20222 76TH AVE W.PDF111111111111
6285
20222 76TH AVE W
City of Edmonds - V 1, ED
Site Classification Worksheet
Page I of 2 nc. lsql�
The project's Site Classification will dictate the specific stormwater management
requirements applicable to your site. Completing this worksheet will help determine the amount of
regulated impervious surface and whether your project falls into the classification of a Small Site
(Category I or Category 2), or a Nfinor Site. Please reference the GlossM (pp. 10-11), Figures D and
E, (pp. 8-9), and ExaMples (pp. 11-12), to assist with completion of this worksheet.
1) Is Permeable Pavement' Proposed For Use on this Site?
Refer to Stonnwater Supplement Chapter 5.1 ) . E] Yes $Q N
If YES, the subject area is to be considered impervious for initial site classification purposes. Include total
permeable pavement area in the calculation of Non -Regulated, Rel)laced and/or New impervious surface
areas in the table below.
2) Determine the Amount and Type of Existing & Proposed Impervious Surface for the Site
Refer to Stormwaier Supplement Chapter 2 and Fig. C
Line 1: Identify the Non -Regulated Impervious Surface Area.
Line 2: Identify the Replaced Impervious Surface Area, dividing the total between Exempt and Regulated; either or both
may be zero. Note: For project classification purposes, Replaced Impervious may only be considered exempt
under certain conditions. Refer to the Glossary and Figure D.
Line 3: Identify the New Impervious Surface Area for your project. All impervious areas created post -July 7, 1977 or
after the date of annexation into the City are regulated & should be included in this total unless they can be
— categorized separately as a Replaced -Regulated area.
Line 4: Enter the sum of the total Replaced -Regulated plus the total New impervious areas.
Line 5: Identify th& total area currently mitigated by an existing city -approved stormwater management system.
Line 6: Enter the sum of the value in Line 4 less the value in Line 5 to identify the total Regulated area in which
stormwater controls have not yet been applied.
Line 7: Identify the total area proposed to be mitigated through the use of Low Impact Development Techni q*ues.
Line 8: Identify the total area proposed to be mitigated through conventional Stormwater Management Techniques.
** Provide a copy of the following table on the drainage plan sheet for the proposed project **
Line
Type
Area (square feet)
1.
Non -Regulated
Exempt
Regulated
2.
Replaced
W
a,
W.
.0,
3.
New (Post 1977) 4 4 4 44 4 4 4 4
+
4.
Total Regulated Impervious Area
Mitigation required if in exe ss 2L2000sf
5.
Total Area Mitigated by Existing Stormwater Management System(s)
6.
Regulated Area Not Yet Mitigated
7.
Area Proposed to be Mitigated by Low Impact Development Techniques
8.
Area Proposed to be Mitigated through Conventional SWM Techniques-
1 (e.g. porous asphalt, porous concrete, paver blocks, concrete open celled paving grids, or plastic lattices filled with turf or stone)
Revised on 310512012 E72-SWM—Erosion—Control-03.05.12.doc Page 5 of 12
City of Edmonds
Site Classification Worksheet
Page 2 of 2
3) Determine the Total Area of Land Disturbing Activity
sf
Refer to Stormwater Supplement Chapter 8
4) Determine the Quantity of Grading, Fill and/or Excavation Y
5) Will the project convert 3/4 Acre or More of Native Vegetation to Lawn or El Yes E:1 No
Landscaped Area?
6) Identify the Watershed the Existing Site Runoff Discharges to
Refer to Stormwater Supplement Chapter 2.3
Based on Site Location andWatershed Map — Figure-C. Check all that 0121y.
A. F1 Direct Discharge B. F� Creek or Lake Basin
o Edmonds Way Basin
o Puget Sound Basin
o Puget Sound Piped Basin
FA
DETERMINE PROJECT CLASSIFICATION USING THE INFORMATION ABOVE
AND THE PROJECT CLASSIFICATION CHART (Figure B, pg 4)
El Small Site - Category I El Small Site - Category 2 Minor Site
Stormwater Supplement Stormwater Supplement Stormwater Supplement
Chapter 5 Chapter 5 Chapter 6
Revised on 310512012 — E72-SWM—Erosion—Control-03.05.12.doc . Page 6 of 12 '
CALL 48 HOURS BEFORE YOU DIG 1-800-424-5555
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Applicant shall repa.ir/replace all damage to
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6 1 utilities or frontage improvements in City
— right-of-way per City standards that Is caused
H .1 or occum, during the permitted project.
