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19115 94TH AVE W.PDF9193 19115 94TH AVE W r- CITY OF EDMONDS 1215 th Avenue North, Edmonds WA 98020 Phone: 425.771.0220 * Fax: 425.771.0221 Web: www.edmondswa.go DEVELOPMENT SERVICES DEPARTMENT e PLANNING DIVISION November 3, 2014 Judy Snell 1911594 th Ave. W Edmonds, WA 98020 Subject: Hazard Tree Removal — Allowed Activity Dear Ms. Snell, On October 24 and November 3, Jennifer Wells, Certified Arborist #PN6209A of Washington Tree Experts, submitted materials to the City of Edmonds on your behalf in support of a request to remove one Zabrina Cedar (Thuja plicata 'Zabrina') located on a steep slope east of your house. The materials included a cover letter and scope of work, photos of the site and subject tree, and a tree hazard evaluation prepared by Ms. Wells. This letter is in response to that request. The slope where the tree is located is considered to be a critical area pursuant to Edmonds Community Development Code (ECDC) Chapters 23.40 and 23.80 where slopes from 15% to 40% may be considered potential erosion hazards. Generally, the removal of trees or vegetation within a critical area or critical area buffer is not an allowed activity unless it involves the removal of invasive species or hazard trees, pursuant to ECDC 23.40.220.C.7. Based on this information provided, the tree is diseased and clearly a candidate for immediate removal. In this case, the removal is considered to be an allowed activity relative to the critical areas code referenced above and no further critical area reports are required. Ms. Wells recommends that the tree be flush cut due to the rot of the base of the tree and the downed wood removed because of a carpenter ant infestation. According to ECDC 23.40.220.C.7.b(iv), hazard trees that are removed from critical areas as an allowed activity must be replaced at a ratio of two -to -one. Replacement trees must be native and indigenous and a minimum of six feet in height from the top of the root ball for evergreen species or one inch in diameter at breast height for deciduous species. Multi -stemmed trees should be a minimum of eight feet in height at installation. It is understood that 2 vine maple will be installed to the west of the house, which would meet the meet the replacement criteria of the referenced above. If you have any questions, please contact.me at michael.clugston@edmondswa.gov or 425-771- 0220. ,,&reS* I iy,, Mike Clugston, AICP Associate Planner Cc: Jennifer Wells Washington Tree Experts 9792.Edmonds Way #123 Edmonds, WA 98020 2 1 P a g e "This map displays LIDAR data at approximate 2-foot contour intervals. This map is for information purposes only and should not be relied upon for any action. Actual topography should be verified in the field by survey for accuracy. This map is provided,with all faults on an "as is" and "as available" basis. No warranty of any kind is given. Users of this map agree to indemnify and save harmless the City of Edmonds, its officials, officers, employees and/or agents from and against any claim, demand or action, irrespective of the nature of the cause of the claim, demand or action, arising out of any use or possession of this map." Snell Residence 0. 19115 94th Ave. W. Hazard Tree Exemption N 2012 Aerial Photo 1 inch = 75 feet A Client name: Street: City, Zip: Re: Location: Discussion: Washington Tree. Experts 9792 Edmonds Way #123 Edmonds, WA 98020 . 