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20311 MAPLEWOOD DR.PDF11111111111111 12236 20311 MAPLEWOOD DR CITY OVEDMONDS - SIDE SEWER PERMIT WATER -SEWER DEPARTMENT PERMIT 5�.94 Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.) Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday Inspections. ADDRESS LOCATION OF CONSTRUCTION ...... )A .. . .......... . ....................................................... PROPERTY LEGAL DESCRIPTION ........... ................. ...................... ................................................... .................................................................................................................................................... ............... . ...................................................................................... ................................................................ O-KWER,��/OR BUILDER ............ CONTRACTOR'S NAME & ADDRESS ......... ......... . 1_�o A ........... .............................. .... ... ................................................... AX' ............ 19.77T5 for repair and/or connection of a side sewer to the city sanitary sewer PernAsslon Is granted ........... Q;� -- ---- AS in accordance with CIt§ of dmonds ordinances. CTION 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—All work performed in city right-of-way requires an Invasion of RIght-of-Way Permit obtainable from the City Engineer's office. NOTE No. 3—Obtaln full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. NOTE No. 4—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. NOTE No. 5--Trenches In street must be water settled and surface of street restored to original condition. Contracto rs shall be responsible for fallure due to improper work which may develop within one year of completion. NOTE No. 6—It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the maln sewer or its appurtenances except to in- sert the pipe into the wye. DISAPPROVED Date ... . ... By ................ Date ............ By ....... ........ Date ............... . ................... . By ................ APPROVEDDate ... . .... 1 7.5 .......... . . . .. . ....................................................................................... Reinwks: ..................................................................................... ............................................................................. .................................................... ..................................................................... . ........................................................................................................................................................................... ......... BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection P I,.. ------ ** ....................... -- --------- --- I hereby certify that the side sewer installation constructed under this permit (Owner of Contracting. 1�e iori;�tn t'r'uction) anstalled in accordance with all governing ordinances of the City of Edmonds. Dated this .... Q-.L ............... day of ...... --- ­­V­ ............. 111*111*1*** -------- ....... V %1 Check BEFORE you dig for: Water 0, Gas E], Telephone C], Power 0, Sewer [], Other Ej V -V CitY of Edmonds RIGHT-OF-WAY CONSTRUCTION -7-1 �q PERMIT, Permit Numbe, 9 Lssue Date: 2- 7- A. Address or Vicinity of Construction: 11 8 9 0 19 C) B. Type of Work (be.specific): SL-kV��-C 11-11 C. Contractor: �, 'C'Cti, MailingAddress. State License C-C C) W CL - D. Building Pern # Contact: Phone: Liability Insurance: Bond: $ Side Sewer Permit # (if applicable): E. F1 Commercial E] Subdivision E) City Project E] Utility (PUD, GTE, WNG, CABLE, WATER) multi-Farnily A Single amily El Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut 0 Yes )'allo G. Size of Cut:., x H. Chargc�-$ APPLICANT TO READ AND SIGN INPEMNITY.- Applicant understands and by his signature to this application, agrees to hold the City ofEdmondgharmlessfromirVuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense ofany legalproceedings including defense costs, and attorney fees by reason ofgranting 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. 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 Ihave read the above statements and uhderstand thepermit requirements and thepink copy of thepermit will be a 'I bl times,f9r insp vat. a e %site at all ection purposes. 9 Signature., Date:-() 2, (Contra�tor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK \FOR CITY USE ONLY APPROVED BY:' RIGHT OF WAY DEPOSIT E TIME AUTHORIZED:IVOW 4A R RVII 93- DAYS D1SRUPTION'1,!EE/FUND'I1,I.-, SPECIAL CONDITIONS: 12- RESTORATION FEE: ,?o 3 &1 Aka io 6140-' You tm UTf c,-i J I SAOVM DATE: 9-7 0 PERMIT FEE: TOTAL FEE: R ECEIPT FEE: ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE' Eng. Div. 1994 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: APPLICATION ///The Cit� of Edrp for ­-t EASEMENT NO . ............................................ SIBIF-�Ey -PE� ISO NEW"CO STRUCTION REPAIRS E] LID NO. _M/ ..... . ASMT. NO.'.1 -OWNER . ......... CONTkACTOJ�- . ....... .. . ............................................... ............................................... I NO. JOB ADDRESS ...................................................................... LEGAL DESCRIPTION: LOT NO . .............. 152�� ................ .... BLOCK NO .. ...................................... .......................................................... .................................................... ................................................... NAME OF ADDITION.: ........................................... ............ H NX By.. 135.00' 10 ........... ...... ....... .............................. ...... 46 ...................... ................................ ...... ........ 2So, 1010 Is 100.00* 104.26 k"ItT Of V*j V(01- SF 3D ...... ....... ................................................. ...... ............... ................... ...... ........................................ R MECSVED 105.00' FEB - 4 2010 Una- Comer Fla& DEVELOPN"ENT SERVICES CTR- z:1A �z CITY OF E13MONDS Sgback ed Actual Richard and Anne Klein 20311 Maplewood Drive Zone: RS 12 Lot Area: 12,001 SQ. FT. Front Sides PLOT PLAN Scale: I" = 20' Edmonds, WA 98026 Lot Coverage: 2,362 SQ. FT. (20 %) Rear Tax Account Parcel # 00635400001600 Other Height ET FILE T N Richard and Anne Klein 20311 Maplewood Drive Edmonds, WA 98026 Tax Account Parcel # 00635400001600 135.00' to >;Oe ...................................................... ..................... ................................ ...... ........ 104.29 Ek 6T) t'& 2-3(01- ................................................................ ................... ...... ........................................ %C>' 151ft d 105.00' Zone: RS 12 Lot Area: 12,001 SQ. FT. Lot Coverage: 2,362 SQ. FT. (20 %) FEB - 4 2010 DEVELOPMENT SERVICES OTA. CITY OF EDD41ONDS Zone Comer _Flag_ Setbacks Required Actual PLOT PLAN Front I / -----3cale: I" = 20' Sides Rear Other HeiWit n A " T COPY aw 1 Tt- V-- P - Z--P p - Q- 167)10 APPLICATION The City of Edmonds for EASEMENT NO . .............................. ............. SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS F-1 LID NO. —/At— ASMT. NO. OWNER ...... L`i'�-INWQQ�:D __CDN!ST- PERMIT NO. ----------------------------- ............................................ ----- CONTRACTOR .............................. — ------------------------------- .................. 12, � k ED"- LEGAL DE-SCRIPTION: LOT NO. -------------------- JOB ADDRESS .... ....................... -4 L-F— >L — E ---------------- - BLOCK NO. -- ........................... ... Approved: DATE By ................ APPLICATION The City of Edmonds for EASEMENT NO - ----------------------- SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS 0 LID NO - ------------------ ASMT. NO - ------------------ L OWNER .......................... CONTRACTOR -- --- y.?�,, J ........ . PERMIT NO - -------------------- ------------------ JOB ADDRESS ............ 06.0 -------------------- LEGAL DESCRIPTION: LOT NO - ----- -------------------------- BLOCK NO. t. - --------------- ( -7� 40 ------------------------------------------------------------ ......... -- ............................................................................... NAME OF ADDITION .................................... --------------------- M Approved: DATE............................................ By ----------------------------------------------- of Edmonds City RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number. Issue Date: —30 A. Address or Vicinity of Construction: 20311 Mai)lewood-Dr (9413083) 8Q9, 0 W19 B. Type of Work (be specific): Install New Serv�ce C. Contractor: Washing ton -Natural Gas COPIRany Contact: Frank Swan .Mailing Address: 815 Mercer St. Seattle, Wa Phone: 224-2278 State License #: 98111 Liability Insurance: Bond:$ D. Building Permit # (if applicable): Side Sewer Perrnit # (if applicable): E. E] Commercial EJ Subdivision EJ City Project [N Utility (PUD, GTE, WNG, CABLE, WATER) M Multi-Faraily E] Single Family E] Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut UYes []No G. Size of Cut: 1 (2 x 4) H.. Chargq�_$ in-POving over Water APPLICANT TO READ SIGN ANP INDEMNITY. Applicant understands and by his signature to this application, agr Id the City ofEdmonds harmles f, do 440 �181 ominj nes" mages' or 8 a claims of any kind or description whatsoever, foreseen or unforeseen, that nay b �e against the City of Ed 8 g;_.� ,d ;tments or L �tA employees, including or not limited to the defense of any legalproceedings including N0 efike costs, and attorney fees by reason ofgrant' g this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS'FOR A PERIOD OF ONE YEARFbL OW(IAIdTHE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FE&J TILL BE HELD UNTIL TH. - FINAL STJ�EET PATCH IF IS COMPLETED BY CITY FORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL dE P '06?_S�ED FOR ISSUANCE 6STHA32PPZ&�NT. 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 anAmaterial 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 regl4lations as required by the City Engi.neer. I . All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO-EX.CEPTIONS. Ihave read the above statements and understand the permit requirements and thepink copy of thepermit will be available on site at_ail-ame�� purposes. Signature: 0!716w Date: March 21, 1994 (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO B.EGINNING WORK FOR CITY USE APPROVED BY: TIME AUTHORIZED: VOID AFTER DAYS SPECIAL CONDITIONS: COMMENTS: RIGHT OF WAYDEPOSIT DISRUPTION FEE/FUND Ift. LITWCA ISSUED BY: 'NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. I)iv. 1991 FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.) Comments: Diagram.: CONTRACTOR CALLED FOR INSPECTION El YES El NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: WNG to window Water main depth Unknown- g as riain Addendum to City of Edmonds Right of Way Permi Applicaiio -PUbmitted by: P!�,TCHELL S.-LANKFORD Engineering Aide Washington Natural Gas # .'-521 15246 ZY4 cc-r�- I xd r"6, V, - c T T---- . t C-A Key: -w- water -g- gas -ss- sewer -e- water hydrant 0 water valve 2!'� h '-Ccr St- ' D- Flnx '.Vl "il I � f2r)6) 622.,,;6,