18503 84TH AVE W.PDF111111111111
7825
18503 84TH AVE W
NOTICE:
No--Wa rra nty -OT -a. c Y
The information . shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
Th,�e City of EcIm.onds does not . warrant the
accuracy of anything set forth on t hese
rnap(�_). Any person or entity -requesting a
copy should conduct an Independent
I rn - ation shown on
inquiry regarding the 'nfor
I ited to
ff�e -rn a p (s) , including, but not
b shown. Such
the lociation of any sewer stu
sewer stubs may or may, not exist and may
or may not exist at the location shown.
Neither the City of Edmo'nds, nor its
ern p-to-yee-s o-r off i-ce-rs -sh-a-1.1 be [`1 a-b-Ife for -the
information given on this ma p(s), nor for
tation provided based
any one represen
upon said map(s).
APPLICATION
STREET FILE for
City of Edmonds SIDE SEWER PERMIT
NEW CONSTRUCTION, REPAIRS
OWNER ...............................
ADDRESS
........................
0
EASEMENT No.
Z-
CONTRACTOR ---- ... W.-'P.ez ........ ............. PERMIT No.
4 .. ............... . ........................
LEGAL DESC��Oxv!!�)T K . . ............................................
NAME OF ADDITION
.................................................
Approved:
0
DATE...... . ........................................ By ... ................
Apj�
APR
Lj:
CITY"OF -'ED,M
ONDSr'
C I V I C, _'t' CaR PR08pect 6-1107 when work
�-WATER_� WER DEPARTMEW
T
Is re"y for inspection. (No Insper—
tions Saturday, Sunday or holidays.) 2918-
SIDE; SEWER PERMIT NO
ADDRESS ............ 84th Avenue West
........................................................................ ....................................................................
. ............................
OWNER ................ William B. 9 Greene
....................................... CONTRA
........................................ CTOR ......... owner
.......................................................................
Pernilss ' ion is granted ...................... 19 19_6 8, for ---------------- ....... days to REPAIR or CONNECT a side sewer
with City Sewers in accordance With application On fhe and governing ordinane
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 Informatio regarding Ordinance 11.16;030 and Regulations governing side sewe'
n
rs -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%.
d.
No bends In grade sharper than % will be permitte
TE:No. 5--It is un', -of completion. ntractors shall be responsible for
failure due to Improper work which may develop within one year rl I 1 10
TE No. 4—TrenChes In street must be water settled and surface of street restored to o
gina cond t n. Co
awful to alter or do any other work than Is provide*cl for In the permit, or to do any work on the main
tenances except to Insert the Pipe into the wye. sewer or its appur-
J
DATE 10141-74 PERMIT ADDRESS 0a Ok
KX-dat �_844_Tff
'A�IE11141pri -- a." . �
A I I A L&t=J,)
STREET FTIL�
BUILDING PERMIT REVIEW - ENGINEERING DEPARTMENT CHECK LIST
Instruction: PMZMJPT ONL
Check Accuracy ol Legal Description
Check Against Assessor's Map for Legal Subdivision
Does it conform to City Approved Subdivision?
Reviewer's
Initials
"saw
1. This lot included in' Subdivision/C�—latJL11 _
2. Site Inspection made on:
3. 14hat are groundwater and soil conditions?77!OYJLZrVEt_
4. Site Drainage Checked? I ! t I M
5. Storm Sewer Availabilitv: -Sht. of nwg. No.
Roadside Ditch-
6. Grading & Final Contours:
ON% aid
7. Septic Tank System Desiqn Approved:
8. Sanitary Sewrer Availabilit - MAIW-a Sht. of Nip. No.
Side sewer availability:
9. Sanitary Sewer Connection Fees?
10. I -later Mains A Fire Hydrants (Indicate Size Main)"Al
Check Fire Dept.'s Comments
11. Sidewalks: (Site inspection shows conditions of sidewalks as follows)
mn W 7_1!r!�Oan V
Projec
Project
��ivel-/!L! for safety, location,
Street Lights:
14 Street Right-of-way & Bldg. setbacks !00 ht. of nfficial Street Map.
15. Existing Utility
16. Access Easements:
17. Site Plan checked
18. Special Requirements listed in Memo to Bldg. Dept.' ARNO
19. Commercial &Apt. Requirements form completed?
20. Drawings stamped & notations made?
21. All Items f illed in on Bldg. Permit Application?
22. Bonds posted for site work? T
23. Right-of-way Invasion Permit required? I-L
Air
COMMENTS:
12. Curbs: Wifw Curb Cuts rJ
grade idth):JWJtJ&OFJ%JM,
13. Underground Uirino:_
Rev 7/1/76
STREE7 FILE 0
CITY. 01: EDMONDS
ENGINEERING DEPARTMENT
505 BELL STREET
EDMONDS, WASHINGTON 98020
APPLICATION FOR INVASION OF RIGHT-OF-WAY
(Sub.ynit In Duplicate)
Permit to be issued to:
For work at: (address or vicinity)
Type of work to be *done: J
(Attach Drawing Wben Applicable)
L L.
Owner: --
Name
Mailing Address
City State Tel�,phone Numter
Contractor:
Na.me.
Ifulling Ad dress
City State Telephone Number
Signature: J
t
Owner or Agen
DO NOT WRITE. BELOW TIJIS LINE (To be completed by Issuing Agency)
Permit Issued (date)
Remarks:
I 0--D
Permit . Numbcr7(—Q — I --19
cojt�,ictor is
L
A,4A JA Upon rc--
AE IUM i
16ATC fo,
"Rol a of
CITY OF EDMONDS
ENGINEERING DEPARTMENT,
---------- .................. ................. . ...... . .... . ....
Remarks
... -Remarks --- =l-Q-w-lqv----'T-:)(
Tlate........... .. —By ..............
v —.Remarks
.............. B.
............ By ------------------------ .............................
0
0
0
8 go - 199 -
City of Edmonds
RIGHTO F-WAY CONSTRUCTION
.-I.rhimma IL
Permit Number. qi!�
Usue Date: /0 - /
A. Address or Vicinity of Construction: 18503, 84th St k1
B. Type of Work (be specific): Replace 40" pole with a 441 pole and change &
downsize teansformer from a 50kva to a 373-2 kva
C. Contractor: Snohomish County PUD No. 1 Contact: Jerry., Elkington
MailingAddress: () gnx 1107 FyPrAtt, Wa 98206Phone: 347-4h14
State License #: Liability I=ranc,�: Bond: $
t
D. Building Permit # (if applicable): Side Sewer Permi.t # (if applicable):
E. F] Commercial El Subdivision 0 City Project [-] Utility (PUD, GTE, WNG, CABLE, WATER)
Multi -Family Single Family El Other
INSPECTOR: I14SPECTOR: k,�
- -) f
F. Pavement or Concrete Cut 01 Yey'l—ONo G. Size of Cut: x H. Chargq-$
JON�
AL
SEE ATTACHMENT BORADDIT N L IfFB- �--
APPLICANT TO READ AND I
INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City ofEdmonds harmless from injuries, damages, or
claims of any kind or description uYhatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or
employees, including or not limited to the defense of any legalproceedings including defense costs, and attorney fees by reason ofgranting thispermit.
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 CITYFORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED 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 Division, 771-0220.
Work and material is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes. i V
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City re� gulations 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
a 'l bl L
vat a e Loith att a 11 times for inspectionpurposes.
awatur
SiA, Date: OctabAr 11, 1996
lcontracto�o�ent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: Ko�' ��J
TIME AUTHORIZED: VOID AFTER 102- 0 DAYS
SPECIAL CONDITIONS: WA
COMMENTS:
DATE:
RIGHT OF WAY DEPOSIT
DISRUPTION FEE/FUND III:
RESTORATION, FEE:
PERMIT FEE -
TOTAL FEE:
RECEIPT,fEE:
ISSUED BY -
NO WORK SHALL BEGIN PRIOR TO PERMIT
UANCE
Eng. Div. 1994
FIELD INSPECTION NOTES
Comments:
Diagram.:
(Fund 111 - Route copy to Street Dept.)
CONTRACTOR CALLED FOR INSPECTION El YES El NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
6
WO# 23
DWG# 117325
LOCATION OF POLE TO OTHER FACILITIES,
POLE IS 9'4" FROM EDGE OF PAYMENT,
NO SIDEWALK OR PLANTER STRIP EXISTING
POLE IS 229'NORTH OF INTERSECTION 186TH ST. SW & 84TH
AVE W
POLE WILL BE PLACED V SO WEST OF EXISTING POLE TO - - :. 1,
ACCOMMODATE GTE SERVICE BOX.