206-362-3380 wtetree@yahoo.com Judy Snell 19115 94th Ave W Edmonds, WA 98020 Zabrina Cedar (Thuja plicata'Zabrina') dbh=30" heigh.t=45' middle of back yard and east of residence Tree evaluation requested by the homeownerto attain approval for the removal of hazard tree. Following is a brief explanation of health and environment. (See attached hazard tree evaluation) Description: -on the east side of the tree there is an obvious cavity with significant decay present at about 4'abbve ground level (see attached photo) -on all sides of the tree there is decay present at the base of the tree (see attached Photos) which would indicate the structural soundness of the tree is questionable -tree is uphill from the residence which is the likely target in the case of failure Recommendations: After inspecting the tree and the surrounding environmental conditions it is our opinion that the tree should be removed. It poses a risk to the property. The remaining trees will not be affected by removal. While no one can predict with absolute certainty if a tree will or will not fail, we can, by using scientific process asses which of the trees is most likely to fail and take appropriate action. Procedure: Tree will be removed to ground level and all the debris removed as the house is downhill from the tree location. A wildlife snag is not recommended as the tree is rotten at the base. The debris should not be left onsite ' because the tree is infested with carpenter ants. Replacement will be performed as required by the governing agency. 2 Vine Maples will be installed in the front yard on the north property. Prepared by Jennifer Wells Certified Arborist MUMMOU'll Waiver of Liability This information represents the tree health assessment at this point in time. My findings do not guarantee future safety nor are they predictions of future event Information contained in this report covers only those items that were examined and reflects the condition ofthose items at the,time ofinspection. The inspection is limited to visual examination ofaccessible items without dissection, excavation, probing, or coring. TREE HAZARD EVALUATION FORM All sections of th rin m him fifth# — o t (A hazard tree must have a tar" within 1.5x the height of the bee.) a Ills Site/Address: 11 5 2-4 """ ^ve V1 Map/Location: HAZARD RATINO: Owner public_ prjvate—w� UnknowR—other + Date: Failure -� Size +Target =Hazard -Lo�,-IArborist: je-hillp. lSA# Potential Of Part Rating Rating Arborlst's Signature:(2 Irnmediate action needed Needs further inspection TREE CHARACTERISTICS Dead tree Tree 41- Species: DBK #of blinks: __ -L. Height LA�5—sp--&—W Form: )�gonerally symmeft Ominorasymmetry Osh-P sprout 0 Stag -headed Crown clam kciminant 0 co -dominant 0 intermediate 0 suppressed Live crown ratio: _'11) % - Age class: 0 young A 58"'i-mettin) 0 mature 0 Over4naturelsenescent Pruning History. Ocrown cleaned , 0 exc . essivety thinned 0 topped )(-own ramad 0 pollayded 0 cro" reduced Oflush aft Ocabledfteced 0 none 0 multiple pruning events Approx. Oates: special Value- Osloecimen OW18941historic OvAldfife Ounusual 0 street bee Oscreen Oshade 0 Indigenous OPratected by gov. agency TREE HEALTH FollageCover- normal Ochrmconecrotc X, Epicormics? Y Growth obstructions: Foliage Denanyt 'Anormw ON.. Leat size: Xorn-Wosmall Ostak0s Owiretties 0 signs 0 cables Annual AM*t9r0-th:Oexce1lent)4--ge Opoor TWISIMbck? Y 0 curb(Pavernent 0 guards Woundwood d6vel0l)"wntOexcellent *--ge Opoor Onone Oother Vigor class: Oexcellent average 0 fair Opoor Malor peaWdbeases: 0 SITE CONDITIONS Site Character x1asidence Ocommercud Oindustrial Opark Oopen space Onstural OwoodlaWorest Landscapetype: Opark" .13raisedbed Ocontainer Ornound )(I.