19702 80TH PL W.PDF111111111111
7278
19702 80TH PL W
NOTICE:
No warranty of accuracy.
The information on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of �Eclmonds does not warrant the
accuracy of anything set forth on these
map(�-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
tFe -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
emp-l-o-yee-s o-r office-r-s -sh-a-11.1 be 1--ia-b-11--e-for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
Water Service Drawing
The City of Edr:nonds EASEMENT NO . ............................................
NEW CONSTRUCTION REPAIRS LID NO . .................. . ASMT. NO . ..................
OWNER ....................... ........ CONTRACTOR .................................................................................... PERMIT NO. 174
JOB ADDRESS ...... ...................... LEGAL'-b't-sCRIPTION: LOT NO . ...................................... BLOCK NO . .....................................
. ......................... t ............................................... ....................................................................................
NAMEOF ADDITION ..: ......................................................................................................................
To
Approved:
PWW-0001-1 1/75 (REV. 11/78) DATE ................... By ... d;.;.��
.......... .. .... ... .... .. ...............
SV
eckli''
CrWca1,Ar&is* Cli"'
opograpi
%it�llj& f '�ibliOl (SOUS/t my/.hydrology./yegetatio _1A Wj
Y
q.
caEi__
..Site', Address Pi
Rot
(6q00000.S7006—
�2*� - rLup Numlier,
i20 PAR
&
eyo 0
re.,feet):
3.. Site� Size (acres or squa
.4. Is thi site curiintly dev`elopop- jes- "Aroo.
If yes; how is sitidiveloped?.
all that ap A
S. Describe the generA site topography ply. J,
V;oO
Flat: less than 5-feefelevation change over entire site.
Rolling: slopes on site generally less than 15% (a -.vertical -rise bi'10-feet over -a
"horizontal distance of 6(p-feet). %
Hilly: slopes present on site:of nwre than 15% and less ihin..30%,( a'virtical'rise
of 10-feet over, a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6: Site contains -areas of year-round standing vrAer.- ;Approx. Depth.
7. Site contains areasof seasonal standin'g vrAer-- IV-0 Approx. D..epth:-
What season(s) of the year? -
8. Site is in the floodway NO floodplain of a water course-
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? Y
10. Site is primarily: forested meadow shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is piesent on site:
For City Staff Use Only
1. Site is Zoned?
2. kS mapped soil type(s)? enpLw 41Z 5-!4e�
3. Wetland inventory or C.A. map indicates wetland present on site? N�-
4;?- :-,Critical Areas inventory or C.A. map indicates Critical Area on site?
N_
5. 'Site within' designated earth subsidence landslide hazard area?
6. designated on the Environmentally Sensitive Areas Map? LJ4,1 9111AV�1�
(4-ni o4f plMetl
DETERMINATION
'`§tUDY REQUIRED
WAIVER
Reviewed by-.'
- 'Q Planner
RcV011M4
CONDITfONALWAIVER.,
10/ti/
Date
11
3JA
, . Avy, � ?,�, 4� �,I, . � ,
5
V
C
X
-7P'. EEO -
Kilt
q� W
RIX
on
fr
7--
X_
Ci ''of E on'di,
ty
-.Areas �,:Gheckfls
Critical'.
'Me Critical Areas Q=klist contained i6n II?z the
.�mnd submit it t6 City?, n6"C4 -will
a preqursor'y'. - site"
alisfoml.utobefiRedout.,byanype�' ft,
Preparing a Development Permit ',and
visit,
f make. a deterininatiori -bfthe'-
Application 6r 'the av of Edmonds prior subsequent steps
necessary to complete a
to his/her submittal of a development d�eve!Wnent permitapOicatiorl-i
rJermit to the rity
The purpose of the Checldist is lo enable
Pity staff todetermine whether any
potential Critical Areas are or may be.
Present on the subject nvnpefty 7,h-
is 11vWcu W complete me
Checldist should be easily available from
observations of the site or data available at
city Hall (Critical Areas inventories, maps,
i
or soil surveys).
An applicant, or his/her representative, -
must fill out the checklist, sign and date it,
'COPY of diis form, me
2pplicant should'" submit a vikinity-rnap�,:,�
or plot plan for individual lots of the �Wc_el
with enough detail thiddty'staff Za� find, -' t"
ano.oeadfy;hesubjeaparce.l(s)-,In.�.- ,,:I"
additioUt theapplicant sh21l inclu& .7
other pertine ' at inf6rmation (e'.g'. ette
plang, topograp"p, etc.) or'studies in"
conjunction Vith t Wis Checklist. to�assist
Staff in Completing their preliminary
2ssessment,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:
0,210t on
Name
� ot 40 f I VJ
Street Address
_F_J M08:6L VJA_- C1904
City, State, ZIP - Phone
Li -04
Sikfiape Date
Applicant Representative:
Name
Street Addr= . o
City, State, ZIP Phone
Signature
Date
The CH' of
y
APPLICATION
for LYNN PLANT
SIDE SEWER PERMIT EASEMENT No . ..........................................
NEW CONSTRUCTION E) REPAIRS 0
....................................................
OWNER ......
ADDRESS . ........ .... �6 m ......... e5V144.m1,1,5
40
10
40
CONTRACTOR ......... X-o-Th ............ C.A ... c ..................................... PERMIT No..Cl�
LEGAL DESCRIPTION: LOT No . ..... J7 ---------------------------------- BLOCK No. ....,;7 . ...................................
NAME OF ADDITION ....... 0 ... V.-e ...............................................................
A P P,
A/
F 0 T1, pb - wa s-r
AY bl��,--*,V--�"'
Approved:
DATE ............. BY .........
C 'OF-EDMONDS
ITY -
6-1107 w6n work
Can P.Rospect
CIVIC _CkNTkX WATER -SEWER DEPAR
19 ready" for'Inspection. (No
9
220 tions Saturday, Sunday.or holidays.)
--S]DE'SEWER PERMIT
19702 8O.th Place West.
ADDRESS......... ......... .....................................................................................................................................................................................
William Mills Roth Exc
OWNER! ............................................................................................. CONTRACTOR ................................................................................
Perniiss'ion is grantil. ay .... 8.1 .................... ......... I IP .... for .............. days to REPAIR or CONNECT a side sewer
witli City Sewers in accordance Avith 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.
NPTF;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 wlUch m-ay develop within one year of completion.
N't-1—., No. 5—It Is uniawful 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.
I ;5c