21722 95TH AVE W.PDF9282
21722 95TH AVE W
CA FILE NO. —HI f:y t?
Critical Areas Checklist
----------------------------- ------
`10- 6firiati(iii'(soffs/topograi hy/hydrology/yegetation)
Site
P
A''
zu. I . -
1. Site Addr n:
essl Locatio 2.R 2
A Po.
-6�2 7q
Z' 'Yroperty iaxAccount Number: 4��Vcf — /"Lf IPI —acl
3. ppro te or square feet):
A xumii��Si .� Siie (iciej
4. Is fl-ds site currently developed? yes; no.
If yes; how is site developed? All" .Cv T
5. Descr& the'gene'ral 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.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-feetover 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 water: 192 Approx. Depth,
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
8. Site is in the floodway— AP floodplain A4 of awater 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 Ala meadow shrubs 1Uo ndxed Alb
urban landscaped (lawn,shrubs etc) yes
11. Obvious wetland is present on site:
Staff:UseO
7 For City, nly,
1. Site is Zoned?
2. SCS mapped soil typ*e(s)?
3.-.. Wetland inventory or C.A. map indicates wetland present on site?...
4.- Critical Areas or C.A. map Critical Area on site
? --- - 46)
5.1 Site within designated earth subsidence landslide hazard area? 11/0
6.-. Site designated on the EnvirortmentaUy Sensitive Areas Map
? Ah
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PERMI
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. . . . . . . . . . .
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The Ciia&-d'Aireas Chi t contained
it,,and submit it to theCity.., The City...
on this form is to be filled out by any, will review the checklist, make a
�p
person preparing a Development Periffilt "'I"" recursory site Visit,'And make a
Application for ' the City of Edmonds determination of the subsequent steps
prior to his/her submittal of a necessary to complete a development
development permit to the City. permit application.
" 4 _' �' - � - -
The purpose of the Checklist is to enable
City staff t6`dei6r*n'u'*ne ivh�t'her-any
potential Critical Areas are or may be
present on the subject property, The
informationmeeded to complete the
Checklist should be easily available
from observations of thesite or data.,,,,,,
availabldat Cit� Hall (Critical Areas-:
inventories, maps,, or soil surveys):
An applicant, or his/her representative,
must fill out the checklist, sign and date
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 . - .1 ..
information (e.g. site plan, topography
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: Applicant Representative:
__h0'jm j��11,ql,+ . 011� &-t-ej
Name Name
19/1 IV6Wlll(-,L
Street Address
Cit3r, State, ZIP Phone
7
Signature Date
,35"613 F;t>v1Lj 4e A-,_
Street Address
5- e
Z L-1
r7 (9 4��r,&j,7
City, State, ZIP Phone
Signature Date
0
APPLICATION
The City of Edmonds for
FILE SIDE SEWER PERMIT EASEMENT NO . ............................... ............
NEW CONSTRUCTION E REPAIRS E] LID NO - ------------------ - ASMT. NO . ..................
T 7�
OWNER -------- ............. " E-->
......................................................... CONTRACTOR ----- L - ----- ------ ......................... PERMIT NO.
JOB ADDRESS .... 2-1-7-Za - — ----- --------------- LEGAL DESCRIPTION: LOT NO - ------------------ -'- --- ................... BLOCK NO - ------------------------- ..........
NAME OF ADDITION ------- A ".t ........ � C��-�
- ------------------------------
Approved:
............... By/�
DATE ............. )b
NOTIC�:'
-ar-ran -y ... o -a'
-N'O'*'w
The -information shown on the attached
'led for use by the City 01
map(s) wa-S COM ' PI
Edrnonds.i its Empl-oyees and Consultants.
