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CITY OF EDMONDS RECEIVED Permit No. 9/849 30
COMMUNITY SERVICES DEPARTMENT Issue Date
RIGHT-OF-WAY CONSTRUCTION PERMIT Alit. R 11 1QA9
A. 9 Owner: Q.-r-
Name
—) t eo?�
Mailing Address
—Cc( yh &', d S qifo;�':7)
U, TVVnn_J
B. *Contractor: A -AS &VS-7—
Name
Mailing Address
City State Zip City State Zip
IMeCt�VTI;72 Ar
State License Number Telephone Number
0 Address or Vicinity of Construction: M-a? .'i-o Ar 1"/ C d A, 0'yds
Type of Work to be Done: 6Cr m n v -e -e'k "s f I I V-f ��JON/ And AIIE to r r
"�'f r 5'rC4'-e4' 60PrV-'1'_ r& n r" a d -fo
/7
Work in,,,Connection With: 0 Sub or Plat 4V Single Family El City Projects
El Commercial El Multifamily El utility
Pavement Cut: 0 Y_ N
A
APPLICANT TO READ AND SIGN
INDEMNITY: 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, forseen or unforseen, 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 legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE
YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK.
Funds he Id from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed
by City forces, at which time a debit or credit will be processed for issuance to the applicant.
• A 24 hour notice is required for inspection; Please call Public Works: 771�3202
• Work is to be inspected during progress and at completion.
• Restoration to be in accordance with City Code.
• Street to be kept clean at all times.
• Traffic Control to be in accordance with City regulations.
• All.street-cut ditches must be patched with asphalt or City approved material prior to end of working day;
no exceptions.
I understand the above and that this permit must. be available at the job site for inspection purposes at all times.
Signature: te.: '-2—
Da
Owner or Contractor
This Permit Must Be Posted at the Job Site For Inspection Purposes
Call DIAL -DIG Prior To Beginning Work
ISSUED BY: 00
, PERMIT FEE:
Time Authorized: Void after 111130 —days. Security Deposit:
Special Conditions: Receipt No.: —
Amendments:
Fund I I I Fee:
Street Cut Dimensions:
X
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. July 1985
'FIELD INSPECTION NOTES (Fund I I I - Route copy to Street Dept.)
Comments:
Diagram:
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 1985
The City of Edmonds
APPLICATION
for
SEDE SEWER PERMIT
NEW CONSTRUCTION E] REPAIRS
OV,rNER ........ ............
c-� T
ADDRESS.... ............... ............................................................
EDM6Nbs) bj,43h
LYNN PLANT
EASEMENT No . ...............................
CONTRACTOR ............... .................................................... PERMIT No.
LEGAL DESCRIPTION: LOT No--O. ...................... BLOCK No . ......
... ............ ..... ...
NAME OF ADDITION ..................
.........................................................................................
--T — 6 C5
DATE..-/Q ........................ 0 .......... B�y
I - �Y-
Insured Residential MortVages, Inc.
Denny Building
2200 Sixth Avenue
Seattle, Washington 98121
Centlemen:
December 8, 1969
This is to certify that the house at 18808 - 80th Avenue West,
within the City of Edmonds, was connected October 3, 1968, on permit 03125
to the City of Edmonds sewerape system accordinr to the City of Edmonds
standards.
Yours very truly,
CITY OF EDMONDS
RONALD L, WHALEY
Asst, Director of Public Works
RLW: j c
LLI
.j
U.
U3
U3
SITE PLAN
1/ 17 7 I-L -7 -
NOTICE:
No warranty of accuracy.
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds., its Employees and Consultants.
The City of 'Edmonds does not warrant the
accuracy of anythi I ng set forth on these
map(s). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
th-e -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.
