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24230 78TH PL W.PDFIIIIIIIIIIII 6801 24230 78TH PL W J C I T Y E,�_J Mi i , , 200 DAYTON ST. - EDMONDS, WASHINGTON 98020 - (206) 775-2525 DEPARTMENT OF PUBLIC WORKS ILE Auaust 12, 1980 Mr. Jerald 11. Cline 24230 78'th Place 14. Edmonds', Washington 98020 Dear 11r. Cline: SUBJECT: STREET USE PEPIIIT, 24230 78th PL. 11. 411 HARVE H. HAIiRISON MAYOR Your application for the use of City property south of your home has been received. Prior to processing your application, we require indem- nitv insurance of $300,000 Bodily Injury and $100,000 Property Damage to protect the City against all claims. Also, there are two clauses which should -be included on your Certificate of Insurance: 1) Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing company will mail a 30-days written notice to the below named certificate holder by Certified Mail. 2) It is understood and agreed that the City of Edmonds is named as an additional insured, and held harmless from all claims and/or property damage as pertains to the above -named permit. Upon receipt of the Certificate of Insurance, we will grant you permission to use the property. The City owns numerous small properties throughout Edmonds which we intend to sell at an auction. Within the next few months, this property will be for sale and you will have the opportunity to submit a sealed bid. Upon the sale of that par- ticular piece of property, your Street Use Permit will be can- celled. Sincerely, JkME S E. ADAMS, P. E. JEA/jf City Engineer AOF EDNIONDS, PUBLIC WORKS DEPARTMENT 200 DAYTOrl S'rR1,'1I1-'T ED�IONDS, 14A - 98020 775-2525 APPLICATION FOR STREET USE PERMI-T j U; MO. Name of Applicant: Jet-ald tJe,(J017q C L- I (L Mailing Address: 6� L3 C) f /7/-\ I-2Z Telephone Number: 2 6 —49 oP S-6 Date: Description of Public Place or Portion thereof desired to be used: (exhibit may be attached) N MR Type of Use desired to be made of Public Place:__L��.2i'/, P- k aL If dPplicable, attach plans and specifications for an utility or structure to be erected and/or maintained on the Public Place: y 1. TEMPORARY PERMIT: Unless otherwise designated herein, this permit is Understood by app :nt to be wholly of a temporary natiure, that it vests no permanent right whatsoever. If the permitted use becomes dangerous or such structure shall become insecure or unsafe, or srall not be constructed, maintained or used in accordance with the provisions of this title, the same may be revoked and the structure and obstructions ordered removed by order of the City Engineer. If this application is for a specified period of time, the terms of said application is: I IN D E T Y : 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 descrip- tion whatsoever, foreseen or unforeseen, that may he mado against the applicant or the City of Edmonds, or any of its departments or employees, includinq but not limited to the defense of iny legal proceedings including defense costs, court costs, and attorney fees by reason of gr;-inting this permit. In addition, applicant understands that the City shall be provided a certificate of insurance to indemnify and hold the City of Edmonds harmless from all claif:is and/or property damage, naming the City of Edmonds as an also insured. APPLICt'JION OF CHAPTER 6.40 OF THE EDMONDS CITY CODE: Applicant warrants that he has read, or had the opportunity - To r e —ad-, -C-Fa pt -e-r-Z-�Mo-fe—IF`TF-dmonds City Code, attached herewith, and Understands that all te rms of t h a t Or nanc rp incorporated herein as if set forth in full and this application and permit therefore are subject to the terms of that Chapter of the Edmonds City Code. -AAp4picant-'s i.nature /? , / IPo 6-1 Ua te 11/7/74 rev. L/2- 30 � v ovse 0 ", 1 11 , - i 0 A- City of Edmonds , plit)l Works Depc . 0 'APP-LICAT-ION- FOR STREET I PERMIT -- Paq(, 2 i Approval (and Agreement, if applicable) of Abutting Property Owners: Sionature Printed Name Addre-s Date DO NOT WIRITE BELOW THIS LINE (To be completed by Issuing Agency) City Council Approval (Attach Minute Entry): Permit Fee: Annual Fee: _ due January 1, 19 Amenities Design Board Approval (if applicable) Attach Minute Entry:_ Building Official Approval (if applicable): Signature — Provision for Indemnity: Da —te— Terms and Provision of Perforinance Bond, if aPPlicable: (Reference 6.40.050 of applicable Ordinance) PERMIT AUTHORIZATION BY P.W. I)TRECTOR: SignatUre Date PERMIT NO. DATE Remarks : 11/7/74 rev. I k of 9wm tAz az:i OPO R*UVED 3 1980 Di� U? Pubbc Works a laee- 0- rwj COOL C- Al "n E i J N C' HARVE H. HARRISON CITY 04- 9-� MAYOR 200 DAYTON ST EDMONDS. WASHINGTON 98020 * (1106) 71� LE DEPARTMENT OF PUBLIC WORKS August 12, 1980 Mr. Jerald W. Cline 24230 78th Place 14. Edmonds, Washington 98020 Dear Mr. Cline: SUBJECT: STREET USE PEP11IT, 24230 78th PL. 14. Your application for the use of City propertv south of your home has been