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23905 HIGHWAY 99.PDF11111111111111 14078 23905 HIGHWAY 99 o ocoy- -e v v i 4AA�V& C4 fz-� RECEIVED SEP 2 9 2005 DEVELOPMENT SERVICES Ck LA\/ 1,,Q � a c P141.u,(�,� ar- W-4-LArcw*,O +kA wvig- A, 0-," 4a. STREET FILE I City . 'of Edmon s.,. 'Date Received: 619-4104 M 'Development Services Department. City Receipt e 'Planning Division Critica.1 Areas Fil M Phone: 425.771.02�O Critical* Areas Chlec:kfiii Mailed t Appliqan., Fax: -'425.771.0221 The Critical Areas Checklist contained on this form is to be filled out by, any person preparing a Development Permit Application f6r the City of Edmonds prior to his/her submittal of the application to the City. The purpose of! the Checklist is to enable City sta I ff to determine whether any potential Critical Areas are, or may, be, piesent:on the subject property. The information needed to completo 'the Checklist should be easily available from observations of the site or data available at City! Hall (Critical areas 'inventories, maps, or soil surveys). A property owner, or his/her'authofized representative, mu , st fill out,the checklist, sip and'date it,:and �ubmit it to the City. The City �villrevie,�r the'checklisti'mak6 a precursory site visit,',and make a determinatio of the subsequent steps necessary to complete a development, permit application. Please subm it a vicinity map, alon with the,sigpr4zopy 9 of this form to. assist City staff in finding and 166atin the' 9 - specific piece of property described on. this fOrm., - In addition, the 'applicant shall include"J other, pertinent etc.).; or'. information (e.g. site plan, topography map' studies in con unction with �his Checklist to assistant, staff , j I ' ' J ­ 1; in completing their preliminary assessment of the�`site. The undersigned applicant, and his/her/its heirs, and assigns, m—consideration. on the processingbf the Application �agrees I . I it to release, indemnify, defend and hold the City of Edmonds harmless ftom any and all damages, including reasonable attor�iey's fees, arising from any action or infraction, based in whole or 'art upon false, rmlisl�ading; ma i ccurate -or p incom�fete information flimished by the applicant, his/h�er/its agents or employees. By my signature, I certify that the information and exhibits herewith submitted are true and correct to the,best of in knowledge and that I am authorized to file this application on the behalf of thelowner as listed below'. SIGNATURE OF APPLICANVAGENT DATE Property Owner's Authorization By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use a �ipation, PrOP4 ,f taff of the City of Edmonds to. enter the subject, or and grant my permission for the public officials and the s purposes of inspection and po dant to this a ation. Y,� SIGNATURE OF OWNER DATE Applicant Representative: Sftpet,A,ddress C 'Ify, State Zip Telephone:_ t7t-'1_;x_ Email: dress (optional): Critical Ardas Checklist-doc/4.22.2003 Ir WPM, E CA File No: Critical Areas Checklist SA61Afdrmation (soils/topo a phy/hydrology/vegetation) Site Address/Location: r69 2. Property.Tax Account Number: 3. �kppro x1imate Site Size,(acres or square feet): 4. Is ihis!'site currenily:developed? es; no. 4y IfYeghlowis.site'developed? hy. Check all that apply. 