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20115 84TH AVE W.PDF111111111111 7885 20115 84TH AVE W low rSE PE MIT 'BUILDING Dl\�M Applicant R _fr.R1 N LIM ZONE -01 NU 13Eb, I 11M I 1"Lt 'PERMIT APPLICATION Inside Heavy es es JOB ADDRESS NAME JOR NAME OF BUSINESS) A rS LEGAL DESCRIPTION I SU . BDIVIS19(N SHORT SUB NO. Fa MAILING ADDRESS 3 z Iv, WAY MAP 0 PUBLIC RIGHT OF PER OFFICIA� STREET CITY ELEPHONE NUMBER 7 EXISTING NAME 1 PROPOSED DEFICIENCY OF RIGHT OFWAY U W ADDRESS PUBLIC IMPROVEMENTS REQUIRED DRAINAGE IMPROVEMENTS REQUIRED 0 U Ir CITY TELEPHONE NUMBER DRAINAGE PLAN REQUIRED UNDERGROUND WIRING REQUIRED M NA ME CONNECTION TO SANITARY SEWER SEPTIC TANK PERMIT REQ'D NO. 0 ADDRESS ELEVATION OF PROPERTY CORNERS I- U & FOOTINGS REQ'D -t N C-, ) M I- CfTY TELEPHONE NUMBER . => - z 0 � SEE ENGINEERING MEMO DATED 0 D .:-:), - U STATE LICENSE NUMBER CITY LICENSE NUMBER CHECKED By METER SIZE 13UILDING-SUPPLY SIZE Legal Description of Property (Show Below or Attach Four Copies) REMARKS z 60 174 4C 0, /1:/;1,, on e 1 SIGN AREA ENV. REVIEW ADB NO. U Irn UALLOWED � PROPOSED COMPLETE EXEMPT 4Z SHORELINE W REMARKS .j VARIANCE OR CU NNING REVIEW BY DATE YARDS LOT COVERAGE I C;z 5' FRONT SIDE /6-/REAR NEW RESIDENTIAL GAS FILINE ID FIRE ZONE TYPE OF CONSTRUCTION CODE HEIGHT - NON-RESIDENTIAL SIGN I I AD D D- RETAINING DEMOLISH - WALL SPECIAL INSPECTOR REQUIRED OCCUPANT GROUP LOAD ALTER EXCAVATE FENCE JAREA D YES E JOCCUPANCY El OR FILL E] I_ X_FT) PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY PRE -MOVE swim E] OF EDMONDS. LOCAL SALES TAX REPAIR INSP. POOL SHOULD BE CODED 31.04. REMARKS Z NUMBER OF STORIES NUMBER OF I- 0 DWELLING Z r-2 UNITS W t NATURE'OF WORK TO BE DONE It U R10 I L D 0 L4_) C- W W 0 �PLAN CHECK FEE VALUATION FEE BUILDING CL 0 _J PLUMBING W W MECHANICAL FENCE SIGN Z "Applicant, on behalf of his or her spouse, heirs. assigns and W successors in interest, agrees to indemnify, defend and hold harmless -I 2 the City of Edmonds, Washington, its officials, employees, and It 4 agents from any and all claims for damages of whatever nature, 7: arising directly or indirectly from the issuance of this permit. Issu- RETAINING WALL I -a- 0 SWIMMING POOL U - qj :,nry 4 this permit sh:dl not he deetned to modify. waive or reduce L16 o 7:t- DEEDED Fi:;-P- (-,)u rl p 0 s 4!:� 15 pPD w. _5 Ac-g-E!s Div. a ck=ci p . �-O+- Rccc.)CbeD Vol— ppcc—lc—: (06- VA 0 vv\ 1:5 rl -�� L AV C- 93 ENGINEERING REQUIREMENTS FOR BUILDING P 4P CITY oil, ELI - PUBLIC WORKS DEPART[vIENT D"rVISION T APPLICATib� *DATE:-�—S - in - ?�� SUBJECT: Subdivision Flat PRD Multiple Commercial G SJERAL REQU IRL,]MENTS Coordination of the location or any structure with respect' to utilities, streets, oroperty lines and ch-iveway grades is the responsib.'-lity of the contractor. The ccnstra,�tor is required to keep the abutting street.cleaned of dirt and debris caused by the construction 7.30.200 Violations - Penalties 7.30.290. A "Right -Of -Way Construction Permit" is required from the Engineering Division of Public Works for any'work within the Public right-of-way or"public easement. 