1423 8TH PL S.PDF111111111111
8733
1423 8TH PL S
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APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT EASEMENT No............ ...............
NEW CONSTRUCTION ❑ REPAIRS ❑
OWNER .......L� ................`V...o. m '`-:-!.............................................. CONTRACTOR . T..... :.. P.. �I!....F �C'!'�..i' ..1, 0 ,f _._-
PERMIT No.4
S
ADDRESS / "' - / 1 -�C/f-.............................. ,LEGAL DESCRIPTION: LOT No.J-�.--......___.................._.... BLOCK No..................._.�.
h NAME OF ADDITION ... ...!..t._41.._".
......................................_..._............_..........
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S T7-X1 APPROVED
F E B 5 1970
Approved: Q r�
r— DATE ................................................ By ..._.................._....1!'''....
f --
CITY OF EDMONDS
CIVIC CENTER— WATER -SEWER DEPARTMENT Call FRospect 0-1107 when work 1.
is ready for inspection. (No inspect rV 0 3563
SIDESEWER PERMIT lions Saturday, Sunday o: holidays.) 1, �.
ADDRESS............ 4U --- ...8th Avenue.- South----------------------------------------------------•-............-
OWNER -----•--•-•--..-B-e1t-- H.QMe-S---------------------------------------------------- CONTRACTOR. B .-.. & M . Contractors
Permission is granted .............. February ... 5..... 19 --- ZQ, for ....................... days to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been inspected.
NOTE No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 3--Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%,.
No bends in grade sharper than % will be permitted. - -
NOTE No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to improper work which may develop within one year of completion.
NOTE No. 5—It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or its appur-
tenances except to insert the pipe into the wye. -
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CA FILE NO. 1� 1
Critical Areas Checklist
--------------------------------------------------------------
Site Information (soils/topography/hydrology/vegetation)
7 '>
l . Site Address/Location: 14 L 3
?. Property Tax Account Number:��`>Z���.��
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? X yes; _
R.a
If yes; how is site developed? ( � i 1 6, �o c
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 300"% ( 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:
7. Site contains areas of seasonal standing water:
What season(s) of the year?
; Approx. Depth: _
%l i ; Approx. Depth:
8. Site is in the floodway ,r i floodplain of a water course.
9
Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? \ i-' 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:
5., .Site within dem' ated earth subsidence landslide. haiard.are4?
6. Site designated on the 8nvironilientally: Seirsitiv6 Areas.Map?
DETERMINATION
^ca chk dmc Rev 101'03/97
RECEIVED
MAY Z 0 1999
City of Edmonds DEVELOPMENT SERVICES
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 hislher 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 finding 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 assist staff in completing their preliminary
assessment of the site
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below).
Owner/Applicant:
Name
14Z� S .
Street Address
etyarl.A, - 9 w -)
City § tate Zip
4x- Vq--912-0�
TT;�--
o .. (/Pj�
Signature
Date
c:recepti on\j ana\cac1. do c
Applicant Representative:
Name
Street Address
City State Zip
Telephone
Signature
Date
(over)
jnc. 18�0
May 24, 1999
CITY OF EDMONDS
121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771-0221
DEVELOPMENT SERVICES DEPARTMENT
Planning • Building • Engineering
Charles O./Georgia M. Cordova
1423 8" Place So.
Edmonds, WA 98020
Subject: Determination regarding Critical Areas Checklist # 99-145
Dear Applicant:
BARBARA FAHEY
MAYOR
Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City
is located on the reverse side of the form (bottom of page).
It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records.
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENWRONMENTAL CHECKLIST OR CRITICAL AREAS STUDY.
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL AN
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit applications.
Enc: Critical Areas Determination
*Architectural Design Board
Thank you.
Sharla Graham
Planning Secretary
C: ReceptionUana\C RLTR.doc
• Incorporated August 11, 1890 •
Sister City - Hekinan, Japan