21818 77TH PL W.PDFIIIIIIIIIIII
6589
21818 77TH PL W
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City offdmonds
RIGHT-OF-WAY CONSTRUCTION
ERM Permit Number. 9-5 la-Z 3
STREET FILEr IT .
Issue Date: _e, -
A. Address or Vicinity of Construction: 21818 77th P1 . W.
B. Type of Work (be specific):' GTE pi aci ng tel ephone servi ce wi re f rom tm#8632
under 77th P1 W thru an existing crossing and to a residence at
21818 77-th P! . _1h r.e.w. 22 f
C. Contractor: GTE Northwest Incorporated
— Mary Rnwg-r ' E!Armit Coordinatoe
Mailing Address: 22118 20th Av SE. Suite 130
State License 4: Bothell, WA 98021
D. Building Permit # (if applicable):
E. E] Commercial Ej Subdivision
[] Multi -Family M SingleFamily
INSPECTOR:
Contact: mary mg�4gg-irqg
�%Jrer
Mike 111a d- 2QG4%%Q-F*1YZQ 0954-07 4
Liability Insurance: B n&$
Side Sewer Permit# (if applica@NG1NFLk,',4
0 CityProject ff] Utility (PUD,PjJE WNG, CABLE, WATER)
E] Other 2100-9POOlDB 242310
INSPECTOR: 1
F. Pavement or Concrete Cut: 0 Y�� G. Size of Cut: 0 x 01/ H. Chargq_$
APPLICANT TO READ AND SIGNJ
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the �qq a
t
C�=Ihar- or
nd�oj
, I'*
claims of any kind or description whatsoever, foreseen or unforeseen, that may be made again or,
. an tj
employees, including or not limited to the defense of any legal proceedings including defense costs, ari attorn��y fees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PER70D OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATMWV�A;�_ii�E HELD UNTIL T4,E-F[W SfITET PATCH
IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE:IPPLICANT.
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.
Ithave read the above statements and understand thepermit requirements and thepink copyof thepermit willbe
av2ailalbaon avA�mes for inspection purposes.
st tewart, Oprns Supv-OSP Engrg Date: June 14, 1995
I
John StoWikimtractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: 4c %-jf4 RIGHT OF WAY DEPOSIT
TIME AUTHORIZED': VOID AFTER j&\J (A '28 DAYS DISRUPTION FEE/FUND Ill:
SPECIAL CONDITIONS: A.4— R RESTORATION FEE:
ALt-0vjf0 PERMIT FEE: 9n
TOTAL FEE:
COMMENTS: RECEIPT FEE:
DATE: ISSUED BY: ZZ)�4,,
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Engrg. Nv. 1991
FIELD INSPECTION NOTES
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P.W.:
Work Disapproved By:
FINAL APPROVAL BY:
(Fund 111 - Route copy to Street Dept.)
YES
Date:
Date:
El NO
LIELGEND
rPEDS o i
POLES 0
ROAD BORES
PERMIT SUBMITTED BY OVERHEAD LINES
GTE J.D. UTILITY POTHOLE [:3
U G TRENCHING ----ijG T-
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D f 9. U A ILI' FILE NO.
OR -p
ENGINEERS SURVEYORS. s'PLANNERS
CH. $CALK SHEET,
324tlainSlreel Edmconds,Wasl,inqfon9ll020
ev.
4
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:,The City of Edmonds
0
APPLICATION
for
SIDE SEWER PERMIT EASEMENT NO . ................. ..........................
EW CONSTRUCTION REPAIRS 0 LID NO - ------- .......... . ASMT. NO - ------------------
OWNER - 1AV-V --- ---------- - --------- EiS 44% CONTRACTOR Ut-1.1.7—P ...... V=L--U%lAEL4-A .............................. P�PERMIT NO. 75� ...........
........ --- - ------- ------------------
JOB ADDRESS — ------ .............. LEGAL DESCRIPTION: LOT NO - ----- -------------------------------
..... --------------------------------- BLOCK NO . .....
.........................................
T%TAUT7 nlP AnT'11'rTt-)T%T
................
� V=-- E--=
...................................................................
t'z r -r H r-=
..............................................................
Approved:
DATE ................ By .. . . .. ... ......
/ 0044�"14� 11/75
APPLICATION
The City of Edmonds for EASEMENT NO - --------------------------------------------
SIDE SEWER PERMIT
NEW CONSTRUCTION E] REPAIRS E] LID NO - ------------------- ASMT. NO - ------------------
OWNER ---- M .......
