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10609 226TH ST SW.PDF/ iiiii I iiiiiii 3528 10609 226TH ST SW ADDRESS: /4 — a,ZVJIC 5�-6 TAX ACCOUNT/PARCEL NUMBER: V7 0 J ?_S 003 ( �V BUILDING PERMIT (NEW STRUCTURE): COVENANTS(RECORDED)FOR: CRITICAL AREAS: 65 - (1 e) DETERMINATION: ❑ Conditional Waiver ❑ Study Required,.,�aiver DISCRETIONARY PERMIT DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED PERMITS (OTHER): q-3' 0 M 622 t . &.�/Y�(,�&9D PLANNING DATA CHECKLIST DATED: I I I O SCALED PLOT PLAN DATED: Ul 7510 3 SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) SOILS REPORT DA' STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: L:\TEMP\DSTs\Forms\Street File Checklist.doc N 88*21'060 W 1.50.06', EXISTOqG HOUSE J_ 1'2 (E) DRIVE m. —ITIfNTIVURCH z0vz? AS NOTED , Data: �]j, N MIV601 150.06' ' �IERICC�''�"�ri0 � �N DRAINAGE iR • RECEIVED JUN 2 5 2003 PERMIT COUNTER ul APPROVED BY PLANNI G -7 �TREE"i- FILE C t W,� : t 5-( 2- . P�r- 20 ACCESS -------- A EASEMENT 121& -7 (17. & cl.) 7LI 2. T ) : LAC)C.L. 226th ST. S.W. " SITE PLAN' SCALE: 1"= 20'-0" Critical Areas Checklist CA File No: Site Information (soils/ topography/ hydrology/ vegetation) 1. Site Address/ Location: I b (o O 9 2. Property Tax Account Number: Z 70'3 2- S-00 302 10 O 3. Approximate Site Size (acres or square feet): S0 iA�prn Xi 4. Is this site currently developed? yes; no. If yes; how is site developed? e s c oQ Jy� �Q 5. Describe the general site.topography. Check all that apply. Flat: less than 5-feet elevation change over entire site. Rolling: slopes on site .generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet). Hilly: slopes present on site of more than 15 % and less than 30 % ( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): j 6. Site contains areas of year-round standing water: )y C ; Approx. Depth: 7. Site contains areas of seasonal standing water: ; Approx. Depth: What season(s) of the year? 8. Site is in the floodwayfloodplainof a water course. 9. Site contains a creek or an area where water floAvs across the grounds surface? Flows are year-round? Up Flows are seasonal? (What time of year? ). 10. Site is primarily: forested ; meadow ; shrubs ; mixed urban landscaped (lawn shrubs etc) \l 4rS 11. Obvious wetland is present on site: On Critical Areas Che dist.dW3.192001 City REdmonds Development Services Department Planning Division Phone: 425.771.0220 Fax: 425.771.0221 The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of the application 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 property. The information needed to complete the Checklist should be easily available from observations of the, site or data available at City Hall (Critical areas inventories, maps, or soil surveys). . Date Received: tOl0 U—:> City Receipt #: o Critical Areas File #: 2-603 .6 Critical Areas Checklist Fee: -1 00' l Date Mailed to Auulicant A property owner, or his/her authorized representative, must fill out the checklist, sign and date it, and submit it to the City. The City will review the checklist, make a precursory site visit, and make a determination of the subsequent steps necessary to complete a development permit application. �. Please submit a vicinity map; along with the signed copy of this form to assist City staff in fording and locating the specific piece of property described on this form. In addition, the applicant shall include other pertinent information (e.g. site plan, topography map, etc.) or studies in conjunction with this Checklist