20901 77TH PL W.PDF111111111111
6570
20901 77TH PL W
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), in I cluding, 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 shall be liab-le for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
- �# CITY OF EDMONDS Call pRospect 6-1107 when work
cly for inspection. (No inspec-
"'16 CENTER — WATER -SEWER DEPARTMENT is ready
tions Saturfty, Sunday or holidays.) N? 2214
SIDE SEWER PERMIT
ADDRESS...................... 221 ... . ... ..............................................................................................................
-------- OkM-e.r ----------------------------------------------------------
OWNER .......... Douglas .... Guild ................................................. CONTRACTOR.
Permission is granted .......... NEU ---- ---_------------ 19.AT' 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: , tr ct sewer inside property line. A licensed Side Sewer Contractor must
NOTE No. I —The owners of the property may obtaln a permit to cons u of sewer before It has been inspected.
be employed to construct side sewer in street area. Do nut cover any portion
TE No. 2—Obtain full information regarding Ordinance ll-.16.03D and Regulations governing side sewers when you get permit.
E 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 % will be permitted. to original condition. Contractors shall. be responsible for
NOTE No. 4—Trenches in street must be water settled and surface of street restored
failure due to Improper work which may develop within one year of completion.
NOTE No. &--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-
tenances except to insert the pipe into the wye.
APPLICATION LYNN PLANT
for
;,The City of Edmonds STREET FiLg SEDE SEWER PERMIT V. AAS 1. M El. IN T N o . ..........................................
CONSTRUCTION REPAIRS
4/0
OWNER ... ... ........ . ................................... CONTRACTOR ............... ...................... ........................................ PERMIT No.
�- c— -- . e ................. .45�� 4-
.. .. .... ............... ......
.SS �2 . ...... ... LEGAL DESCRIPTION: LOT No..... ---- /01P�j ...
............
ADDR -- -------------------------------------- BLOCK No.
� 5e
NAMEOF ADDITION ...... 5'/'d'� .......................................................................................................................
� it- . - / I
0
a
0
Approved:
7
DATE .................... BY .................
CY 9 0 . 1 9 9 -
VCvd-ea
City 0 Edmonds
RIGIIT�.OF-WAY CONSTRUCTION ��Vm- IFq-q
PERMIT Pervii, Ntunbor: ?3
Y/;�
STREET FILE Issue Date:
A. Address or Vicinity of Construction: 20901 77 P1. W.
B. Type of ork (be specific): RepaireLbak (1,93 00182 03)
C. Contractor:'Washing ton Nqt.'l . raq rn-.
MailingAddress: 815 Mercer, St. Seattle, Wn
State License #: 98111
D. Building Permit # (if applicable):
Conta,ct: FrankkSwan
Phone: 224-2278
Liability Insurance: Bond:$
Side Sewer Permit # (if applicable):
E. F-1 Commercial E] Subdivision
-1 City Project XX Utility (PUD, GTE, WNG, CABLE, WATER)'
F� Multi -Family SingleFamily F-1 Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut 0 Yes -,[K]No G. Size of Cut: x H. Charge$
APPLICANT TO READ AND*'SfGN
INDEMNITY. Applicant understands and by his signature to this application, agrees t(hold the City of Edmonds hat7niessfrom injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeen, that may be made a I . It C' of Edmonds, or any of its departments or employ-
gatnsf i e try
ees, including or not limited to the defense of any legal proceedings including 0, and attorney fees by reason of grantingihi4��ennit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIPAND MATERIALSFORA PERIOD OF ONE YEAR FOLLOWING THEFINAL INSPEC77ON
AND ACCEPTANCE OF THE WORK ES77MA TED RESTORA 77ON FEES WILL BE HELD UN77L THE FINAL STREET PA TCHJS COMPLETED BY
C1 TY FOR CES, A T WHICH 77ME A DEBIT OR CREDI T WILL BE PRO CESSED FOR ISS UA NCE TO THE A PPLICA NT.
Construction drawing of proposed,work required with permit application.
4�,
-A 24 hour notice is required for inspection; Please call the Engineering Departm
Work is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes. .7,71-0220
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.
I have read the above statements and understand the permi . requi . remqnts and the pink copy of the permit will be available
on site at all timesfor inspection purposes.
M
Signature: Date: 3/1/93
(Contractor or Agent)
CALL DIAL A -DIG PRIOR TO BEGINNING WORK
.............
FOR CITY USE ONLY
APPROVED BY:.:. RDS4 ... :RIGHT.OF WAYDEPOSIT:..,
-HORIZED:,VOID AFrER.. (L A
JIME.AUT ...... A ........ Ita .:.D YS. ..,.,DISRUP'rION,FEE/FUND.I.I.I.
..........
..,.PERMIT
................. . ...... ..... ......
........... ....... .....
...........
XOMMENTS:
f0l a -1 - -1 - I Z All Z,
DATE: !::::ISS
NO. WORK SHALL BEGIN. PRIOR TO
Engrg. Div. 1991
FIELD INSPECTION NOTES
Comments:
Diagram:
(Fund I I I - Route copy to Street Dept.)
CONTRACTOR CALLED FOR INSPECTION: 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. I