23208 75TH AVE W.PDF111111111111
6005
23208 75TH AVE W
CITY OF EDMONDS
0
SYNEET FILE ASSET INFORMATION SHEET
ASSET NO. 00 -
E] ADDITION ADDITION TO ASSET NO.
1:1 RETIREMENT
2 NEW
DESCRIPTION
,5/feu,
SERIAL NO.
LOCATION
DEPT. NO.
232
c v 6
0 Li
"PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
B.A.R.S. ACCOUNT NO. 4
ESTIMATED LIFE
*PROJECT NUMBER (-j .3 57r Ig -2 9
PROJECT COMPLETION DATE /c- -3' -rr"-3
COST / � / - V 6
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
1E DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT -
0 G.L. ENTRY
REFERENCE
DATE
VERIFIED BY
PROCESSED
BATCH NO. -
f 72,�Nl
rz:v
u
INITIAL
t.�np
DEPARTMENT FILE
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April
LSA F1 1983
CECAI- 1)- 63-980
FOR FCC -
Lot 4.
Ing to tBl-ek 4
4e
record, of plat thereof,
nger Land
Solohoml3h Courecorded In j.( 3 Plat S
n ty, ),'d3h.1r.qtOlume 9 �'bdivf,jon
The no on. P1 at.: Pzg's .5 1, acco.-d.
call I rt 81. 7 and 58,
nqCr Feet of
hereof .. Land Co. . 3 PI the We., Ina
Snoho.1 3 corded In V , "t S'Utdivis, 450 teat
PAJ?CEL oun t.V, wj S O"Iffo 9 of P, On %. , . Lot 4
hlngt0n. 'at'l, on -0 JccGruj ' -Ock 4
Pages 57 ",9 to C,� I ak,
That nd 5,,,, 1.12 plat.
no. 1portiOn ccoc.j, G r
a 0 r of Lot 4, a,
a n to th Ock 4
01 1OW3: recorL Plat , take
Cher L'alling,
S c n n 3 Of S cor a �r Land C
t at th nohoml.h "Grded I O..S
Once On t a nort � Co pj
3out a eazt I, heazt tnty, ,r, 9 41
alon co�,
9 Sal a P a di -ne of , er .'ash'ington of PI-1 SAOn
ne 0 t ts
th r Stance 0. Said L ' -'ald descrl,� I a')
a east t 81.00 5 at 4, a Lot 4. cd as
, thence
along 34 Ina 0 th ne, a dl3t feet of 6-14 fact , distance of 1.�7.32
the 0113 C I I e *Ost I drce of Said L ..) an Int.rSectio feet;
nort li Ot 4.
distanc ne, of ne a 108-50 f 113.41 F - thence n
a jj Sq,4
e of 3 nce of 81 3did Lot " an int 5130,,
5 d�ld dlzta eet of eel: t ?with the
53 Lot 41 the; .00 the Irsectl w
PARCEL feet to on wl
int cc t to -an , ne' N 01 14,
the 0 Ce S jo,, E, allifte, . 3(),, th
0 �Cctj E
That beotnnlng. ng an *It,
No. Portion of
Page I , dccordl� Lot 4, 31,�
foils 57 9 to 1w 4
0 and , the plat I Lake Balli
w 58 record .1.
