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16020 70TH AVE W.PDFIIIIIIIIIIII 5517 16020 70TH AVE W STREET � '-E CITY OF EDMONDS BARBARA FAHEY MAYOR 7110 - 210TH ST. S.W. • EDMONDS, WA 98026 • (425) 771-0235 • FAX (425) 744-6057 COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION 1.4C.1B913 March 12, 1998 Shari Mataya 16020 — 70`h Ave. W. Edmonds, WA 98026 Subject: Water Leak Credit (#303350) Dear Ms. Mataya: I have reviewed your account and will allow a credit for the billing period between October 23, 1997 through December 23, 1997 in accordance with our City policy. The policy states that the customer will be billed at the retail rate based upon the average water consumption for the same period during the previous year. In addition, the excess water lost from the leak will be billed to customer at the City's wholesale rate with a 15% surcharge added for administrative cost. Only one leak credit will be granted in any three- year period. Should you have any additional questions after you receive your new billing, please contact Ilene Larson, Utility Billing Clerk, at 771-0241. Sincerely, Jim Waite Water/Sewer Supervisor JW/lk cc: Ilene Larson Utility Billing Clerk wordata\water\credit9 8\#3 03 3 50 • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan l r City of Edmonds I n C. RIGHT-OF-WAY CONSTRUCTION PERMIT permit Number. Lssue Date: A. Address or Vicinity of Construction: 16020 - 70th Ave. ,u. 9V B. Type of Work (be specific): t3Tf to place, operate, a:ad maintain a buried servi ua .vi ra 1$ frwi fxistinrc pole #�707, 41XXX located at 100tii St. S.V. & loth Ave. ri., then south to a re:sidrnluc * at 160221 - 70th Ave. 'n. GTE to plots 60',push nim d, iveyway 20 fout, C. Contractor:GTE AURTH.-IrST fidiuUPORATEI) Contact:Linda P rice, Permit Coordinator R.L'.'4. fu') a�u i., Mailing Address a1 ;t v:t,,. CAg 1 Alt) RGR11—EVii�i44, WAP49281*4-144 425/`l i C-41 60 feet. State License #: Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): Ew;r: Robert Chrism 77- s"s-' ti E. ❑ Commercial ❑ Subdivision ❑ City Project ,1.'10'y (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family) Single Family ❑ Other GTE d.t3.9 210Q-9PtiG103 61 23.1U INSPECTOR: INSPECTOR:.1 " r F. Pavement or Concrete Cut : )QYes []No G. Size of Cut: (2,) 1 x 4_ H. Charge $ PLEASE SEE ATTACHE:[) SKE:T0!1MRAW 1 ri,G. APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application 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 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. I have read the above ement �Itn derstand the permit requirements and the pink copy of the permit will be available on site at a�es fo in nurnoses. Signature: Date: S_OG_` d r( on act o-Arent � 1lavid squires, Section Ar.-Access tesign CALL DI L-A-DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: _� .f RIGHT OF WAY FEE: TIME AUTHORIZED: VOID AFTER DAYS DISRUPTIONFEE)FUND t I I: SPECIAL CONDITIONS: RESTORATION FEE: T OTAL FEE: f `3 RECEIPT NO,; ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div 1997 N. 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: ❑ NO D m 0 ZI PERMIT SUBMITTED BY GTE C LEGEND PEDS POLES O ROAD BORES - OVERHEAD LINES I.D. UTILITY POTHOLE [:l UG TRENCHING ---UGT— z i R.0.1N. -------------------------------- - -- -------------- �s�..