19211 93RD PL W.PDF. 111111111111
9066
19211 93RD PL W
CA FILE NO CA -Zocc
Critical Areas Checklist
--------------------------------------------------------------
Site Information (soils/topography/hydrology/vegetation)
1 . Site AddressALocation: 1�70- V 5? 3 ';�/ 102- 4,/
2. Property Tax Account Number: — ��q �k Q, 3 "--) 0 Q�
3. Approximate Site Size (acres or square feet): I //',*-
4. Is this site currently developed? -*)� yes; _ no.
If yes; how is site developed? 1�-lb AIV E
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
,>I(- 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 30% ( a vertical rise of
I 0-feet over a horizontal distance of 3 3 to 66-feet).
Steep: grades of greater than 3 0% present on site (a vertical rise of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: -52� —; 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.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? A Flows are seasonal? (What time of year?
10. Site is primarily: forested meado shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site:
- -------------- - -- ------- - - --- ---- - -------- - For CitY Staff Use Onlv ----------
l.- SiteisZonedi
�:2. SCS mapped soil type(i)?
:3. WetlandinventoryorC.A.ma widicateswetland-presenton site?
p
4. Critical Areas inventory or C.A. map indicatei Critical Aim on site?
:5. Site within designated earth 'subsidence landslide hazard a . rea? Q0
.6. Site designated the. Env i ronmentally Sensitive Areas Map?
DETERMINATION
STUDY REQUIRED
WAI ...
Reviewed Wy-
41ann1er
CONDITIONAL WAIVER.
l5ate
fta_chk.doc; Rcv 10103/97
RECEIVED
City of Edmonds FEB 0 3 2000
rT� MU IMP
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 sub ect 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 devel'opment
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 infor m-ation (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:
4 la, N Awlq
Name
/ q 9
Street Address
r0knoltlz)-f
city State Zip
Telephone
WAM,
Date
cxeception\janakaddoc
Applicant Representative:
Name
Street Address
city State Zip
Telephone
Signature
Date
(over)
k,
0
.1,17 C. 1 S 9'�,
February 22, 2000
Alan N. Schwartz
19211 93rd Place West
Edmonds, WA 98020
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
Subject: Determination regarding Critical Areas Checklist # 2000-13
Dear Applicant:
GARY HAAKENSON
MAYOR
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.
... IMPORTANT INFORMATION TO BE NOTED:
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHED19.01 OR CRITICAL AREAS STUDY.
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 MTH ALL 4*1
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.
nc: Critical Areas Determination
Architectural Design Board
Thank you.
Sharla Graham
Planning Secretary
C:ReceptionUana\CRLTR.doc
Incorporated August 11, 1890
Sister City - Hekinan, Japan
E
CA FILE NO. CA -Z4Dcp
Critical Areas Checklist
------------------ ----------------------------------
Siii Information (soils/topography/hydrology/vegetation)
1 . Site AddressALocation: /�10- //� 93, :�/ lAq� �, � E. -6 t-nz) fo);
2. Property Tax Account Number: - ��q �k -0 Qi� C-3-`Z)
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? yes- no.
If yes; how is site developed? All E,
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 30% ( a vertical rise of
10-feet over a horizontal distance of 33 to 66-feet).
Steep: 'grades of greater than 3 0% present on site (a vertical rise of I 0-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: Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain of a watercourse.
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?
10. Site is primarily: forested meadow ;shrubs ;mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site:
For City Staff Use — ------
Site is Zoned?
2-- SCS mapped soil type(s)? to "' MU&Wlt 4(eM& AAZ MA234 0-4 40
I Wetland inventdry'or C.A.. map indicates Wetland present on site7
................
�4. Critical Areas inventbiy or C.A. map indicates Criti.cal Area on site?
�5. Site within designated earth subsiden' landslide hazard 'area?
ce
6. Site designated on the Environmentally Sensitive Areas Map?,
D19TIMMINATION
STUDY REQt
WAI
.Reviewed b��-
A"_chLdoc; Rev 10/03197
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 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).