S 3-51s: aeg' ' .,.-,r,o 4-ger
to th 30" W Inning at 3 Of Snoh r reoj,, '. La.1d C
the no Oml-h C Vd I., �-31 01. P1
a e Tru ' 'long th rthea ourr .., at
dista e poi e St y Ume .9 Subd
nt of 0, east I. CO." I 4a3hi of plat
north TcO Of 56.14 f 9Jnnj ne of I Or Of, _. ngtOn Ivl3lOn
r said 1.0 Said L I dl2scri � so on
line .00 feet ea 19 of thl t 4 Ot 4. ed
. a diata Of 3 de3cri I d di-C I tha.1c, 43
West I., nce t to an inter. -Cc dt�ojj. 4 ance of
the Said
11 5 or 11.3 Lot 4. CIO
ne, .41 Fee' thenc n W,th t: thence .1 3,ol,
Said L d di ' 0 feet t to a N 89.46, ..a . '32 fe
G. Stance or 36, at
143 ".9 41 the said an int 5,30,, W Guth 11 57,, V,
of 81.00 f Lot 4; th epiectl , alo, ne of
3arjeet to Incee S 89@45,3coe"t to an ence S �on Yll th 9 Said Lhe
d zouthea inte Do 14,33'. th south
;1. n
I nning east lin a t E, along rsect. a Last 11 ne
e, Corner said ""' with 'lang of
PA.qCEt a di stance 01, Of 311d' ,soutl' line t",e Said ea.
sout"' line 0'
4 35.()o ' Ot 4;
,eet to zh cn ' a Crluonce of
"",a the ce tr ). 51,30"
Su *,eat Olnoap,050 fe * at or TrUe Point of to
di 'I.,
n ;)4ge� I a'cor Lot 4, ajocr
.S; and rr 4 ' L k,
Q to the P"
Land CO
r'kCrPT the eaOld S �.r _
north 00 feet t f nt., _,I.h C 'r�ore 3 plat
hereof. nty, ad in
WaSAJ �'Olume 9 or
n9ton.
10(1427010
Div. 961 0
' �-W
fps. loor"
ED`jO`4OS-WAS"-"O2.
YCL
A
APR 5 1993
PERiwIT COUIVT.0
E
j
tl* : L
S
or
icies
f the
NOTICE OF EASEWJJT
AND
MAINTEIANCE ACREEP.-FlIT
TO ALL WHOM ThESE PRESENTS CONCERN:
Notice 13 hereby given that ALTAMAE hEfaiA;�NS, a3 ter separate estate, owner
Of the following described properties, Situated In the County or Snoho.11s,, State
of Washington, to ttits
!ARCEL I
The north 81.00 feet of the west 108-50 feet of Let 4, 8lock 4, Lake
Ballinger Land CO-'s Plat Subdivision No. 1
thereof recorded in Volume 9 of , according to t.%c plat
of Snohomish County, Washington. Plats, on pages 57 and 56, records
PARCEL 2
That Portion of Lot 40 Block 4 Lake Ballinger Lard CO.'s Plat Subdivision
"0- 1, according to the plat thereof recorded
Pages 57 and 56, records of Snohomish County, In Volume 9 Of Plats, on
follows: f)cginning at the northeast Washinqton, de!;cribcd as
Lorner of Said Lot 4. jilcric4.
t 5 3*5"30" W, d10119 the C-13L litic of Said Lut rl, dj�,' '
hence N 34,36157" W, a distaijcc of 56.14.rl ta-,v o r 1.'7. J., rt,,-
'et
South line of the north 61.00 I'vet a S.'(d Lot tIjrn,-c ,j
along said south 1111c, a distince of 113.41
the cast line of the west 108.50 feet Of said rect to all i"tcl-section wittl
Lut 4; thence 14 0* 1413C11 E
dlong said east line, a distance of 81.00 feet to an intersection with
the north line Of said Lot 4; thence S 39*45,301, [9 alon(I So
a distance of 153 . 53 feet to the point of bcginailiq. id north line,
PARCEL 3
That portion of Lot 4, Block 4, L:ke Ballinger Land CO-'s Plat Subdivision
NO- 1, according to the Plat ther Of reco:Jud In Voluj3c 9 OF plats,
Pages 57 and 58, records of Snohomish County, on
follows: Beginning at the northeast corner of WdsWngtrn doscrIbed as
'.3fd Lot 4; thence
S 31511301, W, along the east line of said Lot 4, a di-It--ce of 127.)2 feet
to the True Point Of Beginning of this description; thence t4 34*361571,
a distance of 56. 14 - feet to an Intersection with the South line of the
north 81.00 feet of said Lot 4; thence N E9*451301, w, along said South
line, a distance of 113.41 feet to an Intersection with tile east linc o�
the west 108.50 feet Of Said Lot 4; thence S C*14'30" W, along said east
line, a distance of 81.00 feet to an intersect:3n wItjj the south line of
said Lot 4; thence S 89045'30" E, along said south line, a distance ef
143-29 feet to the southeast corner of said Lot 4; thence N 3'51130" El
along said east line, a distance of 35.CD feet to the True Point of
Beginning.
