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20415 80TH AVE W.PDF111111111111 7126 20415 80TH AVE W ADDRESS: TAX ACCOUTff/PARCEL NUMBER: OD (oS 1-4 Oo on BUILDING PERMIT (NEW STRUCTURE): 19-1 q -- 0 69 G9 COVENANTS (RECORDED) CRITICAL AREAS: DETERMINATION: E] Conditional Waiver E] Study Required 0 Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED PERMITS (OTHER): c! cl cz — 00:15 Om e (A PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORTPLATFILE: �bylWs=-A)V-4) — LOT: L2 BLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S).#: I/Z- 14 5 GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT WATER METER TAP CARD DATED: Z1 '-J7 �15 21, mfffjfiq�mm LATEMP\DS'Ps\Fomis\Street File Checklistdoc — - .,-L J, ej f Edmondie AMEE City' 0 G HT -OF -WAY CONSTItft-TION -PERMIT.,,, Permit Number: 39 co#% Issue Date: A. Address or Vicinity of Construction: 20415 80 Avenue West B. Type of Work (be specific); Install 1 1/4" PE Main in 80 Avenue Wes t 748-910 �19 1� from 413' North to 6181 North centerl'ine 206 Street Southwest. Pef 6tta8hed Drawiongct: 9 R 043-3) (1) C. Contractor: Washington Natura as ompany C i2iliavie,vok - y Mailing Address: 815 Mercer Street, Phone: 224-2080 State License #: Seattle,.WA 98111 Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. F! Commercial 0 Subdivision F-1 City Project jj Utility (PUD, GTE, WNG, CABLE, WATER) F-1 Multi -Family [] Single Family F-1 Other INSPECTOR: INSPECTOR: , Ew F. Pavement or Concrete Cut Yes . []No (6) G. Size of Cut: 2 x H. Charge$ 5 (a a (under drives) 1 @ Water -APPLICANT T07RIAWAND SIGN INDEMNITY. Applicant understands and by his signature to this application,, agrees to hold the City of Edmonds harmless from injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeen,.that m4' be ' m1ule against the City of Edmonds, or any of its departments or employ- ees, including or not limited to the defense of any legal proceedings incitJ"" 'jefense cos4�,'iin�ttome�" by reason of granting this permit. /Vgj y (7*11 1 " __� I I L/ r -, THE CONTRACTORIS RESPONSIBLEFOR WORKMANSHIPAND MQ\_�ESFORA PERIOD OF ONE YE,4R-FOLLOWING THE FINAL INSPEC77ON AND ACCEPTANCE OF THE WORK ES77MA TED RESTORA 77ON FEES WILL BE HELD UN77L THE�FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISS&AkE TO 7HE APPLICANT\ Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Department- 771-3202. Work 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,have read the above statements and understand the permit requirements and the pink copy of the permit will be available on site at all timesfi o" Signature: Date: November 25, 1991 (Contractor or Agent) ,eAd:DIA1,A-DIG PRIOR TO BEGENNING/W �ORK ............. - ............. 1-1- .... ... 1.11,11.1 ...... I ....... I'll, ......... ............. . ...... .......... FOR CITY USE ONLY .............. .. . ... ... ..... ....... ... .... .... .............. ....... . .. ....... ....... .............. ...... ..................... ... .. .. .......... ... . . ... .. .. ...... ....... . . ... ......... .... . E AU IZED::.VOID:. ''�:DAYS�::..:.:::DISRUP.TION�:FEE/FU.ND�t.l�l�.:*I 11 T140k 'I',".. ........... ....... I ............ I ...... ...... .. . . ........ .. ..... .. ........ ... ........... ...................... ........ ......................... I .. .... ......... ...... ........ ... ........ ... ... ........... .... ............................ ,IAL.CONDrrIONS: N I& RESTORATION:FEE;:: .......... ....... PERMff. FEE: .......... ................ ........ ...... . ........ ........... ................ ......... . ..... .. .. .... ...... ....................... ...... .. ...... . ......................... .......... . . .. ......... . ........ .111 .. ... ... ................... I ... .............. ... ......... 'COMMENTS: RECEIVI` .......... _-AT- ..... ..... ...... ........... ]PISSUANCE Engrg. Div. 1991 FIELD INSPECTION Comments:. - Diagram: CONTRACTOR CALLED FOR INSPECTION Partial Work Inspection by P. W.: Work Disapproved By: FINAL APPROVAL BY: 0 YES (Fund I I I - Route copy to Street Pept.)'�% 0 NO Daft: Date: Eng. Div. July 1985 0 Ll DESCR:P70N REVISIONS 46 L4r-( ANL�J- 1)�l . 49AJe AJ-r�M Al \/Vqz-f e, I -f%.e L>-( I I— rr I 0�� I tt 40 0 Ine s U'flLl-rl66 Plk coca. L00 C--., r-b o�u r-- *;00- L-04-6-r I A-i I 4aL., i rz e: elg� ">CPtz-, -70 1'10 7 i zip 3ILL OF MATERIAL 17 10, V?--A L7 4- coo) "AP: -R E, oo DATE 3 Y !o-, t--A,41 td I YT e3o AV 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 anythi . ng 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 -map(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 empl-o-yees or officerS 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 of PERMIT 9, 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. I 0 ... 41.5 ... ..... 80.t.;.1 --- i...v C-n.0 e ... Ve.s_t .................. . . .................... . ........................................................ ADDRESS LOCATION OF CONSTRUCTION ---- ?0 PROPERTYLEGAL DESCRIPTION ...... ........................................................................................................................ ...................... ............................ ...................... . ........................................................................ . ............... ................................... .................................................. OWNERA"IOR BUIIMM ..... UMAN --- CWC1.12 .... QN ----------------------------- - ------------------------------------------------------- CONTRACTOWS NAME & ADDRESS-URPINN --- 1-531-7 -------- 815t ... ....................................... sion is granted .......... ....... 19_15, for repair and/or connection of a side sewer to the city sanitary sewer in aee,�rdance with City of Eamond� ordinances. _"em J D TO THE FOLI.OVVING: A TION IS CAT 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 axea. 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'.9 office. NOTE No. 3—Obtain full information regaxding 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 20/0. No bends In graode harper than % will be permitted. a Contractors shall be responsible for failure due to improper NOTE No. 5—Trenches in street must be water settled and surface of street restored to original condition. work which may develop within one year of completion. NOTE No. 61 is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the mal n sewer or its appurtenances except to in- t Bert the pipe into the wye. DISAPPROVEDE] Date --- - --------------- ------------------ By ................ Date --------------- . .. ... .... BY ------------------ Date --------------- - ------------------- BY ---------------- tr By --- - ------ - --- --- ..................... ................................................................ APPROVED Date ... . ......... ------- Remarks: ....... . ...... . . / ----------------------------------------------------------------------------------------------- ..... . . ................................................................. ..................................................................... . ............................................................................................................................ . .. .......................................... ......... BOTH P it Copies ST Be :Signed y Owrlfl.br of Firm Performing Construction PRIOR To Request For Inspection :.C.W X V t V,__ I der this permit 0 ....... 0 ify that the side sewer installation constructed un .......... ......... ..... j ...... ........... .... hereby cert n(Owner of Contracting F'rrl Performing Construction) w.—Astalled in accordance with all governing ordinances of the City of Edmonds. Datedthis ............................ day of ................................................................. 19 ......... V V Check BEFORE you dig for: Water [:], Gas E], Telephone E], Power E], Sewer 0, Other E] / -V APPLICATION The City of Edmonds , - for EASEMENT NO - -------------------------------------------- SIDE SEWER PERMIT �LMEW CONSTRUCTION 0 REPAIRS r LID NO. ---- ASMT. NO. Al ?.c.:: OWNER ........ <- �-- -5=.. ? ... !-E�E . ....... I t-.4 C - CONTRACTOR ........ PERMIT NO. JOB ADDRESS ... ... . ..................................................... LEGAL DESCRIPTION:'LOT NO .. ........... C=- ........................ BLOCK NO - ------------------------------------ Approved: DAT�.. ................. ................................................ j ---------------- By ..... /Wo ................ APPLICATION ?�e City of Edmonds for EASEMENT NO . ....................................... SIDE SEWER PERMIT qP NEW CONSTRUCTION REPAIRS LID NO. J-2.1 ....... ASMT. NO. �Z7 7�L. OWNER - -- -- ------------ ---------- CONTRACTOR ......... --- rer-OeRMIT NO. JOB ADDRESS ....................... LEGAL DESCRIPTION: LOT NO - ------ - -------------------------- BLOCK NO - ------------------------------------ ------------------------------------------------ ................................................................ .............................................. NAME OF ADDITION .... ... . .......... 2 �. .................................................... Approved: DATE............................................ By ------------------------------------------------------------ PLEASE INDICATE BELOW IF YOU WISH TO SPEAK ON THE FOLLOWING ITEM: Item 7 HEARING ON PROPOSED TRAFFIC SIGNAL NEEDS IN CITY OF ED- MONDS Name (Please print clearly) 6 C, C) z P_ I <1 Address Y"7j�; .,voo'd (-j 4-v. L) S-6 00 L_L�,,v,,uooCyj- I