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18906 86TH PL W.PDFIIIIIIIIIIII 8199 18906 86TH PL W NOTICE: No--Wa r.r a n t-y. 0 T -a-t-C. U -1 - 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 Edmonds does not * warrant the accuracy of anything set for.th on t ' hese Map(�_). Any person or entity -requesting a copy should conduct an independent ation shown on inquiry regarding th�e inform including, but not limited to, -t-Fe -m a p (s) -h the lociation of any sewer stub shown. Suc sewer stubs may or may, not exist and may at the location shown. or may not exist Neither the city of Edmo'nds nor its empl.o-yee-s o.r office-rs -sh-a-11.1 be Via-b.-Ife for the information given on this map(s), nor for e representation provided based any on upon . said map(s). APPLICATION 1177ke City of Edmonds lor EASEMENT NO . ............. SIDE ....... SEWER PERMIT NEW CONSTRUCTION REPAIRS E] LID NO. --- ............. ASMT. NO - ------------------ DV/�,TER ----------------------------------------------- ---------------------------------- 11 ---- CONTRACTOR ------- ---------------------------------------- -------------------- PERMIT NO. J4013 ADDRESS - E!-�- \,,J. LEGAL DESCRIPTION: LOT NO - ---------- ----------- BLOCK NO - ------------ -------- ------ ---- ------------------------------------------------- ------- ............... ----------------------------------------------------------------------------- - ...................... ------------------------------------------------------------ NAME OF ADDITION Approved: DATE -2-25!'-27--- B, �Z4,� 0 .9 ------------- F, S: E, MR." P E R)MV I T 0 ONIDS' ...,C UY .0f: �EUM IDE S W. W T -SE ARTMENT�':. A MR WEWMEP IT PERM .573 -2525�4or side. Tsewer. inspe6tibris BEFORE;4co�eri,ng,�any'. portion' of the construction. ;(Calli �7 ' 15 �nspedtlon "'wiff- be provided ithin,,24 shours after -requAt.,-NO Sat. Su ii'l., or' holiday Iiispeciion's. Y, 18906 '86th Viace wost. 'ADDRESSIL CATIOX-OF: CONSTAUCTION ............................................................ ........................................................................... .................................. 00' Lot 5,: .5 nle)r-w' ' a PRO PE RT Y'� L; E GAL;: D E S C 4� T.�mp N .......................................... �� A .................... ......... ....... ........... .............................. ............................................ . ............................ ............................ .................................................... ..................................... ......... ......... ..................... ............ ........... ............. ........ . . ................................. ... `.t ........... ANWOR:�RUILDER ........................ .......... ..................... ........ .................................................. IR CG14,tRACT-OR!S`,NWA1E.h, ADDRESS ....... Lvfinwood:86wer ons, ............................................ M ...... ................................................................ ............................. ... . ................. Mair ch - 2� ............. : ...... 