N89*20'55"W 180.00'
+9A
+98
POST
1 977
1977
JEOST
EX.
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SHED
200 SF
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N89*20'55"W 180.00'
LOT AREA: 13,500 S.F. kO.30 AC)
IMPERVIOUS SURFACE AREA
EXISTING HOUSE ROOF OUTLINE 2,357 S.F.
EXISTING CONCRETE PATIO
295
S.F.
EXISTING DRIVEWAY
465
S.F.
EXISTING GRAVEL PARKING OWT-M� 672
S.F.
EXISTING GRAVEL WALKWAY (ftV-1Tft85
S.F.
EXISTING SHED (ftST- 1q-1t
200
S.F.
EXISTING PAVERS 416ST-till)
255
S.F.
4,529
S.F.
NEW PORCH ROOF OUTLINE
47 S. F.
NEW CONC. PATIO EXTENSION
19 S.F.
NEW IMPERVIOUS AREA
66 S.F.
TOTAL IMPERVIOUS AREA:4,595 S.F. OR 34%
1-6T*4_ If-iftav,MS ATIZA ftr-tq77 = 1q,& 6514
— EXISTING ±52.0' —
211- 0' 24.0'
c6
EX.GATE---
6.&.Mw� X==
16.0)
NEW
4.60
1955 iYR
EXIS'MNG
HO�SE
2,3571 SF
Sl TE
SCALE 1 "
STREET
±37.5'
8.5'X1 6.5'1 UJ
PARKING I Q�
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0
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10,
6
r-
wwomw X.PAVERS
,4f
POST 1977
120 SF
8.5'
7.7wIF P( 097,75 X1 6.5'
PORT.:ilo!' -I igl� I
PLAN .6
n
20'
LU I til—QHL: R427o
BUILDING HEIGHT CALCULATIONS:
A=+98'
B=+100' AVERAGE GRADE=99.0'
C=+100' ACTUAL= 112.0'
D=+98' MAXIMUM= 124.0'
PARKI
oiCD
a A
-
FILE RECEIVED
MAy 112015
DEVELOPMENT SERVICES CTR-
OF EDMONDS
CITY
APPROWli-) ENGNEER1
)ate: 5-/z(.O//s-
APPROX. C.D(h
LOCATION Cf
OF SEWER
,
4-
OWNER /ADDRESS:
GHEORGHE VASILE
20222 76TH AVE W
EDMONDS, WA 98026
- Q1
PARCEL NO: 27041900110600
LEGAL DESCRIPTION:
SEC 19 TWP 27 RGE 04RT-110 N
75FT OF S 399FT OF E 21OFT OF
SE1/4 NE1/4 LESS RD
5LD2-015 — () S 8 1
ADULT FAMIL'*� HOME FLOOR FLAN/EXIT PLAN
5LEEPINC? RM E
NSI
14'-]I'xlO'-O' BATH
a 1�_
3:
I-
DX
c L L
SLEEPINO W 12-
NSI
lu
RT-11
5LEEPINC? RM C,
NSI
]I,-c3,xlo,-5*
l'-8'CEILlW_sI4EIGHT
EGRESS WINDOW
32' SILL HEIGHT
3:
f___
Q
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x
lu r
PATIO AT GRADE
DININCY ROOM
CL
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OOVERED
C2^c2,., Ll
NO STEP TO GRADE
FLASW WITH PRIVEWAY
pffr_=T_lN(_r7_j
I AREA
KITC,HEN
LIVINO ROOM
T-O'CEILING HEIGHT
OWNER/ADDRESS:
GHEORGHE VA51LE I
20222 I&TH AVE III d)
EDMONDS, WA c3802ro
co
EGRESS WINDOW
32' SILL HEIGHT
5LEEPINC7 RM A
NSI
El 1I.-IONX81401
U '-8'CEILIlWlGHEIGHT
BATH 5LEEPINC7 RM 5
NSI
l'-8'CEILIWj HEIGHT
[><1 STREET FILE
EGRESS WINDOW
32' SILL HEIGHT
SCALE: 116'= V-0' q)THERMOSTAT -JUN 2 L�/ 2015
53UILDING DEPAR7MENT
OFIRE EXTINGUISHER CITY OF EDMONDS
(@HARDLUIREC) 4 INTERCONNECTEr_> smoKE DETECTORS WITH 5ATTER'Y 5ACKUP
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
11 STREET=FILE I
Name: Va � _ (-r9:27o�100c,1106a,�)
Date:
Site Address: 0 2- Z- -7 6?) A oe.
