1127 2ND AVE S.PDFiiiiiiiiiiii
4840
1127 2ND AVE S
City of Edmonds
RIGHT-OF-WAY CONSTRUCTION PERMIT
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Contractor: C. / O v. 5
ffi• t 1 � _ ''' Contact-:��.w.' A C I t � - •
' •.Mailirig-Address:Phone: � '." t1•:-�"
State License LC H 011 / (J L G ` V Liability Insurance: Bond: $
D. Buildm '^Permit•#. if a hcabl, u x at Side -Sewer P rmit #"111a licable d `
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Jr..?fi"'!11" y'P ` :�. _ T'' • ^tti ��
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E. ❑ Commercial ❑ Subdivision -----,.❑_C,bty Project ❑ EUC (PUD, VERIZON, PSE, AT& T, OVWD)
❑ Multi -Family,,' ❑ Single Family ❑ Other."
• INSPECTOR: � � ` ���q , .. t-•• .
F. PAVEMENT CUT: ❑L7 YES ❑ NO G. SIZE OF CUT'
CONCRETE CUT: ❑ YES ❑ NO
INDEMNITY.-Applicani. understands .by his/her signature to' this application heJshe .holds fhe City of Edmonds harmless from
E injuries, damages or, claims of any kind or description whatsoever; foreseen` or unforeseen, that. may be made against the City of
Edmonds'or any of its departments or, employees, including but,hot limited to the defense of any legal proceedings including defense
costs and attorney fees by reason of granting this permit. \t
THE CONTRACTOR IS RESPONSIBLE., FOR,. WORKMANSHIP AND MATERIALS FOR A. PERIOD OF ONE YEAR FOLLOWING. THE FINAL
j INSPECTION AND%CEPTANCEfOF4i4k*ORK. ESTIMATED RESTORATION FEES W/LL BE HELD UNTIL THE FINAL STREET PATCH IS
COMPLETED BY CITY FORCES; AT WHICH TIMA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT,
Traffic, control and public safety shall, be in accordance with City regulations as required by the City Engineer. Every
^ flagger mustAbe trained 'as required by (WAC) 296-155-305 and must have certification verifying completion of the
required training in their'possession.
Restorahonf •is. to be in accordanc`e'.with- Gify7 codes. 11 street=cut trench work+�sha11'be patched wittr asphalt or. City -
approved material prior to the end of the workday— NO EXCEPTIONS.
"' Three sets oflconstruction drawings of proposed work are required with the permit application:
,.. CALL DIAL -A -DIG (1-800-424 5555) PRIOR TO BEGINNING WORK ,. .
I HAVE READ THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
THAT I MUST MAKE THE PINK COPY OF THE PERMIT AVAILABLE ON SITE AT ALL TIMES FOR INSPECTIONS
3; ;
I' Signature.
(contractor or. Agent)
Date.
. FOR, CITY USE ONLY
Or
Approved bysi �1 M :(, f% `�C Right-of-way Fee: ' /� _ '
Time Authorized: Void After / / 403 Disruption Fee/Fund 111:
Special Conditions: iC Restoration Fee:
WIN finjsFTI~t'CC) 12mOF05 j2j=1r4. - Total Fee:
Receipt No:
i? S , gmjon, Issued by:
c t.-rl!2 'n j-n I t 1-n i' ei �
UPON COMPLETION OF PERMITTED WORK, AN ENGINEERING FINAL -
INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THE EDMONDS
0
COMMUNITY DEVELOPMENT CODE (Phone 425-771-02209•Ext. 13LO)
FINAL APPROVAL OFPERMITTED WORK: f "h&:/EVi;tX DATE' >0%4 /07 '
Inspector's. Signature JCc, JI1 KS
For inspection require ments•see Engineering Inspection Information handout.
NO WO11K SHALL BEGIN 11MOR TO 111AMIT ISSUANCE
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The City of Edmonds
0 Mv) —
APP&(',%TION
for
811DE SEWER PERMIT
OUTSIDE 0 INSIDE 0 REPAIRS 0
CARD No. ..........
EASEMENT No. ....................... ....................
O'�
OWNER...... ...... ...................................................... CONTRACTOR ........ I ...... ......... ........................... I .................. .. PERMIT No. .... .........
t4l
10 47 STREET
7 f 'eAJ 140 '414� 7 IPA) /,d &I )p
HOUSENo.,64..&,,?..e . ....... ... . ..... .............................. ......... AVENUE LOT Tqo . ................................................... v ....................... BLOCK No. .....................................................
NAME ADD ..... "..416#16,-* ...... 4w4gokle!!t� . ...... ......................................................................
—abc — %
BACKFILL WORK ORDER ISSUED ............................................ DEPOSIT, $ .......
SEWER WORK ORDER ISSUED ................................................
..................... .......
DATE....
CITY OF EDMONDS
PUBLIC WORKS DEPARTMENT
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. *Address or vicinity of Construction
a 7—NO A\J
• Owner:
Name
InI40
Mailing Address', a..,
\����__ I
City, State, Zip Code
• Contractor: Ri \, O
Nam
Mailing Address ,
City, State, Zip Code
Permit No.
