220 8TH AVE N.PDF11111111 lill
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220 8TH AVE N
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B U I L qVAN DEPARTMENT
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PEIRI I APPLICATION
NAME (0 NAME OF BUSINESS) GAL LOT LAT,NAME. SUBDIVISION NO.
—T—_1zP�L)tj_4)
P . []YES —79
m MAILING ADDRESS
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z S PER ORDINANCE N
�/ F )w- It-, 0 0 0 E PUBLIC RIGHT OF WAY
3:
0 CITY E NUMBER EXISTING RIGHT OF WAY
EOP1000(� �3q PROPOSED RIGHT OF WAY
0
NAME DEFICIENCY OF RIGHT OF WAY (14
WORK REQUIRED YES NO
U STREET/UTILiTY ?�
0
W ADDRESS R/W KYES El N 0
PERMIT FOR WORK IN PUBLIC
3:
U TELEPHONE NUMBER UNDERGROUND WIRING. f?EQUI RED XYES El NO
El
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it CITY YES No
CONNECTION TO SANITARY SEWER X
Xm 0
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SEPTIC TANK PERMIT REQUIRED YES
N A!:�� SEPTIC TANK PE RMIT'NO.
/ 0
0 ADDRESS SEE MEMO DATED —
I- . .
U
< L) TELEPHONE NU ABER REMARKS
it CITY
stczr—_ w .0
z 3!� By
0 CHECKED
U STATE LIL.�NSE NUM`BFH CITY L CENSE NUMIJE
?S--A Al q MET; SIZE, I-EU—ILDING SUPPLq SIZE
or Attach Four Copies) . )I
x
Legal Description of Property (bhow Eselow
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07 REMARKS 54 A
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0 SIGN AREA ENV. REVIEW
I- EXEMPT
ALLOWED PROPOSED COMPLETE SH )RELINE,
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REMARKS
w PLANNING REVIEW BY DATE
VARIANCE 0 R'(�
LOT COVE E
YARDS
SIDE /51 REAR
FRONT
GAS RE ZONE TYPE OF C
NEW RESIDENTIAL LINE F1 ONST . RUCTION CODE HEIGHT
M
Nc)N-RESIDENTIAL SIGN j .:z
F] 1:1 "T
ADD SPECIAL INSPE OR AREA OCCUPA CY OCCUP
RETAINING GROUP LOAD
El DEMOLISH WALL REQUIRED
F] 11
0 YES NO
ALTER EXCAVATE FENCE _F PLAN CHECKED By T I SITE IS LOCATED IN I Nt UI I I
El OR FILL El I_ X T) OF EDMONDS. LOCAL SALES TAX
PRE -MOVE swim SHOULD BE CODED 31.04.
D REPAIR DINSP. El POOL
REMARKS
NUMBER OF 16.
NUMB OF STORI'ES
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DWELLING
UNITS
NATUR OF WORK TO BE DONE
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PLAN CHECK FEE
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'11PROPOSED Ubm
PLOT PLAN INDICATE BUILDING 5E;TtJA�m�. BUILDING
ABUTTING STREETS)
U PLUMBING
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MECHANICAL
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heirs, assigns and SIGN
"Applicant, on behalf of his or her spouse,
defend and hold harmless
I I N
w successors in interest, agrees to indemnifY, RETAINING WALL
j officials, employees, and
2 the CRY of Edmonds, Washington, its
a: :jgcjjts from any and all Claims for damages of whatever nature, SWIM . I . P OOL
SWIMMING POOL
IV
fro'll tile iss'"llce L) f this permit. I ss
VALUATION I FEE
7 , .I tl
OPUBLIC.INIORKS DEPAME2T.r CHE Date
BUILD ING PER,= =IC4V
2.C> -Eja_4 'VE: ddress
11:1; 11 11 OF ii 10111
30
eet, Right -of -Way Existing REQD
Access Easements -Existing REQD
Utility Easement Existing REQD
Lot per Subdivision Plat -.Assessor Map
Site Plan Checked for Accuracy
Underground Wiring Reqd.
CheckAccuracy of Legal Description -7
Environmentally Sensitive Area
(.Envirornental Check-list.Reqd.
J4
Shoreline Managenv_nt Area
Slope, Soil-, Vegetation
Stream, Creek, Drainage Basin
Existing Zoning Per Code
Affmities Design Board Vproval Reqd. P\ ADB # Approval
Board of.Adjus 1 Reqd.