Plan Check #: t�L-o 20 0
Project Description: v4fy y
Reduced Site Plan Provided: NO)
Zoning:
Map Page:
Corner Lot- (YES
Flag Lot: (YES
Critical Areas Determination #: 604a--:?o S:�-00,16
11 Study Required
M-Waiver
SEPA Determination:
Exempt
Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist 0 APO List with notarized form
Required Setback5
Street:
Sid
Si�e:
R%�
Actual Setback5 rCW
Street:
Side:
Side:
17
Rear:
tS IF
Detached Structures: C--x -k -S po&- r e-',f 6,, 57
El Rockeries: /7
El Fences/Trellises: '71 No
El Bay Windows/Projecting Modulation: r V47 r
El Stairs/Deck:
Height
Datum Point: 1A /-M
Datum Elevation: /'V b
Maximum Height Allowed:
Actual Height: 3
Other
Parking Required:
Parking Provided:
Lot Area: 0 0 C-)
'7 1
Maximum Lot Coverage: Zjg, Proposed:
Lot Coverage Calculations: /qcy 0 /,,)/-CA -4- 5- Iled :��
ADU Created: (YES 9 1, V(
Subdivision:
Ce/L �CWT6r 4L Kl�n
Legal Nonconforming Land Use Determination Issued: (YES
P 1 Commen&
A 1.6
Plan Review By:
Planning Data Form D4-11-06.doc
0 0
STREET FILE
May 13, 1977
MEMO TO: Leif R. Larson, P.E.
Director of Public Works
FROM: Richard H. Allen
Assistant City Engineer
SUBJECT: SEWER CONNECTIONS WELCH/SANCHEZ 2021.6 and
20222-76TH AVENUE WEST
In reference to my memo of March 2, and Larry Ogle's of
May-6, 1977 we are not getting anywhere toward completing
the hookup of the subject houses. Going over the background,
the sewer hookup was obstructed by the telephone duct.
Unfortunately*the City did no.t notice this until the street
was improved and attempts were made to put in sewer laterals.
I believe the property owners have a good point in their
argument that the City is not providing equal services in
the vicinity. Others along the street have been able to
connect without difficulty. The two subject properties
have to obtain an easement and connect to the LID 139
sewers to the west. It.appears that we are at a stale-
mate. I would recommend that the City pursue some method
of assisting them in obtaining a sewer connection to -their%
property line. I would like to discuss the methods of
handling this at your earliest convenience.
RHA: g 1
R
MEMO FOR RECORD
May 6, 1977
SUBJECT: ROBERT WELCH SEWER CONNECTION - 20216 76TH AVE. 14.
On May 2, 1977, 1 contacted Mr. and Mrs. Robert Welch
regarding the status in obtaining the necessary easements to
make their side -sewer connection. Mrs. Welch explained to
me that she had chronologically compiled conversations with
City officials regarding the connection issue and has never
received a satisfactory answer.
She mentioned that she was assessed for improvements on
Avenue West but never received the full service she paid
for. She also explained that when the improvements were being
made, the proposed sewer line was never installed to her
property line. On the day in particular, and I quote Mrs.
Welch, "When my line was being initially started, I noticed
two or three City of Edmonds officials loo ' king at my line
shaking their heads and then they left. My line never was
.installed." She found out later that due to the telephone con-
duit adjacent to the sewer main, it was impo ssible to achieve
grade to pick up the Welch property.
At this point, Mrs. Welch feels that she is going to wait
on the City. She also said that she and her husband are getting
on in years and that the financial cost is three times what it
was when they wanted to make the original connection. She
stated she is in an inconvenience if she ever desired to sell
her property since the house is not connected to the sewer.
I explained to her I would relay her thoughts to the proper
people to see what action could be taken. She feels the City
of Edmonds made the error and that the City should correct it.
