1007 BELL ST.PDF1007 BELL ST
CITY OF EDMONDS - SIDE SEWER PERMIT
Z-' WATER -SEWER DEPARTMENT
o PERMIT
/Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.,
n \Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections./
ADDRES CATION OF CONSTRUCTION . . ........ ... .. .... .. . `.: "''............................................................. -.......................................................
PROPER .EGAL DESCRIPTION........33t...--'a----...::E......l>LG.gaCC,;.....1.:.. 1_ ?.. nX CCi-..nld.........................................................................
�.... ..................................... --....---"---••------...............................................................----•---....---................................................._-
............................................................•---OWNER AND/OR BUILDER. --L9_U�'-e..',-.(FPe.......rV:!.i.1...._.---..............-----..........--..............
�CO ACTOR'S NAME & ADDRESS ttvt�� tIh3T:vd� adlW .�'.::°ll a..����:
.......................... "----------..........--"-----.........-•-.............--..........
Pion is granted ......................... .. f ............... d e:
� ........... 19..�.'., for repair and/or connection of a side sewer to the city sanitary sewer
system in accordance with City of Edmonds ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
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
side sewer in street area. Do not cover any portion of sewer before it has been inspected.
NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office.
NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. _
NOTE No. 4—Top of side 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 1g,will be permitted.
NOTE No. 5—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. 6—It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or its appurtenances. except to in- p
.sert the pipe into the wye.
DISAPPROVED Date...................-c's".- �.............. Dy.e,.......�l/•��J.:• •-•••••- ..........................................
......................;.
❑ Y- �.._ Date ................................... By..-•- ----......
APPROVED Date .....................,! B
.............
Remar
................. ............... .... ...••... _.............................. --..................... .............................................. ........................ _............................................. ..........
BO P it opies T Be Signed By Owner of Firm., Performing Construction PRIOR To Request For Inspection —
:.. ...
-. ... --, hereb ' certif that the side sewer ins � uc �n ' i
Y Y tai�ation construct�under�this permit
( er f Con, cting Firm fcrming Construction) {
was in t ed in cord ce withal overning ordinances of the City of Edmond \
Q i s Dated this.--- day Olt ....................................... lax
i
�" �i Check BEFORE you dig for: Water p; Gas ❑, Telephone ❑, Power ❑, Sewer ❑, Other ❑ V J
•
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER: _DU T 3Y-,g U& 63 7Da
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS,,;/ DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT #'S:CAA -6R,in (kOW66a1) ' �(� CStQ 3
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DA
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER): . N 63b (ib-) I q�
1ga00'���iGC�.>r � 1l5lnb�RbC�U.N�n►�1 I�iSF�o�3I �Fene.e�
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #: 1
SHORT PLAT FILE: S - ,�) -1A LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:2—
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
L:\TEMP\DSTs\Fonns\Street File Checklist.doc
� I
- A APPLICATION
The City of Edmonds for EASEMENT NO- -------------------------- -----------------
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS ❑ LID NO. _7� .......... ASMT NO. ............... ...
— - I W FEE
CONTRACTOR F;5 LJ!S�S ............................................... 7�C).42-
OWNER ...... L-E ....................................................... ---------- I .......... ............ PERMIT NO ..................
LEGAL DESCRIPTION: LOT NO.�� .-94RU 4C) �41
JOB ADDRESS ..!--------- ......................... ................................... ........................ BLOCK NO . ....................................
..................................................................................................................................................................
NAMEOF ADDITION .......................................................................................................................
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Approved:
DATE ............................................ By ............. ...........
X11,6w Z44�
N
City of Edmonds for EASEMENT NO- ------- --•-------• ------ ------------------
Sw SOM PSRw
y NEW CONSTRUCTIONREPAIRS ❑ LID NO. _----------- ASMT. NO. -------- ---------
OWNER lF'' tf L CONTRACTOR ....... ------ PERMIT NO. _ ..
JOB ADDRESS ._----------------- LEGAL DESCRIPTION: LOT NOJ._�I-��--4! BLOCK NO. -----/---------------------.
