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17329 73RD AVE W (2).PDF111111111111 5742 17329 73RD AVE W am V t - Ni 610 4 .1e Y, r'!" C. City of Edmonds STREET ME RIGHT-OF-WAYCONSTRUCTION PERMIT Permit Number: .77 Issue Date:� A -Address or Vicinity of Construction: 73 e-0 AV It-- t^--p B. Type of Work (be specific): INS-rAf-L- 12-0' Q6 4—A AC-eOSS 2140 8 9 0 jigc) Aure- w Ae C6ntact: J4 C. Contractor: C (4Ajt4 a ax-s CAO�S 04 CA , _r L1 A Mailing Address: 5_33 A4 Ay S-r AO(VIPT Phone: 7�4 �-`S-14­.4 State License.#: 101 61 Ar Liability Insur4Qe: Bond: D. Building�Permitl(if applicable): Side Sewer Permit # (if applicable): E. Commercial F] Subdivision City Project' F] Utility (PUD, GTE, WNG, 4��WATER) F] Multi -Family E] Single Family' Other INSPECTOR: INSPECTOR: V�) _21 Size of Cut: H. Charge$ F. Pavement or Concrete Cut: El Yes ENo. G. I x APPLICANT TO READ AND-S N . . , . I I �� C�- INDEMNITY. Applicant understands and by his signature to this agrees to hold th Edmonds harmles jrom injuries, damages, or claims pf any kind or description whaisoe�er, foreseen or unforeen, that may be made against the , hy Edmonds, or any of its departments or employ- ees,,i.ncluding or not limited to the defense ofany legal proceedings including defense costs, and attorneyfees by reason ofgranting thispermit. THE CONTRA CTOR IS RESPONSIBLE FOR WORKMANSHIP A ND MA TERIALS FOR *j�OD Q'F ONE YEAR FOLLOWIN&TH41 �ewi�c-,770N AND ACCEPTANCE OF THE WORK ES77MA7ED RESTORA77ON FEES WILL BE HELD UN77L THE FINALSTREETPATCH IS CO PLETEDBY CITY FORCES, -.A T WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT., Construction drawm5g2eo:r`propdsed work required with. permit application. A 24 hour notice i's required for inspection;.'Please. call the Engineerin D 7V:7,,,r2 g epartment 7 Work is to be inspected during progress and iit "completion. 11 - le< Restoration is to be in 6ccordan ce.with C-ity-Ci54es.._,___ Street shAl be kept clean at all time& G e uy TrAffic"Control and Public Safef��_Shall.be'-in-accotdance with City regulations,as required by the City Engineer. n All street cut ditches shall be,patched with p4alt or Cit approved material prior to the end of the working day; NO EXCEPTIONS.' an I have read the above. statements and u d stand the permit requirements and the pink copy o �a e f the permit will be available s on site a all titpe§fqr) inspection )s s V 'ECIA DATE: . _.__.:ISSUED,:BY r ISSUANCE- E�grg. Div. 1991. FIELD INSPECTION NOTES (Fund I I I Route copy to -Street Dept.) Comments: Diagram: CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO Partial Work Inspection by P. W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: Eng. Div. July I 1-7 3-ZL9,, 7 3 alp,Av E w 7—Z,1-92— R-wA 17 3; 's L'j eo)o IZ/LAJ 74, Q6A V G (ED) - J OUTLZ'r C, , i-Ak pt�J?2_ 1-7.3 7- cl 4VA-O;�r,e Z-14r Yt APPLICATION The"City of Edmonds... for SIDE SEWER PERMIT EASEMENT NO - -------------------------------------------- NEW CONSTRUCTION REPAIRS LID NO. 144 ...... ASMT. NO. OWNER ---- . ......... ---- CONTRACTOR --- -!S E*RMIT NO. .-9 ................................................................ JOB ADDRESS --- e ------------ \NE�:Tl LEGAL DESCRIPTION: LOT NO - --------------- :—:-� ------------------ BLOCK NO - ------------------------------------ 0 ................................ ............................................................... ................................................................. NAME OF ADDITION ----------------- --4 1 F--- �,N �-A \ CED �—N'T 'E�l .................................................................................................... C>' M V---r-"-T I C�'r'j 5� '�',PPOC>X k tlAC�J a DATE...... ------------ By ............. CITY OF EDMONDS SIDE SEWER PERMIT WATER -SEWER DEPARTMENT 4831 PERMIT Call 775-2525 for side sewer inspections BEFORE covering any portion of the constructlom Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday Inspections.) 