18005 TALBOT RD.PDF11111111111111
13473
18005 TALBOT RD
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: 0 Conditional Waiver [] Study Required [] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PAR -KING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DA'
SCALED PLOT PLAN DATED:
SEWER LID FEE
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED: -
SIDE SEWER PERMIT(S) #: 131
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
nTf4F,R - " 9 6 ' =-P
1#1
LID
LOT: BLOCK:
LATEMP\DSTs\Forms\Street File Cliecklist.doc
/- /t/l/i o L /x/z:-7-
The City of Edmonds
EASEMENT No . ..........................................
';TRA(jTOR ..... ........ ............. ........... .
OV,`NER ........ ......... dt ........... a/ . ......... .....
................ ........ COI PERMIT N
ADDRESS ...... /A sr-
........................... ................ ...... . LEGAL DESCRIPTION: LOT No . ....... ............................... ....... BLOCK Noz.
.......................
N -E OF ADDITION'; .............
;-M .............................. ...................... ......................................... ................
7?, 1
- �Q.
,-t'q
j7
IME
EN,
I
APPLICATION
for
SIDE SEWER PERNaT
NEW CONSTRUCTION [:] . REPAIRS
APPROVED
MAY 19 1970
Approved:
.........
DATE ..... S ....... �.17 .. . ..................... y ......................
44C'
O-c-co
I -Al
2A. 06u./o7�'.
AlCox-7;1-171
VVI cx- F)6i Al
/t L
14 -7;i-�ic 7/- 0
-t4,L ct- s(::n, L) tj e 6
. 0
cl '-, 'r, q
-----------
work
CIT-Y'OF- EDMONDS .6-11.07. when
3727
PARTMENT is read' for inspection- (No inspec-
WATER-SEWER DE y
Clvld�"ChNTER lions Saturday, Sunday�or holidays.) NO
SIDE SEWER PERMIT
.....................
180 5 Talbot Road .........................................................
.9.-
ADDRESS.............................. ...................................................................................
CON9MACTOR ..... ..... ............
OWNER............................
for ......................... days to REPArR or CONNECT a side sewer
Pernnssion is granted ... ny.,-�� .............. lication oil file and governhig ordinances.
with City Sewers in accordance with app
actor must
'TTENTION IS CALLED TO THE FOLLOWING: construct sewer inside property line A licensed Side sewer Contr
in street axea. Do not cover any portion of sewer before It has been inspected.
\--,_OTE No. 1--The owners of the property may obtain a permit to
be employed to construct side sewer rdinance 11.16.030 and Regulations governing side sewers when you get perrrAt.
N.(,--, No. 2—Obtain full information regarding 0 age at property line and 12 inches Inside property line; minimum grade of 2%.
N No. 3—Top C!� side sewer must have at least 30 inches cover
No bends in grade sharper than % will be permitted. of street restored to original condition. Contractors shall be responsible for
NOTE No. 4--Trenches in street must be water settled and surface
failure due to improper work which may develop within one year of completion.
rovided for in the permit, or to do any work on the main sewer or its appur-
7jl—cC No. 6—It is unlawful to alter or do any other work than is P
tenances except to insert the pipe into the wYe-
I . 890 -*19c).—
Ci of, Edmons-
RIGHT-OY.w dONSTRUCT'10N
PERMIT
Permit Number.
Issue Date:
A. Address or Vicinity of Construction: - 18005 & 18017 Taltot Rd
B. Type of Work (be specific): Replace depreciated oole& move switch—
C. Contractor: _SmnhnmJ sh County PLJD NO. 1 Contact: JPrry Flkinqtnn -4 Jim Mnrk
Mailing Address: PO Box 1107 Everett, Wa 98209ione: 347-4414 / 347-4345
State License #: Liability Insurance: Bond:$
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. Commercial Subdivision E] City Project kk Utility (PUD, GTE, VVNG, CABLE, WATER)
Multi -Family F] Single Family E] Other
INSPECTOR: INSPECTOR: j- A I z L-A.
F. Pavement or Concrete Cut Yes 0 G. Size of Cut: H. Chargo
AA 6A14i TO READ ANVNJqN
INDEMNITY. Applicant understands and by his signature to this applicittion, agrees to hold the City ofEdmonds harmless from injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonda, or any of its departments or
employees, including or not limited to the defense ofany legalproceedings including defense Costs, and attorney fees by reason'�fgranting thiapermit.
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 TIMEA DEBIT OR CREDIT WILL BEPROCESSED FOR ISSUANCE TO THEAPPLICANT.
Construction drawing of proposed work required with permit application,.
A 24 hour notice is required for inspection; Please call the Engineering-�Divisibn, 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.
T�-affic Control and Public Safety shall be in accordance with City regulations as required by the City Efigineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPtIONS.