Neither the City of Edmonds nor its
employees or offiCers shd-111 be liab-fle for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
CITY OF EDMONDS
Call PRospect 6-1107 when work
CIVIC CENTER — WATER -SEWER DEPARTMENT Is ready for inspection. (No Inspec-
tions Saturday, Sunday or hoijdays.) N2 3125
SIDE SEWER PERMIT
ADDRESS------------------------------------- 1880_8___-�7 --- BOth..Avenue..West ----------------- .. . .............................................................................
Ronald G. Johnson Owner
OWNER-_--------- RORR0 ----------_-_-------------- : -------------------------- CON'TRACTOR ........................... . ..................................................
Perinission is granted ...... actober..._3... ------------ 19.6-8-., for ------------- .......... days 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. 1—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 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 1/8 will be permitted.
N--E No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
faBure due to improper work which may develop within one year of completion.
N-13 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.
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Center Sec. 18 (27-4)
\Cased Conc. Mon.
w/Punched Bross Plug
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Cased Conc. Mon.
w/�' Bross Disk w/V'- OV89018'32'�E) IV89016'48"E 445-99'
1,901h Street
1881h Street 15W
IV89012�52'�- (Basis Of 2�eqrl�.qs) 1338. 0/' (133775�
446.0(�'
Cased Conc. Mon.
----w/Bross Tack in Lead Plug
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RECORDING CERTIFICATE
FILED FOR RECORD THIS DAY OF
19-- A.D. AT -M.
IN BOOK - OF SURVEYS AT PAGE --- AT THE
REQUEST OF Michael S. Webb
RECORDS OF Snohomish COUNTY, WASHINGTON.
Auditor
Deputy Auditor
Q)
SW
SURVEYORS CERTIFICATE
THIS MAP CORRECTLY REPRESENTS A SURVEY MADE BY ME OR
UNDER MY DIRECTION IN CONFORMANCE WITH THE REQUIREMENTS
OF THE SURVEY RECORDING ACT AT THE REQUEST OF
Richard Barnett — IN THE MONTH
OF July 19 88
Scale: I"= 50'
H F----1
I , L
0 25 50 100
TBM - Rim Sanitary Sewer Manhole at Northeast corner 80th Avenue W.
and 188th Street SW. Elevation assumed per USGS Quadrangle Map.
Elevation: 380.001
C\j
NW Prop. Car.
21.4d
Elev.:376.61'
0
1-q
C\j
N89012'5ZE
4E[ev.: 377.17'
0
N Garage
Finish Floor
IDI
Elev.: 377 16'
0
0
Cased 2" Plijaged I.P w/toCk
0.82' North x (5.37'West of Inter.
Brcjsc; Tjck ir ea I Ouo 'Held)
20.23'_
E lev.: '�' 76 647 14 O�� E I ev.: 37 7. 4 3'
ID IF-'rA 111- A
Scale: 1"=10'
1L. ]-:P C; IF-P N ID
0 Set 1/2" Iron Bar with cap "WEBB LS 16230"
V
Existing Tack in Lead Plug
Existing Cased Monument as Described
......... ) Plat Data
SUHVRI-e- OE
The East 93 feet of Tract 1, Block 1, Oscar E. Jensen's
Seattle Suburban Tracts, according to the plat thereof
recorded in Volume 9 of Plats, Page 8, Records of Sno-
homish County, Washington.
BOUNIDAn'Y SUR"VIF-Y
SC)UND SUHVRYTNO TNC
22727 Highway 99 - Suite 110
Edmonds, Washington 98020
Phone: (206) 778-1556
CERTIFICATE NUMBER — 16230
DRAWN BY SMW = E 7-19-88 =D BY msw
PLAT OF SURVEY FOR
H-fC;HAHD BAIZNI-:P'rr
BASIS OF BEARINGS: C-L of 188th Street SW. per
ts
Plat of Oscar E. Jensen's Seattle Suburban Trac
BEING A PORTION OF THE NW QUARTER
OFTHE SR QUARTER OF SECTION 18
TOWNSHIP 27 NORTH,RANGE 4R W.M.
DATE7-20-88 JOB NO. 88061
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