23927 104TH AVE W.PDFa
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STORM DRAINAGE REPORT
NELSON SHORT PLAT
23927 104'h Avenue West
Edmonds, WA
PINNACLE ENGINEERING PROJECT NO. 97029
0
Prepared for:
Jim Nelson
Preview Properties
1222 N. 185h, Suite 102
Seattle, WA 98133
Prepared by:
Pinnacle Engineering, Inc.
11100 NE 8h Street, Suite 3 5 5
Bellevue, WA 98004
October 10, 1997
10/V�7
I EXPIRES 10/19/ cj7 -1
200�
0
EXISTING SITE CONDITIONS
The subject property is,located at 23927 104'h Avenue West and is comprised of
approximately 0.60 acres. The property is currently developed, consisting of a single-
family residence. The site is bound on the North, East, and South sides by single family
residences and on the West side by 104th Avenue West. Vegetation is mixed with
scattered evergreens and brush, a grassed rear yard, and a gravel driveway in the front.
The site slopes mostly west and southwest at slopes averaging 2.9%.
EXISTING DRAINAGE
Drainage presently sheetflows following existing topography. There is no apparent
drainage system along the frontage of the pr�
Oth tPerty. The nearest drainage system appears
at the intersection of 24 Place SW and 104t Avenue West.
PROPOSED USE
The site will be developed into 3 single-family lots. Runoff from the lots and driveways
will be conveyed to individual infiltration trenches sized for the developed runoff from a
1 0-year design storm. Infiltration rates were obtained ftom Advanced Drainfield Systems
(see Appendix).
APPENDIX
10/ 9/97 0""?innacle Engineering Inc. AIN page
NELSON SHORT PLAT
BASIN SUMMARY
BASIN ID: D10
NAME: 10 YEAR
STORM - DEVELOPED
SBUH METHODOLOGY
TOTAL AREA .......
0.18 Acres
BASEFLOWS: 0.00 cfs
RAINFALL TYPE ....
TYPElA
PERVIOUS AREA
PRECIPITATION ....
2.00 inches
AREA..: 0.13 Acres
TIME INTERVAL ....
10.00 min
CN.... : 86.00
TIME OF CONC .....
9.96 min
IMPERVIOUS AREA
ABSTRACTION COEFF:
0.20
AREA..: 0.05 Acres
CN.... : 98.00
TcReach - Sheet
L: 70.00 ns:0.1500 p2yr: 1.30 s:0.0290
PEAK RATE: 0.04
cfs VOL: 0.02 Ac-ft TIME: 480 min
PA
r i
FROM ADVANCED DRAINFIELD SYSTEMS PHONE NO. : 745 2766
N -3 I\v
Sep. 15 1997 05:44PM P2
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STORM DRAINAGE REPORT
NELSON SHORT PLAT
23927 104'h Avenue West
Edmonds, WA
PINNACLE ENGINEERING PROJECT NO. 97029
Prepared for:
Jim Nelson
Preview Properties
1222 N. 185fl, Suite 102
Seattle, WA 98133
Prepared by:
Pinnacle Engineering, Inc.
I I 100 NE 8h Street, Suite 3 5 5
Bellevue, WA 98004
October 10, 1997
Is
N IVAL
_�4 1 -7
I EXPIRES 10/19/cl-7
EXISTING SITE CONDITIONS
The ' subject property is located at 23927 104th Avenue West and is comprised of
approximately 0.60 acres. The property is currently developed, consisting of a single-
family residence. The site is bound on the North, East, and South sides by single family
residences and on the West side by 104th Avenue West. Vegetation is mixed with
scattered evergreens and brush, a grassed rear yard, and a gravel driveway in the front.
The site slopes mostly west and southwest at slopes averaging 2.9%.
EXISTING DRAINAGE
Drainage presently sheetflows following existing topography. There is no apparent
drainage system along the frontage of th - e property. The nearest drainage system appears
at the intersection of 240'h Place SW and 100 Avenue West.
PROPOSED USE
The site will be developed into 3 single-family lots. Runoff from the lots and driveways
will be conveyed to individual infiltration trenches sized for the developed runoff from a
W-year design storm. Infiltration rates were obtained from Advanced Drainfield Systems
(see Appendix). MC'h%V".O-* �—
, P9,
r
12
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41k
APPENDIX
10/ 9/97 einnacle Engineering Inc. page
NELSON SHORT PLAT
BASIN SUMMARY
BASIN ID: D10 NAME: 10 YEAR STORM - DEVELOPED
SBUH METHODOLOGY
TOTAL AREA ....... 0.18 Acres BASEFLOWS: 0.00 cfs
RAINFALL TYPE .... TYPElA PERVIOUS AREA
PRECIPITATION .... 2.00 inches AREA..: 0.13 Acres
TIME INTERVAL .... 10.00 min CN.... : 86.00
TIME OF CONC ..... 9.96 min IMPERVIOUS AREA
ABSTRACTION COEFF: 0.20 AREA..: 0.05 Acres
CN.... : 98.00
TcReach - Sheet L: 70.00 ns:0.1500 p2yr: 1.30 s:0.0290
PEAK RATE: 0.04 cfs VOL: 0.02 Ac-ft TIME: 480 min
V
tzg-10-97
M�irnel Homes
SL 1 0-2611 brown very gravelly loamy
medium sand
26-3311 brown gravelly medium sand
33-3611+ sand & gravel, coarse
p > 1 min/inch
SL 2 0-1911 brown gravelly medium sand
19-2411+ sand & gravel, coarse
p > 1 min/inch
SL 3 0-1911 brown very gravel ly medium
sand
19-3611+ coarse sand & gravel
p 3 > 1 min/inch
SL 4 071011 brown very gravelly medium
sand
10-3611 coarse sand & gravel
p 4 > 1 min/inch
ADVANCED DRAINFIELD SYSTEMS
Dale Esnough
P.O. Box 2614 745-2766
Lynnwood, WA 98036
LOT C--
La 5 --
LOT R
LOT Flk
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PAGE 02
Plan Chock#: 98-99
City of Edmonds
Plan Review Coffections
Date: April 16,1998
Project Name/Addr"*: King SFR 23925 - 104dAve. W.