to assistant staff in completing their preliminary assessment of the site. The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or incomplete information furnished by the applicant, his/her/its agents or employees. By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my knowledge and that I am authorized to file application on the behalf of the owner as listed below. SIGNATURE OF APPLICANT/AGENT Property Owner's Authorization By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application, and grant my permission for the public officials and the. staff of the City of Edmonds to enter the subject property for the purposes of inspection and posting a t this application. SIGNATURE OF OWNER DATE 3 PLEASE� PRINT CLEARLY Owner/Applicant: 1M �" L2 v-ka s Name Jlb(oocl 22-(o sT Sk) Street Address q_otko- t W 1020 City State Zip Telephone: LfZS- -� l 2 g Ll q Email address (optional): M (P—S pl—& Z P . Cew Applicant Representative: Name Street Address City State Zip Telephone: Email Address (optional): Critical Areas Checklist.doc/3.191001 e��+d FILE. CITY COPY I ------------ --I�TSSD3-i'3f1�"IS------------ W WI �I 611- �I 611- 61�0 - @� 6110 AREA OF RAISED pill FLOOR QiO. Z� Z� II I I II — 1 I I I II II I I I I I I � I I I I I I I I EXISTING DRIVEWAY I I I I I I I - I50.mm -----------'------- I I SITE FLAN Z� V-3m'-m" "Id L) SEE ATTACHMENT FOR LEGAL DESCRIPTION j i c- 5 71 2.... NOTE: THE HOUSE PLACEMENT ON THE SITE IS NOT BASED ON A LICENSED SURVEY BUT APIPROXIMENT PLAGEMENT ON THE SITE DISK No DRAWN BY RLE No - ADS ANTHONY D. SHAPIRO, AIA ARCHITECT A D SF f I DATE: CHECKED BY- 07/02/93 - 10609 226TH SW, EDMONDS, WA 98026 (206) 778-1530 FAX (206) 774-7803 REVISION No.- PROJECT No 0 • PLANNING DATA NAME: G[S DATE: I 1 O SITE ADDRESS: D D — 2 S PLAN CHK#: ©3 — PROJECT DESCRIPTION: REDUCED SITE PLAN PROVIDED? Ye No MAP PAGE: CORNER LOT: es o FLAG LOT-4 Ces No ZONING: PS " CRITICAL AREAS DETERMINATION ❑ Study Required: Waiver ❑ Conditional Waiver SEPA DETERMINATION: �— ❑ Fee ❑ Checklist ❑ APO list w/ notarized form ❑ (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger) ❑ Exempt SETBACKS: Required Setbacks: / Street: Left Side: Right Side: ! Rear: 10 Actual Setbacks: Street: Left Side: Right Side: Rear: Street map checked for additional setback required? (Yes / No / DNA) ❑ DETACHED STRUCTURES: ❑ ROCKERIES: ❑ FENCES/TRELLISES: ❑ BAY WINDOWS / PROJECTING MODULATION: ❑ STAIRS / DECKS: PARKING:. Required: Actual: LOT AREA: sD 6 2 LOT COVE BUILDING HEIGHT: ���' �,k6'v►o!� ,-� /p-f— /5f"R/ 2 Sf��' Datum Point: Datum Elevation: Maximum Allowed:_ 2�r' � .>� , (>(p Actual Height:_ 75 A.D.U. CREATED?: No / Yes SUBDIVISION: LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: Yes / No OTHER: Plan Review By: NewBPPlanningDataForm.DOC CITY OF EDMONDS us E PERMIT zoNE NUMBER 93039t CONSTRUCTION PERMIT APPLICATION Oa ,..r/ UITE,A ADDRESS OW D �'� 4/ �W V OWNER NAMEINAME OF BUSINESS LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO � MAILINGADDRESS 10601 2.2L � PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP AWPermit EXISTING REOUIRED DEDICATION Street Approved ❑ Required ❑ Use Permit Req'0 ❑ CITY ZIP �}�, S TELEPHONE NUMBER ��•��� PROPOSED Inspection Required ❑ Required ❑ NAME Q Sidewalk REMARKS u ADDRESS C . ) CITY ZIP TELEPHONE NUMBER /'� -(— r— 1< U= n [I11 l "C''"-� 11 I7 tl li NAME E \l� ENGINEERING MEMO DATED J - ' 0 U UL�L_ i REVIEW SY I-- ADDRESS METER SIZE - BUILDING SUPPLY SIZE SOMEONE NO. OF FIXTURES � CITY ZIP TELEPHONE NUMBER 3 REMARKS STATE