EARCEL 1,
The west 108.50 feet of Lot 4, Block 4. Lake Ballinger Land Co..13 Plat
Subdivision No. It according to the Plat thereof recorded In volume 9 of
Plats. on pages 57 and 58, records of Snohomish County, Washington.
EXCEPi the north 81.00 feet thereof.
does hereby reserve and convey unto the ow . neC3p their heirs, successors, and
assigns, Of the her6lnabove described Parcels 1 and 4, and unto THC CITY OF Er'MONDS
and unto PUBLIC UTILITY DISTRICT No. I OF SnOHcmISH COUNTY, and unto CENERAL TELE-
PHONE COMPANY OF THE NORTHWEST, INC., a permanent ea5cmcnt for ingress and. egress
and for the Installations operatLong and maintenance of utilities,
across, through, and u' over, under,
of Snohomish, Pon the fOl lowing. de.3cri bed property, *Situated In the County
State Of Washington, to Wits
CITY OF FMIONOS
P- W- r- .......... R;NG DIV
8804270ing
L, 14�. 1 /- - - , page I of 2 paj,.,
/ IV,
�e ele 7
19
4'
7
7-
7
J
71
. j
The south . 15-00 feet Of the north 63.50 FCC'. of the west 55.DO feet
of.Lot 4, Block 4. Lake aalllnger Land Company's Plat Subdivision
No 1, according to the Plat thereof rCcordod In Vo lume 9 Of Plats,
On Pages 57 and 58, records of Snohomish Co,,.Ity, Washington.
and does hereby reserve and convey unto the Owners, thLir heirs, succeSsors, and
assigns, Of the hcreinabove described Parcels 2 �,rd 3, and unto THE CITY OF
EDMONDS, and unto PUBLIC UTILITY DISTRICT 14. 1 CF SN�-�CMISH COUNTY, and unto
GENERAL TELEPHONE COWANY OF THE NORTHIkEST, 111c., a Per,.ianent casement for Ingress
and egress and for the Installation, operation, and ,aintenance of utilities, over,
under, across* through, and upon thO I`0110%�ng described Property, situated in
County of Snohomish, State Of Aashl.1gton, tr
the
A strip of land, fifteen (15) fec-� wide, the centerlinc of wshich strip -
Of land 13 described as beginning at the nortlicast corner OF Lot 4,
Block 4o Lake Ballinger Land Company's Plat
d 5:, records -, %'Olum
according to the plat thereof recoeded Is Subdivision No.
17 an e !� of 1j'at,'
.1 g th east line of SnO-"OmI3h County on Par -es
on 9 Was:iington; thence S 3*51130" W,
Point Of Beginning o Of said Lot 4' a distance of 127 32 feet to the True
f the centerl1ne herein described*; hence tj 4036'57'-
a distance of 56.14 feet to an Inter3
t
north 81.00 feet Of said Lot 4* thencectlon With t"c 5011th line or tj.c
Line, a distance of 30.00 reet't e' N S9*45'30" 'N' 'j'OnV 5'"d SOLIth
described. 0 the terminus Of LML centerlino herein
Maintenance, repalrp and/or reconstruction Of any roadway, or utilities con-
structed or Installed upon or within the easement right of we) first he:cinabove
reserved and conveyed, shall be the rezponsibility Of and th,� costs of said nainten-
ance, repair, and/or reconstruction borne Jointly and equally by the owners, their
heirs, succe3sor3v and assigns, of the herelazoova described Parcels I and 4, and
maintenancet repair and/or reconstructIrn of any roadway or utilities constructed
or Installed upon or within the easement right Of wdY also hereinabove reserved
and conveyed, shall be the responsibility of and the Costs of Said n4lntcn4ncc,
repalrp and/or reconstruction borne Jointly jn*d equally by t,"c owners, their hc.:rz,
successors, and assigns, of the hereinabc,e describea Parcels 2 and 3.
