1431 9TH AVE N_RedactedIIIIIIIIIIII9849
1431 9TH AVE N
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City of Edmonds
zac+k',N
Development Services Department
Planning Division
Phone: 425.771.0220
i„C. I ago
Fax: 425.771.0221
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 the application 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).
Date Received:-- 7I(
City Receipt #: / 7 3
Critical Areas File #: �A oo I - (n09z
Critical Areas Checklist Fee: $45.00
Date Mailed to ADDlicant: ,-0 1
A property owner, or his/her authorized 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.
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 assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees
to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or
incomplete information furnished by the applicant, his/her/its agents or employees.
By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to file this application on the behalf of the owner as listed below.
SIGNATURE OF APPLICANT/AGENT
DATE
Property Owner's Authorization
By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and posoo attendant,to this application.
SIGNATURE OF OWNER
DATE ( // 0
Owner/Ap licant: ;,; '...!.ApplicantRepresentative:
Name Name
14131 "A , ,A
Street Address Street Address
zc�m "J S w 4- IS651-0
City / State Zip City State
Telephone: 1 '± ck-J2 J % - 75'0
Telephone:
Email address (optional): 4mC, b1, kl1� c Vic` Email Address (optional):
Zip
Critical Areas Checklist.dod3.19.2001
41
Critical Areas Checklist CA File No: CA of a 2
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/ Location: / � q. / 9'� AP AJ - yy� 8_r A S -A
2. Property Tax Account Number:. 319 d o 4
3. Approximate Site Size (a Tres or square feet): 3 QGVP s f/-
4. Is this site currently deve)�oped? _yes; / no.
If yes; how is site developed? f
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
I-"' Rolling: slopes on site generally less` than 15% (a vertical rise of 10-feet over a horizontal
distanie of eet).
Hilly: slopes present on site of more than 15%.and less .than 30% ( a vertical rise of 10-feet
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: D ; Approx. Depth:
7. Site contains areas of seasonal standing water: -) ;Approx. Depth:
What season(s) of the yeaj
8. Site is in the floodway
9. Site contains a creek or an
NU R
10. Site is primarily: forested
urban landscaped (lawns]
11. Obvious wetland is nreser
floodplain J of a water course.
where water flows across the grounds surface? Flows are year-round?
are seasonal? (What time of year? ).
meadow ;shrubs _ ; mixed X
ubs etc)
on site: _ Ate/ 42
LJv1 CK1V111VA1`1VN.
RE WAIVER
Reviewed :b. Date:.. 70
Critical Areas Check] ist.doc/3.19.2001
°ff.E°'"°�
1 P:
City of Edmonds
Development Services Department
_
Planning Division
Phone: 425.771.0220
s9°
Fax: 425.771.0221
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 the application 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).
Date Received: _
City Receipt #: 1Z 2Z2a
Critical Areas File #: a. c)o ► -- 009d.
Critical Areas. Checklist Fee: $45.00-
Date Mailed to ADDlicant:. '
A property owner,, or his/her authorized 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.
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 assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and assigns, .in consideration on the processing of the application agrees
to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or
incomplete information furnished by the applicant, his/her/its agents or employees.
By my signature, I certify that the information and exhibits herewith submitted are true, and correct to .the best of my
knowledge and that I am authorized to file this application on the behalf of the owner as listed below.
SIGNATURE OF APPLICANT/AGENT
DATE
Property Owner's Authorization
By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and posA attendant�to this Rplication.
SIGNATURE OF OWNER
Owner/Ap licant:
Name
DATE / — // o /
Applicant Repi esentative:
ll Telephone:
Email address (optional): ck�, G D,, k! A61, , Z-�Email Address (optional):
Name
14131 At& /J
Street Address Street Address
sctm nJs 14j a 8 601-0
City State j nZip City . State
Telephone:1f2� ck2 !L % 1 — 75 i 0
Zip
Critical Areas Check] ist.doc/3.19.2001
Critical Areas Checklist CA File No: CA 01 +t�
Site Information (soils/topography/hydrology/vegetation)
Site Address/ Location: 9 6 Ae AJ 2fc4m ftYJ S W yA
2. Property Tax Account Number: 13 _2_� D 55 l ? D d D t
3. Approximate Site Size (acres or square feet): 3 QGde s f/—
4. Is this site currently developed? yes; no.
If yes; how is site developed? r l I c. 5/ 4"c2 Gu/ ClJt2 d..
