19713 88TH AVE W.PDF111111111111
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19713 88TH AVE W
STREET FILE
M E M 0 R A N D U M
July 21, 1989
TO: Devon Drake, Finance Department
FROM: Roy Whitcutt, Engineering Division
SUBJECT: REIMBURSEMENT TO CHRISTINE C. RODMAN
19713 - 88TH AVE. W., EDMONDS
A right-of-way construction permit, No. 89 257, was mistakenly billed
to the resident above (receipt No. 10486). Please send a reimbursement
to Ms. Rodman at the above address.
Thank you.
RW/sdt*W
RODMAN/TXTST530
K T74 ;7--X.
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U
011 YOF EDMONDS
COMMUNITY SERVIC9S DEPARTMENCTV1 FILE
RIGHT-OF-WAY CO�S'TRUCTION*PERNM ,
A. 9 Owner
I-IAIAYS 77 kJ
N ffli 3 ff 4ye
W'I'ng Addr s
016a 2 ai
City State Zip
C. * Address or Vicinity of Coin
Type of Work to be Done:
D. 0 Work in Connection With
E. 0 Pavement Cut: El Y El N
A] B. *Contractor:
-PermitNo.
Issue Date
9�
Npb. �9X I �01
m m 11' Address
WA 9'r0-34
Cit� State Zip
-7 71� - '!�-/2_�
State License Number Telephone Number
r-1,S b PI Cty
,,�r,/ 11' a, 0
0 Commercial 0
F. 0' Size of Cut:
Family El City Projects
Ami ly D Utility
APPLICANT TO READ AND SIGN N
INDEMNITY: Applicant understands and by.his signature to this., application, agree.s to hold. the City of Edmonds
harmless from any injuries, damages, or claims of any kind or description whatsoever, forseen or unforseen, that may
be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense
of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE
YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK.
Estimated restoration fees will be held gntil the Lfinal street patch is completed by City forces, at which time a debit or credit will be
processed for issuance to the applicant.
• A 24 hour notice is required for inspection; Please call Engineering: 7711-3202
• Work is to be inspected during progress and at completion,'
• Restoration to be in accordance with. City Code.
• Street to be kept clean at all times.
* Traffic Control to be in accordance with City�reiulations.
• All street -cut ditches must be patched witka'sp'halt or City approved rial,�rior to end of working day;
mate'
NO EXCEPTIONS.
I understand the above and that this permit must be available at the job site for inspection purposes at all times.
Signature: Date:
Owner or Contractor
This Permit Must be Posted at the Job Site For Inspection Purposes
1 .1 Call DIAL -A -DIG Prior to Beginning Work
APPROVED BY:( _'� n. PERMIT FEE:
Time Authorized: Void after e=C�� days. Restoration Fee:
Special Conditions: 941�,C_ i:�WWKC:10A) of Receipt No.:
�30ft er,�D rW,4!4 _M V29:( , E PlZ(J t 6301 9nd I I I Fee:
t,�b� 'Tb Street Cut Dimensions:
RELEASED BY. Date INSPECTED BY
Date
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. March 1989
FIELD INSPECTION NOTES (Fund I I I Route, copy to Street Dept),
Comments:
0
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES El NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July 1985