20028 88TH AVE W.PDFiiiiiiii lill
8450
20028 88TH AVE W
NOTICE:
a 7n ty .. 0r -ac-1-1-l"'Y
NO war ation'shown on the attached
The -inform
map(s) was compiled for use by the CitY Of
Edmonds, its Employees and Consultants
Th..e City of 'Edmonds does not warrant the
t these
accuracy of anything set for. h on
Map(s�. An . y person or entity *requesting a
copy should conduct an independent
inquiry regarding th-e inform-ation shown on
tffie -map(s); including, but not limited to,
-er stub shown. Suc
the lotation of any sew
sewer stubs may or may- not exist. and may
or may not exist at the location shown
Neither the City of Edmonds nor its
tompl-o-yee-s o*r office.rs -shal-I be 1-Ja-lo4e for the
information give-n* on this map(s), nor for
presentation provided based
any one re
upon said map(s).
J�MIT AD -ZO41OLZ
LECAL DES.Cp�f14infl
DateO 170t
R E.ET-ML
BUILDING PERMIT RFVIEW ENGINEERING DEPARTMENT CHECK LIST�
t tion:
r c 1
V Ac
eck Accuracy of Lemil Description
. eC�h e c k Against Assessor's Man for Lonal Suhdi.vis' n %00000
'rove
Does it conform to City App d 1"ubdivisinn?
Re v i e0v r' s
Initials
1. Thi s lot included in S:ihdi it I
2. Site Inspection mado 01 v i
7:r
3. What are pround water and soi.1 conditions? Weepw SwK is- w. Too
4. )1 te ural n arie � tie ci,,eo wbow
S. ' Storm S(,wer Availabilitv:-SIPIL".Sht. Of r1wi. No. Project
M,,. ar
Roadside Ditch-
6. Grading ?, Final Contours
7.. Septic Tank S, ' /steri Pcsin
8. SanitarY �*Pwvr Pvailahi.l
. Side sewer availabilit.v:
9. Sanitary Sewer Connectio
10.
12.
13.
14
Uater Mains A Fire 11wirants (Indicate Size flain) ID.
Check Fire. Dept.'s Comments— %&jg!rb&&AJ !!It
Si.devialks: (.Site inspection shows conditions of sidpwalks as fbllo,,.,Is)—
Curbs:__NMW W--WXA_ST Curb Cuts/Driveways (Check driveways for safety, location,
grade and width):
It 7
Un,derqro . und 11irinn: 00, lo�
-_ - ___ & t eet Lights
Street Ricilit-of-way A 1".1d(l. set . backs: W. S.A 4 . .
J/Q4fficial Street Map
IS... Existing Utility Fasements? (.0
16. Access Easements: VAK a C a *7 Ar-
17. Si'te Plan checked for, accuracy?
.18. Special' Requirnmen.ts listed in r1emo.to Bldg. Dept.
19. Commercial & Apt. Renuirements forni complete(]?
20. Drawings starqpcd F, notations riadp?
21.
All . Items, filled
Won Bldg. Perri*t Application?l
22.
Bonds posted for
site work?
' I or
23. Invasion Permit renuired?_"t
COMMENTS:
.115 AS,(act of A ast naif of thOwTO KhA fact
(A 'J' r c 3 1 !IJ ic.i ilt! 1 it t f
121., i!,cr�ids ,i tn... Au-
ctiLof of Llic, of Squh. sh 'qatv A Mskk; Lqn
iiu:slv� �Os� W- A fur I UP r S S eariss
and
t i 11. L w: V un 6 a!-.d acru'i.s Lil, f!-,1_.'.1(,v-.,i!i(j des-
cudwd lAwtow of SaLd MCL 34:
Bcymmli�� �a lnc -i , fact 3-1; t:11�.n.c-
jl()I*tll (W21 '25 " NSL My- man A& I
i saw MA 14 1: 9 0
foot; 0 !101-01 0 0 uWfic" ..,i.c;t 53 ff-�t; Lht--nc- �),(tth
26014'54" %VPSL 31 66 fcrL tw OW SCUM Wn, of the 1XIS 85J4
feclof thri OA :all -1 qqlM Tract; Ohnnye ON COMY& east
thoncC
6.74
Soul-11 ONOND" wak 62.77 feet to wtarOct ohnn ruphinj par-
allol With and 25 foot wyCi of th-:� sruti� -,f saia '.['I-,-IcL 34;
thenQ�� S,_iLan 09 0 2405" ;am ca sals! ll_,� 160AR Vat WQ-
east Impi of siv! Anct 3 4; th"ncp VQth RAW& %VOSt W the
J)olla iw(.111IIIIII�J
'Y t 1) 1!1. wall a !1L JAYP Pb YUUOS
S und,-r; ci2; 2g and acrosCLhe InAmang do's-
crdwo pum to r .4 naid Met 31:
B ng tj i i i ;-i, i L! f 3-1;
89014'25 A mi Lip >41K AW i wAd nac L 1 Y5 ink ry"O.
