321 6TH AVE S.PDFlill 11111111
5421
321 6TH AVE S
8 9 0 - 1 9 C� -
'City of Edmonds SME
L
RIGHT-OF-WAY CONSTRUCTION
C NLE
PERMIT Permit Number:
Issue Date: -7
A. Address or Vicinity of Construction: 321 6 Avenue gouth
B. Type of Work (be specific): Inst 2" PE Main -in 6 Av. S. from 2WN to 2001S
of c/1 Maple St. Per Attached Drawing: 920-762
-(IR 6043-3) (1)
C. Contractor: -WASH - NAT I i - G company Contact: ratLk wan
Mailing Address: 815 Meredr St. Seattle, gn Phone:
State License #: 98111 Liabiliiy Insurance: _ Bond: $
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. Commercial
Subdivision [I City Project UkUtility (PUD, GTE, WNG, CABLE, WATER)
Multi -Family E] Single Family Other
INSPECTOR: INSPECTOR: \&Hac-�M
F. Pavement or Concrete Cut [N Yes' 0No Size of Cut: x H. Charge $
APPLICANT TO READ AND SIGN
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City ofEdmonds hatinlessfrom injuries, damages, a--
rk,
claims ofany jUnd or description whatsoever, foreseen or unforeen, that may be'made against the. City ofEdmonds, or any ofits departments or eniplop-,
ees, including or not limited to the defense ofany legal proceedings including defense cons, and attorneyfees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OFONE YEARFOLLOWING THE FINAL INSPEC77ON
AND ACCEPTANCE OF THE WORK - ES77MA TED RESTORA 77ON FEES WILLBEHELD UN77L THE FINAL S77ZEET PATCH IS COMPLE7ED BY
CITY FORCES, AT WHICH TIMEA DEBITOR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPILICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Department- 771-3202.
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 ds 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;*
NOEXCEPTIONS.
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.
W—,
Signature:. 1_0 ate: August 6, 1992
(Cont�actor or Agent)
CALL DIALA-DIG PRIOR TO BEGINNING WORK
ftY USE ONL
... ...... .... .......... . ........... I ......................... ...........
DATE:..-.. ....... ISSUED BY:_
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Engrg. Div. 1991
FIELD INSPECTION NOTES (Fund I I I - Route copy to Street Dept.)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YFS -."!jP NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL'BY: Date:
r-ng. uiv. itj
to
City o Edmonds
RIGHT-OF-.W.AY CONSTRUCTION
PERMIT Permit Number: -,;Iu
9
Issue Date: 7
A. Address or Vicinity of Construction: - 321 6 Avenue South
I
B. Tvne.ofjWo-"rk (be specific): Inst 2" PE Main in 6 Av. S. from 20'N tvo210 ' S
9 0
of c/l Maple St. Per Attached Drawing: 920,-762
(IR 6043-3) (1)
C. Contractor: Wash. Nat'l. Gas Company Contact: Frank Swan
Mailing AddresO15 Mercer St. Seattle, Wn Phone: 224-2278
98111
State License #: Liability Insurance: Bond:$
D. Building Permit # (if applicable):
E. . F1 CommercIl
Multi -.Fa, y
INSPECTOJ
VA
Side
City Project g
Other
ermit # (if applicable):
I
tility (PUD, GTE, VING, CABLE, W-A]
F. Pavement or Concrete Cut 9 , IYes . T No(J) G#�i: 2' x .�'51 HP, Charge $
APFLICNNT YO READ AND SIGN
INDEMNITY. Applicant understands and by his signat �eto is application, agreesio hold the City of Edmonds haiwilessftom in i4s, damages, or-�'
claims of any kind or description whatsoever, foreseen or reen, that may be made against the City of Edmonds, or any of its departments or emplo
ees, including or not limited to the defense of any legal proceedings including defense costs, and attor��es. by reason of granting this permit.
THE CON77 ?ACTOR IS RESPONSIBLE FOR WORKMANSHIPAND MATERIALS FORA�ERIOD 0 ONE YEAR FOLLOWING THE FINAL INSPEC77ON
AND ACCEPTANCE OF THE WORK ES77MA7ED RESTORA77ON FEES WILL r�—E)F[NiLISTREET PATCH IS COMPLETED BY
CITY FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work required with.pennit application.
24 hou� notice is required for inspection; Please call the Engineering Departm�
,:-0 71-3,
Work is to be inspected during progress and at completion.
