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21726 85TH PL W.PDFIIIIIIIIIIII 8101 21726 85TH PL W 13 V) 1:76-:S-4� T-3\, L-D . LE CITY OF EDMONDS BLDG. DEPT. CONDITIONAL PERMIT WORK- AW179W ADDRESS- 71726g5-OW10Z OWNER - APPROVED DATE - BY BLDG. OFFICIAJ�� KEEP THESE STAMPED PLANS ON JOBSITE FOR ALL INSPECTIONS PERMIT NO. SHEE'U 7OF NOV 14 REM ZONE /'?S- SETBACKS: FRONT SIDE -- REAR OTHER HEIGHT 2,6444 STREET FILE CITY COPY --p 'As NOTICE: No-warran T . he -information shown on the attached map(s) was compiled for use by the City Of Edmonds', its Employees and Consultants. Th.e City of �Edm.qnds does not . wa rra nt t, ie accuracy of anything set for.th on t hese rnap(�_). Any person or entity -requesting a copy should conduct an independent orm-ation shown on inquiry regarding the inf ImIted to m a p (S) / including, but not h er stub shown, Such the loc'ation of any sew sewer stubs may or may, not exist and may or may not exist at the location shown. Neither the City of Edmonds nor its ice-rs'sha`l be 1­11a.b..'Fe for the emplfo-yee-s o-r off' i i n on this map(s), nor for information give-. ovided based any one representation pr upon said map(s). Jk City of Edinonds RIGNIT-OF-WAY CONSTRUCTION PERMIT Permit Number. m Issue Date: A. Address or Vicini' ;Df -Construction: 21726 85 P1 W (9604230) ty 8 9 0 C� Q) B. Type of Work (be specific): Install Service C. Contractor: - Wanhington Natural Gar, Mailing Address: 1122 75 St SW Everett State License #: 98203 D. Building Permit # (if applicable): Contact: Mariamne KjAgsbuKy Phone: 356-7500 X7596 Liability Insurance: Bond:$ Side Sewer Permit # (if applicable): E. C-] Commercial E] Subdivision El City Project []I Utility (PUD, GTE, WNG, CABLE, WATER) E] Multi -Family 0 Single Family n Other INSPECTOR: INSPECTOR: )k;AL'm F. Pavement or Concrete Cut: 0 Yes OkNo G. Size of Cut: x H. Chargq_$ APPL*ICANT TO READ AND, �46N INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City ofEdmorulgharMle88frOM 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 CON TRA C TOR IS RESP ONSIBL E FOR WORKMA NSHIP AND MA TERIA L� _FOAA � fERIOD 0 F ONE- YEA`R1 FOLCO WIWP- THE FINA L INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITYFORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPLICANT. 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. T�-affic 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 permit requirements and the pink copy of thepermit will be available on site at.all ti r ii;nspectt n purposes. Signature: Date: (C' 5� rrac' to r 0- r Ag�n t) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY �USEI ONLY ,APPROVED BY: RIGHT OF WAY DEPOSIT TIME AUTHORIZED: VOID AFTER DAYS DISRUPTION FEE/FUND Ill: SPECIAL CONDITIONS: IVA_ RESTORATION FEE: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. 1994 FIELD INSPECTION NOTES Comments: Diagram.: (Fund 111 - Route copy to Street Dept.) CONTRACTOR CALLED FOR INSPECTION El YES 0 NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: AWWWIgbnErWWQx"V Addendum to: City of Edmonds Right of Way Permit Application t"J Watermain depth I-IIAI gas main Submitted by: Mariawne Kingsbury Engineering Aide Washington Natural Gas 1356-7500 X7596 SIB COT <:2MJ - J05 9(.o+Z-3< 21+2-(o �3S 9( Key: -W- Water -G- Gas -SS- Sever Water hydrant 0 Water valve Washington Natural Gas Company 1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331 Watermain depth 11-1/14 gas main Addendum to: Ciq of Edmonds Right of Way Permit Application Submitted by:.Mariamne Kingsbury Engineering Aide Washington Natural Gas 1356-7500 X7596 I 'ZI COT (:23-w J C)5 9 0 --3( +Z(,O �3�5 AOL Key: -V- Water -G- Gas -SS- Sever Water hydrant 0 Water valve Washington Natural Gas Company 1122 75th Street S.W.. Everett, Washington 98203, (206) 355-3331 N a ft OM G a s"M�� AWM-gbon&eWCarMy Addendum to: City of Edmonds Right of Way Permit Application tIJ I Submitted by: Mariamne Kingsbury Engineering Aide Washington Natural Gas 1356-7500 X7596 J 05 9 Gocz --N 21+2Jo SIS PL Key: Watermain depth -w- Water -G- Gas -SS- Sever gas main Water hydrant Water valve Washington Natural Gas Company 1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331 4 -v.