LICENSE NUMBER " " EXPIRATION DATE SIGN AREA ALLOWED PROPOSED, SEPA REVIEW COMPLETE EXEMPT ADS NO. Legal Description of Property - include all easements ' +, EXP =L. VARIANCE OR CU PLANNING REVIEW BY DATE L r i SETBACK$ '.FEET j." "' J ! ,mod FRONT' SIDE REAR,,.'' -• HEIGHT LOT COVERAGE u Property _. -. MARK Tar o�i /� r1 Q — i'1/1 Parcelel No.. (,. i fr W 1. NEW RESIDENTIAL �. PLUMBING ADDITION COMMERCIAL MECHANICAL VREMODEL 13 APT. BLDG. LJ SIGN �• •� GRADING' FENCE -. O CYOS. L-J..tTK_Fj1 REPAIR CHECKED BY TYP=3TRUCTION CODE HEIGHT / DEMOLISH O INSERT TOVE r`I� 71 HOY TU4a°/SPA y REECIAL OURED SDECJOR AR � GROU Y/Tw LOCCU ADPANT GARAGE O WALU, j ; +„ a , YES KS ARKS , RENEWAL CARPORT ROOKERY 1! (TYPE OFJISF BUSINESS oRACTIVITY) EXPLAIN: -s -• PROGRESS INSPECTIONS PER USC 305 . NU ER O OF toSTORIES. O NUMBER OF DWELLING UNIT$ N CRITICAL AREAS /1/� NUMBER ' DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) Z Z FINAL INSPECTION REQUIRED v VALUATION /� GGJn'/ L ((aA Z� PLAN CHECK FEE BUILDING MEAT SOURCE:: a1 60 GLAZING A/0 eft IN) PLUMBING - Plan Check No. MECHANICAL This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sldewPlks, driveways, marquees, etc.) will require Separate permission. GRADINGIFILL STATE SURCHARGE Permit Application:180 Days Permit Limit: I Year - Prodded Work Is Started Within 180 Days STORM DRAINAGE FEE "Applicant, on behalf of his or her spouse, heirs, assigns and successors In Interest, agrees to indemnify, defend and hold v harmless the City of Edmonds, Washington, its officials, a employees, and agents from any and all claims for damages of h t I I I I I d l I f th I ENG. INSPECTION FEE w a ever nature, ar s ng d rec► y or n rect y rom a esuance i 0 of this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirement of any city ordinance FLAN CHECK DEPOSIT .��'n ![/ i nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE //,, gV provision." 1 hereby acknowledge that I have read this application; that the APPLICATION APPROVAL Information given is correct; and that 1 am the owner, or the duly ATTENTION authorized agent of the owner. I agree to comply with city and THIS PERMIT elate laws regulating construction; and In doing the work authoriz. AUTHORIZES This application le not a permit until ed thereby, no person will be,emplpyed in violation of the Labor ONLY THE signed by the Building Official or his/her C de of the St a of Washington relating to Workmen's Compensa. WORK NOTED Deputy; and fees are paid, and receipt is t n Ins n INSPECTION acknowledged in space provided. IGN TU OW ER T) DATE SI NED DEPARTMENT ' TE /J I� CITY DS EDMON OFF CIAL'$ SIGNATURE DATE Iq� ATTENION ' CALL FOR INSPECTION r�E� DATE - 3 IT IS UNLAW UL TO SE 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 CHAPTER 3. PINK — Owner GOLD — Assessor CITY of EDMONDS 200 Dayton Street • Edmonds, Washington 98020 • Telephone (206) 775-2525 Department of Public Works CERTIFIED MAIL Mr. or Mrs. Ernest J. Hughes 10609 226th Street S.W. Edmonds, Washington 98020 Re: Sewer Connection -for Property Located at 10605 226th Street S.W.. Edmonds Dear Mr. or Mrs. Hughes: The matter of your sewer connection for the above refer- enced -property has been investigated by the Engineering and Water/Sewer Divisions of the Public Works Department. Since the property does not directly abut the City sanitary sewer main,.it is recommended that you petition for a Local Improve- ment District (L.I.D.) with the surrounding neighbors. There- fore, a petition and sketch illustrating