thcnC(-.! mi�th cam 53;On PA;4�-ncw nyrN 26914154"'
West 66 Ire, to the So"to &V A tvo 1VIN .03,34 f0tof Q,
cast hi�ilf 6f Sald 1'!oct. :"(.g fnnl tl-i(�ncc-
nAM Sq 0 2700" wclt A nami smC; law 28. OU fack Liyocc
south U 006,00 wvsL 15. 26 Net; south c.a.st
3 4. 0 1 EuRt. h-, i j_),-,j!a ('if Llir 1,61*1-!L (J hr,-
APPUCATION
The City of Edmonds for EASEMENT NO. -- -------------------------- -------------
SIDE SEWER PERMff
NEW CONSTRUCTION Rr' REPAIRS El LID NO - ------------------ - ASMT. NO - ------------------
Z7---
CONTRACTOR- ---- --- 9-4�-
OWNE -- --------- ---- 1-3e-e-6 -------- ------------ PERMIT NO.
JOB ADDRESS 0-ek4E ----------------- T-9'-eU.
-? LEGAL DESCRIPTION: LOT NO - ------------------------ ---------- BLOCK NO - --------------------------------
,02 7
fl- --------------------------------------------------------------------------------------------- ---------------------------------- ........................
0<4
DATE-------------------------------------------- BY --------------------------------------------- --yu.Y6
fl
NOTICE:
N ...Wa r-r a..
'o ation 'shown on the attached
The inform
map(s) was compiled for use by the GtY Of
Edmonds- its Employees and Consultants.
I ot warrant the
Th,.,e City of 'Edmonds does. n
et forth on these
accuracy of anything s
rnap(s�. An . y person or entity a
copy should conduct an independent
inquiry regarding the inform-ation showno.n
__tF� -map(s)/ including, but not limited to,
the location of any sew-er stub shown. Suc
sewer stubs may or may- not e.xist. and may
or may not exist at the location shown
Neither the City of Edmonds nor its
f=,7mpJo-yee*s or office-rs -s-hal-1 be 11a-ble for the
information given* on this rnap(5), nor for
presentation provided based
any one re
upon said. map(s).
APPLICATION
Th6 City of Edmonds for EASEMENT NO . ............................... ------------
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS LID NO . .................. ASMT. NO - ------------------
OWNER --- f �:->-1 L--L ........ ul. QL --------------------------------------- CONTRACTOR ---- FVJ'SS . .......
-------------------------------------------------------- PERMIT NO.
JOB ADDRESS ...... \NEE-�.T LEGAL DESCRIPTION: LOT NO. ..2N ------- BLOCK NO - ------------------- ----------------
C--LW.&^accjr
cr
=w
(n
0�=75'
15�
..................................................................................................................................................................
NAMEOF ADDITION ............................................................................ — ........................................
Approved:
DATE ............... By ........... .......... .
-Z,:,—//W- --- i i7.yly
C.
City. of Edmonds
RIGHT-OF-WAY CONSTRUCTION
PERMIT
Permit Number. (a —06 (a
Issue Date:
A. Address or Vicinity of Construction: - 20028 88th Av W
GTE to place, operate, and maintain a buried service
10 F ur—t� A— 0
JLYF� W IF— ",re from
890 199 8 ,&tL1LJ-,,g oje w1a:1i jocaliesi aL fUU40 0 Av
then west to a residence at 2002 88 h AV W ! GTL to plow 370 feet, push one
driven.,.and one road 16 fs-A'-- R-n-W 4n fppf-
Mary A Bower, Permit rd.
