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23830 101 ST PL W
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ADDRESS: r902030 — /01 10L bj
TAX ACCOUNT/PARCEL NUMBER: jO i /-/ LOW 0614 d6
BUILDING PERMIT (NEW
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:—,�/�— 00-1ri— DETERMINATION: F-1 Conditional Waiver 0 Study RequiredXWaiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
SOILS REPORT DA
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DATED:
LATEMP\DSrs\Forms\Street File Checklist.doc
SCOPE OF PROJECT: ' NEW DETACHED 960 SQ Fr GARAGE.
6 FOOT WOODEN FENCE AT WEST PROPERTY LINE.
PAVING OF DRIVEWAY IN 102ND PLACE WEST.
U14PERVIOUS:
HOUSE / GARAGE 1500 SQ. Fr. (BUILT 1955)
EXIST. GRAVEL DRIVE 546 SQ. FT. (BUILT 1955)
NEW GARAGE 46&SQTT 12,40 47
NEW DRIVE AWSO, FT. M Ay -151
TOTAL 3856 SQ. Fr. 29.5 %
TOTAL SINCE l9rn 1810 so. FT. ADD GUTTERS/DOWNSPOUTS
HEIGIFIT CALCS AND SRASHBLC)()KS
DATUM: BOTTOM OF TEL POLE IN FRONT YARD:100.0,
A. 104.5'
B. 104.5 APPROVED AS NOTED
C. 104.5' BY ENGI ERINPG
A 104.5'
418 4 = 104.5 + 151 119.5, MAX. Date:
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PERW COUNTER
Zone 2:6 - 9 Comer Flag NO
Setbacks Required
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PLANNING DATA
NAME: T I M DATE: 0 Ileo /S-00-9-
SITE ADDRESS- gz3c? I of ssr P Ce W PST- PLAN CHK#
PROJECT PESCRIPTION: N4tW q10DJ7 4arlaaeo
REDUCED SITE PLAN PROVIDED?:
MAP PAGE: .0 0 CORNER LOT: (Yes /Q FLAG LOT: (Kes I&
ZONING:— P-!$ - 5 CRITICAL AREAS DETERMINATION #: 1`000 6 - 06115
LlStudv Reauired:
aWaiver
Ll Conditional Waiver
SEPA DETERMINATION:
Fee
Checklist
Ll APO list wl notarized form
(Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
Exempt
,,jl1SETBACKS:
Regowd Setbacks: N 0
ide: Rt Reari
gM Side:
Act-1
S-tw LN I
UD CS' (S)
'Isi'd 49W Sidt-!--
STreet map checked for additional setback required? (Yes No NA)
kffD
DETACHED STRUCTURES: PWP 061CA 01 LP V JO oU4-a L�V�-- 64
Ll ROCKERIESJ400t 6VADWV1 DA eof+'C PICIVI.
0 FENCES/TRELLISES: (0-f4. WC)06k fWCe, 4 pyop"
Ll BAY WINDOWS / PROJECTING MODULATION: N 01nit SVIOWV1
L3 STAIRS/ DECKS:
am e�ii'r'plavl.
PARKING: Required: SO Actual:je
i5000R-x+- how,5e/gava9e..
LOT AREA: C1 (2 0 P Yof> cpeptd .9 a ra e-, 2.4 (PO�
LOT COVEI
Calculation
BUILDING HEIGHT- -fyMjry6tV
for Datum Poirit: 0it D M
jDf' TP. M Datum Elevation:
""*MaximumAllo.ed:_ Actual Height:
9;W
A-D.U. CREATEID?- &Yes) 04.6'
SUBDIVISION:-Ada.x or Pa rL4.
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: 419
Li =.
OTHER:
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Critical Areas Checklist
Sit6 Informati6n (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location: 17/0 12C
2. Property Tax Account Number: -7 o 4- o c)
3. Approximate Site Size (acres or square feet): 0 U
4.� is this site currently.developed? Lfes; no.
If yes; how is site developed?
5. De the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over: entire site.
CA File No: C)6--q,5
Rolling: slopes on site generally less than 15 % (a vertical rise'of 10-feet over a horizontal
distance of 66-feet).
