20724 86TH PL W.PDF111111111111
8243
20724 86TH PL W
City of Edmonds
RIGHT-OF-WAY CONSTRUCTION
PERMIT.
Permit Number. q-1
Issue Date:
------- A. Address or Vicinity 08f Construction: 9()72A g6 pl� W (9504137)
11 8 9 0 1 9 9 Q5 B. Type of Work (be specific): Inatall New Service
C. Contractor: —Waghington NAtural rAr, Contact: FrAnk Swan
MailingAddress: 1122 75 St,SW, Eye-rett Phone: 356—�503
State License #: 98203 Liability Insurance: Bond:$
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. 0 Commercial E] Subdivision El City Project U Utility (PUD, GTE, WNG, CABLE, WATER)
F1 Multi -Family E] Single Family F1 Other
INSPECTOR: INSPECTOR: k_Q�" kr_'�A
F. Pavement or Concrete Cut : D Yes [--]No G. Size of Cut: — X_ H. Chargq�_$
APPLICANT TO READ AND S N
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold ta Ity of Edmonds harmless fro es, damages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or
employees, including or not limited to the defense ofany legal proceedings including defense colts, and attorney fees by reason ofgranting th&permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS F�Qp P 11, D OF ONE YEAR Fb�LQWl G FINAL
TION F ES I I -L BE HELD V
F
INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORA B.� UNTIL THE4 FINAL �TRT 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 thepermit requirements and thepink copy of thepermit will be
available on site at all time <15n7ssp s.
Signature: Date: N&vemher 22, 1994
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY:
TIME AUTHO RIZED: VOID AFTER I '-J f=_Alt' DAYS
RIGHT OF WAY DEPOSIT
DISRUPTION FEE/FUND 111:
SPECIAL CONDITIONS: RESTORATION FEE:
PERMIT FEE:
COMMENTS:
TOTAL FEE:
RECEIPT FEE:
DATE:
ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Engrg. I)iv. 1991
FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.)
Comments:
Diagram.:
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P.W.:
Work Disapproved By:
FINAL APPROVAL BY:
0 YES
Date:
Date:
0 NO
co
co
S w
Was GoEle eces tobe
S W)
IA
T/9" 93, S
M 84
X
Ili 214' 5
ru
N
10
FAV
1 to H 0"� I b Z. U b b
21 PE to It 'S AT r.
2 1,51 Ole-4110, 9SI-049
2n2l —
74' 204 ST S W
1977
�9
1AV2 82
/979
N
610--seds 0
VI
k
$
mqe
1970
PE I
(D �2/s- go-N
19 t5u
CD
Sw
207 ST
olelo , 5
'gal
gills
S T
SIC 79'S
OILS
V;
j
2. 1 (.'S
CD
cp
11
—j
rA.
to
co
WashkVton
A%W
Addendum to cit of Edmonds
Right of Way
Permit Applicaiion-
-Aubmitted by: Mariamne Kingsbury
Engineering Ai de
Washington Natural Gas
-356-7500 X7596
#
5/4,
WNG to window
Wate, depth
rnown
to gas main
,Z�� VV
4ECio pc-w
F2- /LD
Key: _w- water
-g- gas
-ss- sewer
-&- water hydrant
0 water valve
815 Memer St. (P 0. Box 1869). Scaide. WA 98111 (206) 622-6767
NOTICE:
N warra
The information'shown on the attached
map(s) was cOmPiled for use by the City of
Edmonds,; its Employees and Consultants.
Th.e City of 'Edm.onds does not - warrant the
accuracy of anything set forth on t * hese
Map(�-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
-map(s), including, but not limited to,
t on of any sewer stub shown. Such
the lociati
sewer stubs may or may- not exist and may
or may not exist at the location shown.
Neitheir the city of Edmo-nds nor its
I
ernpl-o-yee*s o'r offi-ce-rs -sh-a-H be 11a.b..'Fe for the
information given on this map(s), nor for
any one representation Provided based
upon . said map(s).
APPLICATION
for
The City of Edmonds SEDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS 0 EASEMENT No . ..........................................
cb znc)
'Sbf----r
.. ..........
OWNER --------------------------------------- CONTRACTOR E10—a. .... (:H.4MMMJ:-al .... =-N-5P ... PERMIT NA..
-T 14 (MRCF—L NACIF
24 EN� PLt:bhe-1---
ADDRESS ............................................................................................ LEGAL DESCRIPTION: LOT No:$Ue� NIS
............ M! dl.(:84 BLOCK No
LOT A RNIL IDC:'=I=—:
NAME OF ADDITION NINO -n4f—:= Nf 90% rHS;RP—(=)F; �Ula*Af=-CT
-& &S
r%-AW NL—Y. SSW "r"
4S 1
2077-A
35,
PLNCE
t
EST?sTr Ea
T
!S -T Fk% a E-=7
A "ov
pp
A 1.10 10
DATE.W .... . olei;;;; 41011, &.15 ........ p'(�i'0
VM R, P.
