19329 86TH AVE W.PDFIIIIIIIIIIII
8120
19329 86TH AVE W
NOTICE:
No ... W a . r-ranty--of ra
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 anythin,g set for.th on t . hese
map(�_). Any person or entity -requesting a
copy should conduct an independent
0 -ation shown- on
inquiry regarding the inf rm
Fij� m a p (s), Including, but not limited to,
th . e lociation of any sewer stub shown. Such
exist and may
sewer stubs may or may
or may not exist at the location shown.
Neither the r"ity of Edmoinds nor its
ernp-to-yee-s o-r office-rs -sh-a-1-1 be 1.1a-b-Ife for the
information given' on this map(s), nor for
tation provided based
any one represen
upon said map(s).
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT ��.G 6?0S9
Call 7.76-1107 for side ewer inspections BEFORE covering any portion of the construction.)
Inspection will be providsed within 24 hours after request. NO Sat., Sun., or holiday inspections.
19329 — 36th Avenue West
ADDRESSLOCATION OF CONSTRUCTION .............. ......................................................................................... ..... . ..............................................
tn 1c)o, nf ;'i.j 34 of SW 1/4 �-ec. :U;,
PROPERTY LEGAL DESCRIPTION ...... �1.0)1 ..................................... j..& ... af ... tq�� --- 1.14 .... of ... SE .... 5 .................................... !!w -----------------------
.11, 27 .,- R�in�,a 4E ��H 4;xcent viest 201 thereof.
....................... ................. . ....... ................................ .............................................................................................................................................................
....................................................... OWNER AND/OR BUILDER......-RAIDMEY --- HAIMLEY ................................ . ........................................................
CONTRACTOR'S NAME & ADDRESS ....... S ttje� 11CLS .
... 2102 --- N.0.rt.n .... 19.4.th . ....... e,� ...... I ................. h ..............
Permission is granted ....... Dlbrus�,X'NT --- 1.� ........ . ............ 197R.... for repair and/or connection of a side sewer to the city sanitary sewer
system in accordance with City of Edmonds ordinances.
ATTENTION IS CALLEDTO THE FOLLOWING:
!E 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 Inva-gion of Right -of -Way Permit obtain -able 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 30 inches coverage at property line and 12 inches inside property I ine; 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. Contraetors shall be responsible for failure due to improper
work which may develop within one year of completion.
NOTEI 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.
DISAPPROVED[:] Date ... . .................................... By ................ Dat,:4_ ........... By .... .... ..... ate ............... . ................... . By -------_-_--
APPROVEDDate .... F;L6 147-z . ............... By___ -----------------------------------------------------------
X
Remarks: ....................................................................................................................................................... ...............................................................
..................................................................... . ....................... .................................................................................................... . .......................................................
BOTH Permit Copies MUST Be_Sig�,ed-By Owner of Firm Performing Construction PRIOR To Request For Inspection
...... ... I hereby certify that the side sewer installation con structed under this permit
(Owner of Contractii tion)
was installed in accordance with all governing ordinances of the City of Edmonds.
Dated this ........ --------- day of .............. I.A.:7c'.. 4 ................................. JL974.
Check BEFORE you dig for: Water [], Gas E], Telephone E], Power El, Sewer 0, Other
APPLICATION
The City of Ed for
SIDE REVVER MUM
r
NEW CONSTRUCTIONKr REPAIRS
OWNER -------- Xg�z,�y -------------- ------------------------------------
ADDRESS..... ......... .......................
vc
CONTRACTOR ----------- -7770'7;-.c--"�,� ...... ...... PERNaT fo.
LEGAL DESCRIPTION: LOT No . ................. ............................ BLOCK No . .................
NAME OF ADDITION ............................................. ......
. . ....................................... f ............................. Z- ..........
0
f C'JIY C'pr &fk,
7�\
APProved:
BY �-.
.I-
6 9 0 - 199 -
.y U 111111tull a
EETTVE-OF-WAY CONSTRUCTION
PERMIT Permit Number:
Issue Date:'
A. Address or Vicinity of Construction: - 19329 86 Avenue West
B. Type of Work (be specific): Install New Service
C. Contractor: -Washington Natural Gas Company
MailingAddress: 815 Mercer Street,
State License #: Seattle, WA 98111
D. Building Permit # (if applicable):
Contact: Frank Swan
Phone: 224-2278
Liability Insurance: _
Bond!-$
Side Sewer Permit # (if applicable):
E. Commercial E] Subdivision F1 City Project EC Utility (PUD, GTE, WNG, CABLE, WATER)
Multi-Fan-ffly F1 Single Family F-1 Other
INSPECTOR: INSPECTOR:
IP 13 f �v rnr�t� r"'t rM vpc r-1 Nj.. (1) r� P
nf r,it. 2 y 5 rhnrop. It
APPLICANT TO READ ANDAN
i
INDEMNITY. Applicant understands and by his signature to this application, agrees td'Mthe City of Edmonds harnilessfLilles,la?.-ages, or
claims of any kind or description whatsoever, foreseen or unforeen, that may be made against the City of Edmonds, or any of its departments or employ-
ees, including or not limited to the defense of any legal proceedings including defense costs, and attorneyfees by reason of graqqng this permit.
THE CONTRA CTOR IS RESPONSIBLE FOR WORKMANSHIP AND MA TERIALS FORA PERIOD OF ONE YEAR FOLLOWING 771E FINAL INSPECITON
AND ACCEPTANCE OF THE WORK. ES77MA 7ED RESTORA77ON FEES WILL BE ka5_U_AWL THE FINAL S77ZEET PATCH I& COMPLE7ED BY
CITY FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work required wit4ermit application. —
A 24 hour notice is required for inspection; Please call the Engineering Department
Work is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes. 771-0220
Street shall be kept clean at all times. (' I IN , -J , �_, � I - 'I -k-
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 statemenIs and ider I d tl . t requirements and the pink copy of the permit will be available
.ea s an 4e permt
ur
Po,
on site at all timesfor inspectli utposes.,
A- / %��
Signature: Date: September 23, 1992
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGNNING WORK
TQTAL,FEE.*..
......... . ......... I . . ....
COMMENTS- e- a",10 .... RECEI.Y.U.N.O.:
.................... ........
-:_DATE: ASSUED BY::
LAD)"
SUANCE
Engrg. Div. 1991
FIELD INSPECTION NOTES
(Fund 11. Route copy to Street Dep,
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved � By:
FINAL APPROVAL BY:
Date:
Date:
Eng. Div. July 19M
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Gas"��
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to :
Submitted by:
&(0 AIV
City of Edmonds
Right of Way
Permit Application
Engineering Aide
Washington Natural Gas
622-6767 x2761
pager qC-9 - 1(.013G
�iydrant
I valve
815 Mercer St. (P.O. Box 1869), Seattle, WA 99111 (206) 622-6767