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20318 92ND AVE W
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City of. Edmonds
RIGHT,OF-WAY CONSTRUCTION
PERMIT. 'Permit Nmbe,.-
Usue Date: —h! - / I— - .9 < ��
A. Address or Vicinity of Construction: Z-0 '418 '?Z 'J' A\/ 1; \A/
B. Type of Work (be specific): 04STALL U6 INVTCA & ZOMDUIT NSlDrx.
c. contractor: Q4AM%3El2-S1SUW&i-10R- CA
51EAR& ST TH S ALOKIL WSIpe qZk10AV1rW
Contact: MR &9bCP-Soti
Mailing Address: 533 MAI AJ Phone: 77 4 - 5-14&b
1.
stateLicense#: 1UPCR-r-e-10) QA. Liability Insurance: Bond: $
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. EJ Commercial EJ Subdivision 0 City Project Sg Utility (PUD, GTE, WNG<��, WATER)
EJ Multi -Family E] Single Family El Other
INSPECTOR: INSPECTOR: \/V�A�TCVTT
F Pavement or Concrete Cut Wes 0No G. Size of Cut: x 41 H. Charg(�,$
7— k - P0 ssl 6� L Y,�,:� IWI M 06W-5 A5- L6*�A
,_,7/ON 6F
APPLICANT TO READ AN15 SIGN L) )1QTJ 016tATE
INDEMNITY. Applicant understands and by his signature to'this application, agrees I tdhold the City ofEdmonds harmless from 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 its d�partments or
employees, including or not limited to the defense ofany legalproceedings including defensfy-stsl and attorney fees by r:eason ofgranting thispermit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WO]iK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH
IS COMPLETED BY CITYFORCES, 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.
Ihave read the above statements and understand thepermit requirements and thepink copy of thepermit will be
available on at al mes for inspection purposes.
Signatute. ow -A Date: L
,rV3ntrWc-to-r7o-
(11, r Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
'FOR CITY USE ONLY
APPROVED BY: RIGHT OF WAY DEPOSIT
TIME A UTHORIZED: VOID AFTER 0411 1 19. DAYS
SPECIAL CONDITIONS: N A
DISRUPTION FEE/FUND III:
RESTORATION FEE:
PERMIT FEE:
TOTAL FEE:
COMMENTS: RECEIPT FEE:
DATE: ISSUED BY:
It
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. 1994
FIELD INSPECTION NOTES
Comments:
Diagraw
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P.W.:
Work Disapproved By:
FINAL APPROVAL BY:
(Fund 111 - Route copy to Street Dept.)
El YES 11 NO
Date:
Date:
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CITY OF EDMONDS LARRY S. NAUGHTEN
250 Sth AVE. N. * EDMONDS. WASHINGTON 98020 * (206) 771-3202 MAYOR
COMMUNITY SERVICES PETER E. HAHN
DIRECTOR
January 9, 1986
Resident
20210-92nd Ave. W.
Edmonds,�' WA 98020
Dear Resident:
The City of Edmonds Water Section has recently installed a water
valve to help improve the water pressure and fire flows in your area.
Since some of the residents on �top--,of the hill have had low pressure in
the past, the new valve will eliminate this problem.
Currently, the pressure in the area is 35-40 P.S.I. and now will
range from 95 to 105 P.S.I. The City does require a pressure reducer
valve at the house, however, since some of the existing houses may not
have a pressure reducer valve, you are required to install one to
protect against possible leaks due to the change in pressure.
This is a relatively inexpensive item (between $45-$50) and it may
be adjusted to control the pressure in your house. The pressure
reducing valve. should be installed prior to April 30, 1986.
If yo . u have any questions, please feel free to call the Water
Section at 771-3202, extension 293 or 291.
Sincerely,
2-
ACHIE BRENA
Water/Sewer Section Supervisor
AB/ml
/ 1-9-11VI,
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PUBLIC WORKS PLANNING PARKS AND RECREATION
ENGINEERING