LDO:jt -
Attachment
M,arcJi 2, 1977
TO: Jack NitcIicll, -Superintendent
Water-Scwer N,,partn. crit
FRU-1: Ditk Allen
Assismit City En-incer
SUILIECT: FOLI)3,,'-IJP SI7-,'n'.R M NECTI94S AT 20210 F,- 2102122 76111 MrPNIL.7. IMST
I net with ?fr. and V,-'elcli arid Mr. Sanclicz at tha Wc1ch'-rcsidence on
Friday Fcbruan, 18, 1977. 1 advised thcm that tjicir hest routo for sewer
connecLon 1-"oul� be to obtain an casement fro*;11 a neighbor to Vic west and
solithP wid to connect to the sanitai-y sewer main on 203rd Street S.W. T-
also advised then that their Would be a sew-cr connection -chir,(,c. I also
.-ave tlicn a sim-iple casc,,'.icnt fot-mat and verbal i forniation rcgarding Vic
C', n
mothoch; of completing the se�-xr hool\--up.
They will contact tic neighbors in an attcm-,)t to acquire zm casomont. TIcy
will also contact a side-scw-cr contractor for further constniction details.
I would recoinend that you grant thei,-i an extcnsion of 120 days from this
date in order to ccmplete sover connection arrangcD�ccntq.
N LA: lee
STREET FILE
November 1, 1977
MEMO TO: Leif R. Larson
Director of Public Works
FROM: Dick Allen
Assistant City Engineer
SUBJECT: SEWER CONNECTIONS AT 20216 AND 20222 76TH AVENUE
14EST
These are the connections on 76th Avenue that can not reach
the 76th Avenue sewer due to the telephone conduit blocking
the way. The only solution that we see at the present time
would be to have a sewer brought in from the west to the
back yards of the properties. This arrangement would best
be done through a program of cleaning up these pockets of
unsewered areas through a Local Improvement District. We
also need the additional time to get to this program and
recommend that the work be done through a consulting engineer.
Also, easements will probably have to be obtained. I would
further recommend that we plan to initiate some sewer
projects next year.
RHA: lv
CIF
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moly 'ra tymij P&&41)
T-��LE70J
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1-71-- CD -2-1 -7
3 12
ct-I
DATE: -e tr,
7
MEMO TO:
FROM:
SUBJECT: SEWER CONNECTION CHARGES
(Street Address)
(Legal Owner)
Single Family Residence Subdivision Plat
PRD Multiple Commercial
LEGAL DESCRIPTION:
74 SEC 19 TWP Z7 RGE 04
192704-1-105-0006 217147-77 OF E
—W A:�--H I N -1 GT . 0 NFA jj f U-A-C-§-A -V� -AW K —�T-109 LESS E 30FT FOR RD
WELCH ROBERT S 010080170860. 21OFT OF SE1/4 NE1/
1101 2ND AVE
— 98101
S �Tlf fCE W A
Z.F.-F. Calculation: 3oo-100
Connection Fee
Lateral x( Lateral Charge
Equivalent Count
(when applicable)
Unit(s) x($25.00 57-5-. 0 CD Trunk Charge
Permit
$ S7�r>-, C�) TOTAL
st
0
DATE: ?S �0
MEMO TO: -9,7
FROM:
SUBJECT: SEWER CONNECTION CHARGES
(Street Address)
MIELVI Q C—Q P L I KA
(Legal Owner)
Single Family Residence Subdivision Plat
PRD Multiple Commercial
LEGAL DESCRIPTION:
192704-1-106-0005 85-14943 SEC 19 TWP 27 RGE 04
OPLIN MELVIN 0 &.NANCY K - RT- 75 F T OF S 399FT - OF E .
