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23910 78TH AVE W.PDFlill 11111111 6713 23910 78TH AVE W CITY OF EDMONDS 250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221 "Iti COMMUNITY SERVICES DEPARTMENT --WMEMx— 91 Public . Works e Planning e Parks and Recreation e Engineering go Mailed 9/10/92 September 10, 1992 Jack Gradwohl Chambers Cable 533 Main St. Edmonds, WA 98020 SUBJECT: PERMIT NO. 92-260, 23910 - 78TH AVE. W. Jack, LAURA M. HALL MAYOR Regretfully, we cannot accept the ACP patch that was placed at the above address. Although the City appreciates Chambers' quick response to lifting the road during the bore, the replaced patch is not planed level with the roadway surface at a degree consistent with standards. Please redo the patch by September 20, 1992, since we wish to see the project completed before the overlay has blemished in the process of age. Sincerely, 21 1� �.,v6t7w ROY S. WHITCUTT Engineering Aide RSW/sdt CHAMBERS/TXTST530 9 g, . Alberts 0 Incorporated August 11, 1890 0 Sister Cities International — Hekinan, Japan Z 0 W U C4 0 W. .CITY OF EDMONDS COMMUNITY SERVICES, DEPARTMENT RIGHT�OF­WAY CONSTRUCTION PER� A. * Owner Name Mailing Address City , State Zip Permit No. 91:2 — Issue Date B. er_,_e_S Contractor: iW,4w Name 7 - A -J ST Mailing Address *oxj L,).S tjk ?9a-2-0 City State . Zip 5"ve"e-e- lol 4y A 774-5 State License Number Telephone Number C. 9 Address or Vicinity of Construction: Z-) 1/0 78 77H 4vAC W . Type of Work to be Done: 1,6' R 9 4e-Ad -S S 1 7& r,'/ /We- 4_.1 _. ___ D. 0 Work in Connection With: 0 Sub or Plat 0 Single Family 0 City Projects 0 Commercial 0 Multifamily 0 Utility E. 0 Pavement Cut: El Y M N F. 0 Size of Cut: - X APPLICANT TO READ AND SIGN be Ci INDEMNITY: Applicant understands and by his signature to ,��i',`7�application, agrees to fV1 df Edmonds I y/ harmless from any injuries, damages, or claims of any kind orhe's-cription whatsoever, forfZelotr' unforsee'j), 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 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 b� Ye d u9til the finabstreet patch. is completed by City forces, at which time a debit or credit will be processed for issuance to the app icant. .*.A 24 hour notice is required for inspection; Please call Engineering: 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'. All street -cut ditches must be patched with asphalt or y-approved material prior to end of working day; e - cut ditches must be NO EXCEPTIONS. patched with asphal t or Y" it I understand e abov and tha this p mit must be aila le at the job site for inspection purposes at all times. r Signat e: Ow r or Co tr ctor Date: /]Owner or Contractoi APPROVED BY: Permit Must be Posted at the Job Site For Inspectionfurposes Call DIAL -A -DIG Prior to Beginning Work ki G? W PERMIT FEE: Time A . uthorized: Void after I FA days. Restoration Fee: Special Conditions: 1%10 C-%JT% IN Receipt No.: Fund I I I Fee: RELEASED BY: Date *7 -,;,) - Street Cut Dimensions: INSPECTED BY NO WORK TO BEGIN PRIOR TO. PERMIT ISSUANCE x — = $ Date Eng. Div. March 1989 FIELD INSPECTION NOTES (Fund I I I - Route copy to Street Dept.). Comments: Diagram: CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO Partial Work Inspection by P. W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: Eng. Div. July 1� 2 9 CJ Z- 3 90 4- 78 AV E- W, 'IN S7A L L 23(o'- -DO P3 06 CA Z- 3 33 ci 2- 01 RJS E P— -57E-l"l? jil)IA F( IGIDW CFAITIX Z7' ALMOST 79 A ---)PHA LTz- 2,0 /?-(s Cot — PR NATE D\A/ -06t D90P Z's 90 61 23704- Z391 0 X Ld -I' vf"" City of Edmonds 1� (Y 9 0 - 1 9 9 - RIGHT-OF-WAY CONSTRUCTION ERMIT Permit Number: OZ1111"REET FILE! Qli Issue Date: A. Address or Vicinity of Construction: 2-; 7e7l"5( 194VA5 B. Type of Work (be specific): )LF-PA(/L 0AA&A,6F_0' 10 A v F-A4 Xwr., (3y "A0 113OA-c- C. Contractor: -C-44^ OXX3 4Z_S_UAr_e�c& e- 4 contact: %J A C- (4 <S P-A 0 W d R L_ Mailing Address: 5-3 5 AA ki tJ ST Phone: 1 77.4 - IS-1 4 6C. State License #: SV)PCez- C_&_ 10 1 Q A Liability In surance: Bond:$ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. rl. Commercial El Subdivision El City Project t, Utility (PUD, GTE, WNG, q2EDWATER) F� Multi -Family E] SingleFamily F� Other INSPECTOR: INSPECTOR: W"k7CVTT F. Pavement or Concrete. Cut 19 Yes ONo G. Size of Cut:—&" x 7- H. Charge$,, 0 APPLICANT TO READ A SIG INDEMNITY. Applicant understands and by his signature to this application, agrees.to,hold the City of Edmonds harnili njunes� �a..ges, or claims of any kind or description whatsoever, foreseen or unforeen, that may be made �jainst the City of Edmonds-, or any of its departments or employ- ees, including or not limited to the defense of any legal proceedings including defensi'cos�ts,,an� attorneyfees by reasolh of gre�riring, this. pqrmit. 4' ../ I . .� " / - '� THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIPAND MATERIALS FOR A PERIOD OP-ONL-YEAR FOfLOWING THE FINAL INSPECHON S 1, AND ACCEPTANCE OF THE WORK. ES77MA 7FD RESTORA77ON FEES WILL BE HELD-UN77L THE FINAL STREET PATCH IS, COMPLETED BY CITY FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO. THE APPLICANT. Construction drawing or-pr6posedwork required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Department Work 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. I have read the above statements and understand the permit requirements and the pink copy of the permit will be available on site at all timesfor inspection purposes. Signature: Date: Z.<J (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK ly NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. Div. 1991 Eng. Div. July 1985 O'X Z-Z -ro REI:�A 19- - -L�E30 CA.1 STU& CA FH-xksT PED- PkIVA'TE DW — -7, 11; Cl / D 2w f st 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 empl-o-yees or offiCers shall be lia-ble for the information given on this map(s), nor for any one representation provided based upon said map(s). APPLICATION CARD No . ................ ...................... for The City of Edmonds SEDE SEWER PERNaT §3REET FILE SIDE E] INSIDE REPAIRS EASEMENT No . ...................................... 00 OWNER P . ..................................... CONTRACTOR .... .............................................................. PERMIT No.... STREET �7&' ...... BLOCK No . ............................................... HOUSE No. -- — ---- Zt .... . ........................................... ............. AVENUE LOT No . ......... .... ............................. NAMEADD . ......................... .................................................... 0 w Date BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ ................... SEWER WORK ORDER ISSUED .................... ..................... do 2-0 N, - '� 0 ID - Approved: .............. DATE . .... . . ...... ... ... .. ..... ...........