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6405 170TH PL SW.PDF946 6405 170TH PL SW 9 NOTICE: No warranty of accuracy. The information shown on the attached map(s) was compiled for use by the City of Edmonds, its Employees and Consultants. The City of Edmonds does not warrant the accuracy of anything set forth on these map(s). Any person or entity requesting a copy should conduct an independent inquiry regarding the information shown on the map(s), including, but not limited to, the location of any sewer stub shown. Such sewer stubs may or may not exist and may or may not exist at the location shown. Neither the City of Edmonds nor its emplo yees or officers shall be liable for the information given on map(s), nor for any one representation provided based upon said map(s). Date September 13, 1973 Memo to: Director of Maintenance & Operation Public Works From: City Engineer SubJect: Sewer Connection Charges Legal Description: Lot 1, Squire Lane No. 5 Commonly known as: 6405 170th Pl. S.W. Owner: Z.F.F. Calculation: 114.87) Z.F.F. x $5.50 I Lateral x $150 Unit x $ 25 cc: $ 631.81 Connection Fee $ 150.:00 Lateral Charge $ 25.00 Trunk Charge $ JO-On Permit 81 TOTAL CITY of EDMONDS Civic Center - Edmonds, Washington 48020 - Telephone (206) 775-.2525 Office of the City Engineer 6518 - 170th P1 SW 6510 - 170th P1. SW 6502 * - 170th P1. SW 6424 - 170th P1. SW 6416 - 170th P1. SW ,�,6405 --170th Pi. SW September 13, 1973 SUBJECT: Impending Notice to Connect to Sanitary Sewers Dear Resident: With the completion of the newly constructed sanitary sewers in the vicinity of your residence, the City will be re- quiring you to make connection to the appropriate sanitary sewer system adjacent to your property in the near future. By ordin- ance, residents adjacent to a sewer main are required to connect within 60,days of the official notice. Notices will be sent to all properties in this area when the.final assessment roll hear- ing has been completed on Local Improvement District 191. This should take place within approximately 30 days. Since your property was not located within the Local Improvement District, you will be charged a sewer connection charge in lieu of a L.I.D. assessment. This letter, the refore, is to advise you of the impending notice and to allow you additional time to complete.your sewer hook-up. You may, at any time after this datel connect to sewers by paying the charges indicated at the bottom of this letter to the Public Works Department, 200 Dayton Street, Edmonds.. If you have any questions on this matter, please do not hesitate to contact us. Yours very truly, CITY OF EDMONDS � &Z' / V_ � �&' RICHARD H. ALLEN Assistant City Engineer RHA:mjr cc: Public Works Department 973 Sewer Connection Charge including permit fee: APPLICATION T bi� City of Edmonds for EASEMENT NO . ...................................... SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS LID N(%D�WA ----------- ASMT NG- -------------- OWNER ... CONTRACTOR ....... -- - ------- 17c-1 �n�- P� ---------- ....... ................ PERMIT NO. --------------------- ---- ................. JOB ADDRESS ..... -- --------------------------- f ...... ------------- LEGAL DESCRIPTION: LOT NO . ......... ------------- ----------- BLOCK NO - ------------------------------------ ........... - -------- lie, ........... I ----------------------------------------------------------------------------------------------- NAME OF ADDITION ................................ --- -------- ............... R E: `- E- V r-E E-) 1914 ov Approved: DATE-------------------------------------------- By --------------------------------------- IT DS' E.jSEWER:' E. 'AON ITY OF ED' M P 7. W - ,jATEWSEW_,EWDEP�,4iT TERMIT.. 7 'jcail-� 775-2525, fo*K'.I'de FOR _6H�g F do�v any :portJ on .',of tfie �on`st�ru'c on' 7 11: be vided -,��f6in r6qust._-_. 'Sat,;"Su or- holid . ay� inspq ns poptibri pr� aion :Y 7 01th _Plac� ;,w ESS LOCAMN. F ...... 