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1062 B AVE.PDFIIIIIIIIIIIIII 10198 1062 B AVE I PAID JAN ............. _.._...i�c City of Edmonds ---Water Department TAP CARD DRFRAN... _� 1...... MeterNo .................... ........... Tap No.................. ._...._...... Size ................._........._ size ........ _.... _................... .... Mfgrs. No. ...... Sty.._. ..:_...........w_._. For .................................................................... ...................... ....... —1 .... Lot No ........................................... Blk. No .............................................44. . Add............................................ Service Location ........./A-0 _...... _...._._......,...._ . Meter. Location ............................................ ........ _...... _........ _......_.......r. MakeTap ....................................... :....... ..........._......._----..._..................... _........ Pressure .............................. lbs. Test .....................I ......... 7.... % ......._. SendBills to .......................... ................................... _............. ................ _.._..... ..................................... Date of Work .................................................................................7.............................. J. %J.L V- 1Q1I Guar. Voucher No ........................... _.............. $................. .................. _..... Remarks: ......... _...................................._......._................_................_............._..... ........................ ................. . w ...... .................... TREET .... FILE.. -- OUTGOING Index .......... Reg....:.Route BL..._...Stenc L.....CU&....,.. INCOMING Index. ......... Reg ------- Route Bk .... ..... StenA.....Card..._... Nftrial Chargeable to Installation Oars NO. SIZE DESCRIPTION RATE AMOUNT Meter ©- /...... �� Meter Box .-----•--......•--•--.....--•- ..._. .............. _ _ ..- .._... .......... -... •--•------ Meter Plate ............................ --------•----- . --------••--• -•-------- Check Valve ------•----•-•---•-------- -------------- _..... ..... .......... -------------• -•------- Pipe, Galv. Screw .................. .............. ---......... .......... -------------• •--•------ Nipples .................................... .............. ............. --•-••--•- .......... .-- .......... Bushings ---------------•------------------ .............. - --------------• •........ Plain Ells ................................ .............. .._-••-•-• .......... .......... .... ---------- St. Ells ................................ --- .............. .._........ .......... ------..... ------ ....------ ....-•-- •-- �........__._....._.... �Tje/e.s��..........--- ---------------------------- .. .- .`..................... L.7.^ ._ ... _.. _._.._..._ .. �S"___.r•�- — a�-..... ................ ..... Material Chargeable to Taps Connected NO. SIZE DESCRIPTION RATE AMOUNT ----------••-- ••• ...... Pipe, Black Screw -----------------• ....:..._.... ............. .... --... .............. .......... Pipe, Galv. Screw .................. .............. ............. ......... -------------- ---------- bead Connections -•--------•-••-•-- .............. .......... ............ ...... ...... ...... �...... -----•---- . Curb Cocks ............................ Corp.Cocks ...............-- - 7 .............. -----•---- Unions .................................... .............. .......... Saddles ................................ -------------- ---------- Nipples .................................... ............... ---••-•-. .......... ------•----- ......... Bushings --••----••----------------------•- -------------• .......... Plain Ells ................................ ............ .............. .......... .............. .......... Street Ells ..........•---------------... ------------- ------------- .......... Tees .......................................... ............... ... ..... _ .......... -------------- ---------- Curb Boxes -------- .----- .--.---------- -.------------ -..---------- ------------ ••--•----- S. O. Extensions -•--••-•--•--•------ ------•---•--- -•-•---•--•- ......... -••-------- ....... Gates ........................................ -------•-- ......... --------• ------- ------ ...... ------ '�..�.E,%- Plugs ..........,:. Couplings . ..... ............. •--•--------• ...... ....._..1. Gate Boxes •.................... .._ .............. •--------- .................................................... .............. -- ........-• ..................................................... C` .............. ............. .............. ....... .......... .......................................................... .. .. .. ...... ... •- _......... .............. ...... ....... ....................................................... .......................................................................... ......... ............ ..f-•- ......... .. ........... / .. .. _........ ....................................................................... 0/L. Hours Time=Day Men ........ ... .............. ......-.. ..... . ....% .. .......... . �. ____ ..... Hours Time —Monthly Men .. .... :.... _.... ....... _... _......... .... Hours Time —Auto ....... ------ ----- . ..entendence ------------ •-••--- --.__.._ ...- �/`" Total .1 0 00 TAX ACCOUNT/PARCEL NUMBER: WU ff i Orb b5O.Z BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) CRITICAL AREAS RX —Zkfl DETERMINATION: ❑ Conditional Waiver ❑ Study Required lywaiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DA' EASEMENT(S) RECORDED FOR: PLANNING DATA CHECKLIST DATED:. SCALED PLOT PLAN DA' SEWER LID FEE $: SHORT PLAT FILE: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: ✓ -7 � GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED: OTHER: 0 LID #: LOT: BLOCK: _�Ig1(2 .;5 LATEMP\DSTs\Forms\,Street File Checklist.doc 1-4* A.; f •lr -4 _ 2Y -t• - �^r'` 1��`�1�` -7 3:77 .v -z Oil U 4 13K APPUCAT BUJLDIKG.;PERNIT Bun9 DePw Peg DA, oneayea i EDMONr�fff OF `Nwith the acaoa APPLICATIofal cy.utruct the ON i3 hereby made for 1 rermit.10 V. ' U1, 11— Ten are -submitted huiwith for approval panymPlana lwu and spec =uOns- Y Of t Ni* addn rdrepair Work r�yU ....... ...... ­�_Fc ZMIr sc zc ...... . ... Con',- typ--.-- occupancy..._­4 Ad p d re . ..... Septic tan.L� . .. .. Lot frontap— - ­ - -- - -------- Bldg. set badca P. > k1k Addre-­ owner. Gf lye ..... AdZrcm . . .... ... Buildcr.Z .. ........ . ....... ..... .. plans by-.._--.."-_.."-..-.... . ............. ..... . . ........ ....... ... 'kemarks_ ................ ............. ---­-------------- - - ­­­­­ - ---------- ............. . . ........ . ............... . .. ..... .................. ........... The above is a corrcct statement, and I agree to comply with all appikable Coda and $7" worIL 7 Address Signed 0"cr/Agent ...................... ............. ........ ,=k is hereby approved, . subject I the above pERMff for the above ow�cd � plam and d Building Dq---' !0 • yituation N I�uading•Dqartm t, BY-.. ... . ............ .. Da � S,, j M,,"ticial inst T Permit does not cover Pl,,inbinga. M;� his 7 Y • • • • TOP DF tfT cam- loo' Fc `� NT --5E eon RECEIVEr) AUG 2 7 1999 Y Po �uJECT ADDRESS / OV„ J(NERS: DEVELOPMENT SERVICES CTR. CITY OF EDMONDS qq � � ` ` "' EILEEN AND TERENCE NELSON 1062 J B ! AVENUE S EDMONDS 98020 �[ g Z� �` 1 c MA TAX NO: 6194 004 005 0208 I , Z ' i�, LEGAL DESCRIPTION: �y, , POST FIRST ADDITION TO EDMONDS PLAT OF BLK 4 D-02, S f OF LOT 5 ZONE_ RS-A VARIANCE: V 98-168 SCOPE OF PROJECT: NEW DECK AND COVERED ENTRY ON SOUTH SIDE WITH COVERED DECK BELOW. REPLACE RESIDENCE ROOFING (SHINGLES) W/ METAL ROOF. LOT SIZE: 75W SQ FT MY x 125' GRADING: NONE 5ANITARY SEWER CITY HEAT SOURCE. N/A CONTRACTOR: OWNER /BUILDER CONTACT: KRISTIN HANSON HANSON DESIGN 652 ALDER STREET EDMONDS 98020 774-7129 771-3152 FAX 1 PE5 �f 12oi•o' v-Ifs-,I DE1.ICE D t GIL\ i I I h RooF l.iNe 24"o�H• 1 L 4e'- qo' Mkt �y9 FIV, 5TKEET _ if 7 F L A H i Z, -01-011 R C*E Critical Areas Checklist -------------------------------------------------------------- Site Information (soils/topography/hydrology/vegetation) 1. Site Address/ Location: ! J� AVE, t —) 0_tcvljo S G -JA, c� fSc, � 2. Property Tax Account Number: 00- — 00 - ©ZU 3. Approximate Site Size (acres or square feet): r7 S 0 4. Is this site currently developed? K yes; no. If yes; how is site developed? S l t-i G Cc h>v� I C .Z Q��31 �I >C*JC45 5. Describe the general site topography. Check all that apply. Flat: less than 5-feet elevation change over entire site. Rolling slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet). Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10=feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: Approx. Depth: 7. Site contains areas of seasonal standing water: 1J 0 ; Approx. Depth: What season(s) of the year? it �L! 8. Site is in the floodway---],10 floodplain M C, of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round? kt Flows are seasonal? Q Q (What time of year? U. ). 