19811 77TH PL W.PDF111111111111
6544
19811 77TH PL W
NOTICE:
No warranty of accuracy.
The information shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of Edmonds does not warrant the
accuracy of anything set forth on these
map(s). Any person or entity requesting a
copy should conduct an independent
inquiry regarding the information shown on
the map(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
employees or officers sha-l-I be Hab-le for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
CITY OF EDMONDS
CIVIC CENTER — WATER -SEWER DEPARTMENT Call PRospect 6-1107 when work
is ready for inspection. (No Inspec-
SIDESEWER PERMIT tions Saturday, Sunday or holidays.) N? 2188
19811 - 77th Place Wdst
ADDRESS------------ - - ---------------------------------- .............................................................................................................................................
OWNER ....... B�49h._119PP.@Ri --- jRt ............................................ CONTRACTOR ....... q�ym.i View Pl in
.P ... 5� ..................... 14m� ...... 9 ................
Permission is granted --- May --- 5 ................. ............ 196.7._., for ........................ days to REPAIR or CONNECT a side sewer
with City Sew&s. 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 nut cover any portion of sewer before It has been inspected.
NOTE No. 2—Obtaln 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.
TE 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.
L__
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT
STREET FILENEW CONSTRUCTION REPAIRS E]
OWNER ............ .......... M.�IAZ� ......... ........
..........
ADDRESS ..... ...... . ..... i,7
.............................................................
A P P R
MAY-5
LYNN pLApIT
EASEMENT No . ..........................................
(,;� �,-? k 160 lcff
CONTRACTOR ...
......................... ................ 1-1 ........................... PERMIT No.
/ /Z
LEGAL DESCRIPTION: LOT No . ........ /. 'I— . BLOCK No . .......................................
------------ *
— I /Ir 9-
NAME OF ADDITION ........ .............................................. I ........ � %
........................................ .......................
7 7
Approved:
DATE ...... ........ By ....................................................................
..... .. ...... . ..... .....
. z10 -, 411'�
City of Edmonds
RIGHT-OF-WAY CONSTRUCTION
PERMIT ICN
STREET FILE C�� , Permit Number.-2. Y 3
C Issue Date:
x- '
A. Address or Vicinity of Construction: 19212, 19�08, B807 and 19811 77 Plate
R r W-41 T .1 1 West
lik-- kt—,specilic): nSt-all 1 1/4 PE Ir Main 14-3 North center.Lit
'y go - 199 199 Street Southwest to 298' North centerline 77 Place West.
Per Attached Drawi gL 920--59 Q /Tn KAAI-I% f
C. Contractor: Washington Natural Gas Company Contact: Frank Swan
MailingAddress: 815 Mercer Street,
State License #: Seattle, WA 98111
D. Building Permit # (if applicable):
Phone: 224-2278
Liability Insurance: Bond:$
Side Sewer Permit # (if applicable):
E. -(D Commercial 0 Subdivision El City Project [E Utility (PUD, GTE, WNG, CABLE, WATER)
C1 Multi -Family [3 Single Family El Other
INSPECTOR: iNSPECTOR: FW
Favrnwnt or Concrete Cut LB Yes UNO k 4) G. Size of Cut: 2 x 4 H. Charge$
@ Drives
APPLICANT TO READ A ND SIGN
INDEMNITY7 APPlicant understands and by his signature to this application, agrees1to hold the City of Edmonds harmles1from injuries, damages, or
I
claims ofany kind or description whatsoever, foreseen or unforeen, that may be made against the Cyry of Edmonds, or any of its departments or emplo),
ees, including or not limited to the defense of any legal proceedings including defense costs, and anorneyfees by reason of granting thii pj�)F
7)VE CONM CTOR IS RESPONSIBLE FOR WORKMANSHIP AND MA 7WALS FOR A PERIOD OF ONE YEAR FOLLO wING THE17NAL INSPECHON
AND ACCEPTANCE OF THE WORX ES77MA 7ED RESTORA 71ON FEES W11 L BE HELD UN77L THE FINAL SnZEET PA TCH IS COMPLETED By
C77YFORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISAFANCE 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 dean 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 permit requirements and the pink copy I of the permit will be available
on site at all timesfor inspection purposes.
Signature: _— 'A 1. - '. i- Date: May 12, 1992
01�ni-rac tor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGTNNTNC� WnRlz
FOR CITY USE ONLY
APPR OVED BY:
TE : ME' AUTHORIZED: VOID AFTER DAYS
SPECIAL CONDITIONS: VJ1QDc4 4" C- I H:,
COMMENTS:
DATE:
RIGHT OF WAY.. DEPOSIT:
DISRUPTION FEE/FUND I 11:
RESTORATION FEE:
PERmrr FEE:
TOTAL FEE: z
RECEIPT NO:
ISSUED BY:
-4
WORK SHALL BEG
ANCF.
Enere. Div. 1991
1446.N
I- 14'W
NOTS5
Fl r-_ I LOC.&-rF- Al I UTIUTIE!5
G&I L- I-eK)0-4-a4-5F-55�
48 HOU R5 5f-= FO R S DtGf='tKr=
2. L,&Y DE7rej=rWARNING WIREOVER
.&.LA- PS, DIRS=r 15URiba-- PIPa.
IN5TALI- ONF- POUND At-400a FOR
EV e-PY 1000' OF LJC)CA-rl Hr= \N I R E5 -
4. 5URVF-Y NOT RE-QUIRSD
H&jt-4T,&kN 4�, MINIMUM 15r H0RIZCt-4T,&I-
AND 3'VeRTIC.6-L- CLe.&RANCE,
F=ROM &" Cl-ry UTIL-ITIF--S
OPr--=t-4 C.,U75 AF;,IF- e)HOWN --Ejj—
Ca, Y, 4., -rypic.&t
�C,B 92-0-590
')PAWING