620 VIEW PL.PDFiiiiiiii iiiiii
13541
620 VIEW PL
"I
C. Contractor: Washington Nat'l— Gas Co.
MailingAddress: 815 Mercer St.Seattle, Wa.
9FUTTT--
State License #:
D. Building Permit # (if applicable):
City of Edmonds
RIGHT-OF-WAY CONSTRUCTION
PEPMIT Permit Number:
Issue Date:
A. Address or Vicinity of Construction: - 620 View P1. (9318215)
B. Type of Work (be specific): Inst--all New Starjzli-p
Contact: Frank Swan
Phone: 224-2278
Liability Insurance: Bond:$
Side Sewer Permit # (if applicable):
E. F-1 Commercial
El Subdivision
El City Project
f2 Utility (PUD, GTE, WNG, CABLE, WATER)
R Multi -Family
EJ Single Family
R Other
INSPECTOR:
INSPECTOR:
F. Pavement or Concrete Cut ElYes E]No G. size of cut: /\ -1 ) 2 x 4@ Gas H. Charge $
TIE IN
APPLICANT TO READ AND SIGN
INDEMNITY. Applicant understands and by his signature to this application, agrees to hX1d)h-,,City ofEdmonds harmlesskm injuries, damages, or
claims ofany kind or description whatsoever, foreseen or unforeen, that may be made against the CIty.ofEdmonds, or any ofits departments or employ-
ees, including or not limited to the defense ofany legal proceedings including defense costs, and attorney fees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORK14ANSHIPAAD MATERIALS FOR A,PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC77ON
AND ACCEPTANCE OF THE WORK ES77MATED RESTORA77ON FEES WILL BE HELD VN71L �HE FINAL STREET PATCH IS COMP&ETED BY
CITY FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE T6 THE APPLICANT.
Construction drawi� of proposed work required with permit application.
ng ' r�
A 24 hour notice is required for inspection; Please call the Engineering Department
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 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:
Date: June 7. 1993
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY:
TIME AUTHORIZED: VOID AFTER DAYS
SPECIAL CONDITIONS: A�_L. —O&K— CuAA(-'4.,fTf_
f>t'V'?J(J <)vE:,CLAy1
COMMENTS:
DATE:
NO WORK SHALL BEGIN PR
OR TO PERMIT ISSUANCE
Engrg. Div. 1991
FIELD INSPECTION NOTES
(Fund I I I - Rorute copy to Street Dept.)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
0', - - -
Work Disapproved By:
FINAL APPROVAL BY:
Date:
Date:
Eng. Div. July 1985
Addendum to City of Edmonds
Right of Way .
Permit Application
---Submitted by: Guyla Connors
Engineering Aide
Washington Natural Gas
521-5248
U
PIL
Cr�72
WNG to window
�ain de:
Wat�
u now.
unknown
&II gas main
-w-
wacer
-g-
gas -
-ss-
sewer
-E�-
water hydrant
0
water valve
815 Mercer St. (P.O. BOX 1869), Scattk, WA 98111 (206) 622-6767
APPLICATION
CARD No . ......................................
he City of Edmonds
for
SIDE SEWER PERMT
OUTSIDE INSIDE
REPAIRS
EASEMENT No - --------------------------------
OWNER .... ........... �6 ----------------- .............. ---------------------------------
CONTRACTOR ------------------------- - z: -------------------------------- ------ - ------- --- PERMIT No.
No 6-24�
STREET
AVENUE LOT No.
S
HOUSE . ...... .......
.......................
............. ------
. .................................................
BLOCK No - ---------------------------------------
NAMEADD . .............. ------- -- ------------------------------------------------------------------------------------------
Date
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ .....
SEWER WORK ORDER ISSUED ------------------------------------------
Approved:
DATE ...... ...............
.Y ..... - - --- ------- - -- -- ---------------------
CITY OF EDMONDS
CIVIC CENTER —WATER-SEWEB DEPARTMENT
SIDE SEWER PERMIT
Call PRospect 6-1107 when work
is ready for Inspection. (No inspec-
tions Saturday, Sunday or holidays.) N2
1323
ADDRESS ................... 52Q-.:V-:!AW ... Rlace --- aQ.Uth
owNER ........... . Roward ... G. ... L-Qs-s ............................................ CONTRACTOR ......... OWDOX ............................ . ..........................
Permission is granted ----.Qq't!pber 26
.......... . ............... 119 --- U, for ...................... days, to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer in street area.. Do not cover any portion of sewer before it has been Inspected.
NOTE No. 2--Obtaln full information regarding Ordinance 11.16.0,30 and Regulations governing side sewers when you get permit.
NOTE No. 3—Top of side sewer must have at least 30 Inches coverage at property line and 12 inches inside property line; minimum grade of 2%.
No bends in grade shaxper than % will be permitted.
NOTE No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to improper work which may develop within one year of completion.
NOTE No. 5--It Is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or its ap-
purten&nces except to insert the pipe into the wye.