10. Site is primarily: forested ; meadow ;shrubs ; mixed ; urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: 1,30 4. Critical Areas inventory ox'C.A. map indicates Critical Area on site? 5 Site within, designated earth subsidence landslide hazard area? 6 Site. designated on the.Environmentally Sensitive Areas Map? bETERMINATION ^ca.chk.doc; Rev 02/11/97 00 00 1 �::. City of Edmonds NWV CRITICAL AREAS CHECKLIST The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of a development permit to the City. The purpose of the Checklist is to enable City staff to determine whether any potential Critical Areas are, or may be, present on the subject property. The information needed to complete the Checklist should be easily available from observations of the site or data available at City Hall (Critical Areas inventories, maps, or soil surveys). SEP 3 0 1998 PERMIT COUNT An applicant, or his/her representative, must fill out the checklist, sign and date it, and submit it to the City. The City will review the checklist, make a precursory site visit, and make a determination of the subsequent steps necessary to complete a development permit application. Please submit a vicinity map along with the signed copy of this form to assist City staff in finding and locating the specific piece. of property described on this form. In addition, the applicant shall include other pertinent information (e.g., site plan, topography map, etc.) or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site I have completed the attached Critical Areas Checklist and .attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner/Applicant: Name (56 7-� AVC Street Address City State Zip 4--L,) -7 -� 4---75-- Z Telephone e"Iz�'_Ze '16' , Signature 9-Z 7-- 6 Date Applicant Representative: Name Street Address City State Zip Telephone Signature Date c,receptionyanalcad doc (over) 1-nC.189v October 14, 1998 109 010 CITY OF EDMONDS BARBARA FAHEY 121 STH AVENUE NORTH EDMONDS, WA 98020 • (425) 771-0220 •FAX (425) 771-0221 MAYOR COMMUNITY SERVICES DEPARTMENT Public Works • Planning/Building • Parks and Recreation • Engineering • Wastewater Treatment Plant Terence K. &* Eileen F: Nelson 1062 B Avenue Edmonds, WA 98020 Subject: Determination regarding Critical Areas Checklist # 98-241 Dear Applicant: Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City is located on the reverse side of the form (bottom of page). It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records. IMPORTANT INFORMATION TO BE NOTED: PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIST OR CRITICAL AREAS STUDY. The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a project -specific determination. You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. AN Permit applications include the following: Building Permits Conditional Use Permits Subdivisions Variances Applications to the ADB* Land Use Applications Any other development permit applications. Enc: Critical Areas Determination * Architectural Design Board C: ReceptlonUana\C R LTR.doc Thank you. Sharla Graham Planning Secretary • Incorporated August 11, 1890 e Sister Cities International — Hekinan, Japan 00 00 PLANNING DATA • 91 'Aa SITE ADDRESS: I L;,7 � I(� S DATE: R011 ZONING: _ U/ PLAN CHK#: 1q--303 ,PROJECT DESCRIPTION: CORNER LOT (Yes/No) FLAG LOT (Yes/No) SETBACKS: Required Setback,' Front: Zv Left Side: Right Side: 5 Rear:_ Actual Setbacks: > Front: .`LU LASide• "7 Right Side:Rear: Street map checked for additional setback required? q (Yes/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUE4�CQ& LOT COVERAGE: o Maximum Allowed: �S ,b Actual: d �,, BUILDING HEIGHT: N Maximum Allowed: Actual Height: 17 7 Datum Point: Datum Elevation: A.D.U. CREATED?: INO " SUBDIVISION:N CRITICAL AREAS #: A'}t — -1-1 -" SEPA DETERMINATION: LOT AREA: APPLICATION for The City of Edmonds SIDE SEWER PERMIT EASEMENT No ........................................... NEW CONSTRUCTION ❑ REPAIRS ❑ 107-05850 OWNER......... Otto ... ii....Gebflart...................................., ..............._....... CONTRACTOR................._...............---......_._.............................•.......:.............. PERMIT No. .................. ADDRESS ..... 1062... a..StCee-t.....................................................•............. CI! LEGALDESCRIPTION: LOT No ............................................... BLOCK No. ...................... ...................... NAMEOF ADDITION..........................................:.............................................................................................. Lu tea+. U. uj L cc co DYE TESTED ON SEWER JULY, 1972 Approved: DATE................................................ By••.................................................................... Ar,�The City of Edmonds APPLICATION for SIDE SEWER PERMIT OUTSIDE &-- INSIDE E] REPAIRS 0 CARD No. ........... EASEMENT No . ...................................... OWNER.-. a)0Q;? --------- &)-0.5 ..................................................... ....... CONTRACTOR ... 023.