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City of Edmonds
RMMMS19OF-WAY CONSTRUMEET FILE
PE
JAN 91992 OPMIT. Permit Number: 17d_007
ENOINEERING ev6 � -r,4 K11 , -z Issue Date:
A. Address or Vicinity of Construction: - 19325 83 Place West
B. Type of Work (be specific): Install 2" and I 1/4"*'PE IP Main in Sierra
Drive and 83 Place West. Per Attached Drawigg?
Q2Q-140
C. Contractor: Washington Natural Gas Company Contact: Gary Swanson
Mail.ing Address: 815 - Mercer Street, Phone: 224-2080
State License #: SeattTe—WA 98111 Liability Insurance: _ Bond: $
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. Commercial El Subdivision F1 City Project . X] Utility (PUD, GTE, WNG, CABLE, WATER)
0 Multi -Family n Single Family n Other
INSPECTOR: INSPECTOR: MW
F. Pavement or Concrete Cut 0 Yes E1No(10)C3. SizeofCut: 2—x 4 H. Charge$
9 @ Drives Gas 1 @ To Cross
APPLICANT TO READ A ND SIGN
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City of Edmonds hamilessftoin injuries, damages, or A
claims of any jUnd or description whatsoever, foreseen or unforeen, that,may'-be made againk"hi_&iry o(Edinonds, or any of its departments or employ-
ees, including or not limited to the defense of any legal proceedings includi d? e�se costs,' and attorn r es by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AAD OR A49RI015F i= FOLLOWING THE FINAL INSPEC77ON
AND ACCEPTANCE OF THE WORK. ES77MA7FD RESTORA77ONFEES WILL BE HELD UN77L THEFINAL S7REETPATCH IS COMPLETEDBY
C[7YFORCES, AT WHICH 77MEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE�4PPLICANT
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 statements and understand the pern'ilt requi . rements and the pink copy of the permit will be' available
on site at all timesfior ins ection purposes.
Signature: Date: December 31, 1991
(ContractT or,�Agen
CALL DIAIA-DIG PRIOR TO BEGINNING WORK
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FOR CITY USE ONLY
APPROVED:Z
............. ....... ...... ......... R.I.C.11T P.F.WAY. DEP..0.4r1r:1:, . ..... ............. .1 ......
.. .... .... - -
..TIME:AUTHORIZEDI.,:,VOID:.AFTER.�.��:.�: 14 DAYS DISRUPrION TEE/FUND I 11; ..........
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......... .......
-.00fv1MENTS::: ....... ........
4
..............
....................
........ .... :DATE: :.�:::-.:-:ISSUED:8Y-
I ..............
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0
Engrg. Div. 1991
FIELD INSPECTION NOTES (FuAO III - Route copy to Street Deptj
Comments:
I Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
�' . I I . \. .-. . 14 . . % . I � '�'
Partial Work Inspection by P. W.:
Work Disapproved, By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July
3:
0
NOTE5
1. FIFLD UOCATS ALL- UTIUITI&'S
CAL-L, 1- 600 - 42-4- - 5r,-,b5
48 HOUR5 BEFORE, ID(GGIN&-
2. LAY DE�TF-CT WARNII-IC-5 WIRE, OVER
,6,UL, PE� DIREAC;T BURIAL, PIPE-
3. INSTALL- 0HE, POUND AHODF� FOR
E,VE,RY 1000' OF I.-OCATINe WIRF,-
4. 5URVFY NOT REaUIRF-E).
5. OPat-4. CUTS APF7-, 5HOVV-4 AS -9:-
('a'X 4' HO L-,E, TYR I CAL.)
MAII-ITAIN A �-:!; HORIZON-rAL. AI-40
: 'VE
3 RTICAL, CL-E,4,.RAHCE, FROM
AUL-01TY UTILITIF,5.
IR 5UBDlVI5(0H4t20y4"t-`I4,It--I)
1 Y4!, PC, 0,6,P 5a (0750
12- 410 # 14 eA U C3 E� 0 F,�T ECT WAR H C-;' W I R e- BE5 T40
11 410'1 IY4-" SDR- I I PIE:-,7 PI PE, 70 1170
IR SUB DIVIS I ON I (�:'MAJW
a" P E, CA P
y, 11/4', FE, R GDUCE�R
T
2- 2" PF, E�E,
070
a 4 ALIGE, DETECT WARNI"G i!�4b
1 4(0' PFIPIP&
F-DI-10"D5 5F, 15-Z7-4
241
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Y4" 5 DR- I I PE, I P MAI H E.,XT.
TO:
i �025 85 PU W
Alf. Ic - V
092-0- 140
-140
�)t- 0
NOTICE:
N:&-warranty 0-F
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
map(§-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
-m a p (s)
including, but not Hm'ted to,
th-e loc'ation 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
ern p`fo-yee-s o-r off ice,rs -sh-a-1.1 be lla-b-11--e for the
information given on this map(s), nor for
any one representation provided based
upon . said map(s).
1-1
The
-4-
City of Edmonds
3 A) - 0 1 ��V
APPLICATION
S-IFtE5 FIVE for
SIDE SEWER PERMIT
NEW CONSTRUCTION E] REPAIRS
LYMN PLAW
EASEMENT No . .....
......................
101< / 4> / _--�
OWNER ------- 40-r.� 0
... 44.zte.-40
.0 ...... ..... u: . ..... CONTRACTOR .......... . V .. /IP/..
. ..........
....................................... PERMIT No . ... .. !:-0-
. ... BLOCK No . .................... .....................
ADDRESS .... Z. ...... . ......... & ... .... LEGAL DESCRIPTION: LOT No . .............................................
of
NAME OF ADDITION .................... ........ .................................... ..C:
,;7
PyOkOVED . ..........
'PI
Approved:
DATE 11.74Y ........ e..1 ............... By
/'Y ..................
--C
-I.T-,Y,OF EDMONDS
Call PRospect 6-1107 when work
CIVIC CENTER — WATER -SEWER DEPARTMENT Is ready for Inspection. (No Inspec- 0
tions Saturday, Sunday or holidays.) N, 2064
SIDE SEWER- PERMIT
ADDRESS-1.93.25 .... ........ 8.3.r-d ... P.1.a.c. e...."'4.e. s. t .................................................................................................................... .............
.. ..... .... .. .. .. ..
Laura L. Marcit MCW
OWNER.............................................................................................. CONTRACTOR ..........................................................................
Permission is granted April 21 . .................. 19 6.7 .... for ........................ days to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application an 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.