18721 84TH AVE W.PDF111111111111
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18721 84TH AVE W
City of EdmondsSTREET FILE
RIGHT-OF-WAY CONSTRUCTION
,,PERMIT Permit Number:
Issue Date: 9
A. Address or Vicinity of Construction": 18721 84 Avenue West
B. Type of Work (be MeCift): Install New Service
CY 9 0 o
C. Contractor: Washington NAtural Gas Company Contact: Frank Swan
Mailing Address: 815 Mercer Street, Phone: 224-2278
State License #: Seattle, WA 98111 Liability Insurance: _ Bond: $
D. Building Permit # (if applicable): . Side Sewer Permit # (if applicable): �
E. F! Commercial F-1 Subdivision [I City Project kR Utility (PUD, GTE, WNG, CABLE, WATER)
Multi -Family E] SingleFamily F�' Other
INSPECTOR: INSPECTOR: m C,�-q
F. Pavement or Concrete Cut El Yes Wo G. Size of Cut'. x H. Charge$
APPLICANT TO READ GN
V r. / - I
INDEMNITY. Applicant understands and by his signature to this *application, agreeg,he' City of Edmonds harmlessflom injuH damages,or
claims of any. -kind or description whatsoever, foreseen or unforeen, that may be made against the City of Edmonds, or any of its departments or employ-
ees, including or not limited to the defense of any legal proceedings including defense costs, and attorneyfees by reason of granting this permit.
THE CON7RA CTOR IS RESPONSIBLE FOR WORKMANSHIP A AD MA 7ERIALS FOR A PERIOD OF ONE YEA R FOLLO WING THE FINAL INSPEC77ON
A AD A CCEPTANCE OFJHE WORK. ES77MA 7ED RESTORA 77ON FEES WILL BE HELff UN7�L THE FINAL S7REET PAITCH IS COMPLE7ED BY
CITY FORCES, A T WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUA NCE TO THE A PPLICANT.
Construction,drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Departmg ffY =3�
Work is to be inspected during progress and at completion.
Restoration is to'le 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 Cit� kngin�eer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
'NO EXCEPTIONS.
I have read the above statements and understand the permit requirements and the pink copy of the permit will be available
on site at all timesffor ins 11 p
Signature: Date: September 3, 1992
(Contractor or Agent)
M
M
FIELD INSPECTION NOTES
(Fund I I I - Route copy to Street Dept.)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P. W.:
Work Disapproved By:
FINAL APPROVAL BY:
0 YES 0 NO
Date:
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AWaftgbn&-WCarMW
Ac endum to
Submitted by, :
I E)'�Z 1. 6-4 A\/ \W
WNG to window
water main depth
unknown
gas main
City of Edmonds
Right of Way
Permit Application
Klr-4A,P�0 �tkLL-AQD
Engineering Aide
Washington Natural Gas
a
622-6767 x2761
pager )<.g - j(p%
00 C4TS
-w-
WaL.=L-
-g-
gas
-ss-
sewer
-e-
water hydrant
0
water valve
815 Mactr St. (P.O. Box 1869), Scan , WA 98111 (206) 622-6767
August 24, 1967
Day & Nite Plumbing & Heating, Inc.
19914 - 44th Avenue West
Lynnwood, Washington
Re: Residence of Mr. if. B. C-unn-i-ngha
1B721 - 84th Ave. W., Edmonds
Gentlemen:
Your firm reversed th 1 11
and now the* owner claims- that Zh;
nection. he further states that lie,
made to him that 11the work wa cone
could be done now."
I hesitate hink tha�
theless would you ple resolve t))
concerned and inform (eof the steD
JEM: ek
g�foli_ the above captioned residence,
yl,Ttrap installed at the washer con-
,ed your office and the statement was
paid for and there was nothing that
his is the fact in the case, but never-
s situation to the satisfaction of all
taken.
Very truly yours,
CITY OF EDMONDS
JOHN E. 1401-ViN
Director of Public Works
I
APPLICATION
RE for
The City of Edmonds SEDE SEWER PERMIT
-2;,- D �, cl--,) 0-1 �D'�) NEW CONSTRUCTION E] REPAIRS E]
OWNER ......... I ....... -----------
ADDRESS ......................
E
..........
.............. ..
EASEMENT No . .............. ...........................
I
CONTRACTOR ................. .4.0 .. e,&�l ------ :2-rle'VC . . .................... PERMIT N
LEGAL DESCRIPTION: LOT No . ..... �-V/ ................ ..... BLOCK No . ............................ ...............
NAME OF ADDITION ....... zz
. . . . . . . oo;? . . . . . . . . . . . � . . . . . . . . . . . . . . . . . . . . . . . .
Al- 7-W
t - 44Jes'7'—
Approved:
-1 D ATE ....... �
�7
-,- / ,> / 3
APPROVED,
APR 5 01
NOTICE:
N�o-warranty- OT dC(�Ul-:d�,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 �Edm_onds does not. warrant the
accuracy of anything set forth on these
map(�_). Any person or entity -requesting a
copy should conduct an Independent
inquiry regarding the information shown on
tFe -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.
Neit-her the City of Edmonds nor its
ernpto-yee-s o-r office-rs shall be lla-b'Fe for the
information given on this map(s), nor for
ion provided based
any one representat'
upon . said map(s).
CITY,OV EDMONDS
Call PRospect &1107 when work
CIVIC CENTER — WATER -SEWER DEPARTX[ENT is ready for Inspection. (No Inspec-
lions Saturday, Sunday or holidays.) . N2 1928
SIDE SEWER PERMIT
ADDRESS........................... ................................................................................. ....................................
OWNER ........... . ................. H. B. Cunningham ......... MCW Inc ...........
................................................. ..... CONTRACTOR .....................................................................
Permission is granted .. April._5 .............. jq�.7.... for ...................... day,, to REPAIR or CONNECT a side sewer
- - --------------------- --
with 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 ares- 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 ap-
purtenances except to Insert the pipe Into the wye.