'f 7 _ADDR -8Oi4STjRU-0T16'N_ ......... .................... .................................. ....... .......... ....... .................................. j 1:� �-P.ROPERTi L-M6 �""DESCR' 11"P4.1-Ow"' i'.*�t.-..*)-.t��".Sf�!il'l�'. T �.�mn� .. ........ ................ . .... ................ --- 7-7 ................. ...................................................... ................ ............................... .................. .................... ..................... ........... ...... ...................... ..................... ....................... .............. I ......................... SCHWISM L dy A L E:�'. :' �'� ........... :.OVVNER AND/OR.BUALDER .. ............... 77 ..... ............................................ ..... ..... CONTRACTOR'&'NAM k-&ADDRESS... Rf ................ ....................... ............................................................................ ......... .................................... . Pennission'Is grant6d% .......... 19 J- I or, r and on a idi�-s'ewer Ap -the city- skLnjt,�ry sewer- em"In acco-rdan'c6 -mith Citk,of,Ed mion�slordi)Iiances., ................... I ......... rep*! /Vr-,b ne�il6n%_6f. s A'i--.��',rION-IS-CALtFD*-TQ.TI4E -FOLLOWING:. -NOTE", No: I —The owner' - ofth� property may obta'in,k �Per It toixonstrubt�seWer 'Inside, proper�ty lin'e. �,A'Iicbnsed' Side SeWer.'dontractor must �be employ4 t slde� i�werl , wstieet-area. Do-not� cover any m -' - - it been'frispecte& o construct, portion ofsewe�r4efoie .NOTE�Nc,. .2—All- Work �pbrformed� in.:city 'right- o f7way - requ ires,4 nj Invssimi�_of"Right` of-Wj��-Nrmtt -o6falnable i inber's1office. ..fr*prw the City Eng 3---� tiiin, regarding Ordlna�nce 1-IiA6.030.-an&F lng4lde'iewer s- . henlyou get perrhi . t.. 't - NOTEI:No . 6b fulIM". ieg'�ljiions,�-jp�.ern .-NOTE NO.. 4—Top'64:sId6..scwer-. must have,av,lcast'36 in,�bes,�covcrag6__,atj -proper y .11�6 5aA&, 12i: rp a"' Inchesjnsidel.p opprty-line rninifilun, grade-of-2%. No�bends';Jn grade 'sha er,,th n,3,zwIIP-be permitted.. 'NOTE No. 5—,Trencfies:ih�st�e6�, r�u�t be water settfed,afid'surfa-c'e'of's,treet restored, to original fco,,ndittoyf. ntractors, shall�'b el:r esponsi . b . le for" fail :, w '. �Q� ure due. to Impr per work. which�:may,dev6lop within one'year�6f c6ri�pletlon�. - N6TEI'No. �6-Llt, -is unlawful�Ao alter,or, o� an other w6ik� or' �k y j the-Permit� tor. any wo -'on,�tfie main_� e� 'r- A6, do r e,); or ita'appurteriancesi,except: to in- sept, the -Iiipe'zifito the wye. ............... ...... bate ...... ��4y. -DISA.PPROV,'EU,*El�"lDate..!-: ..... .... �By' ............. ......... ............... Y_� ......... .. . ....... ............ ........... ..................................... .................... . D ...... APPROVED :A� Remarks:' 77 ....... ......... . ..................... ........ .......................... ..................... . . .......................... ........ .................................. ......................... ... ............... 7 ..................................................... . . ........ . .......... . ..................................... ......................... z ........ ....... 7 BOTH. Pe - _t F ti.6fl: -.,CoPies:'Y[U.ST B�e,,.. S Vie BY-10WA r' of- Firfii� 'Pe'rformihEF�Construction,,P.,RIOR'.,To,,Reques -or. nsp-Pe is.* pe�lylft� Aie�_.eb' . 6 ertify flieCt 11he*"Sid6�S6Wer Ans ta;lfatlo' 6 Y nstmetqd, ,under:�th T7 .......... H.Pe Own'e... of,�Contracting ;Firm -Perfr rming -Constru i6. "a wL.. jistalle -Jir, abcordan&with� all- gov6rning,o�dinaii-c'ds-,,6f��th'e' ity- dlYf6hd -.2 liteUt is ....... 19... S AfeckIBEFORE-you dig for:',W" T A' aferi �e ephoh ower-E]; ewer- u,.'j Other%n�', APPLICATION for The CitY of Edmonds =G EASEMENT NO . ........................ SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS LID NO . ........ ASMT. NO. ------- .... OWNER. P ... .................................................... — ......... ........... -PER� -NO . ................... ---------- --------- -_----------------- MIT JOB ADDRES�-_4 BLOCK NO - ----------------- ----------------- : ................... : ----------------------- -_----_--------- .......... ---------------------------------------------------------------------------------------------------------------------------------------------------------------- NAME OF ADPITION 'ni� .................... . ................................ �:� ---------- Approved: DATE ---- By CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 DEVELOPMENT SERVICES DEPARTMENT Planning - Building - Engineering February 23, 2000 William Bui 6405-170'h Place SW Edmonds, WA 98026 SUBJECT: Partial Fence Removal from City Right-oU-Way 6405-1701h Place SW'(Permit #99Q= Dear Mr. Bui, GARY HAAKENSON MAYOR Last week a member of our staff conducted a site visit to verify removal of the first section of fence from the sub ect City right-of-way. The inspector noted that the vertical j boards had been removed but that the end post and two cross supports remain in the right- of-way. Please take the necessary action to remove those items from the City right-of- way by March 6, 2000. Thank you for your cooperation on this matter. Sincerely, JAMES C. WALKER, PE City Engineer JCW/ALC/cmc c: DSTs I KAEWGR\LYLE\W-fence.dm 0 Incorporated August 11, 1890 Sister City - Hekinan, Japan DATE RECEIVED mll zLc�e —10 FPERMIT EXPIRES 'USE PERMIT CITY OF EDMONDS ZONE NUMBER A^ 12 CONSTRUCTION PERMIT APPLICATION JOB SLKE/ 94- ADDRESS OWNER NAME/NAME OF BUSINESS L�LA)i�M t PLAT NAME/SUBDIVI SION NO. LOT NO. I LID NO. LID FEE $ w z MAILING ADDRESS P' 'a e:::� PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved 0 0 (�LAG5 t-101 k_�� EXISTING - PROPOSED RW Per it Required El Street Umse P... Req'd 0 inspection Required 0 CITY P TELEPHONE REQUIRED DEDICATION- FT Side.alk Required 0 Underground NAME Wiring required 0 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 0 NO 0 ul Uj t: ADDRESS REMARKS z z x OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE a 0 z LU CITY ZIP TELEPHONE NAME RLI:�n ENGINEERING REVIEWED/DATE I ADDRESS m , Q Lem FIRE REVIEWED BY . I DATE 4 cc CITY ZIP TELEPHONE I- z 0 U. VARIANCE OR CU 'SHORELINE OR ADBO , INSPECTION REO'D BOND POSTED STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY F1 I r(rA Oki loh6L(2 V bk 0 YES ONO SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED ,PROPOSED HEIGHT ALLOWED PROPOSED PROPERTY TAX ACCOUNT PARCEL NO. L EXP NEW VRESIDENTIAL 0 PLUMBING MECH LOTCOVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) ALLOWED� PROPOSED FRONT r SIDE REAR FRONT� UR SIDE REAR 0 ADDITION 0 COMMERCIAL COMPLIANCE OR z_ z qMANGEOFUSE� z OT AREA IPLANNING00EVIEWED BY DATE 0 REMODEL 0 APARTMENT SIGN PROVIDED' o GRADING FENCE n REPAIR CYDS )X _fT) f-I D *TANK TH E EMOLISH C3: 0., GARAGE' RETA' NING L RENEWAL z . CARPORT ROCKERY� (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN` CHECKED BY TYPE OF�CONSTRUCTION:.; OCCUPANT GROUP NUMBER NUMBER OF �1: A CRITICAC:� ' SPECIAL INSPECTOR JARE9� OCCUPANT OF DWELLING AREAS 0 STORIES UNITS NUMBER REQUIRED 0 y FS LOAD DESCRIBE WORK TO DONE REMARKS z PROORESS.'INSFECTIONS PER.MB61,08tFINAL INSPECTION REO'D 5 306 77 VALUATION FEE AEAT SCO-210E I.-, I PIL" C"E" owt PEFakWT A;-PACATX)ft: IGO DAIS Q PEAWT UMFT: I YEAR - PROVWED WORK IS STARTIED WITHIN 190 DAYS SEE BACK OF Pv4x PERMIT FOR W)RE WFOFMATION in 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, KFEIRS, ASSGICS A.NO SOCCESORS ENG. INSPECTION FEE in uj IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND Ha-0 E S_r THE CITY OF j LANDSCAPING 2 EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES. ANjo A1,rENTS F:zkOV ANY AND INSPECTION FEE cc ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. AFdSL-.CE)L-Z-CT'--YORt.NDi.ZtECTLY 4 RECEi--T x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS P-_;:L%rJ1T SMALL NOT BE PLAN CHECK DEPOSIT 0 _j DEEMEDTO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF A.N-!CITY ORDINANCE 0 NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE A.S'Y OREWNANCE PROVISION.