6801 162ND PL SW.PDF1111111111
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6801 162ND PL SW
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5. W, STREE-7 RUE
MITIGATED FILE# N/A
DETERMINATION OF NONSIGNIFICANCE
Description of proposal
Grading permit to fill 495 cubic yards
Proponent William Sparger
6801 162nd Pl. S.W., Edmonds, WA 98026
Location of proposal, including street address, if any
6801162nd Pl. S.W., Edmonds, WA 98026
Lead Agency Edmonds Planning Division
The lead agency for this -proposal has determined that it does not have
a probable significant adverse impact on the environment. An
environmental impact statement (EIS) is not required under RCW
43.21C.030(2)(c). This decision was made after review of a completed
environmental checklist and other information on file with the lead
agency. This information is available to the public on request.
There is no comment period for this DNS.
x This DNS is issued under 197-11-340(2); the lead agency will not
act on this proposal for 15 days from the date below. Comments
must be submitted by December 29, 1990
Responsible Official John Bissell
Position/Title Code Enforcement Tech. Phone 771-3202
Address
2qA q+h Alm N Pdmnndc WA QAA2A
Date December 14, 1990 Signa
X You may appeal this determination of nonsignificance
to- Hearing Examiner
at 250 5th Ave. North, Edmonds, WA 98020
no later than 5:00 p.m., January 8, 1991
by filing a written appeal citing reasons.
You should be prepared to make specific factual objections. Contact
John Bissell to read or ask about the procedures for
SEPA appeals.
There is no agency appeal.
CONDITIONS OF MITIGATION
WILLIAM SPARGER GRADING PERMIT
This determination of nonsignificance is subject to the following
conditions:
1. All excavation and grading shall comply with Chapter 70 of
the Uniform Building Code, 1989 edition.
2. The Applicant shall obtain a grading permit from the Building
Department and shall comply with all conditions of permit
approval.
3. The applicant shall submit a clearing and landscaping plan to
be reviewed and approved by the Planning Division prior to
the issuance of any permits on the subject property. The
landscaping plan shall provide sufficient ground cover, trees
and other types of plants to provide erosion control and*
replacement of the removed plants.
4. The Applicant shall make every reasonable effort to keep
exposed soil covered
5. The Applicant is to make every possible effort to keep dust
controlled and to keep the streets clear of dirt and debris.
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WILLIAM D. SPARGUR
6801 - 162nd Race S.W.
.Edrnonds, WA 98020
Complete this checklist for nonproject proposals, even though questions may be answered "does
not apply". IN ADDITION, complete the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (part D).
For nonproject actions, the references in the checklist to the words "project," "applicant,"
and "property or site" should be read as "proposal," "proposer," and "affected geographic
area." resDectivelv.
A. BACKGROUND
1. Name of proposed project, if applicable:
1-1
2. Name of applicant:
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3. Address and phone number of applicant and contact person:
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4. Date checklist prepared:
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5. Agency requesting checklist:
6. Proposed timing or schedule (including phasing, if applicable):
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AS SOM' APffOVI-7--
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7. Do , you have any plans for future additions, expansion, or further activity related
to or connected with this proposal? If yes, explain.
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8. List any environmental information you know about that has been prepared, or
will be prepared, directly related to this proposal.
9. Do you know whether applications are pending for governmental approvals of
other proposals directly affecting the property covered by your proposal? If yes,
explain.
10. List any government approvals or permits that will be needed for your
proposal, if known.
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11. Give brief, complete description of your proposdi, including the proposed uses
and the size of the project and site. There are several questions later in this
checklist that ask you to describe certain aspects of your proposal. You*do not
need to repeat those answers on this page. (Lead agencies may modify this form
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to inclu additional specific information on project description.)
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12. Location of the proposal. Give sufficient information for a person to
understand the precise location of your proposed project, including a street
address, if any, and section, township, and range, if known. If a proposal
would occur over a range of area, provide the range or boundaries of the
site(s). Provide a legal description, site plan, vicinity map, and topographic
map, if reasonably available. While you should submit any plans required by the
agency, you are not required to duplicate maps or detailed plans submitted with
any permit applications related to this checklist.