7.30-010 Violations Penalties 7.30-290. SPECIOIC REQUIRaIENTS UNDERGROUiZ PO'VER llt�dergrow-id Wiring Req'd 0 Not Req1d SANITARY SEI�ER (P=,IIT REQID) El Connection to Sanitary Sewer Req'd Back 1,1ater Valve �eq I 'd on Side Sewer. -ge -:5AE7jr'—= t'j CYM EI.Septic Tank Permit Reald. Desip;n Approval Req'd ,Approved Dt. Permit Humber STORM SE�-Ui SYS= WER CITY CODE El Drainage Plan Req'd E9t-S�ite Draina;-Te to be Contained on Site ROADWAY -U-1Pf3WbE-1E1-`!R'S AND DRTVE1JAY RET,-,)UIRETUFrS Drive,,-iaY Slope Not to Exceed -P-177,— ��ive,viay Faving Reqld C� El Vertical Curb Req'd EJ Street Favii-4-, Req'd Note Ej Drainage Plan Approved Dt. EJ Site Drainage to be Connected to City System Driveway Culvert Req'd Size EJ Sidevialk Req'd Approved Desip .;n Req I d Bond Reald for Public Improvements EjSubmit Cost Estimate Inspectlon6 Engineering Division Foundation A -Side Sewer El Septic Tank Water Service Fire Protection EJ Drainage Site Improveay--nts A 24 - hour notice is required for inspection ;-)y Engineering, call 775-2525, extension 220. F'RED F:- HERZB1ZRG`,P.E. City Fligineer PUBLIC .1,,TORKS DEPAff Mt- Tr CHEC BUILDING PEBI�FIIT REV194 , OT Date - 9nl In-> -�� AAddress Street Right7q*�4--W,`,�Exlsting REQD 7f7� I Access Easements Existin REQD g VIEJO- :�S: - Utility Easement Existing "REQD 7 7 Lot per Subdivision Assessor Map Plat — Site Plan Checked for Accuracy Underground Wiring Reqd. Check Accuracy of I-�6gal Desc4tion Environmentally Sensitiv`e Area Environmental Checklist Reqd. tj Flood Hazard Zone Shorel-ine Management Area Slope, Soil, Vegetation Strewn, Creek, Drainage Basin Existing Zoning Per Code Amenities Desi�ri Boal:d Approval Reqd. ADB # 'Approval Board of Adjustment Approval Reqd. Reyiew'.)3y:. Date: , " "' * "' - IT t U-s-t-i-nF- .a er'MAih Si-ze Water Main Re d. 4114 ,�Service Line Reqd. Hydrant Size Existing - Hydrant Reqd. Per Fire Code Size .Detector Check Meter Reqd. &1A Cross Comection.Inspection All A Fire Department Cantents Water Meter Charge Reqd. 14* Reviexq by: Date: 6 S Septic Tank Permit Reqd. Permit No. Sanitary Sewer Availability Pro,, Drawing. No. Vile Side Sewer Av ailability �o Sanitary Sewer Connection\��qj. Review By: n-A-7 Date: r4 0 q)en Ditth-Lxistih�, Culvert Reqd. Catch Basin Reqd'.. Shou-Ider drainage maii-itain collection Reqd. ,S ize Indicate on Site Plan on bwale open. i-mof f VZr ��Uiolc req.c. Indicate on Site Plan .Soil Conditions and Ground I -later. Field Cliecked y rX, te 'Stteet.Paving.Reqd. Curb and Cutter Reqd. Sidewalk Reqd.- Curb Cut for Drivewav Reqd. Right-of-1-.1lay Construction Perna"t Reqd. Bond Reqd. for Public Tnprove,_ m-nts Street Nll- Sign Reqd.- OLher Signing Rqqd�. 1're Pen, ii t Site lnspection mde on w V1, BY: S VIA= SM T T L PA la�GINFI UNG T xr "ill F'r, 2 `V; 7r� Special- Requirei-.2-1-it:s listed ii i mam to Cop'ITIL �ni I)ev6l:opmnt, De-partirefit, ry, .. e Builcling, W.vi-sion BY' Date o All. iwms filled in on Building Permit Application BY Date Drawings Staii-ned zwid Notations �tide PL4 .)Y D, ate 3. App'rovcd by Public 1,7o rks DcparLi-,y_,,-it: Revised: 1v 10-19 . 77 TUWAY Mu,SA,8liEj 41� TO R 0 RL SUBJECT: 4-,1 �,,- DATE hi m E S, s A G E RETURN' TO [SIGNED R E P, L y DATE: [SIGNED CASCADEG Ll-C2375 PRINTED IN U.S.A. EET FILE rTUWAY MESS TO S U B J E C T: 1-� t, � a- I , ll---� c:,v--- , )--, FROM �,J' � L-, 10 e —� re, f .1 " -) - DATF 1�---4- m E s '(07"N rlll,,� R', mirRiff �'! , 01 410, 71 A G E 12 v e r.