RECEIVED
FEB 0 3 2000
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:
Awlq tz rL
Name
qell 9 11-111I)e - Z,61
Street Address
city State Zip
S- 7- Yw 91
Telephone
�Acm
Date
Applicant Representative:
Name
Street Address
City State Zip :
Telephone
Signature
Date
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1311 1713
Architectural and
Developmental Services, Inc.
To: Steve Bullock 4,V
Semior planner @ Edmonds building department
Re: Our phone -,conversation on- 1/22/02- 9:30am regarding- how- t- -e--
city is going -to view -the required setbacks for
W. Ednionds,, .--Wa.
Steve: In pursuant to our -phone conversation yesterday I'm followmig
---- up with this letter.- Please find enclosed a copy of the title report
addressing the iomt-easement shared by the 4 neighbors and a
partial site--plan---hl- our discussion-Awas determined that the
west property -line.. -(that fronting 93rd Place W.) was the front
yard and required --a 25' setback and because the City did not
view the north -property drive access as a street that this setback
and the south-seiback-are 10.'andthat the east property Imie is
considered the --rear yard and required to have a 25' setback. If
this is m*correct-in-any-way please --let me know as soon as
possible because we will be continuing with the drawings.
Thank you very much for your help.
Jim Musar
Project Architect
(206)363-8805
cc: Dr Allen Schwartz and Mary Stadler
15617 37th Ave NE, Lake Forest Park, WA 98155 - (206) 363-8805
!st
City, State, Zip Edmonds, WA. 98020
Statutory Warranty Deed
THE GRANTOR EDWIN L. REED and BARBARA J. REED, his wife
forandinconsiderationof TEN AND N01100 ($10.00) DOLLARS and other good and valuable consideration
in hand paid, convoys and warrants to ALAN N. SCHWARTZ, an unmarried person
the following described real estate, situated in the County of SNOHOMISH State of Washington:
Lot 8, ADMIRALTY VIEW, according to Plat thereof recorded In Volume 22 of Plats, page 64, records of
Snohomish County, Washington;
Situate in the County of Snohomish, State of Washington.
SUBJECT TO: General Taxes. The right to drain all roads and streets over and across any lot where water might
take a natural course after roads are graded in. No land drainage shall be diverted to public road
rights of way nor shall it be diverted or blocked from draining along its normal course. Any
enclosing of drainage waters in culverts or drains or re-routing across lots shall be at the
expense of the land owner. All as dedicated on the face of the plat. Right of the public to make
necessary slopes for cuts or fills upon property herein described in the reasonable original grading
of streets,'avenues, alleys and road as dedicated in the plat. Provision contained in Dedication
of the Plat, as hereafter set forth:�bwners`bf Lots 8,9, 10 and 11, shall have undivided one-fourLh
interest in Tract "A" to be used jointly and equally a's a means of ingress and egress and for
utility purposes Easement granted to Snohomish County P.U.D. No. 1, a corporation, for electrical
transmission linj affecting East 10 feet and up recorded under Snohomish County Auditor's File No.
1640668. Road maintenance agreement including the terms therein recorded under Auditor's File
No. 8609240188. Said easement contains a covenant to bear equal share of cost or construction,
maintenance or repair of same.'
Dated August 22 91
.19 11
EDWIN L. REED
STATE OF WASHINGTON,
County of KING SS.
We hereby accept and
approve this document
as to form and content,
On this 23rd day of August 19 91, before* me personally appeared
BARBARA J. REED
to me known to be the individual described in and who executed
the foregoing instrument for herself and also as Attomey in fact for EDWIN L. REED
and acknowledged that she signed and sealed the same as her free and voluntary act and deed for her
self and also as . her free and voluntary act and deed as Attorney in Fact for said principal for the uses and
purposes therein mentioned, and on oath stated that the Power of Attomey authorizing the execution of this instrument
has not been revoked and that the said principal is now living and is not insane.