In y This Instrument shall be a covenant running with the land and shall be binc-
9 p9V_the Parties hereto, their heirs, successors
. in dssign5, forever.
,e hereunto so, our sgnatures and scals this26 '6day
1963. -
7—
law
__ZrA . .. ...
Z
671. �htlzi
';.t"
szilllt�
INCTON)
'j
COUNTY OF SS.
%
On this day personally appcared before le ALTAMAE HERMANr4S, to me known
the Individual described In and who executed
and
to be
the within and foregoing inzZrumcnt,
acknowledged that She signed the same as her free
A for the uses
and voluntary a
and PurP03e3 therein mentioned. ct and deed,
MEN under my hand and official seal
C
this ddy of
MUD 4 2'1
..... .
CITY OF ED&IONDS
P. W. DEPT. ENGINEERING
:1 ft�'�
DIV. Notary �P.bli In and for the State of
By Ir Was hIngton, residing
r a
REMAnKSg
Page 2 Of 2 Pages
V0L1786P4cEj630
STREET FILE
t UTILITY EASEMENT
ffIL*1T,1
r-stf,�Ec
roven-sauerrand & W.; E: I E D 7
- 100th A
23106
Edmunds, Washirgon 93020
APR 0 5 1993
mrr and 1n Consideration of PERMIT COUNTER.
p
benefits to accrue to Grantor by reason
the 1n3tallatIon and Operation of
HOMES, INC., Of Utility Systems, the Grantor,
a Wd3hIngton' BL��QRINT
Corporation, Owner of the foll
properties, situated In the' Owing described
County of Snohomls.�, State Of Washington, to wit:
—PM—T—EL1
The north 81-00 feet of the west 108 * 50 feet of Lot 4, Block 4,.
Lake Ballinger Land CO.'s Plat Subdivision
the plat thereof r-- No I
orwed In Vol . , according to
and 58, records of SnohOMI3 ume 9 Of Plats ' on Pages 57
h County, Washington.
PARCEL 2
That Portion of Lot 4. Block 4p Lake Ballinger Land CO-13 Plat
g
Subdivision No. I accordIn to the plat thereof recorded In
Volume 9 Of Plats' on Pages 57 and 58, records Of Snohomish
County, Wd3hIngtO4, described as follows:
northeast corner Of Said Lot 4- Beginning at the
thence S 3051130,, W. Ong the
east line Of said Lot 4, J distance of 127.3
N 340161571, W, a distance of 56.14 feet to a " feet; thence
with the south line of the no n Intersection
thence N 89-45-30., rth a-',OO feet of said Lot 4-
Wo along said south line, a distance of'
113-41 feet to an Intersection with the e03 t line of the
West 108.50 feet Of said Lot 4; thence N 0-14'30" E along
said east llnep a distance of 81-00 feet to an Intersection
with the north line Of said Lot 4; thence 5 89-45-30" E,
a long Said north line, a distance 0
,of beginning. f 153,53 feet to the Point
PARCEL 3
That portion of Lot 4P Block 4 1 Lake Ballinger Land Co.,,
Plat Subdivision No. It according to the plat thereof recorded
In Volume 9 of Plats, on Pages 57 and 581 records of Snohomish
County. Wa3hingtont described as follows.
