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16225 70TH PL W.PDF1111111111115530 16225 70TH PL W WPIR Fqrl Cit U Edmonds == RIGHT-OF-WAY WT4STRUCTION 890 C. Contractor: PERMIT Permit Number - Issue , / -07/ Date: `7` ' 17-9fo A. Address or Vicinity of Construction: 1 16225 70th PI W., GTE top ace, operate, and maintain a buried service B. Type of work (be specific): wire from existing pedestal #2840 located at 1.9 16320 70th . P1 W then north to a residence at 1 225 70th P1 W. GTE to p%w 170 feet, push one driveway and porch anr' rnarl 44 font_ R_0.W_ 1 o ft. Mary A Bower, Permit Coord. GTF Northwest Incorpnrated Contact: Dennis'AleXander 771-9036 or mobile 388-1358 22118 20th A SE S 't 130 Mailing Address: -Bother-WA 98921 u1 a Phone: Mary —296P288 1628 State License #: Liability Insurance: Bond: $ ` D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project ® Utility (PUD GTE WNG, CABLE, WATER) ❑ Multi -Family ® Single Family ❑ Other 2100-9P001 DB 242310 INSPECTOR: IN'SPECTOR:t-i-- F. Pavement or Concrete Cut: Yes []No G. Size of Cut: 2 ft x 5 ft H. Charge $ Please se attac d sketch. APPLICANT TO READ AND>S� �N y �f INDEMNITY: Applicant understands and by his signature to this application, agreee'to'�hb f the City of Edmonds harmless fr� rynj(s, c(gr{ ages, or '""" b"" ' `r7 �^ claims of any kind or description whatsoever, foreseen or unforeseen, that may be made;against the City of Edmonds, or an of its departmertts or employees, including or not limited to the defense of any legal proceedings including defense costa, 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 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 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 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 at all t%fi s for i n purposes. Signature: lYi Inhn S*nurart Date: April 5, 1996 (Contractor or Agent) Oprns Supv-OSP Engrg. CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: �. �� �bJ` ` RIGHT OF WAY DEPOSIT TIME AUTHORIZED: VOID AFTER A V � L � DAYS DISRUPTION. FEE/FUND 111: SPECIAL CONDITIONS: �JI+ COMMENTS DATE: RESTORATION FEE: PERMIT FEE: n O O' TOTAL FEE: -To . U O RECEIPT FEE: 1!JJ ISSUED. BY:.. 0 NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. 1994 FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.) o Comments • : I Diagram CONTRACTOR CALLED FOR INSPECTION Partial Work Inspection by P.W.: Work Disapproved By: FINAL APPROVAL BY: ❑ YES ❑ NO 'Date: `= Date: M m LEGEND N N 0 z PERMIT SUBMITTED BY GTE - - - - - - - - - - - - - - - - - - - m . m PEgS 9 (POLES O (ROAD BORES OVERHEAD LINES--- I.D. UTILITY POTHOLE C� UG TRENCKING -UGT R.O.W. --------"-------------------- r-op WATER V Eap i - - - - - - - - •� - - - - - - - - - - - - - - - - CUTS. m o LEGEND v N r 0 z PERMIT SUBMITTED BY GTE I PEDS a -, POLES 0 ROAD BORES `OVERHEAD LIES I.D. UTILITY POTHOLE L UG TRENCKING --UGT 0 f R.O. W.. Srp ------------------------------------------------------------------- `�� -7 D PL k JLJ W P TER 3' EOP J - ----------------------------- - - ------------------------------- r` �Z �h r �a� CUTS. m LEGEND v N N , o ' z - PEOMIT SUBMITTED BY GTE ,PEgS � POLES 0 ROAD BORES :OVERHEAD LINES LD. UTILITY POTHOLE M UG TRENCHING —{JGT I o � R.O.W. ------------------------------------------------------------------- `ap -7 D PL W r w ATER V E0P i ----------------------------- - ------r----------------------------- X>.);Q CUTS. APPLICATION The City of Edmonds for SIDE SEWER PERMIT EASEMENT NO- -------------------------------------------- NEW CONSTRUCTION 2---REPAIRS ❑ LID NO . ................... ASMT. NO . .................. OWNER --- ------ --------------------------------------------- CONTRACTOR ....... ----------- PERMIT NO. 41,42�.8 ... _41' JOB ADDRVSS .......... A637 LEGAL DESCRIPTION: LOT NO. ......... / ......................... lagaeRmwe . .................................... ........................................................................................... V-1--1 ... ........................................ --------- NAME OF ADDITION .... -1,ejt� ------ -------------------------------------- 0 LV F- P., DATE............................................ By ....................................................11/75........ .f Y •� ' 'E°ITY' O.F !ED�M�OdN!D'S _ -i S'I1DvE� °S'E�WER ,PERIN, I , WATER 5EWiER': DEPANRTMENT PERMIT �e VA.,�FILE :� ..5 ME ET ? <-' ICall+'976-262R; forF. •side'.sewer,,;inspections, BEFORcovering any --portrtion'..Of- the -:constructton :, _ T ll \Inspection will be, provided within-24'-hours!afterreyustt. NO Sat +$un ,- or holiday inspecllons:% j .� -�, r1 / .. ,�' ADDRESS LOfCA-7-10 .UFtjCONSTRUCTION�. e -• 1 • •• ��. PROP,ERTrY LEGAL DESCRIPTION...... { 4 ` n................................ .. ..... OWN'EW AND/OR -BUILD. . . ....... , l fir' CON,TRtAGTOR;iS�NAME; & ADDRESS:.. :,_�.� . �t.:�4` . i -14 ., /1 r t) ... t �.y ... ... - . 1 Per nisaion is�granted: :� j 18 for repair. and/or connection_ , of a side •sewer to the city sanitary sew; i w s syti ��in'accordance with City: -of Edmonds ordinances ATTENTIONIIj6C 1 LED TO".THE.FOLLOWING: NOTEFNo 1—Thedowners of.' the ,property, may ,obtatn•a permit fo::construct ,sewer ;inside, property dine. A licensed 6Ida.Sewer Contractor; must be employedrdo,CconatrF ideaewer int_sh,eet area:.: Do •not, -cover any.. portion of; sewer before it ,has,:been inspected: - - rNOTE No t yA(Il{`work performed 1n'c1ty..rlght,of way requirest.am Invasion, of Right -of -Way- Permit obtainable_from� the _City Engineer a office ' �,�• aiNOTE No. 3=—Obtain+'f'1111nformat1' 'regaiding Ordinance,1.1(18`.030+and'-Regulations• governing:'+aldePsewera�,,when;-you::get•permit'"- a't NOTE No°i4`—Toppof-sl8e's'ewer.,tiivat•.ihave at least:30:tnches,coverage at,:property line and'.12Anches'-inaide_�property'+line//; mi �Im;m gradei�of 7I �No bendel,in++gr �' ^.r. •:' _ aharper thsji, %i:;wilt',be-,permitted. .I. , • . . 4•=` 1 � - . 3,NOTEfNo:;•!fi--Trenctiea Inr.atrcet�muet ;bei water.settled•. and,, su rface.,of street --restored to-'orlglnat condition "Contr'aktors,shall'tie responsible for -failure due ,tor--improl Itt work;.whtch may' develop: wlthln one, year of completion:. . t-NOTE�No r,B—It�ls(,tinlawfulc•to+alter••Or"do'any+,other work than,is,'proyided.for in'- the: -permltE, -Wto Botany -work on the •math+sewer or 1ts'appurtenancea excepti.to}� eertcthe plpe, info the' wye. ;. �DISAPPItiOVtED,:• ❑t .Date .w.:.:. ......... .. By.:... Date...... ._.. : By.... ..... Date.. , i %APPROVEDDate err (y ' �+ By......: j i Remarks £ ; :.. x r ji ,: ; 20 ',.BOTH .'Re- Copie§ MUST. Be Signed By -Owner ; f'Firm Performing Construction.PRIOR.•To,'Request For Inspections � 1 ,,. hereby''certlfythst the side; sewer installation: constructred ,under ,this Perri d/(Owner of Contra t ng' Firm: Perf'rming Conetructlonl was lnstallQdE inaccord f ce with+alh governing ordinances of :brie ;City of Edmonds:, ` V ... ,4:19 - Dated this . day' of i" ' • Sewer •Othi Js JI Check BEFORE you dtg for:; Water p, Gas ❑ . 'Telephone 0„ Power [], ❑ ❑� JI APPLICATION The City of Edmonds O Ffor EASEMENT NO. ------ --------- ---------------------------- SIDE SEWER PERMIT P NEW CONSTRUCTION M REPAIRS F] LID NO. - ---------------- ASMT. NO. ------------ OWNER ------ ------------------------------- � --------- ------------- CONTRACTOR --- --- ------ <:� - t- -- ........ PERMIT NO. JOB ADDRESS -3.