SECTION 13 TZ7N.q R-3E, WM.
R lunu nil's
ion WASHINGTON
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CITY OF EDMONDS
7110 - 210TH ST. SW - EDMONDS, WA 98026 - (206) 771-0235 - FAX (206) 744-6047
COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION
,/ 8 C�
9 0 19
March 3, 1995
Dr. Alan Schwartz, MD
19211 - 93rd Pl. W.
Edmonds, WA 98020
Dear Resident:
LAURA M. HALL
MAYOR
After careful review or your account, a credit will be allowed from February 1994 through
January 1995 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\#339800
0 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
0!-
000
CITY OF EDMONDS LAURA M. HALL
7110 - 210TH ST. SW * EDMONDS, WA 98026 - (206) 771-0235 FAX (206) 744-6047 MAYOR
r a- COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION
9 OVebru`ary 13, 1995
Alan Schwartz, MD
19211 - 93rd Pl. W.
Edmonds, WA 98020
Dear Mr. Schwartz:
I have reviewed your account and will allow a leak,credit for the.December 1994 billing
period per city policy (see attached Water Leakage Policy). I
The following are the answers to your questions you requested in your letter dated
February 8, 1995:
1. The source of water that services Edmonds is surface water supplied by the Everett
Water Department.
2. The calcium content is .5 grains per gallon.
3. The water is very soft.
4. CL2 is added at about .7ppm's and this may be why your skin is irritated. No
treatment other than adding sodium thiosolfate to neutralize the CL2 residual or
letting water stand to let the CL2 to evaporate out.
Should you have any additional questions after you receive your new billing, please
contact Ilene Larson, Utility Billing Clerk.
Sincerely,
Ron Holland
Water/Sewer Supervisor
RH/lk
cc: Ilene Larson
Utility Billing Clerk.
Attachment
wordata\%vatcr\#339800 Incorporated August 11, 1890 0
Sister Cities International -�- Hekinan, Japan
CITY OF EDMONDS
COMMUNITY SERVICES DEPARTME NT
WATER LEAKAGE POLICY
The following administrative policy will address situation whereby
water customers request abatement on their water bills because of what
appears to be excess consumption:
1. To qualify for a leak credit, a customer must satisfactorily
demonstrate that (a) the leak was undetected and caused by unusual
circumstances beyond the customer's control; and (b) work to
repair the leak was completed, commenced or is about to commence
in a reasonable amount of time from when the customer is made
aware of the excess"consumption.
2. If a leak credit is allowed by the Community Services Director or
his/her des'ignee, the charge shall be determined as follows: the
average consumption for the same period during the previous year
charged at normal customer rates, plus the excess usage charged at
the City's cost, plus a surcharge of 15% applied to the excess
only.
3. Only one leak credit will be granted in any three year period
unless very extraordinary circumstances can be demonstrated to the
Community Services Director (or desi,gnee).
4. The City will do what it ca.n to ensure notification when possible
by telephoning the owner and by leaving a door hanger at the
affected service address
5. The Community Services Director has the authority to delegate the
responsibility of ruling on water.leaks to anyone within the
Public Works and Engineering Divisions. The.Public Works
Superintendent will have this responsibility delegated to him at
.this time, and, when deemed appropriate, can delegate it to the
Water and Sewer Supervisor.
Effective Date: Immediately
Peter'E. Hahn
Community Services Director
May 16, 1986
f.leakpol
FEBRUARY 8,1995
DEAR RON HOLLAND,
vks SO
DEPT
THANK YOU FOR YOUR HELP AND ADVISE REGARDING THE LEAK IN
MY WATER LINE. IT IS NOW FIXED.
