18427 79TH PL W.PDFIIIIIIIIIIII
6858
18427 79TH PL W
NOTICE:
No warranty of accuracy.
The information shown on the attached
map(s) was compiled for use by the City of
Edmonds., its Employees and Consultants.
The City of'Edmonds does not warrant the
accuracy of anything set for ' th on these
map(s). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
the map(s), including, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may'not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
employees or officers, Slha ill be liable for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
APPLICATION
for LYNN PLAW z/
The City of EchnondG 8 MirEm E T F I L E SEDE SEWER PERMIT EASEMENT No. ./ ... 9.5>...
.. .... .... ...
NEW CONSTRUCTION REPAIRS
OWNER ......... .................................................... .... CONTRACTOR ... S.e- . . ......... ;:�I'c) ..... ................ - ........ PERMIT No.
ESS ......... O/OZ t -7 _ ....
ADDR .fj Q S LOT No . ..........
......................... LEGAL DESCRIPTION: .... m ........................
... ... ............ — .............. .... BLOCK No . ..................................
NAME OF ADDITION . . ....... C/ ........ (k .. ..................................................
..... ... ...... .... ... ........
APPROVED
MAY 9 1867
Approved:
5,- 'y
DATE ... . .... ?��z .................
.. ..................................................
C 'OVEDMONDS
I TY,
Call PRospect 6-1107 when work
civic CENTERr�-:WA7�ER�SXWER DEPARTMENT
is ready for Inspection. (No Inspec-,
2222
tionm Saturday, Sunday or holidays.)
-IT
SO SEWER PERM,
ADDRESS ..................... 18424 79th Place Webt
................................................................................................................................ ........... .......................................
OWNER ............. Willi_amj� ..... th mas
...... Q ------------------------------------------- CONTRACTOR ..... Russell Johnson
..........................................................................
..,germission -is granted ..... ... 9 ....... ........ ........... 1 ... 67, for
9 ..... ................ ; ...... days to REPAIR or CONNECT a side sewer
With City Sewers In accordance with application on file and governing ordinances.
ATTE NTION IS CALLED TO THE FOLLOWING:
'NOTE No. 1—The owners of the property 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—dbtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
1 No. 3w._Top of side gewer: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—Trenche�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�withfn one year of
completion.
NOTE No. ii—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 appur-
tenances except to insert the pipe into the wye.
01
4�.
-City -of Edmonds
RIGHT-OF-WAYCONSTRUCTION
PERMIT Permit Number.
Wue Date:
`A. Address or Vicinity of CofistriAction: 18427 79 RL W
B. Type of Work (be specific): Anndtz t-n be i ngi-a 1 led on
C� main at 2991N C/L
9 0 9
185 PL SW.
C. Contractor: _WashiLigton Natural Gas Co - Contact: Rick Kessler
Mailing Address: 805-156 Av NE, Bellevue 98007Phone: 287-3989
State License #: Liability Insurance: .'Bond:$
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. [] Commercial E) Subdivision El City Project R] Utility (PUD, GTE,(A�NG) CABLE, WATER)
E] Multi -Family [:1 Single Family Other
INSPECTOR: INSPECTOR: 14d,,��Sefl
F. Pavement or Concrete Cut: Yes )QNo G. Size of Cut:,,,�n- x H. Chargq_$_
APPLICANT TO READtND SIG'N
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City ofEdmondg harmless from injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any,of its1d
employees, including or not limited to the defense ofany legalprceeding. including defe-,IT.k.1,8, and attorney fees by ono .Fj;��tments or
&�nQihispermit.
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 FEESWILL BE HELD UNTIL THE FINAL STREET PATCH
IS COMPLETED B Y CITY FORCES, A T WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPLICANT.
Construction drawing of 'proposed work requir4* with permit application.
A 24 hour notice is required for inspection; Pleasecall the Engineering Division, 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.
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.
Ihave read the above statements and understand thepermit requirements and thepink copy of thepermit will be
available on site at all times for inspection -,purposes.
Signature: Date 9/12/96
(6ontrac.4ror-Agetit)
Assistant# Corporate Drafti (206)447-3151
. CALL DIAL -A -DIG IOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: RIGHT OF WAY -DEPOSIT
TIME AUTHORIZED:. VOID AFTER F-A.4_ — DAYS
SPECIAL CONDITIONS:
DISRUPTION FEE/FUND Ill:
RESTORATION FEE:
�PERMIT FEE:
TOTAL FEE: 0 0
.COMMENTS: RECEIPT. FEE
DATE: ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. 1994
FIELD INSPECTION NOTES
Comments:
I Diagram .:
(Fund Ill - Route copy to Street Dept.)
CONTRACTOR CALLED FOR INSPECTION YES El NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
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