NAME OF ADDITION ____________________________________
a -
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Approved:
,SEp
DATE---------------------------•- .............. By
,�- n:,•� '�i' ,.:fir.•.-,:�-�.•-•r,.... ^!5,-,:,r>,.v�r :,-�F nJ'. r"V.;�'c•�y."\ �-K „v,.w-+...f''m:"d:Y�'rrRv'_'^air"'Y.r'-r..:.w{w�S Y�r.i r��.. {r t{ r
+,-w°-:r!'}.qi �, � l�f n: �¢.{;,a•t.�.y r.;,•.Ki:,y," ilF4K�ah"(3+ ..-i 3.;vrcYl o.`G..,. ,..�
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CITY OF OMONDS Permit No. IAIP�1' -�
COMMWNIT /SERVICES DEPARTMENT ST FILE
Issue Date / " I s - FS5
RIGHT-OF-WAY CONSTRUCTION PERMIT REE_T
A. • Owner: Washington Natural Gas B. •Contractor: Same
N91% 156 AV NE Name '
,Mail' AddMailing Address
Be � Address evue WA 98007
City State Zip City State. Zip
447-0700
-°--,� State License Number Telephone Number
• Address or Vicinity of Const ctio '1007 Bell St
ryl �:
Type of Work to be Don`' `e: "�lssion requested to install a 2" plastic gas main in
Bell St from +/-44811P� JL to4AV%45-W81W C/L of 11 Av S. P.A.D.883-620 (60433,lg)
Work in Connection With: ❑ Sub or Plat ❑ Single Family ❑ City Projects
H ❑ Commercial ❑ Multifamily ® Utility
QPavement Cut: ❑ Y ❑ N
U
APPLICANT TO READ AND'SIGN
a
Q INDEMNITY: 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, forseen or unforseen,,that may
Abe made against the City of Edmonds, or any of its departments or employees, including or not limited to. the defense
W of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit.
F -
a THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE
YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF -THE: ORK.
U Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed
by City forces, at which time a debit or,credit will be processed for'issuance to the applicant.
s A 24 hour notice is required for inspection; Please call Public Works: 771-3202 ,
• Work is to be inspected during progress and at completion.
• Restoration to be in accordance with City Code.
• Street to be kept clean at all times.
• Traffic Control to be in accordance with City regulations.
• All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
no . exceptions.
I understand the above and that this .permit must be available at the job site for inspection purposes at all times.
Signature: Date: 8-9-88
Owner or Contractor
This Permit Must Be Posted at the Job Site For Inspection Purposes
Call DIAL -DIG Prior To Beginning Work
ISSUED BY:. J ka -Q
a -�
ZO Time Authorized: Void after days.
w Special Conditions:
Amendments:
U
O
w,
PERMIT FEE: - _. -to ke Fai I I 0
Security Deposit:
Receipt No.:
Fund 11.1 Fee:
.Street Cut Dimensions:
X =
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. July 1985
FIELD INSPECTION NOTES (Fund II I - Route copy to Street Dept.)
Comments•
Diagram:
CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO
Partial Work Inspection by P. W.:
Work Disapproved .By:, Date:
FINAL APPROVAL BY:, Date:
Eng. Div. July 1985
REGARDING: 1 07' Bell Street
'=NS'-D//oo
(address)
R E C O
R D O F C O N T A
C T S
DATE
NAME, PHONE NO., $
ADDRESS of CALLER
COMMENTS
ACTION TAKEN
INITIALS
5/1/74
Kingdon
Certified Letter No. 406170 sent
Letter received.
TE
;._}.
requiring hook-up within 60 days.
5/9/74
Friesendahl
Has several possiblities to connect.
Referred to Archie.
Referred to Engr. TE
7/12/74
Friesendahl came in a paid $1,028.50
toward connection fee. Owing $35 for
TE
permit.
8/6/74
Received Sewer Connection Recommend-..
TE
ation from Engr. stating an extension
should be granted.
