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20625 MAPLEWOOD DR.PDFIIIIIIIIIIIIII 12251 20625 MAPLEWOOD DR CITY OF EDMONDS PUBIJC WCPM — 2GINEERING ACTION REPORT Date: Time: SUBJECT: I-rc, 10,e7 C REQUESTOR: NAME: ADDRESS: PHONE: REQUEST RECEIVED BY: TELEPHONE CONTACT IN OFFICE OTHER: RECEIVED BY —1— — NO 2396 SUSPENSE D E: File # Attachment =Yes No MMP, so UM "WWYW� MUM MM Um ACTION All Concerned Notif ied Acti omple ed/File STREET FILE May 7, 1979 11EMO TO: Art Housler, Director Finance Department FROM:. Leif R. Larson Director of'Public Works SUBJECT: BILLING FOR ADDITIONAL EXPENSE -.STREET CUT SECURITY DEPOSIT - ORDINANCE #1935 R/W CONSTR..PERMIT NO.: 73-320 DATE ISSUED - LOCATION OF.WORK: 20625 Maplewood Drive J SECURITY DEPOSIT AMOUNT: $141.00 -4-79 RECEIPT NO. & DATE: Rc. 4634, Date: 1 COMPLETION DT. OF REPAIR: 3/22/79 Please bill the below mentioned,company for $. 6.55 to cover additional expenses incurred by the Street Division when accomp- lishing the subject work: Lynnwood Sewer & Const. P.O. Box 761 Lynnwood, WA 98036 I The -total of the Security Deposit including this billing will be $ 147.55 '-to be deposited to Street Division Revenue Fund 111-000-000-389.10, under the above mentioned R114 Permit. A!I 1V StT'P_et Sutft f Dt. 4qn�- �Dt . CITY OF EDMONDS FOR INSPECTION C PUBLIC WORKS DEP* TMENT SIDE SEWER PtkMIT 775-2525 Ext.� 220 Pe.rmit HMO .!Iss*b Date * PEP -MIT MUST BE POSTED ON JOB SITE * `77mw MWMWAW�WA�J=W��A� 1J of Construction 'Z06LY— lyla,01 Woo� .Jjkddress 2 teProperty Legal Description (include all, easements) Lot 2 1 �, P I 0�k C) � M a-r% 1�e U 00A t U Single Family Residence Lu Commercial QC Owner and/or Builder Multi -Family V. No. of*Units : aob-25 fq&j0eVj00j -0y k— Contractor & License No. (A) 0 6. Invasion into City Right -of -Way: No— Yes (If Yes Right-of- way Construction Permit Required - Call Dial Dig (342-5344) before excavation) . 7. Cross other private property: Yes No Easement required - attach legal description and county easement number. READ THE FOLLOWING AND SIGN: a. Property owners must obtain a permit to install side sewers on their property. A licensed side sewer contractor must be employed to construct side sewers in the public' right-of-way. b. The side sewer contractor assumes full reponsibility for each installation for one year. C. Commercial establishment requires a minimum of a six inch (6") side sewer line. d. Side sewers may not be installed closer than thirty inches ('30") to any structure. 0 e. Side sewer lines -must be laid at a minimum grade. of 2% (1.15.) and maximum grade of 100% (450). 0 f. No turn in side s8wer greater than 45 (1/81bend) is 0 allowed between cleanout. All 90 turns must be constructed of a 45 (1/8 bend) and wye with removable cap. g. No down spouts, footing drains or floor drains can be connected to side sewer system. h. Pea gravel is require d for bedding when installing sewer lines through other than granular soil. i. Cleanouts are required at 30"-60" from each plumbing exit line and at minimum intervals of 100' along sewer line run. j. Trenches within City right-of-way must be restored to original conditions. Contractors shall be responsible for right-of-way failure due to poor compaction of fill. k. Side sewer must be left uncovered until inspected and approved by the City. 1. Inspection during normal working hours only. Two (2) working days notice required. DATE: I ­certify that I have read and shall comply With the above PERMIT FEE: e3s, bw CONNECTION FEE: 0 �%4 V V _Mk�� SAPP ROVE, D BY: Date: By: Date: APPROVED By: jl�_ Date: PEP141T MUST BE POSTED ON JOB SITE The City of Edmonds Side Sewer Drawing EASEMENT NO - ------ ----------- ------------------------- NEW CONSTRUCTION 0 REPAIRS E] LID NO - ------------------ ASMT. NO OWNER --- ---- ---- ------------------- CONTRACYOR --- \4--4C:)C)-CD ------- PERMIT NO. �41� 3 -- ---- V-T-- --------------- JOB ADDRESS CJ;�jEGAL DESCRIPTION: LOT NO - -------- 2=2 — ------------------ BLOCX NO - ---------- ------------------------- '8M NAME OF ADDITION ------ KALI:RL-E:—:� ED ----------- - - ----------------------- Approved: PWW-0001 -11/75 (REV.1 1/78) DATE A .122, -.