21080 88TH PL W.PDFIIIIIIIIIIII
8538
21080 88TH PL W
9 0 . 1 91)
City of Edmonds
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number: 24? Z 9
TREET FtLE Issue Date: — 7
A. Address or Vicinity of Construction: - Z4 6,90 89 T'1A PL W
B. Type of Work (be specific): R-EPLA c- e DF_FGCr1 V F_ CA 090/0 'r6 to
7.6 1 IL 15 Acje-gSS t59 T4k /PC. W
C. Contractor: _C_f4AM0C_/2S CA/�!t?X440A-CA
Mailing Address: _T3_3 tAh(&J Y-r
StateLicense#: SUPf_ZCC_lQIQA,
D. Building Permit # (if applicable):
Contact: J*C_�
Phone: 774- S1 4C.,
Liability Insurance: Bond: $
Side Sewer Permit # (if applicable): &
E. E] Commercial E] Subdivision El City Project g Utility (PUD, GTE, WNG,(C'A_B_LZ), WATER)
F] Multi -Family F1 Single Family F� Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut El Yes 14No G. Size of Cut: x H. Charge$
APPLICANT T &�AD A;qD SIGN
</ IV t4
INDEMNITY. Applicant understands and by his signature to this application, agre" I to hold the ��iwdmonds harmlessftom injuries, J&mages, or
claims of any )Und or description whatsoever, foreseen or unforeen, that may be made against the City of Edmonds, or any of its departments or employ-
ees, including or not limited to the defense of any legal proceedings including defense costs, and attorneyfees by reason of granting this permit.
THE CON7RA CTOR IS RESPONSIBLE FOR WORKMANSHIP A AD MA 7ERIA LS FOR A PERIOD OF ONE YEA R FOLLO WING THE FINAL INSPEC77ON
AND ACCEPTANCE OF THE WORK. ES77MAYED RESTORA77ON FEES WILL BE HELD UN77L THE FINAL STREET 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 Department- 771-3202.
Work 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. ri
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 apove statements and underst it requirements and the pink copy of the permit will be available
nspectio purposes.
on ite a 11 tin�esnforh
r
Si a :%�_7 1_1 Date.
(Con�ractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: RIGHT OF WAY DEPOSIT:
TIME AUTHORIZED: VOID AFTER I . .......... DAYS DISRUPTION FEE/FUND I 11:
SPECIAL CONDITIONS: A RESTORATION FEE:
PERMIT FEE:
COMMENTS:
DATE,
TOTAL FEE:
RECEIPT NO,.
ISSUED BY: .7�
W1
)R TO PERMIT ISSUANCE
Engrg. Div. 1991
FIELD INSPECTION NOTES
(Fund I I I - Route copy to Street Dept.)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved BY:
FINAL APPROVAL BY:
Date:
Date:
Eng. Div. July 1985
ZIL)7,D 2B FILM -
6 -17-:13 FW',A
7-1070 -�
P-E-PLALE 'EXIST U& Dk6p.
W Z'l 0'
cr.�-
/VJ
f
NOTICE:
C)
N-o---Wa'r-ranT`Y
The information shown on the attached
e by the CitY Of
map(s) was compiled for us
Edmonds/ its Employees and Consultants.
Th,.�e City of 'Edmonds does. not.warrant the
t these
accuracy of anything set for. h on . '
rnap(s�. An . y person or entitY,requesting a
copy should conduct an independent
inform-ation shown on
inquiry regarding the
--tNe -map(S); including, but not limited to, -1-
the lociation of any sew-er stub shown. Suc
sewer stubs may or may, not e.x1st and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
to--�Mpl-o-yee-s O*r offi-ce-rs -shal-I be 1--ja-b]--e for the
n on this map(5), nor for
infor . mation giVe- ovided based
ntation pr
any one represe
upon said. map(s).
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT
Call 7,76-1107 for side sewer Inspections BEFORE covering any portion of the construction.)
Inspection will be provided within 24 hours after request. No Sat., Sun., or holiday Inspectionj
ADDRESS LOCATION OF CONSTRUCTION .................................................................... ...................
PROPERTY LEGAL DESCRIPTION ........................................................................................................................................................................................
I
................................................................................................................................................................................ .......................... .......... .......................................
................................................................ OWNER ANDJOR BUILDER ............................................................................ ........................................................
CONTRACTOR'S NAME & ADDRESS ............................................................................................................................. ................................. ; ......................
Permission is granted ........................................................... 19 ........ I for repair and/or connection of a side sewer to the city sanitary sewer
system in accordance with City of Edmonds ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
No. I —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. 2—All work performed In city right-of-way requires an Invasion of Right -of -Way Permit obtain -able from the City Engineer's office.
NOTE No. 3—Obtain full information regaxding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 4—TGp 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. r�—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. 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.
DISAPPROVEDE3 Date ........................................ By ................ Date .................................... By ................ Date .................................... By ................
.........................................................................
APPROVED Date ....... 7 ... ;;�L -7/ ................... BY ......... .... .. .........................................................
Remarks: ......................................................................................... ........................
........................ .. .................................................................................................................. ............................................................... I .........
DO H Pe it Copi s us e Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection --
I, 9w . ne . r .. of .. C.... ra Ing Firm Performing - Con . st . r . uctio . n hereby certify that the side sewler' tallation constructed under this permit
was install in accor nc with all governing ordinances of the City of Edmonds.
......................................... 19?/
Dated this...,w ............. day of
V V Check BEFORE you dig for: Water E], Gas 0, Telephone E], Po,&c* [j, Se'wof' E], —Other E] V V
June 15, 1971
MW TO: U"ry Aitcutt
BUL14inz Official
FROM: Uch4Lrd Allen
Assietant City. Engineer
suBJECTs Bldg* Permit at 21080 88011. W.-
The followin improvemento are reoired as outlined in the
Subdivision Vile S-9--69:,
(1) Underground wiring
(2)' 18, asphalt paving (see atta4hed sketth)
(3) Comettton to oo*er