— Oshrub border 0 %vind break ImIgation: X-- 0 adequain 0 inadequate 0 excessive 0 trUr* wettled Recent site dbWrbmce? Y 0 Ocoraftction OsdIdisturbance bgradeChange r-Ilineclearing Osite clearing % dripline, paved: 10-25% 25-50% 50-75% 75-i00% Pavement lifted? Y tj % drfpilne w/fill solk 10-254 25-W% 50-75% 75-100% % dripline grade lowere,& 10-25% �5-w% 50-75% 75-1.00% Soll problems, 0drainage Oshall0w OcOmPected OdrcughtY Osaltne 0 alkaline Oaddic Osmali volume *0 disease center Ohistory of fall Oday Oexpansjve XW0Pe----? Oaspect Obstructiorm Olights Osign0ge 00"e-d4te 0 1 0 overhead fines view OundergrOundUtilities ObAl'fic Oadjacentvag. 0­ ExpostretowbxL-X,.ngWb. Obelovicanopy Oabovecanopy Orecentfy exposed OvArd-ard, canopy edge 0 area prone to whftrow Prevailing wind dhec Occurrence ofsnowAcestomm Onever X-aldom Oregularty TARGET 1,1901,119WTree: Ab.11ding Opaykir�g Otrff--c Opedestrian Orecroation Olandscape Ohardscaps Osmailleaturss Oudlitylines Can target be moved? y @ Canuse be restricted? Y (3 OcW1oWcY: Cloccasionaluse Ointermttentuse OfteQuentuse -Aconstant use TREE DEFECTS ROOTDEFECTS. S.uapect Rug rot: (D N M-h—n1_*jbraclet present y ID: Exposed rooft 0 severe ornoderate x1ow, Urxieffritned 0 severe . k"raft olow Root pruned Root ova affected Restricted root area: osevere nmode, .--% Buttress wounded Y N When: al, *� low Potential for root,tallure: 0savefe Xmoderate olow LE41N.'_ —deg. frorriverkal Onatural Ounnatural 0 self -corrected Soil heaving: y Decay In plane of lean: Y Rooft br.�: y son crawnw. Y Compoun6ng lactore: 0 LOW swcritr. 0 severe 0 ftxKferate 0 low CROWN DEFECTS. Indicate presence Of Individml defacLq and ram hm�­ — ­ - - , , DEFECT Poor war ROOTCROWN TRUNK 'SCAFFOLDS BRANCHES Bow, sweep Codommantatfaft Multiple attachments Included bark Excessive end weight CracksVspfits Hangais Girdling Woundalsearn Decay C; Cavity ConkathnahroornsAbracket Bleeding/sep flow Loose/cracked bark Nesting hold/bee hive DeadwoOdIstubs Borersitennites/ents Card(ewballa/buris Previous failure HAZARD RATING T— part rnost likely to falt Inspection Period: — arvvual biannual —00 Failure potential: 1-4ow, 2-medium; 3-high; 4-severe __ other Size Of Pad: 1 -<64 2 - 6-18- (15-45 cm); Failure Potential + Size at Part + Targj Rating = Hazard Rating 3 - 18-30- (46-75 crn). 4 , >30' (74 cm), + Target rating: 1 - Occasional use; 2 - Intesmittent use. HAZARD ARATEMENT 3 - h6quent use; 4 -constant use Prune: oremov0d6facti-Part 0r9duC8 and weight Ocrowncl9an .0thin Oraisocanom 17crownreduca orestructure cishape CabbdBrace: In%PectftwV-- 1:1—tcrown Odecay Oaenal ornonito, Remve U-? OY N Replace? Y N Mor t'arget? Y N Other. Effect an ac4acem tree. Xncna 0 evaluate Notification: Clowner bmanag.er governing agency Date: COMMENTS See all_mzll� Fh Z4 J; 74 �rf� OZ. earth 7- W_ CITY OF EDMONDS 0 19 :�SIDE. SEWER PERMIT PERMIT k12 Address of Construction: cle all easements): -2, Property Legal Description (Inclu 407 ",7 Owner and/or Contractor: State License No. 4/ .7 HO/ 2'<ingle Family [1-Multi-Family (No. of Units—) El Commercial El Public "al �o 1?4'2 Building Permit No. 03 7-5- 0"' Invasion into City Right -of -Way: treNo 11 Yes RW Construction Permit No. Cross other Private Property: 0i"No 13 Yes Attach legal description and copy of recorded easement I certify that I have readOhd shall comply with all city requirements as indicated on the back of the Permit Card. Date * CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION * .OFFICE,USE �.ONLY,': * FOR INSPECTION CALL 771-3202, PUBLIC WORKS DEPT. Permit Fee: Issued By Trunk Charge:. Date Issued: — Assessment Fee: Z/ Receipt No.: Lid No Partial Inspection:. Date —Initial. Comments Reason Rejected: Date Initial Final Inspection Approved: Datel__3_�P. lnitia��X ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy: File Greeni Copy: Inspector Buff Copy: Applicant Revised 3/90 Side Sewer Drawing 'The City o E mon s EASEMENT NO . .......... ........................ -------- NEW CONSTRUCTION REPAIRS LID NO . .................. . ASMT. NO . .................. OWNER------------------------------------------------------------------------------------------------ CONTRACTOR ------------------------------------------------ .................................. PERMIT NO. RR03.. L17t JOB ADDRESS A -RA --- k's ----- --- q .................... ...... . .... ?-Y-c De ef PWW-0001 -11/75 (REV. 11/78) LEGAL DESCRIPTION: LOT NO . ......... 2-.� ...................... BLOCK NO . ........................... ........ NAMEOF ADDITION ----------------------------------------------------------------------------------------------------------------------- NOS F--�-C- I �110 �11 0 �sl '7LAIIT Lr R E ALT M'E� Deer P ,2e POP 0 is iApproved: s —1 _I 31-qo DATE ------------------------------------ ---------------------- ................. fl NOTICE, Ko--War-ranty ... of The inform ation'shown on the attached map(s) was coM ' piled for u-se by the CitY 01 Edmonds/ its Empl-oyees and Consultants. Th,..e City of "EcIrn.onds does. not . wa rra nt the n these accuracy of anything set for.th o M a P (s"). A n . V person or entity -requesting a copy should conduct an independent inquiry regarding the infbrm"atlon shown- c -t-He -M a P (S) i including, but not i'mited to, the lociation of any sewer stub shown. Su( -not exist and ma�, sewer stubs may or may t the location shown. or may not exist a Neitheir the (,-ity of Edmonlr_14S nor its e M pj 0-y e e.5 0 r o ff i -c e -r s -s h- a I. I b e !..*,I a. b-Ife f o r t. h information given on this map(5), nor for d e.ntation provided base any one repres upon'said map(s). It' I CITY OF EDMONDS STREET SECTION STREET CUT REPAIR STREET FILEILITY OR R/W CONSTRUCTION WORK ORDER ADDRESS OF PROPERTY INVOLVED:— 19tJ15 01� �k J�ve \A1 DATE RECEIVED: BY: NAME: 1�--Accbrukcker- RECEIPT NO.: 1-al(g(o MAILING ADDRESS: Cj Lf kv c- W Li-A�&&vL f W& ,->O-t-keL� '-(SOLIJ AAA�1bi) W BUILDING PERMIT NO.: 9003 Z5— R/W CONSTRUCTION PERMIT NO.: 9 L) C) SIDE SEWER PERMIT NO.: 326? 8 WATER METER PROJECT NO.: STREET CUT DEPOSIT: ----------------------------------------------------------------------------------- TYPE OF REPAIR: ASPHALT ROADWAY CONCRETE SIDEWALK CONCRETE CURB WATER METER CUT UTILITIES CUT ----------------------------------------------------------------------------------- -11 L TOTAL AREA REPAIRED FT. x: FT., TOTAL SQUARE YDS./LN. FT. q. Yds./Ln. Ft. Minimum Charges @ $—')A 00 = $ Sq. Yds./Ln. Ft. Additional @ $ $ -75 = I TOTAL COST ................ = 10 FUND W620 DEPOSIT FEE ............................................ = $ Mf TOTAL REIMBURSEMENT .............................................. = $ �;) 0- TOTAL ADDITIONAL EXPENSE TO BILL ................................. = $ STREET CUT REPAIR REQUIRED: YES NO THE FINANCE DIVISION IS AUTHORIZED TO: /* PREPARE A CHECK IN THE AMOUNT OF $ C—�C) - (C—)') , MADE PAYABLE TO THE ABOVE' BILL THE ABOVE MENTIONED COMPANY FOR $ , TO COVER ADDITIONAL EXPENSES �NCURRED BY THE STREET DIVISION ON THE ABOVE SUBJECT WORK REQUESTED BY: /?