.
Contact Person/Address: King Construcdon 129 - 2441h St. S.W. Bothell, WA 9M
Reviewer- Go* HydeqO Department: Engineering
In order to complete your construction permit application, the following should be submitted to the
permit coordinator :
1) Short Plat 97-84 utilized infiltration trenches for storm water. The trenches were designed for 2200 sq. ft.
of impewious area. This proposal is for approximately 2600 sq. ft. of roof area plus approximately 450 sq.
ft. of driveway. Infiltration trench needs to be re -sized accordingly.
2) Show how driveway will dmin to infiluation.
If you have any questions, please feel free to call we at 771-0220.
DATEFAXED_ (Aftub f&x trsusmittal) I PAGE OF
05/01/1998 05:01 169-485-2860 HD KING CONST PAGE 03
. Is
861
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12'H FRAME
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�OT C
'LOT B
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12-H Ic
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26'" # "Vk
14
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w AME & GR)�TE
RIM 299.00 L 11-H
IE 96.W— 5'.*--\
L
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301.20' OOD
F- JCE
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.30[F INFILTRATION TRENCI
TRENCH W/ Go PERF.
PVC.
PVC. 6" CLEAl
6' CLEANO(JT TO GRAC
TO GRADE IE-299.0
SILT IE=296.00
FENCE
01
AFrER RECORDING MAIL TO:
Pro Escrow, Inc.
1222 N. 185th Street
Seattle, WA 98133
Filed for Record at Request of
Pro Escrow, Inc.
EscrowNumber. 4368
SPECLAL POWER OF ATrORNEY
(SALE)
Grantor(s): JOHN L. NELSON
Grantee(s): JAMES L. -NELSON
Abbreviated Ugak LOT 9, RICHMOND VILLA TRACTS, VOL. 13, PAGE 77
Full Legal Description on Page 2
Assessor's Tax Parcel Number(s):
V E D
MAR 2 7 1998
_EF
Cf)t)NT;:H-
1, JOHN L. NELSON
hereby appoint JAMES L. NELSON
as my true and lawful attorney for me and in my name and stead, and for my use and benefit to bargain, sell,
contract to convey, or convey any and all right, title, interest in and to the following described real property:
See Attached Exhibit "A'
Together with any personal property located thereon.
Giving and granting unto my said attorney in fact full authority and power to do and perform any and
all other acts necessary or incident to the performance and execution of the powers herein expressly granted
with power to do and perform all acts authorized hereby-, as fully to all intents and purposes as the Grantor
might or could do if personally present.
This Special Power of Attorney will cease and be or no further effect after the day of
19 or six (6) months from the date hereof, whichever first occurs.
WARNING: This power of attorney will result in D. t day of May-41
another person having full right to sell you property. ILTPA-1,
It is recommended that you obtain counsel from your ;UL" NELSON
attorney prior to execution of this document. I
STATE OF WASHINGTON
COUNTY OF KING
I certify that I know or have satisfactory evidence thatJOHN L. NELSON
Is the person who appeared before me, and said person —acknowledged that he
signed this lnstrum(Fnt —and acknowledge it to be his free -and voluntary act for the uses and
purposes mentioned In this Instrument.
Dated:
%% TEFX'V BERKLEV
010Tpily %
Notery Public In and for the State of WASHINGTON
Residingat 925 NORTH 88TH STREET, SEATTLE WA 98103
My appointment expires: FEBRUARY 28, 2001
PUBUC
Page 1 LPB-70
0
EXHMIT"A"
LOT 9. RICHMOND VILLA TRACTS, AS RECORDED IN VOLUME 13, PAGE 77, . RECORDS OF
SNOHOMISH COUNTY, STATE OF WASHIINGTON.
Page 2 LPB-70
ILE
JAN -5 cop 1�
5TORM DRAINAGE REPORT
KING SMOR-1-PLAT - LOT D
Edmonds, WA
PINNACLE ENGINEERING PROJECT NO. 98023
Prepared for:
H.D. King Construction Co.
129 — 244h SW
Bothell, WA 98021
Prepared by:
Pinnacle Engineering, Inc.