east Beginning at the
northeast corner Of Said Lot 4 thence S 3*51,30., W, along the
line Of said Lot 4, a dl3t'ance of 127.32 feet
Point of Beginning of this de3c to the True
riPtlon; thence N 34436-571, W
a distance of 56.14 feet to an Intersection
Of the north al 00 feet Of said Lot 4; With the 3outh,,Ilne
thence N 89045-30,-
along said 30Ut� line, a distance of 113.41 feet to an lnte;.
section With the east line of the West 108.50 feet of. said
Lot 4; thence S 0`14-30- W, along said east line, a distance
of 81-00 feet to an Intersection With the south line Of said
Ot 4; thence S
L 89845'30-1 E along said south line, a distance
If 143 29 feet to the 30Uti�a3t corner of said Lot 4; thence
N 3051: 30" E, along said east line, a distance of 35.00 t
to the True Point of Beginning. fee
PARCEL 4
The West 108.50 feet of Lot 4 Block 4, Lake Bal Inger Und CO.'s
Plat Subdivision No.
In Volume 9-1f Plats, on pages 57 and 58 1
County# Washington. 1, according to the Plat thereof recorded
records of Snohomish
EXCEPT the north 81-00 feet thereof.
does hereby reserve and convey unto
SNOHOMISH COUNTY - PUBLIC UTILITY DISTRICT NO-. L OF
, and unto GENERAL TELEPHONE COWAN
and unto W I ASHINCTON NATURAL GAS C ' ONP4NYP and unto V OF THE NORTMKST, INC.,
THE CITY OF EDMONDS, and
'Vo SALAM
VCL 1789PICE2537 -
Al
FILE
00
AP
1/0 R 0 5 1993
Cr3
or
C4
r0 ALL 114IN
No tj C A
cor e I
Pop, tion, hereb co"CIDN. 7
Coun t�'
Of S *ner en th
noho Of the . at at or.
0110101, n
e d
Of Cprs,
d P,
q'On' opertl
take "Ofth to es, 4,741
th 8alli 81.00 WI t. 31tu, ngto,
e Plat nger feet ted
and 5�9 thep, Land C,*f the the
*e' t JOS.
re, Of r 3 Plat S
OPd, Of eSC0,14d,'d
no 0.11" V ol Ubdivi S feet Of
that sh CO Ume 9 "on No. Ot 4
of P1 I .
,S(J6djPOrQo Unty' Wdsh at3 deco Ock 4
Oj visto n Of L Ingto;; on P'jg z'dj,q t
CO time .9 n No Ot 4 es 0
Un ty Of p * 1, , 82
no Jdta acco Ock 4
earth ' W'33hi
ea. t on roing ' take
3 119ton'. Pages to th .
N j4 t J, eorner , des, 37 C all,
ne 010 - or Plat nger L'
Saicirlbed and 5,9 the,e
With 'A6'571, said L 43 f and C
th the , 4 Ot 4 Ot 01101,, recOPd, or re 0. 3 PI
en, out a th 3 . Co4rde a t
e jP1, 1 3 t421' enc . a or S d 1
.41 fne 0 e 0 Stance e S .. eq, J70h n
west I fee e Of J.? 51—nninq omish
said 08.50 to an 4 04 1101, feet 7. 3z Jo" w - at the
ea. Fee ntep 3,1 00 to feet , ql,n
*I th the ;t III? t 0 ,,',see r, an I nte'fethe, 9 the
along no,: e, a on 301th eet 3 .., ce
Of b . said th I St t th th Jin 0
egin, n ne an 0, e Said t On
In Orth jIn or Ce , t e ed ' d di Ot 4;
of SJ ence N st 11 stInc
PA.9 e, $aid Lot -00 feet O*J4, ne of e of
_14�1 CC " dista, 4; to 30" the
3 Ce 0 thenc an I C' al
'A.t f J5.1 L S �99. j7ter3 Ong
PI, t Portio .53 fee 45,3,,, ec CIO,
In V, Subdivin Of t to th E
C' olume '71 'Ot e
ount Dj
no y .9 on No. Ock Pol" t
rthe , Pi
ed, d3t C n dt3 acco Ldk
t gton 1 0, I'd.1,9 -. 8.jI
POJ,tJJne Orne� , des, Pdges 57 to -the Ing,,. t