I REVIEWED MY WATER BfLLS FROM 1993 AND 1994. 1 DID NOT
EASILY LOCATE EVERY BILL BUT BELOW IS A LISTING OF WHAT I
FOUND:
DATE UNITS BHL $ UNITS >7 --COST >7 UNITS
4/93
7
19.59
0
(7 UNITS: 19.59)
6/93
6
18.42
- 1
8/93
6
18.42
- 1
10/93
4
16.08
-3
*12/93
7
0
TOTAL
1993 (MEAN OF 7)
-5
2/94
19
33.63
12
14.04
*4/94
61
90.59
54
71.00 (estimate)
6/94
52
80.17
45
60.58
8/94
63
94.47
56
74.88
10/94
75
110.07
68
90.48
12/94
160
214.74
153
195.15 (estimate)
TOTAL
1994 (MEAN OF 7) -
619
*$551.84
OVERAGE/LEAK PAYMENT
2/95
238
321.97
231
302.38 (not paid)
* ESTIMATE WATER USE CALCULATED FROM METER READING OF
PRESENT AND PREVIOUS BILLS OR TOTAL BILL LESS WASTE COSTS.
**LEAK OVERPAYMENT DOES NOT INCLUDE THE 2/95 BILL.
~—LEAK PAYMENTS CALCULATED BY SUBTRACTING THE BILL BY
$19.59 (THE BILL FOR 7 UNITS 4/93)..
FROM TFUS REVIEW IT APPEARS THAT THE LEAK BEGAN DURING
THE BEGINNING OF 1994. MY LIVING SITUATION DID NOT CHANGE
DURING THE 93 -94 TIME PERIOD. I CALCULATE THE USAGE TO BE
MAXIMALLY 7 UNITS DURING 1993. THE LEAK ACCOUNTED FOR 619
LOST UNITS DURING 1994 (TIRS DOES NOT INCLUDE RECENT UNPAID
2/95 BILL).
ENCLOSED IS A XEROX OF THESE BILLS. I HAVE NOT PAID THE 2/95
BILL. WE SPOKE ABOUT A WATER CREDIT BASED ON THE LOST
WATER. I WOULD GREATLY APPRECIATE YOUR HELP IN WORKING
TOWARD A READJUSTMENT.
THE OVERPAYMENT CALCULATES OUT TO APPROXIMATELY $ 551.84
(I DO HAVE ALL OF THE METER READINGS AND CHECKS, BUT I DO NOT
HAVE ALL THE THE BILL RECEIPTS AND BREAKDOWNS. THEREFORE
SOME NUMBERS REPRESENT BEST ESTIMATES. YOU MAY WISH TO
CHECK IT WITH YOUR NUMBERS.)
THE 2/95 BILL CAN BE PROSPECTIVELY CORRECTED, SINCE I HAVE
NOT YET PAID THAT BILL. PLEASE LET ME KNOW HOW WE CAN
BEST HANDLE THIS WHOLE SITUATION.
FINALLY, I AM CURIOUS AS TO THE TYPE OF WATER WE HAVE IN
EDMONDS. THE WATER SEEMS A BIT MORE DRYING THAN THE
WATER WITH WHICH I GREW UP. MY SKIN IS SENSITIVE AND DRIES
OUT EASILY. IS THIS SOFT WATER? IS THERE A WAY TO TEST THE
MINERAL OR CALCIUM CONTENT? ARE TIiERE WAYS TO ADJUST THE
WATER TO MY PARTICULAR PREFERENCES BY GETTING HOME
MINERAL OR FILTERING DEVICES?
THANK YOU FOR ALL YOUR ASSISTANCE. I LOOK FORWARD TO YOUR
RESPONSE AND CONTINUED ASSISTANCE.
YOURSTRULY,
ALAN,,NSCHWAR 'r-7 I
19211 93RD PL
EDMONDS, WA 98020
H# 774-4918
W# 640-4267
890 . 19 C� - . ,
STREET FILE
CITY OF EDMONDS
250 - 5th AVE N. * EDMONDS, WA 98020 o (206) 771-3202
COMMUNITY SERVICES:
Public Works e Planning * Parks and Recreation o Engineering
October 31, 1988
Edwin & Barbara Reed
19211 - 93rd Place West
Edmonds, WA 98020
Dear Mr. & Mrs. Edwin Reed:
LARRY S. NALIGHTEN
MAYOR
Upon receipt of your letter and review of your account, I will allow
our billing office to adjust your bill per our policy.