Hilly: slopes present on site of more 4f ei f
s b
t
over a horizontal distance of 33
Steep: grades of greater than 30% present on vertical, e qyera
,o
K
4
.distance of less than 33-feet).
Other (please describe'):
6. Site contains areas of year-round standing water: Approx. Depth:
7. Site contains areas of seasonal standing water-
Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplairi of a water course,
9. Site contains a creek or an area where water flows across the grounds surface? Flo ws are . year-round?
Q0 Flows are seasonal? (What time of year?
10. Site is primarily: -forested meadow ;shrubs mixed
urban landscaped (lawn, shrubsetc) Y,
11. Obvious wetland is present on site:
For City Staff Use Only
Plan Check Number, if applicable? P6*Q5-Zq(P
2. Site is Zoned?
x5. SCS. mapped soil type(s)? iaray414 _caidg Inam, -and
-i ' 111 (AIX VVVV (A - nV-LV 2= ;91 outt� ��LAY I ti� 1 U CA ffin I-L) P 'b I 9pirt).
4. Critical Areas inventory or C.A. map indicates Critical Area on site ? yew-. 6yDefM 8�.
5. Site within designated earth subsidence landslide hazard area? NOVIC, �bVIOWY1
_DfIbc,fak J-0 MCAYf-, fvlat dcl-"WOVIA-hoK,
DETERMINATION
STUDY REQUIRED WAIVER
Reviewedby: 8(�"' utnlw� Date:
Critical Areas Checklist.doc/4.22.2003
of. IE Q& 0
City olRdmonds
Development Services Departn)eqt n�
Planning Division
Phone: .425.771.025�
4� Qql� Fax: 425.771.0221
The Critical Areas Checklist contained on this form is to
be filled out by any person preparing a Development
Permit Application for the City of Edmonds prior to
his/her submittal of the application to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are, or
may be, present on the gibject property. The information
needed to complete the Checklist should be, easily
.q un iLqbL--f s
WJ%UflHNa
i I s: t
APPUCAMN PIC #Ls-�JSQ
Date Recelved: —11-71.05
City Receipt#:_ 3 fo'(1,7 q
Critical Areas File #: C, A- 1,0 05- 0 9 E;
Critical Areas Checklist Fee: $135.00
Date Mailed to Applicant:
A property owner, or his/her authorized representative,
must fillout the checklist, sign and, date it, and submit it
to the'City. The City will review the checklist, make a
precursory site visit,- and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map, 'along with the signed copy
of this form to assist City staff in,finding and locating the
specific piece - of property described on this form. In
addition, the applicant shall include other pertinent
information * (e.g. site plan, topography map, etc.) or
studies in conjunction with this Checklist to assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees
to release, indemnify, defend and hold the City of Edm6nds harmless from any and all, damages,. including reasonable
attorney's fees, . arising from any action or infracti�in' based. in whole or part upon false, misleading, inaccurate or
incomplete information furnished by the applicant, his/her/its agents or employees. 7-
By my signature, I certify that the information and exhibits herewith submitted are true -and correct to the best of MY
knowledge and that I amauth.orized to*p� this a plication on the behalf of the owner. as- listed below.,
SiGNATuRE oFAPJ?UcANTI�� 31 �I DATE TT 05
Property Owner's Authorization
By my signature, I cer* that I have authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and posting attendant to'this plication.
SIGNATURE OF OWNER DATE
10,
Owner/Applicant:
.. T11 m. .H-o,Vc)-E—
Name
4
Street Address
TOW
City State Zip
Telephone: -7 11 - (0 2- (OP
Email address (optional):
Applicant Representative:
.Name
Street Address
S tate' Zip
Telephone:
Email Address (optional):
Critical Areas Checklist.doc/4.22.2003
Pilchudk.Contractors, Inc
Job #107021651
October 18, 2004
Sheet I of I -Rob InglIS4
'aV3HV
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avou
24230
WORK AREA Xx 5'
IN GRASS SHOULDER
CHANNELIZATION DEVICE SPACING
MPH �
TAPER
TANGENT
5ond
40
80
35/45
30
60
25/30
20
40
M
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ROAD'
WORK
'AHEAD
Nulub;
1. All signs and spacing to conform
he MLITCD and City of Edmonds
ffl
Orat c; Control specs
2. Chann'elizing devices are 28"
traffic cones.