Th,.e City of 'Edim.onds does. not. warrant the
n these
accuracy of anything set for,th 0 . -
r entity -requesting a
rnap(s). Any person o I
copy should conduct an independent
inquiry regarding the infbrrn-ation shown,c
J�e -M a P (S) / including, but not J*rnited to,
the lociation of any sew-er stub shown, Su(
exist and rna�,
sewer stubs may or may
or may not exist at the location shown,
ty of Edrnbnrls nor its
Neitheir the k, I I�A -/
emp-co-yee-s o-r off rce-rs -sh-a-l-1 be 1--iab-lfe for th
information given on this map(5), nor for
e.ntation provided based
anyone repres
upon said. m a p
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER-SEWM DEPARTMENT
PERMIT �171
Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.)
Inspection will be provided within 24 hours after requst. NO gat., Sun., or holiday inspections.
ADDRESS LOCATION OF CONSTRUCTION ..... Z1722 95th Avenue West
......................................................................................................................................................
PROPERTY LEGAL DESCRIPTION ..................... Lot 8. R.C. Munger Add. #3
................................................. ....................................................... .......................................................
...................... . ........................... .......... . .......... . ........................................................................ . ............... .................................. . ..................................................
................................................................. o-*-jwERjjj�mjoR BUILDER ...... ARTHUR MAKUS
.............................................................................................................................
CONTRACTOR'S NAME & ADDRESS ........ L_!� ---- j-, .... RPth.-Const.
..................................... . .............................. . .. . .......................................................
Permission Is granted ........... ... . ............ 19.77, for repaIr and/or connection of a side sewer to the city sanitary sewer
Lw- vn in accordance with City -of Edmonds ordinances.
ATTENTION IS CALT D 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—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office.
NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 Inches Inside property line-1 minimum grade of 2%. No bends In grade
sharper than % will be permitted.
NOTE No. 5--Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for-fallure due to Improper
work which may develop within one year of completion.
NOTE.No. 6--It is unlawful 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 appurtenances except to in-
sert the pipe into the wye.
DISAPPROVEDE] Date ... . .... ------------ ----------- By ................ D .. By ................ Date ............... . ................... . By ................
B
-7
APPROVED n7l) t, . ....... ........
Remarks: ............... . .......................... . ....................................
.............................................................. ;L, . ................... ................................ .................... . . ....... .................................. . ........................................ .........
BOTH P ies T.4� Si ow f__Firm. Performing Construction PRIOR To Request For Inspection
..... ... ...
I_ f .- Co ....... Ing .. Perfcrming ... Con - str . u . ctio . n hereby cert ify that the side sewer installation constructed under this permit
was installed n a cordan Wit a 1 governing ordinances of the City of Edmonds.
Datedthis ............... . ........... day of ................................................................. 19 .........
Check BEFORE you dig for: Water E], Gas E], Telephone C], Power [:], Sewer E], Other
APPLICATION
The City of Edmonds for
SIDE SEWER PERM EASEMENT NO - ---------------------- -- ------------------
NEW CONSTRUCTION (-] REPAIRS n Li&. 4��
OWNER ---Av ..... /)IAA -VT ----------------------------------------------- .......... CONTRACTOR ----- 2a,14,6 ----------------------------- PIMMIT NO.
JOB ADDRESS --- ----------------------------- 11 ---------- LEGAL DESCRIPTION: LOT No. ---iF ----------------------------- BLOCK NO - ------------------------------------
................................................... ............................................... .................................................
NAME OF ADDITION ---- . .....
a
0
Approved:
RECEIVED
APR 19 1977
Puw worm Dept.
,q/ 91,
DATE-------------------------------------------- By --------------------------------------------------- i
DATE--Apr�i 19 1977
I lemo to: Director of Public 1ibrks
From: Assistant City- Engineer
Subj ect: Sewer Connection (1arges
Lepl Description:
e.
Lot 8, Plat of R. C. Munger Addition #3 as recorded in Records of
Snohomish County, Washington.