-,- L r, FSIGNED R E p L y DATE: I— ISIGNED,/ CASCADEO Ll-C2375 PRINTED IN U.S.A. SENDER: DETACH THIS PART AND FILE FOR FOLLOW UP. ........ .. low." -7- m: .7 7 i- Z U 0 U W Z 0 LU CITY OF EDMONDS Permit No. PUBLIC WORKS DEPARTMENT Issue Date RIGHT - OF - WAY CONSTRUCTION PERISTREET. FILE A. *Address or vicinity of Construction 9 Permit Issued To: 14610 :�7 , 0 �,_, a i - � a,' r �, 14 U,-_ - �_Oo_c � z 9 Owner: -06 91tril. cn, 9 Type of Work to be Done: N�me 1, R-0 - F - I � -2 - 9 Work in Connection With - Mailing Address '30 y QU,,:-�'Sub or Plat (56s�0 El' Single Family 1?1 �,- K w mi4 4 f",^0 - �, - q - El Comml. / trid. 0 Apt. Condo. City, S ta tt, Zip Code 9 Pavement Cut: 0 Yes No 9 Contractor: S: Name - I ?/-I - A) , F_-, - I Mailing Address State License Number 903 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: A' Date Owner or Agent THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES CALL DIAL - DIG PRIOR TO BEGINNING WORK C. Issued By: t11�r I,. "Ir, Permit Fee: ik)o F—e e Pe �f *k Time Authorized: Vold after —days Security Deposit: Al, a Special Conditions: iv, R, Receipt No.: Fund III Fee: Ammendments: 00 �R V)A Street Cut Dimensions 17'iA C r�rlfl (A P cti ()I, L4-1 I Z h-4 X ant 7_;"()-r_11C'ACa76.1 I aln 2 ** NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE ** Eng. Div. December 1978 FIELD INSPECTION NOTIVI (Fund 111 - Routo, conv to Street De �) t Comments: Diagram: Contractor called for inspection Work Disapproved By: Work Approved By: Inspector: Yes Date: Bv-:- Date: —Date: Ena. Div. December 1978 E_ z U 0 U 114 co 0 z (D CITY OF EDMONDS PNLIC WORKS DEPARTMENT T FILE RIb , HT - OF - WAY CONSTRUCTION PER EE A. *Address or vicinity of Construction Owner: AF)� t_�_ Arl ..;s Name Mailing Address City, S ta te, Zip Code 9 Contractor:(P un ��t �NJ_UA C 1) -,,1 -,,J Name r4 Mailing Address (_ f vl TJ " I i -J u n (A V 1, .3 1 " City, State, Zip Code �ermit No. Issue Date * Permit Issued To: (P v 0 ", � Type of Work to be Done: C '-�l 9 Work in Connection With: El Sub or Plat 511,, Single Family El Comml. / Ind. El Apt. Condo. Pavement Cut: El Yes 0 No State License Number 4 J, 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 site for inspection purposes at all times. Date Signature: Owner or Agent THIS PERMIT MUST BE POSTED KT THE JOB SIT FOR INSPECTION PURPOSES CALL DIAL - DIG PRIOR TO BEGINNING WORK C. Issued By: Time Authorized: Vold after -z�4.2 —days Special Conditions: Ammendments: Permit Fee: Security Deposit: Receipt No.: Fund Ill Fee: Street Cut Dimensions X NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. December 1978 Eoq. Div. December 1978 17 n -AREA VU _UTUITY� 91STRICT Na.1 of S oho Coun y NV, .5 Date me. 9 I'D 0 Revision- ualgl T 1,A A N 'SA"l "i 0 ` As: Built- n Or iF: L 'F(l* No. c- 5k! 6t UG. LE.- AppFc4cls MCC m -"fASlMfkT, JEPgVl Ak4N*AL 'AkALYSIt Ron i-!-- ID, A. Exeinot'under Dittrlit SIPA �Vrccedures Octi" 111-A Parag Q_ es ss DaIC Gednted_ te 14 Rw ITD CA, sq Iniorpraitation Ref orr*d To: go .F _w *or, Deft 0 eman nd KV CO oat �M _Q 00 'tXlrcuit Nu 'Kew Ckt Ft PH nowtv Ckt Net Ckt Ft Water $ewer CA* 4 rV UB� 1 4 L ;'T' �.'X V c i 0'1'14::� D T7Q A Ir. ZI V* L 15us R, - L -T S 16 VQo"� 776' vQ L u t4 L,6'x TC % PA, LL' L X C. _w 36 Nk V'?Rmi Lr V��' sl lu Y -q. 