.*20222'7'6TH AVENUE WEST' 21OFT OF SEI/4 NE1/4 LESS RD
EDMONDS WA 98020
Z.F.F. Calculation:
00. co
*r 4 -'C
Connection Fee
Lateral x(
$
Lateral Charge
$
Equivalent Count
(when applicable)
Unit(s) x($25.00
$
Trunk Charge
$
Permit
$
TOTAL
st
-CITY of EDM ON DS SIDE SEWER PERMIT
I:dl
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V)
For Inspectio E 02FILE 07768
STRE T -2 0 Z 1 -2 lqvt— 14/_ PERMIT NO.
ay4VaA0_r — -
Address of Construction: S
Property Legal Description (Include all easements):
Owner and/or Builder: U'l V\, 69 V0 I i V\
I
Contractor & License No: Ft�o 10___A91_6M16_49_ 2MCOWI*1:7_7113Q�
Single Family Residence qc�
Multi -Family (No. of Units EDMONDS
TREATMENT PLANT
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No v"' Yes (If Yes, Right -of -Way
Construction Permit required. Call One- Cal 1 -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No Yes vl"' (If Yes, easement required,
attach legal description and county easement number.) 61kotW1
PLEASE READ THE ITEMS LISTED ON THE BACK
I �e�rtify-t`hat I Fave Head and shall comply Date
with the items listed on the back.
Permit Fee: sc� to �Issued By: —T/- 67
Trunk Charge: a. 6>0 6ate Issued:
Assessment Fee: 300. 00 Receipt No.: 2-6 7
Partial Inspection:
Comments Date Initial
Final Inspection Approved:
Date Initial
Rejected:
Reason
PERMIT MUST BE POSTED ON JOB SITE
Na—te -T—nitial
Wh.ite Copy - File Green Copy -'Inspector
Buff Copy - Applicant *
'7:' ";. 1, , - ..
(�o
?
C' C� 9 900
�e
-SIDE S-EWER EASE-MENT
NO EX —%-,'Sr--- 11-AX
REQUIRED
SEP 3 1987
KIRKE S
BV VERS, So caur'j.y 1183surer
j - =
DeDuty
CY'D his
&%� THE UNDERSIGNED GRANMRS, Timothy T. Clark
wife, -owners of the following described parcel:
The North 67 feet of the South 324 feet of the East 210 feet of the Southeast
quarter of the Northeast quarter of section 19, Township 27 Northr Range 4
East, W.M.;
Cr� EXCEPT the East 30 feet for road.
Situate in Snohomish county, Washington.
AND CoNvEy to the Grantee, the present and future owners, . their
HEREBY GRANT
heirs and assigns of the following described parcel:
The North 75 feet of the South 399 feet of the East 210 feet of the Southeast
quarter of the Northeast quarter of Section 19, Township 27 North, Range 4
East, W.M.;
EXCEPT the East 30 feet for road.
Situate in Snohomish County, Washington.
AN EASEMENT for . the installation, operation and maintenance of a side sewer
line over, under and across the following strip of land, to wit:
A strip of land 10 .0 feet in width, lying 5.0 feet on each side of a centerline
described as follows:, Beginning at a point on the North line of the South
257.0 feet of the Southeast quarter of the Northeast quarter of said Section
19, a distance of 204.4 feet bearing N89c'20'55"W from the East line thereof;
thence N30005127nE, 76.93 feet to the terminus of the centerline herein
described.
The maintenace of said side sewer line easement granted and conveyed herein
by the Grantee,
shall be the responsibility of and the costs thereof borne
their heirs and assigns.
of
Date this day
M
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8 SP* GE0182
VOL. 2 0 A
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Side Sewer Drawing
The City of Edmonds EASEMENT NO - ------------------- ------------------------
NEW CONSTRUCTION 'Ef REPAIRS F LID NO - ------------------ ASMT. NO - --------------
OWNER ...... ------------------------------------------- CONTRACTOR
-- ------------------------------------------------------------------------------- PERMIT NO.
JOB ADDRESS -------- 7�'-Jku-c ------- v4- LEGAL DESCRIPTION: LOT NO - --------------------------------------- BLOCK NO - ------------------ I -----------------
A
J411 &,o C!Q5 -\-b L ' D-F 8 r&v re-
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------------------------ ------------------------------------------------------------------------ -----------------------------------------------------------
NAME OF ADDITION ------------------------------------------------ ------ --------------------
Ite- Apc W.
PWW-0001 -11/75 (REV. 11/78)
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Approved:
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DATE ...................... .......... By4�0141�-
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cil
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�D]Mo T-O.: Public Works
Sewer Department
FROM: .'Leif. R. Larson
City Engineer
FILE
De.cember 17, 1976
SUBJECT ' REMAINING SE1%TR COMECHONS. PITEPRED 1URTE FNGTNEFRTNG DEPT.