ALL OTHER UTILITIES WILL BE LOCATED BY LOCATORS INC'.
PRIOR TO DIGGING.
PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY SBSEED.DGN
LOCATION— 15503 84TH 5T W EDMONDS 50. CO. AREA
POLE NO. NE 1/4 IBC27-4) DATE q/lq/qG W.O. NO. 000023
REASON FOR WORK REPLACE B.O. POLE AND ENGIN ROUTT DWG. NO. 117325
N015Y XFMR. DRAFTER S.R0UTT U.G. NO. ----
I SCALE NT5
DATE WORK. COMPLETED
FORMAN
ENVIRONMENTAL ANALYSIS
REQ'D
8 EXEMPT
0 NOT EXEMPT
�EES 0 YES 0 NO
PARA. 18
ITEM C
�I M R O�VERHEAD
X E AID
H. U.G. COND.
,H* U GC.OND.
_ KV
S EY T
AD
AD
CKT. FT. PH
0 C\MMERCIAL
REM
REM
CKT. FT. PH
LEO
NET
CKT. FT.
O.H. U.G. CO
— KV
SECO OVERHEAD
ADD
T. FT. PH
BASIC FEE S
REM �\CKT.
T. PH
NET
CKT. F
C
METER/CNNV.POLE
PERMITS
)0 TREE TRIM
(DATE GRANTED)
PRIMARY kNDERGROUND
• RESIDENATI
0 STATE
C
• COMMERCIAL
0 COUNTY
BASIC FEE S
DO CITY
LEU NO.
0
EASEMENTS
.
SECONDARY..UN�ERGROUND
0 RE QUIRED
0 NOT REQUIRED
BA --NC FEE S
@$ * N =s
UNDERGROUND PL
DATE RELEASED
FOREIGN CONTRACTS
BASIC EE S
- q FT.@$ -- .=$
CQGTNW JPN NO.
STREET LIGHTING
JQCATV JPN NO.
q FT.0 s
OJOINT TRENCH GTNW & CATV
WORK IN RIGHT OF W Y
0 JOINT BORE GTNW & CATV
• PRIMARY
0
• SECONDARY
POLE STENCILING
q FT.0 l=s
FROM TO
MISCELLANEOUS FEES
TAKE OFF POLE
VAULT 3
PRE-CONST. REQUIRMENTS
PERMIT S
0 TREE TRIM 0 PUD LOCATOR
0 BACKHOE 0 FLAGGING
IN ONE CALL DATE
s
NO.
NDEX
POLES
I
IPLAT
TOTAL DUE 5
DATE PAID
LOGS
I
U-MAP
RECEPT NO.
XFMR
C-MAP
NEW SVCE APPLICATION NO.
LOCATION MAP PAGE 454 J-Z
LEGEND
0 EASTING POLE - NO CHANGE
)K PEPLACE EX15TING POLE
SET NEW POLE
PEMOVC EA5TING POLE
APPROVED
SUBSTATION PERRINVILLE
CIRCUIT NO.. 12-g3 PHASE 1
CLOSEST SWITCH 12-50
ENGR'S TEL. 0
5 4-5655 1
ENGR'S PAGER
[E:,: :14: - (B 0 4 2
LOCATION 1-5q
RY'
GK�-W 1�0 HANOL.,�, OUTA&�,
SET 45 ' POLE W/GRND 1 50. WE:!�T..
IN5T. 12V101 1/1 FRAMING A55Y.
HANG 37.5KVA XFMR CEX15TING XFMR 15 NO15Y.)
7200/1247DY-120/240
015T#P- -x
5ER#
SEC VOLTAGE
REMOVE 50 KVA XFMR CN015Y)
015T#R-3531—X
5ER#
XFR 5VG + DN GUY + 5T LT MIN Kill' HT. 25.'
STRIP. TOP AND ABANDON TO GTNW I
i
LOCATION 1-50
I
SECURE NEUTRAL TO 10101 SPOOL
TO PROVIDE PROPER CLEARANCE.
