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1506 8TH PL S.PDF1111111111118745 1506 8TH PL S APPLICATION The City ©f Edmonds for EASEMENT NO . ............................................ SIDE SEWER PERMIT J. NEW CONSTRUCTION REPAIRS ❑ LID NO . ............ �QII. NO . .. ............. - OWNTEP - ------- I. ....... ...... ................ ............................................. CONTRACTOR ...... E-E.- -� ......... -------------- C- - T C ------ --- PERMIT NO. 4. 4z JOB ADDRESS ---- . . ......... ..............................PL—............... .......... ........ LEGAL DESCRIPTION: LOT NO.........- -----�� ----------------- BLOCK NO. .................................... ........................................................................................... ............................... ......... ............................ NAME OF ADDITION --------- ---------------- F-:, N R I-e; ........ . ....................................... 0 01 E Approved: DATEel-` ..... By .............................. I ;,Y-1 , - , . ".IM - ii, I � 4 1-_ i�,- ' ' I - -1 - � :- �•. 4 . �w e- -,., .. ; � y A"L "tt L ti t A 10 N The City, :'Edmonds -or -s ........... ASIDE -ER-J iSEW, WT tkM REPAIRS LID NO . .................. ASMT."NOi E'VIrCONSTRUCtid, 0 - ----- (4tft-W --- sfk-9&4� ------------------------------------------ CONTRACTOR -4V ---------------------------------------------------- PERMIT N BADDRESS "* SS ----------- ------------------------ & ----- " LEGAL DESCRIPTION: LOT NO. --------------------------------- BLOCK NO. -------- ------ - ----------- ---------------- ........................................................................................................................................... ................. 1 NAME OF ADDITION ---- .......................P .• .......... ----------- ------------------- 7s LZ 0� Approved: --------------------- - .......... 1�._ � 7' X1 ......... kh' „DATE ... ... y 3.:_.::._.:..... CITY OF EDMONDS - SIDE SEWER PERMIT _..; WATER -SEWER DEPARTMENT PERMIT o - Q, • 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. f ADDRESS LOCATION OF CONSTRUCTION__-_1..-�!1_--_`" _.............. PROPERTY LEGAL DESCRIPTION.._-._...!� c� g. __.___ .......................... .......... . .... .. . ....... ... . ..... .... .. ..... .. • •--...................... '--• __________________________••--•••--••-----•----••---• ___OWNER ... .. � ��s� � •a =�.. ��� AND/OR BUILDER 1 _ ~ ' _Q--i CONTRACTORS NAME & ADDRESS----------- &.--iI1J• \`•F� ;n ..._. r_ �r - ----•----------••-- Permission Is _ _ = granted -:.-:......:....................... for repair and/or connection of a side sewer to th —-,in in accordance with City of Edmonds ordinances. ATTENTION IS CALLED TO THE FOLLOWING: r NOTE No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor mu; 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 _ - . NOTE No. 4—To of governing aide sewers when you get it. p side sewer must have at least 'n 3 0 inches covers ge at property 1 P P Y line and 12 n sharper than ye will be e inches inside property line; minim permitted. um grade g o NOTE No. 5—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be resle f work which may develop within one year of com leti n ponsib P 0 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 a sert the pipe into the w e. DISAPPROVED ❑ Date_.___ _s'7 a ' y �'r,. �$Yp Date-. A_r.._...._. APPROVED Date.dC - � 'n ---.. By_..--•---•. .Date..' ................................................ r Remarks, _.._....................................._--................................... ......................................................... ........................................ ..................................................... ..................... . -- BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request F �r (Owner of Contracting Firm performing Construction) hereby certify that the side sewer insta3lation construct ' was installed in accordance with all governing ordinances of the City of Edmonds. Dated this •. i` �........daY of ------ k��V— i •.�I Check BEFORE you dig for: Water ❑, Gas ❑, Tele one ❑, Power ❑, Sewer ❑, Othe 1 , i, city sanitary sewer be employed to construct 2 q . No bends in grade' failure due to improper urtenances except to in- ..............• ................... � is Inspection — i under this ermit ❑ VV � l4 _ City of Edmonds' RIGHT -OF -WAY CONSTRUCTION Permit Number.MIT -O Issue Date:._1 A. Address or Vicinity of Construction: 1506 8th Pl ace S. '%4 ""' GTE to place,operate and maintain a burfe-d—service 18 B. Type of Work (be specific): wire from exi sti n e s o ated at 1515 8th 9 0 1 9 Place S. then west to a residence at 0 Sth Place S. two plow 95 feet, Marilyn Holmgren push A drigpWayc_ P1AacA qAA attanhAd skAtnh- R_0_W. 110 ft. NaxyxAxx8awsx, Permit Coordinator C. Contractor: GTE Northwest Incorporated Contact: Dennis Alexander 771-9036 mobile 388-1358 W. Casino Marilyn - Mailing Address: Everett, Wa98204-1440 Phone: Max 206/488-1628 or 710-hIRA 0786 State License #: Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. ❑ Commercial ❑Subdivision ❑ City Project X>�cj Utility (IUD GTE)WNG, CABLE, WATER) ❑ . Multi -Family ❑ Single_Family ❑ Other 2100-913001 DB AMbOa 0c 642310 INSPECTOR: m INSPECTOR: V F. Pavement or Concrete Cut : Q Yes (No G. Size of Cut: x H. Charge $ Please see attached SKetch. APPLICANT TO READ AND SIGN (�- INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from 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 or not limited to the defense of any legal proceedings including defense costs, and attorney fees by reason of gfanting this permit. 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 FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. Construction drawing of propoed work required th permit application. A 24 hour notice is required fori sp ction; Please vcall the Engineen'g 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 available on site all i s nspection purposes. Signature: John H. Stewart Dclte: 2/10/97 f6l,trawgtiorAgent) 5ec.Mgr.-Access Design CALL DIAL —A —DIG. PRIOR TO BEGINNING WORK �- FOR CITY USE ONLY APPROVED BY: TIME AUTHORIZED: VOID AFTER ' Z' Q DAYS SPECIAL CONDITIONS: COMMENTS: DATE:. RIGHT OF WAY DEPOSIT DISRUPTION FEE/FUND I11: RESTORATION FEE: n PERMIT FEE: 450, nr/ TOTAL.:FEE: RECEIPT FEE: ISSUED, BY: _�(r NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. 1994 FIELD INSPECTION NOTES Comments Diagram (Fund 111 - Route copy to Street Dept.) CONTRACTOR CALLED FOR INSPECTION ❑ YES Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: ■ c ow.r' . '+ PERMIT SUBMITTED BY GTE t t 1 t i 1 t t t 1 1 1 1 • LEGEND PEGS a POLES 0 ROAD BORES OVERHEAD LINES--- J.D. UTILITY POTHOLE C3 UG TRENCHNG --UGT �zi>o t 'T I� — S -- -- — f ---------- — — —— — — —- — — — f • 8 pz s . � � � 1 � 1 1 t s-i.s o0swe EOP O N 1 / i O 3 1 t m 1 t a 1 1 O �iE FOLLOWING • INFO TO BE PROVIDED �GHT OF WAY LINES.EOP OR FACE OF CURB, EXISTING SIDEWALK. POLES. ROAD CUTS AND THE UTILITY UNDER ROAD CUTS. .ROVE GROUND FACILITIES,(ie:) PEDS.BOXES.CASINETS, ETC..UNDERGROUND TRENCHING AND OVERHEAD LINES. DOTAGE OF WORK IN R.O.W. W � i .tt•!Ar