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1010 EDMONDS ST.PDFIIIIIIIIIIIIII10929 1010 EDMONDS ST ADDRESS: I D I O 1��Ma• �ee.el— • TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): (R5CC28 COVENANTS (RECORDED) CRITICAL AREAS: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver DISCRETIONARY PERMIT #'S: Y —r DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED PERMITS PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID SHORT PLAT FILE: LOT: BLOCK: 41 SIDE SEWER AS BUILT DATED: &tA4. lem- -U SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: LATEMPOSTsTomis\Street File Checklist.doc ` •e. .gr• _ iG i 4 ; 4 � � - 7r, , d{, o'va.�y'N-� r j�'Y'K'. i� >x„�r- � : ia. ,.r _ v,.,,, _-, u..' _ � ,: .ial . .. ,.d ,., •.�, .., , . , .r''''s�`c�-7� vr•n.. tarsv.w' tdt',`{a�. � 4.+�^i{�"Q'�`,'--` pi , y._ r. f � City of Edmon GHT-OF-WAY CONSTRICTION PERMIT N b A. Address or Vicinity of 1 B. Type of Work (be spec 890 1 9 � o r' , 416' W to 616 C. Contractor: Washington Natural Gas Company Mailing AddressA 815 Mercer St Seattle WA State License #: 981.11 D. Building Permit # (if applicable): Pertnd um er. Q Issue Date: Construction: 1010' & 1020 Edmonds St. ' ific): Install 1'k" PE IP Main in Edmonds Tt fr&m 'W centerline of Olympic Av. per job & Dwg# 9410924 Contact: Frank Swan Phone: 224-2278 Liability Insurance: Bond: $ Side Sewer Permit # (if applicable): E. ❑ Commercial El Subdivision ❑ City Project ® Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR:' INSPECTOR: 1A;&- ff A F. Pavement or Concrete Cut : ❑ Yes ®No G. Size of Cut: x H. Charge $ APPLICANT TO READ AND SIGN' INDEMNITY: Applicant understands and by his signature to this application, agrees to hold filie City of Edmonds harmle gilu�epa, mgges, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made agatrcffE'thtr City of Edmonds, or any,of atstments or employees, including or not limited to the defense o%any legal proceedings including defense costs, and attorney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATIONF(L BE HELD UNTIL" TH FINAL STflEET PATCH - IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO M •APPLICANT. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. - Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance witb.C-it reg4lations as required.by the -City 4ngineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. Ihave read the above statements and understand thepermit requirements and thepink copy of thepermit will be available on site at all tim,gs,fff inspection purposes. Signature: &6k&Date: May 2,�,1994 (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: (,r,-��•' TIME AUTHORIZED -'VOID AFTER DAYS SPECIAL CONDITIONS: RIGHT OF WAY DEPOSIT-_` DISRUPTION FEE/FUND Tll RESTORATION, FEE: PERMIT FEE:y l� TOTAL .FEE: RECEIPT FEE: ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE ea�g. tx,,. 1991 STgFE? F/(E April 14, 1979 MEMO TO: Art Housler Finance Director FROM: Leif R. Larson Director of Public Works SUBJECT: REIMBURSEMENT OF DAMAGE DEPOSIT $250.00 RECEIPT NUMBER 5799, MARCH 29, 1979 Please remit -payment of $250.00 to George Turner, 1010 `Edffbads Street, Edmonds, Washington, 98020. This deposit was made on March 20, 1979, to assure repair of damage if it occurred due to falling trees on City Property. The particular job has been inspected and is to satisfaction of the Buildings and Grounds Superintendent. kjr h 13 i" Bldg. & Grouhds Dt. min. Dt. CITY OF E0410t, I)S RiErr, "a Pr I)ePartMen N? M7 /99 RECEIVED Date .J- Check Cash "ty Charges Citizen Deposit Trunk Charges Water Meter Water Turn on/off Sewer permit DumPster P Septic Tank Per Building Permit Curb cut R/W In vasion Recreation , --ass -ee C I. Mm Class Fee Rentals Fingerprinting Fire Permit Fireworks Per Sale of MapsTax Books - Other g ali, nt STREET FILE June 21, 1977 .d MEMO TO: Jack Mitchell Water/Sewer Superintendent FROH: Dick Allen Assistant City Engineer SUBJECT: COMPLAINT OF IMPURE WATER AT 1010 EDMONDS STREET We have received several phone calls from Mrs. Raymond Turner regarding the quality of her water. Archie tells me that it is due to the very long galvanized service line from the meter to the house. In order to attempt to cut-off the continuing phone calls, it is requested that you advise the resident to replace their water service line in writing. lee k OF ED1�5, AS Ml0MINI GTO t. UIL®ING PERMIT ar' y certifies that a plat, plan, drawings, and. sufficient details •to indicate ;to fulfill Fall. requirements of this code are attached hereto., is;hfereby.made for permit to do the following work: :.. may' ..... ........ _ ....................................................... M - .......................---------------------------•----.... .. .... _.... _. --. r....y 1•_«.. .....«.._.....«......................«......................r........ «..._..««....r.....-... . ---. .......«......................._........................................._._........... �.......... r. x': <°> Block--- --------------------••--------- ...u.. = _ -... ...........:....--•----•-----------..---...._....... — __._...