18427 91ST PL W.PDFiiiiii iiiiiiii
15479
18427 91 ST PL W
NOTICE:
-K-rjrvvq-�� r-ra n
- I
formation . 'shown on the a-ttached
The -in
map(s) was com ' piled for use by the City Of
Edmonds/ its Empl.oyees and Consultants.
Th,..e City ofEdrn.onds does. not. wa rra nt the
acy of anything set forth on these
accur
rn a p (�_). A n . y person or entity a
copy should conduct an independent
inquiry regarding the info'rm'ation shown, or
_.___t_Fe -rnap(s), including, but not Jimited to,
the lo�,-ation of any sewer stub shown. Suc
sewer stubs may or may, not e.xist and may
or may not exist at the location shown.
Neither the city of Edmo'nds nor its
empl-o-yee-s o-r offi-ce-rs -shal-1 be J-Jab-lf.e for the
information given on this map(5), nor for
any one representation provided based
upon said map(s),
CITY OF EDMONDS
Call PROSPect 6-1107 when work
C1171C CENTER — WATER -SEWER DEPARTMENT Is ready for Inspection. (No Inspec-
tions Saturday, Sunday or holidays.) N 0-: 2748
SIDE SEWER PERMIT
ADDRESS ............... 1.8.47-7 9.1s.t .. Placa.-Weat
OWNER ................... AUJ�o ... Lem ................................................ CONTRACTOR .......
Pernilssion is granted ........... TP�rME7!.ry
.. ...... for ........................ days to REPAIR or CONNECT a side sewer
'With City Sewers In accordance Nvith application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —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—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 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. 5—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.
_64
6- 77- (0 �70_
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APPLICATION
for
The city of Edmonds STREET ME SIDE SZVVM PRUMT
NSTRUCMOM E] REPAIRS 0
OWNER
ADDRESS
...................................................... CONTRACTOR
17
EASE3U]NT No.
tL /
a
City of Edmonds
STREET FILE
City Engineer's Office
COMPLAINT REPORT
Report No.
Referred to for Action Public Works Time Date 3-18-70
Received by Carol Papritz
_�arol P Time Date 3-18-70
Made by.----, Alf E. Lee Address 18427 91st Pl Afel. 77,8-1496
How Received: Letter Telephone x In Person
Nature of Complaint: sewer line in front of house has settled.
Engineering Department Recommendation or Comments
Needs to be filled in.
Time Date 3-18-70 En i
gineer
Describe Action Completed:
Time Date Completed by
Location Sketch:
/0,-�60 eoia��
j -/?,
71
Permit No:
Ckty of Edifionds
RIGHT-OF-WAY".. CONSTRUCTION PERMIT Issue Date:
A. Address or Vicinity of Construction: 18427 91 PL W
B. Type of Work (be specific): INSTALL A 211, 1 1/4 " PLASTIC PIPE GAS MAIN IN 184 ST SW & 91 PL W -
TIE INTO EXISTING MAIN AT ;j�3521 W, 91 N AND EXTEND 21, MAIN 25' W,.,OFFSET MAIN AT ±3631 W�
9� N W THE c/1 AND EXTEND 1 — 1/411 MAIN; 265' S L10 SFME TARGETS.-
C. Contractor: PUGET, SQUND ENERGY
Contact: bOUG USITAL0
Mailing Address: 1122 75 ST SW, EVFMTT, 98203 Phone: (425) 356-7520
4
State License #: Liability Insurance: Bond:$
Side Sewer Permit # (if applicable):
D. Building Permit # (if applicable):
E. F-1 Commercial 0 Subdivision E] CityProject EUC(PUD, GTE, PSE, CHAMBERS, OVWD)
M�Iti'-Family E] Single Family Other
INSPECTOR -
NO G. SIZE 0 2 x 4
'F. 'PAVEMENT: rx-1 YES r_1 * , F CUT H. Cha ge:,�
CONCRETE CUT: E) YES RNO * N1,
3PLICANI'TO REAE
1DEMNITY. Applicant understands by his/her signature to this application helshe holds the City of Edmonds harmlessfrom 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 its departments or employees, including but not limited to the defense of any legal proceedings including defense costs and
attorneyfees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERMLS 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 BYCITYFORCES, AT WHICHTIMEA DEBITOR CREDIT WILL BEPRPCESSED FOR ISSUANCE TO THEAPPLICANT.
