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701 DALEY ST.PDFiiiiii lill lill 10754 701 DALEY ST CITY OF EDMONDS - SIDE SEWER PERMIT WATER -SEWER DEPARTMENT PERMIT . 0 Call 775-2525 for side sewer inspections BEFORE covering any portion of otheyconstructi.n.) Inspection will be provided within 24 hours after requst. NO Sat., Sun., or h lida inspect,.ns. ADDRESS LOCATION OF CONSTRUCTION ......... ........ — ........... ...... ........................................... . ....................................................... ,r PROPERTY LEGAL DESCRIPTION ............................................................................................................................................................... ........................ ...................... ........................... . .......... . ................ m .................................................................... ............... . ...................................................................................... ................................................................ O14111TER,0111M/_OR BUILDER ........ ---- 7;�,.� ...... . ....................................................... ORACTOR'S NAME & ADDRESS ....... . ........ ................. . .............................. . ... ....................................................... Permission Is granted ...... -=,- ............. .................... . ........... I 19..K—, for repair and/or connection of a side sewer to the city Sanitary sewer *M in accordance with City of Edmonds ordinances. NTION IS CALLED TO THE FOLLOWING: NOTE No. I —The owners of the &operty 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—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office. NOTE No. 3—Obtaln 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. NOTE No. 5—Trenches in street must be water settled and surface of street restored to original condition. Contractors sball be responsible for failure due to Improper work whkh 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 main sewer or Its appurtenances except to in- sert the pipe into the wye. DISAPPROVEDDate ... . .................................... By ................ Date .............. ........... By ................ Date ............... . ................... By ................ APPROVED Date::!Y.�__ ­/'.­O�_, ....................... By ... . ...... . .. . .. . ............................................................... : ....................... Remarks: .... ...... ­Zv ----- .............................. . ............. I ... lef .... . \ ......... ......................................................................................................................... ............................................. ......... r of tinstaII'l in acreor Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection — i, `C­o'n­s't__r'u"ct'io­n_,) ... I hereby certify that the side sewer install ation constructed under this permit all govl�i`rm�;/19- "ordinances of the City of Edmonds. Datedthis ............................ day of ................................................................ P 19 ......... -i V Chbeg BEFORE you dig for: Water [], Gas El, Telephone 0, Power C], Sewer E], Other E] V V ADDRESS: TAX ACCOUNT/PARCEL NUMBER: U)Y-5L�zp 9 ao-35 0 0 BUILDING PERMIT (NEW STRUCTURE): lqj�PWM-5 LSFR-) COVENANTS (RECORDED) FOR: CRITICAL AREASA�- I -bb — DETERMINATION: 0 Conditional Waiver 0 Study Required E�Waiver DISCRETIONARY PERMIT DRAINAGE PLAN DA PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED PERMITS PLANNING DATA CHECKLIST DATED: Ja�,W, U I � 19 8, SCALED PLOT PLAN DATED: SEWER LID FEE $: LID#: 11 SHORT PLAT FILE: 5A -W LOT: ?O)i4o BLOCK: SIDE SEWER AS BUILT DATED: - SIDE SEWER PERMIT(S) GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED: OTHER: Z2 H I ( V1 LATEMP\DS'Ps\Fomis\Street File Checklist.doc ;f-/dr PA113 SEP I U City of Edmonds --- Water Department TAP CARD Date ......... ..... Meter ..... Tap I No ............ Size .... ... . Size ...... :��6-/ ............. Mf9rs- Noc.;?4-f/ .. --- - ---- Style.-P.,LL .... S-a- For------- ...... .......... . . ....... / 44 ..... ................................ . .... . . ...... -- - --------- - -- ............................ . 0 .. ...... LotNo ........................................ . . Blk. No ....... Add. ................................................ . . ...... . ....... . ....... . ....... . ....... . .. . ..... . . .. ........ Service Location ....................... ----- . ... ......... j I Make Tap 0/� Pressure --- &-;-L --------- lbs. Test ....................... ......... SendBills to ..... . ....... . ...... . .. . ....... - ------ - ----- - - - - ---- - ------ Foreman Gu/. Voucher No ........ ----- - ------- .. . ....... . .... . ................ . ..... ,Umarks: tkF-mi-Y.2 !2E :E ... ------- r)T'rr('-nTW('- Tn,4� 'R Pa Tz.,,t-, 'RI- --- St-en-il 0-17A laterial. Chargeable to Installatio", fe ters NO. SIZE DESCRIPTION RATE 0 ------------- ---------- Meter ---------- ------------------ ------- ------------- -------------- --- ------ Meter Box ----- - ---------- - ----------- -------------- ---- - ---- - --- --------- Meter Plate ----------- - ---- - --------- --------- - --- -------------- ---------- Check Valve ----- - ---- - ---- - ------- - _ ---------- ---------- ----------- -- --------- Pipe, Galv. Screw -------_-------- -------------- — --------- ------- - - -------- ---------- Nipples ------------------------------------ -------------- — ------- - ---------- -------------- ---------- Bushings ---------------------------------- ---- ----- --- --------------- ---------- Plain Ells -------------------------------- ------ ------- - - ------- - ---------- ---------- - --- ---------- St. Ells ------------------------------------ --------- - --- --- -------- ---------- ---------- __.J ---- - ----- -- -------------- --------------- -------------- ------ ----------- -------------- ---------- ---------- ---------- ---------- I ---------- ---------- ---------- --------- �iw��Mm�mm�m��_ Tees ----------------------------------------- ­ ------------------------------ - ------------------- ----------------------------------------------------- ------------------- --------­----­ ----_---------- ------------------------------------------------------ ------------------------------------------------------ ----- - --- ------------------- 7 ----------- ----------- ------ M ...... M ...... -------------- -------------- -------------- -------------- -------------- ----- -- -------------- ............ I --- - ------ ------------ ------------- ­----------- --------- I - - ------- --------- ---------- ---------- ---- ----- - --- Material Chargeable to Taps Connected NO. SIZE DESCRIPTION RATE AMO NT -- ----------- ---------- Pipe, Black Screw ---------------_ --- - -------- ----------- - ---- - - - -- - --- ---------- Pipe, Galv. Screw --------_------- --------------- ----- - ------ ---- -------------- ---------- Lead Connections ----- - ----------- -------------- --- - --------- ---------- Curb Cocks ----- - ---- : ---------------- --------------- ---------- - --- - -- - --------- ----------- Corp. Cocks ----- - -------------------- ------------- ------------ ____ -------------- ---------- Unions ----- - ---- - ---- - ---------- - ----- -------- ---- ----- - --- ----- - - -------------- ---- - ---- Saddles -------------------------------- --- -------------- ----- --- --- -------------- --------- Nipples ------------------------------------ --------------- ------ - - -------------- --------- Bushings - - ---- - ---------_-------------- -------------- ---- - -- - - ---------- --------------- ---------- Plain Ells ----- - ------------------------- ------------ ----------- ---- ----------- -- ---------- Street Ells ----- - ------------------ --- ------------- -­ - --- --------- I -- ---------- Tees ----------- - ----------------------------- --------- - ---- --- - --- -------------- ---------- Curb Boxes ----- -------------------- --- ---------- ------------ ----- ------- ------ ---------- : S. 0. Extensions ----- - ----- - ------- -------------- - - ---- - --- ---- - ---- -------------- ---------- Gates ----------- - -----------------------_-- ---------- - --- ---------- -------------- ---------- Plugs ----- - ---------- - --------------------- --------- - -- ------------ -------- ------------ -- ---------- -Couplings -------------_------------- - ---------- - -- ----- - ------ -------------- -------------- ------------- -------------- -- - -------- ---- - -------- ---------- ---------- --------- ---------- ---- - - -- - ------- Gate Boxes ---------------------------- ---------- - ---------- - -----------­--------------- -- - ----------- 7 ---- - -----------­- - ------------ ----------------------------------------------------------- ----------------------------------------------------------- ------ - ----- --------------­----- -------------- ------- ---- - ---- - -- --------- - -- ---- - ---- - -- --------- - -- 7 ---- - ---- - --- ---------- -------------- ---------- - -- ------------- ----------- -- - ----------- --- - ---- - ---- ------------- - -------- ---------- -------- - -------- - ---- - -- - ---- - -- - ------- . -­-------------- - --­----------------------- - ------- - ----------- -------­----- --- -------------------------------------------------------- ----------------­-------- .............................. ------­------ --------------------------------------- ----------------------------------- -------------- ­­- Hours Time —Day Men -------- -------------- --------------- --------------- ......... . .... -------------- � ------- 7 - --- --------- - --- ----- - ------ ------------ --_--------- ------- - --- - - ---- - --- - ------- - ---- - -- --------- - ---- - -- ---------- --------------- - -------- Hours Time —Monthly Men -- ---------- ------ -­----------- - -------- Hours Time —Auto ------------ --- -------- It - - ------- ROUTING SLIP 'W_�LRVJ-9F INS TALLATION 11 �NDDRESS: (Z— DATE.' - DIAL A DIG P.U.D. TELEPHONE CABLE T-V- GAS FoREMAN STORM SEWER OTBER ICE YES) NO FUTURE SERV INSTL: BORE: CUT: ------- YES 10 'sURCI. GE: LOCK INITIAL: CREW D LOC IMTTTAL: DATE: 04 ACCOUNT NUMBER: SHOP !METER SUPPLIER: TREATMENT PLANT SIDE -SEWER PERMI' CIVIL ENGR. OE B L T V DRAFTSMAN DATE: SUPERINTENDENT INITIA L TAP CARD IMIETER SHEET PFLICATIONj TILITY y U IT: DISPATCH = BILLING I 760138:5 BUILDIN.6 DEPkRTMENT I Applicant Fill Nl. ER Inside PERMIT APPLICATION Heavy Lines Joe D6L ADDRESS 10 NAME (OR NAME �F BUSINESS) OMU A� LEGAL LOT YES NO X ARE SUBDIVISION G�' -1 NO. C�> — I L" �!� i Z C" P_ VARIANCE OR COND. USE NO. ADS NO� , 0 ON4 4-: C I Y I PELE-HONE NUMBER :�3 Q_- �ttl D 772, 0' ) PROPOSED YARDS f / /S REAR ar, NAME FRONT 1157 SIDE SED j ALLOWAOL E SIGN A RE A 1PROP SIGN AREA U 70 0 R E __S OTHER REQUIR LP r CITY R TELEPHONE NUMBER DATI, < NC Y�ZROIAL ST-EST.. STREET R'. FT. DEFICIENCY THIS PROPERTY EXIST[ 0 ADD�SS COMP. PLAN ST. R/'W,,r)FT. D FT. U < BER REMARK s Driveway slopes not to exceed those z CITY indicatedon Standard Dwq. No. 103 By 10 " STATE LICE14SE NUMBER -CITY LICENSE NUMBER ICHECKED US V Legal Description of Property (Snow below or Attach Four. Copies) STREET AND/OR y E S % 4c) WORK REO'D NO UNDERGROUND --�YES Z WIRING REO'D 0 NO 2 OFE TYPE CONNECTION TERIII (ED By _qj l- — U C3 YES PERMIT NUMBER W SEPTIC SYSTEM APPVD BY CITY ENG. @LNO REMARKS W J METER SIZE SIZE CLEARANCE �CHECKED Y ISERVICE al �EsiomNTIA GAS N -W Ll LINE PIE OFJtONSTRUCTION NO.-...I..NTIAL E]---- IFOYE_ A-- RETAINING EMOLISH PECIAL NS �T ,PR rRrA 'R CQUIREI D CCUPAN'Ir G DAD 10 WALL ALTER EXCAVATE PENCE R FILL I— 0 YES No 1 W P cm) THIS SITE IIS LOCATED IN THE CIT swim OF EDMONDS. LOCAL SALES TAX .41-n& 0 is 1 REPAIR E] PRIE-MOVE INSP POOL -7 SHO'JLD B rnnrn r NUMBER OFF STORFES NUM13ER OF J DWELLING UNI_ -5 as . I MATURE OF WORK TO BE DONE VALUATION FEE PROPOSED USE Z . PLAN CHECK 2 — . N 0. F;-L-OTPLAN (INDICATE SUILDIN SETBACKS. ABUTTING STREETS) BUILDING al PLUMBING HEAT & GAS LINE 0 rrNcE SIGN RETAINING WALL SWIMMING POOL TOTAL AMOUNT DUE: I have this application; that the In- 1 be-7 ecknowledre that read form:tJon .1— 1. correct; and that I ann the owner, or the dUly anth— I.,d sent of the owner. I agree to comply with City And late law. MgU- ATTENTION lat�ng con.tmetlon: and In doing the work autherlZed tbtr.by. no person APPLICATION APPROVAL �j be emp'.oyed In violation of the Labor Code of tho State of W_nI.gt.. THIS PERMIT This application is not a permit until re!ating to Work—O'N Compensation Icinirance. AUTHORIZES signed by the Building Official or his Dep- NOTE: Permit Limit One Year (EXCept DEMOLITIONS which ONLY YH uty; and fees lure paid, and receipt is ac- shall be completed in ninety days: MOVED -IN BVILDINGS altall be com- WORK NOTED knowledged in space provided. ECTION SI OR AGENT) E S E 0 INS D ARTMrN1' E S IATUR- IDA 21G/N 7C, T OF V\_ E ONDS 031TE NO TE: Applicant Subjecr to Plan Check Fec 775-2525 This Permit c Work to he done on private Property ONLY. Any qponj;truftlfi.