Commonly 1�na%m as: 21722 95th Ave. W. (Vner: Arthur A. Makus
Z.F.F. CalcLaation:
75 Z.F.F. X $5.50 $ 412.50 Connection Fcc
Lateral X $ Lateral (liarp
thit X $ 25 $ 25.00 Tnink (liarge
$— 10. 00 Permit
447.50 TOTA1,39-01(AIJ 4//9/'77
RICHARD H. ALLEN
CC: Owner
0
DATE
'....April -19, 1977
Ilemo to: Director of Public 11iorks
Froiii: Assistant City Engineer
Subject: Sewer Connection (1arges
Legal Description:
Lot 8, Plat of R. C. Munger Addition #3 as recorded in Records of
Snohomish County, Washington.
Conmionly kna-m as: 21722 95th Ave. W. ot%mer: Arthur A. Makus
Z.F.F. Calculation:
75 Z. F. F. X $ 5. 5 0 $ 412.50 Connection Fee
Lateral X Lateral Marge
thlit X 25 $ 25.00 Trunk Marge
$ 10.00 p0mit
447.50 TOTAL
RICHARD H. ALLEN
cc: Owner
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CITY OF -EDMONDS
PUBLIC WORKS DEPARTMENT
TOr--
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SUSPENSE DATE:
DIRECTOR
Investigate
and Report
Take Appropriate
Action
Prepare
letter/memo
for my signature
For Information
Previously Ref'd
Status of Action?
Return to:
ADMINISTRATIVE SECRETARY
BUILDING MAINT. FOREMAN
EQUIPMENT RENTAL FOREMAN
PARK DEPARTMENT SUPT.
STREET DEPARTMENT SUPT.
TREATMENT PLANT SUPT.
WATER/SEWER SUPT.
COMMENTS:
FROM: DATE:
J7
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C REAL ESTATE TAX STATEMENT
SNOHOMISH COUNTY, STATE OF WASHINGTON
OF ALL STATE, COUNTY, MUNICIPAL,
c SCHOOL, AND ROAD TAXES.
L E V Y
CODE 81 RATE LAND
241 13.16 500T 6t004
MAKE REMITTANCES PAYABLE TO:
1977 KIRKE SIEVERS
SNOHOMISH COUNTY TRSASURER
P.O. BOX 568 - EVERETT, WA 98206
MARKET VALUE T A X
BUILDINGS TOTAL GENERAL
1810501- 24,0501 316.621
>n
YOUR TAX DOLLARS GO TO THE FOLLOWING:
0.
SCHOOLS, STATE
COUNTY
i
CITY OR ROAD/LIB.
99.5�
43. 91�
62*8(
0
FIRE DISTRICT
HOSPITAL
WATER
62.241
F
NAME AND ADDRESS
AKUS ART HUR A
I
.21722
95TH W
Cie
EDMONDS WA
980 20 -
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NOTICE:
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SCHOOL DISTRICT PORT DISTRICT I OTHER
27. 011 1 � 8*'8A 021 '
APRIL 30-IST HALF DUE TO AVOID FULL TAX PLUS INTEREST
OCT . 31-2ND HALF DUE TO AVOID INTEREST
TAX UNDER $10.00 TO BE PAID IN FULL.
71,
CCOUNT NUMBER
NUMBER A
11 5279-000-008-0005
1977
1977 FULL TAX
SEWER FOREST FIRE DIKE DRAIN
I I I I LESS EXEMPTION, IF ANY PO-
0-17-75 LEGAL DESCRIPTIO I N c CHECK I BOXTO ::FULL
UNGER ADD NO 3
9
INDICATE FULL OR HALF
LK 000 D-00 LOT 8 7 HALF
HALF PAYMENT
7
OMIT ROLL
YE AIR YEAR
PLEASE PRINT CHANGE 06AXPAYER
OR CHANGE OF ADDRESS
NAME
CITY
ZIP
ATE-CODE-
z
TAX AMOUNT
316.62
0
316.62,
158. 31J
HALF-H
OR
INTEREST
FULL-F
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77
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REGARDING: 21722- 95th Avenue West 426-0-21,50
(address)
R E C 0 R D 0 F C 0 N T A C T S
DATE NAME, PHONE NO., & COMMENTS
.ADDRESS of CALLER
4/4/77 Arthur A. Makus Certified Letter No. 406804 sent
requiring hook-up by 7/1/77.
