20823 83RD AVE W.PDF11,1111111
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20823 83RD AVE W
Water Service Drawing
The City of Edmonds EASEMENT NO . ............................................
NEW CONSTRUCTION REPAIRS 9 LID NO . .................. ASMT. NO . ..................
OWNER �AkAGS .... ��jrnASRKE .....................................
JOB ADDRESS .... 82.3 ............ S.3gjo ......
,,- YA6(;Cr Jrk.,<<
PWW-0001-11175 (REV. 11/78)
CONTRACTORA.o.r-.k'0.RN ....... ................ PERMIT NO�.80570
LEGAL DESCRIPTION: LOT..NO . ...................................... BLOCK NO . ....................................
................................................ : ..................................................................................................................
NAMEOF ADDITION..: ....................................................................................................................
2.018 2-3 - S 3 Ro ^,-�4 s - \4-4-
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3 AVE.. W.
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Approved:
DATE, .26,1998By,0&� .. .. ....................................
IL-40* . ....... ;;r*—ll—** W
Y/
APPLICATION
for
The City of Edmonds
SEDE SEWER PERMT
NEW CONSTRUCTION REPAIRS 0 EASEMENT No . ..........................................
th..MF-!ZS W. CL-Way.-Na VTEP T�%UMWNC-7
............ CONTRACTORUN ....................................... .............................................. PERMIT No . ......................
OWNER --------------------------------------------------------------------------------------------------
2C> e>2-a), - e5E:� W4 F---. W.
ADDRESS.......................................................................................................... LEGAL DESCRIPTION: LOT No . ................................... BIA>CK No . ............................................
NAMEOF ADDITION .........................................................................................................................................
-444 450b
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N4 F- rl-4 Lj r-_-
G"aAY
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Approved:
DATE
NOTICE:
Nbwarranty OT C-C
The information shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of �Edm.qnds 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 inform-ation shown on
-map(s), Including, but not limited to,
b shown. Such
the location of any sewer stu
sewer stubs may or may"not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
emp-[o-yee-s o-r office-rs be 11a-b-'Fe for it -he
information given' on this map(s), nor for
ation provided based
any one represent
upon . said map(s).
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
P E R M I T A, 5 9
,8
Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.)
Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.
ADDRESS LOCATION OF CONSTRUCTION ............. 20832 - 83rd Avenue 142st
. ......................................................................................... .. . .......................................................
PROPERTY LEGAL DESCRIPTION --------------- LOL32- Rohprt F_ Thome- AdditAnn Hn,_.2
............................................................ . ........................ . ...................................................................
.................................. ..
�t..4A��tES W. QLARI'c� ....................... . .......................................................
..................... ---- W --- N ... E ... R ----- A --- N --- D_ --- 0 --- R ---- B --- U --- I- L__ --- E --- R ------ -----------------------------------------------------------------------------------
CONTRACTOWS NAME & ADDRESS .... 110--tald --- Plijmhina A Spiirpr. 216n7 _2nd__AvP. ... !�F_ Rnthpll qsnii
------------------ .......................................... ......... --------- ----- -----------------------------------------------------------
Permission is granted --------- *�i ---------- . ............ 19 ------- !,Jor repair and/or connection of a side sewer to the city sanitary sewer
system In accordance with City of Edmonds ordinances.
ATTENTION IS CAM D TO THE FOLLOWING:
Nr No. 1—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.
NO,�No. 2—All work performed in city right-of-wav requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office.
NOTE No. 3--Obtain full information regardin g Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 4—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
_i sharper than % will be permitted.
NOTE No.- 5--Trenches in street must be water settled and surface of street restored to originaJ condition. Contrar-tors shall be responsible for failure due to improper
work which may develop within one year of completion.
NOTE No. 6—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 appurtenances except to in-
sert the pipe into the wye.
DISAPPROVEDM Date ... . ................................... By -----------_-- D .. * --- ------ ------ * ----- Date ........... .. . ................... . By -_---_------
.... By .. ............................
"PROVED Date.. .............................................
- I /r-0. .77=7.? ------------------ , g�
01 fl-
EASENHTNO. 2318189� ........................................................................................................
Remarks: ....... . ....... ........................................ ..... .... . .. . ..................
..................................................................... . .............................................. ....................... ....................................................... . .......................................................
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
.... ... , hereby certify that the side sewer installation constructed under this permit
.444-k -------------
Contracting Firm Performing Construction)
0 0
was-instZd in *aodance with all governing ordinances of the City of Edmonds.
Dated this ------ ......... J.Apy of ................................................................ 1977�
V V Check BEFORE you dig for: Water E], Gas E], Telephone E], Power E], Sewer F], Other 0 V V
The City of Edmonds
APPLICATION
for
SIDE SEWER PritAw
NEW CONSTRUCTION W--, REPAIRS
EASEB(FJ*Fr No. .