Contractor: GTE Northwest Incorporated Contact: Denni s Al exander, 771 -9036 -or mobi I e 388-1358
22118 20th Av SE, Suite 130
Mailing Address: FknthAl I , WA 9RO91 Phone: Mary 206�488-1678
State License #: , Liability Insurance: Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. 0 Commercial El Subdivision F) City Project )W Utility (PUD, GTE, WNG, CABLE, WATER)
n Multi -Family VI Single Family 0 Other 2100-9POOlDB 242310
INSPECTOR: INSPECTOR: L..,illi +c-�
F. Pavement or Concrete Cut 0 Yes G. Size of Cut: H. Chargq-$
Please see attached_o!)�h.
APPLICANT TO READ AN44,GN
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City ofEdmondg harmless from injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may bi� made against the City of Edmo�Ws, or any ?f its'departments or
employees, including or not limited to the defense ofany legalproceedings including defense costs, and attorney fees by reason oJ gran'tin'g thispermit.
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 UNTIL THE FINAL STREET PATCH
IS COMPLETED BY CITY FORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE -APPLICANT.
Construction drawing of proposed work required with permit application.
A,24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
Work and material is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all. times.
,oZ!raffic 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.
Ihave read the above statements and understand thepermit requirements and thepink copy of thepermit will be
jt��ns
available on site at 11 f q� n purposes.
Signature: — I . Stewart Date: March 270 1996
(Contractor or Agent) oprns Supv-OSP Engrg.
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY:
TIME AUTHORIZED: VOID AFTER DAYS
SPECIAL CONDITIONS: NJ A -
COMMENTS:
DATE:
RIGHT OF WAY DEPOSIT
DISRUPTION FEE/FU`ND III:
RESTORATION FEE:
PERMIT FEE:
TOTAL FEE:
RECEIPT FEE -
ISSUED BY: &I
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. 1994
FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.)
Comnients:
I Diagram.:
CONTRACTOR CALLED FOR INSPECTION E3 YES El NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
re)
(s)
I%
W
Lr)
Lo
ci
z
PERMIT SUBMITTED BY
GTE
14
GN
t3 L\ffi
PEDS, 0
POLES 0
ROAD BORES
OVERHEAD LINES
I.D. UTILITY POTHOLE =3
UG TRENCHING--UGT-
R.O.W.
1 55 UN
) -------- �-� L ----------------------------- EOP
..0 Ln L/
---------------------
- - - - - - - - - - - - - - jIN 0 37
06.
lk cl� - -
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cm
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(s)
/ rp
v
2j�017, 5'.
I it rin
CUTS.
AMP Fjlbdd90VL—
J4
Ln
19
0
z
PERMIT SUBMITTED BY
GTE
63 L\'OA
LEGEND
PEDS 0
POLES 0
ROAD BORES
OVERHEAD LINES-
I.D. UTILITY POTHOLE 1--3
UG TRENCHING
R.O.W.
1 .55 ON
) -------- L ----------------------------- EOP
-1
0 Ln
-------------- jl� ------ I ---------------------
J 0 35
4
40
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CUTS.
AM pwvsdmoeft�-
7-
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City, of Edmonds
8T MGPktf)F-WAY CONSTRUCTION.
rn E
PERMIT
8 -4ftammmw— C) CO
9 0 - 1 9
EtrMAL Number.
Issue Date: 19 4-1
A. Address or Vicinity of Construction: 20028 88 Ay W (942030) —
ic): Install New Service
B. Type of Work (be specif
C. Contractor: Yashington Natural Gas Company- Contact: Frank Swan
MailingAddress: 815 Mercer St., Seattle, WAPhone: 224-2278
State License #: 98111 Liability Insurance: _ Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
0-
E. 0 Commercial 0 Subdivision [] City Project N Utility (PUD, GTE, WNG, CABLE, WATER)
F1 Multi -Family 0 Single Family F1 Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut [I Yes [3iNo G. Size of Cut: x . H. Chargq�_$
-7—
APPLICANT TO READ AND �I GN
INDEMNITY. Applicant understands and by his signature to this application, agrees to hol4�4e ity of Edmonds harmless from injuries, damages, or
claims of any kind or descriptionwhatsoever, foreseen or unforeseen, that may be made against the City of Edmonds,,Qr any of its departments or
4 -
employees, including or not limited to the defense ofany legal proceedings including defense coks, and attorney fees by'r son 4afgrant(n i
g th s 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 UNTIL THE.F1NAL'§TREET'PATCH
IS COMPLETED BYCITYFORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISS11ANCF TO THE APPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
Work and material is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
'Street shall be kept clean 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.
