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1029 A AVE S.PDFiiiiiiiiiiii9984 1029 A AVE S 0 • ROUTING SLIP NEW SERVICE INSTALLATION ADDRESS: 1 O a q A poi Fit F) DATE: ©�Z 1 1 DIAL A DIG # P.U.D. TELEPHONE CABLE T.V. GAS (� FOREMAN V STORM SEWER OTHER FUTURE SERVICE INSTL: ED NO BORE: CUT: LOCK CREW DATE: INITIAL: UNLOCK DATE:-3- 7-f 9 INITIAL.0- - 19 METER SHOP 104.-I9 45- 0 ACCOUNT NUMBER: 1 -"- 1 2-6so SUPPLIER: SPj^ 06AT - TREATMENT PLANT FOREMAN /07N B L T FOREMAN INITIAL: DATE: TAP SHEET APPLICATION / UTILITY nMETER DISPATCH I BILLING 7176 District Cittof Edmonds —Water Depalment TAP CARD Reading: oD� Date No. 7 ``� No. Meter �I Ta {Size 3/`� P Size 3 Mfgrs. No. '3S21.5'�Z 73 Style Wes' 12, Purchaser: 46 wx_,n tc� L5U C tM6+ 'U' CtLer', Serv. Add. i o a q A AuE,v&uL - Lot No. Add. Residential: Other: Meter Location S G,/ ����"'��e 42 if Service Material: Blk. No. Pressure lbs. Test Date of Work 7 —7 Foreman Guar. Voucher No. $ Proj. No: :11 Remarks: Rrzo r� n ne r.r_ ,�s�i� OUTGOING Index Reg. Route Bk. Stencil Card INCOMING Index Reg. Route Bk. Stencil Card • 0 TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) CRITICAL AREAS: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DA' PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: SHORT PLAT FILE: 4' LOT: BLOCK: SIDE SEWER AS BUILT DATED: .2 SIDE SEWER PERMIT(S) #: D GEOTECH REPORT DATED: G� STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DA OTHER: LATEMMDSTs\Forms\Street File Checklist.doc v1� - CITY OF EDM S USE NUMBS AMIr ZON � L NUMBER �[7 �{J p CONSTRUCTION PER M PLiCATION JOB NAME IOR NAME OF BUSINESS) ADDRESS / O '% + `� -i �• _J AL DESCRIP ION CHECK SUBDIVISIO NO. LID NO. LEG L ... w MAILING ADDRESS �/ -O / / (- I 2 3 I, �• TESCP o %3.1.5 n��7 CITY TELEPHONE NUMBER PUBLIC RIG HT(OF Vj AY PER OFFICIAL STREET MAP. APPROVED BY C - EXISTING _" _ REOU!RED DEDICATION C PROPOSED_!__G"r- V NAME 1(�i x .T ' A RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED . W - ^ w ADDRESS STREET USE PERMIT REQUIRED. ? EV w BY m U /�� �" NUMBER SEE ENGINEERING MEMO DATED 'l �n• "1 W (/A '•`;y� -' CITY TELEPHONE - i e-O _ r ♦ 7 REMARKS n ) NAME ADDRESS 1`/yam Q O •, C METES , BUILDIN; SUPPLY SIZE FIXTURE UNITS U ,,//E Q } TELEPHONE NUMBER/Z 0 ZSTATE�L&1�111' SIGN AREA ENV, REVIEW ADS NO Legal Dosc ption of Prooer(y •include all easements ALLOWED PROPOSED COMPLETE EXEMPT SHORELINEM ' (show below Or attach four cop r I I _ies) d O u VARIANCE OR CU PLA NING REVIEW BY DATE HE GHT LOT COVERAGE YARDS HEIGHT / qqW Y �,� w — FRONT SIDE S� REAR /m S _ REMARKS S NEW RESIDENTIAL PLUMBING VI �rrr---•••---J ��)' OADDIALTER . L_COMMERCIAL MECHANICAL WALL El SIGN REPAIR RETAINING EXCAVATE FENCE ❑ DEMOLISH � OR FILL ( x—FT) CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT , CRE-OMPLO!AE SNSP. swim El REMODEL POOL SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT REQUIRED GROUP ,� LOAD -'-i OWOOD STOVE/ El INSERT APT. BLDG RENEWAL OYES LI NO REMARKS =s'' -! z o PROGRESS INSPECTIONS PER UBC 305 � NUMBER OF NUMBER OF STORIES DWELLING J. m UNIT$ NATURE OF WORK TO BE DONE (ATTACH PLOT PAN) '. -.. VALUATION FEE PUN CHECK FEE r� 4 BUILDING 9a PLUMBING t MECHANICAL '•;: ,;y u This Permit covers work to be done on private properly ONLY. GRADINGIF!LL Any, construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Fermi Application: 180 Days _ ENERGY CODE Permit Limit: 1 Year - Provided Work is Started Within 180 Days:. "Appli ant, on behalf of his or her spouse, heirs, assigns and tr_ �Wsuccessors in interest, agrees to indemnify, defend and