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16717 76TH AVE W.PDF111111111111 6163 16717 76TH AVE W s CITY OF EDMONDS RECEIVED Permit No. - 9 -7 �" COMMUNITY SERVICES DEPARTMENT 'RgGHT-OF-WAY CONSTRUCTION PERMIT MAY 2 3 1991 Issue Date a Z O W a F- U O w A. • Owner: (r:1R.�: 5Tg� jailing Address n' C C r�l c1r �Pr7 1 `I QQ 7 i -i City State Zip C. • Address or Vicinity of,Construction Type of Work to be Done: 1 s G�INktMmu B. • Contractor:. Mailing -Address City State Zip State License Number Telephone Number D. • Work in Connection With: ❑ Sub or Plat ❑ Single Family ❑ City Projects ❑ Commercial ❑ Multifamily ❑ Utility E. • Pavement Cut: ❑ Y IZ N F. • Size of Cut: X APPLICANT TO READ AND SIGN 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, forseen or unforseen, 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, court costs, and attorney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE, FOR WORKMANSgIP`'AN - JMATERI)6 kFOR 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. • A 24 hour notice is required for inspection; Please call Engineering: 771-3202 • Work is to be inspected during progress and at completion. - • Restoration to be in accordance with City Code. • Street to be kept clean at all times. • Traffic Control to be in accordance with City regulations. • All street -cut ditches must be patched with asphalt or City approved material prior to end of working day; NO EXCEPTIONS. I understand the abov r , Signature: This that this permitjmu$t be available at the job site for inspection purposes at all times. Date: C5 Owner or Contractor Must be Posted at the Job Site For Inspection Purposes 1 Call DIAL -A -DIG Prior to Beginning Work APPROVED BY: Fi\N Time Authorized: Void after _1 y EAR days. Special Conditions: i40 PERMIT FEE- D, eQ �� o Restoration Fee: Receipt No.:_ Fund III Fee: — Street Cut Dimen RELEASED BY:��\1X1ZY_�,"��--'Date�� INSPECTED BY Date NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. March 1989 FIELD INSPECTION NOTES Comments: Diagram: CONTRACTOR CALLED FOR INSPECTION ❑ YES Partial Work Inspection by P. W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: (Fund I I I Route copy to Street Dept.) ❑ NO Eng. Div. July 1985 A I (o 7 t t L I G 71 7( , T- I N S 7(A.L L (3(3' -.CUT IN EXL S7. _D ZOO M— l4b'use-s IKSTALL rl � 30, Dw CITY OF EDMONDSh 'SI j7{EFSjE1NjER P:ER'MIT WATER^SEWER DEPARTMENT T E 4t��J IO PERMIT /Calh,776 2626.. for side. sewer inepectlone ISF -FORE covering any .portion of the construction- v. \�Inspectiom. w(II be: provided".within 14 tiours after-•requst. � NO Sat.,.. Sun 'or"holfday In onar/ -. • tylr' -, jj� ' ADDRESS, LOCATION OF CONSTRUCTION `, i 1 i-PROPERTY,�LEGAL:'DESCRIPTION _.-.._::77!:�t'`-.:..... _. .........................................................;1 .1 .. , . . -, _t .aOi --.. R A/OUDR .-....... c" NTRACTOR'S NAME4&ADDRESS.:: .........T. ................. :...... . ni for repair and/or connection;of,:a side i�`ewer to aiie city sanitary sewer 'system im.accordance with City of Edmonds ordinances: A-TTENTION,.IS-CALLF.D..TO THE FOLLOWING: NOTE;No:­:1,--The,owners.;of the property. may obtain a,permit to construct sewer.,.inslde:property;line.� A�llceosed Side, Sews Contractor'mu_st:•be:emptoyedrto,construcN.;•.�i side -sewer ,in street area. Do -nob cover any portion of. sewer before it has been Inspected. S -NOTE Nei-'2`-AMworkiperformed-In._city-right-of-way requires, an Invasion of-R.Ight-of-Way; ermit-olitalnable.,from the City?Engineer's -office NOTE; -No. 3=Obtain full information regarding Ordinance 11.16 030 and Regulations' -governing side -sewers when -you get permit. NOTE No 4—Top: 9f'side'sewer-musLhave,at,-I east.30, -inches,coverage; at. property;, -line -and' 12'inches, Inside .property line;; ruin(mum grade' -of 2-�''. -No bends:inggrade' -� ` -sharper than -b¢. will. be permitted. ` - ,. .NOTE Ao,. ---Trenches street water settled and. surface' of �street'"restored�. to' original condition..,Contracto -s -shall be responsible:; for failure due; to- improper.•; - - work 'whlch•mak devel6ii within one year of completion, - MOTE No &-It is+unlawful to alterordotany other'work than -Is provided for in -the permit,.:or fo do any work on the m in sewer or Its -.appurtenances except to I.n ,`., . eert'.the'pipc into the-.wye.