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City of Edmonds �TREET FILE
RIGHT—OF—WAY CONSTRUCTIO
PERMIT Permit Number. 9=�S-
C/' fvG
Issue Dater a �3
A. Address or Vicinity of Construction: 1149 3 AV' S. (9322672)
B. Type of Work (be specific): Install New Service
- " C. Contractor:
Mailing Address:815 Mercer St.Seattle.Wn-
State License #:
D. Building Permit # (if applicable):
Contact: Frank Swan
Phone: 224-2278
Liability Insurance: Bond: $
Side Sewer Permit # (if applicable):
M
E. ❑ Commercial ❑ Subdivision ❑ City Project MLARility (PUD, GTE,�WNG, CABLE, WATER)
❑ Multi -Family ❑ Single Family ❑ Other
,INSPECTOR: INSPECTOR: W t �C...I
F. Pavement or Concrete Cut: XUYes []No G. Size of Cut: (2) 2 x 4 H. Charge $
(1) @ 8tr. & (1 Near c 1
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application, agrees tYqn
the City of Edmonds harmless from injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be ma t the City of Edmonds, any f it�departments or
employees, including or not limited to the defense of any legal proceedings including diee c sts, and attorney fees by reason ograntang this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATE 6. PERIOD OF ONE YEAR'FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH
IS COMPLETED BY CITY FORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PROCF,SSFD `FOR ISSUANCE, TO THE APPLICANT.
Construction drawing of proposed work required with permit apphdation., C -
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. 1
Ihaue read the aboue statements and understand thepermit requirements and thepink copy of thepermit will be
available on site at all times for inspection purposes., —
Signature: ' ��°r �`-Date: August 13, 1993
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
J FOR CITY USE ONLY
APPROVED BY: kj� RIGHT OF WAY, DEPOSIT,.1
TIME AUTHORIZED: VOID AFTER �kv DAYS DISRUPTION FEE/FUND III:'
SPECIAL CONDITIONS: P1 A., FEE:
COMMENTS:
PERMIT FEE:
TOTAL FEE: a' 0 o
RECEIPT FEE:
1.
DATE:
ISSUED. BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Engrg. Div. 1991
N
E!
FIELD INSPECTION NOTES
Comments
Diagram
R
(Fund 111 - Route copy to Street Deptj
CONTRACTOR CALLED FOR INSPECTION ❑ YES . ❑ NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
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i! Addendum to City of Edmonds
Right of Way
Permit Application
c Submitted by: Guyla Connors _
- -. ... -- ----------- - - - Engineering Aide _
Washington Natural Gas
lct)i S 521-5248
-44
2k '
WNG to window - - - -- - -
�,,,''d, Water main depth Key:
-w- water
-g- gas
-ss- sewer
" gas main $ water hydrant
O water valve
815 M=Cr St. MO. Box 1869), Seattle, WA 98111 (206) 622-6767
STREET FILE -�
HARVE H. HARRISON
MAYOR
200 DAYTON ST • EDMONDS. WASHINGTON 98020 • (206) 7752525
DEPARTMENT OF PUBLIC WORKS.
August 15, 1979
Prop��At2y Owner
1149XTwhird Avenue
Edmonds, Washington -93020
Dear Property Owner:
SUBJECT: LID 204 - SANITARY SEWER CONNECTION
You were notified on March 13, 1979, that you should make
arrangements to connect to the new sanitary sewer within
sixty (60) days.
Your bi-monthly sewer charge has been raised effective
May 12, 1979. Please make arrangements to.make.the required
connection or notify me in writing by August 31, 1979.
Permits may be obtained at the Public Works Department,
200 Dayton Street. Please contact Jim Roberts of the Engineering
Division at 775-2525, extension 220, for any information or
assistance you may desire.
Yours very truly,
JAMES E. ADAMS, P.E.
City Engineer
JEA:rm
ROBERTS DT ADMIN DT DIR PW DT
APPLICATION VIA EDMONDS WAY
The Cityfor of Edmonds TRUNK LINE
]EASEMENT NO . .....................
SIDE SEWER PERMIT AA "" t
NEW CONSTRUCTION ❑ REPAIRS 0 LID NO. _rZ 7--_ ,ASMT. NO_ __________________
OWNER ------ Roh..... Lo_ Sow ............................................ CONTRACTOR ..1 y.%. V_ Y'oN_W1_—C--- 4UC,r$--.. PERMIT NO. _40.4-02,
Q.Cl - 3Ro Q S
JOB ADDRESS ..-- /----------l---1--------------------------- LEGAL DESCRIPTION: LOT NO. -------------------------------------- BLOCK NO. --------------------•---------------
NAMEOF ADDITION -•----------------------------•------....._..........--•-•-------------•------•-••-----•--•-••------------------•------
4" Tans Tec
P •( (ode eP) 4
lII 4_ 4
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fi firrf
11c, '
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♦ 4" C-0 . C Ii'd«p)
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v�C' S ode. Sewcv c�¢rnstr�►�t'ed of
4" P.V.C. (.Sc.k- lo34)
a
�MM
VIA EDMONDS iAY
TRUNK LINE Approved:
DATE NOV.} 19..1.-1 BY D��G Sa_hh.Q........