4/19/77 L. J. Roth obtained Permit #5758
and connection fee of $412.50 paid.
CONNECTION COMPLETED APRIL 19, 1977
U.
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ACTION TAKEN
Letter received.
INITIALS
JT
JT
RECEIPT FOR CERTIFIED MAIL-30�
"'T TO mu MAIL 30� (plus postagi
Mrs --FOSTMARK
0 - Arthur A. Makus OR DATE
C)
REET'TNoN6—
00
1.21722 95th Avenue West
C-0
P.O., STAQ 'kill) ZIP CODE ---
0
Washington 980
9—r- 2 0
ONAL SERVICES fOR 111:0701—TIONALFEES
ETURN 1. Shows to Whopn--il—1 —d'11111116�
ECEIPT With delivery tFol—ato ...... .
addres ee only
SERVICES 2. Shows to whom, date And willore deliver
With delivery to address
DELIVER To ADDRESSEE ON'LY-- 'U"20 0" y
1.
SPECIAL DELIVERY ...................
extra fee required)
PS Form
Apr. 1971 3800 NO INSURANCE COVERA E PROVIDED—
NOT FOR INTERNATIONAL MAIL
(SGG other side)
Gpo: f 970 0-307-408
CITY of EDMONDS
200 Dayton Street - Edmonds, Washington 98020 - Telephone (206) 775-2525
Department of Public Works
CERTIFIED MAIL 1146g64
Mr. or Mrs. Arthur A. Makus
21722 95th Avenue West
Edmonds, Washington 98020
Dear Mr. or Mrs. Makus:
April 4, 1977,
Following a petition by a majority of the residents in your neigh-
borhood, the City Council of Edmonds accepted the annexation in-
corporating your property, located at 21722,95th Avenue West
within the City limits. Officially, the annexation became effective
November 6, 1976. The City.has now transferred accounts from the
Alderwood Water District to the Edmonds water system. Billing has
been converted.to the Edmonds water rate and utility fee.
The major motivation for annexing to the City was to obtain avail-
ability for sewer hookups. Our records indicate that your property
abuts an existing sewer main and you are, therefore, required to
make connection. City Ordinance normally requires connection within
60 days. However, on annexation we allow for inclement weather con-
ditions and additional time for the home owners to make necessary
arrangements. We are establishing a date of July 1, 1977, as the
time in which you must have your residence connected to sewers.
Requirements for obtaining a Side -Sewer Permit are as follows:
1. Payment of connection fee. Please bring the legal
.description of your property to the Public Works De-
partment prior to your request for a Permit so that
the connection fee can be computed.
2. Payment of $35 Permit fee.
3. Copies -of all recorded easements (where applicable).
4. A plot -plan drawing of the proposed connection.
Side -Sewer Permits may be obtained at the Public Works Department,
200 Dayton Street, Edmonds, between the hours of 8:00 a.m. and
5:00 p.m., Monday through Friday.
Please phone Mr. John B. Mitchell, Water Sewer Superintendent, at
775-2525, extension 226, for any information or assistance you may
desire.
4 Yo s. ve
"o t ly,
LEI LARSON, P.E.
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Dire r of Public Works
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REVISIONS
DATE I BY
NOTES:.
CALL 48- HOURS
BEFORE YOU',DIG
1-800-424-5555
(:�s -
9
-7.
to -TEST WIRa
35- c�30
TEST L-e-,N�--> ��OX WI-rH L I F->
so-:so-T
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ITEM
QUANT.1
DESCRIPTION
STOCK NO.
BILL OF MATERIAL
PERMIT Er->M0t4l::)5
TAX CODE
PERMIT
D. G. R. -3� - 8E5
PERMIT
1/4 SEC. 2-5-a-7-3
PERMIT
PLAT 1 (64 - OG-7
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AWbshw)gtonEnergy(ornparry
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