hold harmless the City of Edmonds, Washington, Its officials, employees, and agents from any and all Claims for damages of x _ whatever nature, arising di.ectly or indirectly from the issuanceOF PLAN CHECK DEPOSIT LOD of this permit. issuance of this permit shall not be deemed to _ s >' Q modify, waive or reduce any requirement Of any city ordinance , ° nor limit in any way the Citys ability to enforce any ordinance TOTAL AMOUNT DUE 96 provision." Z.S>7 - I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL information given is correct; and that I Pm the owner, or the duty a authorized agent of the owner. I agree to comply with city and THIS PERMIT This application is not a permit until state laws regulating construction; and In doing the work authoriz• will be .)mployed in violation of the Labor AUTHORIZES ONLY THE signed by the Building Oiliclal or his . rs ed thereby, no pbrson Code of the Slate of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is ti n Insuranca. INSPECTION acknowledged in space provided. SIG/N'ATURE IOwNER OR AGENTI) DATE SIGNED (C si �(.G L'�GM1S7f• ��; �:♦ DEPARTMENT OFFICIAL' SIGH E DATE .` /'`r / CITY OF E0MONDS y 0j 771-32 ASED BY: ATE? ATTENTION /Z 9 - 4 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector, ` A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. PINK — Owner GOLD — Assessor .f mzeT m i ,A;I-P c *AM-,_ lbCA no xt of ssA%:u- lCA:sz-. f s c�2 .J O I� �1 I I I I is •A • UPPER CATCH a BASIN DETENTION PIPE LENGTH CONTROL CATCH (V6NT) IrDA31N I' MIN , 2' M4% COVER i OUTLET COgTROL� SLOPE -► � z r TO OUT/ L-FT (RI PRAM OR 1 RUNOF F ._ SYSTEM CROSS SECTION SPREADER 'SEE PAGE 3 FOR OUTLET CONTROL_ DETAIL. 2' a 2' a fo"DESP, 4=6" SPALLS (att Lo~-) 2:. 2' 3" DEcP, %'- CRUSHED ROCK T ' FSZCM 7 OUTLET i CON—ROL �� �`�r. RIPRAP OUTLET riA3NE� GitA,VEL OUT FLOW TRENCH, MIN 10' LONG, 1 rToP 4 4" PeRF PIPE TO DE L.EVICL- -� -9- r FZOM � GV NTiZOL i�----= 4" PSRF PIPE WITH CAPS RUNOFF SPREADER OUTLET S40NDARD DRAINAGE PLAN DETENTION SYSTEM PAGE I OF 3 n n for I location Icn-+� plan by -( phone _'SW1,-LaSUL — date- A DESIGN DATA System Imperm Pipe Pipe Orifice Number Area Diam Length Diameter VA mmmmm, LMMMMM NOTES 1. Call Engineering Division (771-32D2) for prebackfill and final inspections. 2. Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property owner(s). Material accumulated in the storage pipe must be flushed out and removed from catch basins to allow proper operaWon. The outlet control orifice must be kept open at all times. BUILDING NOV 2 -19M CITY OF EDMONDS i fr i I I j 1 1 i f I i J • ,c � l ,J 1 `n J► � I A, FG aqA% , SIT PLAN, SCALE M--- 1 — � 3 ,- S213AND)�R�D DRAINAGE PLAN DETENTION SYSTEM NOTE: D0 l0Z--U-SE---RU-NOF-F--SPR A-DE4;Oid—StOPE&— — --- —�� OVER 15 PERCENT ( WITHOUT SPECIAL DESIGN) PAGE 2 OF 3 O 00 0 a� IN m CITY of EDMJIDS SJS E SEWER PEIIIU For Inspection Call 771-3202 STREET FILE PERMIT NO. 070 0 7 Address of Construction: I DyCt A A em die c)-yi 5 Property Legal Description (Include all easements): Lo r 0 Owner and/or Builder: Tf ( if AV--tn Contractor & License No: SP A �)A C-CI EDMON E-fRE-A-y,CN MT PLANT . Singl:e Family Residence 1/ Multi-Famil No. of Units Commercial (No. of fixture Units ) Invasion into City Right -of -Way: No L/ Yes (If Yes, Right -of -Way Construction Permit required. Call One -Call -Center (1-800-424-5555) before any excavation.) Cross other Private Property: Noy' Yes (If Yes, easement required, attach legal description and county easement number.) PLEASE READ THE ITEMS L^I�STED ON THE BACK ILLI I certify