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20510 80TH AVE W.PDF111111111111 7129 20510 80TH AVE W Z TM.K, City of Edmonds RIGHT-OF-WAY CONSTRUCTION & 9 0 . 1 9 �) - PERMIT Permit Number: . (73-07-5 Issue Date: 5- QvIggLEILEonstruction: _ 70510 RQ Ay. W. 9111609) B. Type of Work (be specific): Install New Service I C. Contractor: Washington Natural Gas Co. Contact: Frank Swank Mailing Address: 615 Mercer St.Seattle, Wn. Phone.: 224-2278 98111 State License #: Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. 'F� Commercial Subdivision 0 C ity Project )ERK Utility (PUD, GTE, WNG, CABLE, WATER) Multi -Family El Single Family F� Other INSPECTOR: INSPECTOR: jj1JG"H-- F. Pavement or Concrete Cut El Yes [ONo G. Size of Cut: x H. Charge$ APPLICANT TO READ AN;D.7kGN INDEMNITY. Applicant understands and by his signature to this application, agrees to Id e City ofFdmondshamiless3,,,4,ljrViee��ages,;,,or claims of any kind or description whatsoever, foreseen or unforeen, that may be made ag], h City of Edmonds, or any of its departments or employ- ees, including or not limited to the defense of any legal proceedings including defense. cosisppnd atiorneyfees by reas �f - on a Sranq! his permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIPAND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOkNG 7HE FINAL INSPEC71ON AND ACCEPTANCE OF THE WORK ES77MATED RESTORA77ON FEES WILL BE HELD UN77L THE FINAL S7REET 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 Depar 1 e Work is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. 771-022@ Street shall he 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 purpos Signature: Date: ` March IR, 199-3 (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK .... ............ ­­­­'' ......... ............ I ... .......... ­­­­ .......... FOR CITY USE ONLY ;.:VOID:AFI`ER:�:� I ALcAr_DAYS ..DISRUPTION FEE/FUND III:- tj 'Ar S::- :...RESTORATION: FEE- ......... . - ............ ........... .............. ...... ........ Engrg. Div. 1991 -FIELD INSPECTION NOTES Comments: Diagram: (Fund I I I - Route copy to Stre�et�Di�Q. CONTRACTOR CALLEDTOR INSPECTION 0 YES 0 NO Partial Work Inspection by P. W.: Work Disapproved By:. Date: FINAL APPROVAL BY: Date: I a tng. ow. juiy Addendum to City of Edmonds Right of Way Permit Application Submitted by: 6U%4L-,N.C-n&J Line-4& Engineering Aide Washington Natural Gas 5?-1- SZ46 2-c)s IC-) 4BO \Aj EDNIONDS 7 IN I-- W C.". 0 NI, ST. zN E-MM N�G NIA WNG to window N(A Water main depth unknown 4 11 gas main Ub P&.\j i u 6= caj -rs -w- waLer -g- gas - -ss- sewer -6- water hydrant 0 water valve 815 Mcrccr St. (P.O. Box 1869). Scattk. WA 98111 (206) 622-6767 APPLICATION FILE for The City of Edmonds mn SEDE SEWER PERAUT EASEMENT No . .......................................... NEW CONSTRUCTION REPAIRS 0 L)b 1,39 6-1-7-30 I T -IsNbl"TOKS PERMIT No.....4.5.4..G NNICK HC3MF—c:-=� 1�4C. fs ts )v OWNER.... - - - ...... ------------------------------------------------- CONTRACTOR ....... a ...... . ......... IC ..... F . ...... . .......................................... O-C)eAC� a(:>ln4 NNE. W. ADDRESS.......................................................................................................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................ NAME OF ADDITION ...... t-AOP2�-r" ............................................................................................................................... 0 is %M500$1, "N 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 for ' th on these map(�_). Any person or entity -requesting a copy -should conduct an independent inquiry regarding the information shown on ___'__fh-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 emp-'I-o-yee-s or officer-s sha-111 be lia-b-le for the information given on this map(s), nor for any one representation provided based upon said map(s). GTY OF EDMONDS - SIDE SEWER PERMIT WATER -SEWER DEPARTMENT PERMIT �'7c 1. �549 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 inswtions. ADDRESS LOCATION OF CONSTRUCTION ......... 20510 - 80th Afp-.I(jp 14P .-,.; t ................................................................................................................................................ PROPERTY LEGAL DESCRIPTION ...... LPt --- 13. Woodyalp Nnrrh ................................................................................................................................................................. ................................................... . ................................................. .............................................................. . ................................... .................................................. ....... . ....................................................... OWNER AND/OR BUILDER-1NK ... Hous ... mc � .................................. . ....................................................... CONTRACTOWS NAME & ADDRESS.Saa-TaC --- T(109 IZ IQA+h Dij%in1lism .................................... ........... P� ssion Is granted -------- e - ce - in - b i er ---- 1.7 ...................... 19 ... for repair and/or connection of a side sewer to the city sanitary sewer sys.4n in accordance with City of Edmonds ordinances. AT—VTION IS CALLED TO THE FOLLOWING: N To. 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—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 inside property line; minimum grade of 2%. No bends in grade sharper than % will be permitted. 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 fo r 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 E] Date ... . ................................... By ................ Date .......... B Date ............... . ................... By ................ Z ........... .............. _X ................. APPROVEDE] Date. —De--< ......... \-F-A ....... -- --------------------------------------------------------------------------- Remarks: ....... . ....... .......................... . ... ...................................I ................... ...................................................... . ................................................... ................................................................... .. . ........................ .................................. ...................... . ................................... . ............................................. ......... froiitkpermit Copies MUS Be Signed r of Firm Performin Construction PRIOR To Request For Inspection .9 ----- ------ ---- hereby certify that the side sewer installation constructed under this permit (Ovmer of Contractin' Firm erforming �—Znstallcd —accordance wit 11 governing ordinances of the City of. Edmonds. , , , 41� Dated this ............................ day o f ................................................................. 19 ......... Check BEFORE you dig for: Water 0, Gas Telephone E], Power 0, Sewer C], Other APPLICATION for The City of Edmonds SIUDE SEWER PERNaT EASEMENT No . .......................................... NEW CONSTRUCTION C] REPAIRS 0 13 OWNER ...... ............ PERMIT No. Jlal .......... I ................................... F . . ........................ CONTRACTOR ....... ADDRESS------ ............................... . .............................. LEGAL DESCRIPTION: LOT No . ...... .............................. BLOCK No . ............................................ NAME: OF ADDITION ...... ....................................................... 7 6 rl Approved: DATE................................................ By