�Zn & 0 �M�j APPROVED BY: STREET SUPERVISOR DATE SUPT. P.W. DATE VERIFIED BY: &LAk WORK ORDER COORDINATOR DATE R/W/FORMS 2/87 OF EDMONDS. COMMUNITY SERVICES DEPARTMENT RIGHT-OF-WAY CONSTRUCTION PERMIT Permit No. LJ Issue Date 9 A. Owner: B. is Contractor: kr ,,, Zry­ 17Q, Name LV'A Name M Address T,:,), Mailing Address L:n / n City State Zip City Siate Zip Ile State License Number Telephone Number C. 9 Address or Vicinity of Construction: -4- Type of Work to be Done: D. 0 Work in Connection With: 0 Sub or Plat n Single Family 0 Ci , ty Projects 0,commercial 0 Multifamily 0 Utility d� V E. * Pavement Cut: El Y 0 N *.St. a of Nt: X APPLICANT TO READ AND SIGN,' j; " 1' # '?00 3 7-5 INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages, or claims of any kind or description whatsoever, forsecn or unforseen, that may be made against the City of Edmonds, or'any of' its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND. -ACCEPTANCE OF THE WORK. , _­F IL- � - ­� Estimated restoration fees will be held,until the final street patch is completed by City.forces, at which time a debit or credit will be processed for issuance to the appliLnA'' • A 24 hour notice is required f6r"'i h*ipb_�ttion; Plei!� call Eriginq�r�dg--.J7 1.0202— • Work is to be inspected du'ingpf pletion,. i, f 171 j5gress,��nd at, com • Restoration to be in accordance with City Code. • Street to be kept clean at alftimes. Traffic Control to be in accordance with City regulations. All street -cut ditches must be patched wlih-asphalt or','City approved material,.prior to end of working day; NO EXCEPTIONS. I understand the above and that! tihis: pe�rmit must be available.. -at the job §it� for. inspection purposes at all- times. L Date: Signature: Owner or Contractor This Permit Mustlje�L?osted at the Job Site For Inspection Purposes Call DIAL -,A -DIG Prior to Beginning Work _i,� ( it I/)- — --- APPROVED BY: PERMIT FEE: Z Time Authorized: Void after SO —days. Restoration 'Fee: 0 Receipt No. /Z 7 7 6 K;, Special Conditions: Fund I I I Fee: §tr'eef'Cut Dimensions: U RELEASEDBY: Dat�e INSPECTED BY Date 0 W. NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE 17ng. Ow —March 1981) !g' "...j City of Edmonds Community Services Date: Received of: A �he cD Cash 5Water M7eter Water Connection treet Cut S St et Cut Sewer Permit/Repair Trunk Char2e Sewer Connection Fence Permit, _110 R/W Invasion 510-3 ?-_ Street Restoration Deposit (620 fund) AOX& Street Use Permit Building Permit: (Type) Plan Check/Plat Inspe-,tion Specs & Plans Deposit Applications -Zoning Shoreline Permits Review -S.E.P.A. Recording Fee.. -Maps/Books -Photostating Surchar2e -State Energy Code Fee 0—if if Date of Hearing: Time: By: a v i ncc i rILC a 111� �'7- CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION USE PERMIT ZONE 1) � , � , NUMBER JUL$ UI AP ADDRESS S ooe T 11 OWNER NAME /NAME OF BUSINESS a 11 e0lzlo z le L EGAL DES N CHECKI SUBDIVISION NO. M Lu z C) z w w MAILING ADDRESS z b CI PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING nEOUIRED DEDICATION PROPOSED TESCP APPROVED BY ZIP TELEPHONE NUMBER -17 5"-0 NAME RIGHT OF WAY CONSTRUCTION PERMIT REOUIRED STREET USE PERMIT REQUIRED 0 ADDRESS CITY ZIP TEL—EPHONE NUMUCR r7 74--ri X,_ RE Ew BY SEE ENGINEERING MEMO DATED !�X, -Of- REM7 a: oz U NAME / 1, r P— R P i ? i s -n - t i 34� rm, RESS P, METEBSIJF.E 5/Zi /-77 ILDIN VPPLY SIZE 7 IXTURE UNITS r 12- w — CITY ZIP —TELEPHONE C-,8Ak* ki V 141L-Ttz 9?2 761 NUMBER 7 V5- - 3 57 7 REM I — P/& .4�e#,b STATE LICENSE NUMBER 4- & C;llo I ?