/4 J - G 41
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TO BE COMPLETED BY APPLICANT EVALUATION FOR
AGENCY USE ONLY
B. ENVIRONMENTAL ELEMENTS
1. Earth
a. General description of the site (circle one): Flat, rolling, hilly,J�t—eep
?To—p—e%, mountainous, other
b. What is the steepest slope on the site (approximate percent slope)?
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c. What general types of soils are found on the site (for example,��clay <an�d)
soll�
gravel, peat, muck)? If you know the classification of agricultura soils, specify
them and note any prime farmland.
d. Are there surface indications or history of unstable soils in the immediate
vicinity? If so, describe.
10
e. Describe the purpose, type, and approximate quantities of any filling or
grading proposed. Indicate source of fill.rlA�, 64jjK liv ):?'d-m KIWD
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f. Could erosion occur as a result of clearing, construction, or use? If so,
generally describe.
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9. About what percent of the site will be covered with impervious surfaces after
project c,onstruction (for example, asphalt or buildings)?
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h. Proposed measures to reduce or control erosion, nr nthar impacts to the earth,
if any:
2. Air
a. What types of emissions to the air would result from the proposal (i.e., dust,
automobile, odors, industrial wood smoke) during construction and when the project
is completed? If any, generally describe and give approximate quantities if known.
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b. Are there any off -site sources of emissions or odor that may affect your
proposal? If so, generally describe.
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c. Proposed measures to reduce or control emissions or other impacts to air, if
any: 1)0- Ile
3. Water
a. Surface:
1) is there any surface water body on or in the immediate vicinity of the site
(including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If
yes, describe type and provide names. If appropriate, state what stream or river it
flows into. Nil
2) Will the project require any work over, in or adjacent to (within 200 feet) the
described waters? If yes, please describe and attach available plans.
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3) Estimate the amount of fill and dredge material that would be placed in or removed
from surface water or wetlands and indicate the area of the site that would be
affected. Indicate the source of fill material.
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4) Wili the proposal require surface water withdrawals or diversions? Give general
description, purpose, and approximate quantities if known.
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5) Does the proposal lie within a 100-year floodplain? If so, note location on the
site plan.
6) Does the proposal involve any discharges of waste materials to surface waters? If
so, describe the type of waste and anticipated volume of discharge.
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b. Ground:
1) Will ground water be withdrawn, or will water be discharged to ground water? Give
general description, purpose, and approximate quantities if known.
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2) Describe waste material that will be discharged into the ground from septic tanks
or other sources, if any (for example: Domestic sewage; industrial, containing the
following chemicals... ; agricultural; etc.). Describe the general size of the system,
the number of such systems, the number of houses to be served (if applicable), or the
number of animals or humans the system(s) are expected to serve.
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c. Water Runoff (including storm water):
1) Describe the source of runoff (including storm water) and method of collection and
disposal. if any (include quantities, if known). Where will this water flow? Will
this water flow into other waters? If so, describe.
2) Could waste materials enter ground or surface waters? If so, generally describe.
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d. Proposed measures to reduce or control surface, ground, and runoff water
impacts, if any: A�iz-L5D
4. Plants.
a. Check or circle types of ve etation found on the site:
— decidujous tree: alder, a5 5e aspen, other
— evergreen tree:(� ce&a-�-, Pine, other��D�M�)
shrubs
grass
pasture
crop or grain
wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other
water plants: water lily, eelgrass, milfoil, other
other types of vegetation )4)J,4NP ai�;i?pry
b. What kind and amount of vegetation will be removed or altered?
c. List threatened or endangered species known to be on or near the site.
d. Proposed landscaping, use of native plants, or other measures to preserve or
enhance vegetation on the site, if any:
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5. Animals
a. Circle any birds and animals which have been observed on or near the site or
are known to be on or near the site:
birds: hawk, heron, eagle, songbirds, other:
mammals: deer, bear, elk, beaver, other: .............. TA
fish: bass, salmon, trout, herring, shellfish, other: ........
b. List any threatened or endangered species known to be on or near the site.