'M 419rpn -*rd 4r !6 NOTICE: T\J�n ... wa . rra ntv o The inform atio n'shown on the attached map(s) was compiled for use by the City Of Edmonds, its Employees and Consultants. Th,e City of �Edm.onds does not. warrant the accuracy of anything set for.th on t hese rnap(�_)- Any person or entity -requesting a copy should conduct an independent inquiry regarding the inform-ation shown on I I _tRe -m a p (s), including, but not limited to, th-e loc'ation 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 emp]-o-yee-s o-r office.rs -sh-a-11-1 be l--',1a-b--l.-e for 11-he information given' on this map(s), nor for ion provided based any one representat' upon . said map(s). Side Sewer Drawing EDMONDS The City of Edmon FILE TREATMENT PLANT EASEMENT NO. C516REET I I IT NEW CONSTRUCTION REPAIRS n LID NO. .1161- ------ IASMT. NO - ------------------ OWNER CONTRACTOR K.-S.0- 1��..cu .... O-WA�*7) .................. PERMIT NO. .6-4-00 JOB ADDRESS o i i s - 8 4--r" Ave, ................................................................. W ............ LEGAL DESCRIPTION: LOT. NO . ..... I ---- .................. BLOCK NO . .................................... L-0T-* I PLKc ...................................... ... G5-.jgjF .............. AL NAME OF ADDInON Eq�� ... E8�womdx .. Acm.s ... I N .......... ............... 10- �t4 -dggp) 41# C7.0 - ("'cleep 8 4.-r" Ave - W - EDMONDS TREATMENT PLANT PWW-OWl-11/75 (REV.11/78) RiscrC I'clecp) 40C.0 - ("clet 6-c-o-+Riser + l*-W,com. 6"c.ftc. mom% Approved: C DATE ...... ( -------- L/7 By DOW6t CITY OF EDMONDS PUBLIC WORKS DEPAWENT FOR INSPECTION CAL Permit D40. - SIDE SEWER.PERMIT. 775-2525 Ext. . 220 Issue Date /0 PERMIT MUST BE POSTED ON JOB SI 1) 2- 1 Address nstruction 4-r R 2. Property Legal Description (include all, easements) LOT E Via U. (or P-�_ - 0 F we_(+ 14ELEF 0 P ��- r, r &Kw am dr A_-rcr 3. Single Family Residence Multi -Family No. of Units Commercia 1 4. Owner and/,gr--,3- --,dp ,g4j __r eel/ 5. Contractor & License No. jja.L-t2_.C_j( Z 6. Invasion into City Right -of -Way: No Yes (If Yes Right-of- way Construction Permit Required - Call Dial Dig (342-5344) before excavation) . E-4 7. Cross other private property: Yes L.I�No Easement required - attach legal description and county easement number. READ THE FOLLOWING AND SIGN: e"j (+*u- C_ a4 a. Property owners must obtain a permit to install side sewers on >4 their property. A licensed side sewer contractor must be employed construct side sewers in the public' right-of-way. b. The side sewer contractor assume ach E-4 installation for one year. "OAS C. Commercial establishment require f a h (6" P4 side sewer line. 0 d. Side sewers may not be installed �ose n t A (3 to any structure. e. Side sewer lines must be laid at 0 and maximum grade of 100% (450). E-1 f. No turn in side s8wer greater tha e jj I too between cleanout. All 90 turns must be 0 bend) and wye with removable cap. - g. No down spouts, footing drains or loor drains can be connected to side sewer system. h. Pea gravel is required for bedding when installing sewer lines through other than granular soil. i. Cleanouts are required.at 30"-60" from each