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STREET ADDRESS FILE
CITY OF EDMONDS BARBARA FAHEY
MAYOR
M 7110-210TH ST.S.W. • EDMONDS, WA 98026 • (206) 771-0235 • FAX (206) 744-6057
COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION
St.
October 24, 1996
Steven McMacken
17000 - 73rd Pl. W.
Edmonds, WA 98020
Dear Mr. McMacken:
I have reviewed your account and will allow a credit for the current billing period in
accordance with our City policy. The policy states that the customer will be billed at the
retail rate based upon the average water consumption for the same period during the
previous year. In addition, the excess water lost from the leak will be billed to customer at
the City's wholesale rate with a 15% surcharge added for administrative cost. Only one
leak credit will be granted in any three year period.
Should you have any additional questions after you receive your new billing, please
contact Ilene Larson, Utility Billing Clerk, at 771-0241.
Sincerely,
zzff �d
Scott Highland .
Acting Water/Sewer Supervisor
RH/lk
cc: Ilene Larson
Utility Billing Clerk
wordata\water\credit96\#305950
•Incorporated August ll, 1890 •
Sister Cities International — Hekinan, Japan
October 17, 1996
Mr. Scott Highland
City of Edmonds
501 Bell Street
P.O. Box 2008
Edmonds, WA 98020-2008
Dear Mr. Highland,
nscF
.IVED
0 C L 1 1996
9uwc WORKS DEM
A very helpful lady at the water department suggested that I give you a call
regarding an extraordinarily high water bill.
You can imagine my surprise at receiving the bill (a copy is enclosed) for
$232.33, when I was accustomed to paying between $60 and $80 every other
month. Initially, I thought that the meter had been read incorrectly, so I asked that
it be checked ... and it checked out accurate.. I was hard-pressed to come up with a
reason until my wife reminded me that I had fairly recently repaired a toilet that
had been leaking. (I bought a new rubber gasket assembly that had deteriorated.
What sounded like a slow drip, drip, drip, apparently was much more!)
The nice lady went on to say that the leak very well could have been the prob-
lem and that the city might reimburse (credit?) me for the water that literally went
down the drain, since it was unintentional "wastefulness" on my part. I think that
it would be very generous of the city. So, if you can do anything, Scott, I would be
extremely appreciative. Thank you.
Sincerely,
Steven McMacken
1700Q 73rd Place West
Edmonds, WA 98026-5114 ,
enclosures
Critical Areas Checklist CA File No:
Site Information-(soils/topography/hydrology/vegetation)
1. Site Address/ Location: 1 % 00 ' 73 &—d Pore veil -
2. Property Tax Account Number: 00 -Q (s7 UU-0 yUci 0
3. Approximate Site Size (acres or square feet): ' ,
4. Is this site currently developed? yes; no. RECEIVED
If yes; how is site developed? 'I/-
5. Describe the general site topography. Che&all1hat apply. PERMII, G`0�(yjEA
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: tl,,) Approx. Depth:
What season(s) of the year?
8. Site.is in the floodway floodplain of a water course.
9. Site contains a creek 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:
Critical Areas Chxklist.doc/3.19.2001
onds
City of Ed m
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, applicatiotr 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: -U /
City Receipt #:
Critical Areas File #: -ol 05
Critical Areas Checklist Fee:_ $45.00
Date Mailed to,ADDlicant:
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 16 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 assistant staff
in completing their preliminary assessment of the site.
s ..
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 this application on the behalf of the owner as listed below.
SIGNATURE OF APPLICANT/AGENT
DATE
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 attendant to this application.
SIGNATURE OF OWNER DATE
Owner/Applicant:
�l I Jer,-y Free L1
Name
l 7.000 73 r�l 4,,p_�-
Street Address
City State Zip
Telephone: 4j2Y •7
Email address (optional):
Applicant ][tepresentative:
ThQ ke�d�4�a1 rK�.�:�)
Name '
I c-iE02 52,d J,keep LIV-J/--
Street Address
City State - Zip
Telephone: ..20r WO - 6663
Email Address (optional): i r,,r - r ewyet ho:%5 (P Aofte • .