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c. Is the site part of a migration route? If so, explain.
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d. Proposed measures to preserve or enhance wildlife, if any:
6..Energy and Natural Resources
a. What kinds of energy (electric, natural gas, oil, wood stove, solar) will be used
to meet the completed project's energy needs? Describe whether it will be used for
heating, manufacturing, etc.
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b. Would your project affect the potential use of solar energy by adjacent
properties? If so, generally describe.
c. What kinds of energy conservation features are included in the plans of this
proposal? List other proposed measures to reduce or control energy impacts, if
any: P Affl\ r
7. Environmental Health
a. Are there any environmental health hazards, including exposure to toxic
chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur
as a result of this proposal? If so, describe.
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1) Describe special emergency services that might be required.
2) Proposed measures to reduce or control environmental health hazards, if any:
110
11457
b. Noise
1) What types of noise exist in the area which may affect your project (for example:
traffic, equipment, operation, other)?
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2) What types and levels of noise would be created by or associated with the project
on a short-term or a long-term basis (for example: traffic, construction, operation,
other)? Indicate what hours noise would come from the site.
3) Proposed measures to reduce or control noise impacts, if any:
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8. Land and Shoreline Use
a. What is the current use of the site and adjacent properties?
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b. Has the site been used for agriculture? If so, describe.
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c. Describe any structures on the site.
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d. Will any structures be demolished? If so, what?
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e. What is the current comprehensive plan designation of the site?
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h. Has any part of the site been classified as an "environmentally sensitive"
area? If so, specify. > N14T ANOV
i. Approximately how many people would reside or work in the completed project?
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j. Approximately how many people would the completed project displace?
k. Proposed measures to avoid or reduce displacement impacts, if any:
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1. Proposed measures to ensure the proposal is compatible with existing and
projected land uses and plans, if any:
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9. Housing
a. Approximately how many units woul.d be provided, if any? Indicate whether high,
middle, or low-income housing * - .
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b. Approximately how many units, if any, would be eliminated? Indicate whether
high, middle, or low-income housin g.
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c. Proposed measures to reduce or control housing impacts, if any:
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10r.. Aesthetics
a. What is the tallest height of any proposed structure(s), not including
antennas; what is the principal exterior building material(s) proposed?
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b. What views in the immediate vicinity would be altered or obstructed?
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c.
Proposed measures to
reduce or control aesthetic impacts, if any:
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11.
Light and Glare
a.
What type of light or glare will the
proposal produce? What time of day would
it
mainly occur?
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b.
Could light or glare
from the finished
project be a safety hazard or interfere
With views?
c.
What existing off -site sources -of
light or glare may affect your proposal?
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d.
Proposed measures to
reduce or control
light and glare impacts, if any:
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12. Recreation
a. What designated and informal recreational opportunities are in the immediate
vicinity? 1Y
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b. Would the proposed project displace any existing recreational uses? If so,
describe. Ild
c. Proposed measures to reduce or control impacts on recreation, including
recreation opportunities to be provided by the project or applicant, if any:
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13. Historic and Cultural Preservation
a. Are there any places or objects listed on, or proposed for, national, state, or
local preservation registers known to be on or next to the site? If so, generally
describe. a'.
b. Generally describe any landmarks or evidence of historic, archaeological,
scientific, or cultural importance known to be on or next to the site.
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c. Proposed measures to reduce or control impacts, if any:
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14. Transportation
a. Identify public streets and highways serving the site, and describe proposed
access to the existing street system. Show on site plans, if any.
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b. Is site currently served by public transit? If not, what is the approximate
distance to the nearest transit stop? >m /Yer I+pe4r
c. How many parking spaces would the completed project have? How many would the
project eliminate? J)6a NO- APPkr
d. Will the proposal require any new roads or streets, or improvements to.existing
roads or streets, not including driveways? If so, generally describe (indicate
whether public or private). /00
e. Will the project use (or occur in the immediate vicinity of) water, rail, or
air transportation? If so, generally describe.
f. How many vehicular trips per day would be generated by the completed project?