9eview..By:_ Date:
'.Exi-stifig Water %114�in Size #"L',I, PhAve N, Fdmanct,3, St.
..Water Main Reqd.
Service LinelReqd.
Hydrant Size Ekistm*g,
Hydrant Reqd.,Per Fire Code NA Size.
.Detector Check Meter Reqd. NA
Cross Comection-Inspection AIA
Fire- Department CaTrients
Water Meter Charge-Reqd.
Review Date: 72
, — i. , - - _:_ - - -I - - �� = Tr VI XK _IK IX 1% XL _-.I 2X.X X
Septic Tank Wsi-gn Approved J-�'Jj.\ I)ate:
Septic Tank Permit Reqd. Pen -nit No.
Sanitary Sewer Availability 'Proi
Drawing. No. jq:� File No.
Side.Sewer Availability
Saqitarv� Sewer Comection Fee,.Reqd. DAL
Revie�4 By: Date:
. �� --Vk
KP.
q)en Ditch Exist q
Culvert Rcqd. ZVZ Size
Catch Bisin,Rcqd. Indicate on Site Plan
Shoulder drainage nimi-itain co1jection on s�',iale: open rmoff
2!f�19 0, - 4 a4,22---
req.d. '5'1ndic'ato on Site Plan,
Soil Conditions and Ground Water Field Mocked
TXI to
'Street Paving Reqd...
Curb and Cutter Reqd..
Sidewalk Reqd-.1
t -or bi
Curb Cu f -ive�,rav Reqd.
C4 Riglit-of-Way Construction Pennit Reqd.
Bond Reqd. for PublIc In7proveramts
Street Nar-m Sign IZeqd..
Ot:her Signina Read.
...I V -
Pre Per-mit: Sit6"Inspectibn nide on'
BY: S E1.1 E R
STPZEET
E IGINEP
N JNG
. �iF
Sp�,tial Rcqu irei-iel-lLs listed ill 11 it�, 'De,, . e 1. r7ent D:Tarti� 6''
1,TM, to Comi in OP C nt
BuilcLing W.vision.
BY Date
0.)' All itel-ns filled in on Build Permit Application
—Dat
Drawings Stan-ped and Notatio s �tlde
BY ate
D,
\pprm,ed by PL1bIj.C"%%1Oj-1r1S Depart.r,)c.nt
Revised.: IV 10-19,17
T APPLICATiON
SUBJECT:
LNGINEERING RZaUIREMENTS FOR 131JILDING P
CITY 01" EI),1101-14)"')
POLIC UORKS PAR'51FHP
F1
444
Subdivision ff5--7 F
I'lat
Multiple
Commercial
GO-JERAL RLQtJIfM-,ffJIrS
DATE: ---.?
PRD
Coordination of. the location or any StrUCture mith re�snect to utilities, streets, Droperty
lines and driveway grades is the re.sponsib.�,Iity of' the contractoi-.
The ccnstractor is required to keep the abutting street cleaned of dirt and I debris caused
by the construction 7.30.200 Violations Penalties 7'.30.290.
A "Right-Of-1--lay Construction Permit" is required from the Engineering Divisicn of Public
Works for any. work within.the Public right-of-wAy or Public easement. 7.30.010 Violations
Penalties 7.30-290.
SPECIPIC REQU1RO-IFINTS
UNDERGROUIID POWER
/SA!IUndergroLind Wiring ReqId Not Req'd
I'T*ARY SEIIER (PO�:,IIT REQID-)
/N. Connection to SanitarW ' Sewer Req d. Back. Water Valve ReqId on Side Sewer
El Septic Tank Pei-init Req.1d. Design Approval Req'd
Approved Dt. Permit Number
STORM SEWL'i SYSTEI (PER CITY CODE
Drainage Plaii Req d DrainaFe Plan Aporoved Dt.-
Site Drain&(Ye to be Contained on Site El. sit* -ne t
e Drainage to be Coi c ed to City System
ROADWAY I:,4PR9VE.ILITI'S AND DRI VT-11AY N.-
QUIRE,A1,10-ITS
Drive,,.ja.N,r S20re Hot to Excee�d I I Vr,
Driveway Faving PAeq'd Driveway Culvert Reqd Size
Vertical Curb ReqId El si(iewalk Req ' d
Street Paviag ReqId El Al,Pr'o%'(..d Desif,)i Req I d
Bond Req,d for Public Improveme . nts [].Submit Cost Estimate
Note:
inspections 1"'On1j. Engineer-inc, Division
Foundation Side Sewer EJ '.Septic Tank
Water, Service. El Fire Protection Drainage
Site Improvements.