."IE VIONGS�-SIID E
OPTY OV� E. 11 W2, E ERMIT
WATER -,SEWER, DEPARTMENT-.11
1PE
RMT*1
�1-76'146T for' -11de seN.�Yer . ins�octibhs --BEFORE �boverl . n I g am�,�pp�ti6wl.'�f fhe.,;cohstfu t1'
Inspection will. be provided: v�ftliifi, 24`hoiirrf-lafter request: NOi'�Sat�.� S=,,-orl,holiday, Inspections.
V-
ADDRESSI� LOCI AT-1,0N,0F, '�,C',ONSTRVCWON-.� . . . ?J .4 . . 'A 1 i i
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
'PROPERTY JEEGAVDESCRJ[PT10N.`_
A'�, J_ at '14 r,
Pari, 4,
........................................................................................... ................ .................... .............. ...................................
.......... .................................................... ....... ......... .......... ................ ........... ............. ............ .......... ..................................
................................... ..................
Zz�
.............................................. ......... 0,V*rNER,AND/QR; BUILDER ............... ? .........
.......... .............................. ......... ................ ..............
!V11
C0N.TkACT_0'R1S'W_1A �MI*E.,'&-�AbDRES�'.1;3ni).�.C.1'1��.'Ih�%t.1-� .... (".f ............... ("d nii ......... ............
............................. 1.11 ................. ..... ...
PenYd§s1onAS,;gran&_kd ..... ....... 19 -1,,Jor repair a d/6 ",connedion.' of a side� sewei! wer
.......................................... . n r . Ao, -the , city"sanita, y,,;se*
y ;em'fii6ae nc,04 ith:,City'of -kdmoiid& orainanc
1st corida
---',T ENTI ON'IS-ICAIA�ED� TO' THE, FO)1,1�0,WI . N
G:'
rE, No' 'iie'�ownem of �tbe'.prop6rty may
�1 T obtain �W permit to�'construct sewer in'side property, -line.,,, A—] ic6nsed. Side Sewer,�Qontractormust*bem employ d to construct,
"T" has,licen- Inspccted�!,,_,
"side sewer,in- street' ' area. hio Pot cover any- portion of se��erbefor� it'
NOTM'Nd.'�',�L�k,'irwork performed fn',clty, rikhtof-"way requiresL".b,6 Invasion jof. RightLofWay' Permit,obtain-able, from the City, Engineer's 6ffice.�
governing. side- sewers 'when �yo'u*-'gst p I ermi I t.�
NOTE" �3�Obtsdnfull, information.regs-rding Ordinance' 1-1.16.030. and'! Regulations
NOTE%No.,. 4' Top, of.side�sewer�must:have at lea�st' 30.4n,ches co'yera, e E�t -property jine-and 12',driches Afiside�property. line; -minimu ado 0 2� d"
sb&rper:than*14':will: be.permitted. 9 ni.kr f,_ No . 'be . nds. in, gra e,
orll ditl
NOTE No;. 5-��Tre�nch'estfti,strcet must,be water settled'and - surfac6 of' -street re ' stored' to ginal con on �Cont,rstors, shall b6*yesponsible' 4or' failure, due.,to).lmproper
work Ahi6fi:.may idevelopt %�Ithin, one year'of completi6h�
,NOTE No."6lt isjunlawfuV Co. alter or do other work, than _is.provid�d�for In �thc permit,, or, to, do ny, work- on the main se�ver, or Ats, appurtenances, except to."in.
sort: h6pipei I
nt� the wye..
DISAPPROXWD� Phte*.... .......... ...BY7`...: ... :._--'-,Date ........... B 0." Dat ............ "BY ................... ...
D
......... B'y; ....... ...................... ................... ................
,APPR'0VE& ate..
Reniarks:,.' ........................ ........................................................ ................................... ................... ...... ........ ................................. ..............
.. ........
. ................. ...................................................................................... ------------------- ....... .............................. .......... ........... .........
BOTH: Perniit'.�C pies MU S T. Be, -Signed By '0wneioV',Firm, Per-forming',qonstr..uction�,��PRIlbR
�ru
de erffiit,
sftu6iedtin i �ih'iS.�"P*
(Owner ;of: c-t-Cig.�..��Flnmi,��:.".P:e-4ng,,.Const�ruction,)
le6ln4ccc6i�d e',with -6111 g'
r,0& instal 6 overning.qrdinancestiof the City,&'Edinonds,', 7
.19
.....................
'13aifed" tin- S;'.-... ........ of.
1�0,wer E);. er
V��. -Check B I EFOR-E �You di
s-� ve
gi
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT EASEMENT No . ..........................................
NEW CONSTRUCTION E] REPAIRS
Z. D. AW
OWNER ..... �,q_n5,et Construction
.................................. ........................................................... CONTRACTOR.. ................. ......................................... -- ------------------------- PERMIT No...Y'D
20724 - 86-IL-hi Place West
ADDRESS ---- -- .................... ............. .............. .................. ............................. LEGAL DESCRIPTION: LOT owA .. BLOCK No . .................................
NAME OF ADDITION ... �qt ... 14, Pine Ridge: Except the W. DO' and the
. .. . ..................... --------------------- --------------- ----------
I " ff thereof";'-'-s' ------------------ -------
ubject o an easement for
utilities over the nly. 5' thereof.
I
a,
Approved:
DATE� ............................................... By ........................... ...........................................