11100 NE 8th Street, Suite 3 5 5
Bellevue, WA 98004
September 23, 1998
M
I EXPIRES 10/19/qj
eta
fty
EXISTING SITE CONDITIONS
The subject lot is located at 23927 104'h Avenue West and is comprised of approximately
0.19 acres. The lot is currently undeveloped. The lot is bound on the North, East, and
West sides by single family residences and on the South side by the recent constructed
Lot C. Vegetation is mixed with scattered evergreens and brush. The site slopes mostly
west at a slope of approximately 3%.
EXISTING DRAINAGE
Drainage presently sheetflows following existing topography. There is no apparent
drainage system along the frontage of the property. The nearest drainage system appears
at the intersection of 240ffi Place SW and 104 Avenue West.
PROPOSED USE
The site will be developed into 1 single-family lot. Runoff from the rooftop and
driveway will be conveyed to individual infiltration trench sized for the developed runoff
from a 25-year design storm. Infiltration rates were obtained from Advanced Drainfield
Systems (see Appendix).
6,Dp,c- e- f,)
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3-7 A-5
174-5
4 9 Is = if wall WW48KP���
TO 39Vd iSNOO ONIA CH 098z-sev-69T SZ:VT 866T/80/60
EXISTING GRADE
3/4'-1 1/2'-
WASHED ROCK
BACKFILL
'vlSCXJEEN
6"0 PERF. PVC
nc:) oc
6�9 C)
6' NATIVE BACKFILL
2'- 2'
ool(r,o
)60
L 4
3'
INFILTRATION TRENCH
N. T. S.
APPENDIX
STORMWATER MANAGEMENT MANUAL FOR THE PUGET SOUND BASIN
r
ON
0
50
C *11-11111-Iff
45�
3
25 -25
CENT
4 20
YAKi
10
3
20
45'
M 15
35 3 !ADA..z
46 7�-
45,
3 25
WASHINGTON
10 0 10 20 30 40 PPL —�Geq N E
Figure 25 — — MILES 20 r
fill NOAA ATLAS 2, volume ix
ISOPLUVIALS F 2-YR 24-HR PRECIPRATI N IN Prepared by U.S, Department of merce
TENTHS OF A INCH N:tionai Oceanic and Atmospheric ministration
N tionsi Weather Servic'11, Office Of Hydrology
Prepared for U.S. Department of Africulture,
Soil Conserve ion service, Engineerng Division
124 123 122 121
111-1-44 FEBRUARY, 199-2
49
124 123 1'2 2 121
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ISOPLt LS OF 25-YEAR 24-HOUR
PRECIPITATION IN TENTHS
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WASHINGTON
OF AN IN CH
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10 0 10 20 30 40
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119
118 0 117
124— 122
123 121
9/23/98 9:26:14 am Shareware Release page 1
KING SHORT PLAT
BASIN SUMMARY
BASIN ID: D25 NAME: 25 YEAR STORM - DEVELOPED
SBUH METHODOLOGY
TOTAL AREA ....... 0.19 Acres BASEFLOWS: 0.00 cfs
RAINFALL TYPE .... TYPE1A PERV IMP
PRECIPITATION .... 2.50 inches AREA..: 0.12 Acres 0.07 Acres
TIME INTERVAL .... 10.00 min CN .... 86.00 98.00
TC .... 13.28 min 5.00 min
ABSTRACTION COEFF: 0.20
TcReach - Sheet L: 102.00 ns:0.1S00 p2yr: 1.30 s:0.0300
PEAK RATE: 0.06 cfs VOL: 0.02 Ac-ft TIME: 480 min
a
. ! D 9 -Ir pr,\/ E [�'). - --. . -
Ed WdVP:SO L66T ST -daS 99LZ GVL 3NOHd SW31S�,S G-13IiNIU8G G33NUnGd : W083
M8rnel Homes
/— Lo., -\>
SL 0-2611 brow very gravelly ioamy
medium sand
26-3311 bro n gravelly medium sa
33-36"+ sa d & gravel, coarse
p 1 > 1 min/in:h
SL2 0-1911 orow) gravelly mediwm san
19-24"+ said & gravel, coarse
p 2. > I min/in F h
SL 3 0-191, orowli very gravelly mediu
sand
19-36"+ coarse sand & gravel
p 3 > 1 min/in�fi
SL4 Orio" brown very gravelly medi:
sand
10-361, coarse sand & gravel
p 4 > I min/inch
ADVANCED DRAINFIELD SYSTEMS
Dale Esnough
P.O. Box 2614 745-2766
Lynnwood, WA 98036
9-10-97
ci
AVZ-E5- St
127 1
6100 '-2
U 5 V-4 0,00040-,,
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299. 20
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TRENCH W/ 6' PERF.
PVC.
6' CLEANOUT
TO GRADE
IE-296.00
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IE-299.00
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6f E oncis
RIGHT-OF-WAY CONSTU'UCTION
PERMIT PermitNumber:
I" 7-i
/17 C.
