6605 170TH PL SW.PDFiiiiii lill
960
6605 170TH PL SW
NOTICE:
No warranty of accuracy.
The information shown on the attached map(s)
was compiled for use by the City of Edmonds,
its Employees and Consultants. The City of
Edmonds does not warrant the accuracy of
anything set forth on these map(s). Any person
or entity requesting a copy should conduct an
independent inquiry regarding the information
shown on the map(s), including, but not limited
to, the location of any sewer stub shown. Such
sewer stubs may or may not exist and may or
may not exist at the location shown. Neither
the City of Edmonds nor its employees or
officers shall be liable for the information given
on map(s), nor for any one representation
provided based upon said map(s).
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT
�6. �6?8
Call 7.76-1107 for side sewer inspections BEFORE - covering any Portion - of the construction.N
Inspection will be Provided within 24 hours after request. NO Sat., Sun., or holiday inspections.)
S. H.
ADDRESS LOCATION OF CONSTRUCTION ....... 6605 - 170th St
. ...........................................................
Lot 5, Double DD Ranch, Additl'on .... --------------------------- - ------------------------------------ ------------------
PROPERTY LEGAL DESCRIPTION
.................................................. ....................... . .....................................................................................
------------------------------------------------------------------------------------------
John Newcomb
------------------------ O-*1*WERPkNDjOR BUILDER ......... ..............................
...........................................................................................
CONTRACTOWS NAME & ADDRESS ..... Chambers & DeHaven Const. OR 17109 - 67th 1-!., Edmonds
................................................................................... .................................. . .......................................................
Permission is granted- Septsmber 18, ig..7-3., for repair and/or connection of a side sewer to the city sardtary- sewer
---------- - --------------------- * --------------------
system in accordance with City of Edmonds ordinances.'
Al, PON IS CALLED TO THE FOLLOWING:
NG,No. I —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
'ide sewer in street area. Do not cover any portion of sewer before it has been inspected.
r
NOTE No. 2—All work performed in city right-of-way requires an Invasion of RJght-of-Way Perralt obtainable from the City Engineer's office.
NOTE No. 3--Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 4—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
sharper than % will be permitted.
NOT`E No. 5--Trenches in street must be water settled and surface of street restored to original condition. Contractors shall 'be responsible for faJIure , due to improper
work which may develop within one year of completion.
NOTE No. 6--It Is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the maln sewer or Its appurtenances except to in-
sert the pipe into the wye.
DISAPPROVED E] Date ... . .................. 1 .............. By ......... .... Date ..... ................. y . . . . ......... Date ............... . ................... By ................
APPROVED Za,��g / i�l ;XB"
Date._ _4e,
.......... ------------ i ... .................................................................
Remarks: ...... . ..................................
. . ................................ V ........................ . ....................................... ............... ........... 7 ........................................
........................................... W� ................... . ............. 7 ---------
................................................................... ................................... . ..... ........................................ .........
BOTH Peri�it CogifesM-USTf-�'e' Signed wner of Firm Performing Construction PRIOR To Reque'st For Inspection
11__�A; zf z1_7X I/ 51yo
hereby certify that the side sewer installation constructed under this permit
C" ir;c.ii_W --------------- ------------------ * ----
(owiiie—r Jf on Firm Performlng construction)
!stalled in accordance with all governing ordinanCes of the City of Edmonds.
Dated this ..... Z�� ........... day of ....... ............................... 19...
V V Check BEFORE you dig for: Water E], Gas E], Telephone 0, Power 0, Sewer [], Other
__3
01
APPLICATION
for
The City of Edmonds SIODE SEWER PERNaT EASEMENT No . ..........................................
NEW CONSTRUCTION 0 REPAIRS 0
OWNER :�jC�HN ......... MF-=W CC>MES,
.......................................................................
ADDRESS............... rL',' ..............................................
lcl I �a�
CONTRACTOR ..... BXZ) 4 4 'r I
................................................................... PERMIT No . ......................
LEGAL DESCRIPTION: LOT No . .........
................................. BLOCK No . ............................................
T=x=UEN-r--- Dr-> tth-C--V-A7rl<=>r-4 �W-M,
NAMEOF ADDITION ............................................................................. r .........................................................
Approved:
DATE. ....... . ... ... ....
/ �Yff/By ------- .......
APPLICATION
for
The City of Edmonds SEDE SEWER PERMT EASEMENT No . ..........................................
NEW CONSTRUCTION Nt-' REPAIRS E]
OV*TNM ....... cJvjqt4 ....... ................................ CONTRACTOR ........ t'Fl ..... awA ................................ PERMIT No. 441,43
ADDRESS ----- --------- LEGAL DESCRIPTION: LOT No . ............
..... ............................ BLOCK No . ............................................
NAME OF ADDITION ..... .......... �>p ............... xe -.-3 .........................................................
0
11
Approved:
DATE................................................ By ......................................................................
Z
0
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0
W.
Ap.
C ITY �017 EDMONDS 'Permit No.
COMMUNITY SERVICES DEPARTMENT -2
RIGHT . -OF-WAY CONSTRUCTION PERMIT STR8J7 FILE Issue Date
A. *Owner:
Name
-S �� Nl\ 1-1 1 7.
Mailing Address,
W\,� - C, C�C�� C)
City State Zip
B. e. Contractor:
__�tame V 7!
Mailing Address
N Ilk ��c
City State Zip
\-) 1� - k.-. � ": i%�_
— % k.— \ i�-- , k C, -ar '�,
State License Number Telephone Number
C. Address or Vicinit of Construction: c
Ty pe of Work to be Done:
D. 0 Work in Connection With: 1:1 Sub or Plat 0 Single Fa6LYZ 7-90 City Projects
0 Commercial 0 Multifamily yutility
E. 0 Pavement Cut: El Y b/N F. 0 Size of Cut: — X
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant underitands and by his signature to this application, agrees to hold the City of Edmonds
harmless from any injuries, damages, or claims of any kin ' d 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 do§ts, court costs, and attorney fees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLt,�FOR�'-i��6iz'�QNSHIP AND MATERIALS FOR A PERIOD OF 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; 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.
• All,street-cut ditches must be patched with asphalt or City approved material prior to end of working day;
NO EXCEPTIONS.
I understand th,e above,,dnd that this permit.
Signaturei�\
Owner or C
be available at the job site for inspection purposes at all times.
Date:
This)Permit' Must be Posted at the Job Site For Inspection Purposes
Call DIAL -A -DIG Prior to Beginning Work
APPROVED BY: BcN \h/
Time Authorized: Void after 3(P5 days.
Special Conditions:
PERMIT FEE: (k L_ E N
Restoration Fee:
Receipt No.:
Fund I I I Fee:
Street Cut Dime $
%Mate
RELEASED BY: C N\a-,_ZV- Date 9) NSPECTED BJJr,[,
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 El YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By -
Date:
FINAL APPROVAL BY:
Date:
Eng. Div. July 1985
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