1 1 /75
CITY OF EDMONDS
yPUBLIC WORKS DEPMENT FOR INSPECTION CA]�
SIDE SEWER PERMIT 775-2525 Ext. 220
Permit Nn _ 6409
Issue Date /0 d-i j
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* PERMIT MUST BE POSTED ON JOB SITE
iAM
1. Address' of Construction -_ 4)
2. Property - Legal Description (include all, easements)_
®�
3. Single Family Residence to,-" Multi -Family
Commercial
4. Owner and-ox_-B-wi--1der oy 10 r
5. Contractor & License No. Pi1A ► A l.-trO
No. of Units
v..EE__
before .y
1
7. Cross other private property: Yes No� Easement required
attach legal,description and county easement number.
READ THE FOLLOWING AND SIGN: 1
a. Property owners must obtain a permit to install side sewers on
their property. A licensed side sewer contractor mus 1
construct side sewers in the public right-o 1
b. The side sewer contractor assumes f 1 r sib l' �� _ ��
1.
installation for one year. °
C. Commercial establishment requires a ini s x 1
xf'
side sewer line. Y 1
d. Side sewers may not be installed clo er ty Inc s C30"if
) 1
to any structure. 1:
e. Side sewer lines must be laid at a m'
and maximum grade of 100% (450). fNOHfl 1
f. No turn in side sewer greater than 45 *�cc8�d 0 1`
between cleanout. All 90 turns must be cons a of a 45 (1/8 1,
bend) and wye with removable cap. 1
g. No down spouts, footing drains or floor drains can be connected 1
to side sewer system.
h. Pea gravel is required for bedding.when installing sewer lines 1 :.
through other than granular soil. 1
i•. Cleanouts are required at 30"-60" from each plumbing exit line 1
and at minimum intervals of 1001 along sewer line run.
j. Trenches within City right-of-way must be restored to original 1
conditions. Contractors shall be responsible for right-of-way failure 1
due to poor compaction of fill. 1
k.. Side sewer must be left uncovered until inspected and approved 1
by the City. 1 1. Inspection during normal working hours only. Two (2) working
days notice required. 1.
DATE: ' 0
�� tuTr-tjV uij� ',r�r}•xW S/S I cer i y t at I have read
.� w'and shall comply with the above 1
PERMIT �:� °
J � DISAPPROVED By Date:
Aj pc
B Date:
� . CONNECTION FEE: APPROVED By:DuiF_,�_Date: 11
PE TT MUST BE POSTED ON JOB. SITE
6. Invasion into City Right -of -Way: No V Yes
way Construction Permit Required - Call Dial Dig
excavation).
i
(If Yes Right -of- 1
(342-5344)
c
CITY of EDMONDS
Civic Center • Edmonds, Washington 98020 • Telephone (206) 775-2525 77CC,'4VE",,
September 25, 1979
Mr. Ronald Larson
1149 - 3rd Avenue South
Edmonds, Washington 98020
RE: Failure to Connect to
Sanitary Sewer System
Dear Mr. Larson:
SEP 26 1979
Of. U1 ruuuc vvurn5
The Director of Public Works has advised me that despite
previous letters dated March 13, 1979 and August 15, 1979, you
have failed to connect your property to the City"s sanitary
sewer system.
Please be advised that under the ordinances of the City of
Edmonds in the event a person within 200 feet of a sanitary sewer
line fails or refuses to make connection the City make take one
or all of several alternatives. The City may disconnect your
water service, another alternative is that the City may make
the connection itself, establish a lien against your property,
and then proceed to sell your property for collection of the
lien. The final alternative is for the City to institute a
criminal action against you for failure to comply subjecting
you to a possible fine of up to $250.00 and/or jail time of up
to 90 days. Ordinances further provide that each and every
day of continued violation may be considered.a separate offense
subject to the penalties set forth above.
I trust that the City will not have to take any of the
alternatives available to it but that you will make arrangements
for sewer connection with the Department of Public Works of
the City of Edmonds. If you have not made such arrangements to
connect your property to the City sewer system by October 5, 1979,
the City will have no choice but to enforce the terms of its
ordinances including taking any -one or all of the alternatives
listed above.
`Ey carb.on copy of this letter I am requesting the Director
of F_ublic-Works-to-advise-me-on-October-5, 1979—whether-or -not
Mr. Ronald Larson.
September 25, 1979
Page Two
you,have made arrangements to connect your property to the sewer
system. I trust that by that date you will have done so and the
City will not be forced to proceed as outlined above. The choice
is entirely yours.
Very truly yours,
OFFICE OF THE CITY ATTORNEY
Wayne Tanaka
WT/bw
cc: Fred Herzberg
Director of Public Works