� On the public domain (curbs, �idswalks, driveways, ORIGINAL - F.le YELLOW - lnspccicr merquo", etc.) will require separate permission. PINK (),­r COLD A-- a PLANNING �DATA NAME:. SITE ADDRESS: DATE: ZONING: -PLAN CHK#: PROJECT DESCRIPTION: D ..CORNERLOT Yes/No) FLAG LOT —(Yes/No) Z4 SETBACKS: Cop^, Required Setbacks: 'Right Side: Front: I.V Left Side: Rear: Actual Setbacks: Front: Left Side: Right Side: Rear: Street map checked. for additional setback required? (Yes/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED _(Y/N) LOT COVERAGE: I /, Maximum Allowed: ual. BUILDING HEIGHT: Maximum Allowed: Z Actual Height: Datum Point: Datum Eleveitiom. A.D.U. CREATED?: SUBDIVISION: CRITICAL A�AS #: SEPA DETERMINATIOWEX'-L" LOT AREA: - -7, _� b () OTHER: Plan Review By: cAfi1eskpeffnif%Ap1andRLdoc WLE NO. .Critical Areas Checklist -------------------------------------------------------------- Site.Information (soils/ iopography/hydrology/,vegetation), 1. Site Address/ Location: :701- VALEY t5mny-XA", 2. Property Tax Account Number: Ll I I( 1� L 0 "5�_7 00 nc� 447- 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? x yes; no. If yes; how is site developed? 5. Describe the general site topography. Check all that apply. x Flat: less than 5-feet elevation change over entire site. 1�911ing: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet). Hilly: slopes pre"sent on site of mbr . e than 15 % and less than 30 % ( a vertical rise of 1 0-feet -over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet), Other (please describe): 6. Site contains areas of year-round standing water: Approx. Depth: 7. Site contains areas of seasonal standing water: �_10 Approx. Depth: What season(s) of the year? 8. 'Site is in the floodway__ttj�_ floodplain Y0 of a wate r course. 9. Site contains a creek or, an area where water flows across. the grounds surface? Flows are year-round? -\J -0 Flows are seasonal? NJO (What time of year? f-In 10. Site is primarily: forested meadow ;shrubs n-dxed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: RECenfED City of Edmonds MAY 0 5 1998 PEANNiNts COPY CRITICAL AREAS CHECKLIST, The Critical Areas Checklist contained on this form is to , be filled out by any person preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of a development permit to the City. The purpose of the Checklist is to enable City staff to determine whether any potential Critical Areas are, or may be, present on the subject property. The information needed to complete the Checklist should be easily available from observations of the site or data available at City Hall (Critical Areas inventories, maps, or soil surveys). An applicant, or his/her representative, must fill out the checklist, sign and date it, and submit it to the City. The City will review the checklist, make a precursory site visit, and make a determination of the subsequent steps necessary to complete a. development permit application. Please submit a vicinity map along with the signed copy of this ' form to assist City staff in finding and locating the specific piece of property described on this form. In addition, the I applicant shall include other pertinent information (e.g., site plan, topography map, etc.) or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner/Applicant- Applicant Representative: q -DPCkl 1('rr Name Name 171 Street Address City State Zip (,A2) (�� 5-q7 .- V, eieprrone Signature Date 07 Street Address city State Zip 4�'-) 3-3- Telephone — I C) Date (over) c:recepfion\janMcac1.doc 1,-? C. 18 9 �) May 15, 1998 CITY OF EDMONDS BARBARA FAHEY MAYOR 121 STH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works e Planning/Building � Parks and Recreation a Engineering * Wastewater Treatment Plant Gordon & Windy McMillin 701 Daley Edmonds, WA 98020 Subject: Determination regarding Critical Areas Checklist # 98-130 Dear Applicant: Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City is located on the reverse side of the form (bottom of page). It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records. IMPORTANT INFORMATION TO BE NOTED: 7 PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHE.Q� OR CRITICAL AREAS SEWY. The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a project -specific determination. mo, You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. Permit applications include the following: Building Permits Conditional Use Permits Subdivisions Variances