20424 78TH PL W.PDF111111111111
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20424 78TH PL W
NOTICE:
No,,warranty of accuracy.
The information shown on the attached
map(s) was compiled for use by the City of
Edmonds . its Employees and Consultants.
The City of Edmonds does not warrant the
accuracy of anything set for ' th on these
map(s). Any person or entity requesting a
copy should conduct an independent
inquiry regarding the information shown on
the -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
empl'-o-yee-s or office-rs -sh-al-I be I-Jabl-e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
APPLICATION
for
U: SME SEWER PERMIT
The City of Edmonds Is
S79EET NEW CONSTRUCTION REPAIRS
c) 0 D C)
OWNER ...... M!7�.+J�AeS ....... 15 P/
...............
LAJ
ADDRESS...... . . ............................ ......................................
fe
) c
is
L :YN :NP L :AN T) /077
EASEMENT No . ..........................................
CONTRACTOR ...................... (�) ...................................... . PERMIT No.
LEGAL DESCRIPTION: LOT No. 15 ....................................... BLOCK No . ............................. ..............
--01 -3
NAME OF ADDITION ......................... AP"-
VED
Approved:
DATE.. 1-47 .... By Y ...............................
STIJEEr F/Lij
. . . . . . . . . . . w'
'9 9 0 9 C,
City of Edmon&
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).
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.
With a signed copy of this form, the
applicant should also submit a vicinity map
or plot plan.for individual lots of the parcel
with enough detail that City staff can find
and identify the subject parcel(s). In
addition, the applicant shall include
other pertinent information (e.g.'site
plan, topography !nap,. 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 Area Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
Name
4
Street Address
RJW
City, State, ZIP Phone
Sigzte Date
Applicant Representative:
31�r'_ (S.J-4 - .
Name 115
Street Address
& 4A� k W � Cow
City, State, ZIP Phone
\ , 1�s
Sitkure _N� Date
CAFILE NO. qq—(79
Critical Areas Checklist
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: —7cit6
2. Property Tax Account Number: L+t 1-2-- 000 — DM— 600
3. Approximate Site Size (acres or square feet): o 0
4. Is this site currently developed? _Zyes; no.
r— , --�
If yes; how is site developed? P
5. Desl7ril�bee general site topography. Check all that apply.
Flat:' less than 5-feet elevation change over entire site.
2
7.
Rolling: slopes on site.generally less than 15% (a vertical rise of 10-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 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):
Site contains areas. of year-round standing water: N 0 -; Approx. Depth:
Site contains areas of seasonal standing water:
i
W�at season(s) of the year?
Approx. Depth:
8. Site is in the floodway 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)
11. Obvious wetland is present on site:
For -City. Staff Use Only
s ed?
.1 Site i'::Zdn
2.* SCS mapped soil type(s)? Aa,17y-
3. Wetland inventory or C.A. map indicates wetland present on site?
4. Critical Areas inventory or C.A. map indicates Critical Area on site.
5. Site within designated earth subsidence landslide hazard area? C)
-.6.-. Site designated on the Environmentally Sensitive Areas.Map? AID
DETERMINATION
STUDY -REQUIRED
WAIVER'
Reviewed by:
Vi-anner
Rcv0.0 9193
76,A4 PL
ck
'04.
too
---NOVI 0-1 -1993:,
PERMIT COUNTER
T
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6-S
CITY OF EDMON&? IR
CIVIC'tENTER EET FILE
WATER -SEWER DEPARTMENT Can ]PP-OsPeft 6-11-07 when work
18 ready for Inspectjon- (No inspec-
SIDE - SEWER PERMIT tions Saturday, Sunday or holidays.) N2 1997
ADDRESS ............. E.M. Tryon
OWNER .............. ------- ........ I ......................
--------- P�P�!�e est
.......................... CONTRAcrop owner
Pennission is granted .... ... April 11, 67 . ............... ................. ...... ....................
with City Sewers - ----------------- . ............... 119 ......... for ..........
I accordance with aPplication on ............ days, to REPAIR or CONNECT a side Sewer
ATTENTION IS CALLED TO THE FOLLOWIN . G: file and governing ordinances.
C
he 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 0 us
NOTE No. I —The owners of the Property May obtain a Permit to construct sewer inside Property line. A licensed Side sewer Ontra tor m t
rdinance 11.16.0.30 and Regulations
"NOTE 110- 3—TOP Of side sewer must have at least 30 inches covera governing side se,ers when you get permit.
No bends in grade sharper than % will be Permitted. ge at Property line and 12 inches inside property line; rutn'rourn grade of 2%.
rE No. —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 "lay develop within one Year of completion.
NOTE No. S—It is unlawful to alter or do any other work than Is Provided for in
Purtenances except to insert the pipe Into the wye. the permit, or to do any work on the main sewer Or Its ap-