524 MAPLE ST.PDFiiiiiiiiiiiiii
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524 MAPLE ST
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ADDRESS:
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TAX ACCOUNT/PARCEL NUMBER:U) 14MLAJ72203C)0,7-302Ct).Z307:iM.2-1010D,2M2-00. ZIOAC'0,2101M 1W
ilo'400, 120(pCO.- 12-CY400, CLOW0,.'i10406
BUILDING PERMIT (NEW STRUCTURE): _Lc
COVENANTS (RECORDED) FOR:al- Llg'(Q)2,. V- 16 82-
CRITICAL AREAS: DETERMINATION: E] Conditional Waiver E] Study Required U."Waiver
DISCRETIONARY PERMIT #'S:U-49-�sz. RbEaf-8z
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
1-01w ms''s
15A YZ
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID 12 21'
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:32-29-S3
SIDE SEWER PERMIT(S) #: 4QqD
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #: 42.
FOR: ega i �ck) 5iAa& sto&wp-
WATER METER TAP CARD DATED:
OTHERArcass - I ?a ( D--U(i
ROW -
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ccr.slruCt-on on
public Comain (C-�rDS. S:dea1kS.
Cn�ew . ay?: ITT . arqueps. etcj A�iil 'require separate permission.
P.e.tmil A0bhCat,Cn: 100 Days
Pe(mi� Lirn,;� I Year : Frov'c�b work i started M'thtn 186 Da)5
..��oplicant. on behalf of nis or her spouse. heirs, assigns and
sucesSCrs.,rb. interest, ndeTnify, defend and hold
harmless .,.re City rf aedren)eosntd95.�f.%��as�lr-,gion, its * officials.
3 lo' (jambges of
emrio�ees, and a gents 1:Cm anv and all Claim
-,Sing directly Or indirectly from the issuance
a:ever.r.8%;re, X
mtt. Issuance o!.this permil.Shall not be deemed to
of this per
modify. wal�e' or reduce any 'requirement of.any. City Ordinance
TOTAL MOLiNT CAJ E
nor limit. in any way !he City's ability to en!crCe any ordinance
rrovisicn.'.
application; In3l !hO
hereby atknowle0ge Wet t have reaC,!h.i-s APPLICATION: APPROVAL
.!nformation given is Correct: aqp� that I am the Oyn ' er. or. the Ouly A., T E.N T . QN.
ply with City and
authoriZed agent of the owner. I agree to COMO :5 This 4pitcal'
aulhotiz. �uT-,OP,:ES on !S �nfpor M it UqW.
state laws rag ulating construct ion: and Indoing tnework 3 11
ea'tjeriny. no person will be employed In violation of the Labor C..,' 7,j by I.Me 9-r-*Tn g .;ta or his
'0-.E' Oep'uty;.an4jffl"Tare paid, and receipt is
Z Of �y YorkmeWs,Compen5a acknow!edgeO In space provided
at
_�Ocle a
n �su,
O�F,CrA4*S SIGNATURE J
CITY OF
T -tiS IS Lor-ATtO IN THE CITY' EDMO.NCS Ph
SJTE
TAX
-OF IEDNONDS. LOCAL'SALES 77�-252�
6 -ENTION SHO'6LD BE CODED!3;.04." Z4- 93
ATT
6NLAv,'FUL'.TO USE O.1I:OClCUPY A 13UILDIMG OR STRUCTUR .11
IT IS G Fit YELLOW.--�* Inspec r.
UI,Itll.� FtNAL I-S—CTION HAS-9EEN,V.ADE . A.,ND AFPROVAL 0A.,-.' Oki INAL 'e. L-i
OCCUPAI,"f`� '(AS BEEN !GRA:N7ED. LIBC ' . ." . :.
4A GOLD — Assessor.
CERTIFICATE OF % PIN . K Owner
A T EIR 3. FEB, 4 119,83
I _�_C44 P
CT
K77-7fr----'--
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RECEIVED
OCT 0 7 1999,
VELOPMENT SERVICES CTR.
- — - — - — - — - — - — - —
LFQLAL DE&NqrnCN
W-Walm
TAX No.
aMWCnMLAL NMG
Mem
RM-01.2
Sir
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AIA
4
" A
City oAmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
DATED RECMED: ( IC51D�
CITY RECEIPT14: 10661
Critical Areas File M
Critical Areas Checklist Fee: $45.00
DATE MAILED TO APPLICANT:
CRITICAL AREAS CHECKLIST
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),.
i
An applicant, or his/or 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.
Please submit a vicinity map, along with the signed
copy of this form to assist City staff in finding and
locating the specific piece of property described on this
form. In addition, the applicant shall include other
pertinent information (e.g. site plan, topography map,
etc.) or studies in conjunction with this Checklist to
assistant staff in completing their preliminary
assessment of the site.
I have completed the attached CRITICAL AREAS CHECKLIST and attest that the answers provided are
factual to the be; st of my knowledge (fill out the appropriate column below).
Owner/Applicant:
I
Rid, Mew-, P--�-D-; t4--5-S15- C
Name
5.),4
Street Address
L5CA"Oa, Si 14let- - t?&Q40_
City I State Zip
Telephone:
Signature
Date:
c:mydocunxnWspe1h.Wf.'mdCACL Formdoc
wshweAemprianaffm=CA�L Formdoc
Applicant Representative:
Name
.5� L� 114AP le, S'k---rc3407-
Street Address '
Erjm&yud4;� LL,4 , 2EA2C�2
City r State zip
Telephone: V-'L5-- 77J-
Date:
C E NO.—
Atical Areas Ch'eckfl.st
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ------- ------------------
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: -D �kL Ma Alp 4, M M064
2. Property Tax Account Number: -16b —ANack-y -77—%9 fti 104 Docru-,
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? --L/' yes; no.