that I have read and shall comply FEB 2 3 11999 Dat with the items listed on the back. PUBLIC WORKS Permit Fee: Trunk Charge: Assessment Fee: Partial Inspection: Issued By: c--,., Date Issued: -Z(Z-3 1 a Receipt No.: (� Iq1? Comments Date Initial Final Inspection Approved: I Date Initial Rejected: Reason Date Initial ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy - File Green Copy - Inspector Buff Copy - Applicant 0 The City of Edmonds Side Sewer Drawing EASEMENT NO - -------------------------------------------- Ill _ NEW CONSTRUCTION Rr REPAIRS ❑ LID NO- ---------------- -ASMT. NO. ------------------ OWNER -- _. ----------- PERMIT NO. Z -gip CONTRACTOR ._.. JOB ADDRESS .. `- .-s�, ._J--_-----� .------�-- �%-- -------------------- LEGAL DESCRIPTION: LOT NO. -----_--- -•----. ---- BLOCK NO. tN'�—-- -------------------------------------•---------------------------------------..-..------...---------------------...----------------------------------------------- S�V1F: NAME OF ADDITION----------------•--------•----------------------••-----•--- --•-----••-----•------------------------------------- • �.. EDMONDS TREATMENT PLAN A" c�o Approved: PWW-0001-11/75 (REV.11178) DATE f,,tZ....-...�.�------- .-------- BY •-•-- 5 _.......................... G � OF Etir o�N CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 FILE PHONE: (425) () 771-0220 - FAX: 425 771-0221 TREET Inc. 189� STATUS: APPROVED ENG20130197 Permit Number: ENG20130197 Address of Public Use/Encroachment: 1029 A AVE S, EDMONDS 'PROPERTY 1029 A AVE S EDMONDS, WA 98020 USE/ENCROACHMENTSTREET 10' of unimproved alley fenced for use as yard (originally permitted 1998) STREET USE. Placement of any temporary or movable objects in any portion ofpublic space or City right-of-way shall meet all code requirements as set forth in the following chapters of the Edmonds Community Development Code. ENCROACHMENT. • Permanent structures encroaching upon any portion of public space, City right-of-way or easement area shall meet all Code Requirements as set forth in the following chapter of the Edmonds Community Development Code. CODE APPLICATION. • Chapter 18.70, 17.65, and 17.70.040 of the Edmonds Community Development Code. All terms of the adopted ordinance are incorporated herein as if set forth in full and this permit therefore is subject to the terms of those chapters. FOR THE TERM IN WHICH THIS PUBLIC USE/ENCROACHMENT IS IN EFFECT, THE OWNER SHALL COMPLY WITH THE PERMIT CONDITIONS SET FORTH BY THIS PERMIT. NOTE. The issuance of this permit is understood by the owner to be of a temporary nature, shall vest no permanent right and shall be issued and may in any case be revoked at the sole discretion of the City per ECDC 18.70.040. Applicant is responsible to provide a copy of the insurance certificate to the City at the beginning of each calendar year, no later than the 21st day of January. INDEMNITY. • The Applicant understands and 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 but not limited to the defense of any legal proceedings including defense costs, court cost, and attorney fees by reason of granting this permit. In addition, the applicant understands that he/she shall provide and continually maintain during the term of the permit a ceritificate of insurance naming the city as an additional insured, with respect to liability, and providing that it shall be primary as to any other policy of insurance. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN SPACE PROVIDED. RELEASED Printed: Friday, April 12, 2013 DATE FILE COPY INSPECTOR COPY ❑ APPLICANT COPY STATUS: APPROVED ENG20130197 4 The proposal will not adversely impact public space open to vehicular or pedestrian travel. • Architectural Design Board Approval has been granted or the process has been administratively approved. • The proposal will not unreasonably interfere with the rights of the public. • The proposal either benefits the public interest, safety or convenience (e.g., supports or protects the city street) or is an accessory structure such as fence normally associated with residential use of the property as fully complies with the requirements of criteria above. • Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per City standards that is caused by or occurs during the permitted project. • Sound/Noise originating from temporary construction sites as a result of construction activity are exempt from the noise limits of ECC Chapter 5.30 only during the hours of 7:OOam to 6:OOpm on weekdays and 10:00am and 6:OOpm on Saturdays, excluding Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must comply with the noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120. • Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of whatever nature, arising directly or indirectly from the issuance fa this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirements of any City ordinance not limit in any way the City's ability to enforce any ordinance provision. INSPECTIONS • None CITY OF EDMONDS � ASlitf INFORMATION SHEET 12 NEW ❑ ADDITION ❑ RETIREMENT ASSET NO. ADDITION TO ASSET NO. DESCRIPTION ' SERIAL NO. LOCATION f� I/� �/[J `� DjPT. NO. CItSV * * PURCHASE ORDER NO. PURCHASE ORDER DATE El COST * PROJECT NUMBER PROJECT COMPLETION DATE COST B.A.R.S. ACCOUNT NO. 1J ��—D 00 - � /�1 =����• � � ESTIMATED LIFE INITIATED BY DATE APPROVED BY **SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY 52 DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT G.L. ENTRY REFERENCE DATE VERIFIED BY PROCESSED BATCH NO._ by INITIA FINANCE. STREET USE PERMIT APPLICATION � F Date Received 2-161I Date Issued 7T—�-j' Permit No. Name of Applicant or Business: l'4i�f� Mailing Address: s.—sc.,4Vz-3Tel ephone No: 5yz-0.3&y Address of Public Use: /0.29 A AVe. o Jon, 01 , W $1 ********************************************************************** 1. DESCRIBE THE PUBLIC PLACE OR PORTION OF PUBLIC PLACE TO BE UTILIZED: /o -' or- 19C&Z-1 c fa!!fy Agu-" %i1•y r's�a R �v Gc ` u /G' la-2i 4, F AzLock s- If /02 � 7 %A AVE so. - Lai 3 Block 6- AvF B --- -- Attach an appropriate plot plan or elevation view. 2. SPECIFY THE TYPE OF USE DESIRED: A DD'Z"-VA L AI''20 'ML L; A2 O fN 4(Z EA iZ G-6 Jou rftic �D 3. SPECIFY LENGTH OF TIME FOR USE !f2 (`� t r•� £wA 131E The issuance of this permit is underst o he applicant to be of a temporary nature and that no vested right anted. INDEMNITY: The 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 but not limited to the defense or any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. In addition the appliga�t understands that the City shall be provided a certificate of insurance to indemnity and hold harmless the City of Edmonds from all claims and/or property damage, and naming the City of Edmonds as an additional insured. CODE APPLICATION: By signing the application below the applicant warrants that s/he has read or had the opportunity to read Chapter 18 of the Edmonds Community Development Code, and s/he understands that all terms of that Ordinance re incorporated herein as if set forth in full and this application permit therefore are subject to the terms of that Chapter. Appl iAWSi Oature Date Page 6 of 8 LN Co r-J 7c,C r.J 1/89 A P10(2cvf-e— c,,4'-" fl17-ocf- (3f► A&0 e, )n izg-cE Ia2 E- ? 