17322 MEADOWDALE BEACH RD.PDF11111111111111
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17322
MEADOWDALE
BEACH RD
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT 7"
Call 746-1107 for side sewer inspections BEFORE covering any portion of the constniction.)
Inspection will be provided within 24 hours after request. NO Sat., Sun., or holiday inspections.)
ADDRESS LOCATION OF CONSTRUCTION ............ �.7.3.2.2 ... Me a.d o w.d a. I.e ... 8.e.ac.h ... Roo ........................... . ........................................................
....... ....... .... .. .. .. .. .... .. ..... ....
Attached
PROPERTY LEGAL DESCRIPTION .......................................................................................................................................................................................
.......... ; ...................................... . ................................................................................................ .................................................... ..................................................
................................................................ O1f-*WERt1LND/OR BUILDER .......... P.uj.a.rd.j..n ............................................. . .......................................................
CONTRACTOWS NAME & ADDRESS ...... Paul Weathered, 4428 - 67th Avenue NE, Mausville
........................................................................................................... ..... . .......................................................
September
Permission is granted .................................. ...................... 191�, for repair and/or connection of a side sewer to the city sanitary sewer
in accordance with City of Edmonds ordinances.
SyM
'TT TION 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—All work performed In city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office.
NOTE No. 3--Obtaln 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 and 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 ma4n sewer or its appurtenances except to in-
sert the pipe into the wye.
DISAPPROVED
APPROVED
[] Date .................. By ................
Date.-'�� .... .... ........
q1
Date. By ................ Date ............... . ................... By ................
B
>,fi .... .. .................... ............................... ..............................
Remarks:
........ ..................................................................................................
. ...........................................................................................................
..........................................................................................................................................................................................................................................................
BO 0 By Owner of Firm Performing Construction PRIOR To Request For Inspection
mit
1'. ................. .... hereby certify that the side sewer installation constructed under this permit
Fr6� �n.r oi .t onstruction)
w0h,talled in accordance with all governing ordinances of the City of Edmonds.
Datedthis ............................ day of ................................................................. 19 .........
Check BEFORE you dig for: Water Ej, Gas Telephone E], Power E], Sewer Other F] V V
CA FILE IVO. O� q �Vl
Critical Areas Checklist
-----------------------------------------------------
Site Information (soil s/top ography/hydro I o gy/v e etation)
�r' 1�
1. Site Address/Location: 15 2_)_ MleaA03 aL
2. Property Tax Account Number: 0 61
3.
M
Approximate Site Size (acres or square feet):
Is this site �urrently developed? —Zyes;
I\ I A
If yes; how is site developed?
no
-sinede-
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 1 0-feet over a
horizontai disLance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of
I 0-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: 0 Approx. Depth:
What season(s) of.the year?
8. Site is in the floodway �JD_ floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? N�n Flows are seasonal? (What time of year?
10. Site is primarily: forested ; meadow _; shrubs ; mixed vl_�
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site:
For City Staff Use Only -------
--- --------
Site is ZofieV
2*. '-SCS 'a pedst
. .. .': P1. -
A ca—chkAoc; Rev 10/03/97
City of Edmonds
"F,IW 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 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- Applicant Representa ' e:
M C"-Yz-\-[ (2v\ C" e mq----
Name --3 Name I I
Mez,-Amj 3 &a4jO 0
Street Address r1c) Street Address
A1Ak Q 0 3
city Stat� Zip city
2J5 - ":�- 4- S - 0 1 �)
Signature /
Date
Telephone
Signature
Date
State
Zip
(over)
creception\janakaddoc
117-c() 1)
.19
April19,1999
BARBARA FAHEY
CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
Mary Charles
17322 Meadowdale Beach Road
Edmonds, WA 98026
Subject: Determination regarding Critical Areas Checklist # 99-59
Dear Applicant:
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 CHECELIS1 OR CRITICAL AREAS STURY
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 AL 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:Reception\Jana\CRLTR.doc