A. Address or Vicinity of Construction:
40 a
B. Type of Work (be specific): (EL41('y,
C. Contractor:OL440.04 �g4(14zg -�,4�;�.Contact:
Mailing Address: jf52
Phone:
State License #:
D. Building Permit # (if applicable):
L&sueDate: Clf-1411—
1=12-11,19FEW-5111 W10' N
Ap. a
Liability Insurance: Bond: $
Side Sewer Permit # (if applicable):
E. E] Commercial []Subdivision 0 City Project Utility (PUD, GTE, WNG, CABLE(IETIE3i
E] Multi -Family [:] SinglS Family Other
INSPECTOR: WNSPEC517AR: 964 W-
F. Pavement or Concrete Cut Yes �QNO G. Size of Cut: — x H. Chargo�_$
APPLICANTTOREAD - DSIGN
INDEMNITY.- Applicant understands and by his signature to this application to hold the City of Edmonds harmlessfrom injuries, damages, or claims ofany
kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or
employees, including or not limited to the defense of any legal proceedings including defense costs and attorneyfees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC-
TION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREETPATCHIS COMPLETED
BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT
Two sets of construction drawings of proposed work req'uired,with perm . t application.
A 24 hour notice is required for inspection. Please call the Engineering Vision, 771-0220.
Work and material is to be inspected during'progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer.
All street cut trench work shall be,,patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
I have read thql'a',bove statements and understand the permit requirements and the pink copy of the permit will be
available on si�e 'at all t' fi 'ns ' purposes.
O'e 1 es 67 r
)V
A 7 A,10A(
Signat�ure: A-. IV I I I AA11U ALI I Date:
((70hti6M� or Sgdnt)
RIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: NJ
TIME AUTHORIZED: VOID AFTER DAYS
SPECIAL CONDITIONS:
RIGHT OF WAY FEE:
DISRUPTION FEEIFUND I 11:
RESTORATION FEE:
T OTAL FEE:
00
RECEIPT NO.:
ISSUED BY,:,
A
NO WORK SHALL BEGIN PRIOR W-PERMIT ISSUANCE Eng. Div 1997
FIELD INSPECTION NOTES '(Fund 111 Route copy to Street Dept.)
Comments:
Diagram.:
CONTRACTOR CALLED FOR INSPECTION El YES 'NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
�z�z�- Wlr��rt-J&Gq:�
OL-64pi�-- V(6� k4RF D�r
405 774 -?74�q
03-e�2,E� qe
01
OM�RHGAJD P/P/C- -T-t4'(:S -Slb!�7
5)Hi- _DMIC4 ov-:3H.I-X�c
71 �3NV ��Vc)�
I
J�G �j" )Vq�
7 -ZT-
-17 �4, -7 7-
I
9P
8 9 0 -10 -
'6ty of Edmonds
RIGHT-OF-WAY CONSTRUCTION
PERMIT ber.
Permit Num
A. Address or'Vicinity of Const
B. Type of Work (be specific):
f IC-t ki C N r)
C I . Contractor: -">NO'4 &-4640NTY Contact: IDA V I
7
Mailine Address* x Phone:
State,License#: eve(ee-r-r,'WA'. 94�
D. Building Permit'* (if applicable):
Liability Insurance:
Issue Date:
xkcorl
. -cm FX157-v
Bond: $
Side Sewer Permit # (if applicable):
E. E] 'Commercial Subdivision F1 CityProject '6 Utilit�, �UGTE,WKG, CABLE, WATER)
n Multi-Farnily Single Family n Other
. I INSPECTOR: I INSPECTOR:
Pt-,q 7-
F. Pavement or Concrete Cut: - 0Yes /NNo G. Size of Cut:. x H. Chargq_$
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City ofEdmond8 harmless from injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against th� City of Edmonds, or any of its departments or
emplo I yees, including or not limited to the defense ofany legalproceedings including defense costs; and attorney fees by reason ofgranting thispermit.
W'
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLO G THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE I�INAL STREET PA TCH
IS COMPLETED B Y CITY FORCES, A T WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing* of proposed work required with permit application.
A 24 ho . ur notice is required for inspection; Please call the Engineering Division, 771-0220..
Work and material is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
Ihave read the above statements an nderstand the permit requirements and the pink copy of thepermit will be
available 7okat all titnes flo inspe ton ses.
I ),.,_ n - / 5 - LL3
1. 9
Sighatur Date:
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
'APPROVED BY:
'TIME AUTHORIZED: VOID AIUXR DAYS
SP I ECIAL CONDITIONS: NA.
COMMENTS:
DATE:
RIGHT OF.WAY DEPOSIT
DISRUPTION FEE/FUND Ill:
RESTORATION FEE:
PERMIT FEE.
TOTAL FEE: co 00
RECEIPT FEE:
ISSUED
NO WORK SHALL BEGIN PATQI�,TO PERMIT ISSUANCE
Eng. Div. 1994
FIELD INSPECTION NOTES
Comments:
Diagram.:
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P.W.:
Work Disapproved By:
FINAL APPROVAL BY:
(Fund 111 - Route copy to Street Dept.)