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 generally less than 15% (a vertical rise of I 0-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 3 0% present on site (a vertical rise of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: /VO Approx. Depth:
7. Site contains areas of seasonal standing water: /11/0 Approx. Depth:
What season(s) of the year?
8. Site is in the floodway IVII floodplain I* of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? A/
Flows are seasonal? )[,/o (What time of year? 4167
10. Site is primarily: forested meadow shrubs mixed
urban landscaped (lawn,shrubs etc) \IoS
11. Obvious wetland is present on site:
I -Sit.e-isZoned?
.2. :S�CS map d�soil.-ty*pe(�)T":.- AM
pe i Z15.
-5.' Wetlindin%;entor'y..,6rC.'.A�:map::indicates-wetlaiid
::presen,Vonsite
4: Critical A idaipstriti6al No—
reas invembrror. C-.A..:map-ind.. Area on site?.
.5. Site ithin:dosignated�: ar.th.:subsidencj*e.land�lidt-hazard:area?-:: NO,
W
6. Slte:designawd -o.n -the Environmentatly Sehtitive-AY*eas Map'?
CONDITIONAL WAIVER:
Date,
-q d&.dw- P
tay IWOM
CIr
VY OF EDMONDS
'-j-PUBLIC WORKS DEPART*, FOR INSPECTION 6ATZ
77V-!2V25' Ext. /212f01 Issue Date
SIDE SEWER PERMIT
�,MW AW AWAWAW. 7�A
PEP -MIT MUST BE POSTED ON JOB SITE EDMONDS
— ;7AMWMW7 ���AWIAWAW,�,�Aww 3WWAW
1. Address of Co S truc 1 7n 5 �)M �_\ A Q L 4F TREATMENT PLANT
2. Property Legal Description (include all, easements)
3. Single Family Residence Multi -Family No. of Units
Commercial
4. Owner and/or Builder 7 e
5. Contractor & License No. ODFgs P�
6. Invasion into City Right -of -Way No Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (341=351144) before
excavation) . 1-800-424-5555
E-4 7. Cross other private property: Yes No Easement required -
attach legal description and county easement number.
�4 READ THE FOLLOWING AND SIGN:
04
a. Property owners must obtain a permit to install side sewers on
>1 their property. A licensed side sewer contractor must be employed to
construct side sewers in the public' right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year.
�4 c. Commercial establishment requires a minimum of a six inch (6")
P4
z side sewer line.
0 d. Side sewers may not be installed closer than thirty inches (30")
U
to any structure.
W 0
M e. Side sewer lines must 0 be laid at a minimum grade, of 2% (1.15
0 and maximum grade of 100% (45 ). 0
E-4 f. No turn in side s8wer greater than 45 (1/8,bend)'is 0 allowed
between cleanout. All 90 turns must be constructed of a 45 (1/8
bend) and Wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 1001 along sewer 'line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k.- Side sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working ho ly. Two (2) working
days notice required. Q�l c
DATE: M7
I certify phat I have read
and shall comply With the above
PERMIT FEE: or -D BY:
3 0 DISAPPROVE Date:
0 (DO By- Date:.
CONNECTION)FEE: APPROVED By �-ZVJIOF Date:
CL
PERMIT MUST BE POSTED ON
JOB SITE
The City of Edmonds
Side Sewer Drawing
NEW CONSTRUCTION ;&
EASEMENT NO - ------------------------------------------ -
REPAIRS F� LID NO - ------------------ - ASMT. NO. -- ---------------
OWNER ...................................... e�M-r-G4TF---BK31LJD-F-R-S CONTRACTOR
... S.EWFR ---------------- ----------------- PERMIT NO. 70--9.0
JOB ADDRESS ------- 524 ----- MAPLE: ........ 6TRMT- LEGAL DESCRIPTION: LOT NO. --------------- BLOCK NO. AZZ ----------------------
I
EDMONDS
tREATMENT-ptANT
NAMEOF ADDITION -------------------------------------------------------------------------------------- --------------- ----------------
52.4 M APLE. S-MEEX
vc-AWyc
C" I.S-pp
MA,PLE S.TPF-F--T
July 14, 2008
This letter is to confirm that the City of Edmonds gave verbal
authorization to Lucy Buhler of the Richmar Condo
Development at 524 Maple St., to remove a Birch tree which is
located on the south side of the property between the east and
west buildings.
The Richmar Homeowner's Association requires written
approval for record keep purposes and we therefore ask the
City of Edmonds to re -affirm our request by signing below.
A oL!5 noiC-44
APPROVED BY PLANNING
Ci� of Edmonds
ty
*5,5-0c�iate- Flanntr-
Date 0-4- 1-1 .,;,Dog
-* Thc Lojy-ch ty-e,-- i5 io loe- replaceci wfth
1-1 'eve"ree'n Flan-hnq.
[N#R-OFFICE
To FIRE DEPT
DEPT./
PLANNING DEPT.
COMMUNICTICGN F
d _� 0=4-
s.7 'ET' L=
DATE Ma-ech 9 1984
SUBJECT: RICHMAR CONDO - S @ 524 MAPLE *STREET
Permit No. 830071, ADB-71-82.
FROM BUILDING DIVISION.
R E'94E I V E a - .
EN�QJNHRING
Please do a final inspecti'on*on the' -above project and -return
comments to the Building Division.
Planning & Engineering - I need you to inspect those items
that were bonded for. ' If any items can be released,. please
let me know..(see attached).
hi, A
t
61
Iz
'nit/
r, aw
PIA -I
CITY OF EDMONDS
PUBLIC WORKS DE ITIVIENT
E-4-46
SUBJECT NAME WORK STA NUMBER
DATE AND
Richmar Condo's @ 524 Maple St].
