19309 89TH PL W.PDF11111111 lill
8587
19309 89TH PL W
NOTICE:
a -raffy ... 0 t - -a- '- c. C
No...w r ttached
The information shown on the a
for use by the CitY Of
map(s) was com * piled
Edmonds/ its Empl.oyees and Consultants.
Th,,.e City of *Edrn.onds does. not. warrant the
t n these
accuracy of anything set for. h o . *
Map(�). Any person or entity -requesting a
copy should conduct an -independent
inquiry regarding the info*rm'ation shown or
ffi�� -map(s), including, but not limited to,
er stub shown. Suc
e ocation of any sew
t h. I
sewer stubs may or may- not exist and may
or may not exist at the location shown.
1 either the City of Edmonds nor its
t=rnp*1,o*yee*s o*r offi-ce-rs -shall be 11a.b-l'-e for the
information given on this map(5), nor for
any one representation provided based
upon said map(S).
CITY OF EDMONDS -. SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT - "' , � 611, 1� /11
c
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.
ADDRESS LOCATION OF CONSTRUCTION ...... .... EL ....... W ....
PROPERTY LEGAL DESCRIPTION .......... L!:�t
---------------------------------------------------------------- OANWERAIWOR, BUILDER ...... W/1
1AA C-,
CONTRACTOR'S NAME & ADDRESS .........
kn_. f;;�,, . ........................................................................
!aa! ............ . $
Permission Is granted ............ . �6& &t A AA i
.. .... Z� ................ . ................. 119 for repair and/or connection of a side sewer to the city sanitary sewer
sYs-tem in a4mordance with City of Edmonds oidinances.
�ENTION IS CALLED TO THE FOLLOWING:
NOTE No. 1—The owners of the property may obtaln 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 Pight-of-Way Permit obtainable from the City Engineer's office.
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 3G inches coverage at Property line and 12 inches inside Property line; minimum grade of 2%. No bends in grade
sharper than % will be permitted.
NOTE No. 5--Trenches In street must be water settled and surface of street restored to original 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.
DIS"PROVED 0 Date ... . .... .. ......................... Py ................ Date.... -------- By ---------------- Date ...............
APPROVED 0 Date.. ;; .. ...... --- - ---- -- . ................... 'BY ----------------
40--le ......... 7
.5
............
By ... . .. . .......................................................................................
Remarks: ........ ......
. .......................... . .. . .............................. _A0107'r ............... . ...................................... . ...................................................................
.................................................................. . .. . ........................................................................................ . ................................... ............................................. I .........
BOTH PermA't copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
`4
�_06"er"5;�1coll.t;;ci . I -------------------------- ........ .... hereby certify that the side sewer installation constructed under t
rm Performing construction) his permit
1,-__,,1nstal1ed in accordance wil all governing ordinances of the City of Edmonds.
Datedthis ............................ day of ................................................................. 19 .........
V Check BEFORE you dig for: Wate, ED, dephone E], Power E], Sewer 0, Other i
CK
I
. 0
Ts. 21116
61 80
.4-0
�2Z .0
3 45
8 4.
v
3 '4 1
ZP ZIF /O�PAAI IWIA/
-/9 V1
4:-- W
Arn 01-f
A.1
s-
The City of Edmonds
OWNEP, 41J4--*-4A-
JOB ADDRESS49p,
D
APPLICATION
for
SIDE SEWER PERMIT
NEW CONSTRUCTION [3 REPAIRS E]
EASEMENT NO - ---------------------------------------
LID NO - ------------------ - ASMT. NO - ------------------
CONTRACTOR --C-0.7410.;k V
. - ---- 4-�� -------------------------- PERMIT NO.
-- ------------ LEGAL DESCRIPTION: LOT NO - ------------ �; --------------------- BLOCK NO - ------------------------------------
--------------------------- ----------------------------------------------------------------- ---------------------------- -------------- ------------------------
NAME OF ADDITION .....
.... ----------------------------------------
Approved:
DATE............................................ By --------------------------------------------------
APPLICATION
L-
for
The City of Edmonds EASEMENT NO - - ---------------- ...
e SIDE SEWER PERMIT
NEW CONSTRUCTION REP AIRS LID NO. -1-51 .... .. ASMT. NO.
OWNER- -------------------------- ------------------------------------------------------------------- CONTRACTOR --- -------------- ----------- ----- - ---- -- --------------- - -- — ------------ .- PERMIT NO. - -------------
JOB ADDRESS ----- 1-1-:_7 ------------- ----- ------ ------ ----------- ................... LEGAL DESCRIPTION: LOT NO. - .... .... (�c -------------------- BLOCK NO - ----- -------- ---- - ---------
---- ----------------------------------- ------------------------------------ ............ ------- - ----------- ............................................. .
NAME OF ADDITION - ------- L - I ...............
Approved:
DATE----- By - - -----------------
(Y 9 0 . 1 9 9 -
City of Edm'onds
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number:
STREET FILE" IssueDate:
A. Address or Vicinity of Construction: 19309 — 89TH PL.
B. Type of Work (be specific): GTE TO PLOW 290—FT WEST & NORTH ON 89 PL
TO REPLACE DEFECTIVE CABLE. PLEASE SEE ATTACHED PRINT.