---- CONTRACTOR ---- uylltes -------------- PERMIT NO. -5 ---------------
77
JOB ADDRESS ...... . ------ ..................... LEGAL DESCRIPTION: LOT NO - ------- 2:�� ------------ ------------ BLOCK NO. ----6 ---------------------------
......................... ............................................................................................... ----------------------------------------
NAME OF ADDITION --- 5�� --------- A7H4C - - --------------------------
Approved:
DATE
BY--------------------------------------------------- Yi7ff
NOTICE:
No warranty of accuracy.
The information shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of Edmonds does not warrant the
accuracy of anything set forth on these
map(s). Any person or entity requesting a
copy should conduct an independent
inquiry regarding the information shown on
the map(s), including, but not limited to,
the 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
employees or officers shall be liab-le for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
CITY -OF EDMONE�S 'SIUC ' br.W8k_P_kKAT
WATER -SEWER DEPARTMENT
PERMIT
0
Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.)
Inspection will he provided within 24 hours after requst. NO Sat., Sun., or holida y inspections.
-7 "' et �k)
ADDRESS LOCATION OF CONSTRUCTION ..... ................. .......................................................... .............................................
PROPERTYLEGAL DESCRIPTION .............................................................................................................................................................................
................................................... . ...................... . ........................................................................................ . ......................................................................................
........................................................ OWNER AND/OR BUILDER ..... Ult-k-G7 ----- (�*_I. N.-N.J. (,-A. r\1 ......... !�.tj.t I.JeAl ----------------------------------------
'UK\1-k4 . ... .... ...... ... ... ... .. ....
CXPNTRACTOR'S NAME & ADDRESS .................................
..................... . ............... ...........................................................................
Permission Is granted . ........ Kim repair and/or connection of a side sewer to the city sanitary sewer
.......... ------ := ............... 119-7-.
F42n in accordance with City of Edmonds 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 area. Do not cover any portion of sewer before it has been inspected.
NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office.
NOTE No. 3--Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 4—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. 5,—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.
DISAPPROVEDE] Date ---- ---- I ...... i ..................... By ................ Date . ...... By ................ Date ............... . .................... By ................
APPROVEDNtj Date. ........................... .......... BY- ..... ...... . .......................................................................................
Remarks: ....... . ....... ........................... .............................................................. . ....................................... ...................................................................
---------- m -------------------------------------------------- - -_--------- .............................................................................................................................................................. .........
BOTH Permit Copies'MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
Z
I,.""\ L
...... ...... by certify that the side sewer installation constructed under this permit
ming in ru /21(n)
Al ��r.
(owner of Contr T e r
stalled in accordanc?with all governing ordinances of t/e City of Edmonds.
.............
Dated this ----- -7 ... . ........... day of ......................... .............. .........
V V Check BEFORE you dig for: Water [:], Gas E], Telephone 0, Power E], Sewer [], Other E] -� V
zrREET FILE
0.0
DA1'F.:-.- -.O,ct,ober :15, 1976
HEVO TO: I la rry Phi tcutt
Ruildin.n nffici',Il
FROH: R i cha rd H. Allen
Assistant Citv Fnnineer
SUBJ ECT: BUILDING PERMIT APPLICATIONS FOR MIKE F I N N I GAN A1 21818 &
21820 77TH PLACE U.
After review of. the -,tihjPct huildinn n.ermit armlicat.ion, we have. the fol -
lot-.,inq comments:
1) Coordination of location of b.ui'lding with Uti 1 i.ti es is
the responsibility of the contractor.
2) Connection to sanitary sower requi-red.
3) 11nderground v*J1iring and street linhting required.*
4) The following recorded documents are required:
(a) 20 feet deeded to City for 77th P I . Y.
(b) 5-foot utility.easement to City Per S-50-76.
(c) 10-foot.storm sewer easement to City per S-5m-76.'
5) Drainage channel improvement required in 10-foot storm
sewer easement.'
6). 24 feet of asphalt pavinq required on'77th Place with
tu'rn.-around.per S-50-76.
..7) 'Bond required for.drainage and paving improvements.
3) Driveway slopes not to exceed 14 percent.
1,JJN:R11A:mjr-
`7 1)&
�ATE 16 PERMIT ADDRF.J&
LEGAL DESCRIWON WA
BUILDING PERMIT RFVIEW - ENAINEERING DEPARTMENT CHECK LIST
Instruction:
Check Accuracy of Legal Description
Check Against Assessor's Map for Legal Subdivision
Does it conform to City Approved Subdivision?