SUMMARY
Final inspection needed on the above project and
return comments to Building Div.
�J I 0-IC-04 I
TO i.adaMS TO D. Smi th TO TO T
DATE DATE
DATE DATE DATE
TO: CITY 07 CD:-10'�!DS
250 5th Ave. 1.1.
Ed*monds, lla. , 98020
A'I`TFNTI0N: i--'-UildillC Dept.
WESTGATE BeDERS, INC.
GENERAL CONTRACTORS
RESIDENTIAL AND COMMERCIAL CONSTRUCTION
6605-200th S.W.
LYNNWOOD, WASHINGTON 98036
774-7707
PROJECT:
_ -11 Condo-524' ��':arlc; Edmoncl�-'
Transmitted herewith are the following:
e t.-t_q v,, i t h breakdoom of cost S
�jc
jy
For Approval
RetUrned for correctioll
- ApproveLl as noted
Remarks:
OUR JOB NO.
YOUR JOB NO.
February 10,
DATE'
SECTION
I -or your -information
-For your acceptance & signature
I:S
- T���, �4LDERS, I
dhard A. Aoh/son, President
�11 lfw-�*
.. ..... —M!, 4.4 4,9,1,16- IM'I'llo 011I *INK qtijWl
WESTGAT I LDERSINC.
G E N�R A. BL ACTORS
RESIDENTIAL.AND CO CIAL CONSTRUCTION
S
6605-2#00tS.IWA.
LYNNWOOO. WASHINGTON MM
774-7707
10, 1982
of Edmonds
250 5th Pve. 11.
Edmonds, I-Ia., 98020
P.ttn: Puildin�� Dept.
-7, e 21 Unit condo - 5211 Naple; 7c�lmior-1(13, 'i.la.
Gentlemen:
The following is our cost breakdown of utilities, on site paving, work
on public right-of-way and landscape for the above referenced project:
Utilities:
505 LF 6" pipe t 3,030
78 LF 411 pipe 390
3 C.O. 75
14 Connections 700
2 Catch Basins goo
27 LF 12" pipe 13 378
1 2et. Mianhole 400
1 in -line man hole 780
1 48" Mlanhole 1J200
LF 511" D.P. (-,970
80 L 6" San. 850
Strcet 117"opail- '800
Total Utilities 17,473 17,473
2. On -Site PavinC.:
-loo sq. Ft. 6 .70 2,170
Total On -site pavin-F, 2)170
3. ,-,!or!-, on �Public 7,AiCht of IVlay
Utilities street repair
(,.)art of item #1)
Sidewalk & Drive approac��
1450 Sq.Ft. 01.90 2,7555
Total work on public rir�ht of i.,,ay 2,755
-TWO-
)f rE.Ch:1011d DL-,pt.
4. Landscape:
February 10, 1983
Bark j:-,ulch 2" depth, 96cy
13932
61-8" Vine maple - 17 ea.
785
lv!hite 3irch 13�1"Ca.-21 ea.
23205
Cormus ]Kousa 1"Ca.101 -11
ea. 84o
618" Austrian Pine-21 ca.
606
2" Purple Plu::1 - 13 ea.
908
Strawborry busch -,,,-,a
05
Azalea 4"1ollis*.15!'-17Cr1
412
A-4alca ;".acrantha 15" --17
ca 137
1�hod. 1-abia 21" - 13ea.
212
Rhod.Loders 'I-Ihite 21"1-17
ea. 263
Rhod Unique 21" - 21 ca.
382
Spirafa Anthony Waterer 5',
7 3 c a 613
Vib. Tiny's Dwarf 5gal. -
11ca. 188
Salal 1 gal. 1043 ea.
2,700
Pachysandra 4" 2902 ea.
3,310
Total Landscapin[-,
16.,468
Sum.-mary of Costs:
Utilities
17,1173
On -Site Pavin�,,
2,170
on Publilc r i I i t - o f '-.,755
C. 468
Tot-�l Cocntz
$ - (SC
38
5 a
r4ol
� 14 t,3
1 4 -t
Should you have any further require;,,,,c-�-�
contact me.
Your.- truly,
'-!-Sr"
, i:1 -� 11, T E B U I L D FR, S
r�Aard A. 3
president
;ILAJ/sh
son,
. rd
'40
r
16,468
ons, please
MuuLKN SEWER
CONSTRUCTION CO. INCe
eorwwwiaL - IndustttaL - cRziidv2&aL
�� '�? Z/ I
17810 - Ash Way
Alderwood Manor, Washington 98036
743-2756
Seattle Mobile 447-1293
�� '�71 -7 le 3
/. I
If--
r w.tj-;L) 6 &r-5
i
'�) U'< C�"z ul-u--(-�
-3 �rb
A�-
1�73
Sly
�IY3
17810 - Ash Way
Alderwood Manor, Washington 98036
743-2756
Seattle Mobile 447-1293
1�71e- 3
-3
390
7r
79-)-0
? 0-0
7 rO
/ z 0-0
2970
pro
MOUERN SEWER
CONSTRUCTION
w.t. )
COm I.NC9
(70nzftz,1c Ynduittial q,,jd,
go
P
aaih-.404 A4 fJc-� 40 0'
,27 i-F 1Z"
P;eow do'& /
'�w A;04 ';w~
/ iff" )04.*0400c-A
-�r4r- sew " 0 .0, P.
So C-P to to sa-"40'tt�
ty
7,
oeZ
FILL0
CITY OF EDMONDS
250 5th AVE. N. EDMONDS, WASHINGTON 98020 e (206) 771-3202
BUILDING DIVISION
March 22, 1984
7-71F6
Mr. R. A. Johnson e
W e s t 'ga Ye—B-0 7 Te—r s
6605 200th S.W.