* Traffic control and public safety shall be in accordance with City regulations as required by the City Engineer. Every
flagger must be trained as required by (WAC) 296-155-305 and must have certification verifying completion of the
required training in their possession.
* RestorationAs to be in accordance with City codes. All street -cut trench work shall be patched with asphalt or City-
approved,material prior to the end of the work ' day — NO EXCEPTIONS.
Three,sets of c , 6nstruction drawin of proposed work are required with the permit application.
P
I HA VE READ THE ABO VE STA TEMENTS AND UND ERSTAND THE PERMITREQUIREMENTS AND ACKNOWLEDGE
THA T I MUST MAKE THE PINK COPY OF THE PERMIT A VAILABLE ON SITE A T ALL TIMES FOR INSPECTIONS
Signature: FELMA H ITAO J)ate: 9/21/1999
or Agent)
CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK
UPON COMPLETION OF PERMITTED WORK, AN ENGINEERING FINAL.
INSPECTION IS REQUIRED PER CHAPTER 18.00.OF THE EDMONDS
COMMUNITY DEVELOPMENT CODE.
FINAL APPROVAL OF PERMITTED WORK.
INSPECTOR'S SIGNATURE DATE:
For inspection requirements see Engineering Information Handout.
------------------------------ NOTES --------------------------------
1. CALL 2 DAYS BEFORE YOU DIG 1-800-424-5555
CITY OF EDMONDS:
N
>
4
0'
E-1
r4 co
co
Z
363'-W, 9j rL TIE-1 0 352. Vy, 9 It CL
( 2X2 T E) 184th ST. S.W. V2
2" PE IP MAIN 9'N
'N
-2" P E 2' 1E I P 13
85j 53-19r'o
END MAIN 378'W, 9'N rL A-1 CQ
L I
'0.1 CQ
7:77
ETT-T lisp '0 co
912%61P 01
Z-W
>
40'
5 0'
C\2 $4
0) P4
18404
t
30'
CD
>
1-1/41, PE IP MAIN 11'W
CD
1841g
Maintain a minimum of Whorizontal
and 3' vertical clearance from all
city utilities and appurtenances.
Cuts in paving are shown as M
.1 - - cuts in paving anticipated.
Notify Engineering Division 24 hrs
prior to construction - 425-771-0220
PROJECT MANAGER: DOUG USITALO - 425-356-7520
P R E L t AFZ�i` 0 IG LY
Not -for Cones)'[ruction
END MAIN I 256'S, t 11'W I -I- I
18427
18425 1 1
4 0' j
GAS MAIN INSTALLATIONRETIREMEN T
I R
SIZE
LEN
TYPE
MANUFACTURER
211
25'
MPE
1
11, 4 /1
265'
MPE
t CALL 1-800-424-5555
510'
V 2 BUSINESS DAYS BEFORE.YOU DIG,
THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF FACILITIES
I
5
REAL ESTATE/EASEMENT
-------------------------
PERMIT
EDMONDS
----------------------- -
4
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3
FUNCTION
NAME
PHONE NO
DATE
2
PROJECT MGR:
D.-USITALO
(425) 356 -7520
09/21/99
1
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ENGINEER:
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REV#
DATE
BY
DESCRIPTION
DRAWN BY:
--- C. S ------
--------
09/21/99
COUNTY
--------------
�MER SEC
- - -
Work Center
NSN1IG
- - - - - - - -
CHECKED BY:
F. BAZAN-
----------
09/21/99
09/21/99
APPROVED BY:
---- -
ait;-
1/4 SEC
NW - 18 - 27- 04
OP MAP
160.068
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PLAT MAP
160.068
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U-MAP# (POWER)
CIR MAP#
CIRCUIT#
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JOINT FACILITIES
ARRANGEMENTS
UTILITIES
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CONTACT
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PHONE#
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PUGET
,SOUND
ENERGY
2",1-1/4" PE IP MAIN EXTENSION
TO SERVE,: 18427,18404,18419, AND
18425 91. PL W. EDMONDS, WA.
INCIDENT#
DRAWING#
107007527
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SAP SUPERIOR ORDER#
107007527
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I F, 0
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