.-,A 24 hour notice is required for inspection iy Engineering, call 775
-2525, extension 220
MRED F. IUMZBERG, P. E.
d"'. C V.
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CITY OF EDMONDS
PUBLIC WORKS DEPARTMENT
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. *Address or vicinity of Construction
.2 ?Z — 9 9 ()
6wner: a a J
Name
Mail'lnh8dress
'AA C
city, State, Zip Code
9 Contractor:
Name
(d, 5 13
Mailing Address
(--�: ;� t4"'4�6 & � q V ?--10
Ci'ty,' -- S&te-, Zip Code
Permit No. �,1 --
Issue Date
Permit Issued To:
Type of Work to be Done: pe'j kltP4 J r7G p
r
Work in Connection Zitb:
11 Sub or Plat 19—Sifigle Family
0 Comml. / Ind. El Apt. Condo.
Pavement Cut: 0 Yes &�,N
( L, C. r ej
,V Irv- 44-3
tate L icense Number
19r) — A, ) 0 �—
Telephone Number
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
B. APPLICANT TO READ AND SIGN
INDEMITY: Applicant understands and by his signature to ethis application, agrees to
from any injuries, damages,, or claims of any kind or des ver o
against the City of Edmonds, or any of it's departments r mploy ludi g , n[AM
proceedings including defense, costs, court costs, and att r y fees U� 0 ra ting Mis
Upon issuance of this permit, the contractor is responsile for
following the final inspection and acceptance of the restoratitn by
Ionds harmless
t that may be made
f
defetle of any legal
ijJ5k&lq@ JperioJ Of one year
Funds held from the Security Deposit (estimated restoration fee plel,jis't
which time a debit or credit will be processed for issuance to 0 m . pleted, at
IN COGN i
SNO C INATIN6 CO I. ]c
4 WILI
Work is to be inspected. Restoration to be in accordance wit ontrol to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call
775-2525, extension 220.
I understand that this permit must be available at the job site for inspection purposes at all times.
i n r)
Signature
r or Agent
THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By: I �� ' A=-Z.,
Time'Authorizcd: Veidlafter T7 days
Special Conditions:
Ammendments: r?N4 n
Permit Fee: 1 S7-- CID
Security Deposit: 'AJ -K
Receipt No.:
Fund Ill Fee: P—
Street Cut Dimensirs & t
NJ ovx),_
NO WORK TO BEGIN PRIOR TO PERMIT- ISSUANCE
Eng. Div. December 1978
7 q4w
FIELD INSPECTION NOTES (Fund. 111 - Route cony to Street Dept.
Comments:
Diagram:
Contractor called for inspection (SD NO
I Date: Bv: Date:
Nork DisaT.Pproved By:
Work Approved By: a e:
Inspector:
Ena. Div. December 1978
7
GI-1-y
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200 DAYT ON S r. i it K;TON 17; 1252'�
0 L PA k I f-.1 L r J I F: P L J L� 1. ': I �
--7
DATE:
TO: Rcu-v�=j
T PA N S 1 -11 T T I N G itL, sfc d k a Lai-i crv�s, Cc-iA c e v, vk i vi
<�,kcAe Se-wcv- �)Ge-vl
%
�wak, Cc,-,AC-evWvLR QCC-UOCLLA�
1�,IWM: DEPARTMENT OF PUBLIC WOaKS Ila
LVL
OWNER
TO pERMITTEE AND/OR
F] PARTIAL APPROVAL
VIOLATION
CORRECTIONS REQUIRED
R
PFRIMIT
NUMBER
JOB ADI)RESS —�p
.-1-2-C)
"TRI
11 E-
CONS CTO, Ono
No VEltmiT — N�,,ITR BUILD'ING LAWS.
vNE NVORK CO"%'P"y
11r1jt'.N1IT AND.M, O%*I-;D PLAN- a
C0N",�,,I,Rt7(71'MN IS NOT IN ACC0ItDAN(-1;" WITH APPIt pI,Y WITH
'F \1
"'oltli' MAKE ,XI. -; NVORIC CO,
AND MIT Olt 1317T�IOVI", IT.