Lynnwood, WA 98036
RE: 21 UNIT CONDOMINIUM @ 524 MAPLE
LARRY S. NAUGHTEN
MAYOR
I
On March 20, 1984 a final inspection was made on the -above project by
the Fire Department, Engineering Department, Planning Department and
Building Division. The following is a list of items that need to be'
completed prior to issuance of a Certificate of Occupancy and release
of the $44,447.00 performance bond.
FIRE 1. Self'�closers on unit doors must be installed.
2. Alarm,test by the installer needs to be observed.
3. Protective caps on standpipe outlets need to be
installed on each floor and roof.
ENGINEERING lk/Stripe and designate parking.
2�fUncover storm manhole in garden at northwest corner.
3. 1 ean and flush storm s
,,,Ystem.
4.�CUncover catch basin at -east of driveway at west
entrance. I -
5/ Regrout catch basin at east entrance.
6. Schedule street inspection with Bobby Mills, Jim Adams,
a
nd Dan Smith to chalk mark street to match photos.
7 C lean street and storm system adjacent to project, all
the way to 5th Avenue S.
PLANNING 1. Obtain Architectural Design Board approval on revised
landscape plan.
When t ' hese items have been completed please call for an;inspection. After
approval and the posting of a 15% maintenance bond, the performance bond
and Certificate of Occupancy can be released.
Clnd� R�i_q_S_taa_#
Permit Coordinator
I
ON
TO: CITY OF ED--10�,TDS
250� 5th Ave. T.J.
E&-,onds, Wa., 98020
A'171-NTION: 12-uildillC Dept.
WESTGATE ?ISDERS, INC.
GENERAL CONTRACTORS
RESIDENTIAL AND COMMERCIAL CONSTRUCTION
6605-200th S.W.
LYNNWOOD, WASHINGTON 98036
774-7707
'"nrle- Edmond:-,
PROJEC'T:-)l Unit Condo-5241
tl
Transmitted lierewitli are the following:
e tj;-q r I%lith b. eakdo,.m of costs,**.-,
OUR JOB NO.
YOUR JOB NO.
February 10, 190")
DATE
Sj,CTl0N_
DOO
For Approval
-or your -information
Returned for correction For your acceptance & signature
Approved as noted
Remarks:
EST�A�BJULDERS, I
chard A. gohVson, President
-WESTGATE LDERSINC.
GENERPA ACTORS
RESIDENTIAL, AND CID IAL CONSTRUCTION
6605_ S.W.
LYNNWOOD, WASHINGTON 98036
774-7707
10, 1982
City of Edmonds
250
5th Ave. N.
Edmonds, Wa., 98020
Attn: Buildin,-, Dept.
R e 21 Unit Condo 52111 1.1ap-le; Edrz'ionclls,
Gentlemen:
The following is our cost breakdown
of utilitiels, on site
paving.- work''
on public right-of-way and landscape
for the above referenced proje'6,V:.-
1. Utilities:
505 LF 611 pipe'
3j,030
78 LF 411 pipe
390
3 C.O.
75
14 Connections
700
2 Catch Basins
900
27 LF 12" pipe
378
1 Ret. 'Manhole
.1)400
1 in -line man hole
780
1 4811 Manhole
1)200
55 LF 51111 D.r.
2,970
80 LF 6" San.
850
Strcet Repair
'800
Total
Utilities 17,473
17,473
1-12. On -Site Paving:
3100 Sq. Ft. 0 .70 �,170*
Total on-slite navinF 2,170
ork on Public RiCht- of 'V!ay
3,.
Utilities strcet repair
(part of item' #1)
Sidewalk & Drive approac.1-1
14�0 Sq.Ft. C1.00 2,755
I Total work'on public rir�ht of ,,,,ay 2,7755
February 10, 1983
J,nonds 16�-. Dept
Landscape:
Bark mulch 2" depth, 96cy 1.0932
61-8" Vine maple - 17 ea. 785
I%Ihite 3irch 13�-I'Ca.-21 ea. 22205
Cormus Kousa 1"Ca.101 -11 ea. 84o
618" Austrian Pine-21 ca. 606
2" Purple Plum - 13 ea. 908
Stra,viberry busch 915
Azalea "lollis .15ti. -17ca - 412
Azalea ".acrantha 15" -'.17ca. 137
Phod. I'abia 21" - 13ea. 212
Rhod.Loders 'dhite 21"-17 ea. 263
Rhod Unique 21" - 21 ca. 382
Spirafa Anthony 1.1aterer 13_,-�.-73ea 613
Vib. Tiny's Dwarf 5gal. - il.ca. 188
Salal 1 -al. 1043 ea. 2,700
Pachysandra 4" 2902 ea. 3;310
Total LandscapinE, 1631168
Sumnimary of Costs:
Utilities 17,1173
On -Site Pavinc, 2)170
!-.;orI-. on, rul)lilc r i i t - o r - 7 5 5
IC "Ir
T, . t _n 1 C05ts
Should you have any further requirein.,,c
contact me.
Yours truly,
I.-,IESTaATE BUILDEI',S
rAl, a r d A . J
I President
R A J / s h
son,
$(.38,866
4 0,4tl
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CONSTRUCTION CO. INCw
dom.mztcid - Ynduitud :RcidentiaL
17810 - Ash Way
Alderwdod Manor, Washington 98036
743-2756
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CITY OF
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)NDS
A*T INFORMATION SHEET
L u I b 11 1-
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N2 04249
L- -�
11/1 NEW
11 ADDITION
F-I RETIREMENT
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION
DEP��O.
"PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST .2
*PROJECT NUMBER
PROJECT COMPLETION DATE
COST -
B.A.R.S. ACCOUNT NO. !�/�/ - 6)
ESTIMATED LIFE :2,0
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT -
0 G.L. ENTRY
REFERENCE
DATE
4��j
VERIFIE D BY
PROCESSED
BATCH NO. -
INITIAL
tnp
DEPARTMENT FILE
F
i Property of
CITY eF EDMONDS ONDS
NO 04183
NEW
El ADDITION
0 RETIREMENT
AOT INFORMATION SHEET
ou ASSET NO. o
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION
DEPT. NO.
a
qe,
"PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
0
B.A.R.S. ACCOUNT NO. 5>C,
ESTIMATED LIFE
*PROJECT NUMBER 6e..s 3 -:)7-S / </ -3
PROJECT COMPLETION DATE 12-31-9-3
COST 2 31. e. 5�
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
� 0 G.L. ENTRY
REFERENCE
DATE
VERIFIED BY
PROCESSED
BATCH NO.
INITIAL
ktnp
DEPARTMENT FILE
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CIT'� OF EDMONDS
PUBLIC WORKS DEPARTMENT L__IIsueDate —7
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. *Address or vicinity of Construction e Permit Issued To: r&1 V
Owner: e Type of Work to be Done: 7�-67-Pd&
Name
9 Work A Connecti on With:
Mailing Address El Sub or Plat El Single Family
El Comml. / Ind. E) Apt. Condo.
City, State, Zip Code 9 Pavement Cut: El Yes 0 No
e Contractor:- _P�A D
Name
':P�O _e�� (107
Mailing Address Sta ense Number
EUk:-f&-_[r blA' 137u)(e, tt�A 7 - /4 W-&
City, S ta te, Zip Code Telephone Number
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE.
B. APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless
from any injuries, damages, or claims of any 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, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
following the final inspection and acceptance of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in a ccordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering.
Call 775-2525, extension HO-
I understand that this. permit must be available at the job site for inspection purposes at all times.
Signature:
Owner or Agent
Date
THIS PERMIT MUST BE POSTED AT'THE JOB SITE FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By:
Time Authorized: Vold after —days
Special Concliitiion�: J�'-e V- ZB6051
lz_ddlL
Ammendments:—
Permit Fee:— h-e klkel
Security Deposit:
Receipt No.:
Fund III Fee:
Street Cut Dimensions
N
�Q,WGRK- TO BEGIN PRIOR TO PERMIT-4S_�UANCE
Eng. Div. December 1978
FIELD INSPECTIOOOTES (Fund 111 Abute con.v to Str"�eet'Dept.
rnmmrzn +- Q -
Diagram:
Contractor called for inspection Yes
I
,A7ork Disapproved By: Date: Bv: Date:
Work Approved By: Date
Inspector:
Encr. Div. December 1978
I
CITY OF EI)MONDS
PUP1LlC_.hrnRKS 1ART1,11:NT,, ENGINFE.IZING DI SION*
-iB7
APPLICRIN FOR RIGHT-OF-WAY CONSTRUCT411MIT
THIS PERMIT MUST BE- AVAILABLE AT THE JOB SIT[-* FOR INSPECTION PURPOSES
Applicarit: to Comptete Parts A and B
A. Permit to be issued to: Public Utility District No.lof Snohomish County�:
524 Maple Street
For Work at:(address or vicinity)
Type of Work to be done: Install & maintain underground power system i
(attach drawing when applicable) per our W.O. 386051 attached
Time Required Start: July 20, 1983 Finish: August 4, 1983
Owner: Westgate Builders' Inc.
Name W.O. # 386051
Address
Telephone No.
City State Zip
Contractor: PUD State License No.
Name
PO Box 1107
Address
Everett, WA 98206" Telephone No. 347-4356.
City State Zip
Engineer Bill Neubauer
B INDEMNITY: Apl-licant understands and by his signature to this application,
agrees to hold the City, of Edinonds harmless from any injuries, damages, or claims
of any kind or description whatsoever, foreseen or unforseen, that may be made
against the applicant or the City -of Edmonds, or any of its departments or
employees, inc"'uding or not: limited to the defense of any legal proceedings
including defc;ise costs', court costs, and attorney fees by reason -of granting
this permit.
Upon issuanc�� of this permit, the con tractor is responsible for workmanship and
materials for -� period *of one year following the final inspection and acceptance
of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held
until tho fi ' nal street patch is completed, at which time a debit.or credit will
be processed for issuance to the applicant.
Work is subject to inspection and restoration in accordance with City Code. A
24-hour notice is required for inspection by Engineering. Call 775-2525, ext. 220.
I under_-�;tand that this permit must be available at the job site fo r inspection
Purposes at 1.11 ti.1110s.
Si 1,11atilre: 41 DATE: June 30, 1983
C. TO 1117 COMPLETED BY ISSUING AGENCY:
Dato, issned-__ Permit No.- —FCc:
Sectir.i tV Bolld:
APPIZOVE.1) BY: Date:
Ci
RL
E
49t
CITY OF EDMONDS,,-, PLANINI14G DEPARTIIENT
505 BELL STPERT
EDMONDS, 14A 98020
S7tA�-tq/-e 775-2525
�f"Opjw y
APPLICATION FOR STREET USE PERMIT
Name of Applicant: WESTGATE BUIDERS, INC.