* =1 RECEIPT TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION- THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT;AND THAT I AM THE OWNER. OR THE DULY' AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWSREGULATING CONSTRUC- ThLs apphcazon *.,cx a -.rtd t�. :no CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED Building Otficial or msbet Dec -,Ty. an,� Fees a.re :ajz a�: IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is ackno-,ateo,,ec in space prcoa�. 'b UU N I NIN SURANCE AND RCW 18.27. - SIG ATURE DATE SIGN iE(OWNER AbE (425) T) DATE SIGNED 11,11PY44 a� A 10h 9126�n 771-0220 ;1441" RELEASED Y Dyf E ATTENTION EXT�333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTI 771-0221 __j A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIF - ORIGINAL - FILE YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR 5/98 t qq- CA FILE NO. Critical Areas Checklist -------------------------------------------------------------- Site Information (soil s/topo graphy/hydrology/vegetation) 1. Site Address/Location: 6�40� C� — � 01 Y-7- Ai-nCul A lk Ar 2. Property Tax Account Number: 0 Approximate Site Size (acres or square feet): 4. Is this site currently developed? If yes; how is site developed? yes; —Zno. 5. Describe- he general site topography. Check all that apply. 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 I 0-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 descrl'be): 6. Site contains areas of year-round standing water: 04;a _ ; Approx. Depth: 7. Site contains areas of seasonal standing water: Approx. Depth: What season(s) of the year? 8. Site is in the floodway yj floodplain 00 of a w ater course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? Q, 0-) — Flows are seasonal? — 0 c., (What time of year? 10. Site is primarily: forested meadow — ;shrubs mixed urban landscaped (lawn,shrubs etc) �jp 1_7� 11. Obvious wetland is present on site: " :e . — - e W1 S13 3. Sit' thlb d.e.s.i�h'aied.�in.h.:.'*.b.�.i..aeac*�..I.a..'dsl*d.e. ha.zard*aiea? I Are Sjte-ddsi,�nai6d- 66 t '6Bnyi' "al as*MaP (0 �onrbent ly VETgRMINATIOW :. City of Edmonds RECEIVED MUG 0 91999 TW'QERMIT COUNTER I-141WMF— 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 develo'pment 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 Checklis't 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 — 64.0'5 PL Street Address C7 V/R City State Zip (442ED Z4.-�-ezn- T '�hone' ele Signature ry�� ,:rccepdonVana\cacJ.doc Applicant Representative: Name Street Address City State Zip Telephone Signature Date (over) �' I? C. 189") William Bin 6405 170t� Place SW Edmonds, WA 98026 Subject: Dear Applicant: CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 DEVELOPMENT SERVICES DEPARTMENT Planning - Building - Engineering August 30, 1999 Determination regarding Critical Areas Checklist # 99-228 BARBARA FAHEY MAYOR 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. ................ ................. .......... - ................................ IMPORTANT INFORMATION TO BE NOTED: ... PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHESKLIST OR CRITICAL AREAS STUDY. The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a project -specific determination. 11111111111100� You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL -400 PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. Permit applications include the following: Enc: Determination * Architectural Design Board C:Reception\Jana\CRLTR.doc Building Permits Conditional Use Permits Subdivisions Variances Applications to the ADB* Land Use Applications Any other development permit applications. Thank you. Planning Secretary Incorporated August 11, 1890 Sister City - Hekinan, Japan RECEIVED �3 - 9 i999 Al3kAr-MT SERVICES CTR. Ur-V F-L CITY OF EDL40NDS pL /-S 7-u /0 -9' Zo c-.47-t IV&>/ 0 ro -re ple-D PeZ7-y 7-Y - - ----- a7' 7P 7 CA L, f�ddm-)-,: APA05.fle pL-�,Lu/ wo/nAll --fl-�jzQ 0)j T'T CA FILE NO. - Critical Areas Checklist Site Information (soils/topography/hydrology/vegetation) 1. - Site Address/Location: G4 0 5 - 1'7 0 PL -5-W 1-=D±A01Q5 2. Property Tax Account Number: G 16 Z - 00 0 -0 0 4 - 01 Q 6 RECEIVED 3. Approximate Site Size (acres or square fed): 0. 