PETER E. HAHN
DIRECTOR
Should you have a question on the amount, please call Ilene Larson in
Utility Billing.
Sincerely,
AZ� 97 fitl��
Bobby Mills
Public Works Superintendent
cc*: Ilene Larson
Utility Billing Clerk
#33�800/T`%!ATER Incorporated August 11, 1890
Sister Cities International — Hekinan, Japan
=3�3
4 �P f cre
October 5, 1988
Bobbie Mills
City of Edmonds
Water Department
501 Bell Street
P. 0. Box C-2008
Edmonds, Wa. 98020
We were out of town September 8th to llth. We returned home to
find one of the underground lines to our sprinkler system had
ruptured and had been running water for some time. Your recent
water bill shows the result.
I am listing our water bills for the past year to show our normal
use and would hope some allowance would be made for our accidental
use.
1988 - August
53.42
June
33-58
April
40.68
February
34.69
1987 - November 41.96
October 51-96
August 53-78
The current bill of $160-73 is over three times our normal use.
We would appreciate anything that can be done.
Edwin & Barbara Reed
19211 93rd Pl. West
Edmonds, Wa. 98020
4
fa 4z
PRINT KEY F'ROM--Y4
BY
USER-IJ-250
10/06/88
12*01*00
3
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4
5
6
7
8
7
10
10/06/88
CITY Or
EDMONDS
UB2011
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12
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In-:Luire Customer
History
DETAIL
13
14
Customer
Key
1 5
16
Gustomer
No. 339900
REED EDWIN
17
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30917900
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121
09/26/88
09/13/88 000714
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.10/06/88 GITY OF EDMONDS UB201.1
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110! 12**00'+'41 PM Inquire Customer History DETAIL
13
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Customer Key
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13 Customer N o. 3391BOO REED EDWIN
114' 01.d No,,
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7
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7 :END 2
.Cmd5-Src
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CITY of EDMONDS SIDE SEWER PERMIT
PERMIT NO.
For Inspection Call 771-32 'ffREET FILE
ou
Address of Construction: /Z
Property Legal Description (Include all easements):
Owner and/or
Builder:
/'ov /Z
R 'o /'o
Contractor &
License
No:
Single Family Residence
Mul ti-Family
(No. of Units
2
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No k�-� Yes — (If Yes, easement required,
attach legal description and county easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK
'I certify that I haee read and shall comply
with the items listed on the back.
Permit Fee:
Trunk Charge:
Assessment Fee:
Partial Inspection:
Issued By: —DM C,-
�Date Issued: 113 -?--g
Receipt No.: sole5-
/- / �-- R-'�-
Date
Comments Date Initial
Final Inspection Approved: \ -1�1 �'
Date Initial
Rejected:
eason
** PERMIT MUST BE POSTED ON JOB SITE **
Date Initial
Wh.ite Copy - File Green Copy - Inspector
Buff Copy - Applicant
-f I
'.A
fIr
.........
4rue .,cuy.
E"EIUMT
7,
NICWICON L3
9
.:::.CO%VNER ...... . ..... .
...................................................... NMAJOTOR ...... . ........... ............ . PER30T No,.,!,,2.
A DORMSS ..... IL
. ......................
... %V.k. 1;106jif. DZ9CrJPnON:. LiOTI No . . ..................... . ......... ... BL'OCK No.,- . ........................
TO
AME. OF, ADI
f i4
7
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HIMIC MINVILTIMM1101"Maw"
IA -iv -ml
TL r:& 9 C-1 -A
APPLICATION
for
w mon s
SIDE SEWER PERMIT
EW CONSTRUCTION Ej-" REPAIRS E] EASEMENT No . ...................................... ....
Z jy)) /,:i'/
OWNER ......