Mailing Address: 66b5 — 2DOth S.W.; LYNNWOOD, WA.j 98036
Telephone Number: . 7744796 Date: 6A13/83
Description of Public Place or Portion thereof desired to be used: (exhibit may be
attached)
-STREET USE CUBB LANE ONLY
/5024 �MA;LE
Type of Use desired �oe made of,,Publ-i.c-Place: MATERIAL AND JOB SHACK STORAGE
If applicable, attach plans and specifications for any utility or structure to be erected
and/or maintained on the Public Place:
toTEMPORARY PERMIT: Unless otherwise designated herein, this permit is understood by
applicant to be wholly of a temporary nature, that it vests no permanent right whatsoever.
If the -permitted use becomes dangerous or such structure shall become insecure or unsafe,
or shall not be constructed, maintained or used in accordance with the provisions of this
title, the same may be revoked and the structure and obstructions ordered removed by order
of the City Engineer. If this application is for a specified period of time, the terms
of said application is:
INDEfINITY: Applicant understands and by his signature to this application, agrees to hold
the City of Edmonds harmless from any injuries, damages or claims of any kind or des'cr'ip-
tion whatsoever, foreseen or unforeseen, that may be made against the applicant or the City
of Edmonds, or any of its departments or employees, including but not limited to the defense
of any legal,proceedings including defense costs,.�court costs, and attorney fees by reason
of granting.t ' his permit. In addition, applicant understands that the City shall be provided
a certificate of insurance to indemnify and hold the City.of Edmonds harmless from all
claims and/or property damage, naming the City of Edmonds as an also insured.
APPLICATION OF CHAPTER 6.40 OF THE.EDMONDS CITY CODE:
or had the OPDortunity"to read Cha:nter 6 40 of tba
and
i n
0 f
understands that all terms S of that Or�'inance
full and this application and permit therefore
the Edmonds;Citv Code
are
are
Applicant warrants that he has read,
dmonds City Code, attached herewith,
incorporated herein, is if set forth
subject to the term's of that Chapter
11/7/74 rev.
Da te
City -of Edmonds I Pl an n Awe pa rtmen t
APPLICATION FOR STREET USE PERMIT'-- PaQe"2----.-'
Approval (and Agreement, if applicable) of Abutting Property Owners:
Sionature Printed Name Address Date
DO NOT WRITE BELOW THIS LINE.(To be completed by Xssuing Agency)
City Council Approval (Attach Minute Entry):
Permit Fee: Fee: due January 1, 19
Amenities De sign Board Approval (if applicab le) Attach Minute Entry:
Building Official Approval (if applicable):
Signature
Provision for Indemnity:
Terms and Provision of Performance Bond, if applicable: (Reference 6.40.050 of applicable
Ordinance)
PERMIT AUTHORIZATION BY
Ni:ggg::n�a —tu r �_e Date
PERMIT NO. 8�3 DATE �1161e-3o
Remarks:
11/7174 rev.
'111 9
S Aifii ARROWS
��Wi IM.
WC
E*RS :ER
*5 IG
NI �ER
-R $N C
�=11111101kTLOISILC
�ERiTilFtIC!A�TiENDO-E.-SlIN-OAlUAMEND.I.EE�XtTiEN�O
I .NA'L'kTiER&THEILC:O.VE.R'AGERAEF—ORDE Bi 11. PORICAIESELKIS
0
NAME AND ADDRESS OF AGENCY
COMPANIES AFFORDING COVERAGES
Hall -Conway -Jackson, Inc.
P.O. Box 25908
COMPANY 8
A
Northgate Station
LETTER Travelers Ins. Co. of America
Seattle, Washington 98125
COMPANY 0
B0
LETTER
NAME AND ADDRESS OF INSURED
Westgatq Builders, Inc. etal.
COMPANY
LETTER
6605 - 200th.'S.W.
COMPANY
Lynnwood, Washington .98036
LETTER
COMPANY
LETTER
This isto certify that policies of insurance listed below have been issued to the insured named above and are in force at this time. Notwithstanding any requirement, term or condition
of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the
terms, exclusions and conditions of such policies. . .
Limits of Liability
in Thousands (000)
COMPANY
LETTER
TYPE OF INSURANCE
I
POLICY NUMBER
POLICY
EXPIRATION DATE
EACH
AGGREGATE
OCCURRENCE
,
GENERAL LIABILITY
BODILY INJURY
s 500,
s 500,
A
RKI COMPREHENSIVE FORM'
650-406F454-3-TIA-83*
01/01/84
FKI PREMISES —OPERATIONS
PROPERTY DAMAGE
$ 500,
$ 500,
F] EXPLOSION AND COLLAPSE
HAZARD
FXI UNDERGROUND HAZARD
PRODUCTS/COMPLETED
OPERATIONS HAZARD
RICONTRACTUALINSURANCE
BODILY INJURY AND
PROPERTY
BROAD FORM PROPERTY
DAMAGE
COMBINED
$
$
DAMAGE
INDEPENDENT CONTRACTORS
PERSONAL INJURY
$ 500,
PERSONAL INJURY
AUTOMOBILE LIABILITY
BODILY INJURY
$
nX
650-406F454-3-TIA-83
(EACH PERSON)
COMPREHENSIVE FORM
01/01/84
BODILY INJURY
$
FKI OWNED
(EACH ACCIDENT)
PROPERTY DAMAGE
$
FKI HIRED
FK1 NON -OWNED
BODILY INJURY AND
$ 500,
PROPERTY DAMAGE
COMBINED
EXCESS LIABILITY
F1 UMBRELLA FORM
BODILY INJURY AND
PROPERTY DAMAGE
$
$
n OtHER THAN UMBRELLA
COMBINED
FORM
WORKERS'COMPENSATION
STATUTORY
and
EMPLOYERS' LIABILITY
F $ (EACH ACCIDENT)
OTHER
DESCRIPTION OF OPERATIONS&OCATIONSNEHICLES
The Certificate Holder Named Below is An Additional
Insured as respects their Interest'as
such
JOB: THE RICHMAR - 524 Maple St., Edmonds, -Washington
Cancellation: Should any of the above descrUgd policies be cancelled before the expiration date thereof, the issuing com-
30
pany will mail days written
notice to the below named certificate holder, kkxWk"
by Certified Mail.
