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21830 76TH AVE W.PDF111111111111 6342 21830 76TH AVE W r Critical Areas Checklist ---------------- --------------------------------------------- Site Information (soils/topography/hydrology/vegetation) I . Site Address/Location: z I t Iz 4 ?,19 -�o I ( � kyc W 2. Property Tax Account Number: uare feet): -1 Approximate Site Size (acres or sq 0 r219 4. Is this site currently developed? X yes; no. If yes; how is site developed? idma 5. Describe the general site topography. Check all that apply. Flat: less than 5-feet elevation change over entire site. ZME 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 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 3 )0% 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 o f year-round standing water: Approx. Depth: 7. Site contains areas of seasonal standing water: N/k Approx. Depth: What season(s) of the year? 8. Site is in the floodway floodplain of a water course. 9. Site contains a k or an area where water flows across the grounds surface? Flows are year- round? typ 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: DETEAMINATION fta_;hk.doc; Re� 10/03/97 A-1. . MAVE� 'L'ci %, 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). f4 0 V 2 3 1998 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 infor m-ation (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 r t �vdAt-i 2.1 Street Address WPP45 f 0 city State Zip 4-L5 - 4547 Telephone Signature Date Applicant Representative: 63 Name 2-24,4 Riwvsrc& �� ';;� 2,7P Street Address Ngv� � Vaim � Or city State Zip 3(ao - ATelepe Sig ature 1117,4119 Date (over) vreception\Janakad.doc 411 C. 1 B913 November 25, 1998 CITY OF EDMONDS BARBARA FAHEY MAYOR 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works * Planning/ Building * Parks and Recreation e Engineering * Wastewater Treatment Plant Sound Urdogical Associates, P.S. 21600 Highway 99, Suite 200 Edmonds, WA 98026 Subject: Determination regarding Critical Areas Checklist # 98-288 & 98-289 Dear Applicant: 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 co py of this Critical Areas Checklist "DETERMINATION" for your records. ­­­­ .... .................. .......... ........... ............ ...... ­'.......­ ...... ......... .. ....... ... . . . ...... ....... xi NTINFORMAT N O�PEWOTEO. ......................... ........................ ........... ............. PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECK —LIST OR CRITICAL AREAS STUff. The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a project -specific determination. wo, You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL AIIIIIIIIIIII PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. Permit applications include the following: Building Permits Conditional Use Permits Subdivisions Variances Applications to the ADB* Land Use Applications Any other development permit applications. Enc: Critical Areas Determination * Architectural Design Board C:ReceptIon\Jana\CRLTR.doc Thank you. Sharla Graham Planning Secretary * Incorporated August 11, 1890 0 Sister Cities International — Hekinan, Japan ill STREET Ar CITY OF EDMONDS BARBARA FAHEY MAYOR 7110-210TH ST.S.W. 0 EDMONDS, WA 98026 -1206) 771-0235 - FAX (206) 744-6057 COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION 1"S t . 18 () Q February 18, 1997 Dr. Ben Thal 21616 - 76th Ave. W. Ste 103 Edmonds, WA 98026 Subject: Leak Credit at 21830 - 76th Ave. W. - Account - #452775 Dear Dr. Thal: I have reviewed your account and will allow a credit for the billing period of September 16, 1996 through November 18, 1996 in accordance with our City policy. The policy states that the customer will be billed at the retail rate based upon the average water consumption for the same period during the previous year. In addition, the excess water lost from the leak will be billed to customer at the City's wholesale rate with a 15% surcharge added for administrative cost. Only one leak credit will be granted in any three year period. Should you have any additional questions after you receive your new billing, please contact Ilene Larson, Utility Billing Clerk, at 771-0241. Sincerely, Z�x - Scott Hig #and Acting Water/Sewer Supervisor RH/lk cc: Ilene Larson Utility Billing Clerk