636 GLEN ST.PDFIIIIIIIIIIIIII
11424
636 GLEN ST
C. oty
eri
"I
ILE
RBARA FAHEY
CITY OF EDMONDS MAYOR
PUBLIC WORKS DEPARTMENT - 7110 — 210TH ST. S.W. EDMONDS, WA 98026
(425) 771-0235 - FAX (425) 744-6057 - E-MAIL: k1ein&i.edmondsma.us
WEB SITE: www.ci.edmondsma.us
December 21, 1999
Mrs. Richard Fisk
636 Glen Street
Edmonds, WA 98026
Subject: Water Leak Credit #112975
Dear Mrs. Fisk:
I have reviewed your account and will allow a credit for the billing period between
September 21, 1999 through January 25, 2000 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
wordata\water\credit99\# 112975
Incorporated August 11, 1890
Sister City - Hekinan, Japan
i��
117� Q�
C. 10
STREET ADDRESS rAllf
A FAHEY
CITY OF EDMONDS MAYOR
PUBLIC WORKS DEPARTMENT - 7110 — 210TH ST S-W - EDMONDS, WA 98026
(425) 771-0235 - FAX (425) 744-6057 - E-MAIL: kIein@ci.edmonds.wa.us
WEB SITE: www.ci.edrronds.wa.us
August 25, 1999
Mrs. Richard Fisk
636 Glen Street
Edmonds, WA 98026
Subject: Water Leak Credit Account #112975
Dear Mrs. Fisk:
I have reviewed your account and will allow a credit for the billing period between
May 25, 1999 through September 27, 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
wordata\water\credit99\# 112975
0 Incorporated August 11, 1890 9
Sister Cities International — Hekinan, Japan
"I 1- 20, t-7-7-F
3
3
WA -2- 6
(q2-�9) -7-77- 3Z2-,V
RECEIVED
AUG 2 3 1999
PUBLIC WORKS DEPI
APPLICATION
for
The City of Edmonds SEDE SEWER PERNaT EASEMENT No . ..........................................
NEW CONSTRUCTION E) REPAIRS E]
114-o7600
OWNER ........... Mrs. Richard Fisk
.................................................................................................. CONTRACTOR -------------------------------------------------------------------------------------------------- PERMIT No . ......................
ADDRESS........ 63.6 ... Ulen...2t, .............................................................
0
0
LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ..................... ......................
NAMEOF ADDITION .........................................................................................................................................
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ......................................................................
!.7, �'7
C
75t
Permit No:
City -of Edmonds
RIGH T-OF-WAY CONST RUCTION PERMIT issue Date:
A. Address or Vicinity pf Constructi. on: iv/ 6:, le In Is /I 14C e
B. Tylie of Work (be specific): P& /t Ly 't 14- L.- 6
C. Contractor: Q In zz f
Mailing Addre�s: '5� ;z 0 7, te"",
St ate License #: 6,90jo a ff 4 e&"-
D. - Building Permit # (if applicable):
E. r_1 Commercial El Subdivision
Multi -Family Single Family
INSPECTOR:
'�Gontact: Ad lill
,Phone: 77Fr a f 7 1-/
Liability urance: Bond: $ 0/ 0 0A
IT
Side Sewer Permit # (if applicable):
El City Project F1 EUC (PUD, VERIZON, PSE, AT&T, OVWD)
7. F� Other
PAVEMENT CUT: [I YES NO G. SIZE OF CUT x
CONCRETE CUT: El YES NO
AlI'LICANT TO IMAI) ANI) SIGN
INDEMNITY. Applicant understands by his/her signature to this application halshe holds tli�' City of Edmonds harmless from
i . nj . uri . es, 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 or employees, including but not limited to the defense of any legal proceedings including defense
costs and. attorneyfees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE,FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWfNG THE FINA L
INSPECTION ANDACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WfLL BE HELD UNTIL THE. FINAL STREET PATCH IS
,COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT KILL BE PROCESSED FOR ISSUANCE TOTHE APPLICANT.
Traffic control and public safety shall be in accordance with City regulations as'required by the City Engineer. Every
flagger must�be trained as required by (WAC) 296-155-305 and must have certification verifying completion of the
required training in their possession.
Restoration is to be in,accordance with City codes. All street -cut trench work shall be patched with asphalt or City -
approved material prior to the end of the workday - NO EXCEPTIONS.
Three sets of construction drawings of proposed work are required with the permit application.
CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK
JHAVEREAD THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKrvOWLEDGE
THAT I MUST M,4KE THE PINK COPY OF THE PERMITA VAILABLE ON SITE A TALL TIMES FOR INSPECTIONS � -
Signature:
or or Agent)
Dat e:
FOR CITY USEnONLY
Approved by: (TV Right-of-way Fee: . it)
Tiffie Authoriz;Y. Void After /1 50101 Disruption Fee/Fund 111:
Special Conditions'! S4�p-r -W 9F_ Om Az10+-TE 'Restoration Fee:,
pz_ poirpAALSIoAJ TotAJ-r Total. Fee
86TAFFAI "540RWA 1,kIVA707 'W,9�-K'WAV, Receipt No:
0&9209.20 &56� r,9�r1A)64&J �_-U" 4 �,091W&Lg Issuedby:
jer- f ip-7 el-rL/ E.&-w PUe Ci-rU.rrAAinitzDx
UPON COMPLETION OF PERMITTED WORK9 AN ENGINEERING FINAL
INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THE EDMONDS
COMMUNITY DEVELOPMENT CODE (Phone 425�-771 0, 1 Ext. 1326)
FINAL APPROVAL OF PERMITTED WORK.- DATE:.Oslo�
Inspe ctor's Signature 02-16
for inspection requirements see Engineering Inspection Information handout.
C
NO WOIZK SHALL IIEGIN P11101Z TO I'EIZMIT ISSUANCE
DAMy Documents\Forms\Engnmg\ROWpermit_.doc