24- Ar-gE + - OCT a 6 1995 4. Is this site currently developed? _yes; no. PERMIT&MVER If yes; how is site developed? 5. Describe the general site topography. Check all that apply. V 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 pres* on site of more than 15% and less than 30% ( a vertical rise of I 0-feet *G"V*er a horizontal distance of 33 to 66-feet). Steep: grades oVgreater dian, 30% present on site (a vertical rise of 10-feet over a horizontal distance of less dm 33-feet)- Other (please describe): 6. Site contains areas of year-round standing wate r. jV 0 Approx- Depth: 7. Site contains areas of seasonal standing water: N o _; Approx. Depth: What season(s) of the year? /V 0 8. Site is in the floodway- M o floodplain C;) of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? — r-4 c) — Flows are seasonal?. N1 0 (What time of year? 10. Site is primarily: forested ;meadow _;shrubs mixed urban landscaped (lawn,shrubs etc) v- - 11. Obvious wetland is present on site: rJ 0 For City Staff Use Ordy S 2- ..-SCS mapped soil type(s)? 3a..`..,..'Wetlarid inventory or C-A. rnap indicates wedand present on site? /tlo 'Critical Areas inventory or C.A. map indicates Critical Area on site? 'thi earth subsid 6 'landslide liazard area? ence, I wi n desi -Site designated on die Environnientilly �ensitivc Areas Map;? 6;, //0 JD MINATION -'STUDY REQUIRED CONDMONAL WAIVER WAIVER Reviewed by-:' P Z-- lan. r Date ItcV01104194 i, % Cr itical Areas Checklist The Critical A reas Checklist contained on this form is to be filled out by any person preparing a Development Permit Application for the City of Edmon& prior to his/her submittal of a developriftt permit to the City. .. -'Y � The purpose of the Checklist is to enable City staff to determine whether any potential Critical Areas are or amy 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 subsNuent steps necessary to complete a development permit application. With a:ftned copy of this form, the applicant should also submit a vicinity map or plot plan for individual lots of the parcel with -enough detail that City staff can find and identify the subject parcel(s). In addition, the applicant shall include other pertinent information (eg. site plan, topography map, etc-) or studies in conjunction Vith this Checklist to assist staff in completing their preliminary assessment of thesite. I have, completed the attached Critical Area Checklist and attest that the answers provided arc ftctual, to the best of my knowledge (fill out the appropriate column below). Owner / Applicant: Applicant Representative: P44UC HUU DO Name Name .54-0 G - ?- 0 Street Address Street Address L "e N MW 0 M. WAq263G '77(,-61Z-5- City, State, ZIP Phone City, State, ZIP Phone �-6 L-7s Signature Date Signature E$ate a . 890 - 199 CITY OF EDMONDS 250 - STH AVE. N. - EDMONDS. WA 98020 - (206) 771-0220 - FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works * Planning e Parks and Recreation e Engineering LAND USE COMPLAINT FORM. DATE OF COMPLAINT PROPERTY ADDRESS OF COMPLAINT / --7-,r% �0'/ 5 k/ PROPERTY OWNER: X11164M aaw4&1�111-' Name Address Phone TENANT: 1611-7 -t� V Name NATURE OFCOMPLAINT: olfhL41 Z�A� gy- te'14410A- Address Phone The City of Edmonds investigates possible violations on a complaint basis only, therefore, the name of the person filing the complaint must be provided. Name (please print): mfiqxvf / Phone: 71/5-/q0,3 Address: Under the provisions of the Public Disclosure Act (RCW 42.17.310), if requested by the public, do you want your name, address and phone number disclosed? YES NO Signature dv Avlvy 14 Date /O/Z) P 1-5— Incorporated August 11, 1890 Sister Cities International — Hekinan, Japan 11 -------------------------- : MetroScan/Snohomish dwner :BUI WILLIAM;DO CHAU MINH/PHUC H CoOwner : Site Addr:6405 170TH PL SW EDMONDS 98026 Mail Addr:6405 170TH PL SW EDMONDS WA 98026 Rec Date :10/13/94 Deed :WARRANTY Price :$133,000 FULL Loan' :CONVENTIONAL Aud Fee #:131 Ln Amt:$123,000 ActualUse: Lender:STM MTG Vest Type:MARRIED PERSONS IntTyp:FIXED Bldg Name: - - - - - - - - - - - - - - - - - - - - - - - - - - - RTSQ :04E-27N-08-NE APN:5835 000 001 00 09 Struct:$71,100 Land :$53,000 Total :$124,100 LevyCd:00217 1995Tx:$1,370.92 Phone : 0-.Owned:100 -- Census -- Land Use :11101 RES,SGL FAMILY RES,DETACHED,1 UNIT Tract :516.00 NbrhdCode:520 Block :5 Zoning :RS-8000 ZoningRest: Easement: Sub/Plat :SQUIRE LANE,5 Vol:20 Page:91 Legal :BLK 000 D-00 - LOT 1 .......... Bedrooms :3 ........ Bldg SF:1,894 ........ LotAcre: ......... Yea r Blt:1962 Bath F3H :2 1st SF :1,246 Lot SF : EffYrBlt: Stories :1 2nd SF Heating:FORCED BldgGrad:AVG Fireplace:2 3rd SF Roof :BUILT UP Bldgtond:FAIR Spa 4th SF View WaterSrc:PUBLIC Units :1 BsmntSF:648 WtFront: Sewer :SEWER The Information Provided Is Deemed Reliable, But Is Not Guaranteed. CA FILE NO -- Critical Areas Checklist Site Information (soils/topography/hydrology/vegetation) I. - Site AddressALocation: G405 - 170 PL 15-W- GD?4QtjD6> 2. Property Tax Account Number: (0162-000-004-0106, f- . RECEIVZL) 3. Approximate Site Size (acres or square feet): . .0. Z4- Ar-F-E + - — OCT a 6 1995 4- Is this site currently developed? yes; If yes; how is site developed7-- ff.rem 5- Describe the general site topography- Check all that apply. V Flat: less than 5-feet elevation change over entire site, PMIT ' MWER Rolling: slopes on she generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-fed). * Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10-faetSvera horizontal distance of 33 to 66-feet). Steep: grades oigreater than 30% present on site (a vertical rise of 10-feet ever a horizontal distance of less thari 33-feet). Other (please describe): 6- Site contains areas of year4ound standing water- NO ; Approx- Depth: T Site contains areas of seasonal staWing water: N c ;Approx. Depth: What season(s),of the year? V 0 8- Site is in the floodway M 0 floodplain M of a water course. 9. Site contains a cre& or an arm where water flows across the grounds surface? Flows are year- round? N Cp Flows are seasonal? M C) (What time of year? 10. Site is primarily: forested ;meadow _;shrubs mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site- NO For City Staff Use Only S SK 2- CS mapped soil type(s)? V,W-V 3 -,.Wedajid inventory or C-A. inap indicates wedand present on site? /t-*O tical Areas inventory or C-A- vaV indicates Critical Area on site? elo d gnated earth subsidence landslide hazaM aica') i��Slwwithiu' esi &.��Si , te designated on the Environmentally Sensitive Areas MW- A/O 'D E"VERMINATION DY REQUIRED CONDITIONALWAIVER WAIVER Re�ie��d by - Phan% Date I- - sr P. .5, /o/ -r- Ci iofEdmonds Gritical. Areas Checklist Thi.critical Areas Checklist contained on this fiorm is to be filledout by my person a Development Permit Application for the City of Edmonds prior to histher submittal of a developneut permit to the City. 1-he 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. 77he infbrmation needed to complete the Checklist should be easily available from obsenations of the site or data available at City Hall (Critical Areas inventories, maps, or soil surveys). An applicant, or histher representative, must fill out the checklist, sign and date it, and submit it to the City- IMe City will review the checklist, make a precursory site visit, and make a determination of the subsequent steps necessmy to complete a development permit application. With a signed copy *of this form, the applicant should also submit a vicinity map or plot plan for individual lots of the parcel with enough detail that City staff can find and identify the subject parccl(s)- In addition, the applicant shall include other pertinent inforination (eg. site plan, topography map, etc-) or studies in conjunction with this Checklist to assist. staff in completing their prelirninary 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: Name Street Address City, State, ZIP Phone Signature Date Appricant Representative: F>44UC HUU DO Nam 540s - ?