M YES
Date:
Date:
rm
JWI�-.4,COL)NTY-*
SNIC&HOM
P PUBtIC UT
LIBLIC UTILITY DISTRICT. NO. I
PERMIT REQUISITION
work order #302280
Requested By: GARY MCLAURY
TASK # 04
Phone: 514-5628 Date: 9-5-98
Jurisdiction issuing permit: (specify)
CITY EDMONDS
COUNTY
STATE AGENCY
OTHER
Type of Permit Requested: overhead Underground
Description of Project / Activity.:
900.v TI AVE W THE N TRENCH IN RIGHT OF WAY TO
TO -94� BORE 104
PLAT OF KING SHORTPLAT AT 23927-104 TI AVE W, EDMONDS
R/W Frontage (lineal feet)
Customer H DALE KING
Property Address 23927-104 T11 AV W, EDMONDS
Section 36 Township 27 Range 4
CONSTRUCT -ION: Estimated Start date 9-28-98
# of days to complete I
Estimated cost (Mountlake Terrace only)
Additional information for incorporation in transmittal or permit application:
Inte.rnal Use Onl_v
Permit Requested
Permit Received
Requester Notified
7`74—.�—"i-
77_0�z
City of. Eldmonds
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number. 9
.9 -
Lmue Date:
A. Address or Vicinity of Construction:- 2 3112 7 - 6 A
B. Type of Work (be specifi c): I is. r '�i ijL g- C F C -,I Ac
C. Contra ctor: Z) L1&4 (��A,41:2� Contact:
Mailing Address: 12
Z .4� 1-4t, 2A,,>l - 1-63-744 3 6,14
L s- Phone:
et P0 7- 1
State License #: 61 n K I U!;C i 1,a &I (D _ Liability Insurance:/ ill" Bond:$aCcd,0ej
D. Building Permit# (if applicable): ?,3q2S-- low Side Sewer Permit # (if applicable):
E. E) Commercial Subdivision El City Project EJ Utility (PUD, GTE, WNG, CABLE, WATER)
n Multi -Family E Single Family E] Other
INSPECTOR: INSPECTOR:
F. - Pavement or Concrete Cut Nq] Yes E]No G. Size of Cut- ,4 x 1�_ H. Cha4q�,,
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application to hold the City of Edmonds harmlessfrom injuries, dam!�ges, or claims ofany
kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or
employees, including or not limited to the defense of any legal proceedings including defense costs and atiorneyfees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE -FINAL INSPEC-
TION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEkS,WILL"BE PELD UNTIL.THE FINAL STREETPATCHIS COMPLETED
BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSn��E TbTfieAPPLICANT
Two sets of construction drawings of proposed work required with permit application.
� .1 � - - -
A 24 hour notice is required for inspection. Please call the Engi'n'bermg-D.ivJ§ion, 771-0220.
Work and material is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer.
All street cut trench work shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
I have read the above statements and understand the permit requirements and the pink co Py of the permit will be
available on site at all times for inspection purposes.
Signature:
(Contractor or
Date: iklhll
CALL DIAL -A -DIG PRIOR TO BEGINNING- WORK
FOR CITY USE ONLY
APPROVED BN�. RIGHT OF WAY FEE: .30.
11) AFTER DAYS DISRUPTION FEE/FUND I 11:
TIME AUTHORIZED: V 90
SPECIAL CONDITIONS: P-1-4AI RESTORATION FEE:
T OTAL FEE:
30
RECEIPTNO.:
ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div 1997
FIELD INSPECTION NOTES (Fund 1.11 Route copy to Street Dept.)
Comments:.
CONTRACTOR CALLED FOK INSPECTION El YES ONO
Partial Work Inspection by *P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
-6
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PLANNING DATA
NAME: -
SITE ADDRESS: DATE: A9
ZONING: �� - 8 PLAN CHK#:- �9 - Ala
CORNER LOT__ &t_(Yes/No) FLAG LOT NO (Yes/No)
SETBACKS:
Required Setbacks:
Front: Left Side: Right Side: Rear: IC;-"
Actual Setbacks:
Front:-.,Z� -Left Side: 'Right Side: Rear:
Street map checked for additional setback required? (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N)
LOT COVERAGE:
Maximum Allowed: Actual: 17.
BUILDING HEIGHT:
Maximum Allowed:— Actual Height:_
Datum Point: 40 Datum Elevation: �Eo
A.D.U. CREATED?:
,< - 0,7- C;t/ za /?^I / , �,- - � I -
CRITICAL AREAS #:
SEPA DETERMINATION: A)
LOT AREA: 9-4. ��/
R:
Mllfyf
Plan Rdview B,
CA FILE NO.
Critical Areas Checklist
--------------------------------------------------------------
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location: "23217 I-J- /)�/ -*_
2. Property Tax Account Number: __ r-rS) - 0 bo - 00 cl - _Q 0 0
3. Approximat e Site Size (acres or square feet): 9 6 , 2 �_/ :�, A �:-
4. Is this site currently developed? V-yes; no.
If yes; how is site developed? ,;c
5. Describe the general site topography. Check all that apply.
>c/, - 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 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 rise of 10-feet over
a horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: A30 Approx. Depth:
7. Site contains areas of seasonal standing water: 1,�,o Approx. Depth:
What season(s) of the year?