-� ...... ..... .............. PERMIT No. STREET HOUSE No. AVENUE LOT No . ...................................................................... BLOCK No. ................................................ ....... . ........... .............. -- ......... — ----------- 1> — NAMEADD. .......................................................................... • I 10 c" Date Approved: BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $J ... ...................... ........ SEWER WORK ORDER ISSUED ........................................ DATE ........ By 7. ......... ......... ............................ APPLICATION CARD No. .................. C�-'he for City of Edmonds SIDE SEWER PERMIT OUTSIDE [g— INSIDE ❑ REPAIRS ❑ EASEMENT No . ...................................... OWNER c /\ 3 J...... .�C) .. .............................................. ..-- CONTRACTOR .. ... -' . -� `t T .................... -�...�- ......... PERMIT No STREET HOUSENo-----------------------•------•-•-•-------------•----•-------------............................ .......................... AVENUE LOT No....-•-------------------...........---------.......................... BLOCK No. ..----....................................:.... NAMEADD.............................................•-------•-••---•-•-•---...-•--------•---................--------------------.......------------.................. • • • • Date Approved: BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ ............................................. SEWER WORK ORDER ISSUED .......................................... DATE ----- r� .......................... By.............----------------...----............................... Inc. 1890 March 28, 2006 10 STREET* FILE CITY OF EDMONDS 121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771-0221 Website: www.dedmonds.wa.us DEVELOPMENT SERVICES DEPARTMENT Planning • Building • Engineering Terrence K. Nelson 1062 B Avenue Edmonds, Washington 98020 RE: Retaining Wall Dear Mr. Nelson: GARY HAAKENSON MAYOR It has come to the City's attention that a retaining wall is under construction on property you own at 1062 B Avenue in Edmonds. Please refer to the enclosed public handout that describes when retaining walls are required to obtain a permit. Our Building Inspector performed a drive -by inspection and determined a retaining wall permit is required. If after reading the handout you disagree please state your reasons in writing and forward to my office for review. In order for the City to issue a permit the following documents (at a minimum) are required (refer to public handout for complete list of submittal requirements): • Plot plan showing the existing property lines, house, driveway and alley. • The location of the retaining wall in relation to the property lines. • Height from the bottom to top of the wall at five foot intervals Please be advised, some retaining walls are required to be designed by a licensed professional engineer (refer to attached handout). If the wall you are constructing requires a professional design, please obtain that stamped plan before you attempt to apply for a City permit. Please submit for the required permit by April 7, 2006. If you have any questions about the permit submittal or review process please contact a Permit Coordinator at 425-771-0220. Please be advised since you have started. work prior to obtaining a permit, violation investigation fees equal to the amount of the permit shall be charged in addition to the normal permit fee. Please call if you have any questions. Sincerely, Jeannine L. raf Building Official • Incorporated August 11, 1890 • Sister Citv - Hekinan, Japan I11c.1S9"1 6 iSTREET FILE CITY OF E D M O N D S GARY HAAKENSO MAYOR 121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771-0221 Website: www.d.edmonds.wa.us DEVELOPMENT SERVICES DEPARTMENT Planning • Building • Engineering April 27, 2006 Mrs. Eileen Nelson 1062 B Avenue Edmonds, Washington 98020 RE: Height of Fence or Screen placed on Planter Thank you for the additional information on your plan to place a fence or screen on an existing planter located on your side yard property line. In preparing this response I met with Meg Gruwell, Senior Planner to discuss all code options (please feel free to speak with her directly if you have any additional questions). Pursuant to Edmonds Community Development Code (ECDC) Section 17.30 in order to have an 8 foot (screen or fence) measured from grade (i.e., the ground --not the top of the planter) the code would require that the upper two feet of the fence/screen be constructed as a trellis (as defined in ECDC 17.30.035#4). Below that portion of trellis a solid fence or screen may be constructed; thus, the overall