Critical Areas Checklist.doc/3.19.2001
CITY OF EDMONDS
j2"NEW
❑ ADDITIO
❑ RETIREMENT
ASSET INFORMATION SHEET
STME.-T FILE
ASSET NO.
ADDITION TO ASSET NO.
aD37
DESCRIPTION
SERIAL NO.
LOCATION
DEPT. NO.
**PURCHASE ORDER NO. _
PURCHASE ORDER DATE
COST
bP
*PROJECT NUMBER
PROJECT'COMPLETION DATE
COST
B.A.R.S.ACCOUNT NO. 00,6-Z
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
ODEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT _
G.L. ENTRY
INITIAL -
REFERENCE
VERIFIED BY
PROCESSED
BATCH NO.
DATE
DEPARTMENT FILE
CITY oM0NDS SIDE SEWER PERMIT
r � 1'i 'R 141966
orLI:nsp ct o �11 771-3202 PERMIT N0.
PUBLIC WORKS_
�o LYNNWOOD LINE
Address of Construction: 17000 �%3 �.'- Vjfz_s K
Property. Legal Descri ption ( Incl ude al 1 .easements) : ( p" i c(�,��S�
Owner and/or Bui 1 der: �7�7DC) L2 MT-- , ko
Contractor & License No:�LP�-1i—��j
Single Family Residence i<
Multi -Family (No. of Units )
Commercial (No: of fixture Units )
Invasion into City Right -of -Way: No i Yes (If Yes, Right -of -Way
Construction Permit required.. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No is Yes (If Yes, easement required,
attach -legal description and county easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK
I certify that I have read and shall comply Date
with the items listed on the back.
Permit Fee: 30•DO
Trunk Charge: 2 Ob
Assessment Fee:
Issued By: 1'
Date Issued: Y.1/16
Receipt No.: s-0 % y
Partial Inspection:
Comments
Final Inspection Approved: 5 23 % N 0
a Date Initial
Rejected: ,
Reason
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy - File Green Copy - Inspector
Date Initial
Date Initial
Buff Copy - Applicant
The City of Edmonds
Side Sewer Drawing
EASEMENT NO- ------------------------------------------ -
NEW CONSTRUCTION REPAIRS El LID NO. ------------------ - ASMT. NO. ------ -----------
OWNER -L)OJ-RIAI� - ------ "OtAes ----------------------------------------------- CONTRACTOR ------------------------ ----------------------------------------------------------- PERMIT NO.
JOB ADDRESS ------- 179�o-o ------------ 7-5 ------- K -------- w ------------------ LEGAL DESCRIPTION: LOT NO. -3 ------------------------------- BLOCK NO - --------
LYNNWOOD LINE
----------------------------------------- I ----------- ------------------------------------------------------- - ...................................................
73 Ito cp, k,3 NAME OF ADDITION ---------- L�` k* --------- &X.S ---------------- u ----------------------------------------------
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Approved:
DATE - -------------- By ---- ----- -
- ---------------- - ------ .... ... .... & 4
40ATE RECEIV O' S
.? PERMIT EXPIRES
USE PERMIT
CITY F ZONE
C EDM ND O O S NUMBER
CONSTRUCTION PERMIT APPLICATION JOB SUITE/APTa
ADDRESS oO 3rc1 Note �C 1
OWNER NAME/NAME OF BUSINESS .I� L- i
^� PLAT UB�jIVIS N L T O. LID NO.