Applications to the ADB* Land Use Applications Any other development permit applications. Enc: Critical Areas Determination *Architectural Design Board Thank you. Sharla Graham Acting Planning Secretary C:RebeptionUana\CRLTR.doc Incorporated August 11, 1890 4nternatianal -r­Hekimn,, Japan APPLICATION c,,,O�The City of Edmonds for EASEMENT NO - -------------------------------------------- SIDE SEWER PERMIT NEW CONSTRUCTION 0 REPAIRS LID NO - ------------------ ASMT. NO - ------------------ OWNER ---- ...... "- -------------------------------- ----- CONTRACTOR ....... -S S52> �--- ----------------------------------------------------- PERMIT NO. ;7� ----------- JOB ADDRESS -?c=% --------------------------------------------- LEGAL DESCRIPTION: LOT NO . .......... ... 4 A -0 ------ BLOCK NO. - ......... ei�� ------------- 0 0 .................................................................................................................................................................. NAME OF ADDITION ...... -------- 5=;, . .................................... M � ' ��= �iU�, =� .~~ __� .~. Edmonds 0 �E- - �-&- 01 APPUCATION for SWE$EVV0 PIWIT NEW CONSTRUCTION 0 REPAIRS n EASEMENT NO - _---------------- -- 404ej�W el LEGAL: LOT NO - -------------------------------------- BLOCK NO - ---------------- '------------------------------------'--------'--'----'----------'----'--- NAMEOF ADDITION ----_----------_.-'---_------_---'---'--------'_-------_--' Approved: ` DATE By �� F E,dm RIGHT-O&WAY CONSTRUCTION,' PERMIT Permit Number. a Lssue Date: A. Address or Vicinity of Construction:' 701 DALEY STREET B. Type. of Work (be specific)&�, to ce i9r, e vic and' �ainidn, a bui­16� s.ir ire.from existing pedestal #9017, located at 714,DALEY,�ST., then north to a residence at,. 7 01' DALEY:ST. GTE to plow 184 feet,push 1 de 1 i�cvvpy � 1.7. ft.,,. and push ir Mad, Be ft. C_ -CQntractor:GTE NORTHWEST INCORPORATED Contackinda Price, Permit Coordi6ator,425/71074133 PhonetNrRs Rnhe4'th riqman��h7S/774-Sq?l Mailing Address�,,:Zt Q METT WA 5 1010 RD. 9Vr '144o State License #: 06264- Liability. Insurance: Bond: $ D.. Building Permit 9 (if applicable): Side Sewer Permit # (if applicable): E. Commercial-. 0 Subdi�ision EJ* City Project 11 (PIJD(� �G, WNd, CABLE WATER) utility POO Multi-Farnily,�,�.� Single Family , Ej� Other, GTE W 0. 42,4!09,� 1 DB* NSPECTOR: IN8PtCTOR'- R.O.W footage 'i s -120 ff r9lP," F. Pavement or ConcreteCut Yes ONo G. Size of Cut:. 3- H. Cha PLEASE.SEE ATTACHED DRAWING APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application to hold the City of Edmonds harmlessftom injuries, damages, or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds,, or apy of its -d par men s or employees, including or not limited to the'defense of any legal proceedings including defense costs and atior*neyfees by reason of graniing this permit�,, THE'CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD& ONE YEAR FOLL6WING THE FINAL-INSPEC-. 'TION AND ACCEPTANCE,OF THE WORK: ESTIMATED RESTORATION FEES WILL'BE YELD.UNTIL THE FINAL.STREETPATCH-IS COMPLETED BYCITYFORCES, AT WHICH TIMEA DEBITOR CREDITWILL BEPROCESSPI)'F6kissOA�d TO THEAPPLICANT Two'sets of construction drawings (if proposed work required with permit application.. A 24 hour notice is required for inspection. Please call, the Engineering Division, 771-02'2'0 Work ifid material is to be inspected during progress and at completion. Restoration is to be. in accordance 'with City Codes. Street. shallbe.kept clean at all times. Traffic Control and Public Safety shall be in accordance,with City regulations as required bythe City Engineer. All itreet cut trench work shall be patched with asphalt or City app oved-�nate ial p I or to the end f the work ng day; - r_ r ri .0 J NO EXCEPTIONS. I have read the abov I teme derstand the permit requirements and,the pink co' py of the permit .will'be available on site at t' es r i . I . op4wyusesj. Signature: Date: 5-20-96 David Squires, S"v4.r-RtJ&eqks,gn CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: RIGHT OF WAY FEE;' TIME AUTHORIZED: VOI`D AFTER All( -DAYS DISRUPTION FEE/FUND I 11: SPECIAL CONDITIONS: V RESTORATION FEE: AJ& OTAL FEE: eme tee r ECEIPT NO.: ISSUED BY:_ Ilk JdE RIO T RMIT ISSUANCE MAX -BEGIN P R Eng: 6iv 1997 Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: I -i PERMIT SUBMITTED BY GTE -761 LEