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18410 90TH AVE W.PDFlill lill lill 8757 18410 90TH AVE W I CITY'OF EDMONDS (4 CAMUNITY SERVICES DEPARTMENT RIGHT-OF-WAY CONSTRUCTION PERMIT' Z 0 W V) U W 0 �J- Date: A. * Owner: Washington Natural Gas Company Name 815 Mercer Street' VeaailinhAddress t e WA 98111 City State Zip STREET F1 E Permit No. ?0- mov 7— Issue Date B. 9 Contractor: Name Mailing Address City State Zip State License Number Telephone Number C. e Address or Vicinity of Construction: . 18410 90 Avenue West Type of Work to be Done: Ins ta 11 New Servi ce D. 0 Work in Connection With: 11 Sub or Plat 0 Single Family 0 City Projects 0 Commercial 0 Multifamily KKUtility E. 0 Pavement Cut: M Y [I N F. 0 Size of Cut: 2 X 4 (1) @ H 2 0 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 injur . ies, 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 depa7rtent -o employq�s, including'or not limited to the defense y� of any legal proceedings including defense costs, court c( and 6 re s'-5y/reR9on !�f (granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP ;kNb`NiA1T.ERIALS 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. • A 24 hour notice is required for inspection; Please call Engineering: 771-3202 0 Work is to be inspected during progress and at cortipletion. • 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 above and that this permit must be available at the job site for inspection purposes at all times. Signature: Owner or Contractor October 11, 1990 This Permit Must be Posted at the Job Site For Inspection Purposes Call DIAL -A -DIG Prior to Beginning Work APPROVED BY: R Time Authorized: Void after DEC— 3D days. Special Conditions: NA RELEASED BY: Date 40_4"10 PERMIT FEE: -W )0 Restoration Fee: Receipt No.: Fund I It Fee: Streei Cut Dimensions: INSPECTED BY NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE x Date Eng. Div. March 1989 FIELD INSPECTION NOTES (Fund I I I - Route copy to Street Dept.) 4M Comments: Diagram: CONTRACTOR CALLED FOR INSPECTION 0 YES El NO Partial Work Inspection by P. W.: Work Disapproved By: FINAL APPROVAL BY: Date: Date: Eng. Div. July 1985 Addendum to: City of Edmonds Permi t Application Engineering Aide : Kerry Walsh Washington Natural Gas 622-6767 x 2588 qO A-V V3 wwa TO V-4 IWC041 EW @ I wo 0 WAT9P- MAIN VaFr4 U r-,l willow P4 E\�Isnt,4et 1 ., Wbpo�SEO A GAS KEY: -ss- sanitary sewer -s- storms -w- water M- ik 0 water valve NOTICE: --War*ranty ... 0 T No The -information on the attached map(s) was com - piled for use by the City of Edmonds� its Employees and Consultants. Th,..e City of EcIm.onds does. not . warrant the set forth on these accuracy of anything map('�). An'y person or entity -requesting a copy should conduct an -independent orm. . ation shown, or Inquiry regarding th*e infi -t-He -rnap(s), including, but not limited to, er stub shown. Sud the lotation of any sew sewer stubs.may or may not e.xist and may or may not exist at the location shown. Neither the city of Edmonds nor its flernpl,o*yee's o*r office-rs -sh-a-1.1 be 11a.b],-e for the information given on this map(5), nor for any one representation provided based upon said map(s). 0 0 APPLICATION The City of Edmonds for EASEMENT NO . ..... .................... ................. SIDE SEWER PERMIT tONSTRUCTION REPAIRS F� LID NO. --A ------- ASMT. NO. OWNER CONTRACTOR ....... PERMIT NO . . .................. -- - -------------------------- --------------------------------------------------------- -------------------------------------------- JOB ADDRESS -- -------------------------------- -------- LEGAL DESCRIPTION: LOT NO - ---------- --------------------------- BLOCK NO - ------------------------------------ ------------------------------------------------------------------------------------------------------ ---------------------------------- ........................ NAMEOF ADDITION ------------------------------------------------------------ ---------------------------------------------------------- Approved: DATE .... Zo�. ..... . .......... B y ---------- (a ------------- 'SEWE V` SIDE R_;,TERM IT., ��`CIITFYY tEDM��,QNVS­_,. - . - ­­ I . - 1! 1-1- � I ­Z WATER -SEWER DEPARTMENT 'PERMIT ­7 7, co�ering any portion�--'df- 'the construction. -rall, 7.75-25 5 -'for sidet 'sewer -inspections--BEFORF, id ns e n s p c on -Sum,, h . ol ay' Inspe�tio tj -,A;i ir be ',pro,ided� wit -:aft r rc�ust, NO', -A W ­V. 90th V ­1 ................. ........... ...... ........ ........... ........... ............ .......... -Lot .............. ....... ...................................... ......... ......... ...... ......... ....... iiF VAOPERTY ............. ........... .................. ..... ........... .................. ........... ....... ...... ................ ............. ......... 7A -0WN:ER,A-N1D/,0R IBUM­DiAAAMF.V� M .... ....................... ............ ........ 11*­__11­11 ............ ......................... .. n- dik iY Road, E & WA. J, h _'.1600, m Meaft, ..... ............... 4.-ADDRESS.- - nl�t: 0 nso . .1 ............................... .............. CONTIC- 01VS5NAME — .......... �7_7 ....... ........... ................ t, e sew 0 y sanitairy sewer 9�14' id er to th Cit ...... I repair.and/or �conncc ion, Pprn-dssi6n. 1§ igrantqd� .............................. *ecoida- ".,,-,%�ith,,C!�y-.6f"]Cdiiiotids�ordinalices- nee sy�stern in, -FOL !NTIOTJ'IS:�'dA�LIXD� T16; THE LOWING:::' :'dontracf6r -must be ernploy'�(T. to-iconstruct �_NL 1!—The.�owfi6rs,� of�- ihe. prope'rty,' may,'obialn'*a permit to,'.coriitruct sewer .Inside: propert�. line., -licensed Side�Sewer, side,s , exvc�,jln-_ street area. Dd�not-,cover any_portiom-of"sewer -before it has been 'Insp6cted..- asion I of RJghi-of* Way Permit,- btiln-able from��the. City,�Englneerlg -office. -ight-of-way requiresz an Inv 1 .9 , NOTE. No.,.2'—Alll-�' performed in �cl y'.r t. ld sewers when yowget.perml NOTE. No. :3—Obtain.'fulF.'Info -mation� rdg�xdin� Orainan�ce 11. 16.030 Regulations* governing. s . e I - ` ' . ' c S' Inside property line;' mi�lmum grad'e of. 2 No 'bends In' grade MAi�7.ewei,:ffiust have at I gc �at,.pro erty line and 12 in'he NOTE No. �—T.�,of. east 30' Inches covers, p sharper than i,� will -be, ii�rmitted. of st . re I ef restored to' 0 ontractors shall b -responsible 'for fa4lure due. - to Improper NO . TE No. &�Tr6ch6s; In strect:must be water settled and, surface riginal condition. C e . . . . - ­'e� work. , %yhieh-mELy.�develop-within'6ne-year.:of com�letlon. 1 1. . . ­ � , : I . ena_n�ce.g- -except to In-' in the rmit, or. to do any work -on the maJn _se*er or.tts I appurt pe NOTID,:�qo, 6--it �is,u�lawful,�to alter or --do: any -other work than is, provided for. I sert ttfe,:pipc'. Into'the _wye: ................. Date� ................ ­ !-VBY'_ .. ............. . ... ..... . ........ ....... DISAPPROVE6% -E); Date.. ..... -Dht'e ......... ... . ........................ . . ......... ...................... ...... . ......... . M.. '7" ............... ... ................ .... ........................... ....... ................................... ........................... ............. ................ Reniarks: .......... .... .......... ............ ............. ........................... ......... .................................... . ........................ ------------- ----------- ofis . truction. PRIOR To, Requesf F�v lPs�e�tlon ��of Firm. Plerf B C ST. -B Signed By:gwn, 6r.rriirig,,C OT a�­tion� on- '6nd er-thw Perm I side sewer� iftstall :6 t .. ..... ............ ... hereb certify that�.',-the 7 ................... ...... y tract g -.Firm- Perfrrming. Constructlon�` City� ofEdmon k Wy� tal d'i- cco ce.. th -all,:g6verning. ordinancgs!�bfj.he, ................... .......... Dated this.z --- ....... :day, Power, Sew-e M­ Other -,[3 Che k-BEFQRE,;you dig -for: Water Gas _:E), Telephone jE], APPLICATION The City of Edmonds for EASEMENT NO . .............. - ----------------------------- SIDE.StWER. PERMIT, NEW CONSTRUCTION REPAIRS F-1 LID NO. ------- - ASMT. NO. ----------- ----------- hr ................................ CONTRA OR --- e5�41 ------ PERMIT NO. OWNER Re 1 ---------- ------------------ JOB ADDRESS ----- ------------- LEGAL DESCRIPTION: LOT NO . ...... BLOCK NO - ------------- ............ ..... . ............... ................................ .. - --------------------- ............................................ .............. ................ . ............................................ NAME OF ADDITION ...... 2Wo:� ... 6 ............ -- -- ------- Approved: DATE............................. I ............... By'- ..........................................................