710 CEDAR ST.PDF710 CEDAR ST
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TAX ACCOUNT/PARCEL NUMBER: MA 4 � O-6 0 O
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS : "1 k qu DETERMINATION: ❑ Conditional Waiver ❑ Study Required Waiver
DISCRETIONARY PERMIT #'S: "'1 (RmllU sJft ,k)
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED: 1 i 0T o-
r� RA
SEWER LID FEE $:
LID
SHORT PLAT FILE: LOT:sA4 BLOCK:
SIDE SEWER AS BUILT DATED1,U ,ks
SIDE SEWER PERMIT(S)
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
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RECEIVED
Critical Areas Checklist
Site Information
Project Name: UEFC%�lI-Eb 604�€ Permit Number: 4'
Site Location: 710 CC—DAI?_ 51 Property Tax Account Number:
Approximate Site Size (acres or square feet): 66po0
Have you filled out a Critical Areas Checklist for a project on this site before?
General Site Conditions
MAY 5 199Z
PERMIT COUNTER
N(D
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1. Has the site been cleared or logged? -C-5 Date of most recent action: 7S 7a I CO ye_ y
Soils / Topography
2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? •�91o(a.,rc,cQ
3. Describe the general site topography. Check all that apply. Z C" x /S- 90 si?6
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.)
GEOegkl: ��O Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise
t. of 10 feet of horizontal distance.)
Steep: grades of greater than 30% present on site.
Comments
Hydrology/Vegetation
4. Site contains areas of year-round standing water: MOO C
'5. Site contains areas of seasonal standing water: Mc iJe Approx. Depth:
6. Site is in the floodway 00 floodplain N o of a water course.
7. Site contains a creek or an area where water flows across the grounds surface? 0 c) flows
are year-round? _tj,-�__Flows are seasonal? 0 a
8. Site is primarily: forested ; meadow , s rubs , mixed
9. Obvious wetland is present on site:
10. Wetland inventory or map indicates wetland present on site: +�
11. Critical Areas inventory or map indicates any Critical Area on site: 1,-a c3
--------- ------- ----- _......---------- _____...._-For City Use Only -----____-_--------------
STUDY REQUIRED: Critical areas study is required.
CONDITIONAL WAIVER: Critical areas study not required if specified conditions satisfied.'.
WAIVER: Critical areas study is not required.
Determination NumberReviewer
Planner Date'
Rev 3/27/92
•
•
argo_199
City of Edmonds
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 observationsrof 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 development
permit application.
With a signed copy of this form, the
applicant should also submit a vicinity map
of the parcel with enough detail that City.
staff can find and identify the subject
parcel(s). In addition, the applicant is
encouraged to include any other pertinent
information or studies in conjunction with
this Checklist to assist staff in completing
their preliminary 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:
P U D 5A cK,
Name
0 WAJC?,
Title
7 I o S-r
Street Address
ffb mo ry D S 77 S-S(7 0
City, State, ZIP
Signature
Phone
Date
Applicant Representative:
eoA-rJ
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Name
Title
33o -DAYpy rJ S T
Street Address
E-1)M0N�)s ,V/'A. -7373
City, State, ZIP Phone
Si ature Date
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT EASEMENT No ...........................................
NEW CONSTRUCTION ❑ REPAIRS ❑
106-04900
OWNER........QCCUpant.....................................•--...-•-•-•------•--------------••--------. CONTRACTOR.........--•--------...............-...-....----....--------.....-......----------••----••--••-•-- PERMIT No. --....................
710 Cedar Street
ADDRESS LEGAL DESCRIPTION: LOT No ............................................... BLOCK No.............................................
•
0
NAMEOF ADDITION .............. ............................•---..--........................-----...---......---•---•-•--...............................--
I
DYE TESTED ON SE14ER
DULY, 1972
Approved:
DATE................................................ By-----------•--........................................................
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CITY OF EDMONDS =W
PUBLIC WORKS DEPARTMENT
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. *Address or vicinity of Construction
.-1 \ D C -cc) AIR. - 'T
• Owner: 1<!qQ (C GC
Name
OP-3 i61
Mailing Address
City, State, Zip Code
• Contractor:N• U, 40_ 'AN -SW p-N—(
NjMR IM q�
Mailing Address qko le
City, State, Zip Code
Pei'1'I'f W. 9
Issue Date
• Kermit Issued To: 0. IA-D. A k A ai 0 140"1I
• Type of Work to be Done: OC 4,9 PLO
mod. 7-Q CO cw red t�
• Work in Connection With:
❑ Sub or Plat .K Single Family
❑ Comml. / Ind. ❑ Apt. Condo.
• Pavement Cut: ❑ Yes _54 No
State License Number
2 9,4- 1J �-
Telephone Number
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
B. APPLICANT TO READ AND SIGN
INDEMITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless
from any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made
against the City of Edmonds, or any of it's departments or employees, including or not limited to the defense of any legal
proceedings including defense, costs, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
following the final inspection and acceptance of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call
775-2525, extension 220.
I understand that this
Signature:
t In avaj able at Aob site for inspection purposes at all times.
Owner dr Agent
ate_/ )�-J-J0
THIS PERMIT MUST BE POSTED" AT THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By -
Time Authorized: Void after n-3O days
Special Conditions:
Ammendments:
'`� oeo
Permit Fee:�z
Security Deposit:
Receipt No.: r-EP"
Fund III Fee: 1
Street Cut Dimensions
X_
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. Div. December 1978