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10519 226TH 'ST SW
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APPLICATION
-4'�e 'r-'Y -6f Edmonds for
.0--n SIDE SEWER PERMIT EASEMENT NO_ --------------------------------------------
NEW CONSTRUCTION REPAIRS r-j LID NO_ ------------------ ASMT. NO. ------------------
OWNER . ........ ------ ................................ CONTRACTOR ..... ------- ----------- PERMIT NO.
JOB ADDRESS ----- kc-) ---------------------------- LEGAL DESCRIPTION: LOT NO. BLOCK NO_ ------------------ .................
NAMEOF ADDITION -----------------------------------------------------------------------------------------------------------------------
DATE ......... ..... By
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I i 9 i 1 ?e �l .i i i + a,t iWJATER-S WJERi DEPA'RTM
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�CONTRAOT.UR S NAME 8 ADDRESS . L 1E.
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R �Pen»ission is$granted•t < JUri '.z � ) i ,: t, 18 74 for ,epair;and%or .'connection +of'�a,,sidei;sewer;atti the;.citpa sanitary
'. sys.teniCin'Gaceord'iffi0 �vith'iCltyraof='Edmonflsi a ordfnnccis
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z,l\ ECPIo#)1'=The(ownera�of�thefproperty may'robtainsat'permlt to construct sewer lnalde-property,?11ne�A llcenaedr,3lde 8eweryContreetor;muatytieKemployed�totConatruet .f
ini+stbeet�larea- Do'not cover -any portion of,sewer%before it' has veenfinspecteda �i , ` �- •.L - t` 1 - , � `"s�
IWOTEKNo.-y+2=All w°ork performedlin city iNght of waytrequireai,an Invasion of;Rlght of�Way Permft°,obtainable fromuthe'!Clty EngineersKoffice
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-':i "NOTE;Nb'k 3 i`Obtaln'lfullfdnfobmation',regar°dIng-..Ordinance II:�16 03OI and;Regulationa--gYoverning aide:�sewers -,when. you get permit a,4 r h $ �.�- '., �l
_ d ,,NOTE„�No.F44 T,op of�rjlde;�sewer. must••EEhave at leeet�!30. -inches!'coverage;;attproper[yJ,llne'.and 12 lnchea,/Inaide;,propertyr<,l1ne rminlmum ,grade oP,:2J�EATNo:?,bendst in+FKgrade�-'<,
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.,'v'4NOTErNo!.@Sr,'�r,TrencheaAin+�etre�t.}nusttbe waterryae.'fled?and,surface�ofyatreet restoredr_tito orlginall condition �+ConfTa,ctora,Sahall'`be`�responalble ford"failureF?due to Improper!
?it',:�t�.•',:woi•krwtilchlmay+develoPLiwithinjone:yea`r9of�comPletion `• J- t,•; t.- r_�. �:,rr�-- + Lf:;:..s- r1- Zr :,y 1 ..,_ -
-n•NOTE�Ntiti�IB�:,isj,unlawfulfoSalter;br do`,anyi�ther.lwtork2than-faProvided for�tln, thepermit or.ao. do)-any,?work on"themsdn�sewerPor°itsriappnr�tenanCe_s�except�to,in J.-:
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APPLICATION
'The :,Cl'tY of Edmonds for -EASEMENT NO_ ____________________________________________
SIDE SEWER PERMIT
NEW CONSTRUCTION 3�—� REPAIRS E] LID NO.
----------
OWNER ........ ,W _-5 ------------------------------------ CONTRACTOR --------- -------- PERMIT NO.
JOB ADDRESS
-------------------------------------- LEGAL DESCRIPTION: LOT NO. -------------------------------------- BLOCK NO. ------------------------------------
------------------------------------------------------------ _!�� ----------------------------------------------
NAMEOF ADDITION ..................... --------------------------------------------------------------------------------------------------
E
-SUN 2 4 1`,
I II
Approved:
DATE............................................ By -------------------------------------------------------------
Date May 2, 1974
Memo to: Director of Maintenance & Operation
Public Works
From: City Engineer
Subject: Sewer Connection Charges
Legal Description:
Sec 25 TWP 27 Rge 03 RT-97-) Beg 20 ft. N & 45 Ft E of SW
corner of the NE k of SW k of SW 'k; th N 370 02' 56" E 165.
