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527 MAGNOLIA LN
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CITY OF EDMONDS
STREET
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250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221
.COMMUNITY SERVICES DEPARTMENT
Public Works a Planning 9 Parks and Recreation 9 Engineering
April 21, 1993
Mr. Kerwin Vande Griend
527 Magnolia Lane
Edmonds, WA 98020
Re: Address Change
LAURA M. HALL
MAYOR
Per our phone conversation of this date, your address has been changed
from 527 6th Avenue South to 527 Magnolia Lane. I understand you have
been using the Magnolia Lane.address for your mailing address for the
last six years. The City, however, has been using 6th Avenue South as
the address for utility billing. This official change will resolve the
discrepancy.
The City's Building Official and Fire Marshall have concurred with this
change..
The City will notify all applicable City departments of the change. It
will tie your responsibility to notify all others, including the Post
Office,'if necessary.
Thank you,
sharon'Nolan
Permit, Coordinator
cc: Fi re
Pol i ce
Public Works
Utility Billing
.Address Files
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rir.ET FILE
CITY OF EDMONDS LAURA M. HALL
MAYOR
250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENT
8 q Q5 Public Works e Planning * Parks and Recreation 9 Engineering
LETTER OF TRANSMITTAL
Date: June2, 1992
To: Kerwin Vande Griend
527 Magnolia Lane
Edmonds, Wa. 98020
Subject: Cri ti cal . Areas Checkl i st
Transmitting:
For your information: xx
As you requested:
For your file:
Comment and return:
Note attachments:
Comments:
Planning Division
Cindi Cruz
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0 Incorporated AUgLlSt 11, 1890 *
Sister Cities International — Hekinan, Japan
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City of Edimonds
Critical Areas Checklist
The Critical Are4Ls Checklist contained on
this form is to be filled out by any person
preparing a Development Permit
Application for Che City of Edmonds prior
to his/her submittal of a development permit
to the City.
The purpose of Cie 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 thi's 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:
.Q rff M-J 0 rA
Name
( 'D w /L, e- r- cco OrL
Title
Street Address
F041ro/ld-S 712 - 2�� � 1�,
City, State, ZIP Phone
/Signature Date
Applicant Representative:
Nwne
Title
Street Address
City, State, ZIP Phone
Signature
Date
Critical Areas Checklist
Site information
Project Name: MAE G P-TEN b Permit Number:
Site Location: 5-d 6AP/1,0- limeProperty Tax Account Number: 25_2,203-2--O-�7-01
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Approximate Site Size (acres or square feet): /, S' X 9 p (5,95-0
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? X" A, — Date of most recent action:
Soils / Topography
2. In the Snohomish County Soil Survey, what is the mapped soil type(s)?
3. Describe the general site topography. Check all that apply. -
Flat: less than 5 feet elevation change over entire site.
X 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 of horizontal distance.)
—steep: grades of greater than 30% present on site.
Comments
Hydrology[Vegetation
4. Site contains areas of year-round standing water /J 0
5. Site contains areas of seasonal standing water: A) 0 —Approx. Depth:
6. Site is in the floodway A)p floodplain ou 0 of a water course.
.'3
7. Site contains a creek or an area where water flows across the grounds surface? Al 0 flows
are year-round? Flows are seasonal?
I
8. Site is primarily: forested meadow ;shrubs mixed X
9. Obvious wetland is present on site: A) 0
10. Wetland inventory or map indicates wetland present on site:
11. Critical Areas inventory or map indicates any Critical Area on site:
For City Use Only
STUDY REQUIRED: Critical areas study is required.
CONDITIONAL WAIVER: Critical areas study. not required if specified conditions satisfied.
����WAIVER: Critical areas study is not required.
Determination Number. �BL4
Reviewer
Planner Date
Rey 3127/92
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60" 7 r"�EET FELE
CITY OF EDMONDS LARRY S. NAUGHTEN
250 51h AVE. N. - EDMONDS, WASHINGTON 98020 - (206) 771-3202 MAYOR
COMMUNITY SERVICES
June 26, 1987
Craven Ross
527 6th Ave. S.
Edmonds., WA 98020
Dear RE!Sident:
PETER E. HAHN
DIRECTOR
The City of Edmonds is currently engaging in a program to improve its
wastewater treatment system. One of the major parts of the program is
reducing the volume of flow into our treatment plant. A major item
contributing to this problem is the infiltration of stormwater runoff
from roofs, drains, etc. into our sanitary sewers.
A seriE!S of tests were completed by an independent engineering firm.
They Pumped smoke into sewer lines and recorded where it was escaping,
thereby locating the stormwater infiltration sources.
Your property has been identified as having a roof drain connected to
the sevier and the City requires, per the Community Development Code,
Chapter 18.10, Section 18.10.030, that this problem be corrected.
Please contact myself or Everett Akau of our Water/Sewer Section by
July 24, 1987 to provide you with further information and to answer
your questions. Member of the staff will be glad to advise you as to
your bE?St solution.
Your assistance in disconnecting this source is requested no later than
August 7, 1987.
