446 12TH AVE N.PDF1111111111
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446 12TH AVE N
Tp- f -. � 7 P I
nr 7 E BARBARA FAHEY
L MAYOR
CITY OF EDMOTWT
PUBLIC WORKS DEPARTMENT - 7110 — 210TH ST. S.W. EDMONDS, WA 98026
(425) 771-0235 - FAX (425) 744-6057 - E-MAIL: k1ein&i.edmondsma.us
1, r? C is 9 \3 WEB SITE: www.ci.edrronds.wa.us
January 18, 1999
Mr. & Mrs. Ron Gewalt
446 — 12" Ave. North
Edmonds, WA 98020
Subject: Water Leak Credit (Account #2-13050)
Dear Mr. & Mrs. Ron Gewalt:
I have reviewed your account and will allow a credit for the billing period between
October 9, 1998 through February 9, 1999 in accordance with our City policy. The.policy
states that the customer will be billed at the retail rate based upon the average water
consumption for the same period during the previous year. In addition, the excess water
lost from the leak will be billed to customer at the City's wholesale rate with a 15%
surcharge added for administrative cost. Only one leak credit will be granted in any three-
year period.
Should you have any additional questions after you receive your new billing, please
contact Denise Burke, Utility Billing Clerk, at 771-0241..
Sincerely,
Jim Waite
Water/Sewer Supervisor
JW/lk
cc: Denise Burke
Utility Billing Clerk
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CITY OF EDMONDS Permit No. 7
COMMUNITY SERVICES DEPARTMENT AW 2
RIGHT-OF-WAY CONSTRUCTION PERMIT Issue Date C9 -3
A. 9 Owner: Washington Natural ff4s Com any B. * Contractor:
k
Ngff Mercer Street 60r-np 11-6-91 Name
Mailing Address Mailing Address
SP-Attlp WA 9R11I
State Zip C
City City State Zip
STREETFILE State License Number Telephone Numbei
C. Address or Vicinity of Construction: 446 12 Avenue North
Type of Work to be Done: Install New Service
D. 0 Work in Connection With: 0 Sub or Plat 0 Single Family 0 City Projects
El Commercial El Multifamily XX Utility
E. 0 Pavement Cut: .0 Y 0 N F. Size of Cut: 2 X 4 (1) @ Gas/Water Combined*
APPLICANT TO READ AND SIGN
INDEMNITY: 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 descriptioq \yhats9ever, forseen or unforseen, that may
be made against the City of Edmonds, or any of its depar'tments or employees, including or not limited to the defense
k - "
of any legal proceedings including defense costs, court cpts, and a8orne feg y reason of granting this permit..
THE CONTRACTOR IS RESPONSIBLE FOR WOR KMANSHIP AND -MATERIALS FOR A PERIOD O'F:ONE
YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE,OF-THE WORK.
Estimated restoration fees will be held until the final street patch is completed by City forces, at which time a debit or credit will be
processed for issuance to the applicant.
• A 24 hour.notice is required for inspection; Flease 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.
9 Traffic Control to be in accordance with City regulations.
• All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
NO EXCEPTIONS.
I understand the above and that this permit must be available at the job site for inspection purposes at all times.
Signature: Date: August 13, 1991
Owner or Contractor
This Permit Must be Posted at the Job Site For Inspection Purposes
Call DIAL -A -DIG Prior to Beginning Work
APPROVED BY: PERMIT FEE. LE
Time Authorized: Void after 06o_r 7 -9 days. Restoration Fee:
Special Conditions: WA Receipt No.:
RELEASED BY:
Date r-741 - V
Fund I I I Fee:
Street Cut Dimensions:
INSPECTED BY Date
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
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
Wbd*x ton
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NaturN&iW
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/-,,, gas main
Addendum to City of Edmonds
Right of Way
Permit Application
Submitted by: Kerry Walsh
Engineering Aide
Washington Natural Gas
622-6767 x2761
pager 995-6914
(2A) a (E'ij)NAJ-ISP-
815 Mercer St. (P.O. Box 1869), Seattle, WA 98111 (206) 622-6767
-t9- water hydrant
0 water valve
7n
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I'M �iJDE`. �ISVWO`
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NWATEH�.SEWEW�
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CEL111 1.176-1,107 �for 'sidei-fsewer- inspections, -�BEFORE)��,c(�,verfln--g,'-,&n''y.'-,portion,i,�f the constrt��, on.
