18806 92ND AVE W.PDF111111111111
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18806 92ND AVE W
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City of Edmonds
S*EGGHT-OF-WAY CONSTRUCTION
010�
LT FILffERMIT Permit Number: 7,) - Z 3
Issue Date: - Z'2 - �' Q�_
A. Address or Vicinity of Construction: - 18806 92 Avenue West
B. Tvne of Work (be specific): Install 1 1/4" PE IP Main in 92 Avenue WEst
9 0 199 from 13' West to 30' West centerline 92 Avenue West. Per Attached
Dra C920-287 &R ��943-3) (1) Vepbalk' ?r Construct�yymproved
C. Contractor: -Washington- NaturaY'8§s: ompan ontac . ran wan
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 E] Subdivision El tity Project FX] Utility (PUD, GTE, WNG, CABLE, WATER)
F-1 Multi -Family E] Single Family El Other
INSPECTOR: INSPECTOR:
0
F. Pavement or Concrete Cut Yes []No G. Size of Cul�.�_�
H. Charge$
APPLICANT TO READ ANUIGN
INDEMNITY. Applicant understands and by his signature to this application, agrees 1 0 d he City of Edmonds.harmlessftom injuries,, damages, or
a
claims of any kind or description whatsoever, foreseen or unforeen, that maybe made jDainst the fry ofFedmonds, or any of its departments or employ-
ees, including or not limited to the defense of any legal proceedings including defense costs a atiorne)rfees by reason of -granting this permit.
THE CON77ZA CTOR IS RESPONSIBLE FOR WORKMANSHIP AND MA TERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC77ON
AND ACCEPTANCE OF THE WORK ES77MA TED RESTORA 77ON FEES WILL BE HELD UN74 THE FINAL S7MET PAT�qIS CONPLETEDIBY
I
CIYY FORCES, AT WHICH 77ME A DEBIT OR CREDIT W14 BE PROCESSED FOR ISSUANCE'ZO THE AM�L-A'NT
Construction drawing of prop�iis6d'work required with p(e'nnit ap�ficatiori.
A 24 hour notice is required for inspection; Please call the Engineering Department- 771-3202.
Work is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulaitioits; its 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: MeMAC�1� Date: May I , 1992
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
.. ..................
... . .. .. .. .. .. .. FOR CITY.USEONLY.: ... .. . .... .............. ......
.. ........
... ..... ............
..... ..... . ...... ........
..............
APPROVED: BY RIGHT, OF. WAY DEPOSIT..
.TIME,AUTHO.RIZE.D: VOIDAFTER ..�DAYS. .... DISRUPTION FEE/FUND I 11.
............... ......
............ . ... ......
.. ........ . .. . ....
PERMIT,FEE..1. — I
........... ... .. ...... .. . ...
................ ... .. .... . .... . -.11 .......
........ ..... ...... ........ . .111 h4�30 —
TOT,,!�L.FEE:..
SHALL BEGIN PRIOR TO PERMIT
Engrg. Div. 1991
FIELD INSPECTION NOTES
Comments:
...4, 1
Diagram:
(Fund I I I - Route copy to StreitDept
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
.FINAL APPROVAL BY: Date:
Eng. Div. July M
SENT BY:Xerox Telecopier 70209�3�H�K 3:27PM 2067785322-4 206 382 78654 2
City of Edmonds
RIGHT-OF-WAY CONSTRUCTIOX:*�
PERMIT
Pendt Nmbo�i*
Iwo Nt�.
A. Ad.dress.,or Vicinity of Construction: 18806 -92 Avenue West
489 9 R. Type, of Work (be specific):' Install 1 1/4" FE -11? Main iu 92 Avenue West
fr ' om 13"West to 30, West centerline 92 Avenue West. Per Attached
D 120 �7 JIR 6043-3) (1Y Fr
C. Contractor: Wishington Na tu H111111 *- Compan contact: atxk Swan
Mailing Address: 815,Merear Street, Phone: 224-2278
State Lice='#: Seattle,.WA 98111 Liability Insumnce: Bond: $
D. Building Permit # (if icable):
App, Side Sewer Permit # (if applicable)-
E. Commercial,, [I Subdivision City PrOjOct' Z 'Utility (PUD, 017E, WNG, C ABLE, WATER)
Multi-Flamily, Single Family Other
INSPECTOR- INSPRMTOR;
13 Yes 13NO 0. Size of Cut: 4- H. CbArSe $
F. PavemoU or Cotcr6W Cut
2
APPLICANT TOMAb"AND SIGN
'NDEMNny.- APPUCtnt -1"MWn4 and OY hb sisnalure to Ali appkadan, agre�l to hold Aw Oty of Zdwdr.&"h4rnffkmj)*m or v,
cLalftw qf dny klmd OP dR&OWOR **4u*mr, fommen or wOreen, zhat may be made ajaimi Ae city OfUN10fide, or a"y of its depammu or enjphy)�
ask 1ndu&ng or not findad so Ar dc*nn. qf aq kjaj p1werdimp jn&u&r4 deftmgj e&jj, mW a4omeyfees by rmon efsrandq ods pemdt.