71L Arc s j. 0 • Street Use Permit Application Page Two SIGNATURE OF APPROVAL FROM ABUTTING PROPERTY OWNERS When applicable; if the street use proposal is for utilization of City right-of-way that may directly impact any adjacent business or private property owners, the applicant shall obtain written approval from the neighbors. (This requirement will be evaluated by the City after initial submittal of the permit has been made by the applicant.) SIGNATURE PRINTED NAME ADDRESS DATE DO NOT WRITE BELOW THIS LINE FOR CITY USE ONLY City Council Approval Date 414 Certificate Of Insurance Posted Nk ADB Approval Date /✓/,4 Bond Required' A0 • SIGNATURES OF PERMIT APPROVAL FOR ISSUANCE Fire Department Date A - as - �j;4 Police Department LA Date oZ Z3 --f�;_ Engineering Dept ,i - Date Z 2y_.V'C Building Official �i/�rI` Date Z-Z7-0 Coe Public Works lon'" Date 2-Z7--Erl� REMARKS/COMMENTS: c/o 6ga Li-e h/tJr -1A Rra 6T" 4AA4�" i oe .r, el Wi es 'ExisikV17 sEwEir. /14✓0 ,0A.41W L11trLoCAl-Ad : /S1 Weir nF exs,- 4 vc ow­,4a" At'l PERMIT NO. P-3 DATE OF ISSUANCE .?>' -8-g 9 RELEASED BY L�� RECEIPT NO. 100 5-6 BUILDING PERMIT NO. LON7- Page 7 of 8 1/89 :jTqTqx3 • CITY OF EDMONDS 250-5th AVE N. • EDMONDS. WA 98020 • (206) 771-3202 COMMUNITY SERVICES: I8 90 9 C� Public Works • Planning • Parks and Recreation • Engineering 1 February 3rd, 1989 Jeffrey & Christine Aiken 9325 244th Street Southwest #V203 Edmonds, Washington 98020 RE: Application for Street Use Permit 1029 A Avenue LARRY S. NAUGHTEN MAYOR PETER E. HAH N DIRECTOR 110� 9 1-14 A�"'--o After review of the application for a street use permit the City has denied issuance of the permit. The City is not in favor of allowing one homeowner to utilize the entire public right-of-way. The City would be agreeable to review a joint application submittal from you and the neighbor to the east for half useage of the City right-of-way. For your information, according to City records, the existing right-of-way is 15 feet in width and your plan indicated a 20 foot right-of-way. If you have any questions contact the building division at 771-3202. Thank you, AW eannine �L�Gr Permit Coordinator cc: Bobby Mills Public Works Director • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan • 0 CITY OF EDMONDS 250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-3202 COMMUNITY SERVICES: Public Works • Planning • Parks and Recreation • Engineering 890-19y January 18, 1991 Jeffrey Aiken 9325 244th St. SW #V203 Edmonds, WA 98020 RE: Street Use Permit 89-3 LARRY S. NAUGHTEN MAYOR PETER E. HAHN DIRECTOR According to Building Division records, Street Use Permit renewal fees are due. As you were notified on the November 1989 billing, street use renewal fees are now collected in January for the current year. No fee was collected for 1990, therefore, total fees now due are $20.00 - $10 for 1990 and $10 for 1991. Please remit fees within 15 days date of this letter. If you no longer utilize the portion of City right-of-way under the subject permit, please contact the City at your earliest convenience. Also note, a current certificate of insurance is required to be on file with the City at all times, you may want to check expiration dates with your insurance carrier. If there are any questions contact the building division at 771-3202. Thank you, Jeannine L. Graf Permit Coordinator 0 p a 11103511 • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan All CITY