Additional Insuredo
NAME AND ADDRESS OF CERTIFICATE HOLDER:
City of Edmonds
DATE JIS ED: 17)6
Planning Dept.
505 Bell St.
I V I A I A
Edmonds, Washington 98020
LAVJ L_"THORIZk�oVtE
ACORD 25 (1-79)
76
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WESTGATE BUIL;JRS, INC.
GENERAL CONTRACTORS
RESIDENTIAL AND COMMERCIAL CONSTRUCTION
6605-200th S.W.
LYNNWOOD, WASHINGTON 198036
774-7707
TO: CITY OF EDMONDS
BUILDING DEPT.
ATTENTION: DAN SMITH
PROJECT: THE RICHMAR
524 — Maple St; Edmonds, Wa.
Transmitted herewith are the following:
1 LOT PHOTOS TAKEN OF EXISTING STREET
1 COPY OF PHOTO LOCATIONS
— For Approval
— Returned for correction
— Approved as noted
Remarks:
OUR JOB NO. 8301
YOUR JOB NO.
DATE March 15 9 1983
SECTION
XXX For your information
—For your acceptance & signature
I
/00 \
NaWSEZ-> ANb .4 CC.4 r1041S 0 Jc 0 eA^,*,O's
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-----BUILDING FE1Un_1__KT',yD',_W
BUILDING ADDRES
I- —r— - ___ - -
14u t1ple
Commercial.
BLDG. DEPT. SUSPENSE DATE — ,2- 41- 7 / ZL5 INITIAL DATE
R OFFICE ADMIN. *— PUBLIC WORKS LOG IN
WICITY ENGINEER (check)
0 Access Slope and Vehicle Access
A
0 Drainage Plan
0 Street File
OLegal Description 4Z
E]Quit C ' laim
Ease ment
Caldulate S*ew6r. Connection
V;
WATER/SEWER D'IVISION
...........
mi) er -S ze'�
yi
Deter
7
C Building Piii�i t)!. Review
-n? e 6'
-C i
I S RE
T ET;D I
IV SIO'N
:.1..:TkoM'iiete*.-; Building Peimit;,Re'view
OOFFICE ADMIN... LOG OUT -TO BLDG-.-'.DEPT.
-------------------------------------------------------------------------
Rr_B__U_ILD'ING PERMIT APPLICATION -(COMPLETE).
LAE,
.1312 COPIES PF SITE PLAN
2 COPIES OF FIRE PROTECTION PLAN
'DDV1Y'rf)T7CT-V 13VAY
k IL:,INZLJ al r11\L:, kir.L 1 . )
COPIES OF DRAINAGE PLAN WITH CALCULATIONS
REQUIRED BY SUBDIVISION
GREATER THAN 2,000 SQ. FT.
IMPERMEABLE SURFACE
LESS THAN.2,000 SO. FT.
CHECK ZONING'REQUIREMENTS (SETBACKS)
I COPY OF ENGINEERING CIIECK.LIST
D i COPY OF PU211C WORKS MEMO
0 MULTIPLE OR CO101ERCIAL
YES '(ATIACH:COPY OF ADB APPROVAL INCL. ALL DR*TINGS)
NO
IJ SUBDIVISION YESU NAME . .......
DATED RECORDED
IMBER .... ..
NOE] - (ATrAcH -copy 'OF -REOUiRm-wm)
CHECK SEWER DRAWING AND ATTACH COPY
is DEDICATION REQUIRED. YESQ (OBTAIN QUIT CIA110:
CITY CODE
NO
DOES CITY ILkV-E EASEMENT ON PROPERTY
YES'[] (ATTACH COPI'ES OF DRAWINGS)
NO
CHECK LEGAL ACCESS INGRESS[] UTILITIESO
YES0 YES
NO NO
HAS SEWER ASSESSMENT BEEN PAID
YES U L. I. D. NO.
PLAT NO.
SUBDIVI.SION N 0,
IF! I .INCLIJDE NUMBER OF UNITS
MULTIPLE:�
T77--A
INCLUDE NUMBER OF FIXTURE U14ITS . . . ..
IERCIAL:
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
Public Works Department
SUBJECT: 4'z"--' Ir
After review of the subject Building Permit application, we have the following
comments:
1. Connection to City water system required.
2. Connection to City sanitary sewer system required.
3. Right-of-way permit required for any work on City property.
4. Driveway slope not to exceed 14%
5. Backwater valve re
_quired if downstairs plumbing is below elevation of
upstream manhol—e.
6. Water and sewer lines to be separated by 10 foot minimum.
R n
A
RMLIC WOM rEPAR2= CHEacusr
BUnDING PEX-nT REVIEW Sr
(address) Mte)
Street Right -of -Way Existin���
R:EQUL�
Z
Access Easements Exist*
ing A
�11A
g
Utility Easement Existi
in g,
REQD
W
lot Per Subdivision Plat
Assessor
Site Plan Checked for Accuracy, to
Z
Underground Wiring Reqd.
H
0
Check Accuracy I Description
Z
Review by
Date
Existing Water Main Size (f I
Water Main Required ///J-
Service Une Required 2 me-reip,
Hydrant Size Existing_
04
Hydrant Reqd Per Fire Code
Size
94
Detector Check Meter Reqd.
Cross Connection Inspection
-
Fire Department Comnents
Water Meter Charge Reqd.4 1-7y
Review by,
D a t e -2)
Septic Tank Design Approved Al/Ar
Date Z/Z4 [9�
Septic Tank Permit Reqd. AJIA
Permit No.'