Sincerely,
Archie Brena
Water/Sewer Supervisor
AB/1 k
cc: Bobby Mills
RUNOFFL/TXTWATER
PUBLIC WORKS PLANNING PARKS AND RECREATION ENGINEERING
I
CITY OF EDMONDS
CIVIC CENTER - EDMONDS, WASHINGTON 98020 (206) 775-2525
COMMUNITY DEVELOPMENT DEPARTMENT
May 13, 1981
Craven E. Ross
527 Magnolia Lane
Edmonds, WA 98020
HARVE H. HARRISON
MAYOR
SUBJECT: CHANGE OF ADDRESS
The Building pivision will now list your address as 527 4Q J, W G�
Magnolia Lane.instead of "527 6th Avenue South, per your
r , equest of May 2, 1981.
We will notify the city Utility Billing Office and it shall
be your responsibility to notify other concerned parties.
�_N C_'�CQk � I I " r-)--
Harold Reeves
Building Official
HR/cn
cc Utility Billing
4 1
S7F�E-ET FLE
CITY OF EDMONDS
CIVIC CENTER - EDMONDS. WASHINGTON 98020 (206) 775-2525
COMMUNITY DEVELOPMENT DEPARTMENT
May 13, 1981
Craven E. Ross
527 Magnolia Lane
Edmonds, WA 98020
SUBJECT: CHANGE OF ADDRESS
The Building Division will now list your address as ' 527
Ma_qnolia Lane instead of "527 6th Avenue South, per your
request of May 2, 1981.
HARVE H. HARRISON
MAYOR
We will notify the city Utility Billing Office and it shall
be your responsibility to notify other concerned parties.
HR/cn
cc Utility Billing
Harold Reeves
Building Official
-.Ty 0
CITY of EDMONDS BUSIN& LICENSE APPLICATION DATE0 LICENSE NO.
Civic Center - Edmonds, Washington 98020 e%c7, ir--,
City Clerk Phone 775-2525 ri�.-ET FILE ANNUAL FEES PENALTY AFTER FEB. 15
P" HOME OCCUPATION
INSTRUCTIONS: CLASS Y�EAR LIC. EFFEC, DATE REASG. LIC. NO.JSPEC. $10.00 (A) ADDITIONAL $5.00 El
"0 , �
• All items must be completed I , . , I I I � . , 0 SMALL BUSINESS
or application will not be ac- RECE[PT NO. DATE PAID PRINT'X' $15.00 (B) ADDITIONAL $7.50 0
cepted. IN SPEC. BOX
- I I I I I I I I I I FOR ISSUE OF 0 Business with 10 or
• Sign and return application FEE PAID PENALTY, PAID CORRECTED more employees ADDITIONAL $25.00 0
LICENSE WITH
with fee. Renewals received I I I 'LC' ACTION. $50.00 (C)
after February 15 must pay NEW APPLICATION (LA)
penalty in addition to fee. 0 RENEWAL (LB)
NEW BUSINESSES AFTER 0 CHANGE (LC)
JULY 31, 1/2 FEE. (PLEASE MAKE ANY NECESSARY CHANGES) 0 DELETE (LD)
NAnFIRM �2 BUSINESS PHONE NO.�FLEM PLOY EES'
MAILING ADDRESS NATURE OF BUSINESS
All d
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BU=ADDRESS INDIVIDUAL PARTNERSHIP CORPORATION
(S) (P) P
OWNER�Y,AME HOME ADDRESS
Z-41
7
HOME PHO E DAT SECURITY NUM
�7 E BIRTH PL&CE OF BIRTH SOCIAL BER
4
I
EMERGENCY NOTIFICATION: (1) NAME & TELEPHONE 7,74 - 7)-12 V,
(PLEASE LIST TWO) (2) NAME & TEL
WASHINGTON STATE TAX NO. APPLICANT'S SIGNATURE
DO NOT WRITE BELOW THIS LINE
STAFF REVIEW- FILL IN LAND USE CODE, LIFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR
DISAPPROVAL, DATE, AND SIGN. IF DISAPPROVAL, PLEASE COMPLETE 'COMMENT"
SECTION. ROUTE TO NEXT DEPARTMENT ON LIST.
PLANNING DEPARTMENT
1�<'APPROVE 0 DISAPPROVE DATE LAND USE CODE ZONING CODE
SIGNATURE
CONDITIONAL USE PERMIT
COMMENTS
BUILDING DEPARTMENT DATE— 10-n I Building El Hotel/Motel (L)
D APPROVE 0 DISAPPROVE Permit
SIGNATURE 0 Apt. Bldg. (A)
I I I 1=0 Office Bldg. (0)
COMMENTS: Occupancy 0 Restaurant (R)
Group 0 Hosp/Nurs Home (H)
CAPACITY: (NO. UNITS, APTS., OFFICES, SEATS, BEDS, STUDENTS) 0 School (S)
t-IMt UEPAHTMENT
X,APPROVE El DISAPPROVE
COMMENTS:
�O/OCE DEPARTMENT
0 DISAPPROVE SIGN
APPROVE DATE ATURE
1. 1 / - 4- �ozka- -! Z,/, -
COMMENTS:
PUBLIC WORKS DEPARTMENT
0 APPROVE 0 DISAPPROVE DATE �Ad SIGNATURE
COMMENTS:
PI-F=AqF RI=Tl IPKI Tr) r.ITV r',l r=Pt<
APPLICATION
for
The City of Edmonds SME SEWER PERMT
NEW CONSTRUCTION E] REPAIRS E] EASEMENT No . ..........................................
105-05800
OW-NER ........ �.rikYgn --- Ei ... RM ................................................................ CONTRACTOR -------------------------------------------------------------------------------------------------- PERMIT No . ......................
ADDRESS ..... 527 .. !n ... 6ti-Avenue ... S . . ................................................... LEGAL DESCRIPTION: LOT No . .............................................. BIJC)CK No . ............. ..............................
.NAME OF ADDITION .........................................................................................................................................
0
DYE TESTED OA SEWER
JULY, 1972
Approved:
DATE............ ................................... By ......................................................................
e%
ET RLE
CITY OF EDMONDS
USE
ZONE PERMIT
NUMBER
CONSTRUCTION PERMIT APPLICATION
joe MM-/W SUITE/APT #
ADDRESS 7 0 t+
OWNER NAME/NAME O�USINESS
-9
LEGAL DESCRIPTION CHECKI
SUBDIVISION No.
LIO
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W
Z
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3:
IGHT OF WAY PER OFFICIAL STREET MAP.
TESCP Approved 13
0
CITY 411'
TELEPHONENUMBER
RW Permit Required 0
'g, .RA
0, _;7
EXISTING — REOUIRED DEDICATION
PROPOSED
Street Use Permit Req'd 0
Inspection Required 0
NAME
Sidewalk Required
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ADDRESS
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CITY ZIP
TELEPHONE NUMBER
NAME
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ENGINEERING MEMO DATED REVIEW BY
ADDRESS y
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METER SIZE
ILDING SUPPLY SIZE NO.
OF FIX�TURES
7
uh
CITY ZIP
TELEPHONE NUMBER
Z
0
REMARKS
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STATE LICENSE NUMBER EXPIRATION DATE
SIGN AREA
ALLOWED PROPOSED
SEPA REVIEW
COMPLETE EXEMPT
ADS NO.
Legal Description of Property - include all easements
SHORELINE 0
Z
EXP
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VARIANCE OR CU
PLA ING REVIEW BY
DATY
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1.4,1,
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sE!rBAdKS - FEET
HEIGHT
LOT COVE RAGE
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FRONT SIDE RE R
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Property
Tax Account
07-
REMARKS
Parcel No. c::)(\.:> 7—
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R71
NEW �Od RESIDENTIAL PLUMBING
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ADDITION COMMERCIAL MECHANICAL
APT. BLDG.
REMODEL SIGN
CHECKED BY
TYPE OF CONSTRUCTION CODE
HEIGHT
GRADING FENCE
REPAIR — CYDS. I— x _FT)
I =—/V/. 1
9 /
DEMOLISH WOODSTOVE SWIM POOL
INSERT HOT TUB/SPA
SPECIAL INSPECTOR
AREA
OCCUPANCY
OCCUPANT
REOUIRED 13 YES
GROUP 0 '-"P
LOAD
GARAGE RETAINING WALL/
C RENEWAL
1-1-3
REMARKS
PROGRESS INSPECTIONS PER UBC 305
Z
ROCKERY
(TYPE OE USE, 13USINESS OR ACTIVITY) EXPLAIN:
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a
_TN OF
Lu
U" BER
NUMBER OF STORIES LIM
DWELLING
W
7kvo UNI!S owe-
0
. -
DESCRIB K E DONE (ATTACH PLOT PLAN)
1
FINAL INSPECTION REQUIRED
o2A 13TO 429� 4 - UWA
VALUATION
MOMMPE�E
PLAN CHECK FEE
.BUILDING
A3. 10 6 157�1
A
HEAT SOURCE:
GLAZING
PLUMBING
eck No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewplks,
STATE SURCHARGE
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE
successors in interest, agrees to indemnify, defend and hold
2
harmless the City of Edmonds, Washington, its officials,
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employees, and agents from any and all claims for damages of
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whatever nature, arising directly or indirectly from the Issuance
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
J,
modify, waive or reduce any requirement of any city ordinance
TOTAL AMOUNT DUE
0
X
nor limit In any way the City's ability to enforce any ordinance
provision."
I hereby acknowledge that I have read this application; that the
Information given is correct; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with city and THIS PERMIT
.
state laws regulating construction; and In doing the work authoriz- AUTHORIZES T his application is not a permit until
.
ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is
tion Insurance. INSPECTION acknowledged in space provided.
SIGN TURE (OWNVER R AGENYTJ SIGNED DEPARTMENT
JDATE
% IA 'S SIG URE DATE
I IA
CITY OF
AOFI
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AOOU I EDMONDS
K
CALL FOR RELrA_SEE(,Q/ DATE
ATTENTION
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
771-0220
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL - File YELLOW - Inspector
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A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. USC
CHAPTER'3. PINK - Owner GOLD - Assessor
10247