C h 1 / r� t2,7
Q� LID FEE $
w MAILING ADDRESS 11 V Approved O
3 0 3 r� 1 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW permR Required
O GGG111 l.�/ Street Use PermitReq'd 0
CITY ZIP TELEP ONE EXISTING PROPOSED Inspection Required OO
Sidewalk Required
/ ��''j)�' /,/ REQUIRED DEDICATION FT Underground
MOB V 9V�. _ I p�.s 7�"�/ '1 �"/ Wiring required ,
NAME I �• I METER SIZE LINE SIZE I NO. OF FIXTURES PRV REQUIRED
YES ❑ NO ❑ Uj
ul
tz ADDRESS REMARKS; z
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAG E
w
CITY ZIP TELEPHONE 1
I
'M6K �Y �0 IX.IC. I S W 07 �
NAME 113" 0 U l I
' Ile Pr`OV 6i ^ ENGINEERING REVI ED/DAT
¢O ADDRESS ? 94
�Ire
2 / V� 0., ✓ / I G re ~ P FIRE REVIEWED BY DATE w
Z CITY ZIP TELEPHONE M' M '•,>'
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�.�JJ �✓ 980� G" 2aG' /v B3
VA CE OR CU SHOR INE QR �DB# INSPECTION BOND
STATE LICENSE NUMBER Q EXPIRATION DATE � -RE 'D STED
% 6 `% D / C Y ❑YES NO.
SEPA REVIEW SIGN AREA HEIGHT
PROPERTY TAX COU T PARCEUtfN00� _ ` COMPLETE I EXEMPT ALLOWED PROPOSED AL WED PROPOSED
uj
U ,
/ EXP
NEW RESIDENTIAL T COVER REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
❑ ❑ PLUMBING / MECH ALLO PFOPOSED FRONT SIDE REAR FRONT UR SIDE REAR
AUDITION COMMERCIAL COMPLIANCE OR Z.
❑ CHANGE OF USE z
❑ ❑ ❑ SIGN REQ' PARKIPN OVIDED [NOT AREA PLANNING REVIEWED BY DAZ?v
TV
a
REMODEL AP RTMENT
GRADING FENCE `I
❑REPAIR ❑ CYDS ❑ ( X FT) E A KS
❑:,+;DEMOLISH ❑ TANK �j OT CC "
GARAGE ❑ RETAINING WALL rr❑'RENEWAL r
*z ❑ 'CARPORT
ROCKERY
a (TYPE'OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
U P. fir . e •f4 �, CHECKE� By- _ TYPE OF ION GFCO�U'�p{{\SIT
cNUM ER NUMBER OF. CRITICAL ((� "� ' .
OF DWELLING AREAS ��' -"' SPECIAL INSPECTOR AREA OCCUPANT t'
OSTOIAIES UNITS NUMBER REQUIRED AGES ! (,' LOAD' F;{;
DE IBE WORK T DON i $.,. O )
REMARKS z
�. PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D o
k J
4o�c� X30 I p m
0-F
'
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4 VALUATION FEE
PLAN CHECK FEE 3 ~�
HEAT SOURCE GLAZING % LOT SLOPE % ' �..
BUILDING.,•"% r•'
PLAN CHEC :- '�Q,A /� �VESTED DATE. PLUMBING
MECHANICAL
`-THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
1,_ BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
i DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS; MARQUEES, ETC.) WILL REQUIRE GRADING/FILL
SEPARATE PERMISSION. net
f STATE SURCHARG
Ix PERMIT APPLICATION: 180 DAYS
a PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES Q
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
y ENG. INSPECTION FEE
y 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
uj IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE
R ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY REC
= FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT
aw
o DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
_ - NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' RECEI T
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT,,AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYEDBuilding Official or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S COMPENSATIO INSURANCE A RCW 18.27.
OF IALS SIGNATURE DATE
SIGN RE (OWNER Ow AGE ATE SIGNED (425) -
• _._- 771-0220
RELEASED B AT
ATTENTION EXT 1333 y / /
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL t71-0221 (A! �/
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI 11! -
FAX ORIGINAL E YELLOW- INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR
s/98