21614 85TH PL W.PDFIIIIIIIIIIII
8091
21614 85TH PL W
NOTICE:
ty -c ura
—6=
No- wa rra n
The information on the attached
Map(s) was compiled for use by the City Of
Edmonds. its Employees and Consultants.
The City of 'EcIm.onds does not * wa rra nt the
accuracy of anything set for.th on t hese
map(s), Any person or entity -requesting a
copy should conduct an independent
I shown on
inquiry regarding the inform"at*on
.".__F�e -map(s), Including, but not limited to/
t
th*e lociation of any sewer stub shown, Such
sewer stubs may or may, not exist and may
or may not exist at the location shown.
Neitheir the City of Edmonds nor its
empl'o*yee's o'r office-rs -sha-H be ['1a.b.-IFe for the
n on this ma p(s), nor for
information give-
ov'ded based
any one representation pr I
upon said map(s).
Q,,
4
VAII
A D'S SIDE SE,\W%;ER;-`-PER)M,'p I-Ir.,"'
TYK3.11 F EDMQ S
M,
�;*.XTEW,S.E,,WEl�.-DkPA,RTMENT..f,-
1,14*4
T
N2 ��`41767
fcafl: 4764107.'' for,�sldq`;�pewer. �jn-�tlonst BI�FQHE_,'covering,,�any' portlonW�of iih��-',*c�onstructlon,
:,,Inspection will, be provlded:'within�24:,hou s;laf -,,�:Sun.;,vor�holiday.�ins�,ceC.ons:)',,
Y,, ier�,request��,�NOjSat.
.......................... Ne
t h" .. ............................. ..........
A,DDRESS'.LG6AnON- OF 1.C6NSTR I UCTII N 5 t�� Plac6 _s't
0 ........ : ...........................................
ri ......................................... ...................
PROPERTY LEGAL DESORml 614.... Lq.t,5 ---Ander'sor,:.�P�rk
....................................................... ....... ........
. .......... ...... .............
............................ .............
................................... .................... ...................... ...............................
............................................................... .............. ............ .
--BUTLDE 140ME-S
................... ....................................... I ......... OWNER A14D/OR ........................... ............. ........................................................... .............
........... ..................
CONTRWCTORIS NAMt.&ADDRESS .... Lester M4
........................................................... f.pvAnc;.
................
-Pennission4sigranted
�si c sewer to the 6ty- sanitary sewer
....................................................... 19'.� ... for,r46 ir:and or c
,system' ;accordance! with.Chir of, Edmonds� -ordinances., Pa. on.
",in
ATTENTION:,IS.CALLFD'tO�-T-]iE:FOL-Lg.y�,I!�G:
�NOTE, Noi I—The�;owners zof. the �Property.J��y 6btaln EL:,ii.eimit Ao'cc�h�truct.,sewer -inside proipertj,,iin�� A.licensed" Side:�Sew6r &niract6r must. be�'emwoyeld 'to construct
in's,treeVarea*. Do'mot cover any..portion -of BeNVer:before�AC�has -been Inspected..
OTE No.,:2�A�lwork'perfo�r�eA-i�',bi'��-�ght-of-.wO-'Y�'re�q6t�re�'!an-.InvLi6hr',oi.i�ightoi-Way Pe rmiLobtal nable rom: the �City� Efi 91 neer'. s zoffice.
'__7-IWOTI:.No: 3' -obtain. full in f ormati6n:,regardi ng -Ord I nance;i-i. 1'6: 0*3o.,an�d' �k�ju I ati bns -.. gove
s'iAiers;
kning side e -,v;hen:yo� -get p�rffiit:'
NOTE�. No. - 4---�Top' of - side:sew.er , must have -at least 30. inche's property I line and, 12 Inches: lnside.-,property
'Sharper.th" 1&.wlllqbe,permltted. . 0 9 i�: -fine: minimum. jrade.of'2%,,. No:bends im grade
No. _6�L`rrenche ' s in street. qnust'be water settled, "d� surface of street -re.stored - to o'ilginal conditionC :Contractors, shall 'be' resP0nslbl6';for failure due' to -improper
work which. mayid6vel4-withifi- one year of-.comRietioii.
NOTE] No: Bo—Rds iunlawf �i- 66;alter- or do- "Y -other, work than ls_p�ovid`e-d,.f . or. in the �permit, or - t : o do.aqX,work 6n,th6�lmaln' sewer or it . s - ap . purte . nan I ce
Bert,the_p1pe . int . oAhe- - wye.. s except to in -
ate .... . .............................. .......... B 0 t
e� .......... ....... Da'l
DISAPP]rx I ]�D ....... .
By�.
............ . . . . .... ...................... .............................. ................... .......
TPRff
A M3
'Refiarks: .......................... .......... ...... ...................
l ....... ...... ........... �: ......... ......................................... ............... ....
.............. ............................................. ........ M .................. .......... ......................... .............. .. ............... .................... 7. 7 ...... 7 .............. .........
"MOTH: Nimit,�C Pfds.MUST'-Be Sfghed'By d
G 4pk r ques F6r.Inspec,ion,,.
, V2 hbre�y.,*cer:tify that-ithe-side seWerinstallatidn onstrud e'd-,,under-this%.permit
..........................
-;,(�,Ow'ner-of,coni�actin'��-Firm!,Perlrorming Construction),
-lie'
,w sinkii d,.in,accot.dance.w,-lth�.'all'.gpyt�rning,;or.' inances'tof-�
Q
Da.tcd.,this�l
........ . ..........................
3,
APPLICATION E DAl
STREET FILE
F - pl.-4 I D. <Z
[T"
for
The City of Edmonds SIDE SEWER PERMIT
_3�3 NEW CONSTRUCTION 0 REPAIRS 0 --]�ASEMENT No . ..........................................
......... ................................................. CONTRACTOR .... ...........
OWNER ...
. ...... ................................ PERMIT No/ 76
.. . .......
.........
ADDRESS . ..... .... ..................... ........ LEGAL DESCRIPTION: LOT No . ........... . ........... BLOCK No . ............................................
NAME OF ADDITION .........
D
Approved:
DATE . . ......... BQy 4, - Z,4.. ...............
............... 7-
9 0 19
T
- ity.of Edmonds.
,.-RIGHT-OF" CONSTRUCTION
PERMIT Permit Number.
oir Isssue Date: Z(?4
VIREET Fl. E
A. Address or Vicinity of Construction: 21614 85th Pl W
R. Type of Work (be specific): GTE to plow buried service wire from pedestal
21 ft plus push driveWay 17 feet. (See sketch)
C. Contractor: GTE Northwest Incorporated;
Mailing Address: 22118 20th Ay Se� Suite 130
State License #: Bothell., WA 98021
D. Building Permit # (if applicable):
Contact: BarbaraTollefson, Permit Coordinator
Phone: Barb 488-1642
Liability Insurance: Bond: $
Side Sewer Permit # (if applicable):
E. 0 Commercial
[]Subdivision
El City Project
[!q Utility (PUD, GTE, WNG, CABLE, WATER)
F1 Multi -Family
[:] Single Family
n Other
W.O. *2100-5POOlAX-27 2423.10
INSPECTOR:
INSPECTOR:
JMk;6-fl
F. Pavement or Concrete Cut: 0 Yes 93No G. Size of Cut: x H. Chargq�
APPLICANT TO READ AND SIGN
INDEMNITY. Applicant understands and by his signature to this application, agrees to hZ-5 C�_ity ofEdmonds harm 5&k�R�Aes, damages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be made ;gainst the City of Edmonds, or any of its departments or
employees, including or not limited to the defense ofany legalproceedings including defense cos.ts�, and attorney fees by reason o+nti'ng �hispermit.
.THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FORA,�E IOD OF ONE YEAR F2LLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATEDRESTORATIO B�, HELD UNTIL THE kN4QSTf14T PATCH
IS COMPLETED BY CITY FORCE�, AT., WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPLIUNT.
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.
Re'Moration 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 requiredby the City Engineer.