1 19..77 pa1r.,.ind/or,.co*_nnection.'of, a side -sewer to�4heJ4YO*taTy sew .............................. . _.for re ofEArrionds ordinances. r ATT-ENTION-IS.CALLED,TO*THE.:FOLLOWING: NO= No. V—The -ownir; -�i., the pgep�.rty�-mity obtain, a permit to construct sewer Inilde.pro'perty line., A licensed,,Side Sewer; Contractor. must,be employed �to,. construct side iewer,in street PP. not cover any portion of' seVer before it has been. inspected.. NOTE No,,2—All work,- performed, in:*city. right-of-way requires an -Invagion.of Right-ofLW&Y.'Permlt obCaJnable frordthe City Ehg1neer's,offIce.. NOTE.No. 3—,Obtain- fu I Il'An-foirnation'regai diiig' 0' - . I . . , . . I . i '1�1 � �, I rdinance 11.16.030 and' Regulations governing -,side'lsewers, when you� get perm t.,. NOTE'.No. 4��Top of �Ide,sewei- must have at least 30 inches coverage'at property ]in ;an '12 -, - 7 �. e d lnches'lrislde;,�property line; m nir�num, gradi� of 2 Noj�bbnft in,grade sharper, than I& I wIMbe*p,ermItted,. NOTE No. ,15-�Trei�chbs;,i�'aire�t.miist �b6: W:ater,settled and surface, of. street. resiored . to: originsid, 6onditi,on. Contractors shall ibe.,responsiblik. for'- fallureY.,du Ao improper w6rk N�hlch 4may deyel6p within one year, of completion.. ..NOTE No., altei-'or :d6,,�any, other, work lhan Is provided for in ihepermit, or" to, do; any work,on the madre isewer or2its.,appm'���te"pangew,",e?�,cgpt to, in,- sert.the,,pIpe'into' the wye.:' -T �,'T DISA.PPR VVED, E]': �Da e.... _B ....... 'By ...... .......... Date.... .............. By ................ V -------_-------- Date ........... ............ APPROVE6. i—Date... 'By..... ........... ......................... .......................... ............. ................. Remarks: . ................................................................................................... ................ ............. ............ .......... ............... ..... ....................... : ....... ........ 7 ........................... m . ........................................................................................... ......... ... . ....... ........... ............. . ................... ............... -BOT-HL-. permi ;­�opies U T'.BeSign6d'By Owner of Firm Performin�-.',C6nsfruction PRIOR To Request For,.Inspection . ....... ..................... hereby certify'thdf: the side,sewer installation constructe d un dm�t�is,,permit` xd%vner��6f. 6ohtiuctlng iFhm Performing Construction) wus installed ordinances. 6f-the City 0i' oncis. , p Date 2 Ida ..... 19! ........ Al. thl� -I ............. ........... s. Y ORK yoiu-dig for: 'Water E] -Ga&;E],, 'T e Po' I wer' Sower- Other- The City of Edmonds EASEMENT NO . ............. LID NO �4iT. NO . .................. 0- ONVNER------------------------- ------------------------------------------------------ CONTRACTOR 15 . ................ ....... ......... I ---------------- PERMIT NO�6L�,- JOB ADDRESS — ------------- ---------------------------------------------------- LEGAL DESCRIPTION: LOT NO - ---------- .......................... BLOCK NO . ........................... APPLICATION for SIDE SEWER PERMIT NEW CONSTRUCTION E] REPAIRS ----------------------------------------- --------------------------------- ................... ............ ----------------------------------------------------- NAME OF ADDITION J4A -------------------------------------------------------- R-ECE-1-VED 2 9 1977 t-5',3 Approved: DATE............................................ By ---------------------------------------------- )ept .nc. jg9-, Address of City of Edmonds SIDE SEWER..PERMIT,. nctntr-t;r%n- 1fe0]?4)A- �<,1/2 _,D� 4� /z7 Property Tax Account Parcel No. Aftach copies of all a, Owner and/or Contra, Contractor License #: PERMIT.NO: 9,908 PERMIT EXPIRES J2- ;e Vz__ Single amily Invasion into City *Right -of Way: 0 Yes DR:No 00, Multi -Family (No. of Units, *RW Construction Permit # E] Commercial (No. of Units Cross other "Private Property: El Yes ;<No Publico--\ "Attach legal description and copy of recorded easement. ,==!-f=-----Qwner/Contra,ctor Q /Wx OwneYor c�on ractor signatu n edgement statement: Da e By sig,,Lningf :m:itl c7erti:fy that I ha read the City's public handout entitled ide Srwer'Specifications, and sh ply. with all City requirements outlined therein.' 2 CALL DIAL -A -DIG (1-8004±415555) BEFOREANY EXCAVATION 2 9 FOR INSPECTION CALL 425-771-0220 exterision 24 HOUR NOTICE REOUIRED FOR ALL NSPECTION REQUESTS . ... .... ... FOR OFFICE USE ONLY . ........... . ..... .... . .... Permit Fee $ Repair Fee $ Issued By: Date Issued: Assessment Fee Receipt No: e4 4 065Z City Permit Surcharge Fee A5.00 Total Fees Paid $ -------- i95: NOTE: IF JOB SITE IS NOT READY, FOR -INSPECTION WHEN INSPECTORARRIVES A'$45 RE -INSPECTION FEE WILLBE, CHARGED. Job Site Ready YES NO. —Date: Initial: Partial Inspection: Date: Initial: Partial Inspection: Date: Initial: FINAL INSPECTION APPROVED: Date: Initial:-4A H8 As-builtto Street File: E] 1,� PERMIT MUST BE POSTED. ON JOB SITE t-- White Copy: File Green Copy:, Inspector Buff Copy: Applicant L;temp;bldg;forms;sspennitjlg4/00 7 n' ww -40W '-'City,�'of Edmonds RIGHT-OF-wAy CONSTRUCTION PERMIT Permit Number. CCAelCe�1jej) -2 C, Issue Date:--5—.?- A. Address or Vicinity of Construction: 18906 86th el W Q) B. Type of Work (be specific): place telephone service drop from TM 8530 9 0 9() to 18906 86th P1 W. 60 ft. r.o.w. Mary Bower, Permit Coord. C. Contractor: GTE Northwest Incorporate Contact: Bill JIra 823-6683 or 669-5716 Mailing Address: 22118 20th Av SE, Suite 130 Phone: Mary 488-1628 State License #: Bothell, WA 98021 Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. n Commercial 0 Subdivision El City Project [@ Utility (PUD, GTE, WNG, CABLE, WATER) F1 Multi -Family E] Single Family E) Other 2100-9POOIDB 242310 INSPECTOR: INSPECTOR: F. Pavement or ConcreteVut a Yes ONo G. Size of CU Chargq�_$ APPLICANT TO READ AND S.. INDEMNITY. Applicant understands and by his signature to this application, agrees to ho t ty ofEdmonds harmia.-Waiii, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made agains the City of Edmonds, or any of its epartments or employees, including or not limited to the defense of any legalproceedings including defense costs,'a4d 'attorney fees by reason of&�in#�thispermit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL 8S 'VV fl qv INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATEDRFSTORATIONFE -i - BEHELDI1NT1LTqE-F' ALST.REETPATC-H I IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PRbCESAD FOR ISSUANCE TO THE APA&ANT. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material 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 Ci ' ty Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the worlang day; NO EXCEPTIONS. Ihave readthe abovestatemfnts and-mndvtrstand the permit requiremen ts and thepinkeopyof thepermit willbe available on site at all timo� �or 8&*Iprt�� 02/17/95 Signature: Date: (Con tractolao"r ;rgeewnr� JOHN H. STEWART, OPRNS SUPV-OPS ENGRG CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: 4L) TIME AUTHORIZED: VOID AvrER APRIL i — DAYS SPECIAL CONDITIONS: 42 "-C A.C. P c--r oA DWA Y C:>V E IL -rf ff-, COMMENTS: DATE: RIGHT OF WAY DEPOSIT NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. I)iv. 1991 FIELD INSPECTION NOTES (Fund 111 Route copy to Street Dept.) Comments: I Diagram: CONTRACTOR CALLED FOR INSPECTION El YES El NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL. BY: Date: a: 'PERMIT SUBMITTED BY GTE LEGEM PEDS in POLU 0 ROAD BORES OVOWAD LNNES- LD.UTKJTY POTHOLE 1Z3 UG TRENCHNG ---WT- R.O.W. --------- ----------------------------------------------------------- EOP - - - - - - - - - - - - - - - - - - - - - - - - - - - — - -- - - - - - - - - - - - - - - - - - - - - - I IC SUBMITTED BY GTE PEDS 11 POLES 0 ROAD BORES OVERNFAD LW-S- LD.UTLITY POTHOLE M UG TRENCHNG ---WT— R.O.W. ---------------- ---------------------------------------------------- EOP 7alk. ----------------------------- ---------------- Af W 1124 W-1 C14 C� C4 0% C4 0 -PERMIT SUBMITTED BY GTE LEGEM PEDS is POLES 0 ROAD BORES OVERWAD L*JES— LD.UTILJTY POTHOLE ED UG TRENCHNG --WT— R.O.W. --------------------------------------------------------------------- EOP S:,40f 3 0 -7 CP S- I STREE7 F11XT Y 0 F E D M 0 N D S - PUBLIC WORKS DEPARTMENT - Routing of Building Permit, Plat, or Subdivision Applications Proposed Property Address: 18906 - 86th Place W. 3- 77 - DEPARTMENT COMMENTS, INITIAL & DATE W A T E R S E W*E R S T R E E T B U I L D I N G 0 R P L A N N I N G ADDITIONAL INFORMATION: -,27-77 10/11/76 PERMIT USE 'RECFIVPr% BUILDING DEP*RFEA-ENT Applicant Fill ZONE NUMBER. 'PERMIT APPLICATION Inside Heavy Lines JOB JA" f ADDRESS 9. TO 9�_ & I PY'a &t NAME (OR NAME OF BUSINESS, VARIANCE 0 . R COND� USE NO. ADB NO. PAPr 1HEIGHT W MAILING ADDRESS PROPOSED YARDS LOT COVERAGE z 0 FRONT, SIDE REA,R I I CITY TELEPHONE NUMBER -7 —T—ONMENTAL SIGN AREA ALLOWED PROPOSED NVIR REVIEW D COMPLETE EXEMPT NAME REMARKS ADDRESS PLANNING DEPT. APPROVAL DATE u It CITY ONE NUMBER LEGAL LOT LOT AREA IVISION No. 7r . D YES [_1 NO 71. iS NAME STREET R/W L, EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W FT.. FT. 0 U ADDRESS. 21 REMARKS < STATE LICENSE NUMBER 3 , / - 7. CITY LICENSE NUMBER CHECKED 9 Legal Description of Property (Show Below or Attach Four Copies) STREET AND/OR UTILITY 6RK REQ1D. " DYES ONO R/W PERMIT REQUIRED 11 YES, ONO UNDERGROUND er z It WIRING REQ'D. 0 YES nNO TYPE CONNECTION YES.IVER SANITARY SEWER No I . FIED BY u 1A W SEPTIC SYSTEM YES APPVD BY CITY ENG. El N 0 :PERMIT NUMBER REMARKS. W METER SIZE ISERVICE SIZE ICLEARANCE =D BY REMARKS F71�mE'W GAS RESIDENTIAL LINE 10* FIRE ZONE TYPE OF C NSTRUCTION E NON-RESIDENT'IAL SIGN DEMOLISH E] RETAINING WALL EALTER EXCAVATE FENCE l OR FILL X—FT) 1 SPECIAL INSPECTOR REQUIRED El. YES NO -7 JAREA. - OCCUPANCY GROUP I OCCUPANT LOAD PLAN CHECKED BY THIS SITE IS - LOCATED IN THE CITY PRE -MOVE' S WIM r -1 . REPAIR INSP. POOL OF EDMONDS. LOCAL SALES TAX . SHOULD BE CODED 31,04, R EMARKS* I . NUMBER OF STORIES NUMBER 0 F DWELLING UNITS NATURE OF WORK TCJJ�;JbONE PRU—POSED USE z 0 PLOT PLAN (INDICATE BU, ILDING SETBACKS. - ABUTTING STREETS) a: U W. m 0 VALUATION PLAN CHECK N 0.. BUILDING PLUMBING HEAT GAS LINE FENCE SIGN RETAINING WALL ]SWIMMING POOL FEE 41 -