8. Site is in the floodway__6�� floodplain /JD of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are
year-round? A)t) Flows are seasonal? /J-,> (What time of year?
10. Site is primarily: forested meadow ;shrubs K mixed P'(-
urban landscaped (lawn,shrubs etc) Y.
11. Obvious wetland is present on site: 0
btTERMINATION
^ca_chk.doc, Rev 02/11/97
'J
OV EDA,-
City of Edmonds
TP
Critical Areas Checklist
/10 7C 777-) Q�
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).
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 or plot plan for individual lots of
the parcel with enough detail that City
staff can find and identify the subject
parcel(s). In addition, the applicant
shall include other pertinent
information (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 Area Checklist and attest that the answers
provided are factual, to the best of my knowledge (fill out the appropriate column
below).
Owner/ Applicant: Applicant Representative:
Name Name
f-) . 3 (— / ,- AJ
Street Address
Phone
r) 7-1/Z
!�ignatdrey - Date
ZO 3 / —/ �� vW o o:�,- AJ
Street Address
�;; �-13
CITY OF EDMONDS
250 5TH AVENUE NORTH - EDMONDS,WA98020 - (206)771-0220 FAX(2W771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works * Planning e Parks and Recreation Engineering
C. 1 B ()"
June 24, 1997
Gary Coopral
20351 Greenwood North
Shoreline, WA 98133
Subject: Determination regarding Critical Areas Checklist # 97.-10,8
Dear Applicant:
BARBARA FAHEY
MAYOR
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 copy of this Critical Areas Checklist "DETERMINATION" for your records.
IMPOhtANTO dc.z TIONTOSENOTED:.
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIST OR CRITICAL AREAS STUDY.
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
go, You must submit a col2y of the CRITICAL AREAS CHECKLISTand DETERMINATION WITH ALL _411111IIIIIIIIIII
PERMITAPPLICATIONS or YOUR APPLICATION WILL NOT 13E 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.
Thank you. . -
Diane Cunningham
Planning Secretary
Copies to:
John Nelson
20351 Greenwood North
Shoreline, WA 98133
Note Attachments: None
* Architectural Design Board
C:Reception\JanakCRLTR.doc 9 Incorporated August 11, 1890 0
Sister Cities International —, Hekinan, Japan
CITY OF EDMONDS
USE
ZONE r�s PERMIT
NUMBER
CONSTRUCTION PERMIT APPLICATIOTN'
Joe
JOB SUITE/A0
ADDRESS L4 +t,
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OWNEFJ NA AME OF, BUSINESS
LEGAL DESCRIPTION CHECKI
SUBDIVISION.NO.
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PUBLIC RIGHT OF WAY PE4 EIPPI W&,STIReerM*P-.
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0
CITY, TELEPHONE NUMBER
EXISTING -30 REQUIRED DEDICATION 0
RW Permit Required/Vo 0
.
V2 ltk�4
Street Use Permit Req'dlVp
PROPOSED
Inspection Required IIE-19
Sidewalk Required VE�.S 0
CC
NAME-
mc No -A) yj
METER SIZE
LINE SIZE
I NO. OF FIXTURES
PRV REO . U . IRED.
YE NO 0
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ADDRESS
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REMARKS
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NUMBER
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NAME
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ALLOWED I PROPOSED
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ALLOWED I PROPOSED
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REMARKS -
NEW RESIDENTIAL PLUMBINGfMECH
COMPLIANCE OR
F
ADDITION COMMERCIAL CHANGE OF USE
not 1--ri -rj A4471 rr .:hl- �?n
APT. BLDG. El
REMODEL SIGN
HECKED BY
TYPE OF CON TRUCTION ,
aIA7
I
OCOCU N
GR
GRADING FENCE
REPAIR CYDS. L_ x _FT)
WOODSTOVE SWIM POOL
__LDEMOLISH INSERT HOT TUB/SPA
SPECIAL -INSPECTOR
REQUIRED
OCCUPANT
OGARAGE RETAINING WALL/
RENI�WAL
EjYES
I
EAL
AD
REMARKS
CARPORT ROCKERY
z
0
PROGRESS INSPECTIONS PER UBC 108
�ITY
(TYPE OF USE. BUSINESS OR ACTf IN:
4, tliai, 15Y 4bML4, Q=, -71
cc
W
NUMBER
NUMBER OF
CRITICAVqq
-101
0
OF
DWELLING
I
AREAS
INUMBER
CC
STORIES
UNITS
In, INS[ 1Z "V 5-- 14
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
kl=i�,
FINAL INSPECTIWN REQUIRED
A-dJ ?4-11 54(t. A& /r! it of
VALUATION
FEE
K FEE
C(
HEAT SOURCE:
GLAZING
5 0
1q,
PLUMBING
Plan.. Check No.
MECHANICAL
GRADINGIFILL
Z__
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewplks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
14, 5-D
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
ENG. INSPECTION FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees. to indemnify, defend and hold
',n
harmless the City of Edmonds, Washington, its officials,
2
employees, and agents from any and all claims for damages of
PLAN CHECK DEPOSIT
--Z/
cc
<
whatever nature, arising directly or indirectly from the Issuance
of this permit. issuance of this permit shall not be deemed to
0
modify, waive or reduce any requirement of any city ordinance
nor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
qcj
provision .