4. All signs are 48" x 48" B/O unless
otherwise specified.
5. Alert affected residents and businesses.
6. 1 Flagger will control alternating
one lane traffic.
7. Work area will be 625' S of C/L of
241 st St SW & 1 VW of 104th PI W.
241 St ST SW
LEGEND
28" TRAFFIC CONE
WORK AREA
TRAFFIC FLOW
FLAGGER
SIGNAL LIGHT
WORK VEHICLE
SIGN LOCATION
SC6PE OF PROJECT: NEW DETACHED %0 SQ FT GARAGE.
6 FOOT WOODEN FENCE AT WEST PROPERTY LINE.
PAVING OF DRIVEWAY IN 102" PLACE WEST.
IMPERVIOUS:
HOI SE /GARAGE 1500 SQ. Ff. (BUILT 1955)
EXIST. GRAVEL DRIVE 546 SQ. FT. (BUILT 1955)
NEW GARAGE qws� )-2-*00
NEW DRIVE . AM-Z.-FT. MAX of-' tp
TOZAL- 3856 SQ.FT. 29.5%
HEIGHT CALCS �4�—
DATUM: BOTTOM OF TEL POLE IN
A. 104.51
B. 104.5
C. 104.51
D. 104.5'
ADD GUTTERS /DOWNSPOUTS
00 AND SPLASHBLOOKS
YARD:l .0
418 4= 104.5 +151 = 11049PA
RIGHT-OF-WAY CG.\ISTf
AND INSPECTION
UIAT
ms). or-
24 m rA
.eKr
,T. e"WOT
Date:
> TO
14 -Z
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ROVED AS NOTED
K,ENQINEERINGe�`
RECEIVIE—D
JUL 0 7 2005
PERMIT COUN�ER
Zone &5 - 0 orner uflag�j z3
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Street Front
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FOR E SION CONTIROL AND DAMAGE
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CITY OF EDMONDS
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City of Edmonds
RIGHT-OF-NYAY CONSTRUCTION PERMIT
A. Address or Vicinity of
a �DZD-- 1o4, PL
B. Type of Work (be specific): I In
(2, 1' L
3 6A. CIL, 4),�\
FE-11oxe-/ 0 (t ) "'
C. Contractor: Cat, I C1
Mailing Address: �110 L) PI
Permit No:.2G0.k0Z%-
Issue Date:
Y)") CA I'VI
,-5-. a 3
LJ -�,Z(,�o\AC)70 /Cp,�J
State License #:_f,'I L C e, r I M H Liability Insurance: Bond: $
D. Buildm'g Permit # (if applicable): Side Sewer Permit # (if applicable):
E. F� Commercial E] Subdivision 01
I CityPr El EUC(PUD,,.VERIZON,PSE,AT&.T-,OVWD)
F-1 Multi -Family Single Family El Other
INSPECTOR:
F. PAVEMENT CUT: [�a YES El NO G. SIZE OF CUT x
CONCRETE CUT: El YES El NO
Al'I'LICANT TO IZEAI) ANI) SIGN
INDEMNITY. Applicant understands by his/her signature to this application helshe holds the City of Edmonds harmless ftom
4
injuries, damages or,claims of any kind or ' description wkatsoever, foreseen or unforeseen, that may be made against the City of
Edmonds or, any of its departments or enployees, including but not limited to the defense of any legal proceedings including defense
costs and attorneyfees by reason ofkranting this permit.','
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR, A PERIOD OF ONE YEARFOLLOW7NG THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES RILL BE HELD UNTIL THE FINAL STREET PATCH IS
COMPLETED BYCITYFORCES, AT WHICH TIMEA DEBITOR CREDIT 97L,L BEPROCESSED FOR ISSUANCE TO THEAPPLICANT
+ Traffic control and public -safety shall be m,accordance with City regulations as required by the City Engineer. Every
flagger must be trained as required by (WAC) 296-155-305 aind must have *certification verifying completion of the
required training in their possession.
+ Restoration is to, be in accordance with City codes. All street -cut trench work shall.be patched with asphalt or City -
approved material prior to the -end of the workday -NO EXCEPTIONS.,
+ Three sets of construction drawings of proposed work are required with the'permit application.
CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK
IHAVEREAD THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
THA TIMUSTMAKE THE PINK COPY OF THE PERMITA VAILABLE ONSITE A TALL TIMES FOR INSPECTIONS
Signature:
(Contractor or Agent)
Date:
FPR CITY USE ONLY
Approved by: 6i &2 d Q Right- of -way Fee: 1190" -f �5f&
Time Authorized: Void After, o i 14 ix5- Disruption Fee/Fund 111:
Special Conditions:, a-ftim-ffilm ',95TE464 iT-MA Restoration Fee:
N-Tu Irn I A VP; P-1 ri e�,LF_;Ald 0.,FA-P_ Total Fee: 5`C-
66& 6&5-om 5. 0AW, 6 ILIV Receipt No:
4 QW-ZVE -72) (ALF, dP- A941F
Issued
NM 0 I-TI :J&J1aC 1.0k0t, A�9 M61 4:W A411 -V-,O
izmlilap "IN,54�zljms -P? A/A L_ e
UPON COMPLETION OF PERMITTED WORK, AN ENGINEERING FINAL
INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THE EDMONDS
COMMUNITY DEVELOPMENT CODE�(.P 9ne 425-771-0220, Ext. 1326)
FINAL APPROVAL'OFPERMITTED WORK. OK—" DATE:
lns�ector's Signature
For inspection requirements see Engineering Inspection Information handout.
NO WOIZK SHALL IIIJAN I'MOIZ TO I'ElIMIT ISStJANCE
DAMy Documents\Forms\Engnmg\ROWpermit—.doc
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'""li.-I-Or--WAY C01"4STRUCTiON
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B RESPONSIEEILE
F- Fl E R 0 S 10 N C 0 iN i e5l i - 1,, 1\1 r) 0 A I Vi A0 F:
-.100 bon
N-1 10-0 p
NOTED
Al -PR(* ' Wi) fAS
Py ENGINEERINg
Datc:
If —20�—c it
L
%
1VO
ADD GUTTERS/DOWNSpOUTS
AND SPLASHBLOCKS
PROJECT ADDRESS / OWNER:
TIM HOVDE
23830 101ST PLACE WEST
EDMONDS'98020
206-719-1026
TAX No: 00370400000400
LEGAL:
ADAIR PARK BLK 000 D-00 LOT 4 PLUS
1/8 INTIN TR 'A' LESS TH PTN TR 'A'
DAF BEG SW COR SD TR'A'TH N63-04-19E
ALONG NLY LN SD TR'A' 108.55 FT TH
SOI-07-35W 44.75 FT TO LN TR'A'TN
S87-21-56W ALG S LN TR'A'96. FT TO POB.
LOT SUM: 12,068 SQ.FT.
ZONE: RS8
SCOPE OF PROJECT: NEW DETACHED %0 SQ IT GARAGE.
6 FOOT WOODEN FENCE AT WEST PROPERTY LINE.
PAVING OF DRIVEWAY IN 102ND PLACE WEST.
LOT COVERAGE:
ENISTING RES / GARAGE: 1500 SQ.FT.
NEWGARAGE: .960 SO. FT. -
2460 SQ FT 18.8%
IMPERVIOUS:
HOUSE/GARAGE 1500 SQ. FT. (BUILT 1955)
ENIST. GRAVEL DRIVE 546 SQ. FT. (BUILT 1955)
NEW GARAGE 960--gQ'FT 12AO41
NEWDRIVE 85 "-U.- Yr. mpex of= -7sq 4b
TOTAL SQ. FT. 29.5 %
TOTAL SINCE 1977 1810 So. FT.
I]EIGHT CALCS
DATUM: BOTTOM OF TEL POLE IN FRONT YARD:100.01
A. 104.5'
B. 104.5
C. 104.51
D. 104.5'
418 4= 104.5 +151.'= 119.5'NL4,X.
CONTACT DURING PERMIT PHASE:
IGUSTIN HANSON
652 ALDER STREET
EDMONDS 98020
425 774 7129 425 7713152 FAX
CONTRACTOR: OWNER.,
Zone R 5 0 9 Comer IVO,Flag.N D
,Setback E-t �ujred Actug (tD Piro p 06ec(
StyZeA-Front(W + I !3airaoc)
..................... ...................