� PUBLIC WORKS DEPAR� CHEacLisT BUILDING PM;&aT miWREU FMP?-6- as PL-W, (address) tLe* Street Rig�it-of-Wqy Existing 6�0 /(f6<D QD Z Access Easement s Existing QD Utility Easement Existing_ REQD Lot Per Subdivision MMMMMW Plat Assessor Site Plan Checked for Accuracy_ P LA-N Z Underground 14iring Reqd. N'Aq Check Accuracy of Legal Description UM�ArL Review by Date 31-Z Zy_i�sting Water Main Size Water-Maiu-Required Service Line Re d c Hydrant -Size Exist, P4 Hyd3�f-Reqd Per Fire Code Size Detector Check Meter Reqd. Cross Connection Inspec� Fire Department ts W�a�t�ter Charge Reqd. Keview by Date Septic Tank Design Approved Date ank 't Reqd._ tic Tank Permit Reqd. e p *c T P Permit No. z< i , , t Sew San Sewer Availability 7 San r Ava lab 1 Yro braawm No. File No. d Sewe va ab Side Sewe ilability I jl jlit S S ry S r ct.. anitary Sewer ection Fee Reqd. :3: j Review by_ '�te Open Ditch Existing Culvert Reqd. -"'�Indicate Size P4 Catch Basin Reqd. on Site Plan 0 Shoulder dr �e maintain collection on swale ff En Manho�reqd. Indicate on S lan ;S:*-Conditions and Ground Water Field Checked Z- Review by. Date Revised: 1vl0-1977 Page 2 Revised: lv 10-1977 g) C>FF /Vo ppao�-LE-VVN STREET. FILE CITY OF EDMONDS JAN 3 0 1974 Engineering Department FAUds EW. BePL ACTION REPORT Date: January 18, 1974 Sketch Yes on back 0 No Subject: Driveway not completed from overlay work Rsth P1 - W Routing Initial Da te 1. George Johnson 2. Abe Blandin 3. 4. 5. 6. 7. Name Mr - Gilgan Person/Group initiating action Address 21726 - 85th Pl. W. Telephone No. 778-6430 ACTION 1. Mr. Gilgan stopped in to say that his single drivewaV was dug out and never finished after the crews came through to put on the overlay. I assume he was referring tothe driveway apron. 2. Referred to Abe Blandin for action —as this was performed under the 1973 Summer Maintenance Program. He feels that he has been forgotten. Please call him and advise what action the City intends to take- '9 &A kip= 61� r I, '0�r -tll &4e.. e,, All concerned noiffied Action Completed CAF E'DMONDS ENGINEERING DEPOENT ACTION REPORT Date . Z, STHO"'EFt"I" FILE Subject File ;zw./y � AttacEments Yes HNo ROUTING: Name Initi-a-T—. Date Name 1 InitiaT--Ca—te 5 2 3 7 4 INITIATOR: ACTION: Name Phoine Address j - C, av klop-k- ot-;'t>17—E --5�E�A/7- 7-0 P--or— P—S L-0 d 0 A/—. 1-5. 1-5 9 E�JPJ e - -P KI. 1/1,/AW 77S I-Zv )Qj o t:/ T-- J?A7-c-� -7-0 Ln�� 7-14-1 ZE-7 < P &= n 7-- All concerned notified Action Completed, 0 ­ j APPLICATION for 1rhe City of Edmonds SME SEWER PERMIT EASEMENT No . .......................................... NEW CONSTRUCTION REPAIRS E] L- OWNER ..... N. M. -M-.L'C-T'CX-A ...... <%=> ........................................................................................................ CONTRACTOR ..... 5ONS' 7 .............. PERMIT No . ...................... ADDRESS .�k!7 P-Co -ru ;=)L. W. ..................................................................................... .......... All LEGAL DESCRIPTION: LOT No . .................. 4 ........................ BLOCK No. NAME OF ADDITION . .......... ..................................................... ........................... (41 r->WGP,) -=671 218 -T," S-TFNIIE 1.2; w u ul 00 Jwiaawep, mhawe-� 45.w. Approved: az 44, 1, za- 4 DATE ... "tow . ..... By ............ NIDS'..-­�-- "SIDE �SIEWER` I RIV-," CITY'* OF` 1ED11M, 10 PERM �WW�iT;k�EWEW- Dt A*,kTMENT.,,' -PERMIT 42i 7 7 % qv. ng.iany, p'ortio . n�, -,of, the eonstruction� (Call" 746-1107"ifor. sjdei',seAr Anspe�ctlons, IBEFI�04E�,p " 6ri �Ihoursjafte;7, request. -WO, Sat.� :i�u n., lor,hoilday, ffispections.� 'VInspectl6n wlll(,be�­ a:t! f,- ADDRESS�,t'OCAnON,',OF,,CONS-T-RUI OTION ........... ...... . . ........................... ............................................. ...................... ............................................ PROPERTY LEGAL ��DESCRIPTIEON .............. ......................... .................... ................. .................................... ...... ........................................................... ............. ............................ ...................... ................................................... .......... "...7 ............... ................................. ................ ....... ......... . ].at ILD . ........................................................... .................... 'ZO" . ..... ......................................... .. I JEM AWD/OR IBU ........ ir ..p .5s la`11400(1: Afto: S t V U C ta; C', I ............... ..... .............. ............................. ZOXTRACTPR',�;� I�AWEIXADDRESS: ............... .............. ..... .... .. ............... aipary RernlIssibn4s,grant;6d ............................................................. 191 .......... j4r�rqp -,.,andVoi,conne46t1ow:bf­a �ide` seWer ;fo.%he �_'l r, oc ty'sanitary sewe ��tem��in,a;ccordance,,with-�Cit�..'�6f-,hdmonds�o.rdiiiances.,.," 7 I ��­TENTION- -MiCALLED TOoTH-t�,FOlEOWIN'G,.'� cCsewer jnslde'�Propeky�!In6�- A' -licensed �Side.,! Sewer 'Conf�_adtor -must be,empjoye . d to 'construct side:sewerin stre�ttarew.,,-i:�o�:not,cover'�any,,I�orifon,�df-isewer.,.before::it'�hasibeeii�i'ns�eetedt No.,,I—The -owners of the �property-,rnay,obtalnoa �Permit. jto�.tcbfiUtrU7 NOTE' No�, 2—Allf work �perio, i-ffied,in,city,,iightof�Way.'reqiiires am -Invksion, �of.,Rjght-of-Way,�-Pe�mit.,,obtainable,f�om -the ICIty Engineer's,�offi��e; *6 aiid",�!Re' I governin I g;fsi - dei I se ers I '�w I hen you� get, permit' " NOTE 'No. 3—'Obtain,,full- ln'forniation,,r-�gardfng.,Ordt nance� 11.16:03 gulations. NOTF� -No. '4—,Tpp,f6f­Mde -sewer im 4t,ie"t:30'Anches 1coveragei,at 'pralierty'-4ine -;and( lgset,,have 12,4n hes Inside.tproperty iline; minimunr.,grade 6f`2*%: No �bends dn grade b sharper ithan _,permittled. v, Trenches An street mtistibe"�watersettled',and�,surface-of,itreet resitored:-Ao 6rIkInaX, c6iidition.'jContractors. Ishallt-'Ilb��'-�ei�ons'lble'�f6r "failure �,due is-1 . . - . - - , I . -1 - - to timproper �w.ork,which,,may.ltd.evelop�,,%�ithin �6ne� year �oficornpletibn,.­,. i NOTE,No 41�—It,is-,unlawfuli 46-4i]0W�or �doj dny,,other iKork,,jth!�n, 4s, , qjroyidedt1m:�int.i,X�e� perrnit,,(or�;to,,�d . o! . lany, �vork on. . the�,mair�,.'sewerki*or,,,�ifi,,,�itppurtenances e I x . cept to In" 'seft the,.lJI*pe,,into �the -wye; y ..... Date:.': ....... MXSAPPRqkl�p �Datei__, .... .. [i, I - .. ........ .............. APPROMED— -Matoe ... 0,0. ......... :'777-­­ ....... .................................. 7 .................. ......... ............ Aeinarksr,.; ... ................ I .............. ..................... �.7 ............... ............... * ............... ..................................................... ......................................... ........ W ............ .............................. .......... .... .......................... ....................... ........... 7: ........... ......... ....................... .. . ....... I ........... ..... ..... ...... �00,.TU,,,P.!etmft.":Copi6s',M,UgT',Be bkn'er,,'6fFirm Peif o*r'm-i'ng C t c ioh.,PRIOR, T(j...Req�iest�-,-.Fo"r',i'ns'-' -Alon` on-S -ru,.t pec ...... . ... . .................... ........ urider- -this permit iAv (owner!, of dontracting tFirm' Perfbrrning,iConstructiow)� le ;An,faeQor4a. c6,.,withA116zovernin dirfalioe& 6f,Ahe Qty­oifi�Eilmonds�, .9 Or N .... Lt..' 19� Aa�.-�qf ................ ................... 0.� ...... ............. . . ......... APPLICATION for The -City of Edmonds SIDE SEWER PERMIT EASEMENTNo . .......................................... NEW CONSTRUCTION REPAIRS 0 OWNER ..... .......... ................................ ... ....... CONTRACTOR ...... #0 ....... 6�-.P .......... . ............ �- .6 -------------- ...... PERMIT No . ...................... .. ..... )z ti . . . . ................ ADDRESS ........... e ..... Z-7 ... ?e�. ....................................... LEGA-L DESCRIPTION: LOT No . ................. .......................... BL,0HCK No. ..3. 7-2 . ..... NAME OF ADDITION ...... Z. ............ ......... . ...... ... .... (�n IN c� ,4— 2 C� s--L- P<, &). Approved: Z DATE................................................ By ..................................... .....................