(.Ci)u
I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL
information given is correct; and that I am the owner, or the duly
authorized ge I 'e owner. I agree to comply with city and THIS PERMIT This application is . not a permit until
state laws r:gu1nation'Jonstruction; and In doing the work authoriz- AUTHORIZES
ed there S will be employed in Violation of the Labor ONLY THE signed by. the Building Official or his/her
by no p
Code of t" Stat ashington relating to Workmen's Compensa. WORK NOTED Deputy; and fees are paid, and receipt is
tion Ins I 4rand a0m 18.27. INSPECTION acknowledged in space provided.
IGNA AGENT) DA I N DEPARTMENT
T
OFFIC L' N�� R
CITY OF
Y7 Ar`* EDMONDS
j
1-1
CALL FOR RELEA� -I 011AI',r. TE
ATTE N INSPECTION
IT IS UNL FUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A F AL INSPECTION HAS BEEN MADE AND APPROVAL OR 771,0220, ORi'41 NtAl — File 1YEl I OW — Inspector
.A' CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
1
SECTION 109 /zf PINK — Owner GOLD — Assessor
LEGEND:
LAYOUT
�2
PADMOUNT TRANSFORMER
SECONDARY PEDESTAL
PRIMARY UNDERGROUND CABLE
— — — — — — — — 4/0 SECONDARY UNDERGROUND CABLE
POLE AND OVERHEAD LINE
—PROPERTY LINE
—OF—WAY LINE
RIGHT
SCHEMATIC LEGEND:
&
10 TRANSFORMER
FUSE
PRIMARY UNDERGROUND CABLE
OVHD EXISTING OVERHEAD
213' 71
ROAD
BORE,
fSNOHOWISH COUNTY
GAS IN PLAT
UF 0
vr-wuc tffuTy DISTRICT NO I
TRANSFORMER CABLE
LDCATION 23927 104TH "E W. EDMONDS 98020 AREA so co
286' OF (1) 02 AL CNCTRC NEUT DB JCKTD PRI IN 2" PVC
A-30411 25 KVA 7200-120/240V POLE NO SW 1AS 36 T 27 R 3 DATE 8/25/98 WO No 302280
MAKE PO REEL
REASON FOR WORK PROVIDE 10 PRIMARY �EN0INEtk',MCl:AURYkF-'.�? TASK 04
DIST N— _X 180' OF 4/0 AL TRX DB SEC IN 3" PVC
UNDERGROUND SERVICE FOR DRAFTER PRATHER UGND NO 9701 .
SER KNG SHORT PLAT APPROVED Mp SCALE NOTED
MAKE 4'LOTS PRINTED
DATE WORK COMPLETED EOREMAN ENVIRONMENTAL. ANALYSIS
DUCT I
JBSTATION RICHMOND PARK M EXEMPT:.. 0NOT EXEMPT
ASSY# 12U612 S
28' OF 2" PVC BY PUD OR PUD'S CONTRACTOR (ROAD BORE) C 3 IRCUIT NO 12-232 PHASE 1 FEES REQ'D M YES 0 NO PARA.- 18 ITEM—C
PRIMARY OVERHEAD OVHD CONDUCTOR KV
ROAD CROSSINGS ONLY 0 RESIDENTIAL ADD CKT FT PH
VAULT BY PUD
APPV DATE DESCRIPTION 0 COMMERCIAL REM CKT FT PH
SECONDARY PEDESTALS LEO* NET CKT FT
A � 30411 a S_ 3 UGND CONDUCTOR 7.2 KV
42" x 42" x 30" OPEN 130TTOM 2 SEC PEDS/INSTALL PER DIST ASSYO 1U801 F?EVISIONS PRIMARY UNDERGROUND
W/A 21" x 25" ACCESS HOLE APPV NO. DATE DESCRIPTION 0 RESIDENTIAL ADD 216 CKT FT 1 PH
REM CKT FT PH
COMMERCIAL
BASIC FEE S NET 216 CKT FT
LEU* PERMITS (DATE GRANTED)
S 0 TREE TRIM
0STATE
SECONDARY UNDERGROUND
4 M SNOHOMISH 13LANKET
BASIC FEE S
S 0 CITY
WIDTH VARIES 0
36T' MINIMUM 4—POS/5—POS UNDERGROUND PLAT EASEMENTS 0 REQUIRED
SET SCREW BASIC FEE S
j i TERMINALS ENGINEERING E# 0 NOT REQUIRED
NOTE:
I- tFT a S
1177
1. 12" MINIMUM GAS TO PLAT CONSTRUCTION REQUEST NO.
