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610 MAPLE ST.PDF11111111111111 12133 610 MAPLE ST Mo TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: CRITICAL AREAS: DETERMINATION: E]Conditional Waiver nStudyRequired E] Waiver DISCRETIONARY PERMIT DRAINAGE PLAN DA PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTH PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE S: SHORT PLAT FILE: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S).#:— GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED: OTHER: LID #: LOT- BLOCK: L:\TEMP\DSrs\Foffns\Street File Checklist.doc . TE ein, is GT &0100 1 6�fo k#00 ,rMpeAV?VW ,-6a0�0r, 9/,0 k Nd 0 t Am La OW04" 5 4- WC4 4'5 dil Of eWWO L L S 'Y Gli—O APPLICATION for The City of Edmonds SIODE SEWER PERMIT EASEMENT No . ........................................... NEW CONSTRUCTION REPAIRS F] OWNER .......................................... ................................... .................. CONTRACTOR .................................................................................................. PERMIT No. .�j ---------- !kDDRESS, ....... 6�.Zc. ....... ...... ....................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................ NAMEOF ADDITION ......................................................................................................................................... 0 0 A.pproved: 7z DATE ............ By ....... a-z-:1 ...... APPLICATION for The City of Edmonds SEDE SEWER PERMIT EASEMENT No . .......................................... NEW CONSTRUCTION E] REPAIRS E] 103-09100 OWNER ........... Bloom, Ethel G. .............. J ------------------------------------------------------------------------------------ CONTRACTOR .................................................................................................. PERMIT No . ...................... ADDRESS ....... 0.0 ... M.aple ... S.t ........ .......................................................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ......... .................................. 0 Q IF NAMEOF ADDITION ............ ............................................................................................................................ DYE TESTED ON SEWER, 1972 Approved: DATE................................................ By ...................................................................... Z U I'l L6 1w - it N 9 L 'CITY OF.EDMONDS. R E Perm 0 COMMUNITY SERVICES DEPARTMENT CEIVE:D ,RIGHT-OF-WAY COi,4STIWCTION PERMIT Issue Date '91 rad" '1�01 A. *Owner: ENQ INEERAContractor: C&2�g —//' S' C4 Aq, Nap _Nam'k/7, Z 9 MWIW Addre iii * Address ?Z) i2ft-y- State Zip tfty State Zip 474 ill C& le-12-J, 7 State License Number Te5'1eAU_nCNumber 9 Address or Vicinity of Construction: Type of Work to be Done: D. 0 Work in Connection With: 0 Sub or Plat Rlingle Family El City Projects 0 Commercial 0 Multifamily 0 Utility E. 0 Pavement Cut: El Y 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 defensd of any legal proceedings including defense costs, courtcosts, and attorney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMA-T�SHIP ANB,M ERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AN6�kCftPTA'. 119E WORK. Estimated restoration fees will be held until the final, tompleted by City forces, at which time a debit or credit will be processed for issuance to the applicant. 