230 4TH AVE N.PDF111111111111
5028
230 4TH AVE N
FILE
k 30* 0.000, �l
- iz- ; z
U_
CUM
NEW POOF AAV NOTE,5: I , PEMOVE EXI�,TIN6 POOF APEA 5HOWN 1��El-OW,
WIAVOW AgEA. 2. PEPOOF WITH ZO YEAP COMP051TION 5HIN6L.E5.
5. PEMOVE EX15TIN6 WINOOW5 IN 4PEA 5HOWN 15EI-OW,
4. PEPL-ACE WINOOW5 WITH POL-YVINYL- WINPOW5 HOPZ, 5L-IOEP5.
5. 5EE ATTACHEO WINOOW ENEPOY 5HEET.
6. EX15TIN6 WINOOW5 APE 5INC71-E CW-AZE,
rzo, 0.000*
k 42' 8.00a
EX CCM. 9TAIR5 T q000,
EX15TIN6
6AR`A6E
2r 0.000,
FOCCH
< 34' 0,000*
X /5 T I NO
E f5T
Cz— 13' 0.00(7
42' 0.0001
24' 0.00(7
42' 0.000*
51PE
WAIX
24' 0.000'
2('0,0001
LLJ
EXI 9 T IN6
HOL)5E
CONCKETE
23' (.00C
wjw
1( W 6.�OV
r 4.000-
3-poo*
'51TE PL-4N
230 47�-f AVE. IWPTH
EOM"5, VA5HIN6TON q6O2O
NOPTH
f,jTr 0
SS LICENSE APPLICATION
CITY of EDMONDS BLIE'
Civic Center - Edmonds, Washington 9-
8W f%gr DAT LICENSE NO.
City Clerk Phone 775-2525
OMEET F1, L Pro, TYPE OF BUSINESS ANNUAL FEE AFTER FEB. 15
4STRUCTIONS:
All items must be completed
or application will not be ac-
cepted.
Sign and return application
with fee. Renewals received
after February 15 must pay
penalty in addition to fee.
NEW BUSINESSES AFTER
JULY 31, 11/2 FEE.
jP) HOME OCCUPATION $15.00 $ 22.50
(B) BUSINESSWITH $20.00 $ 30.00
1 TO 3 EMPLOYEES
(c) BUSINESSWITH $22.00 $ 33.00
4 TO 9 EMPLOYEES
(D) BUSINESS WITH 10 $75.00 $112.50
OR MORE EMPLOYEES
,6, NEW APPLISAG9 I (t� D
El RENEWAL
0 CHANGE APR 2 7�(llp�2
U
PLEASE MAKE ANY NECESSARY CHANGES) El DELETE
- V1y111qV;x_"
NAMVF FIRM BUSINESS PHON E F E PLOYEES
MAILING ADDRESS NATURE OF BUSINESS
�2
BUSINESS ADDRESS INDIVIDUAL
2-30 - Z/ T'-vy (S)
OWNERS NAME HOME ADDRESS
6-7."k
HOMEPHONE, DATE�OF 13IRTH PLACE OF BIRTH
&)
7 I/S`
EMERGENCY NOTIFICATION (1) NAME &TELEPHONE
(PLEASE LIST TWO) (2) NAME& TELEPHONE �yz
PARTNERSHIP CORPORATION
= (P) = (C)
- / �// .., /Y,, 7 /-, // �/ &), f
SOCIAL SECURITY NUMBER
1531. - Y-//- 9SV-6 -
WASHINGTON STATE TAX NO..& e�L`_'0 �.APPLICANT'S SIGNATURE
DO NOT WRITE BELOW THIS LINE
STAFF REVIEW: FILL IN LAND USE CODE, LIFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR DISAPPROVAL, DATE, AND
SIGN. IF DISAPPROVAL, P_LEASE COMPLETE "COMMENT" SECTION. ROUTE TO NEXT DEPARTMENT ON LIST.
PLANNING DEPARTMENT '71
DATE LAND USE CODE ZONING CODE
APPROVE El DISAPPROVE SIGNATURE ij_� IC-1 I
CONDITIONAL USE PERMIT
COMMENTS FM
BUILDING DEPARTMENT DATE 4-
A PPROVE 0 DISAPPROVE SIGNATURE (4 7_jTc_-,e
COMMENTS:
CAPACITY: (NO. UNITS, APTS. OFFICES, SEATS, BEDS, STUDENTS)
FIRE DEPARTMENT DATE
x APPROVE 0 DISAPPROVE SIGNATURE
COMMENTS:
Building
El
Hotel/Motel
(L)
Permit
11
C3
Apt. Bldg.
