21930 98TH AVE W.PDFiiiiii iiiiii
9679
21930 98TH-AVE W
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9 0 9
City of Edmonds
ST ET FlVt
RIGHT -OF --WAY CONSTRUCTIOT
PERMIT
Permit Number. 3-e;V7
—C12 Wue Date:
A. Address or Vicinity of Construction: 98 Ay. W. (93,9704)
B. Type of Work (be specific): Tngtall Naw .90_�cyice
C. Contractor: Was hington Nat'l. Gas Co. Contact: Frank Swan
MailingAddress: 815 Mercer St.Seattle, Wn. Phone: 224-2278
98111
State License #: Liability Insurance:
D. Building Permit # (if applicable):
Bond: $
Side Sewer Permit # (if applicable):
E. F I [I City Project @3 Utility (PUD, GTE, WN.Q, CABLE, WATER)
Commercial Subdivision
Multi -Family E] SingleFamfly Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut: &Yes []No G. Size of Cut: (I ) 9 x 4 ra, t H. Chargq�_$
@ Gas
APPLICANT TO READ AND SIGN
-ages, or
m
INDEMNITY. Applicant understands and by his signature to this al5plication, agre.'r�t�old the City ofEdmonds har
claims of any kind or description whatsoever, foreseen or unfore8 elen, that may L �7edp against the City of Edmonds, or any of its departments or
employees, including or not limited to the defense ofany legalproce�dings including defense costs, and attorney fees by rimson 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 TIME A DEBIT OR CREDIT WIL CESSED FOR ISSUANCE-Y 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 k the-w6rkino'day;
NO EXCEPTIONS.
Ihave read the above statements and understand thepermit requirements and thepink copyof thepermit willbe
available on site at all times for inspection purpos
Sign ature: olrllamA
a-�S!17r:f %,afe: July 15, 1993
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: RIGHT OF WAY DEPOSIT
TIME AUTHORIZED: VOID AFTER DAYS DISRUPTION FEE/FOND Ill:
SPECIAL CONDITIONS: tj RESTORATION FEE:
COMMENTS:
PERMITFEE:
TOTAL FEE:
RECEIPT FEE:
0
DATE:
ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT'ISSUANCE Engrg. Div. 1991
FIELD INSPECTION NOTES
I Comments:
I Diagram,:
(Fund 111 - Route copy to Street Dept.)
CONTRACTOR CALLED FOR INSPECTION El YES NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
I __j
NaUx-51 Cvw
AV*VvVcn&V,WC=,V,V
A (10 e M
,pum, to City of Edmonds
Right of Way
Permit Application
Submitted by: Guyla Connors
Engineering Aide
Washington Natural Gas
521-5248
e--/c430
16) -704
(Z- X 4)
W
0.
4
WNG to window--/
Water main depth
unknown
gas main
Key:
-w- water
-g- gas -
-ss- sewer
-e- water hydrant
0 water valve
815 M=cr St. MO. Box 1969). Scsnk, WA 99111 (206) 622-6767
APPLICATION
The City of EdmoadL— for EASEMENT NO - -------- ---------------------
SIDE SEWEIt PERMff
. ..............
NEWCONSTRUCTION 0 REPAIRS F]
-MIT- N(Y.' -------------
............................................. ....... ---------------- ....................... CONTRACTOR -- - ------------------------------------------- -------------- K'
JOB ADDRESS
----------------------------------- ------------------------- - LEGAL-DESCRIPTIONi BLOCK NO - ------------------------------------
NAMEOF ADDITION ......... ................................................................................
NOTICE:
-No"War-ran. -Y ... c) c . c u- - a . ttached
formation*shown on the
The in
map(s) was com ' piled for use by the City 01
Edmonds/ its Empl.oyees and Consultants.