� <� i. DISAPPROVED` ❑ 'Date ......... ............................ By................ ,Date................ By..::. ......... Date ................ __.................... By Jy i APPROVED [' -Date...t�'� By r i Remarks:.........................................................:.... - Y:7 BOTHL Permit Copies MUST- Be :Signed By Owner' of Firm. Performin Construction PRIOR To .R`equest=For .Ins ectl0n;— g P I ^ ....:...:........ hereby, certify that the side sewer installation constructed undercthis(permit :t ^� r •.(Owner of' -Contracting Firm Perfcrming 'Construction) was Installed in.accordance with-'all:governing�ordinances of the City, of'Edmonds t, �1 < Dated',this........:.. .day ............. ,. 19 Clieck; BEFORE youE:dig for:' Water:'0,., Gas. ❑, ; . Telephone ❑, :: `Power`. ❑,' 'Sewer -❑ •Other. ❑ 1 � APPLICATION T,he City of Edmonds t EASEMENT NO. ---------------------------------------- SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS. ❑ LID NO ................... ASMT. NO. -------------.-.-. OWNER .... 15 �-T'L�---7 ------t ,E=YtV©l__O ....... CONTRACTOR ---- ------------------------------------ PERMIT NO. SZ?S JOB ADDRESS?---?laTM L��l�t�lU W ES' C LEGAL DESCRIPTION: LOT NO. --•---------•- ----------------------- BLOCK NO. ............................. - - - - - - - --- - - - Cf T\Oti MAN\� -------------------------------------------------------------------------------------------------- a 0 R74-1 D J U975,..- Date July 23 „ 1975 Memo to: Director of Maintenance & Operation Public Works From: City Engineer Subject: Sewer Connection Charges Legal Description: S 120 ft of N 240'ft9 ,Lot 102_Meadowdale Beach Tracts ,(Lot B. S-36-69) Commonly known as: 16717.76th Ave. W. Owner: Steve ,Reynolds YwnercAgentNaar all i 6837 27th NE Seattle,.WA 98105 Z.F.F. Calculation: ( 38 ) Z.F.F. x ( $13.17 ) _ $ 500.46 Connection Fee ( ) Lateral x ( ) _ $ Lateral Charge ( ) Unit x ( S 25 ) _ S 25.00 Trunk Charge lo.00 Permit 7; 7 $ 535.46 TOTAL CC: Agent:: Greg Newhall , n f o.,M 6 STREET FILE ILE Date July 23, 1975 P1emo to: Director of Maintenance Operation Public Works Fror,,i: City Engineer Subject: Sewer Connection Charges Legal Description: S 120 ft of N 2.40 ft, Lot 102 Meadowdale Beach Tracts (Lot B S-36-69) Commonly known as: 1671=Ave. Owner: Steve Reynolds. wnerg -Agent• rre KPWhaii 6837 27th NE Z.F.F. Calculation: Seattle, WA 98105 ( 38 ) Z.F.F. x ( $13.17 ) = S 500.46 Connection Fee ( ) Lateral x ( ) = S Lateral Charge ( ) Unit x ( S 25 ) = S 25.00 Trunk Charge S 10•00 Permit $ 535.46 TOTAL C�Agent:: Greg Newhall a a SZ 00'8� �b, (�T B 5-36�69 F /`► Z4-o STELE �2eyuows Se.>,a, 8 u ✓ N�" 1v837- 27 7- 2, Z-7,r 7 Z . @.9$ZBARI AREA SIX YEAR CONSTRUCTION PROGRAM HEARING DATE Supplemental Section clTv OR COUNTYPROJECTS PROPOSED FOR URBAN ARTERIAL TRUST ACCOUNT FUNDING ADOPTION DATA �i �Eil�'ONDS RESOLUTION NO s 26 FUNCTIONAL CLASS OF ARTERIAL 1 CONTROL DATA 3 6 10 14 18 TOTAL L>>rr".GONDARv PROJECT I ! ILLS COST ? I?I I U p V 2 LOCAL Q8, CU. CITY ROUTE z U 2 O [U.A NO.I No. NO. 41 h Q ? LL T.F] U a ' Loral Name at Arterial Length in Miles P.E. !220th CIT. S.W. _)— K. 1 0,0, .1. Dal I a or, Detailed Location of Project and Termini R/vJ U.S 99 to 84th AVE LEST K2 JOINT PROJECT WITH SNOHOMISH COUNTY I ,I. con,t. 3. Description of Proposed Work R/14, DR GR, PAVE, CURB, SWK, ILL, U.S. WIP.I; G K3 n T,'ta. :4�nW LA"�E%SC.AFINi; � K.4 [cr.-.: lamrof hr,erial ST` S_W. V Lcno[h2Cth Y, i 5 .Uc;auad Lucat.or:.Jf Project and Termini R/tv 84th AVE WEST to 9th AVE S. K•2_ JOINT PROJECT WITH° i SNOHOMISH COUNTY L92 Z Const, 3 Dascription of Proposed Work j R/W, DR, GR, PAVE, CURB, SWK, ILL, I - .5.Z t TWZI UG lhIRING, L.A NDSCAPING L K,4 195,0 Local Name of Arterial I in %life$ P.E. Length K,1 _ 2. De;aaed Loc"iun of Project and Termini R;w K.2 •[Cons,. 3. Description of Proposed Work i K'A ta UAP-1 RCV. 4/7.. 32 REQUESTED U. A. TRUST FUNDS BY PERIOD REQUESTED 38 43 48 53 58 63 68 73 77 URBAN 1975 1976 1977 ARTERIAL TRUST FUNDS 7/1 1/1 7/1 1/1 711 1978 1979 1980 to to to to to 12131 6/30 12/31 6/30 12/31 P, E. �r R/YJ 11LJSLt i, U �� Sl f_L-L Cnnst. Total c R/W 0 Q 9 1_ Const. I .. f5�3eS�_¢_ Il�O:_ 9.2I.3oQ t�—• _a, o Total 8 5 .28.0 P.E. _�� R/vv L Const. Total (ALL MONEY ENTERED TO 1,000's)