20829 74TH AVE W.PDFIIIIIIIIIIII
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20829 74TH AVE W
City of Edmonds
�j�e�IEET UHT -OF -WAY CONSTRUCTION
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PERMIT
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Permit Number: 2,_,?
Issue Date:
A. Address or Vicinity of Construction: 20829 74 Avenue West
B. Type of Work (be specific): Ins tall NEw., Servdce
C. Contractor. -Washington Natural Gas Compa
Mailing Address: 815 Mercer Street,
State License #: Seattle, WA 98111
D. Building Permit # (if applicable):
Contact: Frank Swan
Phone: 224-2278
Liability Insurance: Bond: $
Side Sewer Permit # (if applicable):
E. "n Commercial E] Subdivision El City Project FX] Utility (PUD, GTE, WNG, CABLE, WATER)
Multi -Family E] Single Family' Other
INSPECTOR: INSPECTOR: �N�
F. Pavement or Concrete Cut Yes []No G. Size of Cut;, --I' x 4 H. Charge$
APPLICANT TO REAWSIGN
INbEMNITY. Applicant understands and by his signature to this application, agrees -to hold the City of E�Imonds hatwilessfrom injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeen, that may be mad t the City of Edmonds, or any of its depapments or employ-
ees, including or not limited to the defense of any legal proceedings including defense� =rsa attorney fees by reason oJ?rbn2'nJ 0�k p7rmit.
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THE CONTRA CTOR IS RESPONSIBLE FOR WORKMANSHIP A AD MA TERIALS FOR A PERIOD OF ONE YEA R FOLLO WING THE FINAL INSPECHON
AAD ACCEPTANCE OF THE WORK EST[MATED RESTORA77ONFEES WILL BE HELD UN77L THE FINAL S77ZEET PATCH IS COMPLETED BY
C17Y FORCES, AT 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 Departme 11
Work is to be inspected during progress and at completion. 771-0220
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times. Z
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.
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 inspe�ct�ionoses;w
Signature: Date: December 18, 1992
(Contractor or Agent)
.COMMENTS:
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
10
TE:. _.:.:..ISSU.ED. BY:: ..... 14 -A
...... ...............
ISSUANCE
Engrg. Div. 1991
I '.
-" * -
FIELD INSPECTION NOTES (Fund I I I Route copy to Street Npu.)
Comments: -
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July
74 A\J �-,)
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Addendum to City ol zamonds
Right of Way
Permit Application
Submitted by:
Engineering Aide
Washington Natural Gas
622-6767 x2761
pager
1 (1A) 6 Wlt
WNG to window -
Water main depth/'
unknown
gas main
-g- gas
-ss- sewer
-e- water hydrant
0 water valve
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815 Mcrccr St. (P.O. Box 1869), Scank, WA 99111 (206) 622-6767
�,PITY'OF EDMONDS
PUBLIC WORKS DEPARTMENT FOR INSPECTION CALL Permit No.
SIDE SEWER PERMIT 775-2525 Ext. . 220 Issue Date
- __�_ I - — — — — — — — — — —
E�fTi
PERMIT MUST BE POSTED ON JOB
wl� VXW�ZWAWAW
1., Address -of Construction =77) (,4j. �7bwy:x\
&U2. -Property Leg al Description (include all, easements) A A
IL3. Single Family Residence Multi -Family No. of Units
commercial VIA BALLINGE
4. Owner and/or,Builder LIFT STATION *
5. contractor & License No."�
6. Invasion into City Right -of -Way: No Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation) .
E-4 7. Cross other private property: Yes No Easement required
U attach legal description and county easement number.
READ THE FOLLOWT.NG AND SIGN:
P4
4 a. Property owners must obtain a permit to install side sewers on
�H 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")
P4
z side sewer line.
0 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
0 and maximum grade of 100% (450).
E-4 f. No turn in side s8wer greater than 450 (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 required 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 !s�ewermust be left uncovered until inspected and approved
by the City
Two
1. Inspection during normal work�ing hours o working
days notice required.
DATE: 30 YQL
I certify ve.Yead
and shall comply with the above
PERMIT FEE:
CONNECTION FEE:
44 PERMIT MU!
'DISAPPROVED BY: Date:
By: Date:
APPROVED By C;����Date:
T BE POSTED ON JOB SITE *
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Side Sewer Drawing VIA BALLINGER
The City of Edmonds OFT STATION EASEMENT NO - --------------------------------------------
L_ I
NEW CONSTRUCTION REPAIRS F� LID NO. ASMT. NO - ------------------
OWNER..... )?Ltte-.k -7 ------------------ ................................................. CONTRACTOR ------ . . .................................................. PERMIT NO.
JOB ADDRESS ----- g Z?
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..... ............................................. LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO . ....................................
..................................................................................................................................................................
NAMEOF ADDITION ................................................................................................................... I
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714
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Approved:
10,e- A�-.Ao�r .-7z z ee- 01-11
C;�-
PWW-0001-1 1/75 (REVA 1/78) DATE
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CITY DV�WhIgNILDES HARVE H. HARRISON
MAYOR
200 DAYTON ST. - EDMONDS, WASHINGTON 98020 - (206) 771-3202
OFFICE OF THE CITY ENGINEER
December 21, 1981
Jones Boys Realty
20829 74th Ave. W.
Edmonds, Wa. 98020
Dear Sirs::
SUBJECT: L.I.D. 206 - SANITARY SEWER CONNECTION
it City of Edmonds records indicate that you are the owner
of property located in the College Place Area, and that the
sanitary sewer service is now available to your property.
Residents abutting this sewer main are required to be connected
per Edmonds City Code (18.10.010).
In. consideration of the completion of the sewer system and
the aforementioned code, you are hereby advised that you should
make arrangements to make the necessary sewer connection within
sixty (60) days.
If you have any questions, please contact Jerry Saterlie
at 775-2525, extension 259. Permit and connection information
may be obtained at the Building Department, at 505 Bell Street.
Sincerely,
JAMES E. ADAMS, P.E.
City Engineer
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CITY' OF *DMONDS ORDER
CIVIC CENTER - EDMONDS, WASHINGTON 98020 - (206) 775-2525
PURCHASE REQUEST
EINVENTORY REQUEST f7 WORK REQUEST
1 1/11-4
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VENDOR NO.
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1 5 MAW 41oO
THIS NUMBERMUST"AP',PEARL1
ON ALLdNVOjI,CES
PACkA6ES "BI'LLS'6F LADINI�
AND COORHP6N[iNCE�
SHIP PREPAID TO (OR SERVICE LOCATION
DATE REQU I RED
SH I P VIA�
DOCUMENT NO'
RDER DATE
BATCH NUM
10 5) 3 1
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PLEASE FURNISH THE FOLLOWING ITEMS:
L
E
QUANTIT�
UNIT
CATALOG
NUMBER
''DESCRIPTION
UNIT
COST
TOTAL COST
ESTIMATED ACTUAL
8 M A A] 17 WA LAE;
AAlbl
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7, 77t
X A
134
SUBTOTA L
134
TAX
0
TOTAL AMOUNT
-;4
CODE
646).
PROJECT
ESTIMATE AMOUNT ACTUAL
�;41
2
e)(J-) P,4() I - 40 -
J 3
111 PAD.�aj .4C�.
4
5
6
71
8
9
10
121
ktnp
TOTAL AMOUNT