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1018 WALNUT ST.PDF
11111111111111 13633 1018 WALNUT ST Z O w E- U W O v, CITY OF EDMONDS COMMUNITY SERVICES DEPARTMENT RIGHT-OF-WAY CONSTRUCTION PERMIT A. • Owner: Washl.ngton Nattiral Gas Compauy Name 815 Mercer Street Mailin Address Seattle WA 98111 City State Zip RECEIVED OCT , .-_. Permit No. Issue Date Name Mailing Address City State Zip State License Number Telephone Number C. • Address or Vicinity of Construction: 1018 Wal-aut Street Type of Work to be Done: Install. New Service D. • Work in Connection With: ❑ Sub or Plat ❑ Single Family ❑ City Projects ❑ Commercial ❑ Multifamily )a Utility E. • Pavement Cut: U Y ❑ N F. • Size of Cut: 2 X 4 i 1 I @ Gas APPLICANT TO READ AND SIGN r 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 be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOIt3�ORKMANSHIP "D MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. Estimated restoration fees 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. • A 24 hour notice is required for inspection; Please call Engineering: 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: M6A40 S Date: Sc p tern er 16, 'I y 4 I Owner or Contractor This Permit Must be Posted at the Job Site For Inspection Purposes Call DIAL -A -DIG Prior to Beginning Work APPROVED BY: 5W Time Authorized: Void after N0\1 Z4Q days. Special Conditions: 1J A PERMIT FEE: 30 . crib �t tlt�t, Restoration Fee: Receipt No.: Fund 111 Fee: Street Cut Dimensions: X = $ RELEASED BY\A ��Date- INSPECTED BY Date NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. March 1989 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: Date: FINAL APPROVAL BY: Eng. Div. July 1985 A M iw! Washington Natural Gas A Washngton Energy Company Addendum to City of Edmonds Right of Way Permit Application Submitted by: Kerry Walsh Engineering Aide Washington Natural Gas tO V \ A �/� i � � 1 w (� 6ager 97 -6914 v �'vN�l�l�l U, l �l pager 995-6914 Wa L.=L 111Q 111 U=y l.11 ,1 unknown Cp" gas main t C 2/4) Pei- Gam. —W— WG1.CL -g- gas -ss- sewer water hydrant 815 Mercer St. (P.O. Box 1869), Seattle, WA 98111 (206) 622-6767 APPLICATION The Cityof Edmonds for SIDE SEWER PERMIT EASEMENT No ........................................... NEW CONSTRUCTION ❑ REPAIRS ❑ 108-08900 OWNER............'�I1-Ll.1.am..A..-Jh-omas ............................ ..._-------_---_-. CONTRACTOR....---------------............---------------...-----------------........................------.. PERMIT No....................... ADDRESS-------- 10_1.8-- Ua_laU-t--S-t.---------------------------------------------------------- LEGAL DESCRIPTION: LOT No._.. ......................................... BLOCK No............................................. NAMEOF ADDITION......................................................................................................................................... Dye Tested On Sewer 1972 Approved: DATE................................................ By.......----..................------------------....................... r SCALE � '2• i QwbU-1 I+ or a✓ eone-re.1-r- s IA-b. roof rcL-}-ers beY,a��9 roof sa.5s . ! v Tb �D ra c e_ a v` ci /o Y' I _' rejfv-am-p- r o o f- Ul. Sir4C r l.liP� • f ' l� © Rev-s f PQr ry%*t J +t) 1 a ce.d arr f'eh�t ((Of -A go, �ro�� ray boo un dory .� PLoT PL AQ FOR r Io18 WALNvT ST2C-C-T-. 1991 1 1(t� � t rI \ \ - � tnn =P v\ r I'll- - ----- -- --- -- - - -- -- - - ---- - - -- i I i �3 a IT a Q o ,-"v L XII'M L U.T-,L.,T'y 900'n Gr\RnL. M.