APPROVED PLANS AND PFR
-)fUZED T ojTI1NUE BY INSPECTOR.
;4TOP Nj:()Rf.0 — JiNTIL ATJTII.( . 0 C
, CORRECTION S LIST17,F) BLf,ON%',MUsT 13E MADE BEFORE ',ORK CAN
A:ppROVED.
VI'ORE DESCH rD TtELONVRAS BEE . N IjjSpF.CTED AND IS
El k
PtECALL FOR iiZSPECTION.
CONTACT INSPFCT("It AND
,%RRANGE F011APPOIJ,7'1'14F�NT.
e f-A kLcl
L
-7
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.a7
-0A
ABOVE, AVE lWQL;II'1F'L)
r I (,) NT S
THE ACTIONS QI INDICATE LAW IMAY BE
WITHIN - T7 . . ()11, . J'ENALTIPS I'MPOSED "y
F 'n- I, (-,TIONS Al-, 775-2525.
APPLIED. 0 -4sl,j, C' L: El BUILDING DIV.
PUBLIC WORKS
.CITY' OF FIRE 1) T'I
DAT�j 2
EDMONDS,
T�- �1-
LoITZ vr ZIJMUNwb &Pik
� 0 1 1 T FOR INSPECTION CA permit IN-c' 634i
alMiIC,�WORKS DEPARTMENT
PERMIT 775-2-525 Ext. 220 Issue Date
'.MWA1WANWAEWA
PERMIT MUST BE POSTED ON JOB SITE
3WF3WAWAW
1. Address Construction
2. Property Legal Description (include all easemen
3. Single Family Residence Multi-FAmily No. of Units
Commercial
Owner and/or Builder
5. Contractor & License NO.
Invasion into City Right -of -Way: No 'Yes (If Yes Right-of-
way Construction Permit Required Call Diaf Dig (342-5344) before
excavation).
7. Cross other private property: Yes No �--" Easement required -
attach legal description and county easement number.
READ THE FOLLOWING AND SIGN:
a. Property owners must obtain a permit to install side sewers on
their property. A licensed side sewer contractor must be employed to
construct side sewers in the public right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year.
c. Commercial establishment requires a minimum of a six inch (61')
side sewer line.
d. Side sewers may not be installed closer than thirty inches (30")
to any structure.
e. Side sewer lines must LU 2% (1.15 0
and maximum grade of 100% (450�
f. No turn in side s8wer a 4 allowed
between cleanout. All 90 tu on t so a 5 0 (1/8
bend) and Wye with removable
9. No down spouts, footi f RIGs can be connected
to side sewer system.
h. Pea gravel is require stalling sewer lines
through other than granular s
i. Cleanouts are require off C g exit line
and at minimum intervals of 1 VNaL
j. Trenches within City right-of-way must be restore to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k.- Side sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours only. Two (2) working
days notice required.
DATE:
c e r ti fy tKat I have read
and shall comply With the above
PERMIT FEE: DISAPPROVED BY: Date:
ELv Date: -/I= 1 -7;L
,2 CONNECTION FEE: APPROVED By: Date:
2 * PRIZUTIMY""'UTTArr Ar. T)11VQ"n,nW TnQ 94 1 f
Side Sewer Drawing it %
The City of Edmonds EASEMENT NO . ............................................
V
NEW CONSTRUCTION 0 REPAIRS E] LID NO . .................. . ASMT. NO - ------------------
OWNER ----- RQ-N ...... ................................. CONTRACTOR ...... F? ...... ................... PERMIT NO.
f _r �i
JOB ADDRESS ------- ZZO ------------ 8 ----------- Avg-!, ... 1V ----- LEGAL DESCRIPTION: LOT NO . ....... .............. BLOCK NO . ..... r7l ......................
PWW4=1-11175 (REV.11/78)
..................................................................................................................................................................
NAME OF ADDITION ........... C.I.tj- ...... E�4vyuckkctu .......................................
8", Ave. N.
(A
�cc -
P.V-c. Side- sewc-r.
Approved:
D A T E Z 1 _Z +_'_9_)C(_ By ....
1��_ A_
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30*1.0"
Oth Avenue North
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POST OFRCE
March 7,2001
j1oates, Inc.
74114**mds St.
