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CITY OF EDMONDS
PUBLIC WORKS DEPARTMENT
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. *Address or of Constru
J4
0 Owner:
Name
mb-3
Mailing Address
City, State, Zip Code
Permit No.
Issue Date
Permit Issued To:
A
Type of Work to be,Done:k(');0'k_
Work in Connection With:
El Sub or Plat El Single Family
El Comml. / Ind. El Apt. Condo.
Pavement Cut: 0 Yes El No
Contractor: —
Name
"dgAl lld:;�
Mailing Address State License Number
-�5 -e'4 1 q21 7 -2 *3
City, State, Zip Code Telephone Number
I
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
B. APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understinds,.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 description whatsoever, foreseen or unforeseen, that may be made
against the City of Edmonds, or any of its departments of employees, including or not limited to the defense of any legal
proceedings including defense costs, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
following the final inspection and acceptance of the restoration by the, Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit'will be processed for issuance to the applicant.
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 fo'r inspection by Engineering.
Call 775-2525, extension 220. %
I understand that this permit must be avail bi t th J b site for inspection purposes at all times.
Signature: L51W
Owner or Agent
THIS PERMIT MUST BE POSTED AT THE JOB SITE FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
e,-7, �--14
C. Issued By: / , I , ogek
Time Authorized: Vold after —days
Special Conditions:
Permit Fee:
Security Deposit:
Receipt No.: ,
Fund III Fee:
Ammendments: Street Cut Dimensions
X
BEGIN PRIOR TO PERNNM51-11&�SV; -L4—
M
r ZECEIVED
OCT 0 2 1981
Dir. Of Public w
Eng. Div. December 1978
FIELD INSPECTION NOTES (Fund 111 - Route cony to Street Dent.
Comments:
Diagram:
STRIEhIf FILE
Contractor called for inspection Yes No
T Date-: - Bv: Date:
.A7ork Disapproved By:
Work Approved By: Date:
Inspector:
Ena. Div. December 1978
APPLICATION
for
The City of Edmonds SWE SEWER PEMM EASEXIEPM No . ..........................................
NEW CONSTRUCTION 0 REPAIRS 0
113-06900
owwER ........... Bg.y@t:r v CONTRACTOR .................................... ....... ......................... ...........................
..1 ..... �Ag.oks-pn ................. ........................... PER3M No . ..........
...... .....
ADDRESS ..... -.4.3.2 ..... 3r.d .... Ave ........ N ...................................................... LEGAL DESCRnMON: LOT No . .............................................. BLOCK No . ..........................
..... .. ...... .. ..................
NAlMOF ADDITION ..................................... ............................................................................
EET FILE
Dye Tested On Sewer 1972
ApprovW:
DATE......................... ...................... BY ......................................................................
C I T Y 0 F E 0 M 0 IYM, J;,',5 t-`-
"7'200 DAYTON ST. - EDMONDS, WASHINGTON 98020 - (20i") 1, 112
DEPARTMENT OF PUBLIC WORKS
,H,-1rch .16, 1981
Dear Resident:
HARVE 11. HAP3R!§Or,4
MAYO,:.
On February 17, 1981, the Edm(--)nds, City Council passed
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.��,.—.,j.o,u,,,.,ar,e-,,,lri,v.ite.d to attend this hearing -for
discussing " repa1r.*,,-,Pr,�`:0 -deter d'-'
'6i�ions of k
lorate ':,,si',,.ew
ui�:
abutting Y8", in
need of repair at the expense of the abutting property
owner is provided by City Ordinance, Chapter 7.20 and
Revised Code of Washington, Chapter 35.68.
The areas needing repair have 1)(�(,-n [norked 1.0 pai.nt. on
the sidewalk adjoining your prOT)01�'tV- Reconstruction and
repair of these sidewalks MLISt he on or beforQ
September 1, 1981. In the event i[I)Prnvements are not
completed within the above specifi.(�d rim(!, the City will
perform and complete the improvcniont!� at-. the exponse OE the
abutting property owner.
This action is' in response to many citizen requests
and pedestrian falling accidents which havo been increasinq
in recent years as a result of sidewalk deterioration and
increased pede'strian traffic.
Sincerely,
FW-M F. HERZBERG
1)ir('C-t0r of Public Works