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560 BELL ST.PDFiiiiiiiiiiiiii 10245 560 BELL ST 0 ADDRESS: TAX ACCOUNT/PARCEL NUMBER: Mq�3 L-�Z-Q 2-1 o 15oo BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: CRITICAL AREAS: DETERMINATION: E] Conditional Waiver n Study Required E] Waiver DISCRETIONARY PERMIT #'S:-AbE ?�001W (Sim) DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): I q-7Z �-Lz; PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED- Y11 SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT WATER METER TAP CARD DATED: LATEMMS'PsTorms\Street File Checklist.doc The ruy of Edmonds Side Sewer Drawing EASEMENT NO. - ----------------------------------------- 214-02800 NEW CONSTRUCTION E) REPAIRS E] LID NO - ---------------- .--ASMT. NO - ---------- OVNT?72 --- JACK-STRE-IT ------------------------------------------------------------------- CONTRACTOR ----------------- -- 1- ---------- --------- ---- ------------------------------------ ------------------------ ----- PERMIT NO - -------------------- JOB ADDRESS ------- 5603M. ---------------------------------------------------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO . ............... lrt% M M M 4 .............................................................. --------------------------------------------------------------------------------------------------- NAME OF ADDITION # DYE TESTED ON SEWER -Approved: PWW-0001 -11/75 (REV. 11178) DATE ............................................ By --------------------------- ........................ jo APPLICATION for The City of Edmonds SEDE SEWER PERMIT EASEMENT No . .......................................... NEW CONSTRUCTION E] REPAIRS 0 114-o2800 Jack Streit OWNER.............................................................................................................. CONTRACTOR .................... ............................................................................. PERMIT No . ...................... ADDRESS ....... 5hO Bell St. .. ........................... ................................................................. LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................ NAMEOF ADDITION ......................................................................................................................................... 0 0 Dye Tested On Sewer 1972 Approved: DATE................................................ By ...................................................................... #P20 CA File No:wRiu_100 Critical Areas Checklist Site Information (SOiIS/ topography/ hydrology/ vegetation) 1. Site Address/ Location: 5(00 :56LA_ 2. Property Tax Account Number: oo i� -5i-1 Z, 6 2- 16 j,586 3. Approximate Site Size (acres or square feet): 3,6'�2- SQ . f- 7. 4. Is this site currently developed? X yes; — no. If yes; how is site developed? 5w('L_C- '�A'MIL-y H006C A WE A 6-6 5. Describe the general site * topography. Check all that apply. Flat: less than 5-feet elevation change over entire site. Rolling: slopes on site generall less than 15% (a vertical rise of 10-fe'et ov' rizon y er a ho tal 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: Approx. Depth: 7. Site contains areas.of seasonal standing water: ;Approx. Depth: What season(s) of the year? 8. Site is in the floodway Av floodplain — of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?WA Flows are seasonal? (What time of year? i0- Site is primarily: forested meadow shrubs mixed urban landscaped (lawn, shrubs etc) Obvious wetland is present on site: --For City Staff Use Only 1. Plan Check Number, if applicable? - — 2. Site is Zoned? '�3D 1E 3. SCS ma pped soil type(s)?... -5i�No'q t-OA-M, C> -T6 1'XV) 6-5�' 4. Critical �reas inventory or C.A. map indicates Critical Area on site? Z> 5. Site within designated earth subsidence landslide hazard area? U0 DETERMINATION ------ DY REQUI M WAIVER /1: IN' #P20 -- - ----- --- "o C. I % 9'J City-0-A -E-d-m-onds Development Services Department Planning Division Phone: 425.771.0220 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.for the City of Edmonds prior to his/her submittal of the application 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). Date Received: L � C) I C) C) City Receipt#: Critical Areas File #: -_;2007 -6456 Critical Areas Checklist Fee: $135.00 Date Mailed to Applicant: A property owner, or his/her authorized 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. The undersigned applicant, and his/her/its heirs, and assigns, 'in consideration on the processing of the application agrees to release, indemnify, defend and hold the City,of Edmonds harmless from any and all damages, including reasonable attorney's fees, arising from any action or infraction based in whole or part upon false, . misleading, inaccurate or incomplete information ftimished by the applicant, his/her/its agents or employees. By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my knowledge and that I am authorized to file this application on the behalf of the owner as listed belo -7 4 �C SIGNATURE OF APPLIcANT/AGENT DATE Property Owner9s Authorization By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application, and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the purposes of inspection and posting attendant to this application. -SIGNATURE OF OWNER DATE PLEASE PRINT CLEARLY Owner/Applicant: 711'a Name Street Address ity State Zip Telephone: �12t12- - Z Email address (optional): Applicant Representative: Name Street Address City State zip Telephone: Email Address (optional): COTY OF 200 DAYTON ST. - EDMONDS. WASHINGTON 98020 - (706) 715.P5.)c DEPARTMENT OF PUBLIC WORKS March 16, 1981 SrR... FIL HARVF H, HARRISON MAYOR Dear Resident: On February 17, 1981, the Edmonds City Council passed Resolution 488 for construction, reconstruction and repair of.deteriorated sidewalks. A public hearing will be held in,-�'the 'Council Chambers at the"Civic Center on April 21,1981 at 7: 30� ire invited to att . , _';." ��. �­ - I ­.- I.- .. , _ ­­ is hearing for discussing �, . . � ­. .t '-, . ...; ­­,__. , - -0 .4 ppa.1r,pf pQrtic�ns of i-det�erdorate'dt!!tI, abutting yc,6��`p�ro; perty--"�'�The-'lmpr'ovo,m�---�t of tidewalks in need of rer)air at the ;xpense of the abuttinq pr . o'peet . v owner is provided by City Ordinance, Chapter 7.20 and.'' Revised Code of Washington, Chapter 35.68. The areas needing repair have been marked in paint on the sidewalk adjoin.ing your property. Reconstruction' and repair of these sidewalks must be completed on or.before September 1, 1981. In the event improvements are not completed within the above specified �ime, the City will perform and complete the improvements at the expense'oE the abutting property owner. This action is in response to many citizen requests and pedestrian falling accidents which have been increasing in ' recent years as a result of sidewalk deterioration and increased pedestrian traffic. Sincerely, �FRED F. HERZ BERG Director of Public works