Office Bldg.
(A)
(0)
Occupancy
0
Restaurant
(R)
Group
0
Hosp/Nurs Home
(H)
0
School
IS)
R BMW MM
POLICE DEPARTMENT &4
DATE SIGNATURE R___1
C,AOROVE 0 DISAPPROVE
COMMENTS:
PUBLIC WORKS DEPARTMENT
0 APPROVE 0 DISAPPROVE DATE SIGNATURE
COMMENTS:
PLEASE RETURN TO CITY C1 FRK
'Llry 0 -*tj,
e, '�
LICENSE NO.
CITY of EDMONDS BUSINESWICENSE APPLICATION DATE
Civic Center Edmonds, Washington 98020
City Clerk Phone 775-2525 1 puANNUAL FEES PENALTY AFTER FEB. 15
STREET FILdMoME OCCUPATION
INSTRUCTIO . NS: CLASS YEAR LIC. EFFEC. DATE JREASG. LIC. NO.ISPECF Z. 0) >0(A) ADDITIO $5.00 0
0 -0(
0
0 S �B
.L SS
• All items must be com )leted -]!AIIL� B U SS
L
RECYPT NO. DATE PAID A� 00
or application will not be ac- -X1 $15.00 ADDITIONAL $7.50 El
PRINT <:
cepted. IN SPEC. BOX Business wit or
FOR ISSUE OF
Jor .0
e e. 00 yees (C) ADD�ITI$25
• Sign and return application FEE PAID PENALTY,PAID CORRECTED more e yees ADDITI $25.00 0
LICENSE WITH
with fee. Renewals received I I I I 'LC'ACTION. (C)
_J,gj .00
after February 15 must pay 0 NEW APPLICATION (LA)
penalty in addition to fee. 11 ENEWAL (LB)
NEW BUSINESSES AFTER VCHANGE (LC)
JULY 31, 1/2 FEE. (PLEASE MAKE ANY NECESSA RY CHANGES) 0 DELETE (LD)
NAME OF FIRM BUSINESS PHONE NO. OF EMPLOYEES
-1 . '.. 7 Z?
&
MAILING ADDRESS NATURE OF BUSINESS
BUSINESS ADDRESS 0 1 0 C> INDIVIDUAL PARTNERSHIP CORPORATION
,-;;, '50 /A (P) (C)
OWNERS NAME HOME ADDRESS
7'2
HOME PHONE DATE. OF BIRTH PLACE OF BIRTH SOCIAL SECURITY NUMBER
Y/ k
tMERGENCY NOTIFICATION: (1) NAME & TELEPHONE'/i-�I�i�a-i7,,, 'k-1-
(PLEASE LIST TWO) (2) NAME & TELEPHONE
WASHINGTON STATE TAX NO,,' 4-4, APPLICANT'S SIGNATURE ,-A14
DO NOT WRITE BELOW THIS LINE
STAFF REVIEW:- FILL IN LAND USE CODE, UFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR
DISAPPROVAL, DATE, AND SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT"
SECTION. ROUTE TO NEXT DEPARTMENT ON LIST.
PLANNING DEPARTMENT DATE 01"�'kt LAND USE CODE ZONING CODE
APPROVE 0 DISAPPROVE SIGNATURE -I I --T7 I bi � I 1 -1
CONDITIONAL USE PERMIT
COMMENTS
BUILDING DEPARTMENT DATE
EK'APPROVE 0 DISAPPROVE SIGNATURE
COMMENTS:
I I CAPACITY: (NO. UNITS, APTS., OFFICES, SEATS, BEDS, STUDENTS)
Building
El
Hotel/Motel
(L)
Permit
0
Apt. Bldg.
(A)
I I 1
0
Office Bldg.
(0)
Occupancy
0
Restaurant
(R)
Group
0
Hosp/Nurs Home
(H)
0
School
(S)
FIRE DEPARTMENT
DATE U. F. 1. R.
AAPPROVE 0 DISAPPROVE SIGNATURE
COMMENTS:
POLjf-E DEPARTMENT
DATE
f!fl-'APPROVE 0 DISAPPROVE
SIGNATURE
COMMENTS:
PUBLIC WORKS DEPARTMENT
0 APPROVE 0 DISAPPROVE
DATE ACV SIGNATURE r—,
COMMENTS:
P!.-EA,'�F RETURN TO CITY CLERK
-79
CITY of EDMONDS BUSIN& LICENSE APPLICATION DATE - LICENSE NO. -
I f%� CA A %Af�
vc n or mon s, s ng on
City Clerk Phone 775-2525
ST, ET
ANNUAL FEES
PENALTY AFTER FEB. 115
HOME OCCUPATION
INSTRUCTIONS:"'t"'
CLASSIYEAR
LIC-EFFIEC., DATE REApG. LIC. NO.
