20323 81ST AVE W.PDF111111111111
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20323 81 ST AVE W
NOTICE:
--No-warranty--Of -a-ccuracy. -
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of Ecim.onds 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 information shown on
.'___tFe -map(s), including, but not limited to,
th . e location of any sewer stub shown. Such
sewer stubs may or may, not ex ist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
ernp]-oyee-s o-r office-rs -shall be [;Ia-b-'Fe for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
R
APPLICATION
for
The City of EcIM6 SEDE SEWER PERMIT LYNN PLANJ
%"W NEW CONSTRUC71ON E] REPAIRS SE?vMNT No . ..........................................
411j, c, C) /::?/? '\
4 ....... ... ..
...... / CONTRACTOR ................................................................
OWNER .... 0-4 ......... ....... ........
6PI LEGAL DESCRIPTION: LOT No - -------
ADDR ... .......
ESS .. . .............. .... .. —.1ILOCK I
NAME OF ADDITION ..... ..... rZ ... !F�: .. ............
4ar
/ :3 0
L
�- I V
App)�
Apl?,,
7 2 #
Approved:
DATE ......
L .......... .... ... ............. 'Y
E
No.
.................. .............
......................................
-0 N D &
_qTY '-OF— EDM when work
all pytosp6WA-1107
EMWER DEPARTNMNT Is:rcady'-tor-In4 . inspec- 194, 3
CIVIC -CENTER- WATER-
t `Siiurd I . -
ionsi ay -holidays.
SIM:$
EWER PERMIT'.*
�2032 Aveuia.b We.st ...................................................
3 ...... : ................ .................................................. .........
ADDRESS........... ............. : ......................................
.... omnex ......... ...........................
e._,A_.,; .... Sj_mjaao.n ...................... CONTRACTOR ...................
OWNER.......................
April..4? ... ..... 19. for ...................... days, to REPAIR or CONNECT a side sewer.
Perinission, is granted ......................... ..... ....
-with City -Sewers. in accordance with application oil file and governing ordinances.
ATTENTION IS C�kLLED TO THE FOLLOWING: 'A licensed Side Sewer Contractor must
tain a permit to construct sewe ' r inside property line.
NOTE No. I —The owners of the property may ob ion of sewer before It has been Inspected.
be employed to construct side sower In street area. Do not cover any port
NOTE I No, 2—Obtatn full- information regarding Ordinance 11.16.030 and Regulations governing.side sewers when you get permit.
30 inch'es coverage at property line and 12 inches inside property line; minimum grade of 2%.
NfirrE No. 3—Top.of side sewer must have at least
No bend'sAn grade sharper than % will be permitted.
hall be responsible for
1,_-,E No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors a
thin one year of completion..
failure due to improper work which may develop wt the main sewer or Its ap-
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
purtenances except to insert the pipe into the wye.
#.P20
Of EI)4 ,
Ciety. of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0120
Fax: 425.771.0221
,Q,.. $91,
Date Received: -I
C4. R eceipt #:
Critical Areas File #:-C-9,4 2 0-707q
Critical Areas Checklist Fee:. — $135.00
Date Mailed to Applicant:
The Critical Area Checklist contained on this form is to A property owner, or his/her. authorized representative,
be filled out -by any. -person. preparing a Development must'hil
out the checklist,, sign and date it and submit it
Permit Application for the City of Edinonds prior to. to the City. The City- will -review,tie. checklist.make 9
lis/her. submittal of the application to the City. precursory site visit, and make, a determination of the
The purpose of the Checklist is' to enabl. . e City staff to subsequent -steps. necessary .. to .60 a development
ran - -
. licatiox,
her any potential Critical Areas are, -or . p.,e
determine whet app
maybe, present on the subject property. The-informqtion, Pie '.su�init *ped copy
v��tyjnap, along with -the si
needed to complete the Checklist should be pasily of this form to assist City staff in findi4g and locating the.
t:available�fivim-obser�ifibik�.6f.-th6.-siie-ot- &ta-avd&ble av. specifi,c.',**plece�-.,of,�,p,t*,bp"&ty.,de'd"&*iiUd'-'d�n�-""this form.-: Th
City Hall - (Critical areas inventories, maps, or. soil addition, the', t*liolibi�it�.-�-shaU�.-�-include other
pertinent
information 0-g.,.site._plm,. topograph ;map, etc.) or
y
studies iii.66iijimotion with this Checldis*t to assistant'staff
in
assessment of the site.
