18811 80TH AVE W.PDF111111111111
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18811 80TH AVE W
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 . ng set forth on these
map(�). 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 officer-�) -*-)hall be liable for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
CITY OF EDMONDS SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
7-
PERMIT 14
Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.)
Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.
.................... q_.1 ........... ............. .
ADDRESS LOCATION OF CONSTRUCTION ........................................ . .......................................................
PROPERTY LEGAL DE I SCRIPTION ...... L p t I , P mt, &Tind Esk.ntes
.................................................................................................................................................................................
.................................................. . ..................................... .......................................................... . .............. . ......................................................................... : ............
................................................................ OWNER AND/OR BUILDER ....... 11.A ... ........................................ - -------------------------------------------------------
_1�pn,� li r - 19117 Al N - F rl nthn I I - YA
UTRACTOWS NAME & ADDRESS ------ - .......................... --------------------------------------------------- -------- --------------------- - - z . .......................................................
Permission is granted ---------------- 0 - 1- "' ' *-- 0 - ht - r ---- I - 8 -- -------------- 19_7�1, for repair and/or connection of a side sewer to the city sanitary sewer
system in accordance with City of Edmonds ordinances.
.LNTION IS CALIF D 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—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's offiee.
NOTE No. 3--Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 4—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
shaxper than 'A will be permitted.
NOTE No. 5—Trenches in street must be water settled and surface of street restored to originaJ condition. Contractors shall be responsible for failure due to improper
work which may develop within one year of completion.
NOTE No. 6--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 appurtenances except to in-
sert the pipe into the wye.
DISAPPROVEDF1 Date --- - ------------------- h ........ 9 ------ By .......... __ Date ........... . ...... By ---------------- Date ............... . ................. :. By ................
0001,
E 7V
APPROV D Date ...................... A .......... - ----------
................. By ... . ... O—Z ................... . ... ............................... .......................................................
... ...............
It4nmrks: ....... . .................................. . .. . .... ............. . ............................ ...................................................................................................
................... .......................... ...................... .................... ........................................................................................................ . ............................................. .........
BOT rmit Co e 4Si of Firm Performing Construction PRIOR To Request For Inspection
-Y,
hereby certify that the side sewer installation constructed under this permit
�r of Cont P rfom
,,---.,Anstalled in accordance with all governing ordinances of the City of Edmonds.
Datedthis ............................ day of ................................................................. 19 .........
Check BEFORE you dig for: Water E], Gas [], Telephone E], Power [:], Sewer E], Other E] -V V
APPLICATION
The City of Edmonds
for
SIDE SEWER PERMIT
EASEMENT NO . ............................................
NEW CONSTRUCTION REPAIRS 0
LID NO. ..... AS1vff. NO.
OWNER ...................................................... ------------------------------------------
CONTRACTOR J= �ANWQQP SaP ........................... . ....................
--- ---------------- PERMIT NO
-"A
JOB ADDRESS - ----
E:- -
-----------------------------------
\N - LEGAL DESCRIPTION: LOT NO - -----------
i .......................... BLOCK NO - ------------------------------------
0
0
0
14' —
-.V.,cL—e
2-
..................................................................................................................................................................
NAME OF ADDITION --- --------- _--: >- T L! � �_- � F-7 � E �
............................................................
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21,5, �1—
DATE ........... ........ By ...
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.......................
APPLICATION
The City of Edmonds for EASEMENT NO - ----------------------------- --------------
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS El LID NO. ----- - ASMT. NO.
OWNER ---- fl�..J4
..... CONTRACTOR L _Y1 uxtd PERMIT NO.
LEGAL DESC PTIO LOT'NO. ---.! ---------------------------- BLOCK NO - ------------------------------------
JOB ADDRESS ------------- 1c) ------ ------ RI
.............................................................
NAME OF ADDITION - ------ �-
RECEIVED
OCT 18 1974
Approved:
DATE............................................ By ------------------------------------------------------------
I � �
379.0 74-36, 384.5
a
le
4110�f
(4*.Lz'
8m AVENUE WEST' CL
1�
i i
:0
8
30D.4
PLOT PLAN
SCALEt 1" = 201
P: ELECTRICAL SERVICE
W: WATER MMICE
S: SMER SERVICE
BASIC MOMM:
MZVATION:
JOB NOs W - 1
UMAT DESCRIPTION:
Lot Is Wboaand Estats6
City -of Edamd a
.iaob=l& Countys, Washington
ADDMSS:
188n OM Avenue West
FA*wndat Washington 98020
4110�f
(4*.Lz'
8m AVENUE WEST' CL
1�
i i
:0
8
30D.4
PLOT PLAN
SCALEt 1" = 201
P: ELECTRICAL SERVICE
W: WATER MMICE
S: SMER SERVICE
BASIC MOMM:
MZVATION:
JOB NOs W - 1
UMAT DESCRIPTION:
Lot Is Wboaand Estats6
City -of Edamd a
.iaob=l& Countys, Washington
ADDMSS:
188n OM Avenue West
FA*wndat Washington 98020
City. of -Edmonds
-OF-WAY CONSTRUCTION.'
RIGHT
PERMIT
Permit Number.
Lssue Date: r-N111D
A. Address or Vicinity of Construction: 18811 80th Ave. W.
B. Type'Of Work (be specificfTE, to place, operate and maintain a buri-ed service
yviia fron. exi,sting pede3tal 0 1479, loeated at 18801
80th Ave. W. then south to a residence -located at 18811 80th Ave. W. GTE to plow
GTE NORTHWEST INCBRPShAfEBU sh,no driveways, and no roads.,, R.O.W. footage is 30 feet.
C. ContractorEINDA ALa5tly PgRNIT G0090INATOR Contact:
i@FFy_56pt;t 425474-5921 or piigocfi 9091989 5945
Mailing. AW&ISW. CASINO RD., Phone: LINDA 425/710-0786'
EV TY, WA 9826#-1440
State License #.* Liability Insurance Bond: $
D. Building Permit # (if applicable): Side Sewer Permifkfif applicable):
E. El Commercial, Subdivision E) city P it PUD, G
roject Util-, 7E, G,,CQL-E, WATER)
EJ Multi -Family EJ Single Family Other GTE W.O.# -0000B S0314
INSPECTOR:
INSPECTOR:
X
Yes []No
F. Pavement or Concrete Cut G. Size of Cut: H: ar"
PLEASE SEE ATTACHED SKETCHJDRAWING,,.
APPLICANT TO READ AND. SIGN,
INDEMNITY: Applicant understands and by his signature to this application to hold -the City of Edmonds harmlessfrom injuries, damages, or claims ofany
kind or description whatsoever, foreseen or unforeseen, that may be made agai . nst,the..City of Edmonds, or any of -its de'parthients or
employees, including or not limited to the defense of any -legal proceedings including defense costs and allorneyfees by reason of granting, this�permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD'OF ONE YEAR FOLLOWING THE FINAL ]N�PEC�
TION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREETPATCHIS COMPLE
TIT
.-BY CITY FORCES, AT WHICH TIME A DEBIT OR.CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT
Two sets of construction drawings of proposed work required with permit 'application.,
q
A 24 hour notice is required for inspection. Please call the Engineering D.ivisiown, 7,71-0220.
Work and material is to be inspected during progress and at completi tAN
ion,
Restoration is to be in -accordance with City Codes.
Str .. eet A-7
shall be kept clean at all times.
Traffic Control and'Public Safety shall be in 'accordance with City regalations"as required by theCity Engineer.-.
y
All street cut trench work shall be patched with asphalt or City approved, matetiail prior to the.end of the working day;.
NO EXCEPTIONS.
I have read th a ove st ntgsn understand the permit I requirements, and the pink copy of the p:erm I it, will be:
s
available on's t t all t' es r i s eCt1oSpmPp*qes.
ate:
Signature: Ay � 40-7 ".
'9&-)fgw Design
CA D 7AIL -A-DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY`-.._4��\,,J
TIME AUTHORIZED: VOID AFTER DAYS
SPECIAL CONDITIONS:
1
RIGHT OF WAY FEE:
DISRUPTION FEEIFUND I It:
RESTORATION FEE:
T OTAL FEE:
RECEIPT NO.; 4
ISSUED BY:
NO WORK SHALL BEGINYRIOR TO PERMIT ISSUANCE
Eng: Div 1997
-CONTRACTOR CALLED FOR INSPECTION YES, NO
.Partial Work Iiispection by P.W.-
Work Disapproved By: Date:
�FINAL APPROVAL BY: Date:
EGEND
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L-0.,UTILITY POTHOLE M
SMITTED BY
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CITY OF EDMONDS
PUBLf WORKS DEPARTMENTj ENGINEW G DIVISION 161-69,004
APPITrATTnpj Pnp PTr.14T_nr:_1jAV rnmQTDHrTTr)f.1 D'C*6M'TT
TIMOPPOBE AVAILABLE AT THE JOB SITE FOR INSPECTION PURPOSES
Applicant to Complete Parts A and B
A. Permit to be issued to: WASHINGTON NATURAL GAS COMPANY
For Work at:(address or vicinity) 18811 80 AVENUE WEST REeE!VF-F)
JUN 8 1978
Type of Work to be done: Install New 1-1/8" PE Service Public Works Dept.
(attach drawing when applicable)
Time Required -- Start: FinishApproximately 90 days
From date below
Owner: WASHINGTON NATURAL GAS COMPANY
Name
P.O. BOX 1869
Mailing Address
SEATTLE WASH. 98111 MA 2-6767 Ext. 256
City State i-ip Telephone Number
Contractor:
Name State License Number
Mailing Address
City State Zip Telephone Number
B, 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, foreseen or unforeseen, that may be made against
the applicant or 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.
Upon issuance of this permit, the contractor is responsible for workma nship and
materials for a period of one year following the final inspection and acceptance
of the restoration by the Engineering Division.
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 subject to inspection and restoration in accordance with City Code. A
g-:24-hour ;notice is required 1. for inspection by Engineering. Call 775-2525, ext. 220.
'1_U'nderstandthat -this permit must- 'be available at the job site for� inspection'
-purposes at all times.
EDMONDS PERMIT Signature: Date: 7, 197,9
Owner or Agent
TO BE C3MPLETED BY ISSUING AGENCY:
Date Issued:� &I YL Permit No.: 7,?-- G _F e e
Security Bond:_
Time Authorized: 7,pj. S
APPROVED
Dite:
IU-//Iv (Revised)