.$10.00 (A)
ADDITIONAL $5.00 0
�Al 01 tems must be completed
I ISPI
24 SMAL BUSINESS
-16i,5poication will not be ac-
RECEIPT NO.,
.,,DATE PAID 't -'
$15.00 (B)
'X
ADDITIONAL $7.50. 0
A .
li,cepted.
4;'IN
. PRINT
SPEC. BOX
EJ Business with 10 or
Ow I . IV
.@�'Slgn'�, and return application
X,),wIt61fee.
PENA PAID,'
FOR ISSUE OF
CORRECTED
LICENSE WITH
more employees
ADDITIONAL $25.00 0
Renewals received
L
LC'ACTION.
$50.00 (C)
Aafter:' February 15 must pay
5?NEW APPLICATION (LA)
4.-It penalty In addition to fee.
X
0 RENEWAL
(LB)
�,,-,NEW BUSINESSES AFTER
0 CHANGE
(I-C)
.-��JULY 31, 1/2 FEE. (PLEASE
MAKE ANY NECESSARY CHANGES) 0 DELETE
(LD)
OF FIRM
BUSINESS PHONE
NO. OF EMPLOYEES
.AME
V
COLO 6 " 1 76 ly y I 'y
iI.MAILING ADDRESS NATURE OF BUSINESS
00'r
t his
10()l
-30 rm-C,44, 60a tq
Wd5, �JOk 9 go")
B PARTNERSHIP
INDIVIDUAL CORPORATION
E= (S) (P) (C)
010
HOME ADDRESS
wv- v. 4, o Z)4 ,v QAOkle- -
ME PHONr- DATE OF BIRTH q I PLACE OF BIRTH SOC
�1� SECURITY NUMBER
717 -s- q9 ALC, 7 6 9:3
- EMERGENCY NOTIFICATION: (1) NAME & TELEPHONE
04/
(PLEASE LIST'TWO) (2) N A M E & T E L E P H 0 N E P-110-lyg 5,0,4 -77 q -7
Ca//J., 'povc-e rec
INGTON STATE TAX�10. APPLICANT'S SIGNATURE
WASH
DO NOT WRI*TE BELOW THIS LINE
STAFF REVIEW: FILL IN LAND USE CODE, LIFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR
DISAPPROVAL, DATE, AND SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT"
SECTION. ROUTE TO NEXT DEPARTMENT ON LIST.
PLANNING DEPARTMENT
P
DATE
M-APPROVE' 0 DISAPPROVE
SIGNATURE
onj SI't,2 Mj3f- hqu-e
Av si'su S
COMMENTS j4 t3 r-tRj0r0UqC
.DING DEPARTMENT,
PPROVE 0 DISAPPROVE
LAND USE CODE ZONING CODE
I , I I T-7 16
CONDITIONAL USE PERMIT
E7--1
Building
Permit
El
Hotel/Motel
'(L)
F71 I I I
El Apt. Bldg.
'K-Office Bldg.
(A)
(0)
Occupancy
0
Restaurant
(R)
Group
0
Hosp/Nurs Home
(H)
.0
School
(S)
a 9 0 - 19 "
City of Edmonds
Critical Areas Checklist
17he Critical Areas Checklist contained on
this form is to be filled out by any person
I
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
of the parcel with enough detail that City
staff can find and identify the subject
parcel(s). In addition, the applicant is
encouraged to include any other pertinent
information 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:
I-Ytq M \J 6-1�1661�j
Name
Title
�JokT?l
Street Address
771-6/19
ODMO-ODS'.0f WA 50102C) t-
City, State, ZIP Phone
Signature
Applicant Representative:
Name
A -1-cl-h Te?,-r
Title
33o DAYVA Sc-r- -0-45)
Street Address
-7 76-73 2 -3
City, State, ZIP Phone
6-IL-
Date Signature
44/7 -3
Date
Site Information
Project Name:
Critical Areas Checklist
J&_Se7J
Permit Number:
.. 'r , . ft
STREET FILE
Site Location: Z*7_30 —, +7,14 AVe IJ - Property Tax Account Number: f 314 —Clel --0o7--0&&
Approximate Site Size (acres or square feet): - SO JLQ
Have you filled out a Critical Areas Checklist for a project on this site before? AIQ
General Site Conditions
1. Has the site been cleared or logged? AJIA Date of most recent action:
Soils / Topography
2. In the Snohomish County Soil Survey, what is & mappe soil type(s)? -#/ 7
3. Describe the general site topography. Check all that apply.
V"" 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 presdnt on site of more'than 15% and less than 30% a vertical rise
of 10 feet of horizontal distance.) 4
Steep: grades of greater than 30% present on site.
