17320 73RD AVE W.PDFlill 11111111
5740
17320 73RD AVE W
CA FILE NO. qq— 13 1
Critical Areas Checklist
-----------------------------------------
Site Information (soil s/topography/hydrolo / egetation)
I . Site Address/Location: / 7 _Y2 0 117-F - 141le -
2. Property Tax Account Number: 1 - — 12 q — 0&
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? yes; no.
If yes; how is site developed? : ; �, f �'/ � 1/0 / /
5. Describe the general site topography. geck all that apply.
Flat: less than 5-feet elevation change over entire site.
tA
Rolling: slopes on site generally less than 15% (a vertical rise of I 0-feet o'A fE C E I V E D
horizontal distance of 66-feet),
X_ Hilly: slopes present on site of more than 15% and less than 30% ( a verticallUNof 4 1999
1 0-feet over a horizontal distance of 3 3 to 66-feet).
DEVELOPMENT SERVICES CTR.
Steep: grades of greater than 30% present on site (a vertical rise of 10-feet oNQFjOF EDMONDS
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: Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain of a water course. Ak)
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? A/a
10. Site is prima.rily:(��� meadow s rubs mixed
.<::����awn,shrubs etc)
11. Obvious wetland is present on site:
---- — -------------------------
For City Staff Use Only ------------- — --- -- --- — ----------------------------
site is zoned7
P5
SCS manned sQil. pq(s)? _,T ALp, _L4.Wim - LAm. e MMW
Wetilind inventory..or C.A..map indicates wetland present.qA site?.. H6
:4.: Critical Areas.frivntory qr.C.A . . map. indicates.Critical Area -on. site? Ro
:5. Site W*'ithinAesigniated earth subsidence landslide hazard.area?. vk ,
Site des' naied on.the'Enviroamentally Sensitive Areas. Map? 0
19
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�cs_chk.doc; Rev 10/03197
City of Edmonds
N,TW 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.
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 staf� 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
A 10
20
Street Address
Z��—Zvlell�
city State Zip
7611—ep�ne
Signature
A&
Date' /
Applicant Representative:
Name
Street Address
city State Zip
Telephone
Signatur e
Date
(over)
creception\janskad.doc
PLANNING D
NAME:
SITE ADDRESS: IZY-L ad4 4ATE: -Llllqq
/ I qq
ZONING: PLAN CHK#:
PROJECT DESCRIPTION:
CORNER LOT--YQ_(Yes/No)
SETBACKS:
FLAG LOT' __(Yes/No)
Required Setbacks: LO
Front: Left Right Side: Rear,
La
OL
fo
d?
Actual Setba ks. 33
W.03:ro'ht: eft Side R gl�t Side: Rear:
Street map checked r additional setback required? (Yes/No)
LEGAL NO NCONFORMING LAND USE DETERMINATION ISSUED (YIN)
V
LOT COVERAGE: 45t
Maximum Allowed:.,3�- —Actual:
BUILDING HEIGHT:
Maximum Allowed:-057 —Actual Helght:— Aj
Datum Point: OAW — Irf
490ADaturn Elevation:
A.D.U. CREATED?:
SUBDIVISION:
CRITICAL AREAS
SEPA DETERMINATION:
LOT AREA: -775`&
OTHER:
Attachment to Building Permit Application of Donald and Eleanor Christensen R E C E: I V E D
JUN
DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
Property Legal Description
Legal Description: The South 146.5 feet of the East 135 feet of the West
260 feet of Tract 139, Meadowdale Beach, according to plat thereof recorded in
Volume 5 of plats, page 38, records of Snohomish County, Washington.
Access and Utility Easements: Easement for ingress, egress and
utilities over the North 18 feet of the East 234.9 feet of the South 164.5 feet of
the West 359.9 feet of said Tract 139, and also over the North 18 feet of the
following described tract: The South 164.5 feet of tract 139, Meadowdale
Beach; EXCEPT the East 275 feet thereof; and, EXCEPT the West 359.9 feet
thereof; and, EXCEPT that portion thereof conveyed to Snohomish County,
Washington, by deed recorded under auditor's file No. 1426178.