93 ft; th N 44037'39" E 93.26 ft; th S 01000'00" W 203.04
ft; th N 88031100" W 162 ft to the TPB
Commonly known as: 10519 226th St. S.W.
Z.F.F. Calculation:
136.2 ) Z.F.F. X ($7.50 ) _
( 0 ) Lateral x ( 0 ) _
( 1 ) Unit x ( $ 25 ) _
Cc: Mr. 6 Mrs. Arstad
Owner: B.D. Arstad
$ 1,021.50 Connection Fee
$ -0- Lateral Charge
$ 25.00 Trunk Charge
$ in_oo Permit
0- 1.Q56.50 TOTAL
I
Form 6
&90.199-
City of Edmonds
Critical Are' as 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
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 parcel(s). 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 Area Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
A(J41
Name
lo5m
Street Ad/dress
�o m011J5 w. 9r0,2d
City, State, ZIP Phone
Signature Date
Applicant Representative:
1&�o6,KSvh
Name
z,00 F3Y/ At UV
Street, Address
��moxds . V/u, `F0,'21 �7YY-o3ga71
City, State, IP Phone
Signature Date
CA FILE NO. q 3 - 7O P
Critical Areas Checklist
Site Information (soils/topography/hydrology/vegetation) 5�7
1. Site Address/Location: 10519 2211ti . 5 VV,
2. Property Tax Account Number: l49,1527D 7 -3- OU UO
3. Approximate Site Size (acres or square feet): lg oDO s� ��•`G� ' ,,
U�
4. Is this site currently developed? yes; no.
If yes; how is site developed? n % ar9r OL15 e D� f
5. Describe the general site topography. Check all that apply.
X 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 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: tVO ; Approx. Depth:
7. Site contains areas of seasonal standing water: / ; Approx. Depth:
What season(s) of the year? /
8. Site is in the floodwayIVO floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? NC) Flows are seasonal? (What time of year? ).
10. Site is primarily: forested ; meadow ;shrubs ; mixed ;
urban landscaped (lawn,shrubs etc) X .
11. Obvious wetland is present on site: .
For City Staff Use Only
I. Site is Zoned?
:21..SCS mapped soil type(s)?
3. Wetland inventory or C.A. map indicates wetland present on site?
4. Critical Areas inventory or C.A. map indicates Critical Area on site? P '
5. Site within designated earth subsidence landslide hazard area? N T
6. Site designated on the Environmentally Sensitive Areas Map? k/L
DETERMINATION
/ STUDY REQUIRED CONDITIONAL WAIVER
_lam WAIVER t i�
,Reviewed by: 17i
Pladnet Date
Rev 09/29M
N
16..
REGARDING: 10519 _ 226th Street S.W. -76 e)l:aoh
a ress
R E C O R D O F C O N T A C T S
DATE NAME, PHONE NO., $
ADDRESS of CALLER COMMENTS
5/l/74 B.D. Arstad Certified Letter No. 406381 sent
requiring hook-iip within 60 days.
.5/2/74 What is first step involved in
connecting?
5/2/74 Received connection fee memo in the
amount of $1,056.50.
6/24/74 Russ Johnson obtained permit #4886.
7/1/74--J Connection completed.
ACTION TAKEN INITIALS
Letter received. TE
Referred to Engr. as connection fee TE
is owing.
TE
TE
TE
SENDER Be• sure to'folio W;instructlons,On ;otheiside
PEASE'FU.RNISHi..SERVICE(S)=INDICATED' EfY�CHECKED;.,BLOCK(S)
r:
,. (Additional aha'rpes';regliired Jor'tiieae aerviaea).
Sh address t Deliver ONLY '
where delivered ,.to: addressee`
RECEIPT
R¢ce►ved-the numberetl°article.descrtbed'below ,
REGISTERED;NO ,'SIGNA URE1.1ORNAME,OFtADDRESSEE (Must 'al ways be flue& In)+oy
,,
�+
ERTIFIED) 10:
4,Qi�j j 2 �SIQNAT,UR,E OF ADD SSEE'S AGENT;�IF ANY. ; f
INSURED aNO3
1
DATE DELIVERED `, y" %SHOW;--WHERE"RELI;lERED,'(Oiily xJ`re"quested, a4id aaiclude ZIP Codo)'.