5.1 Describe the general site topograp, 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-f�et). Hilly: slopes present on site of more than 15%'and less, than 30% (a Vertical rise of 10-feet over a horiiont�d distance of 33 to 66-feet). Steep: grades of great�r than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (�lease describe): 6. Site: c�ontainsar . eas of year-round sianding water: A��, prox. Depth: 7. Site contains areis of seasonal standing water: Approx. Depth: What s6son(s) of the year? Site I's in the flo*od'way. z61-2 floodplain of a water course. Site contains a deek or an area where water flows across the grounds surface? Flows are year*-ro u�nd? Flows are seasonal? (What time of year? 10. Site is primarily: 'forested meadow ;shrubs mixed urbah landscaped (lawn, shrubs etc) 11. Obviouswetland is present on site: For City Staff Use Only Jai- Plan'Check Number, if applicable? Site Zoned? C Ls Vr6 SCS mapped soil.type(s)? I -Of 7 �4del-�,rdrd tA,,,d (4 �v % 51o, ej 4' Criti�al Areas inventory or C.A. map indicates Critical Area on site? /V6A(!. subsidence landslide hazard area? A/0 Site within designated earth D ETE INATION RM ST; WAIVER _U _,PXJK�QUIREDI . "Date: 9—Titi 6ecikiistdoc/4.22.2003 r 1 5, V-�� A M .-A ff -'L�� 4m 7 BARBARA FAHEY MAYOR CITY OF EDMCKRET ADOMS FUl PUBLIC WORKS DEPARTMENT - 7110 — 210TH ST. S.W. - EDMONDS, WA 98026 (425) 771-0235 - FAX (425) 744-6057 - E-MAIL: k1ein&i.edmondsma.us WEB SITE: www.d.edmondsma.us June 7, 1999 Mr. Chung Kuosheng 23905 Highway 99 Edmonds, WA 98026 Subject: Water Leak Credit #5-00125 Dear Property Owner: I have reviewed your account and will allow a credit for the billing period between February 17, 1999 through April 15, 1999 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 Denise Burke, Utility Billing Clerk, at 771-0241. Sincerely, 0-- e�l Jim Waite Water/Sewer Supervisor JW/lk cc: Denise Burke Utility Billing Clerk wordata\water\credit99\#500125 0 Incorporated August 11, 1890 9 Sister Cities International — Hekinan, Japan mR.JIM WA)Tek PUBL I C U T-r I L I TY 71/ 0 2 1 Ost. 5 V� EDMONDS,, wA c?EO.26 4-e� J,�, : KUOSHEt�G CHUAWC-T 37r. FI?Af4CGS MOTE:j �23?OL,5 HYVY c?q EDMONDS-> WA '78026 C*25) 779 — c4e?(o _.,7,6 a-�� 6� M4,L f &I- -P�� 2/,(7/9,? -1- -Txaln,k Y4,t4- ! Acr-&u,.YLt tvo: 0 , A3-- C- A-k1c,-J re A ct-j` y014 1�ee c COMMUNITY SERVICES DEPARTMENT CITY OF EDMONDS "'EET RLE BUILDING DIVISION STREET FILE 4 DATE: 1W­ TO: FIRE DEPARTMENT ENGINEERING DIVISION C PLANNING DIVISION —/3'ZUC4- SUBJECT: S/ hwlrui Aak/ - 23 9W-1- 1111A�IL,12 ft PERMIT: _1�4411,le 401.s A- AAR A' Please review and advise any outstanding requirements on the above permit, in order that they may -be given final approval and a Certificate of Occupancy issued. Hal Reeves Building Official HR: j lg r� 0 City of Edmonds Building Division, 250 - 5th Avenue North Edmonds, Washington. Dear S,ir or Madam: Woodlot Stove & Satellite Co., 23710 - Highway 99 Edmonds, Washington October 31 1 1985 BUILDIN# NOV 4 - 1985 This letter is to inform you, that the Satellite Dish, at the St. Francis Motel, will be as far east as possible, to receive the minimum stations of Satellite T.V. The diagrams should show you where we are going to install. Thank you for your cooperation. Yours truly, Tony tewart r 10 Manajer Woodlot Stove & Satellite Co. SUBJECT 1;71-a 1, /c (0--) 22 ?"; 7, 5 — D AT E -//- 0'-S- /�;We4� I;P&kl 151ue�e- 10414-tta Alte, 11te 6-47� ///� e dl a/ /f 1�61al dtdC /M,/ W41 Ae, d -s k 0AI At 4&1;0j,4lM /� //,W. �, 7011 llvdWl- / /Q[fA/ 14�11. yott Wdod 11A� 1; A(ow �G BYJ;;"4iA—e- TOPS V FORM 1232 (umm aL (BRIDI-mg) ngpm�v w) LITHO IN U.S.A. TO SUBJECT 44 & k lvwd& M/-5- 6L��e4 156) Il- 06 1/0 'to C) -15 CIE, DATE 65-17- e�5- Mo,JC-, --IF46 D/15�-/ --ro &c) -T-b BY � (� TOPS V FORM 1232 (UERML MEMO 22TTV 00 LITHO IN U.S.A. 6 0 CITY OF EDMONDS LARRY S. NAUGHTEN MAYOR 250 51h AVE. N. - EDMONDS, WASHINGTON 98020 - (206) 771-3202 BUILDING DIVISION June 20th, 1985 St. Francis Motel 23905 Highway 99 Edmonds, Washington 98020 RE: Permit Application . Satellite Dish The City of Edmonds is in receipt of your ap plication for a satellite dish permit at 23905 Highway 