IF
i;-- uj k FT 0 S
POWER SEPARATION. DATE APPROVED
V)
2. NUMBER OF CONDUITS IN IL STREET LIGHTING
:Z5- jjj M 0- FOREIGN CONTACTS
TRENCH VARIES. FT P S_ 0 GTNW JPNO
w IL
1 :2 f) uj z
z 0 f__4 1 CROSSINGS 0 CATV JPNO
3. ALL CONDUCTORS IN Z >- SECONDARY zco
V) 0 V)
uj 0 CONDUIT. TRIPLEX CABLES It FT 0 S M JOINT TRENCH: GTNW & CATV
OJOINT BORE GTNW & CATV
cr z 210� WORK IN RIGHT OF WAY
< z
w 12 VARIES 0 SMALL/LARGE —PSE
0 C14 io 2 0 PRIMARY m GAS
>
F 0 SECONDARY S-BUILT
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z in V) IL PEDESTAL �': I . . . POLE STENCILING
w STREET APPV NO. DATE DESCRIPTION FT 0 S 7 3 FROM TO —
LIGHT
z MISCELLANEOUS FEES TAKE OFF POLE
uj 3" PVC DUCT G
M VAULT S
Li TO FEED IN/OUT PRE—CONSTR REQUIREMENTS
0 OF CORNERS OF PERMIT S 0 TREE TRIM 0 PUD LOCATOR
PEDESTAL OBACKHOE 0'
TELE COST ESTIMATE 9,343.00
I iu
LIGH
I I —
10
L
SECONDARY LESS 13,y. <1.215.00
M ONE CALL DATE
_77 1-1 q_7uf 3" PVO W/900
PRIMARY 24"R BEND AND
GAS BELLEND -FROM TOTAL,PUES 6.12a.00 INDEX -POLES PLAT
SECONDARY TRANSFORMER/ -MAP
LOGS u
;Tn TAklr7 r7XfrOY Int L PEDESTAL DATE PAID 9/l/98
GAS TO STAKE EVERY 10 POWER TO STAKE EVERY 10' RECEIPT* 61578 XFMR F C7MAP GIs
OR SHADED AS NEEDED TO AS NEEDED TO RETAIN TRENCH
RETAIN TRENCH POSITION. POSITION. NEW SVCE APPLICATION* LOCATION MAP'PAGE'474 G2
-NGINEER GARY McLAURY CUSTOMER HOWARD KING XING PRINTED
SINGLE PHASE
SU04
—5628 io (425)485-2860 PRINTED
'-�'DETATL PHONE (425)514 P1 NE
TYPICAL JOINT TRENCH DETAIL PEDESTAL, 66�_ _
_PAGER/�---_
NTS NTS 90 208/239-.5 94-'--CELLULAR' 2 6)663-7943
4
23919
EXCLUDED
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3OLF INFILTRATION TRENCH W/ 6- PERF.
.41 Le=jl
TRENCH W 60 PERF.
wr r=X I-ST I PVC.
PVC.
6* CLEANOUT 6m CLEANOUT
TO GRADE
TO GRADE 'ACCEPTABLE I
C (A IE-296.'00* H , TL , lN!E h4ATF=01AllE-299.00
SOR (ASYM 03034)
k
0
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IGRAV 0
jw
boa-
7
S-D
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6' VNE
-'I GRA*VCL \-6" DOWNSPOUT --
I WNSP
r STUBOUT
L 0
OT A
. 'E 1
191 2,
EXISTING
"OUS5.1,
AME & GRATJ�-,j
-1wd 14'14 RIM=299.00 .
"o H AA*
1'r .31
22'Y' IE=295.00
�\2 0
72"H
5 OLF INF1LTRA-nON 14'11
TRENCH W/ 6" PERF.
-1 �'26" W
x 1- � — — � -# -mr- -.
PVC.27-1i
S 89
C�1-4utfi CLEANOUT
TO GRADE
IE=295.00
SILT 3
' 2-11
i CH
2r,'l I
70 if �1� V!
-u
r —6" DOWNSPOUT
STUBOUT
12"C
tB#3 TYPE 1
W`1 rRAME & GRATE
R IM 299.00
I I
E=!t'qsoo
301.20'
59 30LF INFILTRATION
TRENCH W/ 6" PERF.
PVC.
V6" CLEANIOUT
TO GRADE
IE=296.00
I � 1.-,) � i
w
z ui
z
15' WIDE TRACT
1, 0- 14' 0
12'
1 : - 24" WIDE x 2" HIGH
2% ASPHALT THICKENED EDG3F
EX. --------
EXISTING GRADE
7"' 7771 -
3/4--1 1/2-
WASHED ROCK
BACKFILL
6"0 PERF. r�
r F,ijcf,.
CBig4,-TYPE
W`1 FRAME 8� GRATE
R14=302.00 I
IE=F299.00
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12.- 20'1 j CA
6 OWN4 OUT
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STUBOUT I
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26"' Q a
5'
30LF INFILTRATION
TRENCH W/ 6- PERF.
PVC.
\\\-6" CLEANOUT
TO GRADE
IE=299.00
�CC*EPTABLE TIGHTLINE MATER�';','..
N�12 ADS
Sch 40 PVC
SDR 35 (ASTM D3034)
-6" NA11VE BACKFILL
2" COMP. DEPTH CLASS "B" ASPHALT APPROVE""
2" COMP. DEPTH CR. SURF. TOP COURSE 3' L 4
4" COMP. DEPTH'CR. SURF. BASE COURSE I ---
COMPACTED SUBGRADE INFILTRATION TRENCH
BUILDINO
APR
FILE
STREt: i