-- — /---------------•--------•— ---------- --•-- ------ — «_........ . =«.. ..._ ..� ., l_�^ CY.e� 1 ?Building dimensions % •••X.......: =.. ........ ••-• X .... ................. Lot;2dimensions: .... �B'ullding;cvill ------stories. 4 �':Basement ... 1�-- t� ......•-.-....`K.:._�-<._...`—I---•-•------..-•-•------------------- 5 Occupancy of building .will be:.... feet from he liearesdjoinin lint. � O6wner', A sddress_:..Y6Z -- ----- --------------_-.-----_----------- F:d�r:....................... :........ ................................................................... _......... Builder's Address.--------------------------------------------------------------------- ....._--.-----.._......... .--------- r. •--�'/---........19.;d�� ........... ... .... ... (Owner or his-• agent) This Space Is For City Inspector Only Permission is hereby granted to do the work described hereon, according to the approved plans and.specifications pert ining'her�UD, subject to compliance with the ordinances of the City of Edmonds. PERMITliTc 1028 Estimated cost $_���_°`----._.--- Life of pern7it...:::__. . due Plans filed: Yes '❑" No ❑ $.. Imo...- ------ Received y (Is ing 015ceE) Department of Buildings City of 'Edmonds 1. The building permit fee which applicant pays when permit is issued shall be based on estimated cost of the proposed structure, at the, of $2.00 for each $1000.00 of cost. If the actual cost of the structure, when finally determined, exceed% the estimated cost by more than 5%. applicant agrees to pay an'additiond fee of $2.00 for each $1000.00 of sur-h excess cost. 2. Whenever a contract for construction is executed for any structure costing wore than $1000.00 for which a licensed architect or engineer Is nm'required by the Building Code of the City of Edmonds, the application for a building permit shall be accompanied by a copy of dye contract and - a copy. of .the. detailed specifications. 3. Prior to employing any labor or commencing work, notify the Industrial Insurance Division of the Department of Labor and Industries, giving an estimate of the payroll and make monthly reports of payrolls. Pull instructions should be obtained from the nearest office of the Department of Labor and Industries:_ 'Befdrp final payment, the owner should obtain a release from the general contractors who in turn should obtain release from all subcontractors. The 'releases should "be attested by the Department of Labor and Industries. The above procedures are requirements of 01e State Industrial Insurance Act. I .07 177, pro - - - - - - - - - - Y ✓ 'A;A ; '14 lil,�Mlil I'M '-L'a A RECORD OF INSPECTIONS Date Passed F6undation Plumbing (Partial) Frame Furnace & Fuel Lines Final The City of Edmonds Side Sewer Drawing EASEMENT NO----------------------------------------- 218-02150 NEW CONSTRUCTION E] REPAIRS [:3 LID NO................... ASMT. NO . .................. OWNER..... FA f-! _ --TURNER-------------------------------------------------- CONTRACTOR -------------------------------------------------- --------------------------------- PERMIT NO. .................... JOB ADDRESS ----- 1010--MIMS-ST - ----------- -------------_--------------- LEGAL DESCRIPTION: LOT NO. -------------------------------------- BLOCK NO.-------------------------------------•1 ..................................................................................................................................... ............................ NAMEOF ADDITION _ .................................................................................................................... 0 0, DYE TESTED ON SEER Approved: 'ja I PWW-0001-1 1/75 (REV.1 1/78) DATE ............................................ By ............................................................ City ~� '��~ � of Edmonds --- Water Department TAP CARD -Date ' Nn......................... ..... 7�[o�............................. '7u� ` ��� ��� ^,^^^°^ l ��r� � ySize ........ Y Size ......................................... / Mf 9 For . -.--'_- Location_ --. ..--'-----.-- . � / Make�� Make7Tap ` _. P/eoo"^ ^~~ ^- ��" 7`�n+ g� � � Send Bills tV.................................................................................................... -- � -------------'----_.---..-----_..... T1xt° of Work ___._.____--_--------------'----.- --------------------------------- Foreman Guar. Voucher No ........................................... $.......................................... Remarks: .................................................................................................................. i .............................................. ----------- OUTGOING INCOMING Index .......... Rog ....... Route IN- -rial Chargeable to Installation A!'rs 4 NO. SIZE DESCRIPTION RATE AMOUNT �T Meter ....... /.... .......... Meter Box .............. ......... `f.. ,�O) V7 ......................... Meter Plate ............................ .............. ..«......... .......... ........................ Check Valve ---..................................... «_.... .... .......... ............... ......... Pipe, Galv. Screw ..............