Incorporated August 11, 1890
Sister City - Hekinan, Japan
CITY OF EDMONDS LAURA M. HALL
MAYOR
7110 - 210TH ST. SW - EDMONDS, WA 98026 - (206) 771-0235 * FAX (206) 744-6047
COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION
1 890 . 1 911
Febraury 13, 1995
Mary Charles
17322 Meadowdale Beach Rd.
Edmonds, WA 98026
Dear Resident:
I have reviewed your account and will allow a credit to your account 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,
Ron Holland
Water/Sewer Supervisor
RH/lk
cc: Ilene Larson
Utility Billing Clerk
wordata\water\#306375
e Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
City of Edmonds,
Water Maintenance Department
250 - 5th Ave N.
Edmonds, WA. 98020
Attention: Ron Holland:
RECEIVED
FE B 1 0 1995
PUBLIC WORKS Dep,
February 9, 1995
Re: Acct. # 306375
I received a letter from you on January 5, 1995 regarding the
unusually high consumption of water noted when my meter was
read on 12/28 * /94. 1 did not receive a door hanger notice on
that date as you indicated in your letter but I did notice the
high bill and phone in to the billing department the same day
that your le�rter was received.
I proceeded to check for the cause and discovered by process
of elimination that the leak was somewhere between the 340 feet
of line from my shutoff valve to the meter. On exploring the
terrain there was no sign of unusually wet spots or water flow
observed. That may have been partly complicated by the rainy
weather we had at that time. I proceeded to seek estimates for
discovering the source of the problem and repair from local
plumbing companies. The early estimates, without exception,
all recommended complete replacement of the line with estimates
ranging from $2,500 to $6,250 plus tax. This high cost lead
me to look for a less costly alternative resulting in finally
getting the job completed on 2/08/95 as outlined on the attached
bill. The meter reading as of today is 009 which is 73 cubic
feet higher than the 12/28 reading.
I would very much appreciate it you would consider the above
circumstances and give me whatever credit you can allow.
Thank you ver much for your attention to this matter.
7MaryChar'os
q
M
17322 _ M7eowdale Beach Road
Edmonds, WA 98026
Phone:'(206) 745-0137
6
JANUARY
M. CHARLES
17322 MEADOWDALE BEACH ROAD
EDMONDS, WA. 98026
19 95
TzRmsi NET CA&H 14 c M TION
1832 Y 1p
745- 0, 7
'OTAL
QUAN. ITEM
2
1
25 REPAIR ON WATER SERVICE
17322 MRADOWDALN BEACH RR EDMON
3/4" G. VALVE R+W
3/4" BRASS ADAPTER TO POLLY
I" HOSE CLAMPS
MATERIAL
HR LABOR 0
SUB TOTAL
DS
12.75
6.35
' 92
60.00
12.75
5.36
1.84
19.94
60.00
c
C
APPLICATION
for
The City of Edmonds SEDE SEWER PERNaT EASEMENT No . ..........................................
ir NEW CONSTRUCTION REPAIRS
MU.-J NKMW4 CUSTOM HOMES INC
.%N
OV*rNER .............................................................................................................. ICONTRACTOR ...... p ...... N ...... U ..... L ............................................................................ PERMIT No.
ADDRESS IrFS.2-Z ... gntEGAL DESCRIPTION: LOT No . ..... E�l
......... .......... ....... .... ................. ................... ..... ..................................... BL4C)CK No . ............................................
�, %-F-
..............................................................
0
10
APPLICATION
for
The City of Edmonds SIDE SEWER PERMT EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS 0
OWNER CONTRACTOR ?leq .... M<:� k.'��:'-��IV-PERMITNo...J(v
................... ....
................................... ... / ..........
ADDRESS �7 Z ..... AM4 r Iq ...... LEGAJ, DESCRIPTION: LOT No . ......... B ................................. BLOCK No . ............................................
NAMEOF ADDITION ... ....................................................................................
Approved:
DATE................................................ By ......................................................................