The undm-signed applicant, and his/her/its, heirs, and assigns, in consider . at . ion o . n the processing of the application agrees
torelease, indenmify, defend and hold.the City.of Edmonds.harmleis from any zhd- all'�diifii(b*'iiidlti&g.r'easonable
attorney's fees, arising ftom @nY action or infraction ..based,.in whole. or, part upon.false, misleading, inaccurate or.
incomplete infmmation furnished by, the. applicant, his/her/its agents or e7jpoyees,
By MY Ognature� I cer* that the in&rma�iion and'exhibits'herewith submitted are true and co.rroct to. the best pf my
knowledge and thai I am authorized- bn the behalf of ili6bWnef asli
st6d below.
SIGNATURE oF AppucANTIAeENT 'DATE
Property. Owner's Authorization
By;my signature, I certfl� that I 6ve authorized ffie ab . ove Appliciniftent to apply for the subject land
use ication,
-and grant my permission for the publiaofficials and the -itaff of the City�of Edmionds -to -enter the -subject property for the -
purposes of inspection and attendant tothis application.
SIGN ATURE OF OWNER
bA.1 E
PLEASE PRINT CLEARLY
Owner/AppUcaut:
.::.75-SeW1,;r JwAnml
Name.
Street Address
.City State zip
Telephone:
Email address (optional):
AppHcant Representative: ,
s..i� "gee
Name
'0001��
Address
city State zip
Telephone-A04 -3 irl"50,6
Email Address (optional) OeM&&AW��4�i
V 40mee_rl, "�I' %.
#P20
Critical Areas Checklist
:�.Site information (60ils/topography/hydrolog/vegetation)
7'.
A. - Site, Address/Location: zf1Xk,AM61A1.
CAMeNo: 0(0�
2. Pr.operty TOx Account Nuxn6w. . MY3 / -2 e.) 4,0 e .5,0 Z
3. Ap�r e'
oximate Site Siz. (acres or,square fee*
.4., Is this site affreptly developed? no.
yes,
lfy-0;h0w44t6devdq'ped?' USe� rra.
the
Describe general site.topography.; I 0-ioe" Ck- all that apply.
-Plat, -16s than,5-feet elevation change ovet entire, site.
RQ1fing.-:.pjopes on 'site- � gen less - than 15% (a.vertical -nse:'of; 10-feiat over a. horizontal
distance -.o
t 66-feet)
filopes pr4ent on site, of mor.e than 15% and less than 30% (a vertical rise of 10-feet
over a horizontal distance'of �33 to 66-fee
Steep; grades of greater than 30% present on site (a vertical rise of 10-feet over a hori;ontal
&tin6e of less than 33-feit).
- -------- Other (please -describe):.
6. Site contains areas of year-round standihg water .4p,box. Deptli:
7. Site contains areas of sea' g - '146 Ap
sonal st�pd iyaier:
What season(s) of the year?
8. Sitels in the flood*Ay floodplain of a water course.
9. ,5ite. Ponta='.. a cmO or an area where - wate:r flows across the g.r9unds:
surface.Z.: Flows are year-rognd?.:'
(Walat. time Of year?.,
Flows ke seasonal?
10. Site . Primaril�.r fo�ested
Is meadow ;shrubs- mix6d -
urban landscaped (lawn, shrubs
�etc)
11. Obvious wedand is Present on site: /V 0
Yor City Staff Use Oidy
I. Plan Check Number, if applicable.?
7- Sjte*is Zoned? le
3. SCS mapped soil "(s)? 2- X 7o
4.
Critical Amas inventory or C.A. map indicates Critical Area on site? A1A_
S. Site wiffiin designated earth -subsidence landslide.hazarO area? IVO
DETERMINATION
WAIVER
-fP c. 18 (),�
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 1 FAX (425) 771-0221
Website: wwwci.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
October 3, 2008
MEMO TO:
Edmonds School District
Verizon Northwest
SNOCOM Police and Fire Dispatch
SNOPAC
Snohomish County E911
U.S. Post Office
Snohomish County Assessor's Office
Snohomish County Information Services
Snohomish County P.U.D.
Puget Sound Energy
GARY HAAKENSON
MAYOR
EET FILE
Edmonds Fire Department
Edmonds Police Department
Edmonds Utility Billing
Edmonds Public Works
Edmonds Building/Street File
Edmonds Address Files
Lynnwood Disposal
Comcast Cable
Waste Management Northwest
Please be advised that the attached has been added to the Edmonds, WA addressing map.
20323 81 s, Ave W (Lot I to remain and 8008 203,d St SW (Lot 2).
Tax ID Number: 00431200001501
Short Plat: S-2007-0092
If you have any questions regarding this letter, please contact me at 425-771-0220 or
Urnbaugh@ci.edmonds.wa.us. Please contact me if you wish to be removed from this list.
-Respectfully,
aug
There b * -
Permit Coordinator
Edmonds Building Department
1-\'I'ejiip\DST's\M aster Letters\New Address] 0/3/2008
Incorporated August 11, 1890
Sister City - Hekinan, Japan
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