•••. .............. ............. -•-••••--• -------•-- •--•• Nipples .................................... •... •-•-• «...--- ....--.. .............. .........• Bushings -• ..........................••--•- .............. ..«......... .......... .--•••..............•---- Plain Ells ................................. .... ......... ............. .......... .............. ......•• - St. Ells .................................... •--•-•-•••---• ...................... .......... «.. ............... ...----...•-••........... .......... ..... -.... Tees ........................................ ...................................................... ............................ •......................... ...............•-•-•....... .............. .............. •.._......_. I ........... .......... .......... .......... Material Chargeable to Taps Connected NO. ; SIZ.E DESCRIPTION &ATE AMOUNT .............. ...-....-- Pipe, Black Screw .................. ••--•.....•.. ............. ......... .............. .......... Pipe, Galv. Screw ................................ ------------- -•------- ..--••-•--• ... .......... Lead Connections ............--•-•. .............. ........... .......... ... - CurbCocks .......................................... Corp. Cocks ........................... .............. ....... ............. ...- - ........ .............. .......... Unions .................................... .......... .... ............ ........ ............ .---•• Saddles .......-•••• ..................... ......•••. ......... ..--•-•- .............. .......... Nipples -.-•----------••--•-----•---•---• . ................ ........•-- •-•------ ------- ... ......... Bushings ..................... ............... ......••• Plain Ells ................................ ------------ -................---... .....•--•............... Street Ells ........-••-•-•--•-•--....... ......... .... ............. .......... _. .......... Tees .......................................... ............... ......... ». .......... .............. .......... Curb Boxes .•.......................... •-•...----••.. ............. .......... .......... S. O. Extensions ..................•. .............. ••.......... .......... ..........•• ..••... Gates .............................•••••.... ........... ......... ........... ............ ....... Plugs ......................_.._.......••• ••--...-- ••....... •-•-•.... ----------- .. Couplings ............................... ............................ ....•.... ............... .......... Gate Boxes ............................ .............. ------------- ---- «--- .............. .......... .......... ••................•••----••-.......;... .......... ........ ........ ,� . j ...... ................:... ..•-.. -r�s?4�................... ....................................••.................... .............. .... «... «..,.... ?.: ....................................................... .......... .. ..,,.rz.' ._.......... ............ ............. ...... ....... .......... ....................................................... ........................................................... ...... ............... .. .� ......._.... .yr.. .......... «........ «•...- ........................................................................ Hours Time —Day Men ...................... ...................... ....... >; ..... f2 _ ours Time —Monthly Men.. .............. ........... ..... .........•..... •---••.. Hours Time—Auto Superintendence --•--.-,--�: ...... -• .......... ...................... .......... ,� Total.................. ............ ............ .......... PROP. 516" ?=l t✓ LT:.LO C,. I t,lSeR-r I M -,D8AC7-. 314." STw S�FzvIC.� R " x IY4t PC R�.DUC L�R t19, w , ats (-- — p- it 7RI)USI-00" F1'rTI "C-T w�iws ww�w ws+>•wn wiw 19G -- J-•'- 3597 314" STw IF::' -GC-RVICr FrEL-D _LoC, . CROP• r Pe I P STUB SL�RV/Ct✓ FIELD 1_oC. PRoP. 5��3�r Pt✓I-I P E�C7. SERVICE INSr✓RT In! Z)F-ACT. 3/4 STw SERVICE NOTES: EDMONDS 1.) FIELD LOCATE ALL UTILITIES CALL 1-800-424-5555 48 HOURS BEFORE DIGGING 2.) INSTALL LOCATING WIRE OVER ALL PE DIRECT BURIAL PIPE 3.) INSTALL A ONE POUND ANODE FOR EVERY 1000' OF LOCATING WIRE 4.) SURVEY IS 4695^ REQUIRED 5.) MAINTAIN A MINIMUM OF 5' HORIZONTAL AND A 3' VERTICAL CLEARANCE FROM ALL CITY UTILITIES AND APPURTENANCES TIS7-riry sinC+ .a a,vTflr-7i� 7.) O CUTS ANTICIPATED 8.) COMPLETE EXPOSED PIPE CONDITION REPORT WNG FORM 1563.13 (D-1) i I I t I i to _ - _..-.. Pr= CAP 15z G30.. 7 I-- x 1 %4t . P6 RC--17uCc12 _.... 7a.. 400 1 y�s7 LEAD Sox w/ XZI r=) 50:...o 7. 5 _ .�.,~ ..._ _ .. # !o '76s7" LEAD wiRE 930 4 1 2 rr %RAIJsI r�Oly F� TrI il+a �85 'j8" Qjoo ' 3 d P—t, SKoRT srop►-eR_... H 17190 176 F- toot . _ . 14 c:5AUGr-- 85 _743...-_ 940 1 Zoo, 1%4tr sDR- !1 PF -PII=E -.._- 70- 170 t�c':rrt I. ....._. _. _..... _... .. _ , .. . use„!.. �`Zt',"A;lSr-Mtmm.�. r _.. Sr-- ...E�4 - -rL• 7-3 .. �. rt.nT ./G5 -.-67 ............ .._... ,.. .... .. _ _ ......_,.... i 60 - GEL Ze ��n� 4 L,•.�3°tq5 •h � rtt r4s 2. t PE I MPI&I EST. TO f 0 j 6 EDMC)XIDS S`I- ! M Go43 --3 1 pp 04, z1 i 94 j.. 944 E4 O9