Donald and Ellie Christensen 425 743-4819 Cel Phone 206 909-8973 Fax 425 743-5813
�Y PLANNING
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APPLICATION
for
The City of Edmonds Sn)E SEWER PERMIT
EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS
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CONTRACTOR PE .........
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Ess ... ............... ........ W LEGAL DESCRIPTION: LOT No. ......... 1,37 .............. BLOCK No. ..... . . .................
NAME OF ADDITION .... P.A.'.k.) . ........................................................................
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REC E I V fc- LD
JON 19 1974
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Approved:
DATE..................... .......................... By ................ ...............................................
1A 0 TA-�) i J`%q A
CITY OF EDMONDS SIDE SEWER --.PERMIT
WATER -SEWER DEPARTMENT
V
AJ:1
PERMIT
. ..........
Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.)
Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.
[Iva7',;1,)Pdj , m3 I.,ost .... ..........................
ON. J7 .... 2k ........................................................................................ . .........................
ADDRESS LOCATION OF CONSTRUCTI
PROPERTYLEGAL DESCRIPTION ------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
01
.................................................. . ...................... . ........................................................................ . .............. . .................................. . ..................................................
MISTEMSEN
------------- OWNER AND/OR BUILDER ...... 0. N. C;
................. --------------------------------- ..................................................................... . .......................................................
Frank Uchtenbergor, M223 Htghi;�," 99, Aldensood.
CONTRACTOWSNAME & ADDRESS -- --------------------------------------------- ------------------------------ ....... . .............................. . ... ................ . ....................................
Permission Is granted -----_------------------ ............... .............. 197�_, for repair and/or connection of a side sewer to the city sanitary sewer
system in accordance with City of Edmonds ordinances.
1' —,NTION IS CALT D TO THE FOLLOWING:
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—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's offlee.
NOTE No. 3--Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line ajid 12 inches inside property line; minimum grade of 2%. No bends in grade
sharper than % will be permitted.
NOTE No. 5—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. 6—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 appurtenances except to in-
sert the pipe into the wye.
.......... .. . . . ...... ...... By ------------_- Date -------_------ - ------------------- By-
_X DISAPPROVED Da ................. By ---- ----------- Date . ...............
; /7
I Date ---------- --- ---- BY --- - ----
APPROVED .... ..._2 . Zd - -- - ---------------------------------------------------------------------------------------
-- --------------- --- ----
t
Remarks: .................................................... ............... .....
--------------- ................ . ...........................................................................................................
..................................................................... . ........... ............................................................................................................... . .......................................................
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
141
-------------- hereby certify that the side sewer installation constructed under this permit
ing onstruction)
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Peri 1�
0 �;�e r oT C �o�nt ra ��t n:g!
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ws' -3talled in accordance. with all gov ning (ordinances of the City of Edmonds.
Datedthis ---------------------------- day of ................................................................. 19 .........
Check BEFORE you dig for: Water F], Gas Telephone 0, Power E], Sewer C], Other
.... . .. .... ..
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REGARDING: 17320 - 73rd Avenue West 30-3-0-7900
(address)
R E C 0 R D 0 F C 0 N T A
C T S
DATE
NAMEI PHONE NO. &
ADDRESS of CALLER
COMMENTS
ACTION TAKEN
INITIALS
5/l/74
D. M. Christensen
Certified Letter No. 406207',.zent
�,Letter retuimed. Not claimed at
TE
requiring hook-up within 60 days.,
P.O. Referred to Jack for hand
delivery.
5/23/74
Letter delivered and received.
TE
6/19/74
Frank Lichtenberger came in and
TE
obtained permit #4869..
7/1/74
Certified Letter No. 406521 sent
Letter -received.
TE
requi-�.ing response by July 12.
7/12/74
Called. Lichtenberg&r will not be
Letter not signed. Connection
TE
able to install until 7/26/74.
completed on time.
Request extension to 7/31/74.
7/1S/74
-Connection cgnleted
TE
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40 so
CITY of EDMONDS
200 Dayton Street - Edmonds, Washington 98020 - Telephone (206) 775-2525
Department of Public Works
Mr. or Mrs. Don Christianson
17320 - 73rd Avenue West
Edmonds, Washington 98020
Re: Property at 17320 - 73rd Avenue West, Edmonds
Dear Mr. or Mrs. Christianson:
In reference to your receipt of a Certified Letter of May 1,
1974., requesting you to connect your property to the Edmonds sanitary
sewer within sixty days; due to the hardship stated by you and indicated
below, you are herewith allowed an extension to July 31, 1974,
in order to make the subject sewer connection:
Time Extension Requested Because:
Contractor will not be able to make the side -sewer
installation until late July.
