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1514 9TH AVE N.PDFiiiiiiiiiiii 9850 1514 9TH AVE N City of Edmonds RIGHT-OF-WAY CONSTRUCTION PERMIT permit Number. Issue Date 7-1F-7 A. Address or Vicinity of Construction: 1514 9th Avenue N. `%% ' GTE to place operate and maintain a buried service j p B. Type of Work (be specific): wire from existing f e # 5239 located at 1514 9th h C. 1S9 Avenue N. then east to a residence a eet, push no driveway or road. R.O.W. Footage 5 feet. GTE Northwest Incorporated C. Contractor: Marilyn Holingren, Permit Coordi nat-9036 mobile 388-1358 Mailin Address: 1 as no d g EvArRtt- utt► gg7,n4-1440 Phone: Marilyn 425/710-0786" or 488-1628 State License #: Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project l©t Utility (PUD, GTE WNG, CABLE, WATER) ❑ Multi -Family (] Single Family ❑ Other GTE W.O. # 2100-9P001D8 642310 INSPECTOR: INSPECTOR: (A bLI "e,--n I, F. Pavement or Concrete Cut : ❑ Yes ®No G. Size of Cut "„_ x H.r APPLr6%N ?8'M 0AN"D SIGN i i INDEMNITY: Applicant understands and by his signature to this app(i6ation to hold the City of Edmonds harmless from injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may 6e-made Again t",tl�e City of Edmonds, o an .ofift�departments or employees, including or not limited to the defense of any legal proceedings including defense costs and attorney,fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC- TION 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. Two sets of construction drawings 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 trench work shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. 1 have read the i available on site Signature: CALL understand the permit requirements and the pink copy of the permit will he 19ba" David,, quires Date: 6/26/97 ac or or Agent) Sec. Mgr. -Access Design IAL—A—DIG PRIOR TO BEGINNING WORK NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div 1997 s FIELD INSPECTION NOTES Comments Diagram (Fund 111 - Route copy to Street Dept.) CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: LEGEND c m 0 z PERMIT SUBMITTED BY GTE `1 Z-W',r 'e- Rt. O Q O Ld 10 POLES -o- ROAD BORES OVERHEAD LINES" W. UTILITY POTHOLE f� UG TPENCHINC ---4JCT rivwt< �f"Vfi�'R- VQj?tf� r PUBLIC WORKS DEPARDE EIECKLIST BUILDING PERMIT REVT `, ,,r� ad ess 4te4 0 Street Right -of -Way Existing (���0%0-� REQD Access Easements Existing �� �' REQD H p4 Utility Easement Existing rP'sj� REQD w Lot Per Subdivision — Plat Assessor Map `- w Site Plan Checked for Accuracy 2 z Underground Wiring Reqd. H Check Accuracy of Legal Description �- 2 z Review by Date w Existing Water Main Size Wat in Required Service Line 'red Hydrant Size Existing c4 Hydrant Reqd Per Fire Code Size w Detector Check Meter Re Cross Connection ection H Fire Dep t Comments Water Meter Charge Reqd. Review by Date optic Tank Design Approved Date Sep 'c Tank Permit Reqd. Permit No. Sanit Sewer Availability Proj. Drawing No. File No. Side Sewer Avai ility, w Sanitary Sewer Coion Fee Reqd. 3 Review by Date w Open Ditch Existing Reqd. Culvert Reqd. Size r4 Re dicate on Site Plan maintain collection on swale o runoff H`�'d. 5ShouldRerainage Indicate on 'te Plan Soil Conditions and Ground Water Field Checked Review by Date I Revised: lv10-1977 Page 2 . 10 xevised: lv 10-1977 f. ACT►�N TAB To: Date- - 7 2-1 ❑ FOR YOUR COMMENTS ❑ FOR YOUR INFORMATION V ❑ FOR YOUR APPROVAL ❑ NOTE & RETURN ❑ TAKE APPROPRIATE ACTION ❑ NOTE & FILE ❑ CALL ME ❑ FOR YOUR SIGNATURE ❑ SEE ME ❑ COMMENTS: 1 ,. 114MIARC 4-6 A190" ANY' Form OAA By L-1 0ffk. Aid., Inc., 11- 180, G.#.,t if �, Y0�kh1:r. -Rev6lo%ep .4110 ES�S r o � s � �s � y L_,q CITY Or FDT"'DS Engineering p_ar:���ent E�S T-A-7"E-S ACTION REPORT Dater,, Sketch Yes on back M No Subject: Routing Tnitial f 2Q�,n _Datel 3. Gr=0P.6 5. 7. Name — Person/Grout) Address Telephone No. ACTION initiating action -7,7 4J 3. 7R LJt..Eh T-0 -MC. Pia WJ= HtF W 14-L.. s_ q S& / 7— /-457rE! e. TO MAYok- Cow— I & Clry Ertl 6 Q V eST. /� C-� 7 b CV T _ I ,DE Jq.Q CeA9 L�...._i4' AJ 0 7-tz � m S rn o �_ K/ �ic� �� pE� � �c r� � ► � �-a- o �c-s T-MZE s a aim[--T --TV A = • / / 7 Z. - All concerned notified 0 Action Completed 0 il APPLICATION for The City of Edmonds REE"ll!" FILE SIDE "UT SEWER P EASEMENT No. .......................................... W CONSTRUCTION SEWER OWNER .......... �. .......... ............................ CONTRACTOR ......... ADDRESS .............. 7X ------------------------- � PERMIT .......... ................ 'A. -Vic - --- - -------------- LEGAL DESCRIPTION: LOT No. ---------------- G ....................... BLOCK No. ............................. .............. NAME OF ADDITION . ...... ...... 24�? 4.0 r ...? ... 4- ................................................. /103 PRO Vic D G 12 1;9 Approved: DATE ------- BY . .... ..... -------------------- ----------- CITY OF EDMONDS CIVIC CENTER — WATER -SEWER DEPARTMENT CaJI PRospeet 6-1107 when work is ready for Inspection. (No inspect b y O SIDESEWER PERMIT lions Saturday, Sunday or holidays.) 1� _ 8 ADDRESS ................ 1514... .... 9th... Ayenue.-Nor- h-.--•--•- OWNER .................... James Gregg............................... C ............. CONTRACTOR..... -..a scale Sewers .-.....-....................................-.....-...-.-...-.......... Pernlission is granted ...................Ati.gq§� 12 69 19... for ... days to REPAIR or CONNECT a side sewer with City Sewers in accordance with application on file and governing 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. N-1E No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. G No. 3—Top of side sewer must have at least 30 inches coverage at property line and 12 inches Inside property line; minimum grade of 2q,. —/ No bends in grade sharper than 'Awill be permitted. NOTE No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible failure due to improper work which may develop within one year of completion. NOTE No. 5—It 1s unlawful to alter or do any other work than is for tenances except to insert the pipe into the wye. provided for in the permit, or to do any work on the main sewer or Its appur-