouts ins can be connected
to side sewer system. �` SNO� MIS�H�fO�I�V�T�1'� g
h. . Pea ravel is +ifd4fortlthatallin sewer lines
through other than granu ar soil.
is Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100' along sewer line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k. Side sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours onl!�. Two (2) working
days notice required. r �r
DATE: .
,16
—T I certi that I have read
001-m4vL6-TfJLjK L•�and shal comply with the above
PERMIT FEE ,� �` U Mc 1 . 1 DISAPPROVED BY: Date:
1-4` ' By: Date:
CONNECTION FEE. � APPROVED By k�� Date • 1'+'
w t
* PERMIT MUST BE POSTED ON JOB SITE
CITY OF EDMONDS
121 STH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771-0221
Website: wwaci.edmonds.wa.us
DEVELOPMENT SERVICES DEPARTMENT
r7 C 18913 Planning • Building • Engineering
April 28, 2009
MEMO TO:
Snohomish County Assessor's Office
GARY HAAKENSON
MAYOR
This letter is to inform you of an address correction. Please change the following Street
(Situs) Address:
From
1024 3'd Ave S
To
1024 41h Ave S
We apologize for the inconvenience this may cause you and greatly appreciate your
cooperation.
Occupancy: Residential Tax ID Number: 00582000200301
Subdivision: SOUTH PARK ADD TO EDMONDS BLK 002 D-01- LOT 3 LESS W 135
FT
If you have any questions regarding this letter, please contact me at 425-771-0220 or
Harrison@ci.edmonds.wa.us.
Respectfully,
�urie �arrison
Senior Permit Coordinator
Edmonds Building Department
Cc: File
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Wildlife: Refuge�-PV---
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FiM C1 533 534 H sm o _ d 613
539 544 T 539 Edel 617
weirs
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54.5 654 555 654
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431 I 1 � � � ... �
% ST`IEET FILE
CITY OF EDMONDS
CIVIC CENTER • EDMONDS. WASHINGTON 98020 (206) 775-2525
COMMUNITY DEVELOPMENT DEPARTMENT
Ed McMorrow
1024 4th Avenue S.
Edmonds , WA 98020
SUBJECT: CHANGE OF ADDRESS
% - r
o E C 3 1991
December 1, 1981
The Building Division will now list your address as
1024 4th Avenue S. instead of 1025 3rd Avenue S.
per your request.
We will notify the City's utility billing division,
but it will be your responsibility to notify other
concerned parties of this change.
Harold Reeves
Building Division
v11•AAFP' WjrA.V MfARISON
MAYOR
CITY OF EDMONDS AS"NFORMATION SHEET
LILJ NEW ASSET NO.
❑ ADDITION ADDITION TO ASSET NO. erty
El RETIREMENT r ! & f'>FoP EtlMONaSo
S b tEET FILE No. 0 3131
DESCRIPTION `
SERIAL NO.
LOCATION DEPT. 0.
be?
**PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
*PROJECT NUMBER WJ�72,.:5 a Cv 7
PROJECT COMPLETION DATE
COST
B.A.R.S. ACCOUNT NO. ' 0 OD Ci��S~ �� DO C�
• ESTIMATED LIFE yie.:s
INITIATED BY DATE APPROVED BY
**SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
?,- ...
DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT _
• G.L. ENTRY
REFERENCE
9ze—)
VERIFIED BY
PROCESSED
BATCH NO.
DATE
INITIAL
D'cP;\ti-`MENT FILE
A. Address or vicinity of Constpucoon.
ve.
• Permit Issued To;
• Owner: r +
Type of Work to be Done: :f = = � +.
Name
Work in Connection With:
Mai ing Address
❑ Sub or Plat V�le-Family
�5
0 Comml. / Ind. ❑ Apt. Condo,
City, State, Zip Code
1111
• Pavement Cut: ❑ Yes ❑ No
• Contractor: r,4s tom_ st ,#4�
Name
Mailing Address State License Number
City, State, Zip Code Telephone Number
U
a
* * NO WORK TQ" BEGIN-PQWR TO PERMIT ISSUANCE
C
B. APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by hi signature to this -application, agrees to hold the City of Edmonds harmless {=_
from any injuries, damages, or, claims a any kind or description whatsoever, foreseen or unforeseen, that may be made
against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal
0
proceedings including defense' costs, court costs, and attorney fees by reason of granting this :permit.
0
Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
rya
following the final inspection and acceptance of the restoration by the 1agineering 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.
,w .
Work is, to be inspected. Restoration to be in accordance with City Code. Tra& cl'ontroto be in accordance with Trade
Section of City..Co�le. Street` to be ;kept titan at all times. A, 24 - hournotice Js retjiired for inspection by Engineering.
Call 775-2525, extension 220.
I understand that this per st be avail- 1. at the job site for 1"Uspection purposes at all times.