4 or or rib
.dj Of Be Said L said , ed a. fand 5,9 Plat thand Co
or Stan, ginnin Ot 4 Ot 4. OJI0 e"eof 3
the e I a d I th wa .1 reeo4rd
or 9 Of 13 Can 3 ree
01) nor th 56-14 this ence S* 8egi, OfSn arded
e'tj! Said 81.00 feet de3c Ce Of 3151, 301.ning at Ohomish
4 Wit Of, th re to "J'o tj 0 127.1" IV the
)t 40 h, 1, et Of an in te's 1)
thene the ne said ' then eet ' 444
,j a dista Lot . ect,on ce All to t4 9 th
.00 e S least 14*,,, e r.. e
4. feet O*J4, 14e nee th Wi th t 57,, e
I e
14 then to a h
3. R9 f� ce S a , ,, e *est -41 . -9.
51, e. tnjt0e'r' 4' Of th Of 11, ence , 9-45,3FUth III)
w
4 , Se no 10 lee- 1�"
730" t t ' 304 Otio Said 0.50 to a, W e
'1 0 the n Irl th f I P, - V
along east I eet of A�
've Ong Outh the Ina In tep f 71
.........
POI east
east
3out I a distance
n t or said 00 Said Guth Ine Said q-4 .
tne of
0'3 Said
nning 4'".. di.t4 d� a
n. to dis Ca
41
Of t 4. the nee
35.'00 nee
feet
page . J. of Pa
le
he
or
and
'licies
ent or
ligations
r policies
fault of the
PA
_RCEL 4
The west 108-50 feet of Lot 4, Block
Plat Subdivision No 4. Lake Ballinger Land Co.,s
. 1, accardIng to the Pla thereof recorded
9 of Plats on Pages
In Volume
57 and 58, rat
County, Washington. cards Of Snohomish
r. EXCEPT the north 81.0
0 feet thereof.
does hereby reserve and convey unto the owners, the
Ir heirs, successors,
and assigns, Of the hereInabove described Parcels 1, 2, 3, and 4, a permanent
Z 'easement for the Installation, operatlonj and maintenance of
a sanitary sewer
Pipeline, over, under,'acrOUP throughp and upon the following described
property
situated In
the County Of Snohomish. State of Washington, to wIt:
The south 10-00 feet of the nor-
116-00 feet of Lot 4, Block 4,
11dlIInger Land Co.'s Plat Subdivision
the Plat
No. 1, JcCOrdbiq to
thereof recorded In Volume 9 or Plats,
and 53, records Of Snohomish on
pages 57
County, Washington;
EXCEOT the
west 98.50 feet thereor;
4�
together with the further right to
remove trees, bushes, undergrowth, 'and
other obstructions Interfering with
the Installation, operation and/or
maintenance Of said sanitary sewer
Pipeline.
The
cost of ma lntenance, repair
or reconstruction Of any Portion Of the
sanitary sewer Pipeline used In
common shall be borne In eqval shares, except
that the owners of any lower Parcel shall
It
not be responsible for
maintenance, repair the Cost OF
or reconstruction
Of any Part of the sanitary sewer
Pipeline above their Point Of
connection to same. 'When necessary to maintain,
repair. clean or recon3 truct the
sanItar Y sewer Pipeline, the beneficiaries
of this Instrument shall have the
right of entry for such Purposes, Provided,
when entry 13 made to maintain-,
r
sewer Pipeline, 31A epalr, clean or reconstruct the sanitary
Ch work shall be
all Performed In a workmanlike manner with
reasonable haste and the Premises
shall be Promptly restored to Its
Previous condition as soon as 13
reasonably Possible.
