18715 79TH PL W.PDF111111111111
6876
18715 79TH PL W
NOTICE:
No warranty of accuracy.
The information shown on the attached
map(s) was compiled for use by the City.of
Edmonds, its Employees and Consultants.
The City of Edmonds does not warrant the
accuracy of anything set for ' th on these
map(s). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
the -map(s), including, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may, not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
employees or officers ,--)hall be liable for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
APPLICATION
for
The City cf-E-d—m"dnds SIDE SEWER PERMIT
.,--% r—,, f—,, ' NEW CONSTRUCTION Wl--- REPAIRS
LYNN PLANT EASEMENT No . ..........................................
OWNER .44.r:lfij&1V.l< ......... MW-1/6.7-N ................................... CONTRACTOR ....... ..................... ...... PERMIT No.
ADDRESS... ....... 7.7 ... ............................ : --------- * ........... LEGAL DESCRIPTION: LOT No. .......................... BLOCK No . ............................................
NAME OF ADDITION ...... V - 7 0. A ........................................
0
0
4
Approved:
DATE 74* 7 By
...... * ------- - .... * ...... t� ------ ..............................
'7].
DMONDS
Respect '641 07
TQ -CENTER._�_ WATER:6SEWEA--1)EPARTMENT call �,p
is -rea�dy� for. inspecti,on. - (No innpic
-tions, Sati�raay, Sunday or holidays.),
NO. 1-911,
SMEW -PERMIT
'SIDE
187�5 79-th.Plac.e West
ADDRESS'
.......... ...............................................................................................
................................................................................ ..............
OWNER ............ ..................... Fra.nk.M�illen R
........ ............................... .................. CONTRACTOR....- -Ussell Johnson
....................... 7 .............. I ................ ...................
April-3 67
Perthission Is. granted ............................. .............. 19 ........ .............. 7. day
qj to REPAIR, or- CONNECT. -side sewer
with city SeWersAn a�6rdanc* wl' is
th application -on fil -governin ordinances-
_p and 9-
ATTENTION IS CALLED. TO'THE FOLLOWING:
NOTE No. I —The own
ers of the. Property MaY Obtain a permit to construct sewer inside Property line.� A licensed,Side' Sewer Contractor must
�a
be -employed to construct side sewer In street are&. Do hot cover � ny portion of sewer before it has -been Inspected.
NOTE No. 2-70btain full Information regarding. Ordinance li.16.030' and � Re ulations
9 governing,,side sewers when you get. permit.
NOTE No. 3—TOP Of side sewer must have at least 30 Inches coverag
No bends in grade sharper than % will be permitted e at property line and 12-.inches inside property line; minimum grade of 2%
NOTE No. 4�Trenches in street must -be water settled' d surfa,6e- of street --restored to okgInal, -Contracto
failure !due -to Improper work which may an condition.
eve.lop within one year of completion. rs sh . all be respon alble - for
NOTE, No, fi�—It Is unlawful to alter or do any ther work than Is- provided for in the permit, or
Purtenances except to'Ins6rt the po 'to do any work on the main sewer or Its ap-*
1pe Into the wye.
City of Edmonds
Critical Areas Determination
Applicant: I Thomas Drenth, Determination #: I CA 94-210 . I I '
Project Name: Permit Number:
Site Location: 18715 79th PI. West Property Tax Acct #: 5177-000-022-0000
Project Description:
Waiver Criteria (all criteria must be found to apply):
There will be no alteration of the Critical Area or its required buffers;
The development proposal will not impact the Critical Area in a manner contrary to
the goals, purposes, objectives and requirements of the Critical Areas ordinance;
The development proposal meets the minimum standards of the Critical Areas
ordinance;
Based on the above findings and conditions, the requirement for a Critical Areas Study
associated with this development permit is hereby Waived, as authorized by Chapter
20.15B. 150 (B) of the Edmonds Community Development C9,de.
Kirk J. Vinish f
Name Signature" Date
'9 go -I 9q
City of Edmon&
Critical Areas. Checklist
The Critical Areas Checklist contained on
this form is to be ked 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,
RF-C F. IV F-D
� hm, - 2 1994
COMMUNITY SEFNIGES
and submit it to the City. The City win
review the checklist, make a precursory site
visit, and rn I ake a determination of the
subsequent steps necessary to complete a
development permit application.
With 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 peWinent 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 Area Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
-16 WIQ.S bpent
Name
Ivig
Street Address
'EAr
MhJJf IVA
City, State, ZIP Phone
IrL�. ilia/ qq
Signature I I Date
Applicant Representative:
Name
Street Address
City, State, ZIP Phone
Signature
Date.
CA FILE NO. CVA -?-I (D
Critical Areas Checklist
SiW, Information (soils/topography/hydrology/vegetafion
1. Site Address/Location: 17 1
2. Property Tax Account Number: _o�Q,-(Dpoo
3. Approximate Site Size (acres or square feet): 26-40
1 -
4. Is this site currently developed? V yes;. no.
If yes; how is site developed?- V/Ak a GVS q-
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