Signature:. Date
r
Owner or Agent
I
* * THIS PERMIT MUST BE POSTED AT THE JOB SITE FOR INSPECTION PURPOSES
I
CALL DIAL, -DIG PRIOR TO BEGINNING WORK
Eng. Div. D=mbe 1978
FIELD INSPECTION TES (Fund 111 - 7Tute cony to Street Dent.
f nmmn n f- c .
Diagram:
Contractor called for inspection `Yes No
'cork Disapproved By: Pat Bv: Date:
[cork Approved By : 1C Date: Q
Inspector:
Ena. Div. December 1978
CITY OF EDMONDS,
PUBLIC WORKS DEPARTMENT
RIGHT - OF - WAY CONSTRUCTION PERMIT
R fX it No.
ST EET FILE 9 1 — i-:Z- / C-7
ssue Date h 111
:�
A. •Add�es8s o vicinity of fCC s_;�uction _
L
• Owner: ac)
Name
I-
Mailing Address
City, State, Zip Code
• Permit Issued To: �I
• Type of Work to be Done: -I 1 k�I
• Work in Connection With -
El
Sub or Plat w,. . ogle Family
❑ Comml. / Ind. ❑ Apt. Condo. /
• Pavement Cut: ❑ Yes rie No
• Contractor:
Name
to k e> I
ail'n A r ss State License N m er -
UCit , State, Zip Code Telephone Number
U
a
CIO tit >F NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE tilt >k
j, B. APPLICANT TO READ AND SIGN
A INDEMITY: 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 City of Edmonds, or any of it's 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.
O
U Upon issuance of this permit, the contractor is responsible for workmanship and materials for a � P P P p period of one year
O following the !final inspection and acceptance of the restoration by the Engineering Division.
H
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.
z
O
w
U
W
O
w
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 hour notice is required for inspection by Engineering. Call
775-2525, extension 220.
I understand that this permit r t be available at the job site f�r insp4tion purposes at all times.
Signature: ate
Owner or Agent
THIS PERMIT MUST BE POSTERS AT THE B SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued TimeAuAuthorized,`.,„Void after days
Special Condition."s:
Ammendments:
Permit Fee: 10DU
Security Deposit:
Receipt No.:
Fund 111 Fee:
Street Cut Dimensions
X_
tilt tit NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE tit *
End; Div. December
FIELD INSPECTION OTES
(Fund 111 - Ozte conv to :Street Dent.
rnmmpnf- G -
Diagram:
Contractor called for inspection Yes No
Work Disapproved Bv: Date: _ Bv:
Work Approved By.: _ Date: IZZ12 / _
Inspector:
Date:
Ena. Div. December 11)78
00
CITY OF HMS`\1V
200 DAYTON ST. • EDMONDIS. WASHINGTON 48020 • (206) 775.2525
DEPARTMENT OF PUBLIC WORKS
November 19, 1979
Mr. Ed J. McMorrow
1025 3rd Ave. So.
Edmonds, Wa. 98020
Dear Mr. McMorrow:
Subject: SIDE SEVIER PERMIT NO. 6370
1025 3RD AVE. So.
STREET FILE
HARVE H. HARRISON
MAYOR
Enclosed is your copy of the side sewer permit for the
above address. Please post at the job site.
Please call 775-2525 extension 220 and schedule a side
sewer inspection. Inspections are performed during normal
working hours, usually 24 hours notice is required.
Yours very truly,
JAMES E. ADAMS, P.E.
City Engineer
DJ:vlw
Enclosure
STREET FILE
CITY OF EU UNDS
200 DAYTON ST. • EDMONDS. WASHINGTON 98020 • (206) 775-2525
DEPARTMENT OF PUBLIC WORKS
August 15, 1979
a K&'HoR(�b`j
Property Owner
1025 Third Avenue
Edmonds, Washington 98020
Dear Property Owner:
HARVE H. HARRISON
MAYOR
SUBJECT:`, SLID NO 204 '- SAN�TARY SEWER CONNECTION
You were notified on March 13, 1979, that you should make
arrangements to connect to the new sanitary sewer within
sixty (60) days.
Your bi-monthly sewer charge has been raised effective
May 12, 1979. Please make arrangements to make the required
connection or notify me in writing by August 31, 1979.
Permits may be obtained at the Public Works Department,
200 Dayton Street. Please contact Jim Roberts of the Engineering
Division at 775-2525, extension 220, for any information or assis-
tance you may desire.
Yours very truly,
C/J MES E. ADAMS, P.E.
City Engineer
JEA:rm
l� � max, - o✓f- ,� a-� ��''-�- .
�Zo
7�o G�✓o-L� � f
so
M T y 1-0F ��1r. ., l' I������
200 DAYTON ST.•EDMONDS. WASHINGTON9&Q0•(20G) 7752525
DEPARTMENT OF PUBLIC WORKS
40
Property Owner
-g025 Third Avenue
Edmonds, Washington 95020
Dear Property Owner:
N STREET FILE
August 15, 1979
HARVE H. HARRISON
MAYOR
. SUBJECT: LID NO. 204 - SANITARY SEWER CONNECTION
You were notified on March 13, 1979, that you should make
arrangements to connect to the new sanitary sewer within
sixty (60) days.