OF EDMONDS 250 5TH AVENUE NORTH - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221 - 77 w�7 COMMUNITY SERVICES DEPARTMENT !, Z �St. JS90 Public Works • Planning - Parks and Recreation • Engineering May 19, 1997 Jeffrey & Christine Aiken 9325 244th St SW #V203 Edmonds, WA 98026 Re: Street Use Renewal Fee Permit #89-3 BARBARAFAHEY MAYOR As required by City Ordinance #2972, Street Use permit renewal fees are now collected every three years instead of yearly. The first effective billing date was l/l/96 however, due to staff shortages, the City was unable to send out this billing for the period 1/96 to 1/99. Please remit renewal fees in the amount of $25.00 to the City of Edmonds, c/o Building Division, Permit Specialist, 250 5th Avenue North, Edmonds, Washington 98020 within 15 days date of this letter. If this permit is no longer applicable i.e., you no longer utilize that portion of the City right-of-way granted under the street use permit; please notify the Building Division in writing so that we may cancel the permit. As permit holder it is your responsibility to inspect the permitted use for safety hazards on a yearly basis. Note, with the payment please include a current Certificate of Insurance since the insurance policy on file with the City has expired on 11/23/89. If you have any questions please feel free to call me at 771-0220. Thank you, Vivienne Myers Permit Specialist o Incorporated August 1I, 1890 0 Sister Cities International — Hekinan, Japan 4, I C)(.t)I-R :F fl I I I r t H W. COMPANIES AFFORDING COVERAGCS Ed Nichols Insurance Agency q 209 Dayton ST #103 A American States Jeffrey Aiken 9325 244th SE #V203 )',)PA1 V Edmonds, wa 98020 (his is to ce.t11y triat Poll( 1,2s of uiSur,U1,r list oo h,.Ic)w h,j o,: ocl,-it v,ti.vd ill, 1,11,1i,011 0.'Ilwa jbwv0 Ito fill; I)i)h,.x/ oviiod ij17icitLcJ. Not wahstaiidinijOny e q Ll I r ein e 11'.. term o t Cm I d i t- n of1 ., i t V i m) 1,,3 0 t: I I I I 1 11, Pei w I 11, II 11,15 ( I -i I 11. (.11 t - Ili jiy he issi wrl .) t j 1,,iy ljol t,) j i i, t It e to s, i ra of cc i f t u,.doo • Wl the ocilicieS descn oflo h,:,t-111 %L1blV-*1 Ill dil fhc t0l In -W, W11 -ldil-liS 01 SIil 11 P- 11. L LLTICH — N L—G—IT)II-Sof Li,ibility in Thousands GENERAL LIABILITY A CoAllmRHIHNSP, C , 0, INI iHe461130591 P1v'Ll4iSF 3 li- T :Q% HAZ 41111 t-f.f)f H.,HUtNu :O,THAC- I 1A1 11•JI'tl 111 NI)i N] i PE RsOribl, lNoul-I Y AUTOMOBILE LIABILITY EXCESS LIABILITY OT,ER T,,A:, Lil,ltillf I iWORKER'S COMPENSATIOl 1'I EMPLOYER'S LA ABI L ITY OTHER t 11/23/88 1 11/23/89 11JI, OF 01'1.01,TIONS *[ 111, L,!, bPl AA! Tl ;!, City of Edmonds named as additional insured and held harmless from all claims and property damage. ([Ar.li A(.C,LiFNTi:' Cancellation: ShOUld JI-ly Of the above described policies be cancelled b0oie the expiration date thereof, the issuing company Will endeavor to mail 30 days written notice to the below named Certificate holder, bUt failul e to mail such notice shall impose no obligation or liability of any kind LIP011 the company, its agenti, of, representatives. NWI.v ANt, AIAJHO. :' Of HOL-01.1i City of Edmonds 250 5th Ave Edmonds, Wa 98020 'e, .1 7;1-1;,., -77 ISSUr 0Ari January 4, 1989 F� fnC.18913 CITY OF EDMONDS 250 5TH AVENUE NORTH • EDMONDS, WA 98020 • (206) 771-0220 • FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works • Planning • Parks and Recreation • Engineering June 25, 1997 Jeffrey & Christine Aiken 9325 244th St SW #V203 Edmonds, WA 98020 Re: Street Use Renewal #89-3 BARBARA FAHEY MAYOR This is a follow up letter regarding your