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604 GLEN ST.PDF11418 604 GLEN ST Clyy OF EDMONDS E 'R-SEWER DEPARTMENT CI V1 C �NTER — WATF SIDE SEWER PERMIT Call rR""'t 6-1101 -b- .'.Vork is ready for inspection. (No inspec- N2 t,.. Stu day, SundaY or bolidaYl-) 3108 --------------------------- ....... - --------------------------- -- - ------------------ ----------------------------- ........................ ADDRESS ------- - --------- qlfm M. C. W --- --------------------------------------- ---- ---------------- sen ----------- - ----------------- CONTRACTOR-- . ..... ......... days to REPAIR or CONNECT a side sewer �f . ............ jq��-., for ---- ----------- ------- granted pern�dssion is lication on fUe and governing ordinances' "with CIO Sewers in accordance with aPP de Property line- A licensed Side sewer contractor must ,TTENTION IS CALLED TO THE FOLLOwING-- construct sewer insi on of sewer before it has been insPected- e property may obtain a Permit to 0 not cover any POrti . t permit. NOTE No- 1--The owners Of th in street area. D governing side sewer, hen YOU ge �e employed to construCt side sewer Minimum grade of 25.. tion regarding ordinance 11-16*030 and Regulations line; NOTE No- 2—.6btain full 'nforma least 30 inches coverage at property . line and 12 inches inside Property must have at itted. be responsible for NOTE; No. 3_Top of side serwer r than W will be perm condition. Contractors shall No bends ill grade sharpe ttled and surface of street restored to Original must be water se of completion. appur- ny work on the main sewer OT its NOTE N 4—Trenches in street develop within one Y failure due to improper work which may ovided. for in the Permit, or to do a It is unlawful to filter or do any other work than is_ pr NOTE No 51—tenances except to insert the pipe into the wye. CA FILE NO. Critical Areas Checklist -------------------------------------------------------------- Site Information (soil s/topo graphy/hydro lo gy/ve getati on) 1 . Site Address/Location: 6, 0 q (fr 1 54 2. Property Tax Account Number: _375 7- 10 7-- 00 3. Approximate Site Size (acres or square feet): >' I 10 4. Is this site currently developed? 1--' yes; _ no. If yes; how is site developed? e /'Z5- 5. Describe the general site topography. Check all that apply. t.� 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: *-' 0 ; Approx. Depth: 7. Site contains areas of seasonal standing water: '� 40 —;Approx. Depth: _ What season(s) of the year? 8. Site is in the floodway /va floodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? /� o Flows are seasonal? - (What time of year? 10. Site is primarily: forested meadow ;shrubs ;mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: ---------- --------- -------------- 'ta -- --------- ­a��­.For City:S ff -Use::Only 'Site is, on edf,i.- Z ..... .... .... .2.,�::-.:::::,S,CS=ppe soil: type s.) -es we 3. ��::!...�-Wetiana�invent'o6�or*C,-A....'m'ap Indicat Ifai A.:: Critical Areas. inventory. *or. C-A..rnap, indicatesCritical. Area: on ence, itW' signa;e. 46 d h bs* d I iro=en t a ensitive. as, ite do$igh0e.4 on-thelnv 1 8 Are Ma . ...... DETERMINATION ^c&_ehk,doc; Rev 10/03/97 14 &--4� City of Edmonds .-4- 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). PERM COUNTER 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. 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 assist 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 best of my knowledge (fill out the appropriate column below). Owner/Applicant: Applicant Representative: ,.:�5X 4Lt-cj A-) Name 0�/ Name a-2:::) '�!- OL,) � Street _Mdress b- A -79/2S- 1;:re41x 1z City State Zip .�, — -3� 3— -2 799 -::r Telephone Signature Date' creception\janakad.doc Street Address city State Zip Telephone Signature Date (over) 00000�- I,,? c, —.1sq,11 Shawn Olesen 11025 20th Avenue Seattle, WA 98125 Subject: Dear Applicant: CITY OF EDMONDS BARBARA FAHEY MAYOR 121 5TH AVENUE NORTH i EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works e Planning/Building * Parks and Recreation 9 Engineering e Wastewater Treatment Plant August 3, 1998 Determination regarding Critical Areas Checklist # 98-198 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. IMPORTANTINFORMATION TO BE NOTED., PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIS OR CRITICAL AREAS STUDY, The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a project -specific determination. Ello, You must submit a copV of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL 40M PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. Permit applications include the following: Enc: Determination *Architectural Design Board C:ReceptionUana\CRLTR.doq Building Permits Conditional Use Permits Subdivisions Variances Applications to the ADB* Land Use Applications Any other development permit applications. Thank you. Sharla Graham Acting Planning Secretary e Incorporated Auqust 11, 1890 0 Sister Cities International — Hekinan, Japan - w- X The City of Edmonds APPLICATION for SIDE SEWER PERMIT NEW CONSTRUCTION Ig REPAIRS OV*rNER ...................................... ADDRESS..... ....... ........................................ - j I j -j cb C�e EASEMENT No. CONTRACTOR ....... M.— -.-.e �el ... ................................................ PERMIT '2. LEGAL DESCRIPTION: LOT No . ............. .. ..... BIAD�CK No . ........ ................................... NAME OF ADDITION ........... ...... ......... .............................................. (�� la ;.-7 it Approved: .. . ......................... DATE ..... ....... By .... 'Lly 0 -LI,CA,,,IPN DA LICENSE No. T GITY of EDMONDS BUS4W LICENSE� P P, _T Civic Center - Edmonds, Washington 98020 ANN PAL FEE�S PENALTY AFTER FEB. 15 City Clerk Phone 775-2525 Dir. Ot [juj-.;!,,: ! El HOME OCCUPATION INSTRUCTIONS: CLA AR I LIC. EFFEC. DATE REA-5GLIC. NO.JSPEC. 0:00 (A) ADDITIONAL.$5.00 0 0 SMALL 8tjSj 70 �k�li I I I I SMALL 4_E�ss • All items must be completed I RECEIPT NO. DATE PAID A - or application will not be ac- PRINT.X1 $15.00 f� ADDITIONAL $7.50 0 IN SPEC. BOX r cepted. FOR ISSUE OF 0 Business wi t h—i 'Oo FEE PAID/ PENALTY PAID • Sign and return application CORRECTED more,employees ADDITIO AL-$25.00 0 wi�t�Renewals received I., V, A LICENSE WITH -----3r5O.00 (C) 'LC' ACTION. after Februacy_1.5,-must pay NEW APPLICATION (LA) penalty in �- T/e e. addition to STREET F' 0 RENEWAL (LB) NEW BUSINESSES AFTER 0 CHANGE (LC) JULY 31, 1/2 FEE. (PLEASE MAKE ANY NECESSARY CHANGES) 0 DELETE (LD) 1--� ri AME OF FIRM BUSINESS PHONE NO. OF EMPLOYEES -Z(,1 dA516 361_3 MAILING ADDRESS NATURE OF BUSINESS Ao;2-02-,;Z�- BUSINESS ADDRESS �, e �4 a`/ "'y Al 6 INDIVIDUAL PARTNERSHIP CORPORATION ev (S) (P) O)k)�NERS NAME Wi%-- to ra -�441 ;;z 11,A- 4vC-A5- V— HOME ADDRESS 24 HOME P7HON; DATE OF BIRTH PLACE OF BIRTH SOCIAL SECURITY NUMBER ;? - -36/3 1 I , EMERGENCY NOTIFICATION: (1) -L NAME & TELEPHONE 1,54 Ai -E , L)/—I-w4- (PLEASE LIST TWO) (2) NAME&TELEPHONE 444--lelE 7-L-a/,1Z 2-9 7 2 WASHINGTON STATE TAX NO. APPLICANT'S SIGNATURE�A,-")�.,,ZIA4, "-k DO NOT WRITE BELOW THIS LINE STAFF REVIEW: FILL IN LAND USE CODE, UFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR DISAPPROVAL, DATE, AND SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT" SECTION. ROUTE TO NEXT DEPARTMENT ON LIST. PLANNING DEPARTMENT Y-APPROVE 0 DISAPPROVE DATE 'SIGNATURE LAND USE CODE ZONING CODE C- CONDITIONAL USE PERMIT COMMENTS BUILDING DEPARTMENT DATE- Building El Hotel/Motel'-, (L) U/APPROVE 0 DISAPPROVE SIGNATURE Permit 0 Apt. Bldg. .' (A) ETI I I 1 0 Of I.ice, Bldg. (0) COMMENTS: Occupancy 0 Restaurant Group 0 Hosp/Nurs Home (R) (H) CAPACITY: (NO. UNITS, APTS., OFFICES, SEATS, BEDS, STUDENTSY 0 School (S) FI.RE DEPARTMENT DATE U. F. 1'. R. 9 APPROVE 0 DISAPPROVE SIGNATURE COMMENTS: PO�ICE DEPARTMENT 1�r APPROVE DATE /&42'�—A SIGNATURE 0 DISAPPROVE L COMMENTS: L PUBLIC WORKS DEPARTMENT 0 APPROVE 0 DISAPPROVE D AT E SIGNATURE COMMENTS: -01 r- A—, 7 r-. 7-ri I n N I -rrN r- I-V r- A r- r-) Re 890 9 C5 CITY OF EDMONDS 250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public,Works 9 Planning a Parks and Recreation e Engineering February 28, 1994 APM Management P.O. Box 26107 Seattle, WA 98125 604 GLEN STREET IN EDMONDS Dear Property�Manager: LAURA M. HALL MAYOR The City of Edmonds Public Works has received complaints about the vegetation adjacent to your residence. The suckers on the P.lum tree' are creating a trip hazard. Please be advised that it is the responsibility of the abutting property owners to maintain per the City's Ordinance No. 1571 (see attached). If you should have any questions, please feel free to give me a call at 771-0235, extension 348. Sincerely, Z-� bill Stroud Street Supervisor BS/l k VEGET/SH/TXTSTREE e Incorporated August 11, 1890 Sister Cities International Hekinan, Japan � 8 9 0 - 1 99 - CITY OF EDMONDS 250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works * Planning e Parks and Recreation o Engineering February 28, 1994 APM Management 604 Glen St., #4 Edmonds, WA 98020 Dear Management: LAURA M. HALL MAYOR The City of Edmonds Public Works has received complaints about the vegetation adjacent to your residence. The suckers on the Plum tree are creating a trip hazard. Please be advised that it is the responsibility of the abutting property owners to maintain per the City's Ordinance No. 1571 (see attached). If you should have any questions, please feel free to give me a call at 771-0235, extension 348. S*ncerely, Bill Stroud Street Supervisor BS/l k VEGET/SH/TXTSTREE * Incorporated AtIgUSt 11, 1890 0 Sister Cities International — Hekinan, Japan