Comments
Hydrology/Vegetation
4. Site contains areas of year-round standing water:
5.. Site contains areas of seasonal standing water: AJ --.Approx. Depth:
6. Site is in the floodway AJO floodplain---Lj a of a water course.
7. Site contains a creek or a n area where water flows across the grounds surface? flows
are year-round? fia Flows are seasonal? ta A
8. Site is primarily: forested mea owpg:!:'��; shrubs ;mixed,''
9. Obvious wetland is present on site: 4 0
10. Wetland inventory or map indicates wetland present on site: Ma
11. Critical Areas inventory or map indicates any Critical Area on site: 00
h
RECEIVED
4 1993
PERMIT COUNTER
CRY Of Edinon&
Critical Areas Ch. ecklist
-MC Cri&4 Amu Checklist conWacdon
d& fami is to be fillodout by any person
Prqwing a Development permit
Applicafion for the City of Edmonds
P111017
tO his&cr submittal of a development permit
to file City-
I'hO PurPoSe of the Cheddist is to enable
City staff to dctcrmm-1,,�&cthcr any Potential
Critical Areas = or may be present an the
=bject property. 1he information needed to
cowPletc the ChOddist should be easily
,a
avai b1c from ObsenrAtiOns of the site or
data available at City Hall (Critical Areas
i '
inventories, n3taps, or soil surveys).
An applicant. -or his/her reprcscutafive
must
fill out the chocMg. sign and date k and
submit it to the City-1he City will review
the checidist. a precursmy site visk
and makc a dderminadon of the subsequent
stcps necessary to complete a development
Permit application -
With a signed copyof this form. the
applicant should also sabmit a vicinity map
Of the Parcel Vith enough detail am City
staff can find and idcatify.the subiect
paroel(s). In addition, the applicant is
encouraged to include any other pertinent
information or sttidics in conjunction with
this Checidist to assist staff in completing
their prelinu-naxy assessment of the site.
I have completed the attached Critical Area Checklist and attest that the answers provided.�re
factual, to the best of my knowledge (fill out the appropriate column Wow)_
Owner/ Applicant:
r-r- A -A -La-
Mame ta
Title
4-:2- h'
L Av
Street Address
City. State. ZIP Phone
Applicant Representative:
C
Narne
r-1) I i (1:i"J" -N'1:1-.- .
Title ta—La/ �::�
7 cl 0 -7 1,1 -<S�
Street Address
City, State, ZIP
Phone
T.30
Date Signature
Date
hecklist- STREET`4F-"1LE
Critical Areas C
Site Information
Project Name: P& n 0, v,, o Permit Number.
Site Location: 0 4ir- Property Tax Account Number.
Approximate Site Size (acres or square feet): -rat-)a
Have you filled out a Critical Areas Chccldist for a Project On this �iw before? 41 r)
General Site Conditions
1. Has the �itcbccn cleared or logged? Daw of most recent action:
Soils / Topography
2- In the Snohomish County Soil Survey, what is the mapped soil type(s)?
3- Describe the general site topography. Check all that apply.
Flat less than 5 fect elevation change over entire site.
cet over a
Rolling: slopes on site genctally less than 15% (a vertical rise of 10 f
horizontal distance of 66 feet)
Hilly.- slopes present on site of more than 15% and less than 30Yp ( a vertical rise
of 10 feet of horizontal distance.)
Steep: grades of greater than 30% present on site.
Rcv 3/27/92
APPLICATION
S XEET FILE for
The City of Edmonds SEDE SEWER PERMIT
EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS Cj
114-01700
OWNER ........... A. F. Darsh
................ . ........ ........................................... ..................... CONTRACTOR .........
..................... ................................. 7 .................... PERMIT No. . ................
ADDRESS .... i..2,3.Q .... 4.t.h ... Ave ...... X., ..................... .......... .................. LEGAL DESCRIPTION: LOT No....:.! ....... . ................ ................ BLOCK NO . ..... .......................................
NAMEOF ADDITION ....... ................................................ ........................................................................ . ....
V
A*
Dye Tested OnSewer 1972.,'
Approved:
DAT9........... ............ ... . ....................................................................