(cr2— --- E L. — - ------------------------ LEGAL DESCRIPTION: LOT NO. ...... ------- 4- ----------- - ------- BLOCK NO. ----------------------------- tii ------- 1-j- I �lf -N ........ 74- 1 1 1 By ATE_.__. - --------- r� STREET FILE DATE: 1 0 ) % MEMO TO: Building Division Community Development Department PRMI: Engineering Division Public V.orks Department SUBJECT: 2,•G� ��Qp'. After review of the subject building permit application, we have the following comments: (1) Coordination of the location of any. structure with respect to utilities, streets, property lines a,nd d rivei,/ay graces is tic responsibility of the contractor. I (2) The contractor is required to keep the abutting streets clean- ed of dirt and debris caused bv the construction. (5) ,1 "Right -of -Way Construction Permit" is required, from the I ngl;leering Division of Public Works, for ally work within the Public Right -of -Way or public easement. Driveway slopenot • exceed 14%. lb LMIN PW 5/77 MAs PUBLIC WORKS DEPAR CK.LIST .. BUILDING PERMIT REVIEW. access to 0 Street Right -of -Way Existing REQD z Access Easements Existing REQD , H p4 Utility Easement Existing �_,� READ ' w Lot Per Subdivision — Plat Assessor Map .... w Site Plan Checked for Accuracy - 77, Underground Wiring Reqd. H 0 Check Accurac of Legal. Description -7 z Review by Date w Existing Water Main Size Water Main Required 1J k Service Line Required 3l " Hydrant Size Existing o C x Hydrant Reqd Per Fire Code Size w Detector Check Meter Reqd. �J O Cross Connection Inspection AJO H Fire Department Convents 3 Water Meter Charge Regd. 2°�0 Review by. Date l -9--"74 Septic Tank Design Approved �.•� Date Septic Tank Permit Reqd. j.r4, Permit No. Sanitary Sei.7er Availability Proj . 'PL-�l Drawing No. File No. Side Sewer Availability To (� w Sanitary Sewer Connection Fee Reqd. r". :3: Review by�A_ Date i-- w Open Ditch Existing z ae/ Regd. �--- Culvert Regd. Size - - rx Catch Basin Regd.A�2AI Indicate an Site Plan — O Shoulder drainage maintain collection on swale open runoff H Manhole reqd. Indicate on Site Plan Soil Conditions and Ground Water. Field Checked — Review by Date Revised: 1v10-1977 Page 2 Street Paving Reqd. &e& H Curb and Gutter Regd.�.�rt��e W Sidewalk Reqd._ W Curb Cut for Driveway Reqd. fe qe�' '�'Q`S 64 7' 04 Right -of -Way Construction Permit Regd.���� F, Bond Reqd. for Public Improve-ents,."� Street Name Sign Regd.' Other Signing Reqd. j,Z_ A Pre Permit Site Inspection made on z BY: S34ER H W W WATER w H z STREET H ENGINEERING ` 14 Special Requirements listed in memo to Conu unity Development Department, Building Division BY Date o All items filled in "on Building Permit Application a: BY Date / O Drawings Stamped and Notations Made r 7� a BY I_ Date IV7� l Approved by Public Works Department Kevised:,ly 10-1977 CAI-T"F�OL NO:_ TIME-:. B'L I C-, WOF:�KS DEPAR-TM�NT SPECI,�L ASSISTANCE REQUEST l-,DCDRESS: .�Y : i ca LA,*-atKs TIME : DIS-TE : _ L -")- - Zv .P Z.. w Klu IF, CITY OF EDMONDS EERI UBLIC WORKS DEPARTMENT, ENGINivG DIVISION STREETFlLgpi TfATT(lid PnR RTC.PT_nP_14AV f nrkI(ZTRIIf TTnri PFpM THIS PERMIT MUST BE AVAILABLE AT THE JOB SITE FOR INSPECTION PURPOSES Applicant to Complete Parts A and BB A Permit to be issued to: GG — . �lry1�� C_cr�yS For Work at :(address or vicinity)���Z_ Type of Work to be done:_rt) ^ C,,L G•."� �,� ��w}� (attach drawing when applicable) Qd ro � Time Required -- Start: Finish: . � G Owner : ( A" 4Y'.e_-e_ Name / %l/ D-- Mailing Address City State Zip Contractor: Name Mailing Address 2i�3�?35 � Telephone Number I3,e- u (f-eF-E C Z� / State License Number City State Zip Telephone Number B, INDEMNITY: 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 applicant or 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, 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. 