wordata\water\credit96\#452775 e Incorporated August 11, 1890 0 Sister Cities International — Hekinan, Japan y Day & Nite Plumbing & Heating, Inc. eNAME FP L_U MSING & 775-6464 & 353-64CA S 0 '(H NG - imcj 364-0959 e 653-64rA. L ADDRES D Since 1954 T CITY. D.O. Box 1021, * 5700 - B 188 St. SW ftter 0 LYNNWOOD, WA 98046 PHONE DAYNIPHO44CM QLaIiV. DATE 4 OS rA 1A /11 - f h A 1,4� -7 4-7 ZIP -77-5-- 6 577 77/— S;'dl INVOICE CONTRACT rJOB LOCATION v, 'Au PHONE 7-7/-22SI DIAGNOSIS RECOMMENDATIONS / DESCRIPTION OF WORK CITY. DESCRIPTION AMOU 41,q't, W77e i-ArW 141Z., i f 131 2.0 %J S/3 2 a ::L-7 aA-r- 0,t 74- ecl I ;F ^.YJ -��Ctf rC ef 4 Z4 (t L 'I I 47\ F�SOURCE M:� �/yC DIVISION: WATER PRESSURE PSI SUBCONTRACTORS MATERIAL 0( .1 �. 1. 1 . : .. -WARRANTY I. lill PLUMBING: All workmanship and materials are warranted for one (1) year HEATING: unless otherwise specified or as stated on back of this form. 0 None (Reason) N DRAINCLEANING: Warranted for thirty (30) days for labor only unless otherwise specified or as stated on back of this form. 0 None. (Reason) (Warranty work perloffned durbV r"dar business hours), EQUIPMENT LABOR . . . MY - PAID BY: 0 C'K'# OPC 0 CASH 0 CLIENT VOT��R U"It, TECHNICIAN TIME RATE AMOUNT SERVICE CALL r_75 FLAT RATE MIORK AUTHORIZATION: J, the undersigned, am owner/authorized representativettenant 'of the above mentioned ,,�remises do hereby'authodze.the above described work and agree to the terms, riditions, and have read the lien information, as stated- on both sides of this form. [me a Material 0 Flat Rate I $ T .Vd f OUT OUT LABOR TOTAL ORDERED BY COMPLETED D F_ trio A> qZ) I SIGNATURE (I hereby adcnowledge the swisfactorycorn0elion MIR """i V PLEASEPAYFROM THIS INVOICE 222 (`DATE FD—JLY Day & Nite PLUMBING ibing & Heating, Inc. 775-6464.- 353-6464 S 0 6NAME FdAt, n L e-*1 - 0 [HEATI 364-0959 9 653-6464. L D ADDRESS LIC Since 1954 P,.O. Box 1021 * 5700 - B .188 St. SW T 0 Cny F)f'h D VtTE IP 1� IVA 0C LYNNWOOD, WA 98046 411%.W ater PHONE DAYNIPHO44CM CQyaj1iy. jq, MU DIAGNOSIS RECOMMENDATIONS DESCRIPTION OF WORK e- ::2 rA_C;,.0 eufL �A .16 ltt�PAJIA, CLAJ NA 7tk C 1��' J �!�qURCEK e pezi DIVISION: (LMXQAyC WATER .2 PRESSURE EGUIPMENT WARRANTY PSI 10-PLUMBING: All workmanship and materials are -warranted for one (1) year ITATING: back of this form. PAID BY: TECHNICIAN TIME unless otherwise specified or as stated on 0 None (Reason) 0 CK . # "'M DRAINCLEANING: Warranted for thirty (30) days for labor only unless El cc otherwise specified or as stated on back of this form. 0 None (Reason) (Warranty work perlornied during regular business hours) 0 CASH 0 CLIENT ORK AUTHORIZATION: OTY. le INVOIC E .CONTRACT "JOB LOCATION q, A ue PHONE DESCRIPTION MATERIAL LABOR AMOUNT SERVICE CALL FLAT RATE < AMOUNT 7TT� —7 , ?" ­ h6undersigned, am owner/authorized represdntativeltenant of the above rrienti6ned )kI0THER prL-mises do hereby authorize the above descn**bed work and agree to the terms, "10,Aj &c& gr conditions, and have read the lien information, as stated on both sides of this form. r LABOR TOETAAL rial 0 Flat Rate of $ ORDERED BY$/,,,, J��D Dff ime and mate OUT I=N f"', A SIGNATURE (I he" aclumviedge the satisladorycompletion of the above describedwoft) PLEASEPAYFROM V f - ; " .. y I THIS INVOICE 4-�' ­/ cl 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 forth 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 employees or officers shall be liable for the information given on this map(s), nor for any one representation provided based upon said map(s). APPLICAMN The City of lEdmonck for MENT NO . ................................... ClnC CC%MCO DCOAAIT EASE ........ NEW CONSTRUCTION REPAIRS LID NO . ......... ........ ASMT. NO - ------- 'NO.OWNER ........................ �l ....... ---------------------- ............ CONTRACTOR ...................................................................... PERMIT 0 JOB ADDRESS ... ... - - ----------- ..... ---------------------- UGAL DESCRIPTION: LOT N r ....................... ------------- BLOCK NO --------- *.---.2=.-------.-.:--- .................................................................................................................................................................. NAMEOF ADDITION ............................................................................. ......................................... 