Ihave read the above statements and unde6tand thepetmit requirements and thepink copy of thepermit will be
available on site at all times for inspe�tion purposes.
Signature:
Date: Aijqwqt 14, 1996
(Contractor or Agent)
DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY �
APPROVED BY:
A,TIME AUTHORIZED: VOID AFTER I �J FAYLO DAYS
SPECIAL CONDITIONS:
COMMENTS:
RIGHT OF WAY DEPOSIT,
,DISRUPTION FEE/FUND III:
RESTORATION FEE:
PEItMIT FEE:
TOTAL FEE:
RECEIPT FEE:
DATE: ISSUED BY -.---
-0
NO WORK SHALL BEGINTRIOR TO PERMIT ISSUANCE
Eng. Div. 1994
OHOMISH C0UN_rY PUBLIC UTILIT*Y DISrR*No. I
EaD 16 -ELIMINARy
PR
1476 Rev. 12/94
LOCATION 18005 S /001?
Pd ;f AREA
�A
POLE # 1/4 S T a_� R DATE W.O. # .2 31 2__P,.6'2_5
REASON FOR WORK ENGINEER j_P_\oc.,k DWG.# 7 1
6�f',_FO k1l 9 lq 60Y-PN rl�A ir�-f DRAFTER U.G: #
SCALE
DATE WORK COMPLETED FOREMAN
0
IVO 7-F-
6q5TOP1579 / v ) IQ. (AL 5,�5;A/ �,4,y 5
TO —/A Z A Lo A 5'- 145 A�,!F o,5D
To 5 -i-=7- E
APPROVED DATE PRINTED
I o/v A/6 kv LN
FEES REQUIRED: ENVIRONMENTAL ANALYSIS
0 YES YNO CDEXEMPT U NOT EXEMPT
PARA. 18 ITEM C SUBSTATION RA / A/ V; L6 A,1,15 F_ Pq,,- i�,o 71-- w5-1�,,v A7
PRIMARY OVERHEAD O.H. U.G. COND. KV CIRCUIT NO. C)l 3 -PHASE P,=-,v 5�v/7i-_ H po;. t�-
$ - & - - - LAI
PERMITS (DATE GRANTED) 5WI7-119 I -
MARY U ERGROUND
P .
INTI
0 REil[)E� (3 TREE TRIM
1 0 COMMERCIAL OL_
BASIC FEE - $ U STATE 7-3
_7L
BA� /-�-f
LEU # 0 COUNTY
$ 7— 5T
XCITY 74 'P�w p: '[j,5; �4 FA
$ 30/ 2,1�� 6:1, 0/. 10102-0) -Fo 76-
50
NTS 17 131
EASEME z_
SECOND RXUNDERGROUND U REQUIRED �<NOT REQUIRED
--BASIC_FEE
5 K V14 -I(j jn P, IV- 55 oo - K
UNDERGRO PLAT Sw 12 - ligO
DATE RELEASED 3 2-,X)( /v,
BASIC E $ .0
/= $ FOREIGN CONTACTS n 3 5-ei, Alc- c IrF if ys /ce
XGTNW JPN #
D011.
STREET LIGHTING 57 el
P(CATV - JPN #
I\ ___ . - -
.5
0 JOINT TRENCH GTNW & CATV -. 12 T3 Cv --- - -
WORK IN'RIGHT-OF- 0 JOINT BORE GTNW & CATV I'C
• PRIMARY 0 fir V,19 7c/, 9 7 - 4 ;o- ig 0
• SECONDARY
RK IN RGHT-OF-W'
�slc P 7
Y
wo 4
L' PR MARY
0 SECONDARY
oft E Ll
POLE STENCILI�N�G 5PL /* �F_ c 'tfo ell To F_14�1 5 7 0 0 5 5 5�� IV v i c F
FROM-7 3,17 '13 1
MISC:ELLAANEOUS T ES TAKE OFF tqjE_�
VAU $ 35b /
PER IT PRE-CONSTR. REQUIREMENTS
7 0 TREE TRIM 0 PUD LOCATOR
QBACKHOE AFLAGGING
$ 0 ONE CALL -DATE
$ # ------------
TOTA DUE: $
DATE PAID
RECEIPT #
NEW SVC APPLIC_ #
ADD:
DRESIDENTIAL' QC0 MMERCIAL-,- -KT.,Fl---- 2-1
4�
L '6i REM --27
E
N 7,
$
CKT. FT.
-2 0-7 -
SECONDARY OVER*AD O.H. U.G. COND. KV
O'SIC
-BASIC F;E ADD - C PH 2- 3
$ REM ��7. FT. PH
KAMM= NET CKTFr
LOCATION MAP PAGE 4 51 - P - 2-