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617 ALOHA WAY.PDF10148 617 ALOHA WAY c,,A',D APR 19 SiN / d eeco ------------- --- — — -- — --- District City of Edmonds --- Water Department TAP CARD PAID APR 19 1961 Date ............. No.................. I ............ No .............. . ..... Meter - . Tap I Size .............................. I size . ....... . .... . ...... . .......... Mfgrs. ..... For......... ............... L .......................... . ...... ....... .... ............................................................................... ................ . ............ ..... . .. .............. . ......................... . ......................... . ... . .. . ....... LotNo ........................................... Blk. No . ...... . .... . . . ....... . ...... Add. .................................. .... ...... ....... . ....... . ......... . . . . ...... Service Location .................................................. . ......................... . ....... . ...... ........ MeterLocation .................... . .. ................... . ....... . . . ... . ...... ......................................... . ....... MakeTap ........................................................... .......................... ...... ..... .................................................. . ......................... . ....... . .... Pressure .... . ............. . ........ lbs. Test ....... ....................... SendBills to ........................................... .......................... . .... . .... Date of Work.(:�� ....................................... I ........................................................ . ........... Foreman Guar. Voucher No ........................... . ........... ... $ ........... . ..... * . *"­******­*__*"* Remarks: ......... ............................................................................ . . ..... - OUTGOING Index .. . ..... Reg ... �._Route Bk....__Stenc3j.._Card.__ INCOMING Index ........ Reg ....... Route Bk .... . ... StenciL.._Card..._._ &aterial . Chargeable to Installatio0eters _N . SIZE . 4p- RATE AMOUNT 0 6 L .... —DESCRIPTION Meter -------------------------------------- ......... _­ .... .......... Meter Box ......... " -------- " ----------- -------------- - & ............... .......... Meter Plate ............................ .............. . ......... .............. .......... Check Valve .......................... .............. . .... ... ....... . . ....... . . .............. ......... Pipe, Galv. Screw .................. .............. . - *"-'-** ------- .............. ....... .......... .... Nipples ....... ----------- * --------- Bushings ..... , .... -------------- ............. . ... . ... .. . ......... .......... .......... ............... .......... Plafii Ells ................................ .............. ---------- -..j .......... St. Ells ... ............................. ... ......... . ... -- - ----- ........ .......... .............. .......... Tees .......................................... ............... .. . .... . .... . .......... .............. ------ ----- .......... f... 12 ---- �v f ...................................................... ----------------- �t..,4 ............................. ------- ­7 .............. - -- ..... .... . ...... ----- - ..Zl^ ...... I.A%L . ... . .... 3-T` .......... ---------- I ...... ... ------ -- ......... ........................................ - ------------------------- _D11 ---- --------- ---------- ­* .............. .............. ------------- er ---------- a 0 ------------- I-- ----- -- --- .......... ....... ............. ........ Material Chargeable to Taps Connected . NO. SIZE DESCRIPTION . RATE AMOUNT .............. .......... Pipe, Black Screw .................. .............. ** ----------- ---- - --- .............. .......... Pipe, Galv. Screw ........... ...... ............... ... -------- ............. .......... Lead Connections .............. Y ........... " .................. Curb Cocks ............................ Corp. Cocks ............ .............. I ----- ------ I ........................... ............. ........ .............. . ... Unions .................................... ......... .... ... ---------- --------- .............. .......... I Saddles ................................ ... .............. ..... . ... . . ........ .............. ......... Nipple's ................................ ..... ............... ........ ........ ...... ......... Bushings .................................. .............. ............... .......... Plain Ells ................................ ............ .............. ..... . ... --------------- .......... Street Ells ......................... ... .............. .......... _. .............. .......... Tees .......................................... ............... ........ . . .......... .............. .......... Curb Boxes ........... . ............... ............... ......... .......... .............. .......... S. 0. Extensions .................... .............. I ............. ............... .......... Gates ........................................ ­ -------- * .. ......... ** - ----------- -------------- ---------- Plugs ........................................ ---- -------- ------------ -------- ** -------------- ---------- Couplings ................................ .............. ..... . ...... -------- .............. .............. .............. .......... .......... .......... Gate Boxes ............................ ..................................................... ....................... ; ............................ .............. ............. .............. ............. ............ ....... . ... .... . .. ...... .... .......... .............. .............. .............. .............. .............. .............. .......... .......... . ........ .......... .......... .................................................................................... ........................................................... ........................................................... ........................................................... ........................................................... ........................................................... : ......... . .. ............. ............. . ............ ............... . ......... ............ ...................... .......... .............. ............... ............... .... .......... .......... . ........ ... ...... .................................................... ........................................................... .......................................................... Hours Time —Day Men ........ Hours Time —Monthly Men .. ............... ............... ............... ............... ....... . ... ....... . ... ....... _... .. ..... 7? ------- - --- . ........ . .... . .. _.­­ .... . ..... I ---- . ...... Hours Time —Auto ................ Superintendence .............. ............... ------- ............... ...... Total . ......... ... ......... = .... ?__- .. . 10tro b-5- h> ADDRESS: TAX ACCC BUILDING PERMIT (NEW STRUCTURE): � iP 1 00�29 bFA COVENANTS (RECORDED) CRITICAL AREASA,] -� �A DETERMINATION: [] Conditional Waiver [] Study Required Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS PLANNING DATA CHECKLIST DATED: Y I -L-1 SCALED PLOT PLAN DATED: SEWER LID FEE $: SHORT PLAT FILE: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: OTHER: LID LOT: Z BLOCK: L\TEMP\DSrs\Fomis\Street File Checklist.doc �7 7 r -"A 7�. APPLICATWIll BUILDING PERMIT Ap p F. Building Depwhnent Permit limit, CITY OF EDMONDS one yeas�' -thi ccom., V mrda= APPUCATION is hereby made for a permit to construct the fO!kwing work, in ac wit�.. a panying plans and specifications. Two sets are submitted herewith for approval. new. al'r Off -St. ....................... ........ Tarking'---L .......... Work addn iepair ............ ccupancy ............................. - Const. type .. .. . .. . ........... Use zone 0 fire Address .. ... ..... . ........ Blk .............. ........ Addn;";!�- Septic =L.. Lot frontage ........................... ............. Area ----- - - --- - -4e . . . . . . . . . . . ........... real. ................... Bldg. retbacits - front ---------- 15? 1. SiCi . ......... Owner Addrem ..... -Teu No./-: ................... . Builder ............. :1;�� ..... ------- Ta ..................... Mdress Plans by ............... ........... ...... . ...... ....... ........ Remarks ....... ...... ........... . .............................. . ... .. .............. . 4,4 all -pplicable Codes and StateJaws riguliting:tW`�-!,-� �z;. Th above i� a c rent, worlL Signed Ow ncr/Agent Addres& ... .............. ...... . ...... Daw ...... ditions� and to complanci.with PERMIT for the above work is hereby approved, subject to the above con om proved p!ans and specifications. and Building Department notat;ons thereon. V, -..-Valuation V ... ............ permit Reed. ...... ..... ... . ....... a rzl, `--Duilding Department, By ......................... . ...... Dam— /+ 'hermit, an.4 '�OTE "Y work', to, This permitdoes not cover plumbing, sewer. of electrical inftallations, nor does it� - * 0 StTe 0 done in the- Right of Way areas. DrivMdYS and Walkways ?nust be planned,to niiet e'q, 'and,alleys, and plans for future sidewalk development- U-', J 'A OE NO. 0AV0 74to" 0 fl .-4f Critical Areas Checklist -- ----------------------------------------------------------- Site Inf ormation (soils/ topography/ hydrology/ vegetation) 1. Site Address/ Location: E I'V?� 2. Property Tax Account Number: ce.)3 3. Approximate Site Size (acres or square feet): 14�p-c) S2' V--1 4i�j' 4. Is this site currently developed? _4L-yes; no. If yes; how is site developed? �7 Cog 2E)Z-r �C.rs:fcu 1—Z D te- 14 5. Describe the ceneral site topography. Check all that apply. 0 Flat: less than 5-feet elevation change over entire site. 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 107feet 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: �jO Approx. Depth: 7. Site contains areas of seasonal standing water: W n Approx. Depth: Yl A - What season(s) of the year? 8. Site is in the floodway---tAd floodplain igo of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round? �Lc3 Flows are seasonal? juc,, (What time of year? A 10. Site is primarily: forested meadow ;shrubs rrdxed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: AUG -2-2 1997 — ------- -- For City Staff Use Only -- ------- — --- :I. Site is Zoned? Aca_clik.doc, Rev 02/11/97 i CA M City of Edmonds 'R �' 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), 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 devel opment 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: Name lo 1 *1 A L C, 9 k \A)Pq Street Address r_—, q A ZD City State Zip IJ a Telephone Signaturev Date Applicant Representative: Name Street Address city State Zip Telephone Signature Date c:recepfion\jana\cac1.doc (over) PLANNING DATA NAME: SITE ADDRESS:- 7 AN�P-Z'141D A T E: '7 ZONING: PLAN CHK#:-...97- ?7Z- PROJECT DESCRIPTION: - CORNERLOT A/b (Yes/No) SETBACKS: Required Setbacks: Front: 20 Left Side: -!5' Right Side: Rear: Actual Setbacks: Front: 75 Left Side: 157 Right Side: Rea Street map checked for additional setback requlred?� (Yes/No) LEGAL NONCON FORM ING.LAND USE DETERMINATION ISSUED -- (Y/N) LOT COVERAGE: 25% . I r Maximum Allowed: A A*ctual:— 30z BUILDING HEIGHT: Maximum Allowed:-- Actual Height: Datum Point: - Datum Elevation: A.D.U. CREATED?- k'�� L.-L� . SUBDIVISION: '- CRITICAL AREAS #: I � - 1� q V� � SEPA DETERMINATION: LOTAREA:—:2001) OTHER: Plan Review By: Offleftemiffp1andat.doc APPLICATION The City of Edmonds for EASEMENT NO - -------------------------------------------- SIDE SEWER PERMIT 214-094SO NEW CONSTRUCTION r-1 REPAIRS LID NO . .................. ASMT. NO - ------------------ OWNER ............ Robert Kell��y ................................................. CONTRACTOR ------------------------------------------------------------------------------------ PERMIT NO . .................... --- ------------------------- JOB ADDRESS .... 617 Aloha.jl�qy ......... LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . .................................... ------------------------ ..................................... .-0 �-1 .................................................................................................................................................................. NAMEOF ADDITION ------------------------------------------------------------------- ............................................... DYE TESTED ON SEIVER - May 6, 1976 By Jim Jensen Approved: DATE............................................ By ............................................................ 11/75 --7/\ P'\ / /-\LORA \.�OAY N