P-ECEIVED
JUL 0 7 2005
PERMIT COUNTER
(.N/g 15)Sides ET F IN V=
Rear(W :,tarn
nth Z� t ME u:
Va
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C-A
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104 PL IN PLOT PLAN
SCALE: I" - 50r--
ASPHALT NOTE: OVERHEAD POWER WE
CL
TIE—IN
FUSE
526'S CL & 15'T CL
--- 1)S CL
--- *) W CL
PROPOSED 90'
2" PE IP MAIN
Is' W rar
(---.,)w CL
EOM
2" PE CAP
616'S CL & 15 "IV CL
(---')S CL
( --- 1)w CL
12 FITTER (CHECK BOX IF COMPLETE)
W und Lane N-Bound E
Work area left in Clean & Safe ondition
A A Complete all Pipe Tables and Gas Pressure Stamp
Field changes Red —Lined on as —built
Material verified and Changes oted on paperwork
A All Valve & Tie—in Locations noted on as —built
Note beginning of Main, EOM & Line of Main locations
60' ROW
PROP. 2" GAS CROSS-SECTION EX. WATER
N.T.S. 14'W CL
15'W CL
Show Rope Locations & Cul—de—sac Radius_
Foreman's Signature
Company
Date
STANDARD GAS CONSTRUCTION NOTES:
i. FIELD LOCATE ALL UNDERGROUND UTILITIES. EXCAVATOR TO CALL "ONE -CALL" TWO WORKING DAYS PRIOR TO
TO CONSTRUCTION, IN WESTERN WASHINGTON CALL: 1-800-424-5555. IN KITTITAS COUNTY CALL: 1-800-553-4344
2. NOTIFY APPROPRIATE PERMITTING AGENCY PRIOR TO JOB START (SEE PERMIT REOUIRMENTS).
3. ALL CONSTRUCTION IS TO CONFORM TO PSE GAS OPERATING STANDARDS AND GAS FIELD PROCEDURES.
4. EROSION AND SEDIMENT CONTROL SHALL BE PER PSE STANDARD PRACTICE 0150.3200 TECHNIQUES FOR TEMPORARY
EROSION AND SEDIMENT CONTROL AND ANY ADDITIONAL LOCAL JURISDICTION REQUIREMENTS.
5. NOTIFY PROPERTY OWNERS ADJACENT TO PROPOSED CONSTRUCTION ACTWITIES A MINIMUM OF TWO WORKING DAYS
PRIOR TO BEGINNING CONSTRUCTION. USE iSi TO DISTRIBUTE FLYERS IF JOB IS LARGE, OTHERWISE HAND
DELIVER FLYERS BE SURE TO INCLUDE THE LIST OF FREQUENTLY ASKED QUESTIONS AND INFORMATION ABOUT
THE OPPORTUNITY TO PURCHASE AN EXCESS FLOW VALVE WHEN THEIR SERVICE IS INSTALLED OR REPLACED
PER GAS OPERATING STANDARD 2550.1600. ALLOW ADEQUATE TIME FOR CUSTOMER DECISION AND RESPONSE.
6. ANY CHANGE IN ROUTE, PIPE SIZE/TYPE, TIE-IN METHOD OR ADD171ONAL MAIN FOOTAGE MUST BE APPROVED BY
THE APPROPRIATE PSE ENGINEER OR PSE REPRESENTATIVE.
7. COMPLETE "PIPE CONDITION REPORT" ON ALL METALIC PSE FACILITIES. CHECK BOX ON REPORT FOR "RE
BOX (TEST LEAD) INSTALLATION.
8. PIPELINE MARKERS AND WARNING SIGNS SHALL BE INSTALLED AND RECORDED BY THE CONTRACTOR PER PSE GAS
OPERATING STANDARD 2525.2500.
9. INSTALL MAIN VALVES OUT OF TRAFFIC WHERE POSSIBLE. VALVE MARKERS SHALL BE INSTALLED AND RECORDED BY
THE CONTRACTOR PER PSE GAS OPERATING STANDARD 2525.2600 FOR ALL HP VALVES IF THE LOCATION IS
NOT READILY ACCESSIBLE, AND FOR ALL VALVES WHERE PERSISTANT SNOWFALL MAY OBSCURE THE VALVE BOX.