Your bi-monthly sewer charge has been raised effective
May 12, 1979. Please make arrangements to make the required
connection or notify me in writing by August 31, 1979.
Permits may be obtained at the Public Works Department,
200 Dayton Street. Please contact Jim Roberts of the Engineering
Division at 775-2525, extension 220, for any information or assis-
tance you may desire.
Yours very truly,
��
JAMES E. ADAMS, P.E.
City Engineer
JEA:rm
R013ERTS dt? . PW dt..
MEMO TO: Mayor & City Council
FROM: Irene Varney Moran
City Clerk
SUBJECT: ACKNO14LEDGE RECEIPT OF CLAIMS FOR DAMAGES
The following claims for damages have been received:
NAME ADDRESS
STREET FILE
AIM I IN T
Edward J. McMorroW 1025 - 3rd Ave. S. $ 500.00
I recommend that Council acknowledge receipt of the above for minute
entry at the -January 2, 1979 Council meeting.
4L--)1-• -(L�
Attachment
• Claim MUST be pre.,cnted'1"o the City Council. :irul filed with the City Clerk within 120 days
from the date of Accident or Accrual of Dcunnf;es. (''.tt�'�:")
TO TI{E CITY COUNCIL OF THE CITY OF EDt10NDS:
F-JVFD
PLEASE TAKE NOTICE THAT �r rA , D.E.c Z :> 1918
(if married, give husband's name) IdmV�JsCRY Ckrh
WHO NOW RESIDES AT 1 �':�,`� f c� C[O'c �C'. E—)•JAI;
(State present actual address by street, number and city)
AND WHO FOR SIX MOUTHS PRIOR TO DATE OF ACCIDENT HAS RESIDED AT J,y�,tiic
Give residence by street, number and city
CLAIMS DAMAGES OF AND FROM THE CITY OF EDHONDS IN THE SUM OF
arising out of the following circumstances:
Describe Claim, giving.
DATE and TIME injury or
dwnage occurred, PLACE
and full particulars.
Accurately locate and
describe defects caus-
ing injury or damage
and all acts of ncgli-
gense claimed.
Accurately describe
injuries or damage
Fa l 1 cJ (,� i .1 ! .v �r) 4 el
1 l
(% L rvOC I �V
v F w«
I �/ v v ,✓t-A
V e5O cc I" 4 ri ti P_ l V P P
State items of damage
claimed. Itemize L()
all
expenses and losses.
,21!t_L 1''('cr.L'�+l1-lr)
A.)LI
(Ut rLw�.=
c T
iy
(Claim must be oerorn to by claimant)iG17e,
C /
tj
'
c J �, (,i`�
Si•natur of
Claimants
SU85CRIBED AND SWORN TO �f n /
before me this v ��day of 1Jt'CL''�l 7r ,19�>
-- f qt ary�i'ublic in an l for t[h�e State of
l ashington, residing at c
N
VC 'N (10
�'7
tl
iJN�vl "CC t'e t /I r, q 1Y 6'9
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Ave.
A"161 e A.6( 41vj, _le7v e
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A,* n4, AV 6�.' a wa lef cy le) c
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D
• DATE: I@pl&ber 4, 1979
MEMO TO: John B. Mitchell, SuptW-Vlq
Water/Sewer Division
FROM: James E. Adams, P.E. STREET FILE
City Engineer
SUBJECT: SEWER CONNECTION CHARGES
1025-3rd. Ave. S., Edmonds 98020
(Street AddressT
Ed McMorrow
(Legal Owner
Single Family Residence X Subdivision Plat
PRD Multiple Commercial
LEGAL DESCRIPTION:
Lot #3, Blk. #2, South Park Add. to Edmonds according to plat
thereof recorded in Vol. #8 of plats, pg. 13 records of Sno-
homish Co., W.A., except the West 135' thereof together with
an' easement for ingress and egress, over and across the North
12' of the West 135' of said Lot #3.
ESR. 245
Z.F.F. Calculation:
( 135.3 ) Z.F.F. x ( 5.50 ) _ $ 744.15
( ) Lateral x( ) _ $
( 1 ) Units(s)x( $25.00) _ $ 25.00
$ 10.00
j ak
CC: Owner
Connection Fee
Lateral Charge
Equivalent Count
(when applicable)
Trunk Charge (,
Permit � )'
$ 779.15 TOTAL bpi
I 11 sss 6 15 Z 11
Is
jl �. z� SE ►d (n 10
I3
I T Y PARK � :�
I� =so 8 130 I 4 9
City of Edmonds � sE19- _ I2
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60
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