Ihaue read the aboue statements andunderstand the permit requirements and thepink copyof thepermit willbe
auailable on site at all tim inspectiq� purposes.
"As -for
Signature: 10��w &/� Date: August '18, 1994
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: RIGHT OF WAY DEPOSIT
TIME AUTHORIZED': VOID AFTER DAYS DISRUPTION FEE/FUND Ill:
SPECIAL CONDITIONS: NA RESTORATION FEE:
PERMIT FEE:
COMMENTS:
TOTAL FEE:
RECEIPT FEE:
DATE:
ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT IS§UANCE
J
Engrg. Div. 1991
FIELD INSPECTION NOTES
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P.W.:
Work Disapproved By:
FINAL APPROVAL BY:
(Fund 111 - Route copy to Street Dept.)
D YES
Date:
Date:
El NO
I X'�-'
IN
0
-A,
sit.. IlaS"Ps
to window
Water 3main depth
gas 3main
Key:
--w- water
-9- gas -
sewer
water hydrant
vat(,, -4�-Jve
?IS JIAMCC St f, f) I. I
0-1- >Mmt, WA (206) 622.'�767
-Y Pop.
WILLIAM CAMP5E-LL
ZOO.00 N .8 90 Z5100PW.
so
'So
14-
2o029
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0
0
f
01 V,-
-0
QD
0
'EXHIBIT V S-5-75
0
.;s
$
0
W.ss-vs- ,
0ow
4r
Ic
P
co
V
v
U E AST 2- 0 0 FEET OF TRA,-r UCEPT.7141E f4oRl* JOS FEEIr THEIREOF, CW-rlULlJTUlG^"�j*fAljl& Coo
AND I of E FAST ",%,.F. a
Vol to ov PLP.,t 51 5 r.^,rT Lo-
11-7-7
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00
li
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Alto —5
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tvw
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4S&-X OT
191S
IN,
BIDS 19
0 to
RD
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0 31
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st
.971 > j
. 4.
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ST 200 ST
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era
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201 PL Sw
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202 ST Sw
2- PI-1p Ws
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Route & File
WRITE IT ... DONYT S" ITI
WNG 021.2 S (4/89) O.A.P. 00.1 & M5.3
AV$30ngk3n B'VW COMOW
Date August 18, 1994 To (jt��y Whitcutt
JOB# 9420305
From Sherri Lang Subject
ADDRESS: 20028 88 Av W
REFERENCE: (Contract No. or I.R. No.)
Your assistance in expediting this permit application would be
greatly appreciated.
Thank You,
622-6767 ext. 2589 -
y
"'7
M.
Citvbf Edmonds
RIGHT-OF-WAY CONSTRUCTION
PPT F11 F Pip.11MYT aL.1- -11)17
Permit Number.
Lssue Date:- 7
---- A. Address or Vicinity of Construction: - 21211 — 92ND PLACE,,.WEST
71,81910 W,915� B. Type of Work (be specific): GTE TO PLACE BURIED SERVICE WIRE FROM
TERM.#B359, PUSHING UNDRR ROAD & PLOWING 350—FEET TO CUSTOMER. SEE SKETCH.