#79 ---- B, --------- CITY OF EDMONDS -ilev V STREET Fl�g LIAORKS DEPARTMENT, ENGINEE*G DIVISION. APELICATION FOR BIGHT-OF-Iq8Y CONSIRUCTION EER6�IT THIS PERMIT MUST BE AVAILABLE AT THE JOB SITE FOR INSPECTION PURPOSES Applicant to Complete Parts A and B. A. Permit to be issued- to: 1_�L4Kw,,Ool =6. For. Work at :(address or vicinity) Type of Work to be done: __3�� (attach drawing when applicable) Time Required -- Start: Finish: Owner: Pa"-Q- -::Y� Name . Q0r-.)S- Mailing Address E&11.1� - , � ? (0'a 0 City State Zip Contractor: Name Mailing Address . I-V" Wa 611 9PD3(, City State Zip Telephone Number t_�_ N fti - WS C _N k =2 D5 State License Number ? ? 6- 9 35--Q Telephone Number B. INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the applicant or the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, court costs, and attcrney fees by reason of granting this permit. Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one yeai� following the final inspection and acceptance of the restoration by the Engineering.Division. Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at which time a debit or credit will be processed for issuance to the applicant. Work is subject to inspection and restoration in accordance with City Code. A 24-hour notice is required for inspection by Engineering. Call 775-2525, ext. 220. I understand that this permit must be available at the job site for inspection purposes at all times. Signature A_0_� Date: Owner or Agent TO BE COMPLETED BY ISSUING AGENCY: Date Issued: 1-78 Permit No.:,u W-32-0 Fee: 1\3 Security Bond: RA�lj Time Authorized: _?_ (A1e,-_L'J APPROVED BY 10-771v (Revised) Date : 12� 2g 1-721 P CITY OF EDMOND STREET FILE U WORKS DEPARTMENTj ENGINICRING DIVISION * APPLICATION FORRIGHT-OF-11AJ CONSTRUCTIONJERNT THIS PERMIT MUST BE AVAILABLE AT THE JOB SITE FOR INSPECTION PURPOSES Applicant to Comple-te Parts A and B A. Permit to be issued t o For Work at:(address or vicinity) lo V--wL_C_ W�D& 0 W 0 * kf o q-� _.. Fv-,) -T Type of Work to be done:- L�- �i (attach drawing when applicable) Time Required Start: � - 0 10 / Finish: Owner: ip M V) P b �A Co �.A vj N�a_m e - b 1%.. %-" q q Mailing Address N 0 ?)'k!5 3 40 City State Zip Telephone Number --------- Contractor: Name Mailing Address State License Number �RECL;YVED DEC U 1978 City State Zip Telephone Number Di�. Ot Puboc Works B, INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless -from any i�juries, damages, or claims of any kind or description whatsoever, ioreseen or unforeseen, thatomay be made against the applicant or the City of Edm,ohds-,,4or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year following the final inspection and acceptance of the restoration by the Engineering Division. Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at which time a debit or credit will be processed for issuance to the applicant. Work is subject to inspection and restoration in accordanc e with City Code. A 24-hour notice is required for inspection by Engineering. Call 775-2525, ext. 220. I understand that this permit must be available at the jo . b site for inspection purposes at all times. A A A Signaturle: Date:—Ld--li�- "�,p Owner or Agent / / TO BE COMPLETED BY I-SSUING AGENCY: Date Issued:- Permit No.: /1 g7 F e e a Security Bond: Time I (1- 7 7 1 Authorized: C— 'Wo PUBLIC UTILITY- DISTRICT N6.1 of -Snohomish Count R". 10177 L2 -Q Li AREA Location o M (AMD L Lf \/\f 0 0 P 13- DotAha - 6 - ri E5 No. r� W.O. �21 5 T Revisron . __ Scale \"— 200 I s- Reagan for'work 1:3 C. Engineer V-A A% C_ Built F 0 %R f>j u —As 'Approvals U.0. File No. PERMIT REQUIRED Type F 0 I-"t 0-S EIGN CONTACTS Company EASEMENT ENVIRONMENTAL ANALYSIS Exempt under District SEPA Date Granted -IFees .LRN.No.— Yes r Grantor nt r- procedures, Section I I I -A Paragraph LogOosted ' linventory I required NoO Type_L--� S\./C-. Date Granted- Date I y. Transf.Card Pole Dept. Date�l-\ Amount.�,\��Ou Interpretation Referred To: Map Pas e Circuit Map Date Released For Construction Date —By Date Work Completed— By Foreman Circuit Number____L_._i_ -Substation A N 0 -0 0. H. U.G. ' Cond KV Add Ckt Ft —PH Remv—Ckt Ft- PH Net Ckt Ft Water Sewer Gas Backhoe L I 4r� NA k I \A- N/\ V -,t tZ t S TYR I -C, 7- S �FR I Kj 0 -D I S 7- 0 Ki 0. 0 7- A C) G_ )Ilk )-A �A S 7 Y-� L L) �,k -3 rA U P, S E 'T_ 1-3 S T vc� L W.O."No.