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20430 81 ST AVE W
City'of Edmonds' RECEIVE!D
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F -W
AY CONSTRUCTION UCT 2 9 1931
PERMIT Permit Num��PGINEERINQ
Issue Date:
A. Address or Vicinity of Construction: 20430 81 Avenue West
B. Type of Work (be specific): Ius tall 2" PE Main 81 kvenue West f rom 388
18 9 0 - -1 9 c F�� South to 6131 South centerline 204 Street Southwest. Per-
AtJa6hedCDrawiug: 910-473 �I§ 6043-3) (1)
C. Contractor: Washington Natura as ompany Contact: gar wandon
MailingAddress: 815 Mercer Street, Phone: 224-2080
State Lice I nse #: Seattle, WA 98111 Liability Insurance: Bond: $
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. Commercial Subdivision El City Project [X—] Utility (PUD, GTE, WNG, CABLE, WATER)
F] Multi -Family Single Fan -lily F1 Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut : 0 Yes [MNo G. Size of Cut: — x — H. Charge$
APPLICANT TO READ AND SIGN 0. ��#
INDEMNITY. Applicant understands and by his signature to this application, -agrees to hold the City of Edmonds harmlessftom injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeen, that Aay?-,Mqd1 aga�nft thl (�Q dyl$dmonds, or any of its departments or employ-
ees, including or not limited to the defense of any legal proceedings i . ncluding d�fense costs, and &torneyfees by reason of granting this permit.
THE CONTRA CTOR IS RESPONSIBLE FOR WORKMA NSHIP A AID MA 4: FOR' Q(rlwoi V---,OAIE YEA R FOLLOWING THE FINAL INSPEC77ON
AND ACCEPTANCE OF THE WORK ES77MA TED RESTORA77ON FEES WILL BE HELD UAWL THE FINAL STREET PATCH IS COMPLETED BY
CITY FORCES, A T WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED F , OR ISS,UANCE. TO, 771E APPLICANT
Construction drawing of proposed work'required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering !Department- 77-1-3202.
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 timesfor inspection purposes.
Signature: Date: October 14, 1991
(Contractor or Agent)
CALL DIAIA-DIG PRIOR TO BEGINNING WORK . 1.
... ....... 11.1111, .... .. TOT
-COMMENTS: ........ RECEUT..,NO:
DATE:, ISSUED BY:.
NOWORK'SHALL.BEGIN PRIOR TO PERMIT IS
Engrg. Div. 1991
FIELD INSPECTION NOTES
Comments:
Diagram:
(Fund I I I - Route copy to Street DeV.)
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July 1985
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64
APPLICATION
STREET FILE for LYNN PLANT
The City of Edmonds S16E SEWER PERIMIT EASEMENT No.
NEW CONSTRUCTION REPAIRS
OWNER ...... jr— 3� .................. ...... . .. CONTRACTOR ...... ........ . .............. ............... .......... ..... PERMIT No .... ... ....
ADDRESS 0 LEGAL DESCRIPTION: LOT
BLOCK No . ............................................
NAME OF ADDITION ...... .. ..... .........
Approved.
DATE.................... .............. ............ By .......... .......
........................ .......................
NOTICE:
�No--wa rr-a nty-- of ---a-ccu racy. -
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(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
tf�e -map(s), including, but not limited to,
th I e 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
ernptoyee-s o-r office-rs -sh-a-1.1 be 1--ila-b-11--e 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
SIDE SEWER PERMIT
20430 — 81st West,, Edmonds
ADDRESS
Call PRospect 6-1107 when work
is ready for Inspection. (No inspec-
tions Saturday, Sunday or holidays.) N2 1870
OWNER ........ C.h_a.r1e.s ... E.._G_ram ............................................. CONTRACTOR ......... ommer
.. . .. ....... .. .. . .. ........ .....................................................................
PernAssion is granted ... . ........ March '_ 2 * Zj ......... 19.�T, for ---------------------- days, to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALL D 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%.
1 No bends in grade sharper than % will be permitted.
E No. 4—Trenches In street must be water settled and surface of street restored to original condition. Contractors shan 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.
purtenances except to Insert the pipe into the wye.