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19123 OCEAN AVE.PDF12421 19123 OCEAN AVE C11-0 (1/ CITY OF EDMONDS PUBLIC WCRES - EWGINEERIM ACTION REPORT 11 1 f - �f ,-I - I � - I -�, "I @ SUSPENSE DATE: Date: Time: (�2-13!!S',O/y�,File # f Attachments: A SUBJECT REQUESTOR: NAME: C4&404 "'o 02-1"� ADDRESS : �( / 9 14%3 06 PHONE: -7 -7 / - V) 0 �- REQUEST RECEIVED BY: TELEPHONE CONTACT �:. OFFICE OTHER: RECE IVED BY: olt"U-1 C&10 eo nni= TA. N9 4058 , es IMMM . — - Mmon"MM r"Mr-IM IN W-1-1-VEMMEMM no MM HMMMM��Mwnwm MM MM MMWM��== um��Mwfflm MM ACTION I-L- All Concerned Notified Action Completed/File �/!5/1 �< The City of Edmonds APPLICATION for SIODE SEWER PERNaT NEW. CONSTRUCTION E] REPAIRS OV?.'NER .................. ...... ................................... I ADDRESS ... .. 7 ...... ........ ........................................ P" EASEMENT No . .......................................... CONTRA CTOR ....... .. . ................. ........ PERMIT No. ........................... LEGAL DESCRIPTION: LOT No . .............................. ............... BLOCK No . .................. NAME OF AT)T)TTTON Approved: DATE ... ........ <�; ... F . ........ . By .... ... % CITY OF EDMONDS Call PRospect 6-1107 when work CIVIC CENTER WATER -SEWER DEPARTMENT is ready for inspection. (No inSpeC tiOnS Saturday, Sunday holidays.) N? 2646 or SIDE SEWER PERMIT ADDRESS ................ 19-1.2-3 ---- Oce.an --- Ave-nue ---- ----- ------- ------- OWNER ............ G� ... ----------------------------------------------- CONTRACTOR. Lee Wooley ............................................................................... 21 67 December 19 ..... Permission is granted ............................................ I ... I for ------------------------ days to REPAIR or CONNECT a side sewer with City Sewers in accordance with application on file and governing ordinances. ATTENTION IS CALLED TO THE FOLLOWING: d 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—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get per t. n7d NOTE No. 3—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. 4—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. 5—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 appur- tenances except to insert the pipe into the wye. ol a :�t:WTT'A'NCES PAYABLE TO:' 1961 VERNE SIEVERS -kAjM-i COUNTY TRFA-SURER j VE, 11, WASHINGTON 98201 COUN -Iom!Sli COUN SN01 OF WAS STATE 4 , 7�c, r.1 Avr ... OF ALL STATE, COUIJ, ob-44 SCHOOL AND Rg '�Evy c6DE RGE r) Q4 4 0F 14W COq -1j,-B 'Ell N, 350 9 Ff 'r 5 0 F-T vi c, 94 FT NAME OR 3 com ANY- 'vo U's BUILDINGS 10TAI VAIIII: RQ1.L* PAGE LEVY LAND LAST NOVE LAST ''HIALF INTEREST COMPAYIED TO RETURN BOTH CO cA FILE vo. ac3 Critical Areas Checklist ------------------ ------------------------------------------ Site Information (soils/topography/hydrology/vegetation) I - Site Address/Location: 2. Property Tax Account Number: UIQ -7 - 02, Q 3 Approximate Site Size (acres or square feet): 4. Is this site currently developed? 11)<0 yes; no. e If yes; how is site d veloped? e _1�4, 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 I 0-feet over a horizontal distance of 66-feet). Hilly: slopes present on site of more than 15% and less than 3 ) 0% ( 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 I 0-feet over a 0 horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: A10_; Approx. Depth: 7. Site contains areas of seasonal standing water: Approx. Depth: What season(s) of the year? 8. Site is in the floodway 410 floodplain /M of a water course. FeR Fto,,,,D 374 9. Site contains a creek or an area where water fl s across the grounds surface? Flows are year- round? 410 Flows are seasonal?0w (What time of year? 10. Site is primarily: forested meadow shrubs mixed urban landscaped (lawn,shrubs etc) *A< 11. Obvious wetland is present on site: AM- DETIERMINATION �- hL- 4-- R.. 1=1107 City of Edmonds 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 subraittal 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 th.- 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. With a signed copy of this form, the applicant should also submit a vicinity map orplotplan 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 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 Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner / Applicant: Name Street Address Lh-ws,d, 4-19-72LL2---�3 Cio, State, ZIP, .5k03 � 1)+�hone n lqh-� 'I ' Date Applicant Representative: Name Street Address City, State, ZIP Phone Signature Date ()Q1 11-25-97 Steve Verley 21307 67th West Lynnwood, WA 98036 CITY OF EDMONDS BARBARA FAHEY MAYOR 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works * Planning /Building - Parks and Recreation & Engineering - Wastewater Treatment Plant Subject: Determination regarding Critical Areas Checklist #97-223 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. 9RTW_. R Nt 6tkdT, PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAYNEED TO SUBMIT ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIST OR CRITICAL AREAS STUDY The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a project -specific determination. mol You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINA TIO/V WITH ALL PERMITAPPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. Permit applications include the following: Note Attachments: * Architectural Design Board C:Reception\Jana\CRLTR.doc Building Permits Conditional Use Permits Subdivisions Variances Applications to the ADB* Land Use Applications Any other development permit applications. Thank you. Diane Cunningham Planning Secretary 0 Incorporated August 11, 1890 0 Sister.Cities International — Hekinan, Japan