- 0 z "- 4- e-;ll+ 6 MI/ Stmet Address L.Y(QM\A)001> WAq263G 776-61 z-s- City, State. ZIP Phone U1 D*e*vber 4, 1974 Mr. Loyal E. Schwinow G405 1700 Place S.W. Edmonds, Washington 98020 SUBJMT& Trailer Hock-u R to Sewer at Private Residence Dear Mr. Schwlsewi In reference to your request for approval of a trailer hook-up at your residence, the City does not presently permit this type of soter connection. We are,, however, In the process of reviewing this situation and will be making further declaims on troller sewage dumping stations within the Citv. We will notify you of further action an this matter. Yours very truly. CITY OF EDMONDS RICHARD H. ALLEN Assistant City Engineer RHAtujr I aci Sower De0artment, Public 'Works Building Department 16 r-4 57 5 7 e, . r, w lqo 000 7 8)-- cl-ro a A U T I L I T Y E A S E M E N T IN CONSIDERATION of benefits to accrue to the grantors herein, the undersigned, and hereby grant to the CITY OF EDMONDS, a-Runicipal Corporation, a permanent easement for the installation, operation, and maintenance of over, across, throughland below tFe— following described property, and the fu ' rther right to remove trees,buthes, under growth and other obstructions interfering with the location, constri, ` "Adh and main- c tenance of said utility -or utilities. The easement and right-of-way hereby granted is located in the'�C unty of Snohomish, State of Washington, and is more partidularly-described as�'� ollows: The CITY agrees to restore to substantially the original condition such im- provements as are disturbed during the construction, maintenance And repair of said ,uti , 11*ty or utilities; prov-ided, the grantors, their heirs or.assigns shall not con-' ,strddt any permanent structure over, upon or within the permanent easment. DATED this. day of STATE OF WASHINGTON) )ss COUNTY.OF SNOHOMISH) , 19 On this day personally.appeared before me and to me known to be the individual(s). described in and who executed the within an foregoing instrument, and acknowledged that signed the same as free.and voluntary act and deed, for the uses and.pu—rposes therein menti—on--ecT.— NOTARY PUBLIC in and for the State of Washington, residing at S TREET FILE CITY of EDMONDS Civic Center Edmonds, Washington 98020 - Telephone (206) 775-2525 Office of the City Engineer September 13, 1973 * Resident * 6405 170th P1. S.W. * Edmonds, Washington 98020 SUBJECT: Impending Notice to Connect to Sanitary Sewers Dear Resident: With the completion of the newly constructed sanitary sewers in the vicinity of your residence, the City will.be re- quiring you to make connection to the appropriate sanitary sewer system adjacent to your property in the near future. By ordin- ance, residents adjacent to a sewer main are required to connect within 60 days of the official notice. Notices will be sent to all properties in this area when thd final assessment roll hear- ing has been completed on Local Improvement District 191. This should take place within approximately 30 days. Since your property was not located within the Local Improvement District, you will be charged a sewer connection charge in lieu of a L.I.D. assessment. This letter, therefore, is to advise you of the impending notice and to allow you additional time to comDlete your.sewer hook-up,. , You may, at any time after this date, connect to ' sewers by paying the charges indicated at the bottom of this letter to the Public Works Department, 200 Dayton Street, Edmonds.. If you have any questions on this matter,.please.do not hesitate to contact us. Yours very truly, CITY OF EDM�ODS RICHARD H. ALLEN Assistant City Engineer RHA:mjr cc:. Public Works Department Sewer Connection. Charge including permit fee: $ 816.81 - Memo to: Director of Maintenance & Operation Public Works From: City Engineer .Subject: Sewer Connection Charges Legal Description: Lot 1, Squire Lane No. S Commonly known as: 6405 170th Pl. S.W. Z.F.F. Calculation: 114.87) Z.F.F. x $5.50 1 Lateral x $150 Unit x 25. cc: Date September 13 1973 Owner: $ 631.81 Connection Fee $ 150.00 Lateral Charge 25.00 Trunk Charge in -on, Permit 816.81 TOTAL