—6dECEIPT FOR CERTIFIED. AIL.-300
703-01300
(plus poste g
t--i
ARSTADI BARNF.Y 8•
10519
} POSTMARK
°" AR.DATE
cb
226TH SWco
FDMONDS, WASHINGTON
C)
�-r
98020
SERVICES
UJ
FOR ADDITIONAL FEES
. S
I. Shows to whom antl date delivered _........... With deliverY to addressee
1,
°
onl
• Shows to whom, date and where delivered With deliverY to
addressee onl
Y ............
(extra fee required)
sod
PS Form _.............
APr•1971 3800 NO INSURANCE COVERAGE PROVIDED--
i
NOT FOR INTERNATIONAL MAIL
(See other side)
°pPO: i°roo-a°r-aea
111
CITY of EDMONDS
Department of Public Works
i
r,
200 Dayton Street • Edmonds, Wash. 98020
I
Mr. or Mrs• Bar . Arstad
10519 - 2 Street S.W.
Edmon Washington 98020
-
U s: 'POSTAL SERVICE u r
I1 OFFIMAL.BUSINESS;
I, h PENALTY .FOR PRIVATE
E. is USE TO AVOID PAYMENT . S
I OF POSTAGE $300'°,
r1� :U.&NWL
Postmark of Delrvenng Office o t.
I� SENDER INSTRUCTrONS RETURN �
MnO m the space below.youry name address mclodmg ZIP Code y _ Tos " I�
e If speual services are desired check'blo°ck(s) on other side:
If • Moister gummed ends and attach to back of article i
F
lii 45
!� fYi o2lJUsL> t
r
CITY of EDMONDS
200 Dayton Street • Edmonds, Washington 98020 - Telephone (206) 775-2525
Department of Public Works July 1, 1974
CERTIFIED MAIL
Mr. or Mrs. Barney B. Arstad
10519 - 226th Street S.W.
Edmonds, Washington 98020
Dear Mr. or Mrs. Arstad:
You previously received a Certified Letter dated May 1, 1974,
which required the sanitary sewer connection of your property located at
10519 - 226th Street S.W. Edmonds within sixty (60) days. As
io of this date, that sixty-day time peras expired, and our records
still indicate that your property is unconnected.
In accordance with the Edmonds City Code, you were instructed
to accomplish one of the following:
1. Make the necessary sewer connection, OR
2. Appear in person at the Public Works Building, 200 Dayton
Street, Edmonds, and indicate by signature your intent to
execute an agreement to form a Local Improvement District
(L.I.D.) in the future; for the purpose of connecting your
property's sanitary sewer system to the City of Edmonds'
main line sanitary sewer system.
Since this is the second notice, if one of the above (Item l or Item 2) is
not accomplished by July 12, 1974, water service to the subject property
will be terminated in accordance with Edmonds City Code 11.16.240.
It is possible that our records regarding your property are
incorrect. If you feel your property is connected to the City sanitary sewer
system, or if you have record of the connection; please advise this office
on or before July 12, 1974, so that we may accomplish the necessary procedures.
Please phone Mr. John B. Mitchell, Water/Sewer Superintendent,
775-2525, extension 226, for any information or assistance you may desire.
Sincerely,
AC TY OF MONDS
J. G B
Director
JBM:te
�j
F I L
Memo to: Director of Maintenance & Operation
Public Works
From: City Engineer
Subject: Sewer Connection Charges
Date Hap 2. 1974
Legal Description:
Sec 25 TWP 27 Rge 03 RT-97-) Beg 20 ft. H 6 45 Ft E of SW
corner of the NE k of SW k of SW k; th N 370 02156" E 165.
93 ft; th N 44037/39/1 E 93.26 ft; th S 01000/00/1 W 203.04
ft; th N as 3110011 W 162 ft to the TPB
Commonly known as: 10519 226th St. S.K. owner: B.D.'Arstad
Z.F.F. Calculation:
( 136.2 ) Z.F.F. x ($7.50 ) _
( 0 ) Lateral x ( 0 )
( 1 ) Unit x ( $ 25 ) _
0
cc: Hr. & Hrs. Arstad
$ 1,021.50 Connection Fee
$ -0- Lateral Charge
$ 25.00 Trunk Charge
$ 10.00 Permit
i 1,056.50 TOTAL
EDMONDS CITY ENGINEER
Form 6
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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 employees or
officers shall be liable for the information given
on map(s), nor for any one representation
provided based upon said map(s).