? � t I I . I ,
(11InspectIon`.,w'ill:,be: provided,within,.��,)hc;�is:,6f�er;reque�f.',-i46.!S�t:,',f§ r holiday lnspecti�ns._
un.,..o 'e"
OX�OF,CONSTRUCTION.'L* V.
-.446,7Tw�1 f t1i: A 'en.ud..1JNbr th;
AMURESSOL11
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PROPERTY EEGALODESCRI� aid
TTON ..........................
........... ................................. ................................... .
......................... - .............................................. ........... ...................
............ ............... ........................... 1 ...............
; . ................................. ........... ......
-Construction
...................... ... . .... 1OWNER: AND/OR BU- ILDER.......
I
........................................................................................................ .......
,CPNATI�AtT-Oltl I W"NAM&& ADDIth S M.B o b Akl in Sdtkhoe, Servi -24006 92nd, We'S�t..R -0,
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n ewerA6,11theb pslD�T! �ai�yjse�ver,,�,.
!r�ysi�ih,,!,ihi,k6co,rdiiii4bAB;,with�:Ci��.,6f!.,Edmoiid�,3,'ordlnances,":
FOLLOWING':
-ENTION,,Is,,C.,-LL
-'No.' I 'T�e�b�%;�er�;6f�t�-e�'-p���p�rty.may;obtf�in a,l>ermit..to�-congtitict�sewer�insi*de,property.,Ilhe:�,A,')li6e'��ed',Stde:6ewer�.contia�t6r�l*m'u�t'l�.�i�,�ploy-c-d4f,;i'�on-'siru�i;''-,:'
,�sldia'6,;��r4iniistreet �r a: Moj.not�c6ver anY.,,portIon;,bf 'sewer before It has -been Inspected��.
NOTR,No�, of-.WaY�,requires.*�an'L"nVa'aion;�of',Ibg'ht-of-Way,,Permit.,obtalrr&ble, f�om7Ahe �Clty�-Enjlfne�r'gll&fice-�
Gformation�;regaxdl - n g:;Ordihanc6 1-11:16.1030'..& . nd' %�h`eit",you, get permle
, __ � �,v' _ _4,
,NOTE,1No�A1!-7'Ob' U �,Regulations governlnggld6�§ewers'
NOTE;*Vo. 4' "i�p,,'Of:-"i.i��-.e,�e�',mus,t,.,Pave:'at,leagt 30 inches..covera !�,property. line, &nd� 12_ inches,inside',proppky. linie;;�m ir�`Im�m,graae�;*;f'-,�
":gha�fp��tha��,14,�,�ill,kbe-permitted� - - - - .. , . .:� I . . - .. � . .
jge. a
.NbTE'fNo.1, 5--LTrencHes-�iin,!'itreet.jmust-�be, wa�er se tied- and,su r face, o f.;st reet'�restorcd, to original dolfdlii6n.,:.'�Con�i��to*rs"shE*L*Ilk�'b'eV*rdsl>onsible�',for,-,fa:IlCireg(dile, to,jiMpr!?perA-,,,j'
-work�which,,may.develo6 Within 66e;yeir-c;fjcornpIetion.-
,NbTIDi.No.,',�6�lt)is;,�nlaWful;
t6,alter4or,�do..any-.6thei Work, than-'Is,,p w6rk on�t�_e;nial�._se
rovid�dofor. in the -permit. or,to.,do an
V.
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........ 'eb y*'tCerjt1 ,thatithe si ensewen*J�s tia'lia dori�xonstn
s9p�r
O&peirliofoi,Contracting, Firm 5P,6rf(,rmf6g,�Construction,)k
in;�Caii��drd�(i(n^,,ac*cordand6l�Mthltall� i(ivLi�ning�i)rdinaiicesi-of,f.h'�:.6'i'tyi 'd
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APPLICATION 'L 7j
for
The City of Edmonds SIDE SEWER PERNUT 19T3
RIMEET, JUL 1 -1
UNEw CONSTRUCTION REPAIRS E) EASEMENT No . ......... ...................................
