The URL can be used to link to this page

21429 89TH AVE W.PDF111111 lill 11 8576 21429 89TH AVE W OKI r1n D4 (,,6 TY OF EDMONDS -.11011110- � z 8 9 0 . 1 9 Address of Construction: CN� SIDE SEWER PERMIT PERMIT �' �0 ii— 9197 Property Legal Description (Include all easements): I-m- 00(, CowDnera d/orContractor: r 0 0 %- C— J- State License No. ii io. _>0 Building Permit No LU-5fingle Family 11 Multi -Family (No. of Units—) 0 Commercial 0 Public EDMONDS Invasion into City Right-of-Way:Ft�o 0 Yes RW Construction Permit No. Cross other Private Property: Yes Attach legal description and copy of recorded easement 02-�) 10 U I certify that I have read and shall comply with all city requirements Date as indicated on the back of the Permit Card. * CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION $ OFFICE USE ONLY I FOR INSPECTION CALL 771-3202.-PUBLIC WORKS DEPT. i Permit Fee: Issue;By Date Issued: Assessment Fee: Receipt No.: Lid No.: Partial Inspection: Date —Initial Comments Reason Rejected: Date —Initial Final Inspection Approved: Dateq _(,_dc� Initial 11��_ ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy: File Green Copy: Inspector Buff Copy: Applicant Revised 3 90 Side Sewer Drawing The City of Edmonds EASEMENTNO . ..................... ................... NEW CONSTRUCTION REPAIRS M' LID, NO. .................. AS.MT. NO.'_. ............ OWNER ....... -7 ........... ................ ......... . ............... ............ CONTRACTOR ..... ................. ........................................................ PERMIT NO . ........ v c, LEGAL DESCRIPTION: LOT NO . ................ ..................... BLOCK NO . .................... ------- -JOB ADDRESS .... al.9.;6 ........ ..... .............. ................. ............................................................................... I .................... - ................ ............................................ x NAME OF ADDITION ....... ................ ............ ------------------ -, I ------------ ------------ x N 1� cl x X x boo r IEDMION -A 0"'IT, PLANT TIREATM, L NI x 4(_ H C010 7-,> Sorf-ace- x K Ac VA 4L A. IA li�tqc�l x I 4 Y. Ail' -tee_, tj X I,, -- P lhl x jql x pvc. cl x Con tc,+c, Conne-c_fl�n 54 A GAc-ft+c 50~ -P P Olt, 3ccOn Ave, W Approved: PWW-0001-1 1/75 (REV. 11/78) DATE -.4.7.0 0 ................. By .... ............... . ................ .................. 01 890 . 1 94 - CITY OF EDMONDS 250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works 9 Planning * Parks and Recreation * Engineering Mailed 1/16/96 January 15, 1996 Resident 21429 - 89th Ave. W. Edmonds, Wa 98026 Dear Resident, LAURA M. HALL MAYOR This letter is regarding your driveway. It is my understanding that you may be enlarging or relocating your driveway entrance fronting 89th Ave W. This is to notify you that the City of Edmonds Public Works Division will be doing roadway improvements to 89th Ave W., south of Bowdoin Way. This work may include an asphalt overlay of the entire street. We encourage residents to make their modifications to the curbs and gutters prior to the paving. Please notify me of your intention, as we want to accommodate your needs and deter any unwanted penalties for disturbing a newly paved roadway. Sincerely, ROY S. WHITCUTT Capital Improvement Projects Specialist RSW/sf '� e___� Wai&/er PAVE2DOC.DOC * Incorporoted August 11, 1890 0 Sister Cities International — Hekinan, Japan APPLICATION for The City of EdmoncISIREET FILE 811DE SEWER PERNI[T CARDNo . ...................................... OUTSIDE E] INSIDE 0 REPAIRS 0 EASEMENT No . ...................................... OWNER............ --------- ................... ... CONTRACTOR ......... gv- ...... ...... ......... ................. PERMIT No. No. ----------------- AHOUSE STREET &��Thl . ..... AVENUE LOT No - ---------------------------------------------------------------------- BLOCK No . ............................................... .7 4.Zg — g 9;,,#, A ,F. &). NAME ADD . .............. ........ ........................................................................ .................. 9 BACKPILL WORK ORDER ISSUED ...... Date Approved: ................. DEPOSIT, $ ......... SEWERWORK ORDER ISSUED .......................................... DATE ................................................ By ......... NOTICE: ar-r a n ty ... oT. No The information on the attached map(s) was compiled for use by the City Of Edmonds/ its Employees and Consultants. Th,,e City of "Edm.onds does. not. warrant the these accuracy of anything set for.th on Map(s�. Any person or entity -requesting a copy should conduct an independent inquiry regarding th*e inform . ation shown on .-.-.--tFe -map(s)l including, but not limited to, the lociation of any sew-er stub shown. Suc sewer stubs may or may not e.xist and may at the location shown. or may not exist Neither the City of Edmonds nor its empl-o-yee-s o-r office-rs -shal-1 be 1--ia-b-1--e for the this map(5), nor for information g Ven on e representation provided based any on upon said map(s) 890 .6 C* of Edmonds- ity RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number- L-sue Date: -7-2- 2 -q A. Address or Vicinity of Construction: 2,1 q 'Ium"- B. Type of Work (be specific): JA)"� C. Contractor: /_J44A MailingAddress: (40/;L Y 39> 9' State License #: ZIA pe eN &Irg D. Building Permit # (if applicable): Contact: Phone: Liability Insurance: X..-I Bond:$ C_�� Side Sewer Permit # (if applicable): E. E] Commercial EJ Subdivision El City Project E] Utility (PUD, GTE, WNG, CABLE, WATER) 0 Multi -Family [:] Single Family [-] Other INSPECTOR: INSPECTOR: W�j+"O F. Pavement or Concrete Cut : 0 Yes t4No G. Size of Cut: — x — H. Chargt�_$ APPLICANT TO READ AND SIGN INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City ofEdmonds harmless from 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 its departments or employees, including or not limited to the defense ofany legalproceedings including defense costs, and attorney fees by reason ofgranting thispermit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIMEA 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 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 ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS:— Ihavereadtheab vestatement rhunderstandth permit requirements and the pink copy of thepermit will be s or available on sitlet all tim, e r n ection pur os M441 1 , ) 5: Signature: rz?_ Date: (Contractor dr Aged) /// CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: V*6; t"14 , RIGHT OF WAY DEPOSIT TIME AUTHORIZED: VOID AFTER MAY '30 DAYS SPECIAL CONDITIONS: 400,4L'R'"rf Wlrq- 6rrr' Srieee'r oaepr. DRKIK 14w1zoAc_-1-1 -ro 13 tr t>'_ACX-D BY MAY' 30411 '14 COMMENTS: P r io a a t_�" DATE: D19RUPTION FEE/FUND Ill: RESTORATION FEE: PERMIT FEE: -30-Oo TOTAL FEE: 30.00 -W 2-1 o 7 5- RECEIPT FEE: 19 4) ISSUED BY.. NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. 1994 FIELD INSPECTION NOTES Comments: Diagram.: CONTRACTOR CALLED FOR INSPECTION Partial Work Inspection by P.W.: Work Disapproved By: FINAL APPROVAL BY: F-12-e 5 (Fund 111 - Route copy to Street Dept.) El YES El NO Date: - Date: 414 xbok r Abovc- Uw-�A,� I�E F-6PANSIOI-J OL-0 C-0 t�j c .