18317 SUNSET WAY.PDF11111111111111
13399
18317 SUNSET WAY
City of Edmonds
RIGHT-OF'�WAY CONSTRUCTION
PERMIT
PerwitNumber.
Issue Date: 7 -9
A. Address oi�Vicinity of Construction: 18.317 Subse't Wy ( 9420836
9 0 B. Type of Woik'(be specific): Install n I ew service
C. Contractor: -Washington natural Gas Company contact: Frank Swan
Mailing Address: 815 mercer Street SeattlePhone: 224-2278
State License #: WA 98111 Liability Insurance: Bond:$
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. F] Commercial E] Subdivision 0 i' City Project [N Utility (PUD, GTE, WNG, CABLE', WATER)
F] Multi-Farnily Single, Family Other
INSPECTOR: INSPECTOR: uzA 1. &VH
F. Pavement or Concrete Cut D Yes IK]No 1 G. Size of Cut: X\ H. Chargq�_$
APPLICANT -TO READ AND. - N
INDEMNITY. Applicant understands and by his signature to this a�plication, agrees to hol th ity of Edmonds harml �tL�j,�ma
bylo;� g
. r tm
claims of any kind or description whatsoever, foreseen or unforeseen, that may be made a i the City of Edmonds, r any t enl. or
'gihispermit.
employees, including or not limited to the defense of any legal proceedings including defense costs, and attorney fees by rilason ojgranti�
�IVJG !�* FINAL
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS OR �BI?fpl) OF ONEXEAR P&LO
fNSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEFS-WILL.WHELD UNTIL THE FINAL STREET PATCH
--IS COMPLETED B YCITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BEPROCFSSED FOR ISS&ANCF 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 c�onipletion.
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. t.
Ihaue read the above statements and understand thepermit requirements andthepink copyof thepermit ivillbe
available on site urposes.
Signature: Date: June 21- 1994
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: RIGHT OF WAY DEPOSIT
TIME AUTHORIZED: VOID AFTER -DAYS DISRUPTION FEE/FUND 111'.
SPECIAL CONDITIONS: N 0 A C, R C-VC5 RESTORATION FEE:
A "ow r_Q P&L. TH I PE FLAJ"r--:Z P_kRMIT FEE:
TOTAL FEE:
COMMENTS: RECEIPT FEE:,,
DATE: ISSUED BY -
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Engrg. Mv. 1991
FIELD INSPECTION NOTES
Comments:
Diagram,:
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P.W.:
Work Disapproved By:
FINAL APPROVAL BY:
(Fund 111 - Route copy to Street Dept.)
EIXES El NO,,
Date:
Date:
'I
on
A~. ab &WW*ffWy
RUSH
Addendum'to City Of Edmonds
Right of Way
Permit Application
Submitted by: MITCHELL S.-LANKFORD
EngineeringAide
Washington Natural Gas
# .'-521-'5246
RUSH
W�q
!NG to window
�nown in depth
-----------------
lz�- 11 gas main
<1
54-0
"OA
Key:
-w-
water
-g-
gas
-ss-
sewer
-6-
watex hydrant
0 .
watc. -.- valve
APPLICATION
for
the City of Edmonds SIDE SIEVVM PEAMr
EASEMENT No.
NEW CONSTRUC'MON REPAIRS 0
e-- 11) ) S-,
y ..................................................... CONTRACTOR .......... pt. I ...... fi.1tr-14 ............................................ PERIM N(
y ... . ....... .4 ----------------------------------
ADDRESS ..... 7 -------- -- ----- - --- ... LEGAL DESCRIMON: LOT No . ........ BLOCK No . ............................................
NAMEOF ADDMON ...... .......... L. .........................................................................
'71 A uj
�i �j
A P
P.
MAR 2 5 IJ68
Approved:
DATE ... ........ 13Y ......... 00�
...,..,,CITY: OV EDMONDS
COIC'. CENTER WATER-S-E-WER'. D . EPARTMENT
SIDE PERMIT
Call-.� PRospect 6-iIO7 when work
is re"y for In * sp.ee,tion. . (No Inspec-
tions Satur.day, *Sunday or holidays.) 'NO: -2852
ADD . RESS ...... �.18.3.17 ......... S.un.�e t .... WV
. .... .. .... . .... .. .................................................................................................................................................
James Mprp�y
OWNER ................................... ............................. -Allen
..... CONTRACTOR ............... ��qy
..........................................................
. PermisMon is granted ........ March ... 25, 19.68... for ........................ days to REPAIR or CONNECT a side sewer
........... ---- * --- ------ .....
with City Sewers in accordance with application an file- and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —The own ers of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contrac'tor must
be employed to construct side sewer In street area. Do net cover any'portion of sewer before it has been inspected.
NOTE No. 2—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 3—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 sharper than % will be permitted.
NOTE No. 4—Trenches intstreet must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due o, improper work which may develop within one year of completion.
NOTE No. 5-1t 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 appur-
tenances except to Insert the pipe Into the wye.
DATE RECEIVED
PERMIT EXPIRES
CITY OFEDMONDS
USE PERMIT
ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB SUITE/APT#
ADDRESS 1?3 7
OWNER NAME/NAME OF BUSINESS
PLAT NAME/SUBDI VISION NO.
LID NO.
LID FEE $
]'R 3 !9 �Z 4,lf4 GA R 1/ 5110 /? Tr
C MAILING ADDF(ESS
LI
TESCP Apprwed 0
7-
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
RW Pomh Required 0
Sa&-c AM Y
EXISTING PROPOSED
Street Use Permit Req'd 0
Inspection Required 0
Sidewalk Required 0
CITY ZIP
TELEPHONE
7A?
REOUIREDDEDICATION- FT
Underground
Wiring required 0
NAME
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES 0 NO 0
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ADDRESS
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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CITY ZIP
TELEPHONE
NAME
51,5-47 7-rl-E
ENGINIEERING. REVIEWED/DATE
X ADDRESS
1,5; /Z'
FIRE, REVIEWED BY DATE
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TELEPHONE
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4'9 ell,
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j _1� �: VARIANCE OR:CU
- L" , 1''. ��SHOR ELINE OR ADB#,
INSPECTION
REO'D
BOND
POSTED
STATE LICENSE NUMBER EXPIRATION DATE
.1.
CHECKED BY.
0 YES 0 NO
SERA REVIEW
COMPLETE EXEMPT
SIGN AREA
ALLOWED PROPOSED
HEIGHt
ALLOWED PROPOSED
J COUNT PARCEL NO.
PROPERTY TAX AC
,
AJ
79 e�nl;
EXP
NEW RESIDENTIAL. 0 PLUMBING MECH
LOT COVERAGE
ALLOWED PROPOSED
REOUl RED SETBACKS (FT.)
FRONT SIDE REAR
PROPOSED SETBACKS (FT.)
FRONT' UR SIDE REAR
C3
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COMPLIANCE OR
El ADDITION -COMMERCIAL,
CHANGE:OF USE
z
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PARKING
LOT AREA
PLANNING REVIEWED BY DATE
REMODEL APARTMENT SIGN
REQ*D PROVIDED
QL
GRADING' FENCE,
REPAIR CYDS X FTj
REMARKS
DEMOLISH TANK 0 OTHER
o GARAGE RETAIN NG WALL,_
z CARPORT ROCKE 4Y C3 RENEViiAL
(TYPE OF USE, BUSINESS OR AQTIVITY) EXPLAIN.:, .�,
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FE r; ,
/V/f
L) QiL 7-4 D',ecomlyils &.,v
CHECKED BY.
...
TYPE OF CONSTRUCTION -
7
CODE OCCUPANT
GROUP
NUMBER
OF
NUMBEROF
DWELLING
CRITICAL
AREAS
SPECIAL INSPECTOR
ARE OCCUPANT
0 STORIES
UNITS
N UMBER
REQUIRED[:] YES
LOAD
DESCRIBE WORK TO BE DONE
AEMARKS-.
PROGRESS- INSPECTIONS;PER UBC,,1,08/FINAL INSPECTION REO'D
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Coll Are 4AWWOK 4"dwomftvQw
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(425)-Ora
771-0220
A17ENTION EXT/333.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 771-0221
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
5/98
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ORIGINAL - ::ILE YELLOW - INSPECTOR
PINK - OWNER GOLD - ASSESSOR