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1103 OLMPIC AVE.PDF1103 OLYMPIC AVE f ' � i -' , �„ i� - c7+',4y�^F ,, : ,,....n.!*.i�n..n..uv'k'- -�.rn a R .- � -R .. a..,-L ? :Y�`...r' ' •. _... :.. 'tic .s.,, w�v-r�^+�t-�n Z.�,;.;.rl` ,. •, a"�+'1u—R6^�x t..�"w .,�.=.f,;�� _;`,},.c4r,�..,n�'t': ✓�,eatw�l;'Jw��v,.,y.�.<cn �, ,.-r. '., C1tyf Edmonds RIGHT-OF-WAYk;CONSTRUCTION � 1 11F—�O 19 PERMIT Permit Number. Issue Date: A. Address or Vicinity of Construction: 1103 Olympic Av (9504511) B. Type of Work (be specific): Trinto1 1 Npor Sprvi ep C. Contractor: __Washington Natural Gas Company Contact: Frank Swan Mailing Address: 1122 75th St SV, Everett Phone: 356-7500 X7596 State License #: 98203 Liability Insurance: Bond: $ D. Building Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ Multi -Family ❑ Single Family INSPECTOR: Side'Sewer Permit # (if applicable): ❑ City Project W Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Other '_ I INSPECTOR: `"W tArTGU'r: F. Pavement or Concrete Cut : Yes N0 G. Size of Cut: _n x 0 H. Charge;$ APPLICANT TO READ ANP SIGN INDEMNITY: Applicant understands and by his signature to this application, agrees to h d he City of Edmonds har %iI a s, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that maybe mat ainst the City of F.dma=t ! o�it1? partments or employees, including or not limited to the defense of any legal proceedings including defense costs, and attorney fees by reason of granting thispermit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION PA -ES 'Wii L E HELD UNTIL HE FINAL ,STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESS- FOR ISSUANCIIM TIii' APP'Lt&NT. 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 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 2 available on site at wotracToror,,fijnt" s for inspection purposes. Signature: / Date: November-, 28, 1994 CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: V "�1�GU�� P (� _ RIGHT OF WAY DEPOSIT TIME AUTHORIZED: VOID AFTER DAYS DISRUPTION FEE/FUND 111: SPECIAL CONDITIONS: COMMENTS: RESTORATION FEE: PERMIT "FEE: TOTAL FEE: RECEIPT FEE: DATE: ISSUED BY: M f� W NO WORK SHALL BEGIN PRIOR` TO PERMIT ISSUANCE Engrg. I)iv. 1991 FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.) Comments I Diagram CONTRACTOR CALLED FOR INSPECTION ❑ YES �t ❑ NO Partial Work Inspection by P.W.: -' Work Disapproved By: Date: FINAL APPROVAL BY: Date: Wa ~ Natural Gas Lam. AW,W_ prs+[roprCa�ps+r t Addendum to City of Edmonds R ght of Way Permit Application" Submitted by: Mariamne Kingsbury Engineering Aide • J Washington Natural Gas 356-7500.X7596 WNG to window Water main depth Unknown gas main Y IAP IC- (1) C_4 Key: -w- water -g- gas -ss- sewer -&- water hydrant p " water valve 815 Mesas St. (P.O. Box 1869). Scank. WA 98111 (206) 622.6767 VIER • N ' A 35•E .. �{ 6 p 1123 r n to n� rr n ±' i VIEWLAND WY 2"PC /P !S- •[ 2"PG/P/N•N PAY N l7'N .Y3, to Z. -16T u's t• Pw I 6S 3'1i.7 w ry > d v 1 cc > WY) NQ ' n a- 20 PVT(VIEWLAND rin' Pf IP 4.5•n Q RD 4•-1 rL' 83. 35 2311 �! Ovll ZG 1 FLII S L^ r. 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Pl 4 fj N PAY RPTO1VEILPAY �fU A' ul ° BSA 167 9' UTII ITY ma NMESMT. �y 14 , R .L 10 w 196] .a �a elol r� r� azot X 9701 YA S$'/7ZN v �� ;•^ r 2` 0101 1101 n •N,S N; y p w N o OW g N SIERRA T , ' k„ ST 38' ESMT 2i 5' ESM'' / \Oa i J• AI L L _ \o O.Z N 'STW /. J•.OLt Nam GaS L�s'�.. AWIW- +�ovtaos+v , t Addendum to City of Edmonds R ght of Way Permit Application - Submitted by: Mariamne Kingsbury Engineering Aide • J Washington Natural Gas 356-7500 X7596 CL WNG to window Water main depth unknown " gas main 1 i 3 c:�=L--Y KAP Ic Acd (1) C I 3(t1es 9,C50 `s 1 Key • -w- water -g- gas -ss- sewer $ water hydrant O . water valve 815 Macer St. (P.O. Boa 1869), Seattk- WA 98111 (206) 622..6767 APPLICATION for The City of Edmonds SIDE SEWER PERMIT EASEMENT No ........................................... NEW CONSTRUCTION E] REPAIRS 0 118-09400 OWNER.......... slojade --- P ...... Seward ......................................................... CONTRACTOR .... --------------------------------------------------------------------------------------------- PERMIT No . ...................... ADDRESS ...... 1-10-3 .. Q.lYMPJ.c ... Avenme ................................................. LEGAJ, DESCRIPTION: LOT No. .............................................. BLOCK No. ............... ............................ 0 • 4 NAMEOF ADDITION ......................................................................................................................................... Dye Tested On Sewer 1972 Approved: DATE................................................ By ......................................................................