-/ I-- a 6 SIGN AREA ALLOWED I PROPOSED ENV. REVIEW COMPLETE EXEMPT ADO NO� z z CL z (n uj j Legal Description of Property - include all easements (show below or attach two copies) SHORELINE L D or VARIANCE OR CU P:JNN�NG REVIEW BY D AIE 5a4�, SETBACKS — FEET, FRONT SIDE REAR HEIGHT LOT COVERAGE Tax Account Parcel No 4 3fL-W 06' Z -io4ob HLMARKS —5 z rO L L cc uj C, 0 NEW RESIDENTIAL PLUMBING ADD/ALTER COMMERCIAL MECHANICAL REPAIR APT. BLDG, SIGN EXCAVATE, FILL FENCE DEMOLISH E] OR GRADE x —FT) CARPORT swim REMODEL GARAGE POQL_ CHECKED BY 1 TYPE OF CONSTRUCTION 4111, CODE 00 HEIGHT 2-5-4 z _j 5 'o SPECIAL INSPECTOR REQUIRED n YES I:NO AREA OCCUPANCY G ROUP OCCUPANT LOAD FWOOD STOVE I RETAINING WALL/ INSERT ROCKERY RENEWAL REMARKS PROGRESS INSPECTIONS PER UBC 305 (TYPE OF USE, B OR C �PINESS 6�� 1jeS1 TIVITY) EXPLAIN: geW4e- NUMBER OF STORIES I 0-4e,(L 5P,-.,e0j4D NU BE OF R W M LLI E NG NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) FINAL INSPECTION REQUIRED VALUATION FEE PLAN CHECK FEE R-S, �7yeo -311 I ly, Sic> BUILDING 1,53� 5706 PLUMBING Plan Check No. MECHANICAL This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewqlks, driveways, marquees, etc.) will require separate permission. GRADINGWILL STATE SURCHARGE Permit Application: 180 Days Permit Limit: 1 Year - Provided WorN is Started Within 180 Days cn, 2) "Applicant, on behalf of his or her spouse, heirs, assigns and successors in interest, agrees to indemnify, defend and hold harmless the Citv of Fdrnnneiq it. HtMTRATION WORKSHEET CATC34 SASIN: &M 0 IS-30(o& TRemcw Lwo4r.'rm WOUAL.) 2 K,W 3 coviml .......................... .... -n& -UNK LCV91- TRUNCA 4FIERY P PC CAP 41'. r rr=F- W1 4%ow, LEGS L SYSTEM CROSS-SECTION MIPArl S-Oox OK =Ulyc- To 6� LA�YEQ C W&Iel��tfo Pc�--K -rp,FWvA COVF-P- 3/40 - 00V WASMSE GRAVE, 4 a omm FE-qF F V � Cr TRENCH CROSS—SECTION FOOTING DRAINS SHAL.L NOT BE 0 1 . Paae 8 of 9 CONNECTED TO THL DRAINAGE SYSTEM STANDARD DRAINAGE' INFILTRATION SYSTEM for location plan by phone date DESIGN DATA Trench Perc LF per Ispem "ber Ratek,1000 sq-ft. "a NOTES I . Call Engineering Di vision (771 for prebackfill and final ins[ L Responsibility for operation A maintenance of drainage systef private property is the resPol of the property owner(s). Pr, maintenance consists of Preve, soil and other materials from trench during-constructiOn as after construction. catch bas be cleaned of floating materi sediment at reqular intervals twice per year) - CITY OF EDMI Z Z, f.1 Ft4 el Ty t-1 �-4 4Z/ L--,(Do r-4 ll!ld i[641-LJOF- 00 "JA TIGH7 L I t IJ ADc, C->T F> L A G TO ��4 E VOLUkAF= 3 3 OF IGT om, OF GA10 ;,** G, ALOMG iF-T- TO THE TRACT 52, :)MG THE - TO THP Hewce OF 29.3 a H G-WOE F A rtjkvp ; OF igao )F POIWT OF IIBO-71 GAI0 Y, ALOWG ZACT, ' r CoRwep, RLY, if-=) T EX. .00 (1/4 COR),JEJZ) U? 13, 1 1 Z? !V M N 0 A-C T vo /�V/ ASIS o'F—RPA B DINGS Lij �2 PLAT 0 0 0 F /o /80 0- (1) EOU-0�ji:)s 0 /> -> Lu W G2A V12W .T P CP) - TRACTs All > 00 (AWO reMTF_PUW2 OF 92WO Aj 0 0,2. > AV r=- K) so. :2 c coi 0 T A C T A.1 s ------- Is. 0, IS I/ , S. nd STREET S.W. 6 192 ro I BRASS cAp k I C\l ----------- 6 co /8 C? Ll Dl� ID Co) 0- T A-C T > 00 6 r1o, ry) Aj G8 :�,4;>,, LLJ 0) _j 30* 1 CITY OF EDmot§IREET FILE ASSET INFORMATION SHEET NEW ADDITION RETIREMENT ASSET NO. ADDITION TO ASSET NO. DESCRIPTION s Li �"h p , SERIAL NO. LOCATION tq t Lq 4 Arm Vj, DEPT. NO. PURCHASE ORDER NO. PURCHASE ORDER DATE COST *PROJECTNUMBER lqf g� 4 1 PROJECT COMPLETION DATE COST Z4 S� � (o 0 B.A.R.S. ACCOUNT NO. I , 00 0 , (0 1 q , 3 q E: t 0 0 3 ESTIMATED LIFE 2- S- INITIATED BY DATE APPROVED BY "SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY X1 DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT 0 G.L. ENTR REFERENCE DATE q& VERIFIED BY PROCESSED BATCH NO.- t(p) INITIAL DEPARTMENT FILE