18804 89TH AVE W.PDF111111111111
8563
18804 89TH AVE W
8 9 0 - 1 9 9 -
. City of Edmonds
RIGHT-OF-WAY CONSTRUCTION
Permit Number: � 3 - IZI
- -9T 'REETT FILE Issue Date: � - d 7- ?3
A. Address or Vicinity of Construction: 18804 R9 Ay. W. (9314366)
B. Type of Work (be specific): Tngtall NAw RerVice
C. Contractonwhabington Nat'l - Gas Co
Mailing Address: 815 Mercer St.Seattle,Wn.
State License #: 98111
D. Building Permit # (if applicable):
Contact:
Phone: 224-2278
Liability Insurance,: Bond: $
Side Sewer Permit # (if applicable):
E. Commercial *n Subdivision 0 City Project =Utility (PUD, GTE, WNG, CABLE, WATER)
n Multi -Family E] Single Family R Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut 13 Yes []No G. Size of Cut: 2x 49Wateff. Charge $
APPLICANT TO READ A � t N'
INDEMNITY. Applicant understands and by his signature to this application, agrees to ' the City. of Edmonds harrnlessftom ipjqries, damages, or
claims of any kind or description whatsoever, foreseen or unforeen, that may be made against �he Ci Of �' di�' ents or employ-
ees, including or not limited to the defense of any legal proceedings including defense costs, . V A .�_ * of Edmonds, or any its arfin-
it-,meyfees by reason of grantingthis permit.
THE CON7RACTOR IS RESPONSIBLE FOR WORKMANSHIP ANDMATERIALS FOR I PERIOD OF ONE YEAR FOLLOWING 771EFINAI INSPEC77ON
AND ACCEPTANCE OF THE WORK ES77MA7ED RESTORA77ON FEES WILL 'dAlf7t-THE FINAL STREET Ph6HISIZAPATED BY
CITY FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE A PPLICANT.
uk�' Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Departmel k
Work is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes. 771-0220
Street shall be kept clean at all times. 4
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.
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 timesfor inspection purposes.
Signature:
Date: April 20, 1993
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
DAIT:, �::::,,-ISSUED BY::
....... j5i4.�
NO WORK SHALL BEGIN PRIOR TO PERMIT
Engrg. Div.,1991
FIELD INSPECTION NOTES (Fund I I I - Route copy,to Streei' Dept.)
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
� I
Eng. Div. July 1985
\NWdendum to City of Edmonds
Right of Way
Permit Application
-.-Submitted by: Guyla Connors
Engineering Aide
Washington Natural Gas
521-5248
123nCK4 Et>" "\-I
,EDMONDS
NEW CONST.
F] EXISTING
WNG to window (
Water main depth
Uftknown 7,77 "a
2.--- it gas main----,
/ (Z/4) Cb7O t4 �ATe�r7
Key:
-w-
water
-9-
gas -
-ss-
sewer
-&-
water hydrant
0
water valve
915M=crSt. (PO. Box 1869). Seattle, WAgglil (206)622-6767
0
NOTICE:
-ra
NO.Wa r
on the attached
The Jnformatiof�
map(s) was compiled for use by the CitY Of
Edmonds- its Employees and Consultants.
I Edmonds does not warrant the
Th,e City of
t these
accuracy of anything set for. h on
rnap(s�. An . y person or entity *requesting a
copy should conduct an independent
O'rm-ation shown on
inquiry regarding the inf
t�e -rnap(s); including,, but not limited to,
the lociation of any sew-er 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 Edmonds nor its
empl-o-yee-s or office-rs -shall be 11 * a-b-1--e for the
information giveh on this map(s), nor for
d
any one representation provided base
upon said. map(s).
Ml
APPLICATION
for
The City of Edmonds ME SEDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS 0
TKATA"r "wr
EASEMENT No . ......... ..........
Lu ('51 (
OWNER ... ........ _-------------------------- --- CONTRACTOR
...... ....... ... . I ......... ------- PERMIT No . ... .................
SS ----- ... tay. ------ , LEGAL DESCRIPTION: LOT No .......... I_V� .......................... BI-40CK No_.-
ADDRE - - - - - - - - 40. - - - - - - - A W 4 �� C__ . . L C-I&
.............................................
NAME OF ADDITION . . ........ IV ....... / - . . i-l's
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Approved:
DATE: --- --------- --- By ---- e � -.7a
�>y
CITY OF EDMONDS
Call PRospect 6-1107 when work
CIVIC CENTER — WATER -SEWER DEPARTMENT ready for Inspection. (No Inspec,
Ions Saturday, Sunday or holidays.) N2
SIDE SEWER PERMIT
ADDRESS ........................................ 18.8.0.4 ......... 8.97H.,.AV.EN.UE ... WES.T ........ .......
..... .. . .. . ..... .... ..... ....... ... .........................................................................
OWNER ......... F.R.AN.K .... LI.FE.R .................... ................................... CONTRACTOR --- & .. Kt ....
.... .... .. ..........................
Perinission is granted AAKAU 1� ..... ........... 19.71, for ........................ days to REPAIR or CONNECT a side sewer
xvith City Sewers in accordance with application oil 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 1/s will be permitted.
NOTE No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contraet�jrs shall be responsible for
failure due to Improper work which may develop within one year of completion.
NC No. 6—It is unlawful to alter or do azy 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.