Street Use permit. Renewal fees are now collected every three years instead of yearly. The first effective billing date was l/l/96 however, due to staff shortages, the City was unable to send out this billing for the period 1/96 to 1/99. Please remit renewal fees in the amount of $25.00 c/o Building Division, Permit Specialist, 250 5th Avenue North, Edmonds, Washington 98020 • within 15 days date of this letter. If this permit is no longer applicable i.e., you no longer utilize that portion of the City right-of-way granted under the street use permit; please notify the Building Division in writing so that we may cancel the permit. As permit holder it is your responsibility to inspect the permitted use for safety hazards on a yearly basis. • Note, with the payment please include a current Certificate of Insurance since the insurance policy on file with the City has expired on 11/23/89. If you have any questions please feel free to call me at 771-0220. Thank you, Vivienne Myers V Permit Specialist • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan APPLICATION M=IPT DATE: .k Revie' iby: (initial/date) CO M ER S PI.JANNING WTR/ STREET . L•'NCVRNG BUILDING FIRE SINGLE FAMILY/IVLT=/COMMERCIAL - (Circle One) ////// ///77/7 SET'BAQLS C1MMM - Planning VARIANCE/SETTIACK AW. CONDITIONAL USE. PERMIT ////// ///////// // I///II/I / //////// //////// ///////III ADB REQUIREMEMS CHECKED OTHER ZONING REQUIRDIUM 111117 ENVIFbCX3TPAL MATURES Ot/!,t //////// ACCESS SLOPF. & VMiICI,E ACCESS77777777 DRAINAGE PLAN (On Site) JM STREET FILE ////// ///////// TFr.AL DESCRIPTIM VERIFICATI(XJ QUIT CI AIM/DFDICATIONS ✓ T ////// ///////// ///////// //////// iC FASFM Wr - 111MLIC/PRIVATE �� ///////// ///////// //////// 11 CAIM-ATE SibJM COM MVION IF NO LIDS � ////// ///////// ///////// //////// 12 / PTAT/SURDIVISICt7 REQUIRETdhNM 13 RTGHT-OF-WAY CONSTRUCTION PERMIT REM_ L S ////// ///////// ///////// 14 / 77-7777777-77777717— BOND READ FOR PUBLIC IMPROVEmEMS ////// ///////// ///////// /// //// 15 SOIIS CONDITIM S & GROUND %// WANPER FIEM CHOCKED ////// ///////// ///////// /// /// 16 STREET PAVING REQUIRED ////// ///////// ///////// 17 / / / — CURB AND GUTTER REQUIRED ////// ///////// ///////// 18 slDiwAL1c REtwIREn ////// ///////// CURB CUP FOR DRIVEWAY RED ////// 20 Tm�T7TIT17TI7T77rmT� - STREVr NAME SIGN RF.QD ///////// ///////// 21 7777777777 OMER SIGNING RDQD ////// ///////// ////// 22 / / — STDE SEWER AVAIT.AATT.ITY Tfffrl MISTING TIT-rI 11, TmT7T7 777777TRI WAFER MAIN SIZE ////// // 6/��/////// i . //////// ////////// 24 / T/_ / 7 7 7 7 // 111 //// /! WATER MJ;7M SIZE ////// ///////// 311 //////// ////////// 25 T/T/-7 T17TR7T 7T7777FI 77 — SERVICE LINE SIZE ////// //// //// //////// ////////// 26 HYDRANT REQUIRED ///////// ///////// //////// //////// 27 HYDRANT SIZE EXISTING ////// ///////// Iy /// //// /////// 28 CROSS CONNE)CTICN INSPECTION READ ////// ///////// C /// //// ////////// 29 //// / pC / // WT TER METER CHARGE REED ////// ///////// � /// //// ////////// 30 / / FIRE LINE CHARGE READ — SPRINIC[M ///////// /// //// ////////// 31 STREET CUT ////// /////////J�• ////////// 32 OPEN DITCH EXISTING ////// ///////// ///////// 1 33 / —7-77777777 READ ////// ///////// ////// 34 / CULVERT REQD ////// ///////// 35 /// SIZE ////// ///////// 36 / / E CA701 BAS IN RQD 37 INDICATED ON SITE PLAN ////// ///////// ///////// 38 SHOULDER DRAINAGE MAINTAIN / /—ITITFITIT SHALE OPM RUNOFF ////// ///////// ///////// 39 MISC: ///////// ///////// 40 REVIEWED BY: ov6 -%— PLANNING MGR. ENGINEERING MGR. PUBLIC WORKS MMR. C£IVED 21988 LIC WORKS