plumbing exit,line and at minimum intervals of 100' along sewer 'line run. j. Trenches within City right-of-way must be restored to original conditions. Contractors shall be responsible for right-of-way failure due to poor compaction of fill. k. Side sewer must be left uncovered until inspected and approved by the City. 1. Inspection during normal working hours only. Two (2) working days notice required. DATE: -`I/ certify that );,,�:h,�ve read 60 �,nd shall comp y with the above 3 �__. a () I 10 mvvq PERMITFEE: CONNECTION FEE:_ P4 0 PERMTT.Ml DISAPPROVED BY: Date: Date: APPROVED By:%_M4_Date: 10 /3 T BE POSTED ON JOB SITE LO EASEMENT FOR SIDE S 9 W I, R For qond and valuable cersoiduration, tilt) 1I1`Aof-r1lajY':' M a I'liti I It, h..,b..d and wife, huroby yrant to it, o.t,urti, K,rm,th M. a tzj "I'l BaltzulJ, husband and witc and Cr.yory S. Baltzell nd Turusai K4r,r, Biltzoll, husband and wife and their heiry and ar�iqns ot: \j .'7 The Wj of Lot 5, plot of Eut Edli,i,nds Aurva, Div. No. 2, of Snohomish County, W,,sh. , EXCEPT the North 65 ft. ther.of ind the West 20 ft. thereof. An Easement for the irstallaLjon, ripardtion and ov,intca,anca of a %-I, t-r'd side sewer line river , across, through, under and upon the fc1lowing dit�.,�crjl'(.-J real the City of Eihx�nds, Sijohornish Coul,ty, wa.01., to-wic: property, situatud in The South 5.0 fL. of th,- West 7.0 ft. of Clio 1011rwing; 5, plat of E,�t 4, The North 65 ft. of thc. k1ul;t J of L(,t Div. No. 2, records of Sniihornish County, WA5h.,EXCEPT THE WE-57 20 ASubject to rv�tlicitj"nfj anq juUvrV.jLJt,l1Zi f$ Gi 1�ldl if any T Ae Olt of wai,,tenance, repair or rez�oristrucrion of that p�,rtfon of .10 SALI:.5 in col.ithr'n r1hall bc "Illu it, V'Juaj CxCt.". tt..t C t REQUIRED tire s'r owners of any lower parc,!l shall lot L,,,. l., i t scwor above cbeir coz,huct:ion, ,tid wh,ii nb,rfy CC' 1`C;0ZJ1f1 C-C".' �r Z&- construct the st,wor the I,arcjus to Et is "y"`"-m'r'C �1'4'11 a entry for that puziosu. Ia., 21 This agi-c-cmunt shall be a covenant runnin,; with the 1.�nd and si.all ioe L1,;, binding upon all partios and tht.-ir a!;!;jjr,u 7: IN WITNESS WHERPOF hereunto sat our hatids and %,als thi!-_ "Ji'l "f 2 % 11 e 0" STATE OF WASHINGTON. County of _J SAF2CO -S this day of X.K_A, 1, 2 1-fo she --ne" r-'l- I ii 0. n and I Ww,hillullll-, duIV ."d %w I.: . ..... Ily '1'1� led Me lnown to t,e me i,td,J,.I lj��v ',-d a. I w,.,,;,I nstluoilt"t fur sell d Is. I the At ...... �rj Fai:t ho �,jo sr�,, .1- .71. tvp_ I d it dgVd 0 Me that 11C signed and %ej!ed file same oi I'Ll al.d n or ak" I. ee a. �'j ( a"Y ao ".0 cld " All j -ir in the cip.cily and to, it'. Ittes alto P"looll ol oc npeti na hrs: lo'-. IN WITNESS WHEREOF, I have hereunto set roy lijild and alti,ed t,,y officiii jeal 0,0 daty 'A w" f too. Notary Public in wid for the Slate of Washington, residing at il/ __el STATE OF WASHINGTON, Counivot -z— SAFECO On this...- :;12. day of NO— M'. 4 1 P lic in anti for the State of Wj�hingt on, duty cummi,ed d f-1.110Y n.-,d r��r me k.o,n I. t,,I ih, Jhial j exvcut�d the within intirunierit for sell oil .!-,o , the All,!r,v F..t f-- Aand acknowledged to me th.it he ligned and se.tt,ill the sal- as _A., n I- and ao:41, . " -I $_ file j f .1 tell, d jlW a ; A to the capacity and to, lh�o "'I 7% IN WIINESS WHEREOF, I hj.o hereonot set I h.,d Ind 111"J 1,"Y 0116-1 se-l' the /IV I i Y" -:41C 7909260 0 36 NoIxy Pablic ,;if to, tire "t're of Wall"Agro". ft$"/'oq at IL3J.J3/1/ 5AFLC0I.11.l.C . ......... i if i i F; ;7' f't .... ...... CITY OF EDMONDS VF Vkrmit No. :79',?S�0 � C Issue Date PUBLIC WORKS DEPARTMENT 6- �- RIGHT - OF - WAY CONSTRUCTION PERM A. *Address or vicinity of Construction 0 PermltlssuedTo: K)dv-m CV0ZX 20115 84th West 0 Owner: Baltzell Brothers Nam 12620 N.E. 142nd Mailin& Address Kirkland, Wash. City, State, Zip Code Contractor: Olds Olympic Inc. Name dba- E-chs Paving P. 0. Box 180 M449AIWAA W..-h • T pe of Work to b ne:- Drijewa-(4 ha�4 - U • Work in (forinection Witb: El Sub or Plat VSingle Family D Comml. / Ind. El Apt. Condo. • Pavement Cut: El Yes ileo� 223 01 OL DS 0 317 BD State License Number 98036 778 3124 Z < City, State, Zip Code Telephone Number U 04 0. NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE i� B. APPLICANT TO READ AND SIGN INDEMITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless 14� 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 0. proceedings including defense, costs, court costs, and attorney fees by reason of granting this permit. 0 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. 0 i- 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 st be a ailable at the job site--f6r inspection purposes at all times. I Signature -Date 17 Oct 79 Owner olr-�t THIS PERMIT MUSVBE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES V — CALL DIAL - DIG PRIOR TO BEGINNING WORK C. Issued By: LM&0:�� Time Authorized: Voill/after -T- days Z Special Conditions: Ammendments: vz-&o Permit Fee: — Security Deposit: ReceiptNo.: 00GICY-3 Fund I I I Fee: ki .1 io Street Cut Dimens ns CU * * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * * Eng. Div. December 1978 U 0 U LQ 1:0 0 Z 0 W V) U W 0 CITY OF EDMONDS PUBLIC WORKS DEPARTMN� RIGHT - OF - WAY CONSTRUCTION PERMI FU Permi I t No. -7,7-332- Issue Date ,, 10 10-11 -7 47 A. *Address or vicinity of Construction F, Z-0 2-0 Permit Issued To: t-Qb-V TgofWorktobcDone: a4m U ze_tf Zvasqo-�, Owner: 1241—tZra-1.1 Name I 2-1a 240 — Al - E - t- Mailing Address 81. '7-30-3-3 Wo in Connection With: Pub or Plat 0;U1 0 Single Family 0 Comm]. /Ind. 0 Apt. Condo. City, Sta4 Zip Code Pavement Cut: 0 Yes V-1Z 9 Contractor: is CL �f 2-c- N 8 ro-S - +Vvc__� cr-_ res f- 2-s- -,f 0 Name - I V, 2D - /U - E - K-LVO S LT-- 2-9 - C_ Z2 4-8 M iling Address State License Number PTV�Wa�j WA. C790 22-1— ZG2_2 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 cWms 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 t,he 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 availa le at the job site for inspection purposes at all times. Signature, ate. *'bwner or Agent THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES CALL DIAL - DIG PRIOR TO BEGINNING WORK C. Issued By: 6V Time Authorized: Vo4rafter 4 days Special Conditions: N 1) E� � n -t ±_ Ammendments: Permit Fee:___"o Fee- Pe_vw -%—t Security Deposit: Al- IS, Receipt No.: Me_ Fund I I I Fee: 0 -Z. Street Cut Dimensions NoNLP— * * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * * Eng. Div. December 1978