Issue Date
• Permit ISSITGt o: ` 71� i (
• Type of Work to be Done: N` t-: I k f ., k A
• Work in Connection With:
❑ Sub or Plat ��"Single Family
ElComml. / Ind. El Apt. Condo.
• Pavement Cut: ❑ Yes D-&o
State License Number
Telephone Number
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
B. APPLICANT TO READ AND SIGN
INDEMITY: 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, foreseen or unforeseen, that may be made
against the City of Edmonds, or any of it's 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.
Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
following the final inspection and acceptance of the restoration by the Engineering Division.
a
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call
775-2525, extension 220.
I understand that this permit
Signature:
be available at the job site for inspection purposes at all times.
Owner or Agent
,�1
* * THIS PERMIT MUST BE POSTED -AT THE JOB SIT FOR INSPECTION PURPOSES yt yt
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By: {
Time Authorized: Void after days
Special Conditions:
Ammendments:
Permit Fee:
Security Deposit:
Receipt No.: .
Fund III Fee:
Street Cut Dimensions
X_
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. Div. December 1978
FIELD INSPECTION'NOTES (Fund 111 - Route conv to Street Dept.
O^mm--4- � .
Diagram:
9
Contractor called for inspection_ Yes No
TA1ork Disapproved By: Date- Bv:
[cork Approved -By: _ Date:
Inspector•,
Date:
Ena. Div. December 1978
1018*-:'-,
REV-1 017-4 FWAICUT'i L ITN: DISTRICT No- I -cif. Snohomish -C-ounty. - k c6l
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W.10.: NO.
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DRAFTER
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SCALE .
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TON'
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'PERMiT,.QE qUIPED
TYPF6EMPT
IMEOUIRID NOUREOU-�IRED
OIREE ]Rlmmli- . 4G- WATER
ENV IRON ME NAL',AN4fY3 IS'
0O"NOT E' XEMPI
MDIAL DIG SEWIF
PARA. "ITEM?
DATE .GRANTED
OPUD LOCATOR EGAS
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DATE y2L A7 1
0-BACK HOE.
O.H_u COND.
FEES-REQUIRED 0
FOREV:; N_�ONTACJS
POLE STENCILING .
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DATE WORK, OMPLEIED-,i�_
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DATEPRINTED. -
557 A
7
FILE
1-1r. Georqe Moline
1127 Second Avenue South
Edmonds, Uashington 98020
SP 4 S,pter*er 12, 1972
Re: Water Account No. 100-01800;
1127 Second Avenue So!th Edm�onds �Wash�.
In reference to your house at the above subject address; it has
come to our attention that your daughter is living in the. basement and
the upper floor is ranted out.
For your information, enclosed is a Coo of Section 6.20.030 of
the Edmonds City Code. 1140 have underlined in red that portion that per-
tains to ,your situatican.
At your earliest convenience, we would appreciate you contacting
the Utility milling Office regarding this charge, as per the ordinance,
this charge will be appearing on your future billings. Thank you for your
cooperation.
Sincerely,
CITY OF EDMONDS
J. HERS GILGO
Director
J11G: ch
Enclosure
i•
• 6.20.030
_.► $
EXCESS CHARGES
\
1 water consumed ,in excess of seven hundred cubic feet
shall be an additional charge to
the consumer at the rate o^
twenty-five cents per one hundred cubic feet.
The above rates are exclusive of taxes.
f
New service line.and meter installation charges fixed as follows: are hereby
i
(a) 3/4" inside city limits•. .. -
(b)
3/4" outside city limits.. . . . . • ' ' ' ' • $125.00
�d) 1° inside city limits. .. '+ 150*00
outside city limits .-`, 150�00
• _u �
•(e) All over 1 to be charged for at 'total �ctualcost o
fob.:
Cost of street restoration (all. surfaced st
added to any meter.installatireets) to be
on'charge'where applicable.
When approved by the city ennew service lines
engineer..
insta-lled by developer on plats -shall
be credited as follows:
(a) 3/4" lines
(b) 1" lines . . . . . . . . . $ 60.00
. . . . . . . . . . . 70.00
(-Ord. 1457 §1, 1970: Ord. 1385;§2; 1.968: Ord. 1263 §1, 1967
Ord. 901, 1961: Ord.
711 §2., 1959). •
6.20.030 Utilit char es. A. Generally. The utility
charges ere na er se 0r t
she-I'l be added to and made a part
Of monthly rates for water supplied through the
before set forth:
meters as herein -
NOT.CONNECTED CONNECTED
(a) Residence, single $2.00
per month
family, duplex, per unit. $3.00 per month per unit.
apartment houses
and other multiple
units, except hotels,
tourist camps,
trailer parks and
motels.
(b) Hotels
--- $3.00 plus $:50 each room.
•,
(c) Tourist
courts _ _
motels, trailer $3.00 plus $1.05 each unit,
parks
(d) Schools
--- $20.00 per month minimum
Plus $_20 per month per.
student, based
on the
architect's rated capacitv.
Of the school; if double
shifting is effected, then,
�- in\that
event, the student
"s coilnt will be
the average
daily attendance for the
month preceding the billin g•
_.
57 (Edmonds 5/15/70)