19819 77TH PL W.PDF111111111111
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19819 77TH PL W
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CITY OF EDMONDS
IFF-mit No.
PUBLIC WORKS DEPARTMENT
E%iTRcwftET
Issu e Date
i'A
RIGHT - OF - WAY CONSTRUCTION PERMIT
FILE
A. eAddress or vicinity of Construction
19619 77 P1 . W.
0 Owner: Tgnsbiqgtan Naturnl r-as Co
Name
.. A05 156 Atr� N.F_
Mailing Address
Bellevue, WA 98007
City, - State, Zip Code
9 Permit Issued To:
• Type of Work to be Done: T.mTr-
-3
• Work in Connection With:
El Sub or Plat IX Single Family
El Comml. / Ind. 0 Apt. Condo.
.0 Pavement Cut: 0 Yes 0 No
0 Contractor: Warbingf-on Natural Gas ro-
Name
POR 1 r%A Au, W.F.
Mailing Address State License Number
_-9P1 I pmia UT A 9pn07 741—nA SO
I
city, State, Zip Code Telephone Number
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
B. APPLICANT TO READ AND SIGN
INDEMITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless
from any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made
against the City of Edmonds, or any of it's 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.
Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
following the final inspection and acceptance of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call
775-2525, extension 220.
I understand that this permit must be available at the job site for inspection purposes at all times.
Signature:
Owner or Agent
THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES
- CALL DIAL - DIG PRIOR TO BEGINNING WORK
_2
C. lssucd By:
Time Authorized: Vold after Fn —days
Special Conditions:
Ammcndments:
Permit Fee
Security Deposit:
Receipt No.:
Fund III Fee:
Street Cut Dimensions
- X —
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. Di v. Decembe r 1978
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 shall be lia-b-l-e for th-e
information given on this map(s), nor for
any one representation provided based
upon said map(s).
work
PF
ary OF EDMONDS Call .0spect 6_1101 when
ER-SEMTER DEPARTME NT is reads for inspection- (No 'ngpe'- N? 2057
civic CENTER — WAT tions, saturfty, Sunday or hollda"-)
SIDE SEWER PERMIT
19819 - 77th Place West ................................................................................... ........
............
ADDRESS------------------------- * - -------------------- .... R s..s-ell Johnson -------------------------------
Pete Matter ............................. cONTRACTOR ------- ------------------------------------
O"IER ................................................................. day, to REpAiR or CONNECT aside sewer
April 2-0,,, 67 for ------------------------
... .............. .. ..... I
permission is granted --------------------------- - file
ordance with application on and governing (Irdinanees'
with CAY Sewers in acc Side sewer contraztor must
ATTENTION IS CALLED To THE FOLLOWING: permit to construct sewer inside Property line, A licensed
Of the Pro may obtain a, Do nut cover any portion of sewer before it has been inspected'
side sewers when You get permit.
NOTE No. t nstrxzy e s
I —The owners d ewer in street are grade of 2%
be employed 0 c' -ding Ordinance 11`16.030 and Regulations governing ""mum
2—Obtain full Information reg verage at property line and 12 inches inside property line; In
NOTE NO. least 30 inches cO shall be responsible for
o 3—Top of side sewer must have at ill be permitted. condition. Contractors
woTE N, - grade harper than % rfce of street restored to Origin&'
No bends in tIon. or its appdr-
) ter settled and sU within one year Of _pIL the main sewer
TE No. 4—Trenches in street Must be,v'"'L ,, may develop or to do any work on
failure due to improper wo k whi provided for in the per1tt,
ul to alter or do any other work than is
NOTE No. 5—It is unlaWf sert the pipe into the W76-
tenances except to in
APPLICATION
7- r -Czr rum LYNN PLART
4" 't for
The City of Edmonds SIDE SEWER PERMIT
up BASEMENT No.... .......................................
NEW CONSTRUCTION REPAIRS
7 EZ-,)-rJ El Tb
AD
CONTRACTOR ... /fg. ............... PERMIT No
OWNER ---- ....................................... ".40 ................................
&) e-J-7 . ..... 5,
ADDRESS .................. ;2.;P� ......................... ...................... LEGAL DESCRIPTION: LOT No . ....... j
.................................... BLOCK No . ............................................
NAME OF ADDITION ...
..........................................................
I*
0
0
Approved:
DATE ....... BZy:::
'FIR 2u 1�bi
---------- A
7
N
October 24, 1967
Mir, Pete Matter
19819 - 77th Place Wcgt
Edmonds, Wa3hingtcn 98020
Dear Mr, Matter:
According to our recordo a sewer�Dermit No. 2057 was
issued by the City of Edmonds on�,i ril 20, 1%67". for proposed cc�,nnection
of 19819 - 77th Place West, Edinon s -to ;4_/s'�anitary sevier; and,;,'to date
our records show that your permit w s iallv inspected but never has
received the final inspection.
Concerning i dualrh 7 -up to/sewers within the City of
Edmonds; the followin he o dina ce covering this subject quoted
t
from the gencral ordinances for ity of Edmonds, Page 96 of the
Edmonds City Code:
0 �n�ffhf_ _JG�6�aph 2, as amended by Ordinance
ce, 1.40. 82S-V
9( 881, May 2. 19Gl: FUTURE CONNECTION —WHEN REQUIRED.
.,..must within sixty da�y_s _7717770"mpletlon of any future
�runk or latipral sewer upon which said homeowner may then
�b,ut or be within two hundred feet therefrom, must make
conkection-i�6 said trunk or lateral pursuant to the regula-
6able as set forth in Section 11,16.010.
ti _applf
You are therefore requested to execute side sewer permit
No. 2057.
Yours very truly,
CITY OF EDMONDS
JOHM E, MORAN
Director of Public Works
JEM:jw