OWNFAR .... .... lull'/ ...... ----------------- CONTRACTOR ---- -- PERMIT No.
ADDRESS ...................... LEGAL DESCRIPTION: LOT No. ----------------------------- BLOCK No . ............................................
e
NAME OF ADDITION ... ......... g
a4�..
. . ....
6*KXDAW
Nolt .9 JM-
Approved-
DATW............................................ ... By ......................................................................
:xi
CD
Frank
L4
Leptick and/or Roaella A.
Ieptickp their successors or assigns
here -in -after referred to as the grpntor, grebts to James W. Clarke
and/or Bonnie J. Clarke.. their successors or assigns here -in -after
referred to as the grantees for the suiO of tlD.00 and otbw valuable
consideration the following described Verpetubl ersement to be used
for underground sanitnry sewer line purposes:,
The north 5 feet less the east 56 feet of Lot #33 of Plat Robert
E. Thoras Addition #2 filed at Snohomish County Court Pouse in
Everetts Washington.
In additions the grPntor And the grant*e will construct, reconstruct
and maintain the said sewer line Jointly,
Followir* said constructions reconstruction or maintenance the grounds
will be restored to original condition and work will be performed
neatly and promptly.
Cr", -1 1)-tA C �L
Grantee J*O/,
Date: lclll�5e"l /-��
NO SALES TAX
REQUIRED
N OV 11973
Zt", 1 611? �'-
STATE OF WASHINGTON
)as
01UNTY OF SNOHOMISH
SUBSCRIBED AND SWORN TO before me this 306 day of Octobbr, X9,73;-.
ARY PUI
om
2318189 ARY PUBLIAC -iri-:Add ToF
nohomish County, Whbhtngton,
r esiding in Edmonds.
4
a
I
40-7
FILE
STAE19enue
REGARDING:
20823 West
Ta-dTr-e-s s)
REC'ORD
OF CONTACTS
DATE
NAME, PHONE NO. - & COMVMNTS
ADDRESS of CAEIR
ACTION TAKEN
INITLALS
S/l/74
James Clarke Certified Letter No. 406327 sent
Letter received.
TE
requiring hook-up within 60 days.
7/1/74
Certified Letter No. 406S73 sent
Letter received.
TE
requiring response by July 12.
7/74
Discovered United Plumbing had
TE
obtained permit #4523 11/5/73.
Connection completed 11/7/73.
7/10/74
Certified Letter No. 406612 sent
Letter received.
TE
rescinding previous letters.
00 SENDER- He sure to follow instrucHons oil other side
0 Mlt-Ak FURNISH $ERVICE(S) INDICATED BY CHECKED BLOCK(S)
'(Addi iion at charges requir*cd for thcse services)
-OW-Address
I � , " I � - �, I- D Ii
tgeliver ONLY
ddresseer
RECEIPT'
eceiv rticle described below
e numbered.a
kSIGNATU VR —NAME _E (Mu.t always 15- flll.d 1.)
OF ADDRFSSE�
SENDER: Be sure to follow instructions on other- side
ECKED BLOCk(S)
ISE FURNISH sERVICE(S) INDICATED BY CH
0 Ted for these services)
(Additi Ti�l charges requi
]Show address tDeliver ONLY
where delive�6d 0 addressee
RECEIPT
rficli described below
Received-fhe numbered a
C z., " —,REEll,
IGNATURE OR NAME OF ADDRESSEE (must always be -filled in)
TERED NO. SIGY111
G Tt!F
I 'J�
n
..cirn rin a ��ZdL
WME—D 1_10RED,� —7—A
el
IF
n1ir if requested,
SENDER: Ge� sure f o f ollow insf ruef ions on other side
PLEASE. FURNISH SERVICE(S) INDICATED BY CHECKED BLOCK(S)
(Additional charges required for these services)
Show address 1;�71 Deliver ONLY
where delivered VN to addressee
RECEIPT
Received.fhe numbered article described below
g IF I ED 30� APjuS postagO
_ __.. — 777
T FOR C� P
RE
_DR -DATE
421-07500
CLARKE, JAMES
20823 83RD AVE. W-
C\J SHINGTON
cy') EDMONDSt WA 9 8 0 2
-1,71ONALSERVICES FOR AODITIONAL FEES
CD r _550-sto -l!? m a date delivered
------- I addressee only ..... ...... 650
R With delivery and where delivered .. 350
havj�s to whom - 21 only .... ...... 854
thd o ............... ... . ......
EL vER TO ADDR S ONLY ............
SPLWAL DELIVERY (extra foe roqui red)
,0 INSURANCE COVERAGE PROVIDED— (See other side)
PS.Form 3800 NOT FOR INTERNATIONAL MAIL GPO: 1970 0.397-458
Ap . 1971
"y REMPT FOR CERTIFIED MAIL-30� (plus postage)
ISENT TO POSTMARK
.&I " )71,- (1,_ - , '. I OR DATE
Q0
co
(ZD
o
STREET AND NO.
P.O., STATE AND ZIP CODE
4/t/
_&�OPATVWINAL SERVICES tUH AUDITIONAL FEES
whom and date de vered
ETURN Ii
s
:ECEIPT With delivery to addressee only
Shot -is to whom, date and vor'
SERVICES 2. where dell ed
—5—ELIVER TO ADDRESSEE �jth d! � I t addressee only . .... ....
ONLY
S—PECIALDFI IVFR ...... ...... ...................
L - f"'. %exT10 Tee required) ..................... ......... ...
PS Form
Apr. 1971 3800 NO INSURANCE COVERAGE PROVIDED— (So* olhor side)
NOT FOR INTERNATIONAL MAIL -P01
RECEIPT FOR CERTIFIED MAIL-300 (plus postage)
VRIMTili
SENT TO k,
01 0A 1!
STREET AND NO.
le'd
P.O., STATE AND ZIP CODE
OPTIONAL SERVIrL5 tUm A ITIONAL FEES
E I - shows to wriom and date d elivered
ECUN With delivery to addressee only
ERIPT > 2. Shows to whom, date and where delivered ,
R� Es
d!.!.!.Le y to addressee only ............
D L OF Y ...
E IVE TO ADDRESSEE ............ .. . ... ..............
SPECIAL DELIVERY (extra f— rear,ired) ...... ..... .. . . ..... .........
PS Form NO INSURANCE COVERAGE OROVIOEO— (Soo oll)w old-)
Apr. 1971 3800 NOT FOR INTERNATIONAL MAIL ft *P0j 14�4 4) 091 40(l
I - / .
�2-11X 2f EPMOND'S
PUBLIC WORKS —
To
ACTION REPORT
NY' 2814
Date: SUSPENSE DATE: -----------
Time:_ F i I e #
SUBJECT: Attachments: r---IYes
C--)No
1 �,6A.—"ee 6/ e—t_e
REQUESTOR: NAM:
ADDRESS:
PHONE:
REQUEST
RECEIVED BY:
TELEPHONE
CONTACT IN OFFICE
OTHER:
RECEIVED BY:
I
All Concerned Notified
.-Action COmpleted/File
City of..Ed,monds
RIGHT-OF-WAY CONSTRUCTION
PERMIT
ED Permit Number-.,) z I
RF-CEIVF
-7/Lisue Date:61b, -96
7 1998
AUG i
I A. Address or Vicinity of Construction: 2092
ENWN&�'Mrk (be specific): j3,,., ye— h S:t r; Q /2' X
C r �j 'DR-1 10WW1
C. Contractor: ),4 1 :4
0.24 .0 _" (!., Contact: _,5
T P,
Mailing Addr��S: 0 42 6 4 4, 0j4 WL Phone: 402 5'— 12 j? - 2.4
State License #: Liability Insurance: Bond; $ 400.0
D. Building Permit# (if applicable): AJ.LA Side Sewer Permit # (if applicable): Aj 1A
E. F mmerc al ision GTE, WkG�CABLE, WATER)
I Co' i Ef Subdiv 0 CityProject [j Utifity(PUD,
n Multi -Family g Single Family F1 Other
INSPECTOR: Jda f7CVTt- INSPECTOR:
F. Pavement or Concrete Cut: D Yes No G. Size of Cut:. x— H. C'hargq�,$
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application to hold the City of Edmonds harmlessfrom iVjuries, damages, or claims ofany
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 limiledto the defense ofany legal proceedings including defense costs andattorneyfees by reason ofgranting thispermit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC-
TION AND ACCEPTANCE 6F'THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREETPATCHIS COMPLETED
CITY FORCES, AT WHICHTIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT
Two sets of construction drawings 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 trench work shall be patched with asphalt or City 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.
1�'-Affm
or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY
TIME AUTHORIZED: VOID AFTER 30 DAYS
SPECIAL CONDITIONS:Sjfl?AjjA&z±fl�b P L#e�-�
RIGHT OF WAY FEE:
DISRUPTION FEE/FUND I 11:
RESTORATION FEE:
T O.TAL FEE:
RECEIPT NO.:
ISSUED BY:
NO WORK SHALL BEGIN PRIORTO PERMIT ISSUANCE Eng. Div 1997
NO:
CONTRACTOR CALLED FOR INSPECTION El YES
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
70
I I
F-5