--------------------------
OWNER ......... ................ ...... ........... -?/". / - , z:�! ....... ......... 5� �- v ....... PERMIT No . ......................
CONTRACTOR Z z�
ADDRESS .......... IY4,. -
.................. ....... ..................... .............. .......... LEGAL DESCRIPTION: LOT No. —Z ------------------------------- BLOCK No . ..... .............. .......................
NAME OF ADDITION ..... . ...... / - -----------------
DATE................................................ By ............................... ......................................
A PPLICATION
for
City of Edmonds SIDE SEWER PERMIT
FILEN
EW CONSTRUCTION REPAIRS EASEMENT No . .................................. ...
.......................... ---PER-AUT No; .............
-�Z - �-- x:
..................... ......................... ........................... ................ a -LEGA-L-DESCRIPT-ION:-LOT-No;:..
.......... .....................................
............................
7
01. f
13Y.
RECEIVED
CITY OF EDMONDS
L-ra
COMMUNITY SERVICES DEPARTMENT
REST- FAR.
RICrNT-OF-WAY CONSTRUCTION PERMIT
A. e Owner: GTE NORTHWEST INCORPORATED B. Contractor:
Name
2312—OC WEST CASINO ROAD
Mailing Address
EVERETT, WA. 98204
City State Zip
Permit No. 0-7 Q
Issue Date 3
Name
Mailing Address
City State Zip
488-1632 MARY C.
W.O.# 2100-3PO01BP 242310 State. License Number Telephone Number
C. 9 Address or Vicinity of Construction: - 446 — 12TH AVE, NORTH
Type of Work to be Done: TRENCH 112—FEET IN THE RIGHT OF WAY ALONG 12TH AVE. NORTH
FROM 446 to 520. PLEASE SEE ATTACHED PRINTS,
D. 0 Work in Connection With: 0 Sub or. Plat IN Single Family El City Projects
El Commercial 0 Multifamily 0 Utility
E. 0 Pavement Cut:. 0 Y (K] N F. 0 Size of Cut: — X
APPLICANT TO READ AND SIGN
INDEMNITY: 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 description whatsoever, forseen or unforseen, 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, courtf,6�sts, and attorlfqy
fees by reason of granting this permit.
THE CONTRACTOR -IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIO D OF ONE
YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. 4 .
Estimated restoration fees will be held until the final. street patch is completed by City forces, at which time a debit or credit will be
processed for issuance to the applicant.
• 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.
i All street -cut.ditches must be patched with asphalt or City approved material prior to end of working day;
NO EXCEPTIONS.
I understand the above a %that this pe it in e available at the job site for inspection purposes at all times.
Signature: Date: 2-26-91
_M
ON�n ctor
This Permit Must be Posted at the Job Site For Inspection Purposes
Call DIAL -A -DIG Prior to Beginning Work
APPROVEDBY: PERMIT FEE:
Z Time Authorized: Void after A851Z ZO days. Restoration Fee:
0
W Special Conditions: N,4- Receipt No.:- rs.1 A romm i
rA
AIDMIW ,
t*?-) Fund I I I Fee:
s* J4 Street Cut Dimensions: x
U RELEASED BY:\A �UA:�� Date INSPECTED BY Date
0
NO WORK TO,BEGIN PRIOR TO PERMIT ISSUANCE
Fng. Div. Mar6h 1989
FIELD INSPECTION NOTES (Fund III Route copy to Street Dept.)
Comments:
I 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
0
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4
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In IL 4-
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0 TO C. 0. -
2100*14ALL5 LAVE
EML -5-20 ELR
END SECTION
WAX BRIDGE TAP—&
AMIL — ALR
CO I REMOTE LOOP LIMIT
CAI�I:
48 HOURS
BEFO E
YOU r- - G
UTILITItSi.G.
LOCATION-C-E�4TER
-1-800-424-5555
U Ll /2 E L) �fPE L Z-7
C O"N S T R U C T 1 0 N N 0 T E S
I The coatraccor is responsible for compliance
with.th:,ordinance o.f.tb4 -, -
duri g 1 ph as : f '. Ct ion being c—
pitted on thi:zwork orduer.
