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1114 C AVE.PDFIIIIIIIIIIIIII 10488 1114CAVE ;- CITY OF - EDMONDS - SIDE SEWER PERMIT WATER -SEWER DEPARTMENT PERMIT 7,. .(Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.1 Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections./ nrCn ADDRESS LOCATION OFCONSTRUCTION........ 114.. ._... EC%andsWaa8QZQ.............................................................�?. PROPERTY LEGAL DESCRIPTION........... . (.F' -. �44arti,®.al•-...•...._,••_,-__,•__,•..•__• ....................................................................•----..........................•-• -- .................................................. ................................................................... ............................... ........................................................................................................ -------------------------•-•-•. OWNER AND/OR BUILDER---JI)(��8.ke _ TOgea�c...Cnvie v°�I�9'inn..-.... ............. .................... TRACTOR'S NAME &ADDRESS.---- �TEnited-- SeB+1e%'--.(Marvin LGe�..............._....................---.....-... ion is granted ...-.-..--�±1951?? ......................... 19_ 74?., for repair and/or connection of a side sewer to the city sanitary sewer tem 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—Tap 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 % 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- sert the pipe into the wye. - /f DISAPPROVED ❑ Date ... _......, �.................. By......... Date ...... �.........�...�1...... By ................ Date..........'By ................ APPROVED.- Date... -�/o_F C By.....!/./ .... ........ .......... Remarks:...........................................••--•---................................•.... BOTH Permit Copies MUST Be �.. �.d, (Owner of Contracting Firm i:Perl was installed in accordance with all eoA By Owner of Firm Performing Construction PRIOR To Request For Inspection — 1. hereby certify that the side sewer in constructed under this permit Construct'ioonn r ordinances of the City of Edmonds. Datedthis ............................ day of ....... .......................................................... 19......... Check BEFORE you dig for: Water ❑, Gas ❑, Telephone ❑, Power ❑, Sewer ❑, Other ❑ V j • ADDRESS: TAX ACCOUNT/PARCEL NUMBER: 0 Uo 19 40 I I D 011)6 BUILDING PERMIT (NEW STRUCTURE): l q-7 �p b L5 ("5 COVENANTS (RECORDED) FOR: CRITICAL AREAS: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver DISCRETIONARY PERMIT DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED PERMITS (OTHER): M—n bi4?)I FeA Ce1 ;+aV-7 1)4g6(h",ln) IU7 N PLANNING DATA CHECKLIST DATED: tV SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: 14 SHORT PLAT FILE: LOT: BLOCK: 2 SIDE SEWER AS BUILT DATED: 2J I1 SIDE SEWER PERMITS) #: GEOTECH REPORT DA' STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED: . I u 14 11(Q L:\TEMP\DSTs\Forms\Street File Checklist.doc U,-�rz- 61 Ed-tnon&."Water Department TAP CARD Date ..... y-/ Meter . ..... ...... -----------.6 - Tap I No ...... ............ 3 Size....'.. . ....... Size-4-/x, .................... Mfgrs. No..a.-IF-V ... 961P Wle ..... R-U) .... S.. A. For . ....... 4�� NEW SERVICE INSTALLATION ADDRESS: DATE: DIAL A DIG# ............................. /-/, ..... . .... .......... . ..... . .......... . . .............. . .......... /-C" ..... ............ . ..... . .. ... . . . .......... Lot- No ........................................... Blk. No ........................................ Add- .................................................. ......... ............... ....................... ... Service Location ............................. . .... . ......................... . FOREMAN .. ---- -------- ----- T ... . . ............ Meter Location ...... . .... -- - ... . ........ ('0--sa—tal .j ....... lle—.S.y .... . ....... . ...... MakeTap ........................ ........................ ......... ....................................... ................................. o .... . .......... . ..... . ....... . . . .. . ....... . ....... . .. . . ..... Pressure...--,f - - -------- lbs. Test .................................... 50 .Send Bills to ........................... ........................................... . ...... . ........... ...................................................................................... . ................ . ....... . ....... . .......... Date of World ... ..... 7-6 .. . .......... . ................ ............. ...... ...... / ........... Foreman I .�. Guar. Voucher No .......................... . ............. $ ----------- - ---- - ---------------- - ----- CREW Remarks: cVwx .............. . ....... . . .. . . . .......... .............. . .................................. . ................ . ................ . ....... . ....... . ..... . . . . ... . .......... METER SHOP P. U.. D.- TELEPHONE: CABLE T.V. I GAS 011-1h%, X�,-- FUTURE SERVICE INSTL: YES NO BORE: CUT: SURCHARGE: DATE: E=-: ZV ACCOUNT NUMBER: YES INITIAL: INITIAL: .................................................. . ................ . .. ... . ...... . ....................... . . ........ ......... SUPPLIER:, O;r ................... . .............................. . ................ . .. . . . . ....... . ........ . ....... . ....... ........................ . ..�•EI•-�,���........... . . . ............ . ............... . . ......... CIVIL ENCR. DRAFTSMAN TREATMENT PLANT SEWER PERMIT # EOB -L T .......................................... . ...... . ................. . ...... . . . .... . ...... . ....... . ..... . . . . . .............. .. . ................ . ...... .................................................. . ........................................ . . .............. S.UPnr-RINTENDENT INITIAL- .9DATE: AL9 —OU-T.GOING—Index --- ------ ReLy ------- Route-BL.—Stencl ----- Ca rCL Y. y - 1 PERMI i �(' �y _ USE NUMB ZONE BUILDING DEPARTMENT In�deHeavyLinesJOB PERMIT APPLICATION AD DRE55 �/� "yr���T I LOT AREA SUBOIV ISiON NO. NAME (OR NAME OF BUSINESS) LEGAL LOT 7 AYES ^^ 1 -r ❑ NO V .. L �"�• C MAILING ADDRESS ;'~, `� VARIANCE OR AOB NO- •,`J `C ... W E NO, , D `A• LLtf'If:I%•� G C % I HEIGHT : �•L��• 0 " / ,TELEPHONE NVMBER f Z _ PROiOSEp YARD `REAR Z FRONT 1 SIDE /�-_ �+ _ %[/ � PROPOSE � ALLOWABLE SIGN AREA NAME - SIGN AREA W i.DOR E55` ' • OTHER R �t - '1 , t RE'..IUIREMENTS i1WT.w.1 p ATE V TELEPHONE NUMBER r•LANN PT. APPROVAL r/ —(/ 1^ C CITY - 'n ' /! G/ '.'.• l~ f�`� �Ar✓� < r s.. . NAME STREET R/W %/� n or pErj CIF_NrY THIS -PROPERTY I ��/ = �,. A f / -` EXISTING STHe:ET R/YJ Lta--%} I •f c- I' l� PLAN ST. R/W C, FT. FT. O ADDRESS U' �, C•/'A•J/i�'' ��ti/� GOMN exceed those Z V . F , REMARKS Dri veWay slopes not to - I •:' '1 �' Q�T',�"T^�,� TELEPHONE NUMBER W If;�:•�" C CITY' •�J `i%_% ind1Cated on Standard [Ma NO. ��ECKEp BY W - F L // Z L. Z 0 C iJ f. r CITY LICENSE NUWIOER Z U ST4 LICE SE NUMBER ❑ YES W .; STREET AND/OR UTILI7 .;� WORK REO'D NO Ll:cal Oesr -ption of Property (Show Below or Attach Four Copies) ❑ YES UNDERGROUI�D *N O o: WIRING REO'D :. Z VERIFIED BY 0 // I�/ 71 TYPE CONNECTION W 0✓�S / ❑ PERMIT U BER W YES ./� W 1 t dr- W U SEPTIC SYSTEM ❑ NO N gPPVD HY CITY ENG. W REMARKS j •_ �- J 1 O C;�� =ER SIZE SERVICE SIZE CLEAR NCE CHECKED BY W J ��/��// / ~ '• Q R RK 3 . '.: 1(��\//\+I�� I 1 GA5 UCTION CODE NEW t-,��RESIDENTIAL l�J LINE FIRE ZONE TYPE OF CON ❑ I� SIGN - OCCUPANT NON-RESIDENTIAL OCCUPANCY n1 ❑ SPECIAL INSPECTOR AR A GROUP �I LOAD A. Q. ADD RETAINING REQUIRED 1- ❑ DEMOLISH ❑ WALL ❑ VES W ALTER EXCAVATE F ENCE X��I PL E KE I By THIS SITE iS LO�CATED IN THE CITY u OR FILL OF EDMONDS. OLOCA; SALES TAX D . ❑PRE -MOVE SWIM REPAIR ❑ PR POOL P AR S P. t NUMBER OF STORIES NUMBER OFpW Et.LING •, - UNITS - OF WOR K'TO Be DO NATV RE NE n 7 FEE VALUATION _ PLAN CHECK CHECK PROPOSED USE I 21 ---, �. UIl.U1NG SETBAC!!.:, BUILDING a PLOT —ANr INDI A'f N, .+ ABUTTING STREETS] It PLUMBING do U � / i^ •/�( ��� HEAT 14 G.15 LINE -- 1 - FENCE f / SIGN RETAINING WALL — - M1G POOL S WIM MI , Sy TOTAL AMOUNT DUE t ` I hereby aeknowled Re that I have N, d this apDllcation: that the In- I , [ormatlor, Riven Is correct: and that'. I am Cho owner, or the duly autbor- ATTENTION APPLICATION APPROVAL tied agent n( the owner. I agree to mply with City "d state laws rogu• IetlnR construction; and fn dc1n6 the work authorlsed thereby, no petwn THIS PERMIT 'f'h1e application is not a permlt'unt11 } w'11 be emp:•>yed in violation onentioraImuraruot the State of WmDmRton AUTHORIZES signed by the Building Official or his Dep- ' relatlog to WorkIDen•e Camps ONLY THE and il'C9 are Paid, and receipt is Be- - Year ("eept DEMOLITIOTS vhICh' WORK NOTED uty; One n sp ace provided. 0 m 1 i1 Limit hal; Da ra owled edged P y07E: Perm I csD-IT1 BOttnl*tG3 a kn g , ninety days; a O comDtctcd in Y - shall De INSPECTION - pleted In Big months.} .,_ ,� --- DATE SIGNEp/ pEPARTh1CNT p E R'S NATUR SIG�ATURE (OWNER OFrAO7�i1Tl CITY OF EDMONDS ATE `r f NOTE: Applicant Subject to PlarCheck 1 c�— 775-2525 ' \a ONLY. ORIGIN L • File YELLOW • InS;xtiDr .•, This Permit covers work to be done on private property PINK - 0�'ner GOLD - AsSMSCr Any construction on the public domain (curbs, sidewalks, driveways, , marquees, etc,) will require separate permission. '• y,Ly� _ APPLICATION The City of Edmonds for EASEMENT NO- -------------------------------------------- SIDE SEWER PERMIT NEW CONSTRUCTION N REPAIRS ❑ LID NO. --7 ------- -ASMT. NO- ------------------ OWNER CONTRACTOR -------------------------- ERMIT NO. JOB ADDRESS .... -----.c...... ----------------- LEGAL DESCRIPTION: LOT NO. .ATT --.. BLOCK NO.-------------_--------------------- U �n Ljj • NAMEOF ADDITION........---•----•------•---•......................••-•-•-------------.......--•---••---....._------------•------------- DATE ... . j!' /.✓ ---•------.... 13Y ............ ff ....... /75 -- / 1 1 v APPLICATION The City of Edmonds for SIDE SEWER PERMIT EASEMENT NO- -------------------------------------------- NEW CONSTRUCTION [ REPAIRS ❑ LID NO. ..-- ASMT. NO- ------------------ OWNER l/v L_fl'Lrie "n/G Go.tJS'/ '.. CONTRACTOR .-i%/�/t r�©----.5 .. �r�S ..................................... PERMIT NO. ----------- JOB ADDRESS .F.-.� �.---------------------------------------_t�.v LEGAL DESCRIPTION: LOT NO. -------------------------------------- BLOCK NO.------------------------------------ 0% V. i L ---------------------------------------------------------------------------------------------------------------------- ----------•-.------•-•-------- NAMEOF ADDITION -----------••----•-------•---•-•---------•--•-•-----•---...