--------------- ---- FOP I i I I THE FOLLOWING INFO TO BE PROVIDED RIGHT O� WAY LINES.EOP OR FACL OF CURB, EXISTING SIDEWALK, POLES. ROAD CW S AND THE UTILI 0• UNDER ROAL CUTS, ABOVE GROUND FACILITIE S,(Ie:) PEUS,BOxLS.CABINE 1 5, L TC..UNDERGROUNU TRENCHING ANU OVERHEAD LI%-L- ;. FOOTAGE OF WORK IN R.O.W. 'ITY OF EDMONDS ' PUB IC..WORKS DEPARTMENT FOR INSPECTION CALL Permitu/6 5 3 9 '1_=5-25:2:S Ext. = Issue Date SIDE SEWER PERMIT '7� 1 _ ��_„� 742 I PERMIT MUST BE POSTED ON JOB SITE 1. Address of Construction ELyNNW�DL LU 2. Property Legal Description (include all easements) 3. Single Family Residence Multi -Family No. of Units Commercial 4. Owner and/or Builder'. �'�j , i i'W L011 In' LU 5. Contractor & License' No . �JkT j('oj]f _ 6. Invasion into City Right -of -Way: No jf Yes (If Yes Right -of - CD way Construction Permit Required - Call Dial Dig Q71??f 4 4 ) before excavation). 1-800-454-5555 7. Cross other private property: Yes No }(� Easement required - u attach legal description and county easement number. H a READ THE FOLLOWT-.NG AND SIGN: a 4 a. Property owners must obtain a permit to install side sewers on � their property. A licensed side sewer contractor must be employed to construct side sewers in the public right-of-way. w b. The side sewer contractor assumes full reponsibility for each E4 installation for one year. aC. Commercial establishment requires a minimum of a six inch (6") 2: side sewer line. o d. Side sewers may not be installed closer than thirty inches (30") to any structure. e. Side sewer lines must be laid at a minimum grade of 2% (1.150) O and maximum grade of 100% (450). ° E-+ f. No turn in side sewer greater than 45 (1/8 bend) is0allowed between cleanout. All 90 turns must be constructed of a 45 (1/8 bend) and wye with removable cap. g. No down spouts, footing drains or floor drains can be connected to side sewer system. h. Pea gravel is required for bedding when installing sewer lines through other than granular soil. i. Cleanouts are required at 30"-60" from each plumbing exit line and at minimum intervals of 100' along sewer line run. j. Trenches within City right-of-way must be restored to original conditions. Contractors shall be responsible for right-of-way failure due to poor compaction of fill. k. Side sewer must be left uncovered until inspected and approved by the City. 1. Inspection during normal working hours only. Two (2) working days notice equired...,� DATE: I certi y t at I have read and shall comply with the above PERMIT FEE: ,, !- �) DISAPPROVED BY: Date: Date: o CONNECTION b�EE : APPROVED By • . • Date : 1 * �usP. PERMIT MUST BE POSTED ON JOB SITE * �.Iti�icaLu� The City of Edmonds Side Sewer Drawing EASEMENT NO. ............................................ NEW CONSTRUCTION ❑ REPAIRS ❑ LID NO . .................. ASMT. Nb) -----._-_----.--- OWNER-309:!`7 - ' CONTRACTOR ------ .....-etaN-',-�T..... C-0................... ------- PERMIT NO. JOB AD�iRESS----.--_i�al'-ZO:•---__-.. .---------AU.. ...... L J ,.- LEGAL DESCRIPTION: LOT NO. ----.-CSC--�-.-"43:al-OCK NO. --.--.-- .------- LYNNWOOD LINE . ----- --- .... -•------------------------•---•-----------------------....... C/ 4"'o, `. Oe NAMEOF ADDITION ------------------•: --------•---------...-----------------------•------------•-----------•--- G�tty �� 3� % � "usv,Q- � • pep Z 7 _, ��0 4" Wuje t 4z 3 q�Lc ry.a„ c.6n�r+ec7l�� i 30 - V. � 5• tbwo 9"grR.p i 29� 3 / C/o (i'DeGp to`/o % 10� Dp To ..,r►�N i Approved: N ??,�� PWW-0001-11/75 (REV.11/78) DATE ...... -'Z �c-� ............... BY �4call, .-..A14- . .---•-