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24023 79TH PL W.PDF111111111111 6885 24023 79TH PL W c', m-� %-AJ - (71 C Z -13� U ::i 04 0 U 0 Z 0 LU 7) CITY OF EDMOND�r Permit No. PUBLIC WORKS DEPARTMENT issue Date RIGHT - OF - WAY CONSTRUCTION PERMSTRIEET FILE A. *Address or vicinity of Construction 0 I �1 Permit Issued To: -1-, 94023 79th Pi.West, gdmn s, Wn U • Owner: Carol Ann Mp-yAr-q 0 Type of Work to be Done: f L dc-�, LA ) 0 �,,i Name 24023 7qth PI -West 0 Work in Connection With: Mailing Address 0 Sub or Plat 4?­gingie Family Edinoiids, Wash 98020 El Comml. / Ind. D Apt. Condo. City, State, Zip Code 0 Pavement Cut: El Yes P'-No • Contractor:— Olds Olymvic Inc. Name operating Echs Paving P.O. Box 180 223 01 OL PS 0 317 �il) Mailing Address State License Number Lynnwood. Wash 980 6 778 3124 City, State, Zip Code Telephone Number * * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE B. APPLICANT TO READ AND SIGN INDEMITY: Applicant understands and by his signature to this nQ e onds armless from any injuries, damages, or claims of any kind or clescriptio ,)yl Ga may whatsoe e fores n aArgfD10a e made against the City of Edmonds, or any of it's departmentBs or empi ees, i or ot I iteq �"Jefe ,8toW"ftMJefe e of y legal proceedings including defense, costs, court costs, and attorney fee by re n g is MORE Upon issuance of this permit, the contractor is responsible fo work s M of year following the final inspection and acceptance of the restoration b he E ee g . i Te Funds held from the Security Deposit (estimated restoration fee) ' PF A% A $Ra "p ted, at ul!=W�Irq My romf ON MCC which time a debit or credit will be processed for issuance to the a 20.. tUM,)W 11111111TV COOMARMC Work is to be inspected. Restoration to be to accordance with City Code. Traffic Control 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 -aft the job site for inspection purposes at all times. 16 Oct 79 Signature: ------Date Owner or Agent F J I ;' 8ail6jv President THIS PERMIT MUST BE POSTED AT THVOB SIT FOR INSPECTION PURPOSES J CALL DIAL - DIG PRIOR: TO BEGINNING WORK C. Issued By: LIZI�7 Time Authorized: VoicUfter —days Special Conditions: A I Ammendments: 1% C)d 0 Permit Fee: / Security Deposit: Receipt No.: 00 �?:S S Fund 111 Fee: Street Cut Dimensi (rs X * * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * * Eng. Div. December 1978 FIELD INSPECTION NOMS (Fund 111 - RoU* cony to -Street Dept] Comments: I' � lc'11717f C 1� i �s /e AV, --� Cl kA-' _S +'---/ ILLy qh4:f C-*,� a,- -�_, 0 OtkP- 1,.,./ 40 Ar-A Diagram: Ct OVA - Contractor called for inspection C�Yes No T Work DisaPproved By: Date: Bv: Date: Work Approved By: -Date: Inspector: Enq. Div. December 1978 b P- CA OF W, R - 0 C , CITY OF EDMONDS' W ST11m 'qw Permit No. PUBLIC WORKA DEPARTMENT cET FILE Issue Date RIGHT - OF - WAY CONSTRUCTION PERMIT A. eAddress or vicinity of Construction 0 Permit Issued To: F_-T- �So_i lr,�a 94091 79+-b PI-WeRt Edmonds, Wn. U • Owner: Carol Ann �4�vers' 0 Type of Work to be Done: 0 rz vetuaw Name V 24023 79th P1.West 0 Work in Connection With - Mailing Address 0 Sub or Plat !��gle Family Edmonds, Wash 98020 El Comml. / Ind. 0 Apt. Condo City, S ta te, Zip Code 0 Pavement Cut: El Yes �Ko • Contractor:— Olds Olympic Inc. Name operating Echs Paving P.O. Box 180 223 01 OL DS 0 317 BD Mailing Address State License Number Lynnwood, Wash 98036 778 3124 City, S ta te, Zip Code Telephone Number NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE B. APPLICANT TO READ AND SIGN co INDEMITY: Applicant understands and by his signature to this a lication, agrees t hol h rmless from any injuries, damages, or claims of any kind or description hatso orese 0 MDWn -b made against the City of Edmonds, or any of it's departments or employ es, in n li ited% 6e Mis legal proceedings including defense, costs, court costs, and attorney fees y reaso ti th pBEE 0 YOU DIG Upon issuance of this permit, the contractor is responsible for orkm at period of o year following the final inspection and acceptance of the restoration by t vis' n. 0 Funds held from the Security Deposit (estimated restoration fee) he c e d, at which time a debit or credit will be processed for issuance to the a R N IIN Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control 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. ----- - z 0 �D 0 I understand that this permit must be I Signature: Owner or Agent * * THIS PERMIT MUST BE CALL D MU-11101M inspection purposes at all times. Date 16 Oct 79 AT THYTOB SIT FOR INSPECTION PURPOSES * * - DIG PRIOR' TO BEGINNING WORK C. Issued By: I Time Authori*zed: 11ifter I —days Special Ammendments: Permit Fee: - 0 C7 Security Deposit: Ad - Fl_. RecelptNo.: 00617:ss Fund 111 Fee: Q� P_ Street Cut Dimensio X(ELaA_Q)_= * * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * * Eng. Div. December 1978 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 for * th 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 emp-l-o-yee-s o-r officers -sh.all be I.ia-b-.I-e for the information given on this map(s), nor for any one representation provided based upon said map(s). APPLICATION STREET FILE for The City of Edmonds SIDE SEWER PERYaT OUTSIDE N' INSIDE r-1 REPAIRS E] CARDNo . ...................................... EASEMENT No . ...................................... /-/P /09 OWNER ............ ��z 0. CONTRACTOR ...... ..................................... ..................................................... PERMIT No. -4-0 2- 3 - -7 r-) - STREET HOUSENo . .................................................. ......................... .................................. AVENUE LOT No - ------- ...................................................... BLOCK No. r ------------------ t)o/ /y df12 NAMEADD. /�;/ &�!3 ----- . ........................................ --------------------------------------------------- f )�- w -APPROVED IWAR 1 '1963 Date Approved: By BACKFILL WORK ORDER ISSUED .................. ................ DEPOSIT, $ ................................. ........... SEWER WORK ORDER ISSUED .......................................... DATE ..' - - ------------