C. Contractor: GTE NORTHWEST INCORPORATED Contact: BARBARA TOLLEFSON, PERMIT COORDINATOR
Mailing Address: 22118 20TH AVE. SE SUITE Hfte: BARB 488-1642
State License #: 'BOTHELL, WA 98021 Liability Insurance: Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. n Commercial E] Subdivisi6h 0 City Project FK] Utility (PUD, GTE, WNG, CABLE, WATER)
E] Multi -Family [] Single Family E] Other W.O.# 2100-9POOlDB 242310
INSPECTOR: INSPECTOR: 0114114-��
F. Pavement or Concrete Cut: [M Yes 0No G. Size of Cut: 2' — x 41 H. Chargq�_$
APPLICANT TO READ AN -91GN
INDEMNITY. Applicant understands and by his signature to this application, agre 8 to the City ofEdmonds ha , est i * 's,damages,or
claims of any kind or description whatsoever, foreseen or unforeseen, that may b 7dXgainst the City of Edmo s, a ny f i s departments or
employees, including or not limited to the defense of any legalproceedings including defense cos�.s, and attorney fees by reason �fgrantiKthis 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 UNTIL THE FfNAL �;TqEET PATCH
1, `�,W,5—
IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE�Tb Tfik-APA&ANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
Work and material is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance wito
,4y regulations as required by t,4e Cit
/. , , yEngineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
Ihave read the abovestatements and understand tlterepi4it requirements and thepink copy of thepermit willbe
available on site at all times for inspection ur
Signature: Date: 6-8-94
(Contractor or Agent) John stewait (5-17-94)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
2
FOR CI;fY USE 6NLY
APPROVED BY: RIGHT OF WAY DEPOSIT
TIME AUTHORIZED: VOID AFTER DAYS DISRUPTION FEE/FUND Ill:
SPECIAL CONDITIONS: AIA RESTORATION FEE:
PERMIT'FEE:
/I ieCOMMENTS: 6�m -
TOTAL FEE:
RECEIPT FEE:
(W
DATE:
ISSUED BY: fl *
,,,0,- WORK. SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Engrg. Mv. 1991
IV
FIELD INSPECTION NOTES
Comments:
Diagram,:
(Fund 111 - Route copy to Street Dept.)
CONTRACTOR CALLED FOR INSPECTION El YES El NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
C7)
CD
PERL41T SUBMITTED
BY GTE
0
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I
LEGEND
PEDS w
POLES 0
ROAD BORES
OVERHEAD LINES
I.D. UTILItY POTHOLE M
lJG IRENCHING—AM—
- - - - - - - - - -
IL
I WE-57
ET-1
R.O.W.
EOP
el 7Egm-
'Pei V ATE
WATEAL
zwwE: p-
p
VA
Ut FOLLOWING INFO TO BE PROVIDED'
- - RIGHT- OF- WRY LINESsEOP OR FACE OF CURB, EXISTING SIDEWALK, POLESt ROAD.CUTS AND THE UTILITY UNDER ROAD CUT!
A110VIE-GROUM FACILITF-S.Iles) PEDS.BOKES,CABINETS. EM.UNDERGROUND IREMCMG AND OVERHEAD LINES.
'tnnTA'r3,F "F WORK IN R-O-W.
20028
Ped
Comcast of Washington, LLC
1525 75th Street SW
Suite 200
Everett, WA 98203
Contact: Gary Clawson 425-263-5412
North Drop
Node: EM14
20028 88th Ave W - City of Edmonds
N
W + E
S
NORTH NOT TO
SCALE
Work Details
Open trench in shoulder of ROW for approx 50 feet and bore one driveway for approx 20 feet m/I to extend and bury CATV
service drop to 20028 88th Ave W.
Install cable at 36" depth.
All disturbed areas will be restored to existing or better conditions.
Backfill material will be mechanically compacted to 95% of maximum density as specified by the City of Edmonds. In tight
corridors hand trenching will be utilized to ensure protection of other utilities. Contractor must locate all existing utilities
impacted by this project.
Please see attached plans for restoration, erosion control and traffic control. Erosion control will consist of placing filter fabric
fence and/or sandbags along curbs and catch basins where necessary. Keep drainage system clean and functioning. Remove
all debris from the work site. Streets and roads will be cleaned both during and after installation of work.
Call 775,2525 for side sewer inspections BEFORE covering any portion of the construction.
Inspection will be provided � within 24 hours aftir requst." NO Sat., Sun., of holiday insp6iAions)
A D_ D—R-ES L&bkftiq I 6V 66M9f k U--- CTION' 20 �M 88th Avenue.
------------ ........ r ...................... M..
........... . .................. . .
PROPERTY LEGAL DESCRIIPTION.� ------------------------- ro-ge ---- a-t-ta.6 .... ed)... --------_--------- ... . ............... -------------- . .....
-- -- ------ -- ........ ....... ..........
----------------- - -- 7 ------------------ ------------------ I...., --------------- .......... --------------------------- .............. Z ................. . ....... .... . . .. . .. . . . ---------------
Bill.. CamDbill
----------- ---------- I ------------ ------ OWNER .0kND/,0R BUILDER;_, ---------------------------------- - ------------------------------------ - -------------_-------
- - ----------------------- : ---------
CONTRACTOR'S NAME ADDRESS ........... Russ Johnson. 16009 NorthMead-owdale Rd.
