22918 74TH AVE W.PDF111111111111
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22918 74TH AVE W
The City of Edmonds
Water Service Drawing
NEW CONSTRUCTION tja
OWNER.............................................................
*11 AV g--
JOB ADDRESS ............. I .............................
.0 1
EASEMENT NO . ............................................
LID NO . .................. . ASMT. NO . ..................
CONTRACTOR I& .... Vi.cao ...... ..............
.... PERMIT NO. 20.1.00.9�
LEGAL DESCRIPTION: LOTNO . ...................................... BLOCK NO . ....................................
......................................................................................................................
............. 4 ................
NAME OF ADDITION ..............................................
................................................................. .......
-L -L CA I e) -� A ON
3/1
Approved:
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PWW-0001-11175 (REV.11/78) DATE A — ................... By ... 4$.)A .................................................
FEB-03-9T SUN 12:57 GRIFFIS HEATING
P.02
19 SP 9 - , 9 q -
CUY of'Edmon&
Critical Areas Che"c''Wist
nc CxidW A ' MU Checklist Contained on
this form Is to be filled out by any �crson
Prqx mig a Development pexWt
APOMUOTI for the MY of Edmonds 'prior
to hls/her subraitW of a dov4opment
peanit to tile city.
Tte, purpose of the Checklist is to an"
city staff to dowmin'B whether any
POtantW CrIded AMU am or my be
present on the Subject pfppany. "e
infOrmadon needed to complW tho.
Checklist should be eally s�aWjo from
'obvxYations of the site or data akftlp, at
MY HAII (0itical Areas InveAtorles, mzps,
or goll surveys).
An applicut ' or hWher reprpmtaqV6,
must fill out the chccmls� sign W date it,
RSCEIVED
FEB 2 4 1997
PERMIT COUNTER
and Submit it to the City. Tbft.qy
WM
review the obackwt, ry ait6
visitpand maim a 44 ;*of the ' '
s�bwqueat mps 'to complete I
development pe�rmlt RACation.
With & 41164--COPY Of tW$ fonn, the
applicant shoVId silso submit a vi I ity map
cull
or plot Pj= dividual lots of the pa=4
qv_�M
with enough &Ull thatt-C Ity staff can find
md ideaft ft subjW"
.
additioll, thO Wilci& sbag Indude
Othtr pertInent hdormVjaA4"jje
V40t WPOMAY w4p";ft6) or studies In
COUJunctl.On wtth this ChocklLst W aWW
sftff 1A completim their prellminary
assament of tho'site. -
I have completcd tho attachad CrW(W Area Chc*OkWt Snd Attat that the &Mwem provided are
fictual; to the bmt of my -knowledge (Q out the approprige 00jumq bdow)..
n
9 --liPh Avc LJ
StMU Addeta
r7�dft nd-5 --- W_4,._77%-3q7b
city, Safe. ZIP Phone
Apolluat Representative:
Stftg Aft"Go
I __ - IV -
city, state, ZLP one
Data
'CA
FHX
;:77
'"Critical Areas -Checklist
SUP
Infotihation (soils/to�ography/hydrol /vegetati. �h ......
on)
11.
Site AddressALocation:
2_'
Property Tax Account Numb er:
3.
Approximate Site Size (acres or feet): ot"
scivare
4.
Is this s ite currently developed?
yes;
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 generafly 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 Hie' of 10-fe . et over a
-horizontal distance of less than 33-feet).
41
Other (pleas
e describe):"
6. Site contains areas of
year-round s.tanding 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 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
urban landscaped (lawn,shrubs etc)
11. Obviouswedand is present on site:
shrubs mixed
—
(&oe
H. Gustafson
22918 74th Avenue W.
Echnonds 98026
ABLET**055PC
300 Gallon UST Replacement
I
15'
40'
81 -
162'
N -.j,
75'
V\
RA�A�A
NO WAR CGURA lhformtim v-own on the
aft�.c�c-d map was compiled for use by the City of Edmc,-.f.-�. i-
v..-. consti!fants. The City of Edmonds does not warrzra of
sl- forth on the =.,'Any person or entity
'pen nquiry regarding the Infortx"' :I C.)
sl ccii��a-;;an tnd'
t1l. inciud!ng, bu not limited to, the location of zn� --Lb
%C'..,sll sevior stuhs mayor may not e)dst and may or rn--j r.,,I C;,Ll-vt V
u-, I 101on cho"IM, Neither the City of Edmonds nor Its or
E,=l bu b&a fa the Inflormation given an this map, w for any ord
�ren.raxn�.aon provided" upoin said map
M�blb.-
\j
APPLICATION CARD No . ......................................
for
T Fjjjj�Z SEDE SEWER PERYaT
The City of Edmonds STFIE. SIDE E] INSIDE 0 REPAIRS E] EASEMENT No . ......................................
11'�/— 00 V,-)L?
OWNER ---- (20� ......... . J�4J.?--1 ..... CONTRACTOR .......
------------------------------ ............................................. PERMIT N
. ..... LP STREET
.......... .............................. AVENUE LOT No . ................................................................. -.- BLOCK No . ...............................................
HOUSE No. 7-Y.... al�)
NAMEADD . ................................................................................
"'0 V"ARRMN OF AG6 ljwy
7b
fG� Me by the e
ThO CiWof QtY ot E,'-,-,"
r:7 t;'
Edmonds does riot
Orl the
S11, map
indqc.nc!I�,jj8'. h7Y Person or enthy
Of
'11"Inrdl thelnlo,a
-:'g, b,- I n c,, j k� ing
t� Stu' I —
�'s 0 i
C""c.1 o
V rn� " I Q..
'-
. C11
c - P c!'
(JI" L., 1:�Va Ilk 0? E60nd,
for the ir.0 -
"I' c" c:
P. Ovided based given on thi , m aP ncr jcr
44
�s
Date Approved:
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $... ...........................................
SEWER WORK ORDER ISSUED .......................................... DATE ----- By ..............
21!X 2f Epmnps .
PUBLIC WOW — EMINEERING
ACTION REPORT
nCr--qn% � —',
N9 4245
MgLE
n, I i L
SUSPENSE DATE:
Date:- (N2//" Time: /9",
File #
Attachments:
SUBJECT- C5Ye,
11 ;�j]No
J �111)A�%�A
REQUESTOR:
REQUEST RECEIVED BY:
.All:
ADDRESS:
PHONE:
TELEPHCNE
CONTACT IN OFFICE
OTHER:
All concerned Notified
Action COmpleted/File