-•----•--------------•--•------------...,._.,M.......---- ti y Approved: DATE-------------------------------------------• BY ................................................... iii7s t i:..t-i17t..�„K�ci�'irpr!y-•4.t�Y.��Pir.{rtfy.t"'Rr cI• �7,."�k. .� .. ., ay',��``-�y _ 4 �x:.�i 1} ,+„u;. ✓;.. r i."f, - rr -�. .. .:.--:1'� •�'f*y ,' nY:., �.- � • �5ti, y:{t h+"eFA�F�^4,•�•""S�-lw�7v .hdl�+- �^ i4 i t •��'iEyVa• �-:. '�..,,�r , R'i�i: Cti � "� :* f STREET- ILE City of Edmonds RIGHT-OF-WAY CONSTRUCTION WF_�o 19 PERMIT Permit Number. Issue Date: A. Address or Vicinity of Construction: 11.14 "C" Av. (9327298) B. Type of Work (be specific): Install New Service f, C. Contractor:Wash Nat'l. Gas Co. Mailing Address: 815 Mercer St.Seattle Wa State License #: 98111 D. Buildfng�Permit # (if applicable):' Contact: Frank Swan Phone: 224-2278 Liability Insurance: Bond: $ Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project ® Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut : ❑ Yes MNo G. Size of Cut: x H. Charge $ APPLICANT TO READ gASIGN INDEMNITY: Applicant understands and by his signature to this application, agreee City of Edmonds harm[ asm ihjiaries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be mailagainst the City of Edmonds, or any of its,departments or employees, including or not limited to the defense of any legal proceedings including die%nsG coats, and attorney fees by reason16f granitng this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FORT X%PBPI•QD OF ONE YEAR/ffpLFhOW � ( THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL 3- HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPLICANT. Construction drawing of proposed work r�quired 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. �6 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 statemen is and understand the permit requirements and the pink copy of the permit will be available on -site at all times for inspectl_on_p ses. Signature:� Date: Septet 30, 1993 (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK I ,jf. FOR CITY USE ONLY APPROVED BY: �,e�)`1���/1l RIGHT OF WAY DEPOSIT � - 1 TIME AUTHORIZED: VOID AFTER ` �A rt" DAYS SPECIAL CONDITIONS: Na- COMMENTS: DATE: DISRUPTION FEE/FUND 11: RESTORATION FEE: 4 A A PERMIT FEE: eS[J- TOTAL FEE: RECEIPT FEE: ISSUED BY: .! o q NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. Nv. 1991 Nature AVM Addendum to City of Edmonds Right of Way Permit Application Submitted by: Guyla Connors _ Engineering Aide Washington Natural Gas 521-5248 U t+ qA WNG to window Water main depth v-tt' unknown " gas main,.-, I jo Gv�S n IN -w- WGLUL- -g- gas -ss- sewer $ water hydrant O water valve 815 Macs St. (P.O. Box 1869), Stank, WA 98111 (206) 622-6767 -�- *STREET FILE , F { CITY OF EDMONDS ..x, ` <.•.•.%: 250 - 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-3202 COMMUNITY SERVICES: J C Public Works • Planning • Parks and Recreation Engineering October 1, 1990 Mr. & Mrs. James Kaldestad 1114 "C" Ave. Edmonds, WA 98020 Dear Mr. & Mrs. Kaldestad LARRY S. NAUGHTEN MAYOR PETER E. HAHN DIRECTOR I have reviewed your account and will allow a credit to your account according to our City policy: the average consumption for the same period during the previous year charged at normal customer rates, plus the excess usage charged at the City's cost, plus a surcharge of 15% applied to the excess only. Should you have any additional questions, please contact Ilene Larson, Utility Billing Clerk. Sincerely, Ron Holland Water/Sewer Supervisor BM/lk cc: Ilene Larson Utility Billing Clerk #131775/TXTWATER • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan r ,DECEIVED s STREET FILEDATE ail .IUN 1• CITY OF EDMONDS PUBLIC WORKS COMPLAINT RECORD Complaint voiced by: Name: !