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20619 86TH PL W.PDF111111111111 8235 20619 86TH PL W 8 9 0 - 199 - Clity Of Edmonds EET FIV.- RIGHT-OF-WAY CONSTRUMB RF E0 .CF.IV FYI P 141, PERMIT cppv Permit Number: NOY 191991 5�r�' \�o Issue Date: 11-117— 9/1 A�19JNEERING ress or Vicinity of Construction: - 20619 86 Place West B. Type of Work (be specific): Install New Service - C. Contractor: -Washington Natural Gas Compa Mailing Address: 815 Mercer Street, State License #: Seattle, WA 98.111 D. Building Permit # (if applicable): Contact: Gary Swanson Phone: 224-2080 Liability Insurance: Bond: $ Side Sewer Permit # (if applicable): E. F� CommerciAl E] Subdivision El City Project FX] Utility (PUD, GTE, WNG, CABLE, WATER) n Multi -Family [I Single Family n Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut [N Yes E]No (1) G. size of cut: —2 x 5 . H. Charge$ APPLICANT TO%&I'b AND SIGN INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City of Edmonds hatwilessfirom injuries, damages, or claims of any jUnd or description whatsoever, foreseen or unforeen, that may be made against the City of Edmonds, or any of its departments or employ- ees, including or not limited to the defense of any legal proceedings including defense costs, and attorneyfees by reason of granting this permit. 77LE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECITON AND ACCEPTANCE OF THE WORK ES77MAYED RESTOR,4 77ON FEES WILL BE HELD UN77L THE FINAL STREET PATCH IS COMPLE YED 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 Mr inspection; Please cAll thwEngineering Department- 771-3202. Work is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. /A 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 orCity 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: A46M0ZUL&1 Date:November 12, 1991 (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK NO WORK SHALL R Engrg. Div. 1991 FIELD INSPECTION NOTES Comments: Diagram: m (Fund I I I - Route copy to Street Dept.) TP CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO Partial Work Inspection by P. W.: Work Disapproved By: — FINAL APPROVAL BY: Date: Date: Eng. Div. July 1985 11 Washington Natural Gas AWb1vxjton E-ergy C-parry �A* Addendum to : Submitted by: da)(-p PL— \/\j "'VNG to wind ,*Water main unknown z 11 gas ma 1� City of Edmonds Right of Way Permit Application Kerry Walsh Engineering Aide Washington Natural Gas 622-6767 x2761 pager 995-6914 - L Lo&-o W W " %- �--.L -g- gas -ss- sewer water hydrant 815 Mercer St. (P.O. Box 1869), Seattle, WA 98111 (206) 622-6767 43 MIT Ir. �1_ EUMMOt DAS 'S -WA-TEll�SEWiFAt�,�,DEPA-RTMENT PERMIT 5,052 Call, 775w=5 for side sewer -inspections BEFORE coyering any portion, of the cb�n truction. sp 0 .(Inspection will be provided within 24 hours after requst. NO. Sat., Sun., or holiday ins ecti ns. ADDRESSr LO AtION OF CONS- 97 TRUCTION ..................................................................................... ........................ . ................. 7 ............... ............. A,, PROPERTY LEGAL DESCRIPTION ...................... ........ ............. ........... ...................... fc:;D ............ ......... ............ zli ............................. ................................. V ............ ........ ................. ...................................... .................................. .................................................... .................................. ............... ............ ..... .... ......... ....................................................... A R'AND/OR�-BUILDER.'......f=2�,-.i .... ....... ...... ........... 1�.., ............ . A ............... ............ ....... .......... ................... -CONTRACTORIS NAME & APDRESS .......... ....... ....... �, ....... : ......... P6rinisslowisigrafited: .... ` ....... W., 191%r for repair. and/or -connection, of a side. sewer tolthe: city. sanitary, �sewer systemw1d' W`oidali �1wlihi.City.of'5Edmonds.-ordiiiances.:- ENTION Is �,&-�'"LED�TO-THE; FOLLOWING: N 0 'property may. obtain 9 permit to, construct sewer- *inside property line. A licensed 'Side Sewer Contractor must be, emplo ed, to construct �!-qkf` 'e—w—er'fln',sViget area.' bo not cover any portion of sewer* beforeAt' has, been lnspecfed� ' % IS .