All street cut ditches shall be patched with asphalt or City alipro 4filkerial prior to the er�dofX�e xyorking day;
NO EXCEPTIONS.
Ihave readthe abovestatements and understand thepermit requirements and thepinkcopyof thepermit willbe
available on site at all times for ctl urp S.
Signature: :K Date: 8/9/94
(Contractor or A�Mq Stewart
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: I -A, k i �6m RIGHT OF WAY DE P*OSIT
TIME AUTHORIZED': VOID AFTER DAYS DISRUPTION FEE/FUND Ill:,
SPECIAL CONDITIONS: RESTORATION FEE:
COMMENTS:
PERMIT FEE: 0 0
TOTAL FEE:
RECEIPT FEE:
40
DATE:
ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Engrg. Div. 1991
FIELD INSPECTION NOTES
Comments:
0
I Diagram;
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P.W.:
Work Disapproved By:
FINAL APPROVAL BY:
(Fund 111 - Route copy to Street Dept.)
El YES NO
Date:
Date:
P5
265
87+53 25X
7282 C6.1376-14001
T Ir L4501
215TiE--i ST S W'
84+38 C6:1051-1075
) . (C6.1301-1325)
__3SA , - :1 _�. I I I �'. -1.1 i - 1 1 1 _ -1. :4
P4-/7
AE25-2
253 P . 4-/5 P4-/3 P4-/l A
254 255 25 P4
266
o' P
0
F.:
S� - >
fn
00 CD 00
P 3
..... co 78 +25.
25X 0
&
P3 '/5 P3-/3 7280
C6.0t -1406
c_ 7c: 7 5 259 1 z
EML 2-62 - ELR 363
ENO SECTION ----
MAX BRIDGE TAP 863'
AML ALR -
OFFICE LOOP LIMIT 1500
APPROVED BY
TE
USE FOR, ROUTINE ONLY
PRIORITY 1130 ECAS G130
IN SVC 08/16/94
DRIVER
113 DOR
13 PMO/TRANS/SAFETY
I] HICAP/SPAN
El OPUS
El PUBLIC REOUIREMENTS
E:l PLANT RELIEF/CABLE CONG.
11 PLT. EXT/COMM. DEV./RCTA
WO- 5POeLAX27 ENGINEER- CES S C 0 R E C A R 0 - P L A C I N G MON AM IL 14.14-51 1"
EXCHCOUE 2100 ZONE NL
ESTIMATED UNITS TARGET EO(J(V A C T U A L
UNIT DESCRIPTION ACCOLNT 2XXX xxxx 6xxx Hou:tS UNETS-C-HOURS UNETS-X-HOU�CS Lin E rS-m-moLRS
P56A
PLACE BURIFD DROP
38
8
1 0
44.04
.11
F;FiA
BORE/PULL CABLE LIP TO 4'
21
a
a
186.90
4.0
TOTAL 2XXX 231.74 4.1
TOTAL xxxx
TOTAL 6xXX
PLACING SUPv-
TOTAL PLACING 23L.74 4.9
WO- 5POOIAX27 ENGINEERi CES 5 C 0 R-E-C-A R 0 -- S P L-E C I N 0- HON AM 0 1 14 14.52 1994
EXCHCODE 2100 ZONE NL
ESTIMATED UNITS TARGET EOUIV A C T U A L
UNIT DESCRIPTION ACCOUNT 2XXX xxxx 6xxx HOLM UNCTS-C-HOURS UNETS-X-HOLFtS UNITS-H-HOURS
sets rAo PAIRS
6
50
01
52.50
1.3
STRAIGHT SPL 51-3W PAIS
8
25
al
2e.2s
.7
Sa2( STRAIGHT SPL > 3N PRS
_iM
8
25
0
16.25
.4
CABLE TRANSFER i __S)
a
25
0
70.06
1.7
SIIW CLR - CAP/BUNCH - GRW
0
25
a
10.25
.2
S13E PL BUIRIED SVC WR HOUSING
I
a
a
26.50
G
514A SVC WIRE TEW./TRANS
I al
41
la
78. 80
2.0
TOTAL 2XXX 2G.50 .6
TOTAL x xx 2M. 2Z 6.3
TOTAL GXXX
TOTAL SPLiCENG 28L.75 6.9 SPLICINO SUIPY.