7M CONMAC70B IS JWPOAWBU FOR, WORK*1AMPAND MATEPJAW FOR A pLVOD OFOAX MRFOLL0
AND A CCEffANCE or 77M WORX *7NG = KNAL 1AIMCCITON
1477MA 7ED RESTM 770N FEM W7LE BE A&W VNHL 7NI 17NAL S7MT PA 7W 15 COMPIJMay�'.�',,.
MY FORCM, AT WJUCX 7TME A DEBrT oR c=jT *= jtE pRocEs= poR jssUAjvcK 70 YM APNIOdAT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for Inspection; Please call the Engineering Department. 771,3202.
Work is to.be inspec(ed during progress and at completion.
Restomdon Is to be in accordance with City Codes.
Street shall he kept clean at all times.
Traffic Control and Public Safety xhall be in accordance with City repladons as require-d b yihc C"ity En . gifieer.
All strut cut ditches shall be patched with asphalt or City approved matirial prior to the end of the working day;
NO EXCEFrIONS.
I have mad the above statements and understand the permit requIrements and the pink copy of the permit will be available
on site at an tbnesjor in;sNaion purposes.
Signature; Date: January 27, 1992
(Contractor or Agent)
CALL DIATA-DIG PRIOR TO REMNWn Want
EnStS. Div. 1991
N
City of'Edmonds
R IVOU-WAY CONSTRUCTION
.. rrn_ DU IT Permit Number: &2-o37
ST I . ssue Date:
A. Address or Vicinity of Construction: 18806 92 Apnue West
B. Type of Work (be specific): Install 1 1/4" PE. IP Main in 92 Avenue West
9 0 - 1 9 from 13' West to 301 West centerline 92 Avenue West. Per ittached
Drjw6n§:C 920-287 �IR 6043-3)
Contractor: Washington NAtura a OmPanY Contact: (1) Frank,Swan
Mailing Address: 815 Mercer Street, -Phone: 224-2278
State License #: Seattle, WA 9811� Liability Insurance: Bond:$
D. Building Permit # (if applicable):
Side Sewer Permit.# (if applicable):
E. F-1 Commercial E] Subdivision El -City Project Utility (PUD, GTE, WNG, CABLE, WATER)
n Multi-Fan-ffly Single Family Other
INSPECTOR: INSPECTOR: B tA/
F. Pavement or Concrete Cut [N Yes LJNo.. G. Size of Cut: '9 x 4 H. Charge$
APPLICANT TO READ SIGN
INDEMNITY.- Applicant understands and by his signature to this application, agree, to h10 the, City of Edmonds harmlissfrom initifies, damages, or
claims of any kind or description.whalsoever, foreseen or unforeen, that may be made against the Chy 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 attorney fees by reason of granting this permit.
THE CONTRA CTOR IS RESPONSIBLE FOR WORKMA NSHIP A AD MA TERIALS FOR A PERIOD OF ONE YEAR FOLLO WING THE FINAL INSPECITON
; . 1. - - 1 -1
AND ACCEPTANCE OF THE WORK ES77MATED RESTORA77ON FEES WILL BE HELD UN77L THE FINAL S7REET PATCH IS COMPLETED BY
CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed -work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Department- 771-3202.
Work is to be inspected during progress and at completion.
Restoration is to be 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 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: January 27, 1 992
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
...... .... .... . ...... ..
...........
. .... .... . .
