1122 80TH ST SW 2018-01-02 MF Import

IN ENVIRONMENTAL CHECKLIST t' ($50.00 Fee Required) At CITY Introduction: The State Environmental Policy Act of 1971, Chapter 43.21Cx ..rdquires.all state and local governmental agencies to consider environmental values both df' their own actions and when licensing private proposals. The Act also requires that an EIS be prepared for all major actions significantly affecting the quality of the environment. The purpose of this checklist is to help the• agencies involved determine whether or not a proposal is such a major action. Please answer the following questions as completely as you can with the information presently available to you. Where explanations of your answers are required, or where you believe an explanation would be helpful to government decision makers, include your explanation in the apace provided, or use additional pages if necessary. You should include references to any reports or studies of which you are aware and whhich are relevant to the answers you provide. Complete answers to these questions now will help all agencies involved with your proposal to undertake the required environmental review without unnecessary delay. The following questions apply to your total proposal, not just to the license for which you are currently applying or the proposal for which approval is sought. Your answers should include the impacts which will be caused by your proposal when it is completed, even though completion may not occur until sometime in the future. This will allow all of the agencies which will be involved to complete their environmental review now, without duplicating paper work in the future. NOTE: This is a standard form being used by all state and local agencies in the State of Washington for various types of proposals. Many of the questions may not apply to your proposal.. If a question does not apply, just answer it "no" and continue on to the next question. ENVIROTVENTAL CHECKLIST FORK 1. BACKCR(1UND 1. Name of Proponent HARVEY R. DODD & ASSOCIATES, INC. , . Agent for Owner 2. Address and Phone Number of Proponent: Harvey R Dodd & Associates. Inc. 520 Central Building, Seattle, Washington 98104 3. Date Checklist Submitted 1-4-80 4. Agency Requiring Checklist Everett, Washington, Building Department 5, Name of Proposal, if app ticable: ' Building Addi tion. Ramie ra�,..e rnr 1122 - 80th St. S.W. , Everett, WAshington G. Nature and Brief Description of the Proposal (including but not limited to its size, general design elements, and other factors that will give an accurate understanding of its scope and nature) : The proaSG� C¢DS1S g an existing metal clad steel frame buildin T e a pion wi e one-story an use or storage. 7. Location of Proposal (describe the physical setting of the proposal, as well as the extent of the land arca affected by any environmental impacts, including any other information needed to give an accurate understanding of the environmental setting Of the proposal): The existing building and the proposed addition are located at 1122 - 80th St. S.W. on a level site in an industrial area. 8. Estimated Date for Completion of tho Proposed Action: July, 1980