771-0220
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 m�iterial prior to the end of the Working day;
NO EXCEPTIONS.
I have read the above statements and understandthe rmit requi . rements and the pink copy of the permit wil vailabli
PC
on site at all timesfor inspection purposes.
Signature: Date: July 16.,l '92
(Contractor or Agent)
-11
RK
Engrg. Div. 1991
FIELD INSPECTION NOTES (Fund I I I - Route copy to Street Deot.)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION b-YES .0,NO
Partial Work Inspectlori by P. W.:
Work Disapproved.By: Date:
FINAL APPROVAL, BY: Date:
Lng. viv. July
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Citv of Edmonds STj i ILE
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number: -,5?,7�.
/-Z/ Issue Date:
3z/
A. Address or Vicinity of Construction: 8@1
B. Type of Work (be specific): Iust 2" RE IP Main In-151 alley between Maple
9 0 - 1 St.. & Alder St. from 221W to 5951W of c/l ofl.'Ay. S.
Per Attached Drawin
t 920-762
C. Contractor: WASH. NAT'L. GAS CO. ontact: -
Mailing Address: 815 Mercer St.Seattle,Wn Phone: 224-2278
98111
State License #: Liability. Insurance: Bond: $
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. Commercial R Subdivision El City Project 2k Utility (PUD, GTE, WNG, CABLE, WATER)
Multi -Family EJ Single Family� F] Other
INSPECTOR: INSPECTOR: kA k7k C.,\/I-T
F. Pavement or Concrete Cut : 0 Yes Mqo G. Size of Cut: x , 7 . H. Charge$
APPLICANT TO READ AND'SIGN
INDEMNITY. Applicant understands and by his signature to this application, agrees, to ho�ld the City of Edmonds harmlesk fr�mjiniurie��,? damages, or
claims of any kind or description whatsoever, foreseen or unforeen, that may be made against the City of Edmonds, or any of its departments or employ-
ees, including or not limited to the defense of any legal proceedings including defense costs, and atiorneyfees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION'
AAD ACCEPTANCE OF THE WORK ES77MAYED RESTORA77ON FEES WILL BE HELD UNTIL THE FINAL STREET PA TCft IS COMPLETED BY
CITY FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work 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 w ith City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulations as require(Lby 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: ;�e�Date:
_�Z� September 4, 1999
(Contractor or Agent)
:XOMMENTS� RECEIPT,NQ.,
D BY:,
DATE: ISSUE
iL
SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Engrg. Div. 1991
Eng. Div. July 1985
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STREET FILE
COTY CIP E M M 0 N � LC]" E HARvE H A R R I SO
200 DAYTON ST. - EDMONDS, WASHINGTON 98020 - (206) 775-?1*)1)_1 MAYOR
DEPARTmENT OF PUBLIC WORKS
March 16, .1981
Dear Resident:
On February 17, 1981, the Edmonds City Council passe�
Resolution 488 for construction, reconstruction and -repair
of deteriorated sidewalks. A public hearing will be held
in the Council Chambers at the'Civic Center on April 21,1981
at 7:30 P.M...,You are invited to at,t,end —for.
-.-this hearing
discussing repair of portions of `d'
'�:,-�S:i e�ia1k'.
abutting your- property. - 1" k s i n
need of repair at the expense of the abutting propertv -
owner is provided bv City Ordinance, Chapter 7.20 and.''
Revised Code of Washington, Chapter 35.68.
The areas needing repair have been marked in paint on
the sidewalk adjoining your prOT)erty. Reconstruction -and
repair of these sidewalks must be comj_-)leted 0�,Or before
September 1, 1981. In the event improvements are not
completed within the above specified t
jille, the' 'City will
perform and complete the improvements at the'expense of the.
abutting property owner.
This action is' in response to many citizen requests
and pedestrian falling accidents which have been increasing
in recent years as ' a result of sidewalk deterioration and
increased pedestrian traffic.
Sincerely,
FRED F. HERZBERG
Director of Public Work�
APPLICATION
for
The C" of Edmonds SIDE SEWER PERAHT
EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS 0
105-03900
Ov�rNER ........... Llpy
._d ... & ... 0.qhnson
.................................................................. CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ....... 32.) .... r ... 6-th ... Menue ... 5 .......................................... ....... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
E
NAMEOF ADDITION .........................................................................................................................................
DYE TESTED 0H SEWER
JULY, 1972
Approved:
DATE................................................ By ......................................................................