1038 SPRAGUE ST.PDF1038 S P RAG U E ST
ADDRESS:t (—I�
TAX ACCOUNT/PARCEL NUMBER: v
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS(RECORDED)FOR:
CRITICAL AREAS:
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:_
PERMITS (OTHER): A I -
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
FOR:
WATER METER TAP CARD DATED:
DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
LOT:
LID
BLOCK:
LATEMP\DSTs\Forms\Street File Checklist.doc
4 V
CITY., OF EDMON S
� o
Address of Construction:
SIDE SEWER PERMIT
PERMIT N0— 8 815
Property Legal Description (Include all easements):"
tUMONOS
TREATMENT PLANT
Owner and/or Contractor: V D S ,J u k&— I 1301 O "1700 T F e
State License Noy t 6 1110 3 � Building Permit No.
l
16 Single Family Invasion into City Right-of-Way:)o No ❑ Yes
❑ Multi -Family (No. of Units ) RW Construction Permit No.
1
❑ Commercial Cross other Private Property: No ❑ Yes
❑ Public Attach legal description and copy of recorded easement
I certify that I have read and shall comply with all city requirements Date
as indicated on the back of the Permit Card.
J !
* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
OFFICE USE ONLY
* FOR INSPECTION CALL 741-- &v2, PUBLIC WORKS DEPT.
77/-0a3.5 Permit Fee: '�3 0 Issued By
Trunk Charge: A Date Issued: Z�
Assessment Fee: Receipt No.:
Lid No.:
Partial Inspection: Date Initial.
Comments
Reason Rejected: Date Initial
Final Inspection Approved: Date,/J LO'?Initial ee'��
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File Green Copy: Inspector Buff Copy: Applicant
Revised 3190
Side Sewer Drawing
EASEMENT NO . ...........................................
LID NO ................... ASMT. NO. ..................
OWNER------------------------------------------------------------------------------------------------ CONTRACTOR.--.........----..............-----------------------....................•-•--...... PERMIT NO. �,. ..l.�
JOB ADDRESS .�v.-.!.'..� -. -" -u-...--•-• T-.-' LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO. ---•--------............----------..
.................'•----•---............-•-.........--•--.....---•----------........--•--••••-•-....-...:::..: .: ------- -.............
EDMOiVDS
�— NAME OF ADDITION....................................................... .TR�AT�It'J�1-{'.p -
The City of Edmonds
NEW CONSTRUCTION ❑
s
PWW-0001-11/75 (REV.11/78)
REPAIRS
Approvedd:
DATE L...D .............
....� ..
i
•
•
HEDGE
FF
DR-35
�PIPE
SEWER
2.8'
DEEP
7)'
US
;WINDOW
1038
lloo
.5'
1.5 A."
450 3.
GARAGE
BEN
Coo
4A
A
A-,
..A
C61'j6REit E--
4" SDR-35 4.51
DR, IVEVV)AY
SEWER PIPE
WYE
2.6'DEEP
A
L
4.50 RFN17)
ALLEY WAY
E.Df
CITY OF EDMONDS SIDE SEWER
AS -BUILT
0
INS
PERMIT
6
ADDRESSi
k
1038 SPRAGUE ST
NO.
ENG20060284
CONTRACTOR,
HOMEOWNERi
SCALEt
.HOMEOWNER
VOSBURGH
NTS
DATE INSPECTEI)i
INSPECTED
BYi
DATE DRAWNi
DRAWN BYi
at 1890
08-09-2006
JH
08-06-07
J.TRIEU
CITY OF EDMONDS
250 - 5TH AVE. N.. EDMONDS, WA 98020 • (206) 771-0220 • FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works • Planning • Parks and Recreation • Engineering
890_19y
November 1, 1994
Roslyn Vosburgh
1038 Sprague St.
Edmonds, WA 98020
Dear Ms. Vosburgh
LAURA M. HALL
MAYOR
I have reviewed your account and will allow a credit for the billing period of
August 10, 1994 thru October 10, 1994 in accordance with our City policy. The policy
states that the customer will be billed at the retail rate based upon the average water
consumption for the same period during the previous year. In addition, the excess water
lost from the leak will be billed to customer at the City's wholesale rate with a 15%
surcharge added for administrative cost. Only one leak credit will be granted in any three
year period.
Should you have any additional questions after you receive your new billing, please
contact Ilene Larson,. Utility Billing Clerk.
Sincerely,
Ron 6114an
Water/Sewer Supervisor
RH/lk
cc: Ilene Larson
Utility Billing Clerk
wordata\water\#219800
Incorporated August 11, 1890 •
Sister Cities International — Hekinan, Japan
PORTION m
1NDS RE'�'J DENT(,:),: ALL SOUP" & LYNNWOOD DISPOSAL.