We have examined the 19 remaining sewer connections roferred'to this
department, and have the following recommendations to mate:
1) 213 Elm Street (Dimmick)
The existing residence is too low to reach the sew * er in ' Ulm Street,
and it would be diffic'ult to construct a sewer to Second Avenue. .Tt.i,s'
recommended that.a. waiver be granted subject to proper functioning of the
septic system, pending the development of propert\ adjoining Second
Avenue, wherein a combined.sewer. arrangement would allow this, residence
to make connection.
2) 931 Main. Street ' (Nelson)
This property can connect to the sanitan,. sewer, however,' the- soil
conditions adjacent to the sewer lateral at hain Street indicate potential
problems with the sewer hoohlip. A waiver is, recoffionded. subject to the
proper functioning of the septic -system, and subject to connecting to
sewer if future development of.the property or plumbing additions occur.
3) 806 Ninth Avenue South (Yeager)
I'his property does not have gravity sewers available and would best be
served through an L.I.D. with gravity sewers to Fiphth Avenue.
4) 716 Ninth Avenue South (thirdock)
I'his property is not served by sanitan, sewer. It is recommended that
an L. I." D. be formed with gravity sewers. flowing to Eighth Avenue.
5) 929 Canr Road (Strick-land)
Iliere exists a- problem related to utility casements and the estate
settlement'of business prior to Mr. StricUand's death. It is recommended
that a -waiver be granted subject to comple * tion of the utility casement,
proper functioning of the septic s.ystem, and no, further development of the
property until: sewer hookups are provided.
I'lemo, to: Pu I c Works Sewer Department Page 2
12/17/76
(continued)
6) 6502 170th. Street S.W. (Ayres)
711 is property'is adjacent to the Lynnwooc! f runk sewer, however, no-.
lateral exists in Olympic View Drivc. The owners have had some difficulty
in arranging for th'e. lateral extension in the street right-of-way. Tt is
recommended that the City reques t tlie.m to . contact three contr actors . and
provide evidence of the. contractor's estimate or refusal to accogilisb the
work proposed. Should that evidence indicate the unava."Llability of a con-
tractor to do the work, it, is. recommcnded that'the City proceed. i'vith a
lateral connection, charging the resident for the actual -.cos t of work.
(See next�connection.)
7) 6S10 170th Street. S.W. (T_�)thegrove)
'Mis residence adjoins the Avres residence, anc1could, joi.ntiv use a.
sewer lateral.'' The recommendation, for #.6 applies to this residence.
8) 18596 76th Avenue West (Cline Scuba Shop)
A lateral was -not installed to this parti.cular property, urdet tile ,
76th Avenue street proi ect. Later, the City installed. a latcra.1 from. the
north. but inadvertently constructed the lateral on private property.
Attempts' have been made to acouire an. easement without results. This
matter needs further study in acquiring an easement from ei'thcr the owner
to the north or south to gain sewer service.without removing street. or
walk improvements. It is recommended that a waiver be grante.d unti.1 th.e
City can provide a sewer connection point.
9) 20216 76th. Avenue West (Welch)
This property is not served. with a sewer lateral. in 76th Avenue.
This sewer connection will require an easement over. adjoining property to
connect to sewers to the west. Further study is required on this easement
made by the City. It is recommended that a waiver*be granted subi ect to.
tile City arranging for a sewer connection point..
10) City park (Dird mid Pine)
'Fhe present rostroomJs more than 200'ft.. from th�. sewer and. is below
the sewer elevation. It is recommended that a waiver he granted subject to
proper functioning of the septic system.. , Also, any chnnges to the plumb-
ing wliich would'expand the use (or should other regulat.i.ons outside the
City apply) a purp should he installed and connection made to the trunk.
sewer running through the Par],, playfield.
11) 10521 226th Street S.W.- (Jarvis)
Mis property is located in the,vicinity of Olympic View 11ater Dist.
sewers. Hoi,,rover, the property does not directly abut the sewer or have
access to the connection point. It is recommended that this property
participate in an L.I.D. with. the surrounding neighbors -for col%lletion of
the,hookup.
Memo
to: Pultic Works S*ewer
Deepartment,
Page 3
12/17/76
(continued)
12)
1.0605. 226th Street S. hT.
(Johns ton)
13)
16607 226th Street S.W.
(Kemp).
14)
10611 226fli Street S. IV.
