18527 83RD AVE W.PDF111111111111
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18527 83RD AVE W
CITY OF EDMONDS ermit No.
Issue Date
PUBLIC WORKS DEPARTMENT STREET FILE P
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. oAddress or vicinity of Construction
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Owner:
Name
Mailing Address
city, State, Zip Code
Contractor: r"P,-n
Name
9 Permit Issued To:
Type ofWork to be Done:
Work in Connection With:
El Sub or Plat 2 Single Family
El Comml. / Ind. 0 Apt. Condo.
Pavement Cut: 0 Yes El No
Mailing Address State License Number
Z
City, State, Zip Code Telephone Number
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0. NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
B. APPLICANT TO READ AND SIGN
INDEMITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless
from any 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 it's departments or employees, including or not limited to the defense of any legal
proceedings including defense, costs, court costs, and attorney fees by reason of granting this permit.
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UJ Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
following the final inspection and acceptance of the restoration by the Engineering Division.
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Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call
775-2525, extension 220.
I understand that this perml be a
I Mult
Slgnatu�e: `
Owner or
Pie al/e 4 rposes at all times.
CLI Date
THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By:
Time Authorized: 'Vold after
Special Conditions:
Ammendments:
.—days
Permit Fee:
Security Deposit:
Receipt No.:
Fund III Fee:
Street Cut Dimension!
— X
REC;&VEJ)
* * NO WQAK- TO BEGIN PRIOR TO PERMIT ISSUANCE * * NOV 10 1981
Eng. Div. December 1978
FIELD INSPECTION NOTES (Fund. 111 - Route cony to Street Dent.
Comments:
Diagram:
Contractor called for inspection Yes No
v
Nork DisaPproved By: Date: Bv: Date:
Work Avoroved Bv: Date: 71�,
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Ins Pec t,,o.r:,,
Encr. Div. December -1978
NOTICE:
-u-r-a-c-y
-N'o ... wa rra nty ' f a ' cc e a'ttached
The -information shown on th e City of
map(s) was compiled for use by th
Edmonds, its Employees and Consultants.
The c'ty of �Edrn.qnds does not . warrant the
accuracy of anything set for.th on these
map(§-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the inform'at*on shown on
-map(s), including, but not limited to,
the loc'ation 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
ernp-l-o-yee-s o-r officle-rs be l.-'-1a-b--1`e for 11-he
information given on this map(s), nor for
ion provided based
any one representat'
upon . said map(s).
The City Edmonds
FILE
APPLICATION
for
SEDE SEWER PERMIT
LYNN' PLAf,7T
of
EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS
.4- Id /391
OWNER ........... ..................................
CONTRACTOR ... YP ...... f3 . ........... .......... ..... PERMIT No
ADDRESS ............... .......
...
LEGAL DESCRIPTION: LOT No.,:r/ . ..........
...................... BLOCK No . .......................... .................
NAME OF ADDITION
..... TW,47j;�7 . .......... )>J'P...-4Z !$
APPROVED
T
MAY 3 1W 1
0
1�
0
Approved:
DATE Z ................. By
............. .............................
..CITY OF EDMONDS
Call PRospect 6-1107 when work
CIVIC CENTER - WATER -SEWER DEPARTMENT Is ready for Inspection. (No Inspeo- lkvo
tions Saturday, Sunday or holidays.) 2176
SIDE SEWER PERMIT
18527 - 83rd Avenue West
ADDRESS.........................................................................................................................................................................................................
OWNER........................... K ...... R....Re-rgman ............................. CONTRACTOR ..... CKU ...................................................................
Permission is granted ......... 3 ................. days to REPAIR or CONNECT a side sewer
I ................... 19..�Z, for .......
1vith City Sewers in accordance with 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—Obtaln full Information regarding Ordinance 11:,16.030 and Regulations governing side sewers when you get permjt.
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.
N, . 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.