..COMMEN S:
DATE:.::� � :_ �.JSSUED BY:
NO WORK SHALL BEGIN
Engrg. Div. 1991
FIELD INSPECTION NOTES
(Fund I I I - Route copy to Street D�,ptj - -
Comments:
I
Diagram:
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P. W.:
Work Disapproved By:
FINAL APPROVAL BY:
0 YES 0 NO
Date:
Date:
Eng. Div. July 1985
NOTES:
N
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60'
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In
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go 1991
00
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-JE S C R I FN 10 N
REVISIONS
I. FIELD LOCATe ALL UTILITIES
CALL 1-600-4ZA-5515 -
48 Roulk's be'VoPIF- Dic-sc-IIN&
a. LAY DETECT �JAP-Nlftldr KJ(RX-- OVF-F-
ALL- PE DMeCT Q�Ulk%At- '?%Pe
3. -rNSTALL OME ?OVAID AmNaDE f:op-
GVP-R-�( IC001 Of-- L0CA-tjr,3(a WIF-S
4. SUV-\ICY NOT
.5. MA,m-rAtAt /A 51 HOP,(ZONTAL AMD 3' Vev--n CAL-
"EARA�Nc-r5: FIZOi,4 ALL CIT'r J-11LITIF-S.
6 0 43 - 3
C -AP
W" x 1 !/40
:78-
Z30
76 *REWCEM
77--
4 n^
?AAICH,-- -SAPDL-F-,-
210';;:Wl4fAq-%r-
M-mcr WAIWrAls Wi C&
:815-94-0
2108
WSM-11 PE PiPs
.'70-
/70
31LL OFMATERIAL
PERMITS: -7-3
r=.:d m 0 /4 SEC:SE 13-2
/i6l . G7
`�P ',IAP
/60. &7-
.,PEA
241
�x CODE�
'Ajatjg..�j C7M
-wetivglor,
Z. I
It -P MAIN 6X-T6/\JSjoM
ro se_mve_
11850(o 92 AV W
DWN: -�RR
HOPL L F- y 604-3-31
'OB 9 ZO - Z
DRAWING
C-iK'D
DATE E3Y, APP'
50'
92.0
1
NOTICE:
The -inform ati on'shown on the attached
map(s) W3S c0M ' pHed 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 for ' th on t. * hese
rn a p A n . y person or entity -requesting a
copy should conduct an independent
inquiry regarding the inform . ati on shown- or
-t-Fe -map(s)l including, but not I'mited to,
the lotation of any sew-er stub shown. Suc
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
empl-o-yee-s o.r offi-ce-rs -shal] be 1--ia-b-1--e for the
information given on this map(s), nor for
any one representation provided based
upon"said map(s).
Y, APPLICATION
C for
The City of Edr 11c ps'*ET HLE SIDE SEWER PERMIT'
EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS n
P
ERMIT NAZ:.E�>-.
OV%rNER %-:Rt"�. -FIFFRIT . .................................................... CONTRACTOR .........
ADDRESS ........................ . .. ..., . . ........ =,- Wf —=. WaS7.- LEGAL DESCRIPTION: LOT No. -=; - ---------------- BLOCK N . . ............................................
.. .............................................. ...........................
NAMEOF ADDITIOM.-.-t=+7l . ........................................................................................................................
0
's
Ica 4=nK L.0-T ea.
fij
Approved:
DATE-Nay. - 2 S, I B Y
-----------------------
C _OVIDIMMONIDS 4E,"SEWNE, T,
IT
Y R'� P E, RM I
WATER-SEWER-,,I)EPAIRTMENT.,
P RMIT
NO '42'61
allf�`7-76-1407, for,.,sida'! sewer.,,.thfspections! REFORIt �eo�ering�,any -portioW of the construc9om
?e4u at., NO'Sat_ Sun.,,. or- holiday. hisp6ctionsj.
g wilu 'Ided' within'.24 hours, after e
n pection b& prov
d Aye�,
:ADDR�FSS'.ILOCA-T-ION�,'OF�CONSTR'U,,CTION ................................................. ................................................ ............... ....................... ....... ............. ...........
L o
Sk-lrot! 11_�Aqhts No. 3
'PROPERTY,,,LIEGA%�!DESCRIIPT-ION'....* ....... ...............................
.................................................
........... 7 ................................. .............. ..
.. . ........................................................................................................................................................................ .................... ......... ..................... . ................ ..........
--Paul. 5'r,"Itz
AND OK�BUTL DER ......... ... .. ........................ .. ......... ......... ... ........................ . . ..............
............. ........... ............... I ........... . .... ...... .....
A'bn 42:'1'4, Ka a I e Road, Lynn*
1,111 04 Sewer,& consti�kt
C0NTRACTOR!&,NAM1R,& ADDRESS. ...... -Y .................... ............. ....... ------ : ......................... 3, ............. : ..............