If known, indicate when peak volumes would occur.
M17
g. Proposed measures to reduce or control tra s o t t' n impacts, if any:
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15. Public Services
a. Would the project result in an increased need for public services (for example:
fire protection, police protection, health care, schools, other)? If so, generally
describe. 0
b. Proposed measures to reduce or control direct impacts on public services, if
any. Os ek r
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16. Utilities
a
_Qrcle utilities currently availab-Lp— at the site: �e�jlectricity .1;atural gs
t�e� ffeTuse ser,--� ci� t
vi ce emy, o e�r.
ranitiry sewer
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b. Describe the utilities that are proposed for the project, the utility providing
the service, and the generdl construction activities on the site or in the
immediate vicinity which might be needed.
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C. SIGNATURE
The above answers are true and coymplet to the best of my knowledge. I understand
that the lea4aency i t
_relyin, on th to make its decision.
Signature:.. .....................
Date Submitted: .................. .......................
0. Supplemental Sheet for Nonproject Actions (Rezones, Code Changes, Annexations, etc.) -- Do
not use this sheet for project actions.
Because these questions are very general, it may be helpful to read them in conjunction with
the list of the elements of the environment.
When answering these questions, be aware of the extent the proposal, or the types of
activities likely to result from the proposal, would affect the item at a greater intensity or
at a faster rate than if the proposal were not implemented.. Respond briefly and in gen&al
terms.
1. How would the proposal be likely to increase discharge to water; emissions to
air; production, storage, or release of toxic or hazardous substances; or
production of noise?
Proposed measures to avoid or reduce such increases are:
2. How would the proposal be likely to affect plants, animals, fish, or marine
life?
Proposed measures to protect or conserve plants, animals, fish, or marine life are:
.. . 1 3,. How would the proposal be likely to deplete energy or natural resources?
Proposed measures to protect or conserve energy and natural resources are:
4. How would the proposal be likely to use or affect environmentally sensitive areas
or areas designated (or eligible or under study) for governmental protection; such
as parks, wilderness, wild and scenic rivers, threatened or endangered species
habitat, historic or cultural sites, wetlands, floodplains, or prime farmlands?
Proposed measures to protect such resources or to avoid or reduce impacts are:
5. How would the proposal be likely to affect land and shoreline use, including
whether it would allow or encourage land or shoreline uses incompatible with
existing plans?
Proposed measures to avoid or reduce shoreline and land use impacts are:
6. How would the proposal be likely to increase demands on transportation or public
services and utilities?
Proposed measures to reduce or respond to such demand(s) are:
7. Identify, if possible, whether the proposal may conflict with local', state, or
federal laws or requirements for the protection of the environment.
ENVCHK3/PFORMS
CITY OF EDMONDS
STREET FILE ASSET INFORMATION SHEET
E4/NEW
ADDITION
RETIREMENT
ASSET NO. 6-�lm
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION ?LT. �NZO
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE
*PROJECTNUMBER
PROJECT COMPLETION DATE
COST
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
W/DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
0 G.L. E
REFERENCE
DATE
is�
VERIFIED BY
PROCESSED
BATCH NO. -
kvp) INITI
DEPARTMENT FILE
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CITY of E DM ON DS S I D E S E W E R
For Inspection Call 771-3&TREET FILE PERMIT NO
Address of Construction:
Property Legal Description (Include all easements):
P EPIM IT
ON
07964
Owner and/or Builder: T-
Contractor & License No: 44 Q 7
Singl:e Family Residence V C?6?0j��
Mul ti-Fami ly (No. of Units EEE��
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No X' Yes (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No Yes (If Yes, easement required,
attach legal description and county easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK R E C E I V E D
FEB 17 1989
PUBLIC WORKS
I certify that I-hc(ve read and shall comply Date
with the items listed on the back.
