20710 86TH PL W.PDFIIIIIIIIIIII
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20710 86TH PL W
NOTICE:
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N'o--- hty. 0-.
The Information shown on the attached
map(s) W3S cOmPiled for use by the CitY Of
Edmonds� its Employees and Consultants.
Th..e City ofEdm.onds 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
orm - ation shown on
inquiry regarding th�e inf
-map(s), Including, but not limited to, -h
er stub shown. Suc
the lociation of any sew
sewer stubs may or may, not exist and may
t at the location shown.
or may not exis
Neitheir the city of Edrnbnds nor its
ernpl-o-yee-s o-r office-rs -sh-a-1] be 11a.b..'Fe for the
information given on this map(s), nor for
e representation provided based
any on
upon said map(s).
FILE
APPLICATION
for
The City of Edmon-SIREET
SIODE SEWER PEWHT
NEW
CONSTRUCTION E] REPAIRS E]
EASEMENT No . ..........................................
—16 161
OWNER
b�f
.. .... ....... ....................................
t
CONTRACTOR L j
5 A�!: A
lQJ . . .......... PERMII
ADDRESS .215
.... ...........
....... DESCRIPTION: LOT No.
.................................
----- ..............
BLOCK No . ............................................
NAMEOF ADDITION .......
.. .........................................................................
14
S)�
-,L-
APPROVED
8 1969
......... . - - - -------
Approved:
DATE ... ........ By..?
---------- . ...........
------------ I ---------------
CITY 00 EDMONDS
Cal
CIVIC _CENTE' I PROsPect 6-i107 when work
R — WATER-S.EWER DEPARTMENT is ready for inspection. (No inspec. r)
SIDE SEWER PERMIT (ions Saturday, Sunday or holidays.) N2 3525
ADDRESS ........ 20710 - 86th Place West
.................................................................................................................................................................................................
OWNER ........... Jim Wilkenson
...................................................................................
CONTRACTOR ........... �ynnwood Sewer Const.
............... .................. : ..............................
Pert nission' is granted ................ D.P,_.c. , L ...... 8 ............ 19..�._9_ for ........................ days to REPAIR or CONNECT a side sewer
with City Sewers in accordance With application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NO TE 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 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%.
No bends in grade sharper than 1/s will be permitted.
NOTE No. 4—Trenches in street must be water settled and surface of street restored to toriginal condition. Contractors shall be responsible for
failure due to improper work which may develop within one year of comple Ion.
'i4OTE No. 5—It is unlawful to a3ter or do any other work than is provided for In the permit, or to do any work on the main sewer or Its appur-
tenances except to Insert the pipe into the wye.
00*7
-7
I I : 4�w�
890_10
10ty of Edmonds
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number -
Issue Date:
A. Address or Vicinity of Construction:
y 207i6 86 P! Wt (9503065)
B. Type of Work (be specific): Inatall New Service
C. Contractor: —Washington Matur-01 Cag COMPAny Contact: Frnnk .031-yan
Mailing Address: 1129 75tb St SW, Fer-ett Phone: Iii6_756a
State License #: 98203 Liability Insurance: Bond: $
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. E] Commercial E] Subdivision El City Project Utility (PUD, GTE, WNG, CABLE, WATER)
n Multi -Family E] Single Family E] Other
INSPECTOR: INSPECTOR;,
F. Pavement or Concrete Cut Yes []No G. Size of "Cut: x H. Chargq�,$
APPLICANT TO READ AND G, N
city
INDEMNITY. Applicant understands and by his signature to this application, agrees to hol City ofEdmoo#s harmle8sftom. ages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be made aegait the City of Edmonds, or any of t , ts do;partments or
.t I
employees, including or not limited to the defense of any legal proceedings including defense cog
ts, and attorney fees by reasod-ofgranting this permit."
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR I PER19,P, 9F ONE YEAR FOLL(0tW1WJTHrFINAL
I
INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEVWILL BE HELD UNTIL THE FINAL STREET PATCH
IS COMPLETED BY CITY FORCES, AT WHICH TIME 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 Division, 771-0220.
Work and material 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.
Ihave read the above statements and understand the permit requirements and thepink copy of thepermit willbe
available on site at all times for inspection purposes.
Signature: 7,0 44,� Date: 11-18-94
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: tk)kc�r_A RIGHT OF WAY DEPOSIT
TIME AUTHORIZED': VOID AFTER EA 6- DAYS
SPECIAL CONDITIONS:
COMMENTS:
DATE:
DISRUPTION FEE/FUND 111:
RESTORATION FEE:
J
PERMIT FEE:
TOTAL FEE:
RECEIPT FEE:
ISSUED BY:
/' 11 NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Enjrg. Div. 1991
FIELD INSPECTION NOTES
Comments:
I)
Diagram.:
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P.W.:
Work Disapproved By: -
FINAL APPROVAL BY:
(Fund 111 - Route copy to Street Dept.)
El YES
Date:
Date:
El NO
Washinsiln,
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Addendum to :- Vity--Q�L
K -i _Cglih, - t 0 f W * a Y
Permit Application
Submitted by: En�ineerinig Aide
Washinqton Natural Gas
w t main depth Cpf�-r- 3'
runknown
gas main
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_ss- sewer
water hydrant
S 15 Mcrccr St. (P.O. Box 1869), Soamk. WA 99111 (206) 622-6767
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