8/12/74
Mr. Friesendahl came into office and
Letter received.
TE
signed letter of extension. Also,
Uj
Certified Letter No. 406635 sent
J
confirming ext. to November 1, 1974.
9/16/74
U.
Russ Johnson came into office and
JT
I-
obtained permit #5042.
9/23/74
W
Connection comnleted.
JT
W
CITY of EDMONDS
200 Dayton Street - Edmonds, Washington 98020 - Telephone (206) 775-2525
Department of Pubflc Works
August 9, 1974
CERTIFIED MAIL &-zlo663s
Mr. or Mrs. Leonard Friesendahl
1007 Bell Street
Edmonds, Washington 98020
Dear Mr. or Mrs. Friesendahl:
The matter of the sewer connection for your property located
at 1007 Bell Street, Edmonds, has been investigated by the City Engineeri
Department, and a conclusion has been formulated.
The house on your property is not within a Local Improvement
District. However, it is understood that you have purchased;�the
adjoining vacant property and are planning to either self build on
the lots; and install a sewer main to service them. Since you have
already discussed your plan with the Engineering Department, you are
aware that it will be necessary for you to have an engineering plan pro -
pared before you can proceed with your proposal. This will involve
study with regard to easements, soils, pipe specifications, etc. For
these reasons, the Public Works Department will allow you an extension
of time to November 1, 1974, to complete the required sewer connection.
If you have further questions, or need any assistance; please
contact Mr. John B. Mitchell, Water/Sewer Superintendent, at 775-2525.
Sincerely,
CITY OF EDMONDS
J. HERB GILBO
Director
JHG:te
Enclosure
Ogle Dt. Brena Dt. Admin. Dt.
"it 0.0
CITY of EDMONDS
200 Dayton Street • Edmonds, Washington 98020 • Telephone(206) 775-2525
Department of Public Works
Mr. or Mrs. Leonard Friesendahl
1007 Bell Street
Edmonds, Washington 98020
Re: Property at 1007 Bell Street, Edmonds
Dear Mr. or Mrs. Friesendahl:
In reference to your receipt of a Certified. Letter, cf May 1,
1974, requesting you to connect your property to the Edmonds sanitary
sewer within sixty days; due to the hardship stated by you and indicated
belowt, you are herewith allowed an extension to November 1. 1274.,
in order to make the subject sewer, connection:
Time Extension Requ.-sted Because: Owner has
purchased adjoininrn vacant property, L and plans to
build on the lots and install a sewer main to service
them. Such a sewer main installation required
coordination with the Engineering Department
necessitating a time extension.
Sincerely,
CITY OF EDPMONDS
a
t
J . c. L
Director
JBM:te f.
rN tt r T PROPERTY .4 `
ACi<t40Lbi.cDuED BY P 7�JPEFiY O :ilEFt:ALIC.a! _
PROPERTY ADDRESS: 6 -7
MAILING ADORESS: .__ _!_0 0'7 A8 e1t
ACKNOFWLED GEir;;:,1T DATE: �^ !Z ' 2� .
RECEIVED,
CITY ENGINEER'S SEWER CONNECTION RFCOMMENDAT.IOPI
AUG 6 1974 F
Date August 51, 1974
i
Address .of Property to be.Connected 1007 Bell Street
Owner Name & Mailing Address. Leonard Friesendahl, same as above
Legal Description: Not Available (May require Connection Charge depending on
method of sewering and City Code)
Recommendation: House not within L:I.D. Mr. Friesendahl has purchased
adjoining vacant propertyand is planning.to sell/build
on lots and install a sewer main. After field checking,
I informed. him today it will be necessary for him to
have an engineering plan prepared (easements, soils,
pipe specs, etc.). Recommend time extension under Policy
No. 6.
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NOTES:
CALL 2 DAYS
I.. BEFORE YOU
1
1.800-424-5555
A WagYXJM tnergyt-ortparry _ I U.U.14: 8 - 25 - 58 (RUSH)
2" PE IP MAIN EXTENSfi01j
TO SERVE.
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