. 0i
Q,
Sincerely,
C 0
6�' ONDS
0
J. 'ERB GILBO
Director
JBM: te
ACKNOWLEDGED BY PROPERTY OWNER:
PROPERTY ADDRESS;
MAILING ADDRESS:
ACKNOWLEDGEMENT DATE:
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POSTMARK
CHRIST—ENSEN, D. M.
ERtD, 0'1�1-� (M b OWDATE
TU :PO DRESSEE
17320 73RD AVE W
EDMON
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WASHINGTON Q
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OP IONAL SERVICES FO V
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Form
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Apr. 1-97 3800 NO INSURANCE COVERAGE PROVIDED
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NOT FOR INTERNATIONAL MAIL GPo: 1970 o.397-458
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Message:
From: Date:.
-7-72
FPERMIT.EXPIffETq
CITY OF EDMONDS
USE PERMIT
ZONE C "71'\
NUMBER, 990411
CONSTRUCTION PERMIT APPLICATION
JOB
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ADDRESS
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OWNER NAME/NAME OF BUSINESS
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LEGAL DESCRIPTION CHECK
SUBDIVISION NO
LID NO
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MAILING ADDRESS'
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved 1:1
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CITY ZIP
TELEPHONE
EXISTING — REQUIRED DEDICATION
RW Permit Required 0
Street Use Permit Req'd 0
inspection Requi di
78
PROPOSED
Sidewalk Required
NAME
,
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
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YES 0 NO
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REMARKS
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ALLOWED PROPOSED
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FRONT SIDE REAR
FRONT URSIDE REAR
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KED BY TYPE
OF CONSTRUCTION
CODE
OCCUPANT
X FT)
DEMOLISH - 0 TANK C] OTHER
oGARAGE
CARPORT RETAINING WALL RENEWAL
SPECIAL INSPECTOR
REQUIRED [:] YES
101ffA
OCCUPANT
LOAD
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ROCKERY
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN'
REMARKS
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PROGRESS INSPECTIONS PER UBC 108
(n
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NUMBER
NUMdER Ol�
CRITICAL
OF
DWELLING
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STO RIES
UNITS
NUMBER
:�44 4�4 k
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DESCRIBE WORK TO BE DONE
:
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FINAL INSPECTION
REQUIRED
VALUATION
FEE
PLAN CHECK FEE
HEAT SOURCE GLAZING % L f-SLVIPt.�
BUILDING
C/ 0
2
HECK NO: VESTED DATE
PLUMBING
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
:i DOMAIN (CURBS,SIDEWALKS, DRIVEWAYS, MARGUEES,ETC.) WILL REQUIRE
GRADINGIFILL
SEPARATE PERMISSION.
Cc
STATE SURCHARGE
uj
0. PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
STORM DRAINAGE FEES
En
En 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
W
ENG. INSPECTION FEE
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
cc EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
x ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
a FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
_1 DEEMED To MODIFY, WAIVE OR REDUCEANY REQUIREMENT OF ANY CITY ORDINANCE
0
PLAN CHECK DEPOSIT
12V
x NOR LIMIT IN ANY WAYTHE CiTY'SABILITYTO ENFORCE ANYORDINANCE PROVISION."
TOTAL AMOUNT DUE
1 7) 01
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
TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
This application is not a permit until signed by the
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION Building Official or his/her Deputy: and Fees are paid, and
%��(?RKMEN'.S COMPENSATION INSURANCE AND RCW 18.27.
receipt is acknowledged in space provided.
(SIGNATURE (OWNER OR IGNEDI
AIGENT) DATE
(425)
OFFI�V S SIQN TURE DATE
1'7
771-0220
Z
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ATTENTION
E EA'
S[ '�DATE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
- FILE YELLOW INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
�ORIGINAL -
5198
PINK - OWNER GOLD - ASSESSOR