4q, Approved: DATE.. B, -.1. C:r ......... CITY OF EDMONDS - SIDE SEWER PERMIT WATER -SEWER DEPARTMENT PERMIT Call 7-75-2525 for side sewer Inspections BEFORE covering any portion of the construction.) Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday Inspections. ADDRESSLOCA93ON OF CONSTRUCTION ................................. I ................. .................................... . ....................................................... PROPERTY LEGAL DESCRIPTION ..... .............................. :_J ...................... I ..................... I ........................ I ....................................................... ............................................................................................................................................................................................................................................................. ................. OIVNERAWDJOR BUILDER ........... ........... ................................... ......... I ....................................................... ............................................... CONTRACTOWSNAME & ADDRESS ........ �.,­ .......... ... . ...................... I ........... ..... I ................................................................................................. Permission Is granted .... ...... ........ ................. for repair and/or connection of a side sewer to the city sanitary sewer system in accordance wii� ... C-I't-y", -�i ... Edmonds ordinances. A\,_�JNTION IS CALLED 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 Rlght-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; minimum grade of 20/0. No bends in grade sharper than 1/8 will be permitted. NOTE No. 5—Trenches in street must be water settled and surface of street restored to orIgInaJ condition. Contractors shall be responsible for failure 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 permJt, or to do any work on the main sewer or its appurtenances except to in- sert the pipe Into the wye. DISAPPROVEDn APPROVEDDate Date ... .................................... By ................ ....... ...................... Date .... By ................ Date .................................... By ................ By ..... C ......... . ...... . ................................................................... Remarks: ........................................................................................................................................................................................................................ ............................................................................................................................................................................................................................................................. BOTH P it Copies XUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection I L ..................................... ... I hereby certify that the side sewer installation constructed under this permit (Ow,n­er­of' ��Ortra­c­t*in­g .... Firm" Performing Construction) WL_ c n§tal ed 7ina cordance with all governing ordinances of the City of Edmonds. ........ 1 Dated this... ......................... day of. 4 V Check BEFORE you dig for: Water E], Gas E], Telephone E], Power Sewer [:], Other [:] V V Z1930 ��-th AIv-f W 52,1 � ,��jaj_jo WORKS DEP � Ze APPLICATION for The City of Edmonds SEDE SEWER PqMkIT EASEMENT No . ............................. NEW CONSTRUCTION gr'o' REPAIRS r-1 OWNER........ ...... ----------------------------------------------------------------------------------- ADDRESS ..... .............. ;7�--c,.7.) ... .......................................... ------- ---- -- la Y "Ir CONTRACTOR............... ............................................... ----------------- ---------------- PERMIT No., - LEGAL DESCRIPTION: LOT No . ......... / ................................ BLOCK No . ....... 2 .................................... NAME OF ADDITION ....................................................................................................................................... IDI Approved: DATE................................................ By .......................... ............................... ........... Date -Nnyember 21, 1974 Memo to: Director of Maintenance & Operation Public Works RECEIVED From: City Engineer NOV 21 19740d Subject: Sewer Connection Charges Legal Description: The S 76.19 ft of Lot 1, Block 2, Plat of Hadley's Acres as recorded in the records of Snohomish County, Washington- Commonly known as: 21830 76th Avenue W. Owner: Unknown Z.F.F. Calculation: 77.12 Z.F.F. x $5.50 ) = $ 427.90 Connection Fee I Lateral x $100 ) = $ 100.00 Lateral�Charge I Unit x $ 25 ) = $� 25.00 Trunk Charge cc: Terrace Realty (Dolly) (?46- 4�-U �, IJII�� A,7116171. $ 10.00 Permit $ 562.90 TOTAL Form 6 0 0 Standard Form No. 1034-A PUBLIC VOUCHER FOR PUFWSES AND 7 GAO 5000 SERVICES OTH 1034-211-01 ER THAN PMSONAL VOUCHER NO. 17 — J U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT DATE VOUCHER PREPARED FEDERAL HOUSING ADMINISTRATION 5W Log= Bldg* CON RACT NUMBEfR AND DATE 5th & Uhion RECEIVED REQUISITION NUMBER AND DAT E 6 1974 PAYEE'S F =4CUDS POLIO WNS 10 AMMIT INCLUDE NAME 2W DMW ST, ZIP CODE AND IN YOUR ADDRESS EmwDstva. "020 ADDRESS NAME CONTR OLlopt.Code SCHEDULE NO. PAID BY DATE INVOICE RECEIVED DISCOUNT TERMS PAYEE'S ACCOUN T NUMBER SHIPPED FROM TO WEIGHT GOVERNMENT B/L NUMBER NUMBER AND DATE OF ORDER DATE OF DELIVERY ORSERVICE ARTICLES OR SERVICES (Enter description, item number of contract orFederat supply schedule, and other information deemed necessary) QUAN- TITY UNIT PRICE AMOUNT COST PER Purchase Ordet Nos., If any 11-21-74 Services on acquired property(ies) shown on attachment(s). FHA Case Number(s) # 561-101287-221 21830-76th We Edmcmd SEWER OWNEMICS & ASS=UST CMARGESs DUE PAXABLE NOW.o.eee $ 562.90 (Uso continuation sheet(s) if necessary) (Payee must NOT use the space below) TOTAL $ 562.90 PA E T: XC'OMPLETE F]PARTIAL —E] FINAL F�PROGRESS El ADVANCE APPROVED FOR o I EXCHANGE RATE , , ��' -:'� - ;� $I-00 DIFFERENCES BY2 TITLE P"RAI ty -%fioialist Amount verified; correct for �g.a.r. or mitial.) MEMORANDUM ACCOUNTING CLASSIFICATION MAIL" WITH CHECK CHECK NU—MBER ON TREASURER OF THE UNITED STATES CHECK NUMBER ON (Name of ban k) CL C ASH DATE $ PAYEES 0 F. L 1A Memo to: Director of Maintenance & Operation Public Works From: City Engineer Subject: Sewer Connection Charges 11 Date November 21. 1974 M Legal Description: The S 76.19 ft of Lot 1, Block 2, Plat of Hadley's Acres as recorded in the records of Snohomish County, —Washington Commonly known as*:.2.1830 76,th"Avenue-W. Owner:Unknown Z.F.F. Calculation: (77-12 ) Z.F.F. x $5.50 ) Lateral x $100 ) Unit x ( $ 25 cc:Terrace Realty (Dolly) $ 427.90 Connection Fee $ 100.00 Lateral�Charge S 25.00 Trunk Charge $ 10.00 Permit $ 562.90 TOTAL LEIF R. L"ARSON, PA. EDMONDS CITY ENGINEER Form 6 0 CO %JAJ&=-Cr 1 0 A.,O 14 c� a;, Aw- 7- / a 3 a -7 C 4 vEr. W. AV4 7-C— X M 04-CdF MC=-091-r-'y S 4, rd . A;L %/ 4-r. IA-1. 7 6 )=g!F AP r Lo r- )Is Ag(- Ar Z- A POL A -f- OME�, e e; AO 5A/ 0 C041AY7-Y VA li 7-7. 6. t .15 () Z�O) = 10 0 A-t. a- r— -7 6 19 B,.)=. P. -7. 3 4.) 0 1 6 -7 ) =-�O. q 3 Je- E. E. o nq -7 7 a ZL F=. F=, -7 -7. -e 4-Z-7. cl 0 ov /00. Loo 7- �e le- fto 7— /C�ed-t�ICATION for The City of Edmonds c urg SICDE SEWER NEW CONSTRUCTION ��REPAIRS 0 F."FJ4ENT No . .......................................... OVYINM....... rl?�eq .......................................................................................... ADDRESS..... .............. ........... ---------------------- ...... 9 CONTR Pee, ............... ....... ............ ................ ................................... PERNaT No . ...................... LEGAL DE ION: LOT No . ..... .......... . ......... : .......... ....... BLOCK No . ........... NAME OF ADDITION ............ fic-,ec-,5 ..................... .............................................. ................. Approved: DATE............................................ ... By— ................................ ....... PIL-A T- TL 7 L C-- f - :;Iqw tip 40 42' 1,00 I 05 ACTION TAB o"fl To: Date From: 0 FOR YOUR COMMENTS FOR YOUR INFORMATION 0 FOR YOUR APPROVAL El NOTE & RETURN 0 TAKE APPROPRIATE ACTION C] NOTE& FILE 0 CALL ME 0 FOR YOUR SIGNATURE 0 SEE ME 0 COMMENTS: A401 KO A* v -1-MX 4-r LF 004-2 (Form OA-4) @ Copyright 1969, 1970 Laurel Office Aids, Inc.. Bronxville, N.Y.