WITH YOUR
HAVE CONVENTLINIT PUI�iI1:'E RECYCLING PICK
PAYMENTA
F' AS PAR,r OP THEIR SIERVICc, IF' YOU ARE NOT SIGNED
3P., DO SU! THERE IS NO EXTRA COST TO COLLECT CLEAN
Message
IIXED PAPERP CARDE40ARrip NEWSPAPER CANS 01-ASS JARS
1 0 41
A FJOTTLE"Sv & CERTAIN PLASTIC V NTAINERS ' CALL SOUND
For
778 OR LYNN4160D is? 779--0198#***ORDINANCl1 2214
UTILITY EM-L-9 TO BE F'AIL I WITHIN 25 DAYS OF'
0
YOU
<:
3RIGINAL BILLING DATE. IF'- YOU ARE DOING AWAY FOR AN
cc
0
YTENDED PF:.RIOD.# F11 EASE. MAKE. -ARRANGEMEKITS TO PREPAY
9 0
L&.::
OUR WA4F.-:R/SE"WER S11-1- TO AVOID 'TURN -OM (77.111-0241)
City ®f Edmonds
METER 4A-AE111Z -1-71
F
100�CUOIC F&1�59
A.
Edmonds Combined Utility
X:
PREVIOUS
PR17.SENT
-
iC DE:
ACCOUNT NUMBER:
I T24
829
105
1
149.07
Vi.4 TER - WASTEWATER
S TC-.RM WA TER " DRAINAGE
a ;
Z.
0
219BOO
0/10/94
0/10/94
2
8*57
36*20
RVICE
;DRESS
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SERVICE 10 3 0 SPRAGUE' IS
w
1-:
ADDRESS
FLUOR I I)ATED
030 SF'RAGUE ST
_zou, ut,49 Ep.- 219900
:-,OuE -, =TER:11.1/2 1/94
193.84
PAST DUE D-11/21/94
AFTER
:1. 93 # 84
KEEP THIS
PORTION
ORTION VOSBURGH ROSLYN
FOR YOUR I%'
. )38 SPRAOUE. ST
RECORDS EDMONDS WA 98020-2967
COMBINED UTILITY: WATER— WASTEWATER—STORMWATERIDRAINAGE
F
1� h N"k r� v t
14hp�9'011` 0, ep rtnient 7i71+Q241
,O unusU,ally.;hig, ronsUni-ptlon.
to a Ieak In your water, system.,''
tie made by y4u'or your of mW.
essibje' Please remove
`' ' 6 G►�4, 0W A SS (t3i.,� ts,FtC
FRO
Pr�r3� Tt-t L-�0��,l,.fAS aP, OwIi�l�
2�c�-r o No, , ca►sN c.�r � To, au-rr+�
,PR t t-4 K t R� �� t-1 Ay . J uT bFr
MAy µAVE FG�PIG C'IT, 'TO SWU I
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. . . . . . . . . . . . .
City of Edmond
RIGHT-OF-WAY CONST RTJCTION
PERMIT permit Number.
i . Issue Date: 07, �i� - 7 41
A. Address or Vicinity of Construction: 1038 Sprauge St ( 9418807 )
j 8
90 19 C) ° B. Type of Work (be specific): Install New Services
-
C. Contractor: Washington Natural gas Company Contact: Frank Swan
Mailing Addres015 mercer St, Seattle WA 981Rone: 224-2278
State License #: Liability Insurance: Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. ❑ Commercial ❑ Subdivision ❑ City Project ® Utility (PUD, GTE, WNG, CABLE, WATER)
❑ Multi -Family ❑ Single Family ❑ Other
INSPECTOR: INSPECTOR: ; &G
F. Pavement or Concrete Cut: ❑ Yes ®No G. Size of Cut: H. Charge $
APPLICANT TO READ ANb5
INDEMNITY: Applicant understands and by his signature to this application, agrees to d the City ojFdmonds harm7e k i ju a ,damages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be ma77e a aihstr�he City of Edmonds; or.any o s d partments or
R
employees, including or not limited to the defense of any legal proceedings including defegse�cost ,and attorney fees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PER/OD OF ONE YEAR FQ1LOW1NG`THE FINAL
-INSPECTION AND ACCEPTANCE OF THE WORK. EST/MATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH
IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT W/I LPiOCESSED FOR ISSUANV, TO THE 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.
,P 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 with City regulations as required by the City Engineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
I have read the above statements and understand the permit requirements and the pink copy of the permit will be
available on s�ite�t.ta�l't mes for in petition purposes.
Signature: Date: May 23, 1994
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: %w i�'1 �G✓/ / RIGHT OF WAY DEPOSIT
TIME AUTHORIZED: VOID AFTER DAYS DISRUPTION FEE/FUND, III:
SPECIAL CONDITIONS: �� RESTORATION FEE:
-e ,4 PERMIT :FEE:
TOTAL<F,EE:
COMMENTS: RECEIPT, FEE:
DATE: ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Engrg. 1)iv. 1991
_ n. - _ cif. , � `a' , ', :,r', T 1 ': I ; _ � � .. -
RUSH
I Addendum to CitX of Edmonds
Right ofWay
Permit Application
Submitted by: MITCHELL S. • LANKFORD
Engineering Aide '
9� IOC Washington Natural Gas
•521=5246
Y
1 iNG to window
Water main depth
nknown
gas main
Key:
-w- water
-g- gas
-ss- sewer
$ .water hydrant
0 , water valve
815 ;,lcrrcx St. 0 '), 1::,4 )869), S"tt)-, `YA S'3)11 R06) 622-'767,