-45
L-2921-D
175S-2974-X
1-50
18503
I M I N A R Y
SL-2920-D
OR-3531-X
- 1-59,
�(— cl 41, Pt,.,n edq�q- Of YOcLD
18515
0 (0(-- WCL (cc
�4 oy pjco��v
12
93 r o v%l s ec,4,1 0,
186TH ST SW
-------- --- 9--
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2903-D
FUG5 1-58
SL-2903-D
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FILE: c: \dotc\design\maintenc\ovhd\r-3531-x.dgn
DATE: 19-S.p-96 07 :45
PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY SBSEED.DGN
LOCATION_ 1B503 B4TH 5T W EDMONDS 50. GO. AREA
POLE NO. NE 1/4 IBC27-4) DATE q/lq/qG W.O. NO. 000023
REASON FOR WORK REPLACE B.O. POLE AND ENGINEER SROUTT DWG. NO. 11732b
N015Y XFMR. DRAFTER 5-IROUTT U.G. NO.
I SCALE NTS
DATE WORK COMPLETED
FORMAN ENVIRONMENTAL ANALYSIS
0 EXEMPT 0 NOT EXEMPT
REO'D
�EES 0 YES 0 NO PARA. 18 ITEM —C
�N"[E OVERHEAD
�D:E�N
H. U.C. COND. KV
N�
S T JAL
AD CKT. FT. PH
0 C ERCIAL
REM CKT. FT. PH
LEO 0
NET CKT. FT.
O.H. U.G. CO KV
SECO RY OVERHEAD
T. FT--
ADD T. FT. PH
BASIC FEE S
T_
REM CKT. T. PH
@$ . I=$
C T.
NET -CKT. F
METER/CNNV.POLE
PERMITS (DATE GRANTED)
)0 TREE TRIM
PRIMARY NDERGROUND
'Y
• RESIDENTI
0 STATE
• COMMERCIAL
0 COUNTY
BASIC FEE S
DO CITY
LEU NO.
0
EASEMENTS
SECONDARY UN�ERGROUND
0 REQUIRED 0 NOT REQUIRED
B C FEE 3
UNDERGROUND PLA�,l
DATE RELEASED
FOREIGN CONTRACTS
BASIC E�_S—
q FT.@S 7- _ 3
PO GTNW JPN NO.
STREET LIGHT I NG
10 CATV JPN NO.
q FT.0 _ s
0 JOINT TRENCH GTNW & CATV
0 JOINT BORE GTNW & CATV
WORK IN RIGHT OF W Y
• PRIMARY
0
POLE STENCILING
• SECONDARY
ri FT.@S .=s
FROM TO
TAKE OFF POLE
MISCELLANEOUS FEES
PRE-CONST. REQUIRMENTS
VAULT S
PERMIT S
0 TREE TRIM 0 PUD LOCATOR
0 BACKHOE 0 FLAGGING
(NONE CALL DATE
NO.
s
INDEX
POLES
I
IPLAT
TOTAL DUE S
Am
LOGS
U-MAP
DATE PAID
XFMR
C-MAP
RECEPT NO.
LOCATION MAP PAGE 454 J-31
NEW SVCE APPLICATION NO.
LEGEND
0
EYJSTtNG POLE - NO CHANCE
REPLACE EXISTINC POLE
SET NEW POLE
REMOVE EYJ5TING POLE
APPROVED
SUBSTATION PERRINVILLE
CIRCUIT NO. 12-q,3 PHASE
CLOSEST SWITCH 12-50
ENGR'S TEL. 0
514-5ro BE, I
ENGR'S PAGER *
1514 - e 0:4:2].
LOCATION 1-5q
GK�-W TO HANOL,�, OUfA&�-
I M I N A RY
SET 45 * POLE W/GRND 1 50. WE�13T..
IN5T. 12V101 1/1 FRAMING A55Y.
HANG 37.5KVA XFMR CEX15TING XF11R, 15 N015Y.)
7200/12470Y-120/240
015T#P- -x
5ER#
SEC VOLTAGE
REMOVE 50 KVA XFMR CNO15Y)
015T#R-3531-X
5ER#
XFR SVC + DN GUY+ 5TLTMIN Mi HT. 25.'
STRIP, TOP AND ABANDON TO GTNW
LOCATION 1-50
SECURE NEUTRAL TO 10101 SPOOL
TO PROVIDE PROPER CLEARANCE. I
Ll
1-45
SL-2921-0
OS-2974-X
C
1-50
18503
SL-2920-0
OR-3531-X
1-59
18515
186TH ST
-------- --- 0----
G -------------------
1903-E
FUG5 1-58
SL-2903-D
,:2 /14
sw
F ILE::cl \dato\de3ian\mcin tenc\ovhd\r - 3531 -x.dgn
DATE 19-Sep-96 7:45