the area to be sewered is enclosed. For information related to the petition for this L.I.D., please contact Mr. Richard Allen, Assistant City Engineer, at 775-2525, extension 220. Sincerely, LEIF R. LARSON, P.E. Director of Public Works jt Enclosure Be $ENDER: 1 t r _pEE, j i F e sure to follow. URN1$N SERV rnstrnetions cn RECI:�PT urdrt:a E® ere adder a ncl e�a yS��e�'AoTE�eBY CHEC�E r�?' ' ' 7�3-� CE���F��® MAIL ►ah 1700 30 ess delivere . e se servtcea) D BLQC (PBt1S i REGISTERED NO T �Recelr ' REC Deliver 106 09 225THS T J • s�PO`S8 { i e� the numSered arPT to addrpSseeY ` ECMU 9 S W ��_... OA.DAI TO / S16NgT title deser' $ r *� 1 CERTIFIED •.. A7EOF ibedbe/oKr -- (V 0 ADDRESSEE oaito �� / IVto 1 Mu t alwa . v RETUR NAl SERVICES I L + N t. FOR 98p a7o ii 1NSUREO 'N 1l?d'rn)- l' RECEIPT Shows to whom aADDlT►OgAt PEES" 20 2 St NATURE. SERVICES 2 Show s' h delivery to date tleliveretl i �_.., F+-,r _ A 0 _ S$EE F IF AVER TO gDDRESSEE With dell+er �toandrwhere delivere'.... 65d t ANY i - P$ Form DEL1VERy ie,�r, SLY addressee only d � 35¢ SENDER: Be sure f0 follow instruetions.'on ofher side• •, : °p 'squired ...... sst APr. 1971 3800 b0 )................ ..............._... sot . r INSURANCE I EASE FURNISH SERVICE(S) INDICATED' E3Y CHECKED EII:'OCK(S) NOT COVERAGE PROV i (Addxtiondl chtdrges required for these servHE FOR 16TERNATION P IDED_ aShow address. 1wA1E s cP See other sidef where delivered Deliver, ONLY _ z' c. =r-aae _ to addressee ._ RECEIPT - _ Received the,numbered article described'below GISTERED NO. SIGNATURE OR NAME OF ADDRRESSEE (must always be L4Le 6- tilted rn) ., fv^// 2 SIGNATUR, F ADDRESSEES T IF ANY INSURED ,NO. -� DATE DELIVERED SHOW W9ERE DELIVERED _(Only if requested, and include ZIP Code) - CEIPT FOR CERTIFIED M�4IL ENT 70 30� (Plus Postage) POSTMARK r TREET AND NO. OR DATE CD � P. STATE AND ZIP CODE OPTIO AL SERVICES FOR ADDITIONAL AJFEES RETURN 1. Shows to who and date delivered ,. RECEIPT With deliver .. 1 SERVICES .D Z Shows to whom, y to addressee only •........ B g With n,date and where delive cra 7 d .. 35¢ DELIVER i0 ADDRESSEE ONLY delivery t0 addressee only SPECIAL Y •��•���•�•-• 850 DELI VERY ................................... (extra fee required).... ......... SOd. PS Form ............................... - APr•1971 3800 NO INSURANCE COVERAGE i NOT FOR INTERNATIONAL MOVID AIL - (See other side) AIL a GPO: 1070 o.anzaae r CITY of EDMONDS 200 Dayton Street - Edmonds, Washington 98020 • Telephone (206) 775-2525 Department of PubNc Works July 19, 1974 CERTIFIED MAIL Mr. or Mrs. Ernest J. Hughes 10609 - 226th Street S.W. Edmonds, Washington 98020 Re: Sewer Connection for Property Located at 10609 - 226th Street S.W., Edmonds Dear Mr. or Mrs. Hughes: The matter of your sewer connection for the above referenced property has been investigated by the Engineering and Water/Sewer Departments. It has been concluded that a waiver is to be granted you on the sewer connection of your property because: Property is not within 200' of the sewer main in 226th Street S.W., and owner does not have access to the sewer main through easement to the West. Although a waiver for the connection of your property has been granted, it will be honored only if the following stipulations are strictly adhered to: 1. The existing septic system shall be maintained properly. 2. Should any problems arise with the septic system,.the owner will immediately connect to sewer. J 7 r73/ i tc e t. min. Sincerely, JBM:te lrec or I Lit. - 0 CITY ENGINEER'S SEWER CONNECTION RECOMMENDATION Date June 28, 1974 Address of Property to be Connected: 10609 226th Street S.W. Owner Name 6 Mailing Address Ernest J. Hughes, same as above Legal Description: The N 100 ft of the E 150 ft of the SE k of the NW k of the SW 34 of the SW k of Sec. 25, T 27 N, R 3 E, W.M. Recommendation: Property is not within 200 feet of sewer main in 226th Street. Owner does not havesaccess to sewer main in �` easement t_o�west. Recommend sending letter to owner /,-4,r._. after our field check; he is not required indicating to connect to sewer at this time. Recommend he make plans to connect to the sewer in the near future. 0 RECEIVED JUL 2 1974 I 74- go/ CITY ENGINEER'S SEWER CONNECTION RECOMMENDATION Date _ _ .hmr� 2f3 1974 Address of Property to be Connected- 10609 226th Street S.W. Owner Name 6 Mailing Address Ernest J. Hughes, same as above Legal Description: The N 100 ft of the E 150 ft of the SE k of the NW 14 of the SW �r of the SW k of Sec. 25, T 27 N, R 3 E, W.M. Recommendation: Property is not within 200 feet of sewer main in 226th Street. Owner does not have.access to sewer main in easement to west. Recommend se.%ding letter to owner indicating after our field check; he is not required to connect to sewer at this time. Recommend he make plans to connect to the sewer in the near future. LEIF R. LARSON, P.E. EDMONDS CITY ENGINEER City Engineer , Engr. 6/14/74 0 0 1 0 0. &/Cx"r. copy CITY ENGINEER'S SEWER CONNECTION RECOMMENDATION Date vor/ 9 ?4- f. Address of Property to be Connected. /�`ao9 ZZG Y� el �� �.�• Owner Name 6 Mailing Address Legal Description: t" W E' &A 1 O O F -r S• e' 1/ 4 O F r ,+ Lw s. W . yq, , o 1-.+fW E )5o ter. . op-- rH+F 1/4 OP r 4 F S. W. % 4- 010 SO Recommendation: Pj,tffXj IS V#f wi rffj� Z4o' orS �✓ez rl�i cJ 1�% 2 ZG''" r• /A/ OVA- F�� �o ow )n, Al �N a �c�tr(a��� lot I-M 'D ► yo G00itv's -r 71' Sia✓"r- f a uroselP � H*W I PuWf 7o-r,W SjM)M 10 rAj-- AIM4 FV r&*#- CF- - Engr. 6/14/74 IY��T/,�1L�cGl 1i8±. Ito ISo ,#U6Mell /BdBq•226 yN o /oGo9•?26 "� o E „ . Date June 7, 1974 .d Memo to: Director of Maintenance & Operation Public Works From: City Engineer Subject: Sewer Connection Charges Legal Description: N 100 ft of E 150 ft. of SE ,, NW , SW 4f SSW Sec. 25, T 27 N, 2 3 Commonly known as: 10609 226th St. S.W. Owner: Ernest J. Hughes Z.F.F. Calculation: (Minimum ) Z.F.F. x ( ) Lateral x ( ) Unit x ( $ 25 ) _ cc: Ernest J. Hughes $ 300.00 Connection Fee $ Lateral Charge $ 25.00 Trunk Charge $ 10.00 Permit $ _ 335.00 TOTAL Form 6 Ow Lino R R C. 6' �K E2 A./C s T S, iy v G N vV Yg. , S W f/¢ s W/ /¢; sic. 2 S, TZ7A6 Ar$ IV t4 i N 4,4 I I \ek I 1 sa/aF IN I a�) fix,. ♦ 4 — 13th 'WAY t,e; A,' y fit. �`�.♦♦ . ♦ 3-137 1 ( �� , ro o 141 I o 35 F.; ir`�`� s:-029"gym I n;o s I 4/ 40 39 39 " 37 36 N•• �u r, I.4 ds r r 3t -:fit _ 3, ` 81 1 e p O �\ ,0 / /! /0 9 B + " a 3-07t �A. rp1/� \3-Oto9 3 bb /2"e :•; i 'a ,0X. do 1p N IVTV 100, - p 3 3-0�4 / 1®1 10 nl'O ;f i l t ' pa.. as EMI • t /3 `' �` 14th WAY i jay' rr:o i t �I 3- IUI �y309& '� ��� // `� \♦ // ; Suy4 .' ti { 1 — — — -� Q� /1 3-091 \ `gip .};'#"A- -•� (I 3-099. 1 3-0q7 / / 1-- -� — — — -� tie♦` �e f 3-160 ( 3-09'6 I I i��� �` \.. %Jih 3 lot 4 ,{ a , e 2 � I - ♦�Q ,1 Ai 1 a-114 '� /6 22Cth PL. S.IRI ♦ s 3-►15 0 — — — 4 — — — -J — — — 2/ 20 /9 S ♦;04� :�I 1 s ` r. t �fjy q4 I 5 /4 23 3_O4p ♦2 ,., ' 1► y 24 4 23/12 J`, 100, 4.0 -iZt 3-123 of 9 ( /O 3 I of 2 3-//3 Yj 1 Alt is �P c�.y`,- � �, , a ••pµ„ nf�,3 x.,i. ,I" y. . MAKE REMITTANCES PAYABLE TO: VIRST"HALF MUST BE':PAID SY APRIO }OR ENTIRE',, TAX BECOMES DE9INQUEN- 1974SECCH±IDHALf DEL1N*1ENTkA0fR OCT;.'2 F• TAXf t 146E i 10 00; TO BE IPAI6 IN: F L j� OHOMISH COUNTY TREASURER s; REAL ESTATE TAX STATEMENT .