20410 80TH AVE W.PDF111111111111
7121
20410 80TH AVE W
NOTICE:
No warranty of accuracy.
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of 'Edmonds does not warrant the
accuracy of anything set forth on these
map(s'). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
th-e rnap(s), including, but not limited to,
the location 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-l-oyee-s o-r officer-,-) Shall be liable for the
information given on this map(s), nor for
any one representation provided based
upon'said map(s)..
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT : ?n
Call 77 -2525 for side sewer inspections BEFORE covering any Portion of the construction.1
Inspecti5on will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.)
ADDRESS LOCATION OF CONSTRUCTION .......... ZQ41.Q._- 80th Avenue West
---------------------------------------- ......
PROPERTY LEGAL DESCRIPTION ....... 9,� --- WndyAle krl�
................................................... . ...................... . .......................................................................................
------- - ------------------------------------------------------- OWNER AND/OR BUILDER._.Mick --- Homps Mr.
CONTRACTOWS NAME ADDRESS.5?a�-Dx --- 3aK-5 --- a8fth_:� ... EimallwAt ... Noishinaton
r� nission Is granted ....
`S�-= In accordance with --- Ci't'y -of ---- E'*d ... m ... o'nd- S, -------------------- 19 ......... for repair and/or connection of a side sewer to' the city sanitary sewer
ordinances.
AT—_z'TION IS CALL D TO THE FOLLOWING:
Nt, To. 1—The owners of the Property may obtain a permit to construct sewer inside property line, A licensed I 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--Obtain 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 ins' e property line; minimum grade of 2%. No bends In grade
sharper than % will be permitted. id
NOTE No. 5--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. 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 main sewer or its appurtenances except to in-
sert the pipe into the wye.
DISAPPROVED Ej Date ... ............................. By _--_-_----- Date ................ .. .............. By ------------ 7 Dat�e 'BY ----------------
a�.a - - --------------- ...............
APPROVED Da . ... /.C,; � I �
Remarks: ..................... ----------- 7.3 ------- By ... . ........ . .... ...........................................................
....................................................................... ........................................ ..
- - ----- --- - - ---------------- ....... - ---------------------------------------------------
..................................................... ............... . ............................................................................................................................ . .............................................. .........
r— OTH Permit Copies ST Be Signed By Owner of Firm Performing Construction PRIOR To Request For'Inspection
7)
............... W ............... ... , hereby certify that the side sewer installation constructed under this permit
(owner f'cKz�ct*i'n'_g'_Mrm Performing Construction)
I .
WF"Istalled in accordance%',�ath all governing ordinances of the City of Edmonds.
Ps
- N I N4—, Dated this ---------------------------- day of ................................................................. 19 .........
V -� Check BEFORE you dig for: Water [:j, E], Telephone E], Power E], Sewer [3, Other E] j V
4
City of Edmonds
-7 RIGHT-OF-WAY CONSTRUCTION
a d,
Permit Number-
REfffft±
Issue Date:
A. Address or Vicinity of Construction: 20410 80 Av W (9412926) -0
89() q Q5 B. Type of Work (be specific): T . riRtall New Service
C. Contractor: -Washing6on Natural Gas Company Contact: Frank Swan
Mailing Address: 815 Mercer St. Seattle, Phone: 224-2278
State License #: Liability Insurance: _ Bond: $
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. I E] Commercial F] Subdivision EJ City Project [N Utility (PUD, GTE, WNG, CABLE, WATER)
E] Multi -Family E] Single Family E] Other
INSPECTOR: INSPECTOR: W�; 4r-4-
F. Pavement.or Concrete Cut: RiYes []No G. Size of Cut: -1 (2 x 44) H. Chargq�A
S/W @ Svc I*%—., in
J
APPLICANT TO READ G�
v'-
N
INDEMNITY. Applicant understands and by his signature to this application, agree .1 he City of Edmonds harm geR, or
claims of any kind or description whatsoever, foreseen or unforeseen, that maybe made against the City of Ednumds7�7orany- �af its depart entsor
employees, including or not limited to the defense of any legalproceedings including defe se 6osts, and attorrTy fees by r��no
.(grantir�g this 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 RESTORAT1ONJF-�ESJJ%L BE HELD UNTIL THJ,F1XA,SrP E
TPA TCH
IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CRE DIT 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.
T'raffic Control and Public Safety shall be in accordance with City, regulations as required by the City,: ngineer.
All street cut ditches shall be patched with asphalt or City approv'641naterial prior to the en-c
king day;
NO EXCEPTIONS.
Ihave read the;above st ments and understand thepermit requirements and thepink copy of thepermit will be
�t6
'it
available on si a timVf� =6 n purposes.
C!.* - + T)�i— M---U 1 7 1 OOA
fb� "I co
(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 M4Y 3o�n DAYS DISRUPTION F,EE/FUND-:111:,,.
SPECIAL CONDITIONS: NA- RESTORATION FEE:,
PERMIT FEE:
COMMENTS:
I TOTAL FEE:
RECEIPT, FEE:
$ J ff
DATE:
ISSUED BY
�WT A
IN" W"XVX%� 0K1,t-%J-ALj E)n1LXJUN r-XVI"Kk X" K-J[2jXV1T1JLJL
Engrg. Nv. 1991
71
FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.)
Co, mments:
Diagram.:
CONTRACTOR CALLED FOR INSPECTION El YES
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
El NO
Addendum to cit X of Edmonds
Right of Way
Permit Applicaiion
Pubmitted by: Pt1jCHELL S.-LANKFORD
Engineering Aide
-)4 Washington Natural Gas
# .' -521-'5246
I
C�wt/ C,
01 ks :�_
6CMEOW
I
p-ADI U,;
WNG to window
-2 11A � w(,1- 1��� Xey:
Water imain depth
-unknown -w- water
-g- gas
IV -ss- sewer
gas riain -E)- water hydrant
0 -water valve
J!" h-"Ccr St' D")x 'W "il I 2D6) 62-2.,.,67
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APPLICATION
for
The City of Edmonqk SIDE SEWER PERMT
It EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS 0
4S-4ES.
OWNER -------------------------------------------------------------------------------------------------------------- ERMIT No . ......................
VVICK "ONAE-CE=1 CONTRACTOR P
ADDRESS .��.P'4.1(=) ... . ... ES.P-74 ..... b'".a ... ..... W ........
I
C:b . BLOCK No . .................
LEGAL DESCRIPTION: LOT No . ..............................................
NAME OF ADI�ITIGN ..............................................................................................................
jwl*. �
The City of Edmonds
APPLICATION
for
SIDE SEWER PERMT
EASEMENT No . ..........................................
NEW CONSTRUCTION E] REPAIRS 0
OWNER ..... 6VIele ....... lw0?;5Y--4c5 -------------------------------------------------- CONTRACTOR ......... I.-O',_6 ell." PERMIT No.
ADDR . E�S 4;;;.09 ----------- 711 .... Xf ......... Z/� ................ LEGAL DESCRIPTION: LOT No . ........... 9 ----------------------------- BLOCK No . ............................................
NAME OF ADDITION .............. ........ T- ............
Ll
0
DATE................................................ By ..................................................