20630 77TH PL W.PDF111111111111
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20630 77TH PL W
City of Edmonds
6 9 0 - 199 -
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number: 91 0011
STREET FILE Issue Date:
A. Address or Vicinity of Construction: 20630 77 P1. W. (9312544)
B. Type of Work (be specific): Install New Service
C. Contractor: Washington Natural Gas Coi,
Mailing Address: 815Merxer $t. Seattle, Wn_
State License #: 98111
D. Building Permit # (if applicable):
Contact: Frank Swan
Phone: 224-2278
Liability Insurance: Bond:$
Side Sewer Permit # (if applicable)
E. 'F_J Commercial EJ Subdivision El City Project ]a Utility (PUD, GTE, WNG, CABLE, WATER)
F1 Multi -Family EJ Single Family F-1 Other
INSPECTOR: INSPECTOR: W
F. Pavement or Concrete Cut LJ Yes bdNo G. Size, of Cut: x H. Charge$
APPLICANT To READ A I' N
INDEMNITY. Applicant understands and by his signature to this application, agree jk he City of Edmonds harmles$ a es,10or
s i g
yo i '!�.LIenjlor e p Y_
claims of any jUnd or description whatsoever, foreseen or unforeen, that may be made t the (City of Edmonds, or an
ees, including or not limited to the defense of any legal proceedings including defense coszr,,apd attorneyfees by reason of granting this Rennit.
4t
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWIAG THE FiN�L INSPEC77ON
AND ACCEPTANCE OF THE WORK ES77MA7 ED RESTORA 77ON FEES WILL BE HELD UN77L THE FINAL STREET PA TCH IS COMPLETED BY
CITY FORCES, A T 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 Departnien'?I��
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,.f ity Yi�giqee�.
All street cut ditches shall be patched with asphalt or City approved material prior to the&e"nd d the working day;
NO EXCEPTIONS.
I have read the above statements and understand the permit,requirements- ' a * nd the pink copy of the permit will be available
on site at all timesfor inspection purposes.
Signature: Date: March 31, 1993
(Contractor or Agent)
CALL DIAIA-DIG PRIOR TO BEGINNING WORK
�,:.:DATE::__1::..: ...... ISSUEDW
LIZAM
Engrg. Div. 1991
Eng. Div. July 1985
Addendum to City of Edmonds
Right of Way
Permit Application
.Submitted by: GLIqLL (2c)UUDI=
Engineering*Aide
Washington Natural Gas
95�9/ -52-41e)
2C&an -77 PL. W
W KjC= 4� q -S 12-15 5 4
11
NIA WNG to window
Water main depth
unknown
gas main,
U C-) (21U T--,:E>
-w-
WaL.CL
-g-
gas -
-ss-
sewer
-e-
water hydrant
C)
water valve
815 Macer St. (P.O. Box 1869), Seattk. WA 98111 (206) 622-6767
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 forth on these
map(s). Any person or entity requesting a
copy should conduct an independent
inquiry regarding the information shown on
the 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
employees or officers s-hall be lia-b-l-e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
CITY OF EDMONDS Call ]PRespect 6-1107 when work
CIVIC CENTER— WATER -SEWER DEPARTMENT is ready for inspection. (No InsPee,
tions Saturday, Sunday or holidays.) N? 2303
SIDE SEWER PERMIT
...................................................................................................................... ----_---------
OWNERA� ... ZC
....................
........ ....
Permission is granted ---------_-- ....... 19'1�.�', for ........................ days to REPAIR or CONNECT a side sewer
,with City Sewers in acc�ord;Zce with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —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 nut cover any portion of sewer before it has been inspected.
'E No. 2—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
f inimum grade of 2
Z No. 3—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; m
No bends in grade sharper than % will be permitted.
NOTE 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 appur-
tenanzes except to insert the pipe into the wye.
0
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Z-37
D
APPLICATION
for CLUYNN PLANT
The City of Edmonds STR--. S11DE SEWER PERMIT
EFT FILE lbbASEMENT No . .......... ...............................
7EW CONSTRUCTION REPAIRS E]
OWNER ....... (:7'..41 ........ CONTRACTOR .... ..
ADDRESO .. 01 ..... ....... a, ........................... LEGAL DESCRIPTION:
-2,0 6 -3 40 7 7rA,.o lll�ell— NAME OF ADDITION..
- -9 �3
-- - -------- .... ..... PERMIT No.
.......... ... ..... -- -----
LOTNo . . ............................. ......... BLOCK No . ............................................
... ...........
--:� ----------- ...... ......... ...... ..................................
APPROVED
MAY 31
Approved:
DATE ..167.1.7.267 ...................
B; .........
I t—