WOW ORDER TOTALS zcxx xxxx 6XXX TOTAL
PLACING 231.74 23L.74
SPLICING 26 58 2b5.25 2BL 75
ENGINEERING 7GS:84 7eO:84
TOTAL 1039.08 M5.25 I Z14. 33
C6.-1101-1200+1301-1400+
1051-107.5+25DD+1451-1500
C6.1101' 1200+06j-1400-
SODD-14514500
AEF3-24
Ln
00
00 T370447
C6.-1,301-1400+105.1-1075- DoR
7
'C-6001-1325
1 7 IL SW--,--c6z-;-1w26 500+1101-1200 P"
AE25-26 _216" -ST; 75 7 APIP. DATE 726-94
0
25X-7
Pi r-CWA
L", 4 4 8�7 c I-IJ75 C6.1-600 -DATE
903
P5 P4 P3 P2 _bUE
274 ...273 272 271 270 SS15-24
-(cadjol-�1500-110!z-120Q) A 0
8`13 TE
Rm,,#+- 7 5_2_5,.,__
i� - � 0-02-5-
C6:1401-1500 AE25-24-Al 2 LS3-24 -Al I"
AEI-24 BI-2 u 0 c5:901-1100. I--UG
AI -I LS6-24 C6.1-600 TO CA> ADbRESS 21614
00D0,1201-1 o j
'�SG_2" -_ i 85TH P L. W.
L C6.,676-700 cl-I
C6.601-900 7ZAE25-24 DI -I
SS3-24---/
Lo L449
N�_v Lli
C6
n�
19. C6:601-675+25DD-
1�0 C6:901-1050+25DD+1076-1100+ C6.-701-900
c3Ln Ln Q I -IOODD+1201-1500 24
�2("j + LS3-
Co
(11-i IGS:FOLLOW OUT COUNT CHANGE
00 1
w Ln PI
296
P-A <
2
P L. I - X B S k, Z
50/
D I
1� LO CROP-21' 00
A D PUS DR. W/ 2" PVC -17/
PL. SPLICE PIT
BSW BY CUST.
DOR LOCATION
21614 85TH PL. W.
P3-/l
582
80+59
A722
P2
268
77+20, 25X.
D113
C :051-1375
6.
CABLE & COUNTO
OMEN
NONE
MEN
NONE
I I
IN SERVICE DATE M16-94
PERMITS
CONSTRUCTION
11 BLANKET
0 DIAL. A DIG
El STATE
0 FLAGGING
ID COUNTY
0 BRUSHING
M CITY EDMONDS
[I NONE
SPECIAL. CIRCU . ITS 0
CAUTION
POWER EIUG
INAE
.CUTS REQUIRED
OTHER OOG
NAE
13 YES El NO
TELCO El UG
0 AE
JOINT POLE
JOINT TRENCH
El PUD
El PUD
El PS
El CATV
13 CATV
El G-T E'
0 NONE
___FEES_RE0'-.S__
�.POINT, OF
El GOP- [I LIEC
[D SPEC. CONST.
13 NONE
E NGINEER TOM MEEHAN
) I 01Hb'E NO. (206) 488-1636
N
FIELD TECHI. CARL
SAMUELSON
PHONE NO. (206) 488-1620
FIELDED , By RICH
EDWARDS
1� � 1..) 4
AM,, " .1
MATERIAL
CODE DESCRIPTION
EST
ACT
EXCHANGE
COUNTY
HALLS LAKE
SNOHOMISH
T,rLE-DOR - PAULSON
0 21614 85TH PL. W.
HEAT UP 0 216TH
AND 84TH
m C)
BREAL/ MULT. o 215TH & 84TH
2
APPROVED By
DATE
X
f/.2 7 N k. 4E SEC. 30B
FET
ISN'O' I OF 1