615 10TH AVE N.PDF1111111111
509
615 1 OTH AVE N
J
ADDRESS:
TAX ACCOUNTIPARCEL NUMBER: fiql�q oc)o
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:- 0023 DETERMINATION: 0 Conditional Waiver E] Study RequiredAWaiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DA
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
10 1 11FA
SHORT PLAT FILE: 5 - 1;1 Iq - cq 9 LOT: L BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S).#:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
FOR:
WATER METER TAP CARD DATED:
LATEMP\DSrs\Fom-ks\Street File Checklist.doc
4�OCA FILE NO 9
c9i45 GIM 6-
Critical Area's Checklist
00
- ------- ------
------------------- - 009
Site iniormation (soils/topography/hy ogy etation)
1. Site Address/ I Location: C (am A DUO
L)
2. Property Tax Account Number: f
3. Approximate Site Size (acres 0� square feet).- 06el Al-
C,/`
4. Is this site currently developed'?
yes; no.
If yes; how is site developed? 6)(0/
5. Describe the general site topo hy. Check all that apply.
gl�p
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on te generally less than 15% (a vertical rise of I 0-feet over a
I
horizontal istance of 66-feet).
Hilly: slopes present on site of more than IS% and less than 30% a verticf I rise of
I 0-feet over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30%.present on site (a vertical rise of I 0-feet 9'ver a
horizontal aistance of less:than 33-feet).
Other (please describ�):
6. Site contains areas of year-roun standing.water Approx. Depth:
7. Site contains areas of seasonal s ding water
Approx, Depth:
What s,eason(s) of the year?
8. Site is in the floodway floodplain of a water course.
9. Site contains a creek or an area �vhere water flows across the grounds surface? Flows are 'year-
round? Flow's are seasonal? (What time of year?
10. Site is primarily: forested meado* shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on s'e:
-a&._chk."- Rav 10/03197
'City of Edmonds JAN 0 6.1998
Critical Areas CheEtffftTER
.C.0 C. 1 S19 %J
The Critical Areas Checklist contained on
this form is to be filled out by aiiy Oerson
preparing a Development Permit I
Application for the City ofEdmond6 prior to
his/her submittal of a development �nit 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 eded to
c ' lete the Checklist should be ea sil
omp . y
available from observations of the sle or
data 'available at City Hall (Critical kreas
inventories, maps, or soil surveys). I
An applicant, or his/her representatiy'e, must
fill out the checklist, sign and date i� and
I have completed the attached
factual, to the best of my knoi
Owner / Applicant:
' Z I V
ame
Street Address
City, State, ZIP
Signature
� WR15 -/-
:submit it to the City. The City mill ieview
.the 'checklist, make a precursory site!visit,
and. make a dete
rmination of the sub ��equent
i steps necessary to complete a devel4ment
Termit application.
J
With a signed cop rM
y of this fo the
applicant should aho submit a vicin�ty map
or tpl;n for individual lots of the
filo parcel
with enough detail that City staff c find
and. identify the subject paricel(s). In!
addition, the applicant shall inclu4e other
pertinent information (e.g. site plan,
topography map, etc.) or studies M'
conjunction with this Checklist to 'assist
staff in.comple.ting their preliminary
assessmon
t of the site.
APPLICATION
for
The'City of Edmonds SIDE SEWER PERMT
NEW CONSTRUCTION E] REPAIRS E] EASEMENT No . ..........................................
116-04800
OWNER ............ Ko.ch.r-i-a-n-,...qqh!j..j�� ..............
.... .... .. . .. .. ................... .................... CONTRACTOR -------------------------------------------------------------------------------------------------- PERMIT No . ......................
ADDRESS....... 9.4-5 ... Glen .... St ........................................................... ........
-4
i#
LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAMEOF ADDITION ............................................................................
DYE TESTED ON SEWER, 1972
Approved:
DATE.......................................... ..... By ......................................
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 FAX (425) 771-0221
Website: www.d.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
C. 1 SW� Planning - Building - Engineering
August 16, 2007
MEMO TO:
Edmonds School District
Verizon Northwest
SNOCOM Police and Fire Dispatch
SNOPAC
Snohomish County E911
U.S. Post Office
Snohomish County Assessor's Office
Snohomish County Information Services
Snohomish County P.U.D.
Puget Sound Energy
Edmonds Fire Department
Edmonds Police Department
Edmonds Utility Billing
Edmonds Public Works
Edmonds Building/Street File
Edmonds Address Files
Lynnwood Disposal
Comcast Cable
Waste Management Northwest
GARY HAAKENSON
MAYOR
Please be advised that the attached addresses have been changed in the Edmonds
address system:
From: 945 Glen St To New Address: 615 1011, Ave N
Occupancy: R3 Tax ID Number: 00548900000803
AND
If you have any questions regarding this letter, please contact a permit coordinator at
425-771-0220., Please contact us if you. wish to be removed from this I ist.
Respectfully,
0
Permit Coordinator
Edmonds Building Department
Cc: Virgil & Cherry Wiest
391 Lateral A Rd
Wapato, WA 98951
Classico Homes
8552 202nd St SW
Edmonds, WA 98026
L\Tenip\DST's\Master Letters\New Address8/16/2007
Incorporated August 11, 1890
Sister Citv - Hekinan. Jaoan
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