(Sisom)
15)
10727 226th Street S 11.
(Jatho):
Recomendation for Item
�1.1 will apply to the above
locations.
16)
718 Ninth Avenue South
'Mis property. is' not -served'
by sanitar, sewer-.
Tt-is recommended
that
an L.I.D. be formed with'.gravity
sewers f lowinig
to Eighth Avenue.
17)
528 Eighth Avenue North
(.Schroeder)
This property does not
abut a sanitary sewer.
It is recommended
that
this property be included in an L.I.P. to serve'
surrounding proper -
.ties.
20222 76th Avenue North (1, IcDonald Log Cabin)
'Mis property is in- the process of receiving a City approved- subdi
vision for duplexes, and plans for removal of the existifip log -house.
It is recommended that a'waiver be granted on the existing house. .,Any
new construction- will then follow., the Subdivision and Building codes
requiring hookup.
..19) 7400 2112th. Street S. W.. (Kenmore Pre -Mix).
With loi..,, usage rate Cind extent of lot size, it is recomme . n ded. that
a waiver be granted.1f 6eproperty should be developed beyond its.prescnt
usage, a sewer connection would be renuired.
JdW1sc . .........
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CITY OF EDMONDS Permit No.
COMMUNITY SERVICES DEP FILE
'RIGHT- OF - WAY'cbNSTRuc"r5TffxT issue Date
A. e Owner: y ashington Natural Gas Company B. *Contractor:
Name
815 Mercer Street
Mailing Address
Seattle WA 9 . 8111 Vol
City State . Zip
Name
Mailing Address
City I State Zip
State License Number Telephone Number
C. o Address or Vicinity of Construction: - 20222 76 AvenueYest
Install Ne4_f6b&ice qt' G� 1/ofiowing:
Type of Work to be Done.
D. 0 Work in Connection With: 0 Sub or Plat V"'El Single Family 13 City Projects
0 Commercial Multifamily It Utility
E. 0 Pavement Cut: ID Y El N F. * Size of Cut: 2 X 4 (1) @ Gas
APPLICANT TO READ AND SIGN
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 6r*,-,de§�rigti9n wFlat's"oev ei;,, forseen or unforseen, that may
be made against the City of Edmonds, or any of its depart t' e-rn iloyees, ipcluding or not limited to the defense
of any legal proceedings including defense costs, court costs, n, atto"rn � fee's' by reason of granting this pe'rmit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE
r
YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK.
Estimated restoration fees will be held until the final street patch is corripleted�b ity forces, at which time a debit. or credit will be
processed for issuance to the applicant.
• A 24 hour notice is required for inspection; Please call Engineering: 771-32,d2'-
• Work is to be inspected durft progress and at completion.
• Restoration to be in accordance with City Code.
• Stre6- to be kept clean at all times.
• Traffic Control to be in accordance with City regulations.
• All street -cut ditches must be patched with asphalt or City approved material prior to end of �vorking day;
NO EXCEPTIONS.
I understand the above and that this permit must be available at the job, site for inspection purposes at all times.
Signature: Date: July 30, 1991
Owner or Contractor
This Permit Must be Posted at the, . Job Site For Inspection Ptg"poses
Call DIAL -A -DIG Prior to Beginning Work
APPROVED BY: RA/
Time Authorized: Void after days.
Special Conditions: 84.
PERMIT FEE: 3 c) o(
Restoration Fee:
Receipt No.:
Fund 111 Fee:
Street Cut Dimensions: x
RELEASED BY: Date INSPECTED BY Date
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
tng. um marcn jwsv
FIELD INSPECTION NOTES (Fund I I I Route copy to Street Dept.)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July 1985
I "I
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Washkxjton AMMMMW�
NaturW G3t ==�=
AVVxhnghon5-WG-parW
Addendum to City of Edmonds
Right of Way
Permit Application
Submitted by: Kerry Walsh
Engineering Aide
Washington Natural Gas
622-6767 x2761
'ZO',2Z-Z 7& AV IN pager 995-6914
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WNG to window
qpwater main depth
unknown
12- 11 gas main
-w- WaUUL:
-g- gas
-ss- sewer
-e- water hydrant
0 water valve
815 Mercer St. (P.O. Box 1869), Seattle, WA 98111 (206) 622-6767
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