Permit Fee: ..Issued By:
Trunk Charge: �Date Issued:
Assessment Fee: Receipt No.:
Partial Inspection:
Comments Date Initial
Final Inspection Approved:
D a, "lie Initial
Rejected:
eason Date Initial
** PERMIT MUST BE POSTED ON OOB SITE **
Wh-ite Copy - File Green Copy —Inspector Buff Copy - Applicant
jhe City of Edmonds Side Sewer Drawing EASEMENT NO - ---------------------------- -----------
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NEW CONSTRUCTION REPAIRS Fj LID NO - ------------------ - ASMT. NO - ------------------
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OWNER ------------------------------------------------------------------------------------------------ CONTRACTOR ...... 40
- - ----- ............ PERMIT NO.
----------- -------- -------- ---------------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
JOB ADDRESS Le-!�P-1 ---- -- �e �-
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NAMEOF ADDITION -----------------------------------------------------------------------------------------------------------------------
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PWW-0001-11/75 (REV.11/78)
Approved:
DATE ... 6�.C( ............... By
FL=YNNW,aOD LINE
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 accuracv 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
toy 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 employees or
officers shall be liable for the information given
on map(s), nor for any one representation
provided based upon said map(s).
L j
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
USE P
ZON;RS Zo NSTE REET FILE
JOB
ADDRESS
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NAME (OR NAME OF BUSINESSI
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LEGAL DESCRIPTIO CHECK
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LID NO.
MAILING ADDRESS
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING REOUI RED DEDICATION
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APPROVED BY
CITY
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ELEPHONE NUMBER
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NAME
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RIGHT OF WAY CONSTRUCTION PERMIT REOUIRED
STREET USE PERMIT REOUIRED 7
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TELEPHONE NUMBER
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REMARKS
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METER SIZE
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TELEPHONE NUMBER
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STATE LICENSE NUMBER
NFs 7—/11 A/ L / -z— _3 P
SIGN AREA
ALLOWED PROPOSED
ENV. REVIEW
COMPLETE EXEMPT
ADB NO.
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Legal Description of Property - Include all easements
(show below or attach four copies)
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VARIANCE OR CU
PLANNING REVIEIN BY
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PRE-MOVE INSPJ SWIM
REMODEL COMPLIANCE INSP. POOL
CHECKED BY
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TYPE OF CONSTRUCTION
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HEIGHT
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SPECIAL INSPECTOR
REOUIRED
0 YES 0 NO
AREA
OCCUPANUY
GROUP R_S
OCCUPANT
LOAD
WOOD STOVE'/
INSERT El APT.BLDG RENEWAL
REMARKS
PROGRESS INSPECTIONS PER UBC 305
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NUMBER OF STORIES NUMBER OF
DWELLING
1 UNITS
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NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
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This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curts, sidewelks,
driveways, marquees, etc.) will require separate permission.
GRADINGIFILL
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assign"rid
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, Its officials,
employees, and agents from any and all claims for damages of
whatever nature. arlsinn dirpr.tIv mr inrilrae-thi fr^m #ho;ee.-- N
ENERGY CODE
DATE: // _4 -9 ��
MEMO TO: Permit Coordinator, Building Division
FROM: Dan Smith, Engineering Inspector
ADDRESS:
OWNER:
After review of the subject building permit application, we have the
following comments:
1) Construction hours are: WEEKDAYS 7:00am to 10:00pm
WEEKENDS/HOLIDAYS 10:00am to 6:00pm
2) A Right -of -Way construction permit is required for any work on
City property.
3) Connection to City water system required.
4) Connection to City sanitary sewer system required; obtain separate
permit.
5) Water and sewer lines to be separated by 10 foot minimum.
6) Driveway must be paved a minimum of 20 feet back from City
right-of-way; separate permit required.
7) Driveway slope not to exceed 14%.
8) Back water valve required -if downstairs plumbing is below
elevation of upstream manhole.
9) Builder/Owner responsible for containing all temporary runoff and
erosion control on site. Construction may not impact neighboring
propert ies in any way.
10) No burning of construction refuse without approval from Fire Dept.
11) Street to be kept clean of debris, dirt, mud, and construction
materials. Contractor responsible for dust control.
12) Inspection required on drainage system, catch basin installation,
driveways, and sidewalks. A final engineering inspectionis
reouired Drior to the buildinq division granting occupancy.
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