23449 75TH AVE W.PDF111111111111
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23449 75TH AVE W
City'of Edmonds
RIGHT-OF-WAY CONSTRUCTION
I �EET FILE . -PERmIT
Permit Number. �70
Issue Date: -
23449 7� AV. W
A. Address or Vicinity of Construction:
B. Type of Wor"k (be specific): Install New Servile (0502810)
890
C. Contractor: Washington Natural Gas Compa�y Contact: Frank Swan
MailingAddress: 815 Mercer St. Seaitle, On Phone: 224-2278
State License 98111 Liability Insurance: Bond:'$
D.'Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. E] Commercial E] Subdivision El City Pr*4 9RXUtilitY (PUD, GTE, WNG, CABLE, WATER)
(:] Multi -Family E] Single Family F1 Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut: 91No G. Size of Cut: x H.* Chargq�,$
APPLICANT TO READ AND S G
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the ity ofEdmonds harmless from injuries, damages, or
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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 legal proceedings including defenR&rasts, and attorney fees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR Q.9L
1 10 WING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION HELD UNTIL TH T A`L�ftEETPATCH
IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour n ' otice 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.
Ihave read the above statements and understand thepermit requirements and thepink copy of thepermit will be
available on site at all times for inspection purposes.
Signature:� Date: _Nov. 8, 1994
(Contractor
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY:
TIME AUTHORIZED: VOID AFTER 30 DAYS
SPECIAL CONDITIONS:
COMMENTS:
DATE:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Engrg. Div. 1991
FIELD INSPECTION NOTES
Comments:
e .01
Diagram-:
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P.W.:
Work Disapproved By:
FINAL APPROVAL BY:
(Fund 111 - Route copy to Street Dept.)
El YES El NO
Date:
Date:
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Addendum to Ditt —9 LA 0 rr
Right of WAY
Permit - API�lication
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Submitted by::,.
Eng ineeri�g Aide
Natural Gas
Washinqton
2.01 C::>
XA-f
FIA%
Av Suc
50-0:
1-7
'Ir
ZI
t6
.7� 1,
water hydrant..',
clas Mai
APPLICATION CARD No . ......................................
. for
The City of Edmonds SEDE SEWER
- OUTSIDE 0 INSIDEP;��REPAIRS E] EASEMENT No . ......................................
-, 703�xli L- /I-) / 61
*WNER ............. iii >1.17 ...... ................................................... CONTRACTOR ................. 'Iw4j�xf
e. �X 7, .................................... PERMIT No.
STREET No.
...........................
HOUSE No . ................. AVENUE LOT ................ — 57 ........................................... BLOCK No . ........ 1-5�1 ....................
NAME ADD. ..— ---------- e7, z7. C-- -
�7 ... .. 7 ........ 7!7�� .................................................. ..............
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Date
BACKFILL WORK ORDER ISSUED ......... ......................... DEPOSIT, $ ........................ ....................
SEWER WORK ORDER ISSUED ..........................................
Approved:
DATE .. zl.
:x By
APPROVED
4AY * -
,/201963
r9orma
February Ol 1972
"r* jobn JU60"
23"9 75th Avome, woot
2dMo"00 Washington 9SUO
Dear Hr, iimhonv
Thank you for yow 0ofteorn for oafo, roads in our city. I wish
to relate to you tho following,,,
I. The, City Of Idevo4# ha# a oompreboft6ivo #jz.*ys*v street
improventent program - `1,hich dotomiaos tho stv"to with top priority for
improvoment'o mainly street$ classified as artorials or collector*.
2, 75th Avonuo West to an the priority listing of ow 40=41
sumor street aaintonatw4* PrOarmt howaver, it full Improvement to do.
sireA by the ro*14*nto# a petition may be acquired from our -office.
Also,p v* vould bo happy to "plain the petition procoss to you.
3- 7$th AV*"* WOO and 240th St. SW were pav*4 with an
asphalt oyovl&y laot sumar.
4# A $oal coat surface woo applied to 7Sth Avofte Woot in
Auaust 1971 at the roquost of tho proWty oftar#.
So AlAO$ tb* O"t ShON140W Of 75th AVOW* Woot in front of youg
hmO WOO t4100d to PtWU% #TOW ourtmood dratafto to an existing O&teh
basin lociotod on tb# V"t *boulder*
6# RootUm p*uM*g aA rispair will be, 844"Wl"hod so vWPjvod'*
If Y" havo my questionst plosoo, 004toot this offumo
Yftro very tmlys
Hii7ff
VII&I" jo an
A"10tont aft%""
Wasoji
0 *
DEC 2 3 1971
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