17329 - 73r�"West ADDRESSLOCATION OF CONSTRUCTION ...................................................................................... .................... .. . ......... .. .......................................... Lot 5, Sound Vievv Peicilts recorded in Volume 23 of Plats, PROPERTYLEGAL DESCRIPTION ....................................................... * ------- i ; ------------------------------ - ---------------------- ------------------------------------------------------- 326, Auditor"s File Nlos. 426178t and 1430357 ...................... . .......................... . .......... . .......... . ............................................ . ...... ................... . .............. . ...... . .......................... . .............................................. 1J. Gaertner ....... . ....................................................... OWNER AND/Olk BUILDER ......................................... . .................................. ............................................... . ....... 17K'cl -' , -11rd West CONTRACTOR'S NAME & ADDRESS ................ . ... ......... I ... ........................... . ..................... . .............................. . .. . .. . ................................................... June 4 Permission Is granted ----------- . ......................... - -- - ------------ 19 ......... for repair and/or connection of a side sewer to the city sanitary sewer system in aecordance, with City of Edmonds ordinancies. TION IS CALLED TO THE FOLLOWING: o. 1—The owners of the p-roperty 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. NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtairrable 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 of side sewer must have at least 30 inches coverage,at property line. and 12 inches inside property line; minimum grade of 2%. No bends in grade shaxper than % will be permitted NOTE No. 5--Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to improper work which may develop within one year of completion. 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 appurtenances except to in- sert the pipe into the wye. DISAPPROVEDDate .. . ................................... By ---------------- DAIS ...... . .. . .. . ................... By ................. Date ........... . .. . .................... . By ---- ----------- :Z�� APPROVED. .......................... By.:= = ........................ . ..................................................... Remarks: ....... . ...... . .......................... . .. . .......................................................... . ......................... ----------- - *""-""'* - --------------- ............................ . ........................................ ........................................................................................ . ................................... .. . ................................................... BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR. To Request For Inspection r ............ ..................... hereby certify that the side sewer installation constructed under this permit .. .. ............... 1__.1 ........................... .... (Owner of Contracting Firm, PerfGrming Construction) stalled in accordance with all governing ordinances of the City of Edmonds. I %* I L4 Dated this .......... i ..... ........... day of.... ................................................. . ... .. .. Check BEFORE you dig for: Water 0, Gas C], Telephone 0, Power E], Sewer 0, Other [:] .14 1 . 7-17--7,1 F'7 REGARDING: 17329 - 73rd Avenue West &o3-o,79o_5- (address) R E C 0 R D 0 F C 0 N T A C T S DATE NAME, PHONE NO. & ADDRESS of CALLER COMMENTS ACTION TAKEN INITIALS 5/l/74 Peter Gaertner Certified Letter No. 406208 sent Letter received. TE requiring hook-up within 60 days. 6/4/74 Came into office and obtained TE permit #4831. 7/1/74 Certified Letter No. 406522 sent Letter rec&ived. TE requiring response by July 12. 7/12/74 Two-day ext. letter hand delivered. Letter signed 7/16/74. TE 7/14/74 Connection conwleted TE 0. 0 9 CITY of EDMONDS 200 Dayton Street - Edmonds, Washington 98020 - Telephone (206) 775-2525 Department ot Public Works July 12, 1974 Mr. or Mrs. Peter Gaertner 17329 - 73rd Avenue West Edmonds, Washington 98020 Dear Mr. or Mrs. Gaertner: According to two previous Certified Letters to you from this office, water service to your property located at 17329 - 73rd Avenue West, Edmond was to have been terminated on July 12, 1974. In accordance with the Edmonds City Code, it is required to connect any property within the City of Edmonds to the sewer, where it is available. I It is now required that you appear in person at the Public Works Department, 200 Dayton Street, Edmonds, or contact Mr. John B. Mitchell, Water/Sewer Superintendent at 775-2525, extension 226, within two (2) days after receipt of this letter to make the necessary arrangement for connection. If no contact is made, your water service will be terminated. Your prompt response will be appreciated, as it is not our desire to discontinue your water service. JBM: te Sincerely, ACKNOWLEDGED BY PROPERTY OWNER: PROPERTY ADDRESS: MAILING ADDRESS: ACKNOWLEDGEMENT DATE: -�-vi"..' a'j 67 bk--y- 6-. Uj 'j . P SENPER: Se surc� to. f' ohlow inS6 Uc t4?!7;"on other slac Qg) iEASE iOiEASE, U Ri4 21 EC Eb BLOCK(S) for t� Shibv�- addiI RE e.lvere Delliv r� NL.y where'd'.1"" d I 1� CEIPT FOR CERTIFIED MAIL-30� (plus postage) ad fessee \k�j. f p RK OR D �`-RECEIPT eeeive e numbeiitd isr-tic16 deic-ri"" db e- lio'* w 303-07905 cl� R Af IYU. 'NATURE GAERTNER, PETER blL r AM A E W -S V CN s Ue filleq. in) 17329 73ND AVE EIERTIF:- IED N EDMONDS, WASHINGTON 98021 ats 2 RED -NO. OPTIONAL �E�RVICE� F�®RA��l Shows to vinom ano date delivered ......... .. RETURN 6-0 With delivery to addressee only ......... .. T 33 Z, 1p 56 RECE ws to whom, date and where delivered 2:' Sho only ......... .. 850 DATE-DELiVERED With delivery to addressee Oly,#HE..R��PELlyi;�. oni SERVICES ............ .. 506 -c ESSEE ONLY .... ... .... ........ . .. ... ..... T., C . . ... ___�_PECIAL DELIVERY (extra fee required; ....... .. . ....................... ::7 NO INSURANCE COVERAGE PROVIDED (See other side) PS Form 3800 GPO: 1970 O�397-458 Apr. 1971 NOT FOR INTERNATIONAL MAIL 7 7 z :7 7777'= RECEIPT FOR CERTIFIED MAIL-30� (Plus, postage) "'SENDEO,.-"n�L,.Sirr��f640 low ins ructions'Fn ciiiei ii, SENT T POSTMARK BY- C E­ �OR DATE FiLb F.UR'NISH,:'SER1 ICE(S), INDICA�6 A C' K E D', Lb f'.'k (i) ­(Additio re for t4sdservici�) S REET AN No.. Y. 0. Show a( ress be'iive'r- ONL d SS v�here 1. 6 re ,delivqre It P-O., STATE AND M, tu vE bed k'e�-c-.e.iv6�d.-fh'ii,ii-umiiiiied 6'rfi`c­IeP,,V` � - &)k W&Q ,�Scrt bglow IEGiSTERED, NO.' OPTIONAL SERVICES FOR ADDITION IF �; ._ __ OR NAML. UF ADOR EE wust-�t b RETURN SIGNA17 O�.�A� ESS e, filled; in) v?axs To Whom and date de er RECEIPT 1v With delivery to address e 0 1 2. Shows t SERVICES to Whom date and where d h . I - CERTIFIED.f�NO-. - delivery to addressee onji 3! DELIVER TO A Wi UNLY .7 __SP-EC ................. -ADIIR SSkE'S;A�qNT,jF'ANY­ 2 �s SIGNATURE!OR� E IAL PS Form red) .......... :,,-r-tffW.RED NO.'. -!L NO INSU Apr. 197 3800 RANCE 'COVERAGE PROVIDED — NOT FOR INTERNATIONAL MAIL D DATE ��DELIVERE :'DELIVERED SHOWI,',WHERE '7z&1itd6_,Z1P'Codc) 5 �D (See other side) GPO: 1970 0,397-11.