- . I I NOTE, No., in City' requires,an Invasion of Rlght-of-Way Permit obtain -able from the City Engineer's office e. NOTE,No., 3-# ' Ob - tkl;i�fluiljl'n�f�imation regaxding Ordinance 11.16.030 and- Regulations governing side sewers when, you get permit. NO,TE'No.'�4'.�—Top�.6it.-sid�',-'�ewer'must have at least 30 inches coverage at property line axid 12 inches Inside property line;, minim , um -gr I ade of 2%. No ben I ds'in grade sharpeil thah, wilL be permitted. NOTE' No!?5�—Trenches ln,s rect must be, water, settled and surface of street restored, to original condition. Contractors shall be respo . nsible.for failure due to improper '�,Z y If,.,�6�k,,�iii6li�;'may,develop within one ear of complUion. NOTIT No'- 6z�--it, I"' AH121'�6�;;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- p �,Jnt,o: the wye. DISXPPROVEDE] Date ... . ........ ............ ................... Date ...... .... .......... ........... Date ........... ...... .............. B w.'. - ., I " 1 1 . . . I . � 'y .... : ........... APPROVE6 t Z A-14; . .. ....... I.., ...... ALWw—.... BY ............ ........... I ..................................... .................... D a Reinarks: ............. ....... ................................ ............. ....... ....... .. I . ....................... .......... ............. ............ .............. ......... 7 ............................ .......................................... i ........................................................................................................................................................ I ........................................................ -BOTH Permit, �Clopies:MUST Be, Signed By 'ONNiner of �Firm Performing Construction PRIOR To Request For Inspection ........... .................. here�y, certify that the side sewer installation constructed under this permit f.,,Contra ng Firm Performing, Construction A. insta-11ed'.in'accordazic6,with,..alI governing ordinances Of� -the, City.;of. Edmonds.., ............. -day. OL .... .................................... ..................... 19 ......... V V, :C4cckBEFORE yon dig. for:, er -,Tel6phone, Poiver:E]j, Sewer,o,.,_ OtherE1,:VV, APPLICATION The City of Edmonds for EASEMENT NO . ........................ .......... SIDE SEWER PERMIT to NEW CONSTRUCTION E] REPAIRS ASMT. NO. LID NO. ._A OWNER -''.--CONTRACTOR ---------- --------- _ ..................... ............ L� 4 it 4. "PV -----------. .................... a ------------------- PERMIT �b- JOB ADDRESS -4 ----------------------------------------------------------------- .. ................ G L-DESC-RIPT'*IO*N":-'* 9—a LE A LOT NO. ..................... -------- -BLOCK N& ...................... ------------------------------------------------------------------------------------ :_n .............. : ---------- ................................................ -------------------- I ./ I ) --I/. DATE By ------------------------------- APPLICATION City of Edmonds for EASEMENT NO . ......................................... SIDE SEWER PERMIT NEW CONSTRUCTION E] REPAIRS LID NO . ............... ASMT. NO . ......... C� OWNER J.- -------------------------- k' ---- ------------------------------------------------------- CONTRACTOR .................................................................... PERMIT NO. JOB ADDRESS ------- -------------------------- --------------------- ----- LEGAL DESCRIPTION: LOT NO . ..... — --------------------- BLOCK NO . .......................... ,�\Nl ------ — -------- . ......... ............................ NAME OF ADDITION ............................. Approved: DATE............................................ By .......... ------------------------------------- ------ - NOTICE: The information'shown on the attached map(s) wa's comPiled for use by the City Of Edmonds/ its Employees and Consultants. Th.e City of 'Edmonds does not warrant the accuracy of anything set for.th on t . hese Map(�-). Any person or entity -requesting a copy should conduct an independent inquiry regarding the info*rm'ation shown on -map(s)/ Including, but not limited to, -h th . e lociation of any sew-er stub shown. Suc sewer stubs may or may, not exist and may at the location shown. or may not exist Neither the City of Edmo'nds nor its empl-o-yee-s o-r office-rs -shal] be Viab-lfe for iffie n on this ma p(s), nor for information give' tation provided based any one- represen upon said map(s).