Reviewer's
Initials-
1. This lot.included in Subdivision/Plat N
2. Site Inspection -made on: teo* � 15.-:4 r7 A
3. What are.�ound.water and soil conditions? t�WIIWIAI
4. 'Site-Orafnap-P theckeO A-) I 14-111-1to
5. Storm Sevier Availabilitv:
Sht! 7 'of Nn. No. ProjectVA 101(�)
Roadside -Ditch— WL?11�4 k
6. Grading F, Final Contours:
woa,
7. Septic Tank System Design Approved:
8. Sanitary Sewer Availability �� Sht. I of Nip. No._ Project&NMLPOURS
Side sewer availabilitv: - OrD - 4::?=
9. Sanitary Sewer Connection Fees?
10. 11ater Mains A Fire Hydrants (Indicate Size Main)411MArig M k rm
PM
Check Fire Dept.'s Comments
11. Sidewalks: (Sitt inspection shows conditions of sidewalks as follows)
a . _ -e_ _,
12. Curb _: t, Yn K
s Curb Cuts/Priveways (Check driveways for safety, location,
w-1
grade an �N,_r
13. Underground Hiring: Street Lights
21
14. Street Right-of-wa y & Bldg- s e t ba c k s S h t. of nfficial Street Map.
15. Existing Utility Easements? *FT-1 t TrA .1XTVv!_N/1d7YT, 3
16. Access Easements:
17. Site Plan checked for accuracy? fn I, 7_6
18. Special Requirements listed in Memo to Bldg. Dept.
19. Commercial &-Apt. Requirements form completed? P\
20. Drawings stamped & notations made? V:61 i 4Ar7A
21. All Items fil.led in on Dldg. Permit App" i cati on?
22. Bonds posted for site work?
23. Right-of-way Invasion Permit required?
COMMENTS:
A
Rev. 7/1/76
14,
PERMIT I AD I DRFA&�US20 -7
LEGAL DESCRIWON 1W
BUILDING PERMIT REVIEW ENGINEERING DEPARTMENT CHECK LIST
instruction:
Check Accuracy of Legal Description
Check Against Assessor's Map for Legal Subdivision
Does it conform to City Approved Subdivision?
Reviewer's
Initials
ision/Plat No,:
1. This lot included inl,,hd�ivi�4nn
Su iv-
2. Site Inspection made on.---,-.)
3. 14hat are around water and soil conditions?
el ",mPOwAW4 - b a. m-- A,,*0 I A A-L I -A t=� - A PA'
4. Site Orain-aqp C - heded?
5. Storm Sewer Availabilitv: Sht.
Roadside Ditch M-
nwn. No.
Project
6. Grading &:Final Contours: k I CM -k )RM
7. Septic Tank System Design Approved:
8. Sani tar�y Sewer Avai I abi I i t Sht. f OV19. No. roject
Side sewer availability:_ PEP
9. Sanitary Sewer Connection Fees?
10. Illater Mains & Fire flvdrants (Indicate Size Main)411*dtLJ r
Check Fire Dept.'s Comments
11. Sidewalks: (Site inspection shows conditions of sidewalks as follows)
12. Curbi:-- fU,-0-&fW— Curb Cuts/Driveways (Check driveways for safety, Incation,
grade and iifdth):��I)JN(Jkj I j nrr4tm t ro�A4
13. Underground Uiring:
.. _ )�L Street Lights
14 Street Right-of-way & Bldg. setbackseNW h t. of r)fficial Street Map.
U -
15. Existing Utility Easements? 41T I U9
16. Access Easements: -JLMZ-
17. Site Plan checked for accuracy? W� P74
18. Special Requirements listed in Memo to Bldg. Dept._ N MAO-
19. Commercial &-Apt. Requirements form completed?
20. Drawings stamped & notations made?
21. All Items filled in on Bldg. Permit Application?-
22. Bonds posted for site work?-
23. Right-of-way Invasion Permit required?
COMMENTS:
Rev. 7/1/76
STREET FILE DATF:
__Qctoben:_1,1_916__._
MErn Td: Harry Phitcutt
Buildinn Official
FROO: i cha r( 1. H. All en
Assistant. Citv Fn(iin(,(*,r
SOPMEM. Building Permit Applications for 21818 218
Mike Finnigan
After revirn.! of the subj(,ct huildinn nermit. anplica.tion, 11,0 have th(,.'fol-
lowing comments:
1) Final review and approval is being withheld by this
department until approval of this pending subdivision.
is -granted.
WJN:RHA:mjr