19317 83RD PL W.PDF111111111111
7772
19317 83RD PL W
_1/
City of Edmonds
RIGHT-OF-WAY CONSTRUCTION
STREET FIL ERMIT Permit Number: gc;Z-3q(,
IssueDate:
A Address or Vicinitv of Construction: 19317 83 Place West
B Tvne of Work (be MeCifiC): Install New Servlce
9 0 - 1 9
C. Contractor: -Washington Natu'ral Gas Compan Contact: Frank Swan
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. Commercial
El Subdivision
El City Project
Nk Utility (PUD, G-. TE, WNG, CABLE, WATER)
Multi -Family
E] Single Family
F-I Other
INSPECTOR:
INSPECTOR:
F. Pavement or Concrete Cut : - [E Yes - E]No (1) G. Size of Cut: —2 x 5 H. Charge$
APPLICANT TO READ A IGN
INDEMNITY. Applicant understands and by his signature to this application, agre . old the City of Edmonds hnaifess o injuries,, damages, or
claims of any ikind or description whatsoever, foreseen or unforeen, that maybe m e 'I t the City of Edino) Uizpjanments or employ-
ees includine or not limited to the defense any legal proceedings including defense cos , and attorneyfees by reason of granting this permit.
THE CON7RA CTOR IS RESPONSI BLE FOR WORKMANSHIP A AD MA TERIALS �OR,� PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC77ON
AND ACCEPTANCE OF THE WORK ES77MAYED RESTORA77ON FEES WILL BE-RELD-UNRL THE FINAL S7REET PA7:Cff IS, C.OMPLE7ED BY
CITY FORCES, AT WHICH 77ME 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 statement unders�an4 the permit requirements and the pink copy of the permit will be available
��'�t
on site at all timesfor inVf�c oil purpo
�om &/V�
71t,
Signature: Date: October 27, 1992
(Contractor or Agent)
1§
CALL DIAL -A -DIG PRIOR TO BEGNNING WORK
FORCITY USE ONLY ..... .... ....... ......... .. ........
...........
.............
............
WAY DEPOSrr:
.A.P.PRIONEDBY:... .-RIGHT OF
. ...........
..... . ........
::,:DATE::::-::::::.: ISSUED BY:
..... ... .... ................
Engrg. Div. 1991
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
In=
SAA
vwoShkx tW
. _ J_ _
Nab,* GeAl
AVAd*qnn&wWCbffV"
Addendum to City of Edmonds
Right of Way
Permit Application
Submitted by: RIC.�kA,9ZO lil" kg.D
Engineering Aide
Washington Natural Gas
622-6767 x2761
pager )(-g - 1(05G
'BS FU %-Z
51
WNG to window
Water main depth
unknown
IA 11 gas main
SeA
C
-w-
water
-g-
gas
-ss-
sewer
-E)-
water hydrant
0
water valve
815 Mercer St. (P 0.%Aox 1869). Seattle I WA 98111 (206) 622-6767
NOTICE:
No warranty- OT d-U(�Ull.dUY--
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 �Edm.qnds does not. warrant the
accuracy of anything set forth on these
rnap(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the inform-ation shown on
I
t-Fe -rn a p (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
e m p-'I- o-y e e-s o -r o ff ic e,r s -s h. a I. I b e 11 a. b.-lI-.e f o r t h e
information given on this map(s), nor for
ation provided based
any one represent
upon I said ma+p(s).
.. 'REET FILE
The City of EdmonD I
's 16 — &9 ;n?00
OWNER
ADDRESS
40
APPLICATION
for
SIDE SEWER PERMIT
NEW CONSTRUCTION [:] REPAIRS C]
- --- ------------------------
le�l
......... ().� ..................... 0.0 ........
13 6P3
LYNN PLANr /
EASEMENT No . ............................ .....
CONTRACTOR ........ ool ....................... PERMIT No.
LEGAL DESCRIPTION: LOT No . ........... ------------------ BLOCK No . ............. .......
NAME OF ADDITION ....
... . . .................... . .............................
r-
s X, nZ OVED
VA "I
APR 90 liffil
DATEf --------------------------- ....... BY .... ..........................
CITY, OF ErAONDS
-�F —,,— . Call PROSPect 6-1107 when work
CIVIC CENTER- WATER -SEWER DEPARTMENT
Is ready for inspection. (No inspec-
tions Saturday, Sunday or holidays.) N -0 2 0 65
SIDE -SEWER, PERMIT
ADDRESS ........................ 19317 - 83rd Place �'est
............. ----------- __
OWNER ......................... D . o . r is A. Bosworth MCW
.. .. .. ............................................................ CONTRACTOR
April 21, 67
Permission is granted ............................................. 19 ......... 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. I —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 permit.
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 % will be permitted.
NOTE No. 4—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. 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.