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23429 76TH AVE W
STREET FILE
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OF EDMONDS
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DITIONAL PERMrr
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APPROVED DATE.
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By
BLDG. OFFIC!AL
K EEP THESE STAMPED
PLANS ON JOBSITE FOR
ALL INSPECTIONS
PERMIT NO. SHEET
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May 13s 1975
Condell Construction
7205 210th Street S.W.
Edmonds, Washinqton 98020
SUBJECT: UtilitletifoorHouse 76th 8yefte W.
Dear Mr. Condell:
The subject house is adjacent to 76th Avenue West,
a public street. The property is served with public sanitary
sewer and water service. The City is responsible for the
maintenance of 76th Avenue Vest and utilities within that
ri ght-of-way.
Yours very truly,
CITY OF EDMONDS*
RICHARD H. ALLEN
Assistant City Enpineer
RIIA:mjr
APPUCATION
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The City of Edmonds for EASEMENT NO - ------------------ ......... ---------------
SIDE SEWER PERMff
NEW CONSTRUCTION REPAIRS LID NO.-/ r---ASMT. NO - -------------------
OWNER
---------------------------------- ---------- CONTRACTOR ... ............ .. ------- ---- -- ---- PERMIT
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JOB ADDRESS _6.aaw_4�_) -----------------------_ LEGAL DESCRIPTI -_----------------- BLOCK NO. __q ----------_-----------------
� 'e, /
..... . ...................... .............................. ............
NAME OF ADDITION -------------------
RECEIVED
71e; 4 Vc IAI
Approved:
MAY 14 19T5
DATE
..... 11-11 By 11-11 ----------- "I ----- 11 -----------------
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 liable for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER -SEWER DEPARTRIENT
0
PERMIT
Call 775-26M for side sewer inspections BEFORE covering any portion of the construction
Inspection will be provided within 24 hours after requat. NO Sat., Sun., or holiday inspections.')
ADDRESS L4DCATION OF CONSMUCnON.. 23 "9- - 76th Pvc, e Wes+
...... ------------ ............. ................... . ... .......... ........................................ . ..
VISOPEITY LEGAL DZSCRV"ON ................... ..... Inke 2alliager .. Laad.-Co,
. .................. ........................... ........... . ....... .. .................................. .................. . .............. . .. . .............. ....... . ...... . .................. . ....... . ............ . ......... . . ..........
OWNER AND/Olt BUEUDEB ...... JI'v! CON -DEL'
---- .......................... 4:1 .... ............................... . .. . ...... . .. . . . ........................................
00TRACTON's NAMM & ADDRESS ......... UL. ................................................... ....................................................
r"Odssion in gnaw ...... 14boy .. 11 ............ 19-7S., for repair and/or connection of a side sewer to am city sactitary
wfth City ;f
7.1hol TO THE FOLWWING:
190M 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 eonstrnst
dds sewer in street area. Do not cover any portion of sewer before It has bem Inspected.
NO" No, 2--AH work performed In city right-of-wav requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office.
No. 3--Obtaln full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
IMM No. 4--Top of stdo sewer must have at least 30 inches coverage at property line and 12 Inches inside property line; minimum grade of 2%, No bends In gr**
duwW than 3A will be Permitted.
No. 5—Trandhes In street must be water settled and surface of street restored to original condition. Contractors shall be responsible, for failure due to Insproop
work which may develop within one year of completion.
$Oft* N& 6-1t 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 It* appurtenances except to W
; owt the pipe into the wye.
DISAPPROVMD Date. .. ....... .................. ... By ...
APPROVED ..... .....................
Rimawks: ................................ ....... .. . ............................
Data.......... . .. . ... ............... By ............. -
BOTH Permit Copies MUST Be Si "n By Owner of FIrm Performing Construction PRIOR To Request For Inspection
u4q..... .......... ....
(O'r Con ting F , Irm Performing Construction) hereby certify that the side sewer installation constmeted #der this permit
ILed Mg,
~La,1 in, dance with all governing ordinances of the City of Edmonds.
Datedthis ...... . .. . .. . ........... day of ........................................................... ..... 19 .........
-1 V Check BEFORE yGu dig for: Water 0, Gag 0, Telephone [], Power [], Sewer 0, Other 0 4 N/
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CITY OF EDMONDS
COMMUNITY SERVICES DEPARTMENT SOMEE7 FILE
RIGHT-OF-WAY CONSTRUCTION PERMIT
A. 0 Owner-. Washington Natural Gas Co B. 0 Contractor:
Name
805 156 AV NE
MieTlIng Address
Be evue, WA 98007
city State Zip
Permit No., Iky - 15 19
Issue Date_ 10 - �"/ yy—
S arre
Name
Mailing Address
State Zip
447-0700
Telephone Number
0 Address or Vicinity of Construc; n: 2� , 4 2 9 __T6_ AV W
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Type of Work to be Done:,,.�,-�- n@,w,!'g.as,, ;�"ryice installation /lg
Work in Connection With
PavementCut: OY ON
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;c"- ") /21"^'
City
State License Number
0 Sub or Plat 7 Single Family 0 City Projects
�0 Commercial P Multifamily,�, LJE Utility-_ 1
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds
harmless from any injuries, damages, or claims of any kind or description whatsoever, forseen or unforseen, that may
be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense
of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE
YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK.1�
Funds held from the Security Deposit t6stirnatedj�storation fee) will be held until the final street patch is completed
by City forces, at which time a debit or cred,164 be -processed for issuance to the applicant.
• A 24 hour notice is required for inspection; Please call Public Works: 771-3202
• Work is to be inspected during progress and at completion.
• Restoration to be in accordance with City Code.
• Street to be kept clean at all times.
*Traffic Control to be in accordance with City regulations.
0 All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
no exceptions.
I understand the and that this, pqmgt must be available at the job site for inspection purposes at all times.
Signature: —Date: 10/20/8R'
Owner or Contractor
This Permit Must Be Posted at the Job Site For Inspection Purposes
Call DIAL -DIG Prior To Beginning Work
ISSUED BY: PERMIT FEE: '1,3c,. 00 X
Time Authorized: Void after days. Security Deposit:
Special Conditions:
Amendments:
Receipt No.: —
Fund I I I Fee: —
Street Cut Dimensions:
X
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. July 1985
FIELD INSPECTION NOTES
(Fund I I I - Route copy to Street Dept.)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES ED NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
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The City of Edmonds
125
APPLICATION
for
SIDE SEWER PERMIT
"Ole NEW CONSTRUCI710N 0 REPAIRS E]
EASEMENT NO . ..........
LID NO. --J .-.ASMT. NO.
OWNER --=IM -rE
. ....................... ......................... ....................................... CONTRACTOR ........ M
P'L- U MEE�k�'� 4i :5eWERPERMIT NO. tE-
................
..................
JOB ADDRESS ...
.... ............... LEGAL DESCRIPTION: LOT NO. W..cPO' OF '�4z LOT BLOCK NO . ......................
.... I ......................
..................................... ...........................................................
b�.L-L�l "<Z3F-�F�5 L4N.NC:)
........................................... I ...........................................
pe - -----
DATE
. .........