This Instrument
shall be a covenant running with the land and shall be
binding upon the Parties hereto,
their heirs, success . Or3 and assigns forever.
In Witness whereof
we hereunto affix our signatures and seals
of rn lox
this '/"da
1983, A.D. y
BLUEPRINT H W S, INC.
T.
J, * :.� �,.` 1:5 17jFq
.7
Pdge-Z of 3 Pages
vat
RECEiv4
Critical Areas Checklist*
Site Information
MM,3 - 1993
KAMMG OWT.,
Project Name: - A 9 e
2, A,441,?-JeAl Permit Number
SitelLocation: L'MCA ;5,-M Property Tax Account Number.
Approximate Site Size (acres or square feet): Z(I�eb
Have you filled out a Critical Areas Checklist for a project on this site before?
General Site Conditions
1. Has the site been cleared or logged? Ile Date of most recent action:
Soils / Topography
AWR1e-14~ a"IMI
2- � In the Snohomish County Soil SurvM what is the mapped soil type(s)?
44,V.0 4414,QZ4X
3- Describe the general site topography. Check all that apply.
FW-.e Flat less than 5 feet elevation change over entire site.
Rolling: slopeson site generally less than IS% (a vertical rise of 10 feet over a
horizontal distance of 66 feet.)
ffilly: slopes present on site of more than 15% and less than 30% ( a vertical rise
of 10 feet of horizontal distance.)
I-,- Steep: grades of greater than 30% present on site.
Comments
*g�- A16,AA6X , 1.4* fle, 19AW AM
Hydrology/Vegetatiort
4. Site contains areasof year-round standing water: &
5. Site contains areas of seasonal standing water. AIQ —Approx. Depth:
6. Site is'in the floodway A10 floodplain----&Q—of a water course.
7. Site contains a creek or an area where water flows across the grounds surface? __bV flows
are year-round? _ALO - Flows are seasonal? WO
8. Site is primarily: forested meadow shrubs mixed
9- Obvious wetland is present.on site: HAQ
10. Wetland inventory or map indicates wetland present on site:
11. Critical Areas inventory or map indicates any Critical Area on site: MO
F-6f�--Gty. Use Only
City of Edmonds
Critical Areas Checklist'
-Me Critical An= Checklist contained an
this form is to be filled out by any person
prq)anng a Development Permit
Application for the City of Edmonds prior
to his/her submittal of a development permit
to the city.
Ile Purposcof 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 Cheeldist should be easily
available fiorn observations of the site or
data available at City Hall (Critical Areas
inventories, maps, or soil surveys).
A_u applicant. or his/her representative, must
fill out the choc4dist, sign and date it, and
submit it to the City. The City will revie-m
the cheddist, 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:
MAN, ""'Marx
Title
6 7
SOW Address
City, State, Zip
776. ;�4 Phone
Signature
Date
Applicant Representative:
I
Name
Title
Street Address
,-Akrizao, x1.4 mle,7
City, State, ZIP'
Phone
Signature
Date
The City of Edmonds Side Sewer Drawing EASEMENT NO . ............................................
NEW CONSTRUCTION REPAIRS F� LID NO . .................. . ASMT. NO . ..................
-A)rc- 1. -
OW-NER ................................................................................................ CONTRACTOR .................................................................................... PERMIT NO. (�W 7-
- ......... 14 ----- 4jC—.-..\A/ ------ LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . ....................................
JOB ADDRESS ........... . .....
NAMEOF ADDITION ............................................................................. ----------------------
V "I,
LL
c- �Nz) a- \-3 S j �--. �Z- 0 �
PWW.0001-1 1/75 (REV.1 1/78)
Approved:
....... By .........................
DATE ...... ........ 0;�: .....