19912 MAPLEWOOD DR.PDF11111111111111
12207
19912 MAPLEWOOD
DR
CITY OF EDMONDS it No.
Date
T 'rm
PUBLIC WORKS DEPARTMENT ST RLE-e
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. *Address or vicinity of Construct'
199��i i M.pl.Wooion
d Dr Plat #
0 Owner: TlNr, 161---68fOO7
Name
805 1.96 A17 NRE
Mailing Address
BBellevue, Washington 980 7
City, State, Zip Code
Contractor: Abgxr,=,
Name'
0 Permit Issued To:
0 T pe of Work to . be Done:
�ervice
instaii new
0 Work in Connection With:
El Sub or Plat U
Single Family
El Comml. / Ind. El
Apt. Condo.
0 Pavement Cut: 0
Yes 0 No
Mailing Address State License Number
z
< City, State, Zip Code Telephone Number
U
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.
0
U
W Upon issuance of this permit, the contractor is responsible for workmanship and materials for' a period of one year
ca following the final inspection and acceptance of the restoration by the Engineering Division.
0
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. h,
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 it must be avail at tIJ-q job site for inspection purposes at all times.
I ty
S i g n a t u`re�: Date 8/2/89
64�1
-.�Q�yR�e r � �A�9,ep t.
THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By:
Time Authori7ed: Vold after . do days
Special Conditions:
Ammendments:
U
Permit Fee:
Security Deposit:
Receipt No.:
Fund 111 Fee:
Street Cut Dimensions
— X
zNb1'W'ORK TO BEGIN PRIOR TO PER ?M[TJSSIJ-ANCE
�ng. Div. December 1978
FIELD INSPECTION POES
(Fund 111 Ake cony to Street Dept.
Comments:
I
Diagram:
Contractor called for inspection Yes &
Work Disapproved By: Date: Bv: Date:
Work Avoroved By: Date:
Inspector:
Enq. Div. December 1978
The City of Edmonds
APPLICATION
for
SME SEWER PERMIT
NEW CONSTRUCTION g/ REPAIRS C]
EASEMENT No . ..........................................
-,L"A tis-CAJ A V --1 /
------- CONTRACTOR C,65CAIX. ......... 15 .15 .......................
OWNER ....... ...... ---- 7 .. 7 ------------------------------------------------------------ PERMIT No.� ...... S ... ......
ADDRESS ..... ........ ........... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ................... \,—�
...................
NAMEOF ADDITION ..........................................................................................................................................
(2—
OVED
JUL 2 4 1969
Sipe sawl-q-
Approved:
0,
DATE ... ?.—.A ......... B�y: .... 10
.................
CITY OF EDMONDS
CIVIC CENTEk:.WATER-SkW,ER DEPARTr4ENT
SIDE SEWER -PERMIT
Can PAospect 6-1107 when work
Is ready for Inspection. �No Inspec.
Hone 8atu'rd%j,__Sundav or hol
33
AbDRESS................. 19.1.1.2 ... M.a.p.lewoo.d --- Dr.ive ....................................................................................... I ........................ ....
..... .. . .. .. .. .. ............ .. ..... ....... . .............
R. Hansen �ascade Sewers
OWNER .............................................................................................. CONTRACTOR .............. ...............................................................
Permission is granted ......... ...... Xgly ... 7��# ........ 19 ..... !�? for ........................ days to REPAIR or CONNECT a side sewer
with -City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE 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—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%.
-grade sharper than % will be permitted.
No bends in
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. S—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.
PACIFIC WATrR WORKS SUPIPLY CO., INC.
2900 First Ave. So. 6440 S. W. Macadam Ave.
Seattle 4, Wasli. Portland 1, Oregon
MA. 4-6933 CH. 4-7529
,Ccj vT--q ? �7 A($ / M ' 0
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Asbestos Cement — Cast Iron — Stool — Plastic
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