Mwintik WA 98020
DeWbb. Schmaus,
9
Thb%b- in reference toyour request to relocate. pan of the curbside mail boxes currently located at the
Soudrwest corner of Ir Avmw wW Edmonds Street.
We undwstwW that this ropast is due to the pending new construction scheduled to occur at this site.
After rvviewing the site vad dis6ussing the matter with the letter carrier it has been determined that
,,,r f 0* criteria on the dUchod merno has been achieved except number 2 and number 6. In
revL-Wbig the request an ezcqv&n to number 2 can be gmted when there will be an improvement in
the &Hvcry process. An improvement to the delivery process can be improved by segmenting boxes
by dim �. and hundred bkok.
I'he sepwriting of boxes must be achieved in the following manner in order to approve your request:
New 4twid of boxes to Woomd at the Southeast comer of 8d' Avenue and Edmonds Street with box
addresses locsW in the Wowing order from right to left as you face, the boxes.
81.9i 8111 Sig, 920,921,027,830'Edmonds Street
The sw*od swid of bMW* at ** Southwest corner of S'h Avenue and Edmonds Street would be
.cwvwW in the folknv* order from n
Ight to left as you face the boxes.
QrAPtX_ 75,19 756, New Number,'747, 745, 74 1. Edmonds Sa-eet; 315, 304, 301, 221, 220 8 th Avenue N.
4a�jj- 40O.Mued-lons you hxve Oawwning this conversion may be directed to our delivery supervisor, Bruce
Da@jj%,zt-(425)672-305L -
1%640--M. Snyder
P
POSTMASTER
EDMONDS POST OFFICE
UNITEDSTATES
POSTAL SERVICE
April 5, 2001
Joseph Schmau ' s
Classico Homes, Inc.
745 Edmonds St.
Edmonds, WA 98020
Dear Mr. Schmaus,
This is to confirm that the Postal Service has identified an acceptable alternate delivery point for the
seven mailboxes addressed to the 800 block of Edmonds Street.
The only location that meets our mail box relocation. criteria is a location at the Southeast comer of
8'h Avenue and Edmonds'Street.
As previously stated we will authorize delivery of mail to that point for thos e addresses in the 800
block of Edmonds Street interested in receiving their mail at that delivery point.
Once again the sequence of boxes is to be from the lowest number on the right to the highest number
on the left for the Edmonds Street addresses.
We hope this answers any questions you have concerning this relocation request. Please call our
office for any further questions (425) 672-305 1.
Sincerely,
qgt� 4.4-1
Thomas M. Snyder
Postmaster
201 MAIN ST
EDMONDS, WA 98020-9998
1(800)ASK-USPS
FAx:
aaAa
VAA WJ%
HIJON GnUOAV L419
I to,' M2 1
Mank 7,2001
CkOW."On"s, Inc.
74S.Oft;M& St.
E4606*6 WA 98020
I
Demil&. Schmaus,
VIV'Ce
'NSO
9
TIds %-:in. reference toyva request to relocate part of the eurbside mail boxes currently located at the
Soutinvest corner of I' Axe= wW Edmonds Street.
we Owestarw that this r4wo is due to the pending new construction scheduled to occur at this site.
Aftw reviewing the site sad diwussing the matter with the letter carrier it has been determined that
all ofdw criteria on the aftebW mew has been achieved except number 2 and number 6. in
mwk*/* the requeg = acception to number 2 can be granted when there will be an improvement in
the didivery proms. Aff'inwrovement to the delivery process can be improved by segmenting boxes
by sheat-and hundmd bkok.
I'he Mpnenting of boxes must be achieved ir the following manner in order to approve your request:
New *mW of boxes to berUcand at the Southeast corner of 8d' Avenue and Edmonds Street with box
oddriens located in the ffilowing order from r.)Lht to left as you face the boxes.
81% 011, 848, $20, 9-21. #27,830'Edmonds Street
The OOMA BUM of bon* at to SaWthwest omner of Wh Avenue and Edmonds Street would be
in the follv� OMW from -n
�Sht—to left as you face the boxes.
42M41V 751 750, New Number,* 747, 745, 741 Edmonds Savet; 315, 304, 301, 221, 220 8dAvenue N.
OV-DOLT
40,JL 460%r"Whons you have dwicarning this conversion may be directed to our delivery sup6rvisor, Bruce
D@WK at,(425) 672-305 1.
iuiO�X Snyder
POSTMASTER
EDMONDS POST OFFICE
UNITEDSTATES
POSTAL SERVICE
April 5, 2001
Joseph Schmau ' s
Classico Homes, Inc.
745 Edmonds St.
Edmonds, WA 98020
Dear Mr. Schmaus, i
This is to confirm that the Postal Service has identified an acceptable alternate delivery point for the
seven mailboxes addressed to the 800 block of Edmonds Street.
The only location that meets our mail box relocation. criteria is a location at the Southeast comer of
8 1h Avenue and Edmonds Street.
As previously stated we will authorize delivery of mail to that point for those addresses in the 800
block of Edmonds Street interested in receiving their mail at that delivery point.
Once again the sequence of boxes is to be from the lowest number on the right to the highest number
on the left for the Edmonds Street addresses.
We hope this answers any questions you have concerning this relocation request. Please call our
office for any further questions (425) 672-305 1.
Sincerely,
qC;!9V
Thomas M. Snyder
Postmaster
201 MAIN ST
EDMONDS, WA 98020-9998
1(800)ASK-USPS
FAx:
4 L1
-1
Permit No: i2oo (—o (03
City of Edmonds
RIGHT. —OF —WAY CONSTRUCTION PERMIT Issue'Date:
A. Address or Vicirfi ty of Construction: a 0 g"th
- B.. Type I of Work (be specific):.. 0 C.,
IN L�F,71ERS Pfflj!Z MM21 ':;t— f
C. Contractor: ONS6(0
n' —74-5
Mailing Address:
�tate License #: 0-11 .56 pfz 0 99 N a,
D. Building Permit # (if applicable):
-S 4-A N
N
I- Is- I*
Contact: zb
P 2p(o q 7a (5q a g -77 /'192 9
hone:
5 / 3
Liability Insurance: Bond: $ 7J60ta1Mf?,,f
Side Sqwer Permit # (if applicable
E. F_� Commercial Subdivision City Project F] EUC (PUD, GTE, PSE, CHAMBERS, OVWD)
Multi -Family Single Family F-1 Other
INSPECTOR.
V PAVEMENT: E] YES ErNo G. SIZE OF CUT x H. Charge: $
CONCRETE CUT: YES [;I>o
APPLICANT TO READ AND SIGN
IDEMNITY. Applican.t. understands by hislher signature to this application helshe holds the City of Edmonds harmlessfrom inj�ries,
damagek or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or
any o)r its ��partrh'�nts or employees, including but not limited to the defense of any legal proceedings including defense. costs and
attorneyfees b�,�eason ofgranting this permit.
THE CONTRAeTOR 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 ORCREDIT WILL BE PROCESSED FOR ISSUANCE TO.THE APPLICANT.
+ Traffic'control and public safety shall be in accordance with City regulations as required by the City Engineer.. Every
flagger must be trained as required by (WAC) 296-155-305 and must have certification verifying completion of the
required training in thei ' r possession. ' I
* Restoration* is to'be in accordance with City -codes. All street -cut trench -work shall be patched'with asphalt o'-r City -
approved material prior to the end of the workday — NO EXCEPTIONS.
--applicati n.
Three sets', of construction drawings of proposed work are required with the permit 0
IHAVEREAD THE ABOVE STATEMENTS AND UNDERSTANDTHE PERMITREQUIREMENTS AND ACKNOWLEDGE
THA TI MUST MAKE THE PINK7Y OF THE PERMIT AVAILABLE ON SITE A TALL TIMES FOR INSPECTIONS
Signature:
"71 ' �/ . (
21
or Agent)
CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK
Appro I ved by: C�" F . OR CITY
Time Authorized! Void After .6-1 /6?/0/
Special Conditions: MAILFo)( STftLib Mo 9F,
L"Teb (NII OF M VF-_1-)!;URF*CF " 1y1Tt#&_fJ7y
W. Maincr 0/&-A-D1rn Fdi? UT1"L,11y__
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Receipt No..-- /:7:�jw
Issued,
UPON COMPLETION OF PERMITTED WORK9 AN ENGINEERING FINAL
-INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THE EDMONDS
COMMUNITY DEVELOPMENT CODE.
FINAL APPROVAL OF PERMITTED WORK,
INSP&TOR'S SIGNATURE DATE:
For inspection requirements see Engineering In'formation Handout.
NO
WORK SHALL
BEGIN PRIORTO
PERMIT
ISSUANCE