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 subject to inspection and restoration in accordance with City Code. A 24-hour notice is required for inspection by Engineering. Call 775-2525, PX*-99n I understand that this permit beeailahleap the job site for inspect purposes at all times. Signature: Date: '�— 2S - 7U 0 er or Agent TO BE COMPLETED BY I SUING AGENCY: 1 Date Issued: �8 Permit No.: ��— %O S_ /! Fee: �S Security Bond: Time Authorized: __-7D .psis APPROVED B 1 r, . 1 71 .. ( - . .. . Date: $� • e ox I.t �k. L-, , V IN 1 / ay�ok-L '�- ® Awn. •ti 2- � �7--,. /� ,S � d .�- -�� -fir-- � "'=—y=•-�--r�__ ✓ � L n LU J PUBLIC WORKS DEPARDM CHECKLIST n 30I-4 33Ute y .Z - � -BUIID.ING PERMIT REVIEW . Z5 `,� R address o Street Right -of -Way Existing REQD z Access Easements Existing Z ��� RE.QD*1 H Utility Easement Existing f�Qjy REQD tu w Lot Per Subdivision . — Plat Assessor Map = w Site Plan Checked for Accuracy. 2-7 z Underground Wiring Reqd. g H Check Accurac of Legal Description. `7 z Review by Date w Existing Water Main Size ©l� Water Fain Required LI A, Service Line Required 3� " Hydrant Size Existing o C x Hydrant Reqd Per Fire Code Size w Detector Check Meter Reqd. �J O Cross Connection Inspection AJO Fire Department Conments 3 Water Meter Charge Reqd.�- Review by Date 1 -OJ --74E3 Septic Tank Design Approved plsl� Date Septic Tank Permit Reqd. Permit No. Sanitary Sewer Availabili Proj . L-FL' i Drawing No. File No. Side Sewer Availability '76 fe( , w Sanitary Sewer Connection Fee Regd.- 3 Review byyul(.� Date w U Open Ditch Existing ,.�/,2d/y—, Reqd. _ Culvert Regd. A�JN� Size r)4 Catch Basin Reqd. A;�,�,� j Indicate on Site Plan -- o Shoulder drainage maintain collection on swale open runoff H `n T,1-anhole reqd. , Indicate on Site Plan Soil .Conditions and Ground Water Field Checked Review by=-� ,�, ,�� Date U 0 Revised: lv10-1977 W F-1 B U I-L D I-N.G DEPARTMENT Applicant Fill PERMIT APPLICATION Inside Heavy Lines USE PERMIT ZONE O NUMBER afA1 JOB �, ADDRESS _ 70 �Vf NAME (OR NAME OF BUSINESS) v A jz 7 •MC) ✓/'/'SUBDIVISION LEGAL LOT LOT AREA NO. YES NO ❑ W MAILING ADDRESS 3 G O CITjL TELEPHONE NUMBER STREET R/W 1''TING STREET R/W `J' FT, DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W © IT. O FT, NAME REMARKS U _Z W F ADDRESS CHECKED W Z I E Q CITY TELEPHONE NUMBER STREET AND/OR UTILITY WORK REO'D. YES El NO R/W PERMIT REaUIRED OrYES El NO Z W NAME UNDERGROUND WIRING REQ'D. 49YEs ❑ NO 0 ADDRESS TYPE CONNECTION i'YES VERIFIED BY F- U Q SANITARY SEWER ❑ NO Z CITY TELEPHONE NUMBER SEPTIC SYSTEM ❑ YES APPV'D BY CITY ENG, ®NO PERMIT NUMBER U STATE LICENSE NUMBER CITY LICENSE NUMBER REMARKS Legal Description of Property (Show Below or Attach Four Copies) METER IZE BUILDING SUPPLY SIZE Z d- iV 'T F Q 3 REMAR S F. a_ SIGN AREA ENV. REVIEW ADB NO. E U W 0 ALLOWED PROPOSED COMPLETE EXEMPT J REMARKS Q W J VARIANCE OR CU PLANNING REVIEW BY DATE YARDS - A S_ FRONT / D (SIDE � V REAR LOT COVERAGE �{ NEW PRESIDENTIAL ❑GAS LINE FIRE ZONE TYPE OF CONSTRUCTION CODE HEIGHT ❑ NON-RESIDENTIAL SIGN ❑ ADD ❑ DEMOLISH a RETAINING ALTER EXCAVATE FENCE ElALTER OR FILL ❑ ( X FT) ❑REPAIR PRE -MOVE swim INSP, POOL SPECIAL INSPECTOR AREA REQUIRED ❑ YES ❑ NO OCCUPANCY OCCUPANT GROUP LOAD PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. F• Z W NUMBER OF STORIES NUMBER OF DWELLING UNITS / REMARKS NATURE OF WORK TO BE NE f /� Q L W 0 PLAN CHECK VALUATION FEE 2 F PROPOSED USE 0 L PLOT PLAN INDICATE BUILDING SETBACKS, NO. Z W f U N W 0 ABUTTING STREETS) BUILDING L 0 J W PLUMBING m W Q HEAT & GAS LINE Q FENCE Y F SIGN Z � f RETAINING WALL 0 U SWIMMING POOL ,