received. Prior to processing your application, we require indem- nity insurance of $300,000 Bodily Injury and $100,000 Property Damage to protect the City against all claims. Also, there are two clauses which should -be included on vour Certificate of Insurance: 1) Cancellation: Should any o[ Hie above described policies be cancelled before thC eXpiration date thereof, the issuing company will mail. a 30-days written notice to the below named certificate holder by Certified Mail. 2) It is understood and agreed that the City of Edmonds - is named as an additional insured, and held harmless from all claims and/or property damage as pertains to the above -named permit. Upon receipt of the Certificate of Insurance, we will grant you permission to use the property. The City owns numerous small properties throughout Edmonds which we intend to sell at an auction. Within the next few months, this property will be for sale and you will have the opportunity to submit a sealed bid. Upon t�e sale of that par- ticular piece of property, your Street [Jse.Permit will be -can- celled. JEA/j f Sincerely, JAM17S E. ADAMS, P.E. City E'rigineer CITOOF FDMOM)S, PUBLIC 1%101,,KS lk'ARUIF,14T 200 IMI'Otl E�DMONDS, WA 9,13020 775-2525 APPLICATION FOR STREET Ulf: M PERMIT Name of Applicant: �J 0 C—.L— Mlail-lw- Address: 3 0 C. Telephone Number: Date: DesCription of Public Place or Portion thereof desired to be used: (exhibit may be ,,,)ttlached) TA 1't-h 19L. T%�)e of Use desired to be made of Public Place: arrl 41 cabl e , attach pl ans and speci f ications for any u ti 1 i ty or s tructure to be erected a n,,/'u r r�a i n ta i ned on the Pu b 1 i c P 1 ace: PERMIT: Unless other�-,,ise designated horein, this pormit is understood by a r, to be wholly of a temporary nature, that it vests no permanent right whatsoever. t,,e Permitted use becoii,.es dangerous or such structure n, hall kr�come insecure or unsafe, or not be constructed, maintained or used in .1ccord,ince, wit.h the , provisions of this tit;e, *,he sai,,:e may be revoked and the structure 111d Oh';truCtion, ordered removed by order of t�e City Engineer. If this application is for a s[,(,(�ifie(i pp" uf said application is:_ riod of time, the terms I NIP L',"': I T Y : Applicant understands and by his siqnature to this application, aqrees to hold ,he City of Edmonds harmless from any injuries,' dam,-I(ies or claim-, of any kind or descrip- t4on whatseever, foreseen or unforeseen, that may he m,ide aqiirlst "he applicant or the'City of or any of its departments or employees, includin(i but not limited to the defense of j,-,y legal proceedings including defense costs, court costs, and attorney fees by reason C", 01-:-111-ing this permit. In addition, applicant under-stind-, that the City shall be provided .3 cPt-tificate of insurance to indemnify and hold the City of i'dwonds hiirinless from all clai-:is and/or property damaye, naming the City of Edmonds as an also insurr'd. -WrLT"TION OF CHAPTER 6.40 OF THE EDMONDS CITY CODE: Applicant warrants that he has read, t e r T-07 —t—Fe — Edmonds City or haa tt�.e opportunity to reaa Ila P�� Code, attached herewith, and ..ndlerstands that all terms of that Ordinance are incorporated herein as if set f(,rth in full and this application and permit therefore i)re SUbJeCt to the terms of that Chapter of +.�e Edmonds City Code. I/) 4D App icant's Si(Inature /-Z Da te - 11/7/74 rev. 110 45t? 4q v) LbT IVA a- C i ty of Edmonds , pt,J) I i C r ks 1) e 1) L �',",iPLICATJON FOR STREET UARNIT -- llaqrl. Ap p rov a l I, a n,'j Agreement , i 'I a p!) I ic a hle) of Abutti n- ProporLy nwrwi-, S i cria ture Printed 'Name Da te DO NOT W'RITE BELOW THIS LINE (To be completed by Issuing Agency) City Council Approval (Attach Minute Entry): Permit Fee: Annual Fee: due January 1, 19 fw;eni ties Desiqn Board Approval (if applicable) Attach Minute Fntry: building Official Approval (if applicable): provision for Indemnity: i erins and Prov i si on of Perforiiiance Bond , i f appl i c,-,I)l r: (R(.-ference 6.40.050 of applicable Ordinance) PER,",]T AU`IHORIZ�TION By P.W. DT13.ECTOR PERMIT NO. Re:-,iarks : 1 11/7/74 rev. DATE 1) a t e 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-reque sting 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-a-111 be 1-.ia-b-.Ie for the information given on this map(s), nor for any one representation provided based upon said map(s). CL -5 W 50 03 — — 60 31: - \ \ vp 14 4 3 2 AT AY' 13 6 .79: 9 10 so 7 ADD. N . .. - I t .3 z 3 5 4 2 02 to Osw 00 0 'a 242 S T 024-5), 8 10, 17 2 CL ui 3 P 10 16 3 w 15 4 4 IAL E D M 0 N 7 20. 2 Sik 3 + 7 6 50 F-- in 60 r AN \ 'i 4 (z I CZ13 14 5 4 13 AT AY 12 96) 6 0 1 790 to 11 so N 9 4 7 ADD. N 7 2 8 7 6 5 4 2 ,p 14 I I DWG E-C-116 8 4 1 — — k 0 os W 0. 0. 'M 0. 242 S T Q 1 (77/Z'L2-0245 18 10, it 17 2 2 CL - 72� w 16 3 (n 3 to ul I 0 9 4 4 rA lk,. 4 8 14 Co CL 5 5 6 P7 6 OFFICIAL E D M 0 N JPASSE( NCE.No.