� _. EVERETT, WASHINGTON 96206 - SNOHOMISH COUNTY, STATE OF WASHINGTON FACH DELINOUENT OF ALL STATE, COUNTY, MUNICIPAL, FULL PLUS INTEPPST SCHOOL, AND RO D TAXES . L E. V Y A S S E S S E D V A L U A T I O N T A X PROCESS ' AC C0 M CODE RATE LAND BUILDINGS TOTAL GENERAL SPECIAL NUMBER , 1 4 + 0) , �� . �' 0012667 .2�2�'��" 3�*'�� Y FULL F `t"rAx CHECK BOX TO„ - INDICATE FULL' OR, HALF ' HALF' TAX HALF PAYMENT' OMITTEDfOR`DELIN?UENTI • _ - - - --- NOT,.INCLUDED iN.` BOVE TAK t 1 OMIIT ,ROLL � tr j7V!=• 10609 !' f T} �I t.- ....t 1 ).wl i•, i):J �{ rtr t' it `�f� j 3� $F_a NW i. r'51d r SW.t / 46} ri NOTICE PLEASE PRINT CHANGE OF TAXPAYER' : OR CHANGE OF ADDRESS BELOW NAME ADDRESS ZIP STATE -CODE S YEAR YEAR tIAX AMOUNT' ■ 3 2 IN.1lJ1Bb} �+ii"^^ u ` -. •'tom'. Y. � hY ���• k µ is'� . ,. 'r•.*,,o:'; CHECK o M O ❑ t i tda, �y7lr } CASH ❑ P L A T S T A T U S Plat Name: Location: — Developer: name address tele. Owner: name address tele. V'� Engineer: _ name address tele. Note: Include Agent's name if representative of a company PRELIMINARY PLAT Received by Planning Department: Planning Commission [searing Date: Commission Approval/Denial Date: Requirements Mailed: City Counc Preliminary Approval: Engineering Pla Received: Engineering Plan Re sions Received: Engineering Plans Apprd4 Performance Bond Posted: Performance Bond Released: Maintenance Bond Posted: Maintenance Bond Released: Improvements --Utilities Inspected: Road Inspected: Water Purity Check: Sanitary Sewer Test: Improvements Accepted for: Plat Recording: Plat Bond Release: Maintenance Bond Release: PLAT RECORDING Final Plat Check Fee Received by Planning Department: Plat Linen Received: Plat Certificate (Title Report): P.C. File # Amount: $ Amount: $ Computer Sheets Received: Plat Checked by: Date: Plat Accepted by City Council: Plat Recorded: 5/31/72 rev. �J t• was I' y 29.5' REGARDING: 10609 - 226th Street S.W. -7pS,-n1 1cQ a ress R E C O R D O F C O N T A C T S NAME PHONE NO F. DATE 9 ADDRESS of CALLER COMMENTS 5/1/74 Ernest Certified Letter No. 406385 sent requiring hook-up within 60 days. 5/l/74 Were told we couldn't connect to sewer as line was for So. Co. residents only. 5/17/74 Not able to obtain easements to make necessary sewer connection, as neighbor is out of town. 7/2/74 Received recommendation from Engr. stating property is not within 200' and does not have access to sewer main. 7/19/74 Certified Letter No. 406621 sent granting waiver. ACTION TAKEN INITIALS Letter received. TE Resident was misinformed and was TE notified of that fact. Verified with Engr. Referred to Engr. TE Letter received. TE REGARDING: address RECORD OF CONTACTS DATE: NAME, PHONE NO., & ADDRESS of CALLER �)aqlz-, 776 4 /p 1,6 9- o2=2 A-'k • • COMMENTS -10-fd uJ.e c�urJ'd nab pp rt.c, ACT"ION TAKEN Initials iru�i��D� i72n c� or,�'l 1Ja,o Date June 7, 1974 Memo to: Director of Maintenance b Operation Public Works From: City Engineer Subject: Sewer Connection Charges Legal Description: N 100 ft of E 150 ft. of SE 4, NW Q.,. SW 4, SW -%,, Sec. 25, T 27 N, R 3 RECEIVED JUN 7 1974 Commonly known as: 10609 226th St. S.W. Owner: Ernest J. Hughes Z.F.F. Calculation: (Minimum ) Z.F.F. x ( ) Lateral x ( ) Unit x ( $ 25 ) _ cc: Ernest J. Hughes. $ 300.00 Connection Fee $ Lateral Charge $ 25.00 Trunk Charge $ 10.00 Permit $ 335.00 TOTAL Form 6