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
// Rolling: slopei on site generally less than 15% (a vertical rise of 10-feet over a horizontal
distance of 66-feet).
Hilly: slope b present on site of more than 15% and less than 30% ( a vertical rise of 10-feet
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: D ; Approx. Depth:
7. Site contains areas of seasonal standing water: —� ; Approx. Depth:
What seasons) of the year?
8. Site is in the floodway _ L o floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
/lip Flows are seasonal? (What time of year? ).
10. Site is primarily: forested ; meadow ;shrubs ; mixed X
urban landscaped (lawn,i hrubs etc)
11. Obvious wetland is present on site: --Ala
Critical Areas Checklist.dod3.19.2001
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DALLY ST. DALEY ST. DA&.EY ST ALEY
73. q�� O O \TM N CIO. N p " •v v-16P
_1.
CITY of EDMONDS BUSINESS LICENSE APPLICATION
civic center city clerk • Phone 7752525��D� STREET FILETDPEEOFBUSINESS w
❑ IAI HOME OCCUPATION
INSTRUCTIONS:
• All Items must be completed
or application will not be ac.
cepted.
• Sign and return application
with fee. Renewals received
alter February 15 must pay
penalty in addition to fee.
NEW BUSINESSES AFTER
JULY 31. 1/2 FEE.
LLA YEAR
LIG EFFEL. DAT gEg56.
LIG NO
SPEC
fl T ND.
DATE PAID
IN SPE
N SPEL. BO%
Oq ISSUE DF
CORRECTEDCS
TEL I, NALT
D
LICENSE WITH
'LL'ALTION.
MAKE
NECESSARY
LICENSE NO.
I
ANNUAL FEE AFTER FEB. 1!
$15.00 $ 22.50
❑ IBI BUSINESSWITH
$20.00
$ '30.00
1 TO 3 EMPLOYEES
❑ ICI BUSINESSWITH
$22.00
S 33.00
C TO 9 EMPLOYEES
❑ (D) BUSINESSWITH 10
$T5.00
$11250
OR MORE EMPLOYEES
❑ NEW APPLICATION J
❑ R ENEWAL((
Col v Of
❑ CHANGE.
NGES)
❑ DELETEAt
n I o 14C7P01
7Z 0.`C' Oki I 7TY— K. / 6 F M�Z> rinc
��TDMAILINGGJADORESS -y NATURE OF BUSINESS / l
ASIePhej
L-/h.t woo<.jl 11-6 c, �!S'0:3(� �'A%ec,li Ni2*-!Y oteri9b
A3/-
OWNERS
219
INDIVIDUAL PARTNERSHIP CORPORA
o (S) - o (P) '(C)
ESS
r t�/�✓e.�/�AHroa�[r Wet,
e lPJ
EMERGENCY NOTIFICATION (1) NAMES TELEPHCNEE/t42 a& i%•L It JHa%'-9FffAv.P Al pA c2S
(PLEASE LIST TWO) 12) NAMES TELEPHONE
WASHINGTON STATE TAX NO. APPLICANT'S SIGNATURE
DO NOT WRITE BELOW THIS LINE
STAFF REVIEW: FILL INLAND USE CODE, UFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR DISAPPROVAL. DATE, AND
SIGN, IF DISAPPROVAL, PLEASE COMPLETE "COMMENT" SECTION. ROUTE TO NEXT DEPARTMENT ON LIST.
PLANNING DEPARTMENT
y/ 2.
7E APPROVE ❑ DISAPPROVE
DATE
LAND USE CODE
ZONING CODE
SIGNATURES
-
CONDITIONAL
USE PERMIT
COMMENTS
BUILDING DEPARTMENT
APPROVE ❑' DISAPPROVE
DATE 4-IS -Pj2
BUIId10 ❑
Hotel/Motel
)
SIGNATURE A- P._eeves
Peirmitg ❑
Apt. Bldg.
(AA)
® ❑
Office Bldg.