C. Contractor: GTE NORTHWEST INCORPORATED Contact: BARBARA TOLLEFSON, PERMIT COORDINATOR
Mailing Address:
State License #:
22118 20TH AVE. SE SUITE Lwn.po BARB 488-1642
BOTHELL, WA 98021 Liability Insurance:
D. Building Permit # (if applicable):
Bond: $
*1
Side Sewer Permit # (if applicable):
E. T1 Commercial Sul3division 0 City Project M Utility (PUD, GTE, WNG, CABLE, WATER)
Multi -Family E] Single Family E] Other W.O.# 2100-3PO01RL-23 242310
INSPECTOR: INSPECTOR: W440"ti
F. Pavement or Concrete Cut El Yes [3No G. Size of Cut: x H. Charge$
APPLICANT TO READ A��IGN
INDEMNITY. Applicant understands and by his signature to this application, agrees [A6d the City of Edmonds harmleAft6m—inj
i, V - I _ t$�,bR damages, or
claims of any kind or description whatsoever, foreseen or unforeen, that may be made ag�ijt the Cfty,'of Edmonds, or any of its depa��nts or employ-
ees, including or not limited to the defense of any legal proceedings including defense costs, ind auoh4y fees by reason of granting th I is pen?h,
THE CON71ZA CTOR IS RESPONSIBLE FOR WORKMANSHIP AND MA TERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECITON
AND ACCEPTANCE OF THE WORK EST[MA7ED RESTORA77ON FEES WILL BE HE�D-UN77L-TUEfINAL STREET PA*1fJS dQRPLETED BY
C17Y FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of propos4work,required-with pen; nit application., 4-,�
A 24 hour notice is required for inspection; Please call the Engineering Deparhnent)�:;-VJ.7_ i",
Work is to be inspected during progress and at completion. 771-0220
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 undewand the permit requirements and the pink copy of the permit will be available
on site at all timesfor inspection purTp
Signature: 4 Date: 12-31-92
(Contractor or Agent) BOB E. K�N'IG9
CALL DIAIA-DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY:r: ��CWVA ''I ... 11 ..... 1
RIGHT, QF.WAY. . D,EPOSr,r:,::::
,..TIME AUTHORIZED:. VOID -AFTER I Y FA 't' DAYS DISRUPTION FEE/FUND I 11:
SPECI L,CONDITIONS: IN U _
. ... . ... ...... . ..... ........... ... ........ RESTORATION, FEE...
PERMrr.FEE:.-
'A
.......... ISSUED BY....
ISSUANCE
Engrg. Div. 1991
FIELD INSPECTION NOTES (Fund I 11. - Route copy to Street Delit.)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
bng. Viv. J
CABLE& COUNT
BEFORE
AFTER
W
V
D
W
V
D
P7
173 25 132+59
7G3
P7-/l CD.-776-800
P7-/3
665
Q
666
Lij
<
0
L/-\D es -
2,5 - 2 (a
Ln
(135+83)
8082)
P6
LcqZP2 -/2)
174 130+68...
25
M
P=4, .4
Lo 00.
D370
-776-800.
CD1.
I—
C\j C)
co Nj r—:
M =
+
Lf,
co .
c\j
C\j
4d
Lj�
L.Li
<
CD.851-875
AEF25-21
P5
177 129+36 pmd
B-AE25-241M CD-851-875 B
25 — 762 00
CD.776-800 00
_MATE
P2
490
L529
PI-5/8
p
STA.
194TH STO
---
C
G
Lr) (\I
T tl-
P14
03
I Lo
Lo N
<
P4
00
629 25 127+95
— 7,181
0:826-850
< c�
EML ELR
END SECTION
MAX BRIDGE TAP
AML ALR
OFFICE LOOP LIMIT E)00'
APPROVED BY DATE
USE FOR ROUTINE ONLY
PRIORITY IBO ECIS PGOI
IN SVC
DRIVER
El DOR
0 PMO/TRANS/SArETY
ID HICAP/SPAN
11 OPUS
0 PUBLIC REQUIREMENTS
11 PLANT RELIEF/CABLE CONG.
11 PLT. EXT/COMM. DEV./RCTA
IN SERVICE' DATE-9117-093
PERMITS
CONSTRUCTION
0 BLANKET
0 DIAL. A DIG
0 STATE
0 FLAGGING
COUNTY
0 BRUSHING
CITY
0 NONE
SPECIAL CIRCUITS 0
CAUTION
-
POWER �(UG
OTHER r�fl J G
0 AE
0 AE
CUTS REQUIRED
0 YES NO
TELCO '�d!JG
0 AE
JOINT POLE
JOINT TRENCH
0 PUD
11PUD
0 PSP&L
El PsP&L
.0 C,ATV,
0 CATV
.-o GTE.
.'.O-'GTE
NONE
FEES REO'S
0 60P 0 LEC
POINT OF
0 SPEC. CONST.
CONTACT
$ NONE
ENGINEER LYNN STEMERICK
PHONE No. (206) 488-1680
0 BULK
Cl ROUTINE
MATERIAL
CODE DESCRIPTION
EST
ACT
2806625 i AKF25-26
-.290
PLACING HOURS
24
SPLCING HOURS
8 Ix
EXCHANGE ____TSOUTH
COUNrY
HALLS'LAKE
COUNTY
TITLE:PMOu2l3ll
0
0
0 1
194TH AND 89TH PL.
U
4;Q
MQ 0
0
dvAff-2
;u
ArPROVED BY- r
DATE
T.27N R. 4E SEC. ISC
SHEET
N0.1 (
Al