19222 94TH AVE W.PDFiiiiiiiiiiiiii
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19222 94TH AVE W
NOTICE:
C-U
No"Wa r-ra r�j' yl. u-
The information shown on the attached
for use by the City of
map(s) was com ' Piled
Edmonds/ its Employees and Consultants.
Th,..e City ofEdrn.onds does - not . warrant the
accuracy of anything set for.th on these
r entity -requesting a
M a p (S"). A n yPE?rson o I
copyshould conduct an.independent
inquiry regarding the inform . ation shown* o
tFe -rn a p (s) . including, but not i'mited to,
c ion of any sewer stub shown. Suc
the lo' at'
sewer stubs may or may- not e.xist and may
or may not exist at the location shown,
Neitheir the city of Ec",mbnris nor its
emplfo,yee's o*r office-rs -sh-a-1.1 be 1..ia.b4.e forthE
n on this map(5), nor for
infor . mation g Ve ion provided based
any one representat
upon . said map(s).
APPLICATION
MEET SIDE SEWER PERN"
for
The City of gdmands
RMNSTRUCTION fig,- REPAIRS
OWNERZ� -- -------------------------------------------------
ADDRESS ..... 2.-2 . ....... ..... ..........
i
Qj
EASEMENT
PERNaT
LEGAL DESCRIPTION: LOT No. -44) ..... 43-i-V�M.AP.1 ....... IBLOCK No . ....................
-----------------
NAME OF ADDITION ... .,Ic A) .270 P'70'of -fir do 4 A,-Zm
...................................................................................................................
-Ft' -Tt%*5F
A --.-A -
DATE ... Ely .....
/1000
CITY OF EDMONDS
Call PRospect 6-1107- when
work
CIVIC CENTER WATER -SEWER DEPARTMENT Is ready for inspection. (No Insper-
SIDE SEWER PERMIT tions Saturday', Sunday or holidays.) N2 3030
ADDRESS................... 1�a2.2 ... :7 .... 9Ath ... A.v_e.au.e_.YgqT .....................................................................................................................
.................... CONTRACTOR ...... N_or.thw.e_s_t .... SEHer ..................................
_4 .. .... ....... .. . A .... .. .....
..?gon
OWNER .... (14 . ... _Amenue .... WE.at).
Permission is granted June ... 7 ..................... 1 19 ......... for ........................ days to REPAIR or CONNECT a side sewer
with City Sewers In accordance with application oil file and governing ordinances.
ATTENTION 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—Obtain full Information regarding Ordinance 11.16.030 aild 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 20/,.
No bends in grade sharper than 'A 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. 6—It is unlawfu I 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 vrye.
FROM �'HUNt NU. CA FILE NO.
Critical Areas Checklist
--------------------------------------------------------------
Site Information (soils/topography/hydrology/vepetation)
I . Site Address/Location: C? qjq, A-V.G. LA-)
q3q� coo oGc) n-7o
2. Property Tax Account Number:
3. Approximate Site Size (acres or square feet): 15,000
4. is this site currently developed? --�Zyes; _ no.
if yes; how is site developed? S-1 fe- 4�x L-- I
5. D6*scribe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site gcnerally less than 15% (a vertical rise of I 0-feet over a
horizontal distance of 66-feet).
H i I I Y: slopes present on site of more than IS% 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 30% 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: /,j 0 Approx. Depth:
?. Site contains areas of seasonal standing watcr: )k/O Approx. Depth:
What season(s) of the year? -- A/0 OG"
8. Site is in the Doodway Ah floodplain /J0 of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? — AID — Flows are seasonal? �JO (What time of year?
10. Site is primarily: forested Vo ; meadow INAO _;shrubs �0 mixed
urban landscaped (lawn,shrubs etc) 4Z!��
11. Obvious wetland is present on site: 0 0
-�-r r City qlafrUsc Only ----------- 7 --- --------- --------
SCS.'Tria�pcd.3u,
Wctlirl'djnv�niory, &C.A. m&o'indicatcs ��tland,
........ ..
Criticni-Arcus' iny�n'tur"* tical Arei-on sitel*-
y ur C.A.. i111,1p,illdiLdtC� Cr'i
I dslid hazai
Site Wli iin.desi'gnated�e.arttf.subsidence an e digea7,
IDEUMM11NA7NON
STUI)Y RLQ ONDITIONAL WAIVER-
UIRED,
WA
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KUM t'MUNt NU. -
City of. Edmonds
CRITICAL AREAS CHECKLIST
TI)e 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
determinc whether any potential Critical Areas are, or
may be, present on the subject property. The
information needcd 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).
A,n applicant, or his/her representative, must fill out
tht 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 ailong 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 rny knowledge (fill out the appropriate column below).
(9�pplicant:
s-fe, V-
Name
M
Street Address
-Fduxm,� S- .
city State Zip
LI�4 - 77� -
Teliphone
Signature
Date,
Applicant Representative:
WYT 601
Name
f 3-6-4�1
Street Address
City State Zip
ZO -,7ql— c�77
ngnature
Date
(over)
cnreptlonVonakeacl.doc
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September 29, 1999
Steve Fletcher
1922294 th Ave. 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 # 99-267
Dear Applicant:
BARBARA FAHEY
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 CHECKLIST OR CRITICAL AREAS STUDY,
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
11111111110. You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL AM
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.
c: WT Service Co.
Enc: Critical Areas Determination
* Architectural Design Board
C:ReceptionUana\CRLTR.doc
Thank you.
Shada Graham
Planning Secretary
Incorporated August 11, 1890
Sister City - Hekinan, Japan
FROM PHONE NO. Pei
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WT SERVICES COMPANY RO. BOX 906 - Seahurst, WA 98062 9 (206) 242-9477
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FROM PHONE NO. Pol
Transmittal Record
From: Dan Wright
Phone and Fax Number; 206 242 9477
Date: 9/21/99
To; Diane, City of Edmonds
fax 425 771-0221
Transmitted by:
Dan Wright
Number of pages including this cover: 5
Dear Diane,
Attached please find the Critical Areas Checklist for 19222 94th Ave
West The owner has contracted with us to remove his heating oil tar&
Please let me know if you need any other information.
Dan Wright pager 206-986-3839
V,rr Services Co. - A Washington Corporation - PO Box 906 Seahurst, WA 98062