Th,�e CitY of 'Edm,.onds does ' not. warrant the
orth on these
accuracy of anything set f
Map(s). An . y person or entity -requesting a
copy should conduct an independent
inquiry regarding the info'rm'ation shown, c
t-F�� -M a p (s), including, but not limited to,
-er stub shown, SU(
the lotation of any sew
sewer stubs may or may, not exist and ma�,
or may not exist at the location shown
Neither the City of Edmonds nor its
e M pl-o-ye e-s 0-r off i-ce-rs sha-H b e 11 a-b-1--e f or th
information given' on this map(5), nor for
presentation provided based
any one re
upon said map(s'
CITY OF EDMONDS SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT
j�
Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.
Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.)
ADDRESS LOCATION OF CONSTRUCTION .... M3.0 ... ..... 98t.h --- A-ve-nme ... Uas.t .......................................... . .......................................................
....... .. .. .... .. ..... ....... ..
PROPERTY LEGAL DESCRIPTION .................... L.o t ... 3 ...... G.a t-eu-po-d ... Di..%ddirn 'No. 1
.. ..... -- - ---- ---- -- -- -- . ,
..................................................................................................................
I .................................................. . ................ ..... . ................................................................................................................................................................................
................................................................. 01,�MERA1�MIOR BUILDER-_1 i�.!GNT CONST.
......................................................................................................................
-*zs
CONTRACTOWS NAME & ADDRESS.. ... ...........................
--- M.11n ---- B.acKho-a --- S.e.rvj__ce ...... 2.4.006 ..... ... 9.2i.�.d --- Av.er,_ue_..! ......
Permission is granted ........ ... ....... . ............ 19 ... 75, for repair and/or connection of a side sewer to the city sanitary sewer
7tem in accordance with City of Edmonds ordinances.
A ZED 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 co�struct
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 regaxding 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.
NOTrE No. 5—Trenches in street must be water settled and surface of street restored to originaJ 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.
DISAPPROVEDr-1
APPROVED
Date ... . ................................... By ................
Date ......... 1z_:;_1 — -----------------------
Date ................ - ------------------- B ---- Date ............... . ................... BY ----------------
- & ..................................................................
By ..... C::;;�
Remarks:
...........................................
. ... ..................................................................................................................
....................................................
........................... ........................................ . ............................................................................................................................ . .......................................................
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
I ....... ................................ ... , hereby certify that the side sewer installation constructed under this permit
.. ............
(jDwnr of Contracting Firm P erfGrming Construction)
el
w�__Jistalled in accordance with all governing ordinances of the City of Edmonds.
Dated this .............. !� ......... day of ....................... rn_�,Ix - — -----------_----_----
V V Check BEFORE you dig for: Water E], Gas [-], Telephone [:], Power E], Sewer E], Other E] V -V
The City of Edmonds
APPUCATION
for
SIDE SEWER PERMIT ETASENT NO. ---------------- -----------------------
NEW CONSTRUCTION VY" REPAIRS F� L A&T.O. ------- ------
OWNER ---------- �eO.zie�ST -----------------------------
M, 16,11 �
JOB ADDRESS ----- 0� --------------------- ?iF -------------------------------------------
CONTRACTOR - ----------------- ---------------------------- PERMIT NO. 6z�t-��
LEGAL DESCRIPTION: LOT NO - -------- 3 --------------- ---------- BLOCK NO - -------------------- ---------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------
NAME OF ADDITION ------ .......
------ ------------ RFCMV'jff6 --------------
Appfoved:
DATE-------------------------------------------- By ------------------------------------------------------------
Date _August 22, 1973
Memo to: Director of Maintenance & Operation
Public Works
From: City Engineer
Subject: Sewer Connection Charges
AUG 2 '01 1973
Legal Description: Lot 3, Gatewood Division No. 1
Commonly known as: 21930 - 98th W.
Z.F.F. Calculation:
Z.F.F. X $7.50
Lateral x
Unit X 25
Owner:
$ 193.60* Con6ection Fee
$ -- Lateral Charge
$ 25.00 Trunk Charge
$ 10.00 Permit
$ 228.60 TOTAL
cc:
*The sewer connection for the entire plat of Gatewood, Divisions 1 and 2, has
'beefi equally divided among all lots; therefore, the.$300.00 minimum does not apply.
Also, the developer has extended main line sewers at his own expense.