....... .................................................... CONTRACTOR
..................................... PERMIT No.,
ADDRESS ...... ... . .....
.. ---- v-� ...... ...................... ....... LEGAL DESCRIPTION: LOT No..'..... ...................................... BLOCK No . ............................................
NAME OF ADDITION
IZ
Oty of Edmonds
Side Sewer Drawing
EASEMENT NO . ........................................
NEW CONSTRUCTION [-j REPAIRS LID NO . ....... .......... . ASMT. NO . ..................
................. I ........................... ----- CONTRACTOR ---------
OWNER
... ... ........ ------ 9,��.... PERMIT NO.
JOB ADDRESS Yk-,)01 ------- -------------
------------------------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------- ----------------------------
j- .
LP
01
PWW-0001-1 1/75 (REV. 11/78)
NAME OF ADDITION ............................................
2-
q� "-\, -v\ \ K� Approved:
DATE -------------- B, Ll� - - — ---------
EDi^,,40NDS
TREATMENT PLAP,'T
---14
The City of Edmonds Water Service Drawing EA-SEIMEN-f NO . .............. .......... .................
NEW CONSTRUCTION REPAIRS (0 LID NO . ............... ... . ASMT. NO . ..................
OWNER ... ......... (�� .............................................. PERMIT NO. 95.
................ .............. CONTRACTOR ...
JOB ADDRESS .... ........... ()3.Rb P L:,, \-Al ......... EE6AE 571PTION: LOT NO. .................................... BLOCK NO . ....................................
II .. .... ** ------ .........
- NO'R-V4-A
PWW-0001-11175 (REV. )1178)
t
3/4"
V A L-,4
P. R.\/.
-ee t \/A�-v C-
E. 'PI PIE
By
fl
NOTICE:
..Wa r-r a n-Ly ... u t
N'O
The Information shown on the attached
for use by the City Of
map(s) was com ' Piled
Edmonds, its Empl-oyees and Consultants.
Th,e City of Edim.onds does. not . warrant the
accuracy of anything set for,th on these
Map(s). An . y person or entity -requesting a
copy should conduct an independent
orm'ation shown, o
inquiry regarding the inf'
tF� -map(s), including, but not Hrn'ted to,
c ion of any sewer stub shown. Suc
the lo' at'
sewer stubs may or may- not e.xlst and may
or may not exist at the location shown.
,Qty of Edmonds nor its
Neitheir the � I +hE
emp'-o-yee*s 0,r officers -shal-1 be 1--lia-b-11--e for
n on this map(5), nor for
information give d
any one representation provided base
upon'sald map(S).
Septic Tank ......... ... gals
Disp. �icld ......... ... sq. ft
STREET ALE
SEWAGE DISPOSAL PERMIT
CITY.OF EDMONDS
Department o'f Public Works
No. ......
Other....... ...................... ..................
............ ..
Name ...................... ... ................ ........... is hereby authorized to install/
repair sewage disposal system at
... ... ...................
r
Dat e�
issu�d on.; ........... ...... ................. .1 .......................... . . .
Permit pires one year fro 'in date' of *issue
DO NOT COVER BEFORE APPROVED BY DESIGNER OR SANITARIAN
I hereby certify this -system was installeld. under my supervision and control and complies with'all'pr�visions .6k the City:
* 0 Edmonds Resolutions.
f
Signatureof Installer ............................................................................. . Date .................................
Approved Disapproved—F-1 Date. L. By ......................... .............. .......................................
--------------------- ......... ...........
Remarks: .............................................................. I ........ I .............................. ......................... ............ ...................................... .....................................
SANITARIANOR DESIGNER ........................................................................................... Date .............................................................
This permit.sh�ll be posted in a reasonably, 'Fonspicuous place, on the job untif insp ection has been completed.
CITY!OF EDMONDS
'Call PRo Peet 0-1107 when work
CIVIC CENTER — WATER -SEWER DEPARTMENT Is ready fsr Inspection. (No Inspec- 1 0 2963
SIDE I SEWER PERMIT lions Saturday, Sunday or holidays.) N_:
ADDRESS ..................... 19211 - 93rd Avenue West
................................................................. - ...............................................................................................................
OWNER .......... Rabert..A.._Ffelining ................................... CONTRACTOR .... Northwest Sewer
............................................................................
Permission is granted ..... �M�L_V ... 7 .......................... 19 ... §.P, 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:
NOTE No. I —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 permit.
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.
CITY OF EDMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT
(Submit 3 Copies) I
Permit'to be issued to: ....... �fl.t..Iy ....... . ............... .....................
2
For installation at: (street address) ........ 1.92-01 ... ..... _9.3.R ..... _1_4: ...... !Vo� ............... ....... ......................................
Addition or Subdivision ......... A&1f_4.cT..y ....... Vmw ----- .................................... .-. Lot.-..b ....... Block .. . ...........
Type of Building: New .... X ..... Existing ............ Single family residence ...... X ....... Number of* bedrooms ....... 4 . ..............
Other: (specify type or use) ......................................... ........ ............................................................................................ .........
Builder .... Ct --- IY_ Address .... 1.15414 ..... 6�5&4? 4� ..... &' rl54
Designer- _Rff�j ..... IV6W46� ..... ... Aso ................ Address. --- 7_36rl. _17JVA__:��ed.. X ------
Soil Log Hole No. 1 -------- 1--.eRw ;r d - �
CIR.0415"two ...............
Soil Log Hole No. 2 ................................ __" to p
.......................................... _ ............................. .............................................
................. ......................................................................................................................................................................... ..............
Elevation of Water Table, if encountered. (Distance from ground surface) ..... _1*AJF . ................................................
Corrections to control surface water if needed ............ $E�= . ........ P" &.) ............................................................................
Specify if any removing or grading of topsoil in field area ........ /J &,%J. a .................. ........................ .................................
.........................................................................................................................................................................................................
Percolation:
Test Hole No. I —Average Rate ........ ...... (Fall in minutes/inch-bottom 6" test hole)
Test Hole No. 2—Average Rate ...... ....... ...... ....................... (Fall in minutes/inch-bottom 6" test hole)
Test Hole No. 3—Average Rate --- I ...... ....... ........... .. ....... (Fall in minutes/inch-bottom 6" test hole)
Average percolation rate on which to base drain field design RIAIIIAWDate Taken
Septic tank requirements based on present rules and regulations:
Septic Tank Size ......... 140 ......... gallons.
Amount of Square Feet p,�al Field
C_ ------- --- ----
Signature — Desig ...........
ner Date ...... 7 - Ile"* ...............
** ---- ---- ----------- -------- ------- ** ... .......... .... .
DO NOT WRITE BELOW THIS LINE (To be Vcompleted by Issuin� Agenc
9
o" /7Permit issued (date) ............ & ........ / ............. "I ... ............. Permit Number. ...................................
Remarks: ....................... ............................................................................................................................... ................
4t
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APPROVED BY PLANNING
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OWNERMONTRACTOR IS RESKt;% )R *44 k,4J A PV lf'IOvl �l 0 - RPOV�� I
E
EROSION MMOL AND 33, HA>e-
Z E I
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAM"AME OF BUSINESS I
MAILING ADDRESS W/2/`
2--1 / 9 � I - c-,
CITY - ZIP TELEPHONE
gpj coq�779V-M'F
NAME
.ADDRESS
CITY ZIP TELEPHONE
NAME
ADDRESS
ZIP TELEPHONE
9�' A I a 4
PROPERTY TAX ACCOUNT PARCEL NO.
-37//
000
ooS c�o
C] NEW
RESIDENTIAL
�01
C] PLUi ABING / MECH
ADDITION.
COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
REMODEL
APARTMENT
SIGN.