99. After completing a field inspection of your satellite our inspector has found that you have illegally installed the satellite without first obtaining a permit. The field inspection also determined that your estimated front and side setbacks are incorrect. The area in which you are zoned allows for a 15 foot front street setback and a 5 foot side setback. The field inspection determined that the existing dish exceeds into both setback requirements. Your only alternative is to apply for a variance to allow for the satellite to remain within the setback area. Please find enclosed a variance application. 11ote the fee of $125 dollars which covers the application only. You must meet all the variance criteria, please call Duane Bowman if you have any questions at 771-3202. z�&annine L. Grai� Permit Coordinator Enclosure JLG: iwm KI APPLICATION CARD No . .. ..... ......... ... for The City of Edmonds _!5-oo —co ��oo SIDE SEWER PERNff EASEMENT No . ...... ................. ... .. .... .. . 4L4, OUTSIDE INSIDE 13 REPAIRS 0 A/ .4- 1 OWNER __ HOUSE No. .......... d� A ................ _ .................... CONTRACTOR ........... -f ­4:::�� ..... I --- I ...... ............... PERM:rrNo STREET 23 3 � 0 4' - //, - .............. ........... ........ .. . . ...... ......... ................. B .................... .... ......... .......... ................................... AVENUE LOT No. LOCK No. NAME ADD ................ ........... .. ...... ...... ... ....... ... ............... i uj /Ve Z-j �v y �� I Date Approved: BACKPILL WORK ORDER ISSUED .......... ........... ..................... DEPOSIT, $ ........................ .............. .............. SEWER WORK ORDER ISSUED ... ..... ............................... DATE: .... ..... y ... ... ... . ...... .. I ...... ...... ...... ......... . ......... - . ........ -1 OV EDV CITY OF EDMONDS 121 5T H AVENUE NORTH - EDMONDS,WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 SC)IJ *PERMIT MUST BE POSTED ON JOBSITE* STATUS: ISSUED ENG20070434 SIDE SEWER PERMIT (3-Coniniercial) Permit Number: ENG20070434 Expiation Date: 11/28/2007 Job Address: 23905 FUGHWAY 99, EDMONDS ROT 0 ROOTER ROTO ROOTER 8015 BROADWAY AVE STE 3 8015 BROADWAY AVE STE 3 EVERETT, WA 98203 EVERETT, WA 98203 206-391-2889 LICENSE#: ROTORSCI 22BR EXP: 4/3/2008 Y N JOB MSCRIPTION JREPAIR P N PROPOSE TO REUSE LATERAL LID NUMBER-- CRI`NDER PUM N I PROPOSE TO REUSE SIDE SEWER SIDE SEWER REPAIR • • EASEMENTINFORiMATION I PROIECT CROSSES OTHER PRIVATE PROPERTY VERIFICATION OF RECORDED EASEMENTS COMPLETE lArDEMATTY- The Applicant has signed an application which states helshe holds the City ofEdmonds harmlessfrom injuries, damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may he made against the City ofEdmonds or any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and atiorneyfees by reason ofgranting this permit. CALL DIAL -A -DIG (1 -800-424-5.555) BEFORE ANY EXCAVATION CALL FOR INS PECTION (425) 771-0220 EXT. 1326 24 HOUR NOTICEREQ UIRED FOR ALL INSPECTION REQUESTS THIS APPLICAT10N IS NOT A PERMIT UNTIL SIGNED BY THECM ENGINEER OR HIS/HERDEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN SPACE PROVIDED. RELEASED BY R FILECOPY �< INSPECTOR COPY Printed: Tuesday. AuRust 28. 2007 F-] APPLICANTCOPY STATUS: ISSUED ENG20070434 • Refer to City of Edmonds Side Sewer Information handout for approved pipe materials, inspections and other requirements. • A 6" cleanout with 12" locking cast iron lamphole cover is required at the property line. • Maintain 10'separation between the sanitary side sewer and the water service line. * None PARTIAL INSPEC710N DATE: INITIAL: NOTES: PARTIAL INSPECTION DATE: INITIAL: NOTES: FINA L INSPECTION APPROVED DATE: INITIAL: