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20423 81 ST AVE W
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CRY of Edmonds
REETAL90E-WAY CONSTRUCTION
e;�", �.5 PERMIT Permit Number: 3
Issue Date: A,
ly 9 0 . 1 9 4 - .
C. Contractor: WASHING
A. Address or Vicinity of Construction: - 20423 81 kyonue West
B. Type of Work (be specific): Install New SArfrio-p-
Mailing Address: 815 Mercer St.Seattle, Wn,
98111
State License #:
D. Building Permii # (if applicable):
Contact: Frank SiAtan
Phone: 224-2278
Liability Insurance: Bond: $
Side Sewer Permit # (if applicable):
E. F� Commercial
E] Subdivision
EJ City Project
6a Utility (PUD, GTE, WNG, CABLE, WATER)
F1 Multi -Family
E] Single Family
F� Other
INSPECTOR:
INSPECTOR:
VJ
F. Pavement or Concrete Cut : RkYes E]No G. SizeofCut.(1)2 x 4 @ Wtr.H. Charge$
APPLICANT TO READ A0
SIGN
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmlessfrom injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeen, that may be made against the City of Edmonds, or any of its departmenis or employ-
ees, including or not limited to the defense of any legal proceedings including defense costs, and atiorneyfees by reason 6f granting this permit.
b LL
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS F04 P�EO OFONEYEARFO 0 Nd NAL INSPEC77ON
AND ACCEPTANCE OF THE WORK ES77MA7ED RESTORA77ONFEES WILL BE HELD UN77L THE FINAL STREET PATCH IS COMPLETED BY
CITY FORCES, AT WHICH 77ME A 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 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.
TrafficzControl and Public Safety shall be in accordance with City regulations as required �� 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 timesfor inspection purposes.
Signature: Date: December 4, 1992
(Contractor or Agent5,-�'_
CALL DIAL A -DIG PRIOR TO BEGINNING WORK
........... FOR CITY USE ONLY. ........
. .... ........ ...... ..... ......
............ .. .............. ......
.. .. ... ......... .... ..... .
. ..............
. . .........
,PPROVED:13Y.!���!�:��:�� rr . ............ ...........
::RIGHT,OF WAY: DEPOS]
..................
3
TIME:AU.TH.ORIZED: VOID:AFFER-I': �.DAYS�: :.�DISRUPTION.T
1:�:. S PE . CIAL,CONDrrIONS:,, IN I A Z .,...-.:-RESTORATION
.......... TER.N1r.r.FEE:..
............... ...... ................ . .. ....
. ...............
......... . T
::,::::,TO A&FEE..
..................
.,CONMENTS:.
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-D
NO WORK SHALL BEGIN PRIOR TO PERMIT
Engrg. Div. 1991
FIELD INSPECTION NOTES (Fund I I I - Route copy to Stel��De—
Comments:
I Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work.Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. J
Addendum to :
Submitted by:
IZCZ4 V- 15 * 5 1 AV Ll�)
WI
WE
ul
I
City of Edmonds
Right of Way
permit Application
RIC�AA,q,D MIL-L.AP-D
Engineering Aide
Washington Natural Gas
622-6767 x2761
pager q(j2)-j(o5G
13 1 F�7
hydrant
. valve
815 Macer St. (P 0. Box 1869), Scattk, WA 99111 (206) 622-6767
ILE
The City of Edmqad-s
Vw
APPLICATION
for
SEDE SEWER PERMIT
NEW CONSTRUCTION [:] REPAIRS n
44 ( (-3 - 6 Z2-4 -6 'b z
OWNER C,-�YO(A ��' -
ADDRESS . . ........
.K-:� ............................................
.. .......................................
0
CONTRACTOR ..................
LEGAL DESCRIPTION
CLYNN PLANT
EASEMENT No . ..........................................
rol
.......... & ......................................... PERMIT No.
LOT No . .......... /;;�;- -
................................. ],,,E!�)CK N ................ ...........................
11
..............................................
3
Approved:
e��
DATE J .... 1%�By ... )&-,.Ul ...... ... ........... .. ..............
7 lleL?
Coast "M
Po3t Of
morthra
Seattle
Attenti
nentlem
dale Pa
was con:
JEN:ek
March 10, 1967
�s Lot 15 a WI llow-
monds, '�'ashln7,tmn)
m on March 9, 1967.
vours,
'nNDS
'AN
ent of Public Works
a
NOTICE:
The information 'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of Ecim.onds does not warrant the
accuracy of anything set forth on these
map(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
t -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
ern p]-oyee-s o-r office-r-s-) -sh-a 111 be Via-b-'Fe for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
CITY OF EDMONDS
CIVIC CENTER — WATER -SEWER DEPARTMENT Call PRospect 6-1107 when worh
is ready for inspection. (No inspec'.
SIDESEWER PERMIT tions Saturday, Sunfty or houdays.) N2 1653
ADDRESS .....................
..................................................................................................................
OWNER ...... Lola --- F ...... Burr.inff�on .......................... ............. CONTRACTOR ....... owner
.. . .......... .... ..... .......................................................................
February 23 67
Permission Is granted ... .............................. ....... 19 ........ for ---------------------- days, to REPAM or C01*aVECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CA.LLED 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--Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when You get permit.
NOTE No. 3—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.
No. 4—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. 5--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 ap-
purten&nees except to insert the pipe into the wye.