20321 83RD AVE W.PDF111111111111
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20321 83RD AVE W
NOTICE:
Nowa rra nty OT -a-ucul-d�_Y--
The -information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
Th,e city of 'Edmonds does not . warrant the
accuracy of anything set for.th on these
map(§-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the inform-ation shown on
ff�e -map(s), including, but not limited to,
th-e 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 c-ity of Edmonds nor its
ernp-l-o-yee-s o-r off ice,rs -sh-a-1-1 be I'l-a-b-11--e for the
information given on this map(s), nor for
ation provided based
any one represent
upon I said map(s).
The City of Edmonds ILE
""MEET F
Z) t
APPLICATION
for
SEDE SEWER PERMIT
NEW CONSTRUCTION [-] REPAIRS
/*
OV,rNF-R --------- ...... ............................... ................
-? � -,� i� J 4 if" /� V.1
ADDRESS��-6 . .............. .......... ; ................... ............ V . ............
EASEMENT No . ...................... ...................
,e-, ),) / 6 /
P iV Al Wo J'.1
.................
CONTRACTOR.L ..... . .. ......... .... PERMIT N..'� .......... ..........
LEGAL DESCRIPTION: LOT No . ...... .... / ................................... BLOCK No . ............................................
NAME OF ADDITION .... ........... Z) i, v /I *),
......................... ....................
C t�
---- -------- ----- ------ . .........
APPROVED
A.,pproved:
DATEY ........... � Y- �1�
0 0 T 2 1969
FILF
-CITY OF EDMONDS
Call PRospect 6-1107 when work
'CIVIC CENTER—WATEIR-SEWER DEPARTMENT 1. ready f.r.inspection. (No.inspee.
.�M 3484
tions Saturday, Sunday or holidays.)
SIDE SEWER PERMIT
ADDRESS........... .... Urd..A.Venue ... we.st ............................................................................................................................
OWNER ................. b ... o.n. ...... V ........ E .... 11. ... i's ....... ............................... CONTRACTOR ................. L-VII !WQj9 d.. �a f �.Kgt r ... CQIN5:� . .......
Perinission is granted .................... Sep.t....2 ........ 19 ... 6.9, f or ........................ 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 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 1/s 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 unl9wful 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.
CA FILE NO.
Critical Areas Checklist
--------------------------------------------------------------
Site Information (soil s/topo graphy/hydrology/vegetati on)
I . Site Address/Location: -2 0'5 2-1 (93 nD A-UtF
2. Property Tax Account Number: q� 121-0000 (102DD
3. Approximate Site Size (acres or square feet): 1,136
4. Is this site currently developed?
yes; no.
If yes; how is site developed?
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
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: Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
8. Site is in the floodway 04 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?
10. Site is primarily: forested meadow ;shrubs mixed
urban landscaped (lawn,shrubs etc) )c
11. Obvious wetland is present on site: ok
f2 6�
--- - ---- - ---------- ----
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^ca_chk.doc; Re� 10/03/97
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
MAR 2 3 1999
PERMIT COUNTER
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,-,
Name
L032i K.�
Street Address
City State Zip
A9 N 01111
Teleph e
Sign4&e
rAfVY-
Date
c:recepdon\jana\cac1.doc
Applicant Representative:
Name
Street Address
city State
Zip
Telephone
Signature
Date
(over)
C. JS9
April 6,1999
S. Cody Bums
20321 83rd Ave.West
Edmonds, WA 98026
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 # 99-74
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 MA Y NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS ANENWRONMENTAL CHECKLIS ORICBMCALAREAsSTUDy.
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
111111111101111. You mustsybmit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. .40
Permit applications include the following:
Building Permits.
Conditional Use Perrnits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit applications.
Enc: Critical Areas Determination
*Architectural Design Board
C:ReceptionUana\CRLTR.doc
Thank you.
Sharla Graham
Planning Secretary
Incorporated August 11, 1890 e
Sister City - Hekinan, Japan