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1027 CASCADE LN
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CITY OF EDMONDS ~
STEETFILE�ty Engineer's Office
COMPLAINT REPORT
Report No. 71-4
Referred to for Action Bill Nims Time 2 P.M. Date 8/20/71
Received By _ Mary Jane Fritzler Time 1:5� 0 Date 8/20/71
Made By Mr. James Reynolds Address 1027 Cascade Ln. Tel.778-0956
How Received: Letter Telephone X 1 n.Person
Vature of Complaint: The builder next door causing too much dust. Can he be held
responsible for sweeping street and keeping dust down?
Engineering Department Recommendation or Comments &j A A Aj4 2-
Time Date Engineer.
iescribe Action Completed:
. - r
Date.lime > _Completed i
,ocation Sketch:
ADDRESS: ! t/ z ll�5,�
TAX ACCOUNT/PARCEL NUMBER: ppJ q 2—( j; O 0 O Cfl O O \
BUILDING PERMIT (NEW STRUCTURE): %( 0,21���j�� l
COVENANTS(RECORDED)FOR:
CRITICAL AREAS :�J� DETERMINATION: ❑ Conditional Waiver ❑ Study Required [Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
►.11 QqIt
PLANNING DATA CHECKLIST DATED: C'
SCALED PLOT PLAN DATED: _?J I -LI 1. "t r T
SEWER LID FEE $: LID
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED: �� Z
OTHER:
LOT: cl BLOCK:
LATEMP\DST's\Forms\Street File Checklist.doc
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APPLICATION •r; , DUILDING NEWT Appl Nu .i .... G�`_ r.
CITY OF EDMONDS BuildingDe rtment Permit:limtt one
Pa
APPLICATION is hereby made fora permit to constructthe following work; In acatsa oordwith the
pai,ying plans and specifications. Two sets are submitted herewith for'approvaL
new alter Off -St: { S y
Workaddn repair r ��� . .. Parinng' I t a r 1 a
' - Occupancy....... Const. type.Use :ore '.a:::
. 1< Pare zone.*
Address. l�'.� 7 -_ �'c-!-!.�•,r!.{.L t....._..y� . ... Blk :... Addn
lnt fmntaoc Area. jC.. X ��Z...... Septic tank -`�.. s t
Bldg. aebbaJcs —front........ �? J
�...... r. Bade..... .. o ... I. side "� o..... rear oc d I • r
_G
OwnerAddress...
- Builder.._..... ..... .......... .. Address... Tel. No.'
Plans by. Address Tel No.
• Remarks.......... ...
1 .5 llt
The above is a correct star emv and I agree w comply with all applicable Codes and ,State laws reguh tang thaw �r Ip; b"
we
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Signed .Owner/A ent. ... �n.� . i t 1
gn g ..f.:....t....... ...... /Ig;:li�¢frs, .. .Dart/
FERMI T . for the z bove work is hereby approved, subject to the above conditions; and to compbarte with
proved plans and specificatio u and Ruilding Department notations thereon
Zi
. Va)uarori ......(.iQGi'�i..:--..... Permit fee......I..... Recd by.
—
Btvlding D pattmert By.,......... Nll•1 T�'. D ... 7'r ..
rP
Tlns Pe+mti does +:ot corn of .r:•.ng. Sewer m- Elrctncal installations
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r RECEIV o
IRECF-IVEP,
MAR 2 1 1994 '
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PERMIT COUNTER
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ram' U-.
*FILE NO. CN — 3
Critical Areas Checklist
Site Information (soils/topography
1. Site Address/Location:
N
0
4.
Property Tax Account N
Approximate Site Size (-,
Is this site currently developed? yes; no.
If yes; how is site developed?
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):
6. Site contains areas of year-round standing water: Approx. Depth:
7. Site contains areas of seasonal standing water: �V ; Approx. Depth:
What season(s) of the year?
8. Site is in the floodwayal� floodplain of a water course.
9. Site contains k or an area where water flows across the grounds surface? Flows are year-
round? Flows are seasonal? (What time of year? ).
10. Site is primarily: forested ; meadow ; shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site:
Rev 01AM 94
aga_199
City of Edmonds
Critical Areas Checklist
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 a development
permit 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).
An applicant, or his/her 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.
wth a signed copy of this form, the
applicant should also submit a vicinity map
or plot plan for individual lots of the parcel
with enough detail that City staff can find
and identify the subject parcel(s). In
addition, the applicant shall include
other pertinent information (e.g. site
Plan, topography map, etc.) or studies in
cogiunction with this Checklist to assist
staff in completing their preliminary
assessment of the site.
I have completed the attached Critical Area Checklist and, attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
wog- W ►1-14 -M S
Name
/co
Street Address
edlrl�
City, State, ZIP Phone
Applicant Representative:
Name
Street Address
City, State, ZIP Phone
Signature Date
The City of Edmonds Side Sewer Drawing
218-07000 NEW CONSTRUCTION ❑ REPAIRS ❑ LID NO_ ------------------ _ASMT. NO. ______.-_-__--.._-
OWNER....... DLCK..BESF1�IN?.......................................... ------------ CONTRACTOR ...................... ............................................................. PERMIT NO. ....................
JOB ADDRESS ...... 1927__. ASCAT�E._LANF-------------------------------- LEGAL DESCRIPTION: LOT NO. ._.................................... BLOCK NO. ....................................
•
•
-------------------- ----------------------------------------------------------------------------------------------------------------------------------------------
NAMEOF ADDITION-----------------------------------------------------------------------------------------------------------------
DYE TESTED 01\7 SETTER
Approved:
0
PWW-0001-11/75 (REl/.11178) DATE.............................................3Y------------------------------------------------------------
APPLICATION
for
r The City of Edmonds SIDE SEWER PERMIT EASEMENT No...........................................
NEW CONSTRUCTION ❑ REPAIRS ❑
118-07000
oWNER._.........JAmes... Reynolds .............................................................. CONTRACTOR....................................................................._......_.................... PERMIT No.......................
ADDRESS .......1027... Cd5Cdde Ldne..................................................•... LEGAL DESCRIPTION: LOT No............................................... BLOCK No.............................................
iAj
is
NAMEOF ADDITION.........................................................................................................................................
Dye Tested On Sewer 1972
Approved:
DATE................................................ By.............__............................_..........._._............
41- JUL L I lif U /0-V
............. ............ ..District
City of Edmonds ---Water . Department
TAP CARD
I
Meter
No� Ta
........ No..
........................
Size-Y .
Size ............. ..............
-'t-"''
... 4 ..... p
Mfgrs. No ............................ Style .............................................
For ............. ID ... 1.1 .......
LotNo ........................................... Blk. No ....................................................
Add. ...........................................................................................................................
ServiceLocation .............................................................................................
..................................................................................................... . .......................
Meter................................................................................................
............................................................................................... a ...................... . ..............
MakeTap .............................................................................................. ? ......... I ......
.......................................................................................................................... . ............
Pressure .............................. lbs. Test .................................... %
SendBills to ............................. I .................................................................... .
.............................................................................................................. . ..............
Dateof Work ...................................................................................................
................................................................................................................ Foreman
Guar. Voucher No ........................................... $ ..........................................
Remarks: ........................................ ........... ........
..........................................................................................................................................
......... ............ I ................................ STREET .... FILE ......................
.............................................................................................. . ..............
.................................................................................................................. . .................
.................................................................................................................. ........................
OUTGOING
Index .......... Reg ....... Route Bk .........
Stencil ...... Card ........
INCOMING
Index ..........
Reg
....... Route Bk .........
Stencil ......
Card ........