10. TO PREVENT ACCIDENTAL OVERPRESSURE OF ADJOINING SYSTEMS, NO TWO MAINS SHALL BE CONNECTED EXCEPT AS
SHOWN ON THIS DESIGN UNLESS APPROVED BY APPROPRIATE PSE ENGINEER OR PSE REPRESENTATIVE.
11. SYSTEM MAOP DENOTED BY: ISYSTEM MAOP = -45- PSIG
12. GAUGE AND MONITOR USE OF ALL STOPPERS TO ENSURE ADEQUATE FEED.
13. RESTORE ALL DRIVEWAYS SUBJECT TO OPEN CUT TO ORIGINAL OR BETTER CONDITION.
14. PURGE POINTS AND PRESSURE TAPS TO BE INSTALLED PER PSE GAS OPERATING STANDARDS 2525.3300, AND 2525.1200.
15. MAINS AND SERVICES SHALL BE TESTED AND PURGED PER PSE GAS OPERATING STANDARDS 2525.3300 AND 2525.3400.
16. IF METALLIC PIPE IS INVOLVED, COORDINATE INSTALLATION WITH CP TECH.
--------- - PHONE ---------
17. NOTE ALL ACTUAL FOOTAGE, LOCATION AND MATERIAL CHANGES ON THE AS -BUILT IN RED. DENOTES
FOOTAGE BETWEEN FITTINGS.
GAS MAIN INSTALLA710NIRETIREMENT
Typeffliork
Pipe Size
Type
Estimated
Length
Actual
Length
Manufacturer
INSTALL
2-
PE
90,
GAS MAIN PRESSURE & TESTING
TYPE TEST
PRESSURE
TESTED BY
DATE ON
TIME ON
DATE OFF
TIME OFF
TYPE TEST
PRESSURE
TESTED BY
DATE ON
TIME ON
DATE OFF
TIME OFF
[Deslan �resa 60
Sys mop 45
PROJECT PHASE
NOTIF#
ORDERN
SAP Superior
Service/Meter
Service/Meter
Service/Meter
Service/Meter
Ind. Service
Ind. MSA
Dis. Reg. / FT
HP Svc1MSA
Relocate
Retirement
X872438185
1070216511
X069428024
106140009
Contractor CONSTRUCTION COST CODES:
041-103-1 1 1 1
Project Manager Contact Information:
KIM GRAY
CELL: 425-290-2678
EMAIL: kim.GRAY@pse.com
REV# DATE BY DESCRIPTION
3
2
1
COUNTY EMERSECT
SNOHOMISH a
1/4 SEC OP MAP
SW-36-27-03 164.062
Wdrilty Map
WORK SITE
41
;71,
ILI
p
41ST ST �V 466 PLI �ii I
01
41S
12 C)
J
L
Owner/ Developer Contact Info
JOHN BOYCE
24230 104 PL W
EDMONDS, WA 98020
ATTN: SAME 206-779-7579 office
CALL (800) 424-5555
2 BUSINESS DAYS BEFORE YOU DIG
THIS SKETCH NOT TO BE RELIED UPON FOR EXACT LOCATION OF FACILITIES
REAL ESTATEIEASEMENT PERMI
NIA EDMONDS
FUNCTION CONTACT PHONE I DATE
PROJECT MIGIR K. GRAY 206-418-4233 110/14/04
ENGR-GAS
DRAWNBY
CHECKED BY
GAS WK ICTR APPROVED BY
MCNSEG CP APPROVAL
PLAT MAP
167.066 MAPPING
JOINT FACILITIES ARRANGEMENTS
UTILITIES
CONTACT
PHONE#
PUGET
A,
-SOU JOHN BOYCE
ND
ENERGY 2" PE 1P MAIN EXTENSION
24230 104 PIL W, EDMONDS 98020
DESIGNED BY PILCHUCK CONTRACTORS INC.
P. MCGHUEY
K. GRAY
K. GRAY
0115/04
206-418-4233
206-4184233
107021651
Dravving Number:
N/A
SCALE: IPAGE
11"= 50, 1 1/1
Ln
to
E
a.
6
0
U
M
f3
a)