11 I,) Fes �i • A 24 hour notice is required for inspection; Pleaskie, 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 reguia, tions. • 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. Signatu . re: Date:2 ', ZZZ 2Z Owne Co�tracto This Permit Must be Posted at the Job Site For Inspo:dion Purposes Call DIAL-4-DIG Prior to Beginning Work. APPROVED BY: em - --- Time Authorized: Void after 50 days. Special Conditions: RELEASEIY_BYA�, Date 9 PERMIT FEE: 5 Q . =- - - ___ - Rest o ratiop<Eee Receipt No.: — Fund I I I Fee: - Street Cut Dimensions: INSPECTED BY Date NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE Frig Div March 1999 FIELD INSPECTION I I I - Route copy to Street Dept.) Comments: Diagram: CONTRACTOR CALLED FOR INSPECTION 0 YES 11 NO Partial Work Inspection by P. W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: Eng. Div. July 1985 0 DATE': See Detail 3 See Detail A-111 Curb & Cutteri "A" equals widtii of Driveway. at property line. Full expansion joint. Expansion joint. if "A" equals more than 1.5'. Driveway to be surfaced with Aspha It or Concrete. I . . R=30" 121# 12" 6" Curb Cement Concrete thickness shall 1,iP be a minimum of 6" in thickness and is to be placed on a compacted grade only. CITY OF R E V I S 10 N S DrivL'wav Curb Transieion -Peta i I EDMONDS -ENGINEERING DIVISION STANDARD 0 E T A I L S CEMENT �I�CP TE DRIVE WA Y_ y p SCA, =_ N TS 0 N G. ;N4 0 d 9 0 . 1 9 4 - 'City -of Edmono RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number: Issue Date: A. Address or Vicinity of Construction: 610'Mayle Street B.. Type of Work (be specific): Install New Service C. Contractor: -Washington Natural Gas Compan MailingAddress: 815 Mercer Street.Seattle Wash.- 98111 State License #: D. Building Permit # (if applicable): Contact: Frank Awan Phone: 224-2279n Liability Insurance: Bond:. $ Side Sewer Permit # (if applicable).: E. T! Commercial' F-1 Subdivision City Project �a 14tility (PUD, GTE, WNG� CABLE, WATER) Multi -Family E] Single Family Fj Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut 0 Yes XMNO, G. Size of Cut: x H.' Charge $ APPLICANT TO READ AESIGN INDEMNITY. Applicant undeistands and by his signature to this application, agrees he City of Edmonds hat7nl4JffA.3,VQ-49a—.ages, or claims of anykind or description whatsoever, Joreseen'or unforeen, that may be made against the City of Edmonds, or any of iLs departments or employ- ees, including or not limited to the defense of any legal proceedings including defense,c6sis, and attorneyfees by reason of( granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MA TERIALS FOR A PEPJOWF ONE YEAR FOLLOWTNg TE L INSPEC77ON SC A AFD A CCEPTANCE OF THE WORK. ES77MA TED RESTORA 77ON FEES WILL BE fiELD'UN77L THE FINAL SYREET PA TCH S CO LETED BY CITY FOR CES, A T WHICH 77ME A DEBIT OR CREDIT WILL BE PRO CESSED FOR ISS UA NCE TO THE A PPLICA NT Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engi4ering Department- 771'-3202. Work is to be inspected, during progress and at completion. Restoration is to be in accordance with City Codes. Street shall he 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 approv�ed pl4terial prior to the'end' F /t r ing 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. Date: November 10, 1992 Signature: (Contractor or AgentK'O�� CALL DIA1,A-DIG PRIOR TO BEGINNING WORK ....PERMrr.F.EE: iff �:.:.COMMENTS. ..RECEIP`r.N0,:.. DA,TE-,:-,.:......,,ISSUED:BY:.:� .... .................. ....... 0 14 Engrg. Div. 1991 FIELD INSPECTION Comments: Diagram: I I I - Route copy to Street Dist.) 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 191 UAAL- Addendum.to City of Edmonds Right of Way Permit Application Subm itted by: �t'U-Aqq) Engineering Aide Washington Natural Gas 622-6767 x2761 pager q(.9 C, V? WNG to window .10�Water main depth I.unknown gas main I -w- water -9- gas -ss- sewer -e- water hydrant 0 water valve 815 Me= St. (P 0' Box 1869). Seattle, WA 98111 (206) 622-6767 6110 MOLe: s-r Gi j�i�WNG to window �Joyater main depth Unknown gas main Addendum.to City of Edmonds Right of Way Permit Application Submitted by: MIC.4AjZD �tj" Aq D Engineering Aide Washington Natural Gas 622-6767 x2761 pager )C_g - (.05G -w- water -9- gas -sS- sewer -,E)- water hydrant 0 water valve 815 Maca St. (p.O. Box IS69), Scattic, WA 99111 (2Q6) 6n-6767