------------------------------- .... m . -
--------------------------------------------------------------------- - ------------ ------------------
P6 �sion gi-d
Z
-hiii, _nt&d - — ----------- ig ... 7.61 fo
------------------------- r epaii and/or 6onnection. of a side sewer to the city sk9it
,� — - .1 1 . . ; , �ry sewer
S.V- ein m acco hb�� itith 94Y,of Edmonds ordinances. -
A-- -ANTION' I- bAU�Elj To THE.-POiLOWING:
f
N6Tj.E;s_N6. lw��he owners o the propefty may obtain a permit to construct sewer inside i3roperty line. A licensed Side Sewer Contractor must be employ6d to construct
afeii. - D z n6t cover* afik portion of sewer before it his bein inspe6tid.
si e sewq.�in:stre o
2�All w6�k perfo�ihed ift 6itk right-of-way requires an'InVa�ioh of Ilight-of-Way Pprinit obtainable from the City Engineer's office.
N97� No- _t . .
NOT�� No. ��btaln_ idil.iM�h�ation`re ding Ordinance 11.16.030 and Regulations goverqing side sewers when you get permit,
gar
NOTE No. 4��`fojp oi sid�.!;�wer'nnust have attjeast 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2 No -bends in grade
""7 shaxpiei th" %'w-ill be i��rimitted.,
N,olt iqo. �—.tren�c'hes'in 9tieetInust be water*iettled and suriace of street restored to original condition. Contractors shall be responsible for iailure due�to imp roper
Work ��hich fiia�, develop w-ithin orie year of corzipletion.
POTE No. &�It is unlawful to alter, or do &nk other work'than is provided for in the permit, or to do any work on the main sevver or its abptirtenances except to in-
�ert the 15if)e iht6 the wy
DIISAPPR VED patp --- B ---------------- Ddte. -By ................ Date ------------ -- - ------
-------- ----------------- y ----- ------ -------- ---- ............. 'By ............
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APP VED. bdti,-ao .... ------------
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B UP it ies
T Be Signed By Owner of Firm Performing Construction FkIOR To Request For Inspedti
7
lon
- ------ ----- --- hereby certify that the side sewer installation constructed under this permit
in n,r, of h 6 ting Firin Perfcrming Construction)
111n'!'§ t al, 1 a 61'(daric with -01�,joverning 6rdinAnces of the City of Edmonds.
Dated this ...... �_/ . . . ............ lay of -----
---------------------------- 7--- 1;76,
V V (3h4k, i�it6RE You dig �,olr- 'Water 0, Gas E], Telephone Ej, Power E] Sewer E], Other E]*
a
6*1`0
Depth, Cleaning, Containment,
Compaction, and Restoration
-renc. m
Depth =
10
36-inch minimum
Compatible w/
other utilities
Shoring required
at 4-ft +
Pavement Cuts
T-cut 1 -ft wider
than trench
Neat -line saw -cut
0'�%
OMP.4cffo
All trench backfill shall be mechanically
compacted to 95 percent of maximum density
using I -ft loose lifts with whacker or 2-ft loose
lift with a hoe pack.
If proper compaction cannot be achieved with the
native material, new import material is required at
the 95 percent rate.
As an alternative, CDF can be used in a design
mixture approved by the Engineer.
Ccbmcast
-eani gr-,&+.+-C�'6iltd*:",#**�.+:"..
"_004' FTI in,
in
CLEANING: All Streets and roads are required to
be cleaned and swept both during and after the
installation work.
10 Mechanical Vacuum is preferred method
CONTAINMENT: All un-restored shoulders or
material storage areas are required to be contained
with reflective barricades.
J�
�'4
�4'
All disturbed areas shall be restored to
existing or better conditions
Trench parallel to road:
10 Shoulder - Match existing surface conditions
10 Pavement - 6 1/2 inches of crushed surfacing material
and asphalt concrete Class B at 2- inches minimum or
same thickness if greater..
Tre nch across road (immediate cold mix patch):
10 Asphalt - Permanent hot mix patch at same thickness
or 2-inches and sealed within 30 days.
Concrete - saw cut and pored with mastic joints, eight -
sack mix, either type II of III cement, within 30 days..
ccomcdst
PROJECT'S TIMELINE AND PROPOSED HOURS OF OPERATION:
Timeline — Up to 30-days past the issue date.
