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20904 82ND AVE W.PDF11 lill 111111 7579 20904 82ND AVE W The City of Edmonds Water Service Drawing EASEMENT NO . ............................................ NEW CONSTRUCTION REPAIRS LID NO . .................. ASMT. NO . .................. OWNER................................................. ...... CONTRACTOR .................................................................................... PERMIT NO. JOB ADDRESS ... AVI W/ ...................... LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . .................................... ................................................................................. I ................................................................. ............... )F ADDITION ..: ...................................................................................................... ............ IRZ Approved: PWW-0001-1 1175 (REVA 1/78) DATE ................. B y AOV� &4rZ .... ...... ... .. .. ... ....... Z 0 U 44 go 0 Z 0 CITY OF EDMONDS Mr PUBLIC WORKS DEPARTMENT RIGHT - OF - WAY CONSTRUCTION PERMIT A, *Address or vicinity of Construction 20-904 082 W--st Plat O'l 0 Owner: �ilasj_,J noton tum 1 GE - r^ , -_ Name Fto 1; 1 r,6 A17 IATF Mailing Address Pnllevup. T9a_-,hinc*,c)n 9RO07 City, State, Zip Code 0 Contractor: Sam As Above Name Mailing Address. 1111�Permit No. �yv FILE Issue Date * Permit Issued To: 69,4-.. 0 Type of Work to be Done: Tnc_t_-)1 I TJ-aW 4711�7-477-,- • Work in Connection With: El Sub or Plat 70 Single Family El Comml. / Ind. El Apt. Condo. • Pavement Cut: 0 Yes 0 No State License Number City, State, Zip Code Telephone Number * * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * * B. APPLICANT TO READ AND SIGN INDEMIT'Y: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of it's departments or employees, including or not limited to the defense of any legal proceedings including defense, costs, court costs, and attorney fees by reason of granting this permit. Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year following the final inspection and acceptance of the restoration by the Engineeritig Division. Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at which time a debit or credit will be processed for issuance to the applicant. Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call 775-2525, extension 220. I u riderstand that this peyr just be availablS ay the site for inspection purposes atall times. Signature: — -A, Date Owner THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES CALL DIAL - DIG PRIOR TO BEGINNING WORK C. Issued By: Time Authorized: Vold after —days Special Conditions: Ammendments: Permit Fee: Security Deposit: Receipt No.: Fund III Fee: Street Cut Dimensions X * * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * * Eng. Div. December 1978 FIELD INSPECTION NOPES (Fund 111 - Rot conv to Street Dept] Diagram: Contractor called for inspection Yes Work Disapproved By: Date: By: Date: Work Approved By: —Date: Inspector: Enq. Div. December 1978 0 NOTICE: Nb­warranty- of a-ccuracy. 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.onds does not ' warrant the accuracy of anything set for.th on these map(§-). Any person or entity -requesting a copy should conduct an independent inquiry regarding the information shown on including, but not limited to, th-e 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 ernp-1-o-yee-s o-r office-rs -sh-a-1.1 be 1­11a.b.1--e for the information given on this map(s), nor for ion provided based any one representat* . upon said map(s). APPLICATION for The City of Edmonds SEDE SEWER PERIMT 'lei STREE"I FILE NEW CONSTRUCTION 0 REPAIRS C] EASEMENT No . ............................ I z /,0 /,�/ cs- OWNER......................... ... ........... k ................................... CONTRACTOR .................... .� ............................................. PERMIT No . ... ... F��7 --r?.;L C& ADDRESS ... ... .... ... ... ... ............................................................... ....... ..... LEGAL DESCRIPTION: LOT No. ........................................ BLOCK No . ............................................ NAME OF ADDITION ......... 2 5� f 4,-, 1-,, . . . . . . .... ....... .. .... . . .. ..... . ... . .. ... - . ........ ....... 1e-L .0 c da -rh e . i-d 4 A El 0 0 u. �ly, 912, Alli (A-). Approved: C4,4 S APPROVED APR 21 1970 DATE --- .? ....................... .......... By OF EDMONDS Call PRospect 6-1107 when work CIVIC CENTER — WATER -SEWER DEPARTMENT Is ready for Inspection. (No Inspee- r' (ions Saturday, Sunday or holidays.) `6 7 3 N2 SIDE SEWER PERMIT ADDRESS ............................ 2-0-9.0�� ......... ................................................................................................ ... &yen A(�..West ........... OWNER ........... Rqn.ald ... L......J.p.hns.qn ...................................... CONTRACTOR ...... �.q� ... Ak.l.in ................................................. .... .. .. .... ... .. .. ....... ..... .... .. ..... Permission is granted ..... ApTil .... 2.1 ............ ..... 1 1979 .... for ........................ days to REPAIR or CONNECT a side sewer ............ with City Sewers in accordance with application oil file and governing ordinances. ATTENTION IS CALLED TO THE FOLLOWING: NOTE 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 axea. 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 % will be permitted. NOTE No. 4—Trenches In street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to improper work which may develop within one year of completion. NOTE No. 5--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.