combined height of the fence/screen/trellis cannot exceed 8 feet from grade. Copy of ECDC 17.30 enclosed for your convenience. We hope this adequately answers your question. Sincerely, Jeannine L. Graf Building Official Incorporated August 11, 1890 Sister City - Hekinan, Japan f4C. 18911 July 19, 2004 FIX Ih� - CITY OF EDMONDS !XSGARY HAAKENSON CITY HALL • THIRD FLOOR �/ , A MAYOR 121 5TH AVENUE NORTH • EDMONDS, WA 98020 (425) 771-0247 • FAX (425) 771-025 (/ OFFICE OF THE MAYOR RECEIVED JUL 2.0 2004 ENGINEERING DIVISION Mrs. Eileen Nelson 1062 B Ave. Edmonds, WA 98020 Dear Mrs. Nelson, Thank you for discussing your concerns with me regarding the gray water on your property and the problems with the shared private sewer line. Since our conversation, we have completed the following: • The City asked the Snohomish Health District to analyze the standing water. The conclusion, given the numbers they provided, is that the results are not indicative of a sewage -point discharge (500 fecals per 100mis and 9,000 total coliforms per 100mis). City staff viewed a video from the sewer cleanout at 1052 B Ave. to the "Y" where your sewer enters that line. The line appeared to be functional with no evident problems in that expanse. • Public Works crews inspected the sewer main that receives sewage flows from the two properties. Their inspection did not reveal anything abnormal in the City's sewer system. We are currently unable to inspect the side -sewer lateral because there is no cleanout at the property line. Usually, in a case like this, the property owner would contact a "rooter" or plumbing company to clean/TV the line to the City's mainline. If there is a problem in the portion of the sewer line that is the responsibility of the City, the City would then pay the property owner for that portion of the repair work. Our records indicate that the property owner installed the side sewer the entire distance to the City's mainline; therefore, the owner would be responsible for all costs associated with renovating the side sewer. Given the information above, it appears this is a private matter, as we first thought. If you believe there is a problem in your sewer line, then I would suggest that you hire a plumber to investigate it. I have exhausted all alternatives from the City's perspective in an attempt to help you. Unfortunately, you'll have to work with your neighbor for a solution. Sincerely, Gary Haakens n Mayor GH\lbc C:\Mayor04WelsonEi1een.doc Incorporated August 11, 1890 Sister City - Hekinan, Japan �'+x!'4"�R�.Yi'�'i�r'k*;r+r��+;;y:c�a:.d^J�6'"L4.,�'^.wrt*;;st:,SH�(`3:t-�4•^Yi+i��fr'"ti.•yFr.�N'+�bl.Tier•v,•':}xr�+vFi'�r4t,1:.N,rtr'+s��.-.i�-•�cM,ae.ti,,i�'�oN'`G=;4j�;,.d.�'�'n..;a�!P+�ql;:...'.�f�ty�v'�',�%tiy�:,✓r'/�,.'ri.,�i.,;r,��"'�+w�`�a-K�.: iF EDMONDS UNITY SERVICES DEPARTMENT -OF-WAY CONSTRUCTION PERMIT A. • Owner Washington Natural Gas Co NOS 156 AV NE e .evues, WA 98007. City State Zip • Address or Vicinity of Type of Work to be E Work in Connection With B. • Contractor: Mit No. u�13%P Issue Date 1 0 7 - AT S ame Name Mailing Address City State Zip 447-0700 State License Number Telephone. Number 'ofistructiom ; 2 ' B AV . `(N,ew�ga �4Urvice installation ❑. Sub or Plat ❑ Single Family 1 Pavement Cut: ❑ Y ❑ N 1 a APPLICANT TO READ AND SIGN ❑ City Projects 1 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 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. .4 THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. O U Funds held from the Security Deposit (estimated restoration fee) will be held;,undl. the, final street patch is completed W by City forces, at which time a debit -or credit will'b�e^proce'ssed`fo`r'issuance to the applicant. • 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. STRE4,W] FILE • 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:. 10 / 4 / 8 8 Owner or Contractor This Permit Must Be Posted at. the Job Site For Inspection Purposes Call DIAL -DIG Prior To Beginning Work ISSUED BY:%7 • �.a� PERMIT FEE: ���aU /� lt[-CXeI a OTime Authorized: Void after days. .,a. Security pepgsit- w Special Conditions: Receipt No.: Fund 111 Fee:. Amendments: Street. Cut. Dimensions: F- U fs5 X = O w NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE Eng. Diva July 1985 FIELD INSPECTION , ES nd I I I - Route copy to Street Dept.),,, Comments: Diagram: �$ - - .. - �c - .. v.'rlM�r•'ifP; �..nriwr•.r - fc�r,.q+a nFr-^� a � .. ..... .. .. .... _. .._ r .. ice' CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO Partial Work Inspection by P. W.: Work Disapproved By: Date: FINAL APPROVAL BY:• Date: Eng. Div. Jul IN i N y'B9 •,cs�� u�f1iW0 71y1� nas asaNna� ,7,tL'N,9Lloi • i M /OANY Au— ei s66i o H, oCL e. g �e