Work Hours —The entire project area will be conducted from 7:00 AM to &.00 PM or
as specified by the Inspector.
Traffic Control Plans
1. The standards and guides of the latest version of the MUTCD or as set-up per
Code shall be followed at all times.
2. A copy of the Permit and Traffic Control Plan shall be on -site with all
contractors during the project..
3. All contractors will avoid parking on sidewalks and shoulders and will take the
lane and follow the proper traff ic control set-up for the given situation.
4. Pedestrian access shall be maintained through or detoured around all work
x
sites.
5. Please find attached the traffic control plans for the various types of work
sites that will be encountered during our project.
6. Flaggers will be used only when all other methods of traff ic control are
inadequate to warn and direct drivers. Only licensed flaggers; will be used on
the project.
7. If situations occur when questions arise about proper traff ic control set-up the
solution will be determined in the field with the Comcast Construction Rep.
and the Inspector.
7 7
If curb and gutters in project area:
Filter bags will be placed in catchbasins downstream of work site, and
Small check dams of pea gravel filled sandbags will placed within the
gutter upstream of the catchbasin.
Traffic control set-up for minor encroachment
L 1�
K
A loptionall
,00? A
414"K
Avir
rP
5 Truck Mounted
Attenuato
(optional)
A
1/3 L
200'
A
X-, 1
i V 9 - i
lleuo!1do) ...
Traffic control set-up for lane closure
FLAGGER STATION
100,
FLAGGER STATION
S'( Perniit No:
City of Edmonds
RIGHT-OF-WAY CONSTRUCTION PERMIT IssueDate: /0-6nzoof
A. Address or Vicinity of Construction: 2002- e Ra! 19. lzc__ K)
C. Contractor!Cnmrn,'�4 6f- )A-)oShirie4*-)n.LJ-(,Contact:�.(-h6nj S
-) 1A). On
Mailing Address: SW *24��a
State License #:
City Business License #:
D. Building Permit # (if applicable):
E. F� Commercial
F� Multi-Farnily
Subdivision
Single Family
Phone:
Liability Insurance: Bond: $
Side Sewer Pertrut # (if applicable):
City Project EUC (PUD, VERIZON, PSE, COMCAST, OVWSD)
F-1 Other
INSPECTOR: /V'(�
F. PAVEMENT CUT: El YES tZ NO G. SIZE OF CUT x
CONCRETE CUT: YES QJNO
J4
G. [X Mai�l Approved Permit Call for Pickup
INDEMNITY. Applicant understands by hislher signature to this application helshe holds the City.�f, Edmonds harmless from
injuries, damages �r.'claim-s qf any kind or description whatsoever, foreseen or unforeseen, that may b� made against the City of
Edmonds or any of�'-'its departments or employees, including but not limited to the defense of any legal proceedings including defiqnse
costs and attorneyfees by reason ofgran'ting this permit. '..' i
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE�FINAL
INSPECTION AND A CCEPTANCE OF THE WORK. ESTIMA TED RESTORA TION FEES WILL BE HELD UNTIL THE FINAL STREET PA TCH IS
COMPLETED B Y CITY FORCES, A T WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT
* Traffic control and public safety shall be in accordance with City regulations as required by the City,Engineer. Every
flagger must be trained as required, by (WAC) 296-155-305 and must have certification verifying completion of the
required training in their possession.
* Restoration is to be in accordance with City codes. All street -cut trench work shall be patched with asphalt or City -
approved material prior to the end of the workday - NO EXCEPTIONS.
* Three sets of construction drawings of proposed work are required with the permit application.
..CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK
I HA VE READ THE ABO VE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
THA T I MUST MAKE THE PINK COPY OF THE PERMIT A VAILABLE ON SITE A T ALL TIMES FOR INSPECTIONS
SigAature:, �A 00_� t? Date:
-'or i Agent) -
(Contract y6
b_x)
7-1 CA/
REQUIRED INSPECTIONS:
Call 425-771-0220, Ext. 1326for a 24-hour voice-recordedinspection request line.
-1
FINAL'APPROVAL OF PERMITTED WORK: a e '_ 1/3- DATE:-
C:\Docunnents and SettingsTurtis\My Documents\Fomis\EngnmgNROWpermit_.doc . Revised 10/01/03