��lC//Q/� �(.�/d/77� S 7-7 Address: �� .7 Property owner: Yes ✓ No Where .5ll. In 6 Address of property to be investigated: C��C`-�L� ��/Cl/G°�/1 O T y Name of owner: Address: Phone: Description of complaint: Xle.,Z-r�/ Result of investigat%n: y' ys 00 00 SIREET FILE November 19, 1981 MEMO FOR RECORD SUBJECT: 1114 C AVENUE'- ALLEY MAINTENANCE On November 10, 1981, Mr the alley on the west side of city stop wasting money, and called the Mayor s office, Di Jim Adams. The suggestion wa mittee on alleys maintenance, alleys. I called.Mrs. Twomey 9:30 a.m, and said I was retu I said we would not grade the has been made. At that time outcome. BM:ke s. TwoLney called regarding grading at her property. She requested the stop grading of this alley. She a called Bobby, and Bobby talked to s.to write to the Public Works Com- vacating of same, and opening of on November 12th at approximately ruing.her call to the Mayor's office. alley by her house until a decision we will write to Mrs. Twomey on the • STREET' FILE .CITY . OF EDMORODS ENGINEERING. DEPARTMENT 505 BELL STREET EDMONDS, WASHINGTON 98020 APPLICATION FOR INVASION OF RIGHT-OF-WAY (Subniil In Duplirare) Permit to be issued to: For work at: (address or vicinity) / l / Type of work to be done: ,(0i''r r CPC//7 JD Q /tl/SZl L� (,2 ��.. (Attach Drawing When Applicable— i 04 Owner: 7W -191t6 'I'elepbone. Number Contractor: J11a:nzNaI Upon issl arr :.r' ref ti?i; I; rr: it 1h,� contraetr_r respoljsjt: :2 f,,' :' Ir . ;,.,_r,,at,rf?I: Mailing Address - 7 period of �:�lt. ',^�<.Ir In;p('ctlGn the re tor.ltimi I r. Nwu City etnte Teleplmne Number Signature: er o Ageri Date Higned T— DO. NOT WRITE . BELOW THIS LINE (To be completed by Issuing Agency) Permit Issued (date) ' Remarks• 7 ENGINEEIrS APPROVAL DATE Permit, Number PITY OF EDMONDS ENGINEERING DEPARTMENT)', Inspate�_.h�8y...�.._..Remarks M� .: .' {j�( Insp Date ......... . ...... BY ............ _........:Remark .. ... ~-. - ...P004M.90 RATIO-" Insp Date ----------------- BY ........................ RemarkAx. Insp Date. ................ By................._.. .. T".941M.-TCAM.M. Di ...................... ly .............. . . ...... . . . ......................... Permit Address C ,� ,� Oal Descri pti.on STREET .FILE. BUILDING PERMIT REVIEW - FNGINFFRING DEPARTMENT CHECK LIST Reviewer's T - , : - I - 1. Septic Tank System.( lesign.Approved 2. Sanitary Sewer Availahilit)1 Sht. � _ of Dwo. No.(;P-') 9 Project: uI r) ( Side Sewer. Availability: :_�`�1 ' �,�f�� le�/ •���1 ,i� �C���� c�����JC � Y� �' � A� �.� � IN Ta ��l ' —--- 5. Storm Sewer Availability: Sht. of Dwg. No.11,124-14 Project�� �,�„►�' Roadside Ditch �. Grading & Final Contours V7 . Sidewalks (Site Inspection shows condition of existing walks as follows):.'* _ 8 Curtis ex"I 9. Curb Cuts ✓10. Undergrour Sa vfii ad *C -/11. Street Right-of-way.& Bldg. Setbacks: (Q of Dwg. Now of Official Street Map. ) 12. Existing Utility Easements A 3. Access Easements -Sht. %, 14. 4later Mains & Fire dlydrants (Indicate Size Water Main) 15. Bonds for Site Mork i.6 Special Requirements listed in memo to Bldg. Dept.Vo 17. Commercial & Ap.t. Requirements form completed _ 18. Drawings stamped & notations made 19. Site Inspection made on 20. All items filled in on Bldg. Permit Application �� y -7 (0 21. This Lot.included in Subdivision61k (List any special requirements):