................. I ............... I ................................
lovetaher, 291-
PerlAission; is,,grant� fa
... ...... a ................... I ............... for repair,,andVbr'- eonn�ctfonr.ofa -sidb','.sew.er to.th6,cify- sanitafy,sewer
system inladcoirdance. With,C1ty,of'Edmonds% ordiiiances.,
TENTION IS CA-LLED, TO, THEFOLLOWING:'
No. 1—The ownerst of. the� pr perty �may- obtain a permit to construct sewer inside, property line. A licensed Side Sdwer�'Contr;ctor must be empl6yed- to.construct
as it
side wer in street area: Do not cover any portion of sewer,before has been inspected.
NOTE No. 2—All work performed In, city., right-of-way reqdires an InYaslon -of Right -of -Way Permit obtain -able from th'e'dity'�tngineer",s office..
NOTE No. 3—ObtaimfulF Information! regarding Ordinance 11.16�030 an& Regulation&.governing4lde' sewers� whem_�ou, gei;, perri�tt_
ni� ade� of '2
NOT-0 No. 4Top,of,,sIde sewer must have at'least 30`�i I nches-coverage at property 11 . ne and 12,,Indhes Inside, pio . perty nne;,-m-i-n1`mu gr Nq� 'Pends; In; grade
sharpqrAhan'l/s wllt�be permitted. 7
NOTE No. tr�—Trenches in street must be water settled and'surface of street restored to original 'condition.. Contractois il�ail be,�respo�sible for failure� due- Ao Jmproper
work,which. may, develop within one year �of completl6nL
NOTE No. 6—.it Is �unlawful,,to'lalter,:or-do,:any other, work than Is provIdedt forl , n Ahe p"crinit,,,.'qr' to.doany work on the main sewer or Its appurtenances; �except to, in.
serf 'therqApe Into the. wye.
y
............... ................. B Y.* ............... Date ....... .............. . ......... ate; ... I ................. ............... By ................
DISAPPROVE6. r,-J� DatO�L'.._ D
.................... ...................... --------- .....................
By
APPROVED 'Date ... .......................
Remarks: ..........
......................... .................................................... .......... . ....................................... .............. ................ ........... .......... ................
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . M . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f 10 Firm P6ft-orining-Constructibn PRIOR T6, R164tiest For 'Inspection.
BO:T-H ,eyp� oplea MU ST. Be Sikned� By qwner',,1
-hereby 6ertlfy,that the side� sew&r'ins tall atim cons truct ed under-Ahis,,permit
struction,),
(O.wner.of 'Confr..t.n, P mVerfrrZng Con
governing, ordinal c
-as�install'edi,�ini,,accord'a�nce,�w,,i i es �of the"City of'Edmond&
9�
ti S .................
Date& A' ........... �day of A�.� ..........
Check BEFORE' you -,dig for:, Water; [D,, Ga& �Ej�l `T61ephone E]; -, Power 1:1 Soi�,er E], - 9ther E),
APPLICATION
for
The City of Edmonds S13DE SEWER PERYaT EASEMENT No . ............... ..........................
NEW 6ONSTR.tTCTION E) REPAIRS 0
OWNER ........ Palul .... FTI.t.z... ........... . ........................ ................. .................... 7
CONTRACTOR ....... ��OA/A ............. PERMIT No. -7-5:,2LY ...
IM 92nd Avenue West 3
ADDRESS............................................ . ....................................................... ---- LEGAL DESCRIPTION: LOT No . .......................... .............. BLOCK No . ............................................
NAME OF ADDITION ...... .... S.h.aro.n ... H.el-g-hts ... No ...... 3 .....................................................................
.. .. ....... .. .. .. . .. ....... ..... . ..
Approved:
DATE ... .................. ........................ By
..................................................................
m e
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AK JUN 1972
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locom". OWN CiL $ON 11ME toumok
GRAVI:L NASI! At NIMUINIM NY INGO.
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'STREET SECTION — TRACT 99
R .2114
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SHARON-HEIGHTS
-NUMBER 3 SEWER
D13TRICT
APPLICATION
for
li� City of Edmonds SIDE SEWER PE19BUT
NEW CONSTRUCTION 0 REPAIRS 0
BASEMENT No - ------------------- ......................
- - i
OWNM A.A& ......... le-fl-l-rz ---------------------------------- CONTRACTOR
PERMIT No . ......................
...... W
ADDRXSa--4#ftWW ....... 111-V ------- A-V ------ W ...... ��.-�.,tLDESCRIPTION: LOT No . .... BLOCK No . ............................................
---------------------------
NAME OF ADDITION --------- ........ .........................
n 16, fl- P
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Approved:
!9OW64
DATE
Jill
.11
51-R'14KF_)41 MEP
mt'-'-N Hc�u_=
- A&
SH ARCsN --HEIGHTS
NUMBER. �� SEWER—
<=V�*# All.