0 REPAIR
GRADING
CYDS
FENeE AM
tK ( _1121I.— FT)
DEMOLISH
E] TANK
OTHER
EiGARAGE
CARPORT
0 RETAINING WALL
ROCKERY
C] RENEWAL,
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
Ile> A-" 15
NUMBER
OF
TUNITS
NUMBER OF
DWELLING
rCRITICAL
AREAS
STORIES
NUMBER
DESCRIBE WORK TO
BE DONE
HEAT SOURCE GLAZING % LOT SLOPE %
0;07
PERMIT EXPIRES
USE PERMIT gOO211
ZONE
NUMBER
JOB ' d P CTE/0
ADDRESS z I I q V/
PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
LID FEE $
TESCP Appmed
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Pennit Required 0
R4d
EXISTING — PROPOSED —
Wild 0
Undergmund
REQUIRED DEDICATION— FT Wiring required 0
METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
YES 0 NO 0 z
z
REMARKS z
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE a
z
e_0 01> i in 043 S 0 T--
r1silf-plyi
ENGINEERING
REVIEWED/DATE
7— Ly v— 0 'rz. VZ
06
FIRE REVIEWED BY
DATE w
LL
VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
BOND
REO'D
POSTED
I
E3 YES E] NO
SEPA REVIEW
SIGN AREA
HEIGHT
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWED PROPOSED
EXP I
I
,
LOT COVERAGE
REQUIRED SETBACKS (Fr.)
PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT UR SIDE REAR
z
z
PARKING
LOT AREA
PLANNING REVIEWED BY DATE
REO'D I PRO%
I
I
111IMPMA-11 - I
rOTAW&W-MOM01A
CHE.CKED.BY
tICTION
Cql�
OCCUPA
ITYPW6F.9
GROUP
7PECIAL.INSPECTOR
AREA:,,
OCCUPANT
REQUIRED [:] YES
LOAD
REMARKS
z
PROGRESS INSPECTIONS PER UBC:1'08/FINAL INSPECTION REv-D a
In, we
c
ol
'd
na Pw, , r1f
i not-,
VALUATION I FEE
PLAN CHECK FEE
BUILDING 40
IPLAN CHECK NO:
w
VESTED DATE
PLUMBING
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
:E DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADING/FILL
2
OMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
:3
SEPARATE PERMISSION.
SQTSUCHARGE
Lu
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG. REVIEW FEES
SEE BACK OF PINK PERMIT.FOR MORE INFORMATION
APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
ENG. INSPECTION FEE
Uj
.j
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
LANDSCAPING
2
EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
INSPECTION FEE
cc
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
x
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
PLAN CHECK DEPOSIT
0
i
DEEMEDTO MODIFY, WAIVE OR REDUCEANY REQUIREMENT OF ANY CITY ORDINANCE
0
NOR'LIMIT IN ANYWAYTHE CITY'S ABILITYTO ENFORCE ANYORDINANCE PROVISION. -
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECTAND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
TION; AND IN DOING THE WORK AUTHORIZED T!HrQEBY. NO PERS ON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE 0 T a OF WASHINGTON ING TO
Tj
FOR INSPECTIW
WORKMEN'S COMPENSATION IN R)C<PA;r5;98.27.
SIGNATURE (O�WNER A/ I_2ATE
SJKIN
(425)
771-0220
Tf6N
EXT 333
L L
IT SUNLAWFU OUSEOROC PYA BUILDING OR STRUCTURE UNTIL
)c
771-0221
C(
10� M
A FINAL INSPEC [ON HAS B MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPAVCY HAS BE�N, GRANTED. UBC SECTION 109
FAX
5198
RECEIPT)
APPLICATION APPROVAL
Th' ppi . t*
?,a ica ion is not a permit until signed by the
Build! fficial or his/her Deputy: and Fees� are paid. and
re�ceivl is ackno4ledned in space4rovided.
r "I
M _IwA
IRELEASED BY DATE
ORIGINAL - FILE - YELLOW - INSPECTOR
PINK - OWNER - GOLD - ASSESSOR