2. The contractor is responsible for locating -
and saving from damage all substructures
1 th n the work areas red by
i S 8 cov:.ur,
oc:t:drwi r d the
thi o It Ord 0 . houl damus o
contractor shell be so e ly responsible for
all damages and repair! to any Substructure_
3. Streets are to be sawcuc and compacted.to
N A specifications. Select backfill may�
be required.
4. All substructures are to be exposed by the.
contractor prior 'to crossing.
5. Contractor is to provide all sand, crushed
rock, asphalt, a d c oncrete required for
be c kfill and restoration by this work order*
This she I., include the remioval and replace-
ment of grass sad as required.
6. All excess backfill is to be re"ved from
the worksite. No trench'is to be left open
overnight.
7. All excavation areas are to be restored to
original condition or better.
8. All traffic control and lane closures are to
b
.:fcoor:inated with the N A., agency. Public
a ty hall at all times be of the highest
priority.
9. The contractor is responsible for adhering to
a
,!l GTE system and/or OSHA safety requirements
rtsining to all work operations.
10. All work in the PO-e�44C-rightof-wsy is to be
performed in accordance with the conditions
of the C! rl"(parmit.
11. CONTRALTOR 15 RE-5P0t45[5LF-
FOR REN\0VAL9REPtAe-E/1AENT
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. VICINITY MAP
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PRIORITY
INS%C_A-30-%
DRIVERS FOR WORK ORDER-
1. DOR
T-... "PM70! P/-TI-SPAN :S-SS. SPECIAL SERVICES
4. PLANT EXTENSION
5-RC. ROAD CROSSING 5-TA.
TERMINAL ADD.
6. CONSESTED CABLE
7-DE. BLDG . ENTRANCE 7-CD. COMMERCIAL DEV.
B. PUBLIC REQUIREMENT
9. SAFETY
10. OTHER— EXP�LANATIONIREO. IN CPMS NARA.
PLANT DEDICATION'
PAIRS AVAILABLE
YES No
DEDICATION LETTER SENT _
YES NO
PERMITS
OONSTRUCTION
TYPIE APP. DATE
a DLALDIG. (100-424-5666)
sNOHcf,%sH Co. BLANKEr PER)AIT
0 PLAGOIN(I
0 STATE
0 BMSMG
0 CO(JNTY
0 EM TO STAKE
i9ary EDMON S
(24HRNOTInCATION)
0
PLACE PEDS PN. PRO?
0 NONE
UNES
SAME AS OLD
SPECIAL CIRCUITS awNs
�CAUIION
0 SSCN DATE_
POWER UG go Mao
OTHm uTmrms va a RRO
is YES NO
TELEPHONE Ur [3 TIM F.O.0
TMEPHONE MR 0 TI 0 F.O.El
JOINTPOLE JOINT TRENOH
FEES REO'D
(j PUD_ OPUD -
[]GOP 0 LEC
13 PSP&L� 0 psp&L_
0 SPEC CONST.
PONT OF CONTACT
0 CATV�_ (3 Ckl\�_
0 arE_ 0 G�m
0 NONE
0— 0 —
—
RELATEDWORKORDER
-w. NA
0—
Z NONE NONE
DAM—
ENGINEERTOM MEEHAN
PHONE No. 488 R019
I
SHEET _j_OF I
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ORDER
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TO VI/AILX IN
AF 7-5-24
44- E- I IT H
AOCT
MATERIAL CODE
DESCRIPTION
ANTI Y
T.
ACOU I EST.
UNIT
COST
TOTAL
COST
L�L
LLJ
�A
FEB.
mlcDu're Only A
Away
Fronn
Safety
GROSS
ADDITION$
REMOVAL
MAINTENANCE
RETIREMENT$
I
SALVAGE
PLACINGLADOR
HOURS- C x
M
M�H'o,'FIN*
I STAN IESTC5� �s
START By
4
WIND. DATE
JACT
IACT. COMP. By
1APPLICATION
NO. DATE
POSTING BY
L�j
C>
1 0 REF7 131C24 b 24 A