(0)
COMMENTS:
Occupancy ❑
Restaurant
(R)
Group ❑
❑
Hosp)Nurs Home
School
(H)
(S)
CAPACITY: (NO. UNITS, APTS, OFFICES, SEATS. BEDS, STUDENTS)
FIRE DEPARTMENT DATE -/3- 2
U.F.I.R.
A APPROVE ❑ DISAPPROVE SIGNATURE
❑ DISAPPROVE DATE
APPROVE ❑ DISAPPROVE ' DATE � D -" SIGNATURE
COMMENTS:
APPLICATION
The Cit of Edmonds for
y SIDE SEWER PERMIT
EASEMENT No . ..........................................
NEW CONSTRUCTION ❑ REPAIRS ❑
�2 J :z 117-07350
OWNER Bruns
OV ......................... x._.Donald
................................................................................ CONTRACTOR .................................................................................................. PERMIT No.
ADDRESS ........ 1.4.3.1 .... 9ttl,-Av.e ...... N ........................................................... LEGAL DESCRIPTION: LOT No. .............. ............................... BLOCK No . ......
......................................
ie
A.
NAMEOF ADDITION .........................................................................................................................................
DYE TESTED ON SEWER, 1972
Approved:
DATE................................................ By - ....................................................................
CITY OF EDNIONDS
`CIVIC` -CENTER— WATER -SEWER DEPARTMENT Call'Iltospeet '0-1107 when work:
is ready for lnspeotlon. (No luepeo n/�!r� c/1
dons saturday!sdhdnyor'tiolldaye.)'�-1N`V:N-'"_.., - -
- hol
SIDE- SEWER PERMIT
ADDRESS, _.:..1431._Ninth Avenue North
OWNER ........... ....... Hambe'rt..:C.QnStr.chin...................... CONTRACTOR ....... ..RAY.,.A1Il...................:..........:...
Permission is granted .... _...... j111y...@.................... for .........,.. ::days, to REPAIR or CONNECT a side sewer
with City Sewers inaccordance with application on file and governing ordinances.
ATTENTION IS .CALLED TO THE FOLLOWINGC
NOTE No. 1—The owners of the property may obtain a .permit to construct sewer Inside. property_line. A licensed Side Sewer Contractor must
be employed to construct aide sewer in street area. Do not cover shy'portlon of sewer before it has been'Inspected.
-'TE No. 2—Obtain full Information regarding Ordinance 11.16.030 and Regulations •governing side sewers when you get permit.
CE No. 3—Top of, aide sewer must have at least 30 inches coverage at property line.and 12 Inches inside property line; minimum grade of 2%.
No bends in grade sharper than 3y will'be- permitted: -
NOTE No. 4—Trenches in street must be . water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to Improper work which may develop within one year of completion. -
NOTE No. 5---It is unlawful to alters or do any other work than Is provided for in the permit, or to do any work on the main sewer or. Its ap-
purtenances except -to insert the pipe into the wye. - - -
PLAT OF SURVEY FOR: GLEN CRAY
ALL THAT PORTION OF THE SE� OF THE S4 OF SECTION 13,'T27N, R3E, W.M., DESCRIBED AS FOLLOWS:
BEGINNING AT A POINT ON THE EAST LINE OF SAID SUBDIVISION, N 0°09100"W 341.60 FEET FROM THE
SE CORNER OF SAID SUBDIVISION; THENCE N 84017144"W, 264.33 FEET; THENCE N 0°09100"W, 187.00
FEET MORE OR LESS; THENCE S 71°51144"E,. 277.45 FEET ?MORE OR LESS; THENCE S 0009'00"E, 127.00 FEET
TO THE POINT OF BEGINNING. LESS THE SOUTH 90.00 FEET OF THE EAST 150.00 FEET THEREOF.
SITUATED .IN SNOHOMISH COUNTY, WASHINGaTON. /
;SCALE: 1" 30.00' -
DECEMBER 29, 1964
Northstream Ln.
Found Mon.(
APPR0VED' I
JUL 71966
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Sec. 13,T2-? N, R 3.EWM�
b,)"MOUTON 6 ASSOCIATES
Consul&g boners 8 Land SurveM
.124 Main St GAR 8-1171
� 1y.
JOB No. 2669B
FB 182/29