Sanitary Sewer Availability -
-----Proj
Drawing No.
File No.
Side Sewer Availability
Z Z-
94
Sanitary S�qer Q ection Fee Reqd.
onn
:2c
Review by
Date
Open Ditch Existing
d.
Culvert Reqd. C,
Size
44
Catch Basin Reqd. Re.,z
Indicate on Site Plan
0
Shoulder drainage maintain collection on
swale open runoff
Manhole reqd.
Indicate on Site Plan
Soil Conditions and Ground Water Field Checked 3--w
Review by.
Date 7-/-7 V�lg- -?
Revised: 1vlO-1977
Page 2
Street Paving Reqd'-
Curb and Gutter Reqd.('-
/V
Sidewalk Reqd.— 'e.5
Curb Cut for Driv"y Reqd.
Right -of -Way Construction Permit Reqd.. 5
Bond Reqd. for Public Iuprovements—
Street Nanw-- Sign Reqd.
Other Signing Reqd.—
Pre Permit Site Inspection made an
z
0
BY: Sam
WATER
04
z ST=
ENGMEMRING
0
ad
Special Requirements listed in mmm to Comunity Development Departumt,
Building Division
BY Date
All iten-s filled in on Building Permit Application
Date
Drawings Stanped and Notations Made
BY
Date
Approved by Public Works Department
:M
Revised: Iv 10-1977
.........
WESTGATE BLJ&ERS, INC.
GENERAL CONTRACTORS
RESIDENTIAL AND COMMERCIAL CONSTRUCTION
6605-200th S.W.
LYNNWOOD, WASHINGTON 98036
774-7707
TO: CITY OF EDMONDS
250 5th Ave. Pl.
Edmonds,.Wa., 98020
A171 - NTION: [-'�u-*LldinC Dept.
P-ROJ17-CT: ol Unit
Condo---14 "aple;
Transmitted lierewitli are the following:
Remarks:
Letter ,%,ith breakdoom of costs.
I -or Apl)r.oval
Returned for correction
ApproVed as noted
OUR JOB NO.
YOUR JOB NO.
DATE Pebruary 10 2
SE'CTION
For your information
-For Your acceptance & signature
I'_'STS,A; ",WLDERS, I
chard A. �Oh/son, President
WESTGATE ERS INC.
GENERA�#LACTS
RESIDENTIAL AND COMMERCIAL CONSTRUCTION
6605-200th S.W.
LYNNWOOD., WASHINGTON 98036
774-7707
lebrua_ry 10, 1982
City of ' Edmonds
250 5th Ave. 11.
Edmonds, Wa., 98020
Attn: Building Dept.
'k e : 21 Unit Condo - 524 P!Iaple; Tdmionc.ls, 1.11!a.
Gentlemen:
The following is our cost �reakdown of -utilities, on site paving, work
on public right-of-way and landscape for the above referenced project:
.L. Lluilities:
505
LF 6" pipe
3,030
78
LF 411 pipe
390
3
C.O.
75
14
Connections
700
2
Catch Basins
900
27
LF 12" pipe
378
1
Ret . '1"Ianhole
131100
1
in -line man hole
780
1
48" r,"anhole
13200
55
LF 54" D.P.
2.,970
80
LF 6" San.
Strcet
Repair
11,800.
Total Utilities 17,1173
2. On -Site Paving:
3100 So.. Ft. .70 2,170
'To,tal On -site pavinr-,
3. I.-d'ork on.Public RJC�,htl of 1%lay:
Utilities street repair
(part of item /,,Il)
Sidewalk & Drive approac'n
14,�,o In)q.Ft. en.(')o 2,755
Total work on public rit
.�ht of i,,,ay
17,473
2,170
2 715 5
Page
city of �ECh:IoIICisSIldr;. Dept.
February 10, 1983
ndscape:
Bark mulch 2" denth, 96c,,,, 1 932
ri-P11 Vinp mnnlp 17 ea 78r;
'Hhite :,3irch 131L,"Ca.-21 ca. 2.,205
Cormus Kousa 1"Ca.101 -4 ea. 84o
618" Austrian Pine-21 ea. 606
2" Purple Plum - 13 ea. 908
Strawberry busch 975
Azalea '111ollis 15"-17c.i. 412
Azalea ",acrantha 15" - l7ca. 137
Rhod. Fabia 2111 - l3ea.
1 263
Rhod.Loders White 21"-17 ea.
Rhod Unique 21" - 21 ca. 382
Spirafa Anthony Ilaterer gr%. 'i.-73ea 613
Vib. Tiny's Dwarf 5gal. llea. 188
Salal 1 gal. 1043 ea. 2,700
Pachysandra 411 2902 ea. 3,310
Total Landscapin[.r 16,1168
Sumi.m.-ary of Costs:
Utilities
On -Site Pavin,-
on :Publ--"-c
L s c a P 11 11,-.
t _�-- 1 C o �., t s
17,1173
2)170
7 '_5 5
1 C 3 1; 6 8
$ 0
0
16,468
Should you '1-�ave any further requireii�cnt�-), a".16/or questions, please
contact -me.
Yours truly,
WELT,- will
LATE BUILD:,-,-S
Ri,Vhard A. J
President
RAJ/sh
son,
w
ALLEY
MAPLE STREET
SITE PLAN
SCHEME A
I WIVA I,, Ic I A All 4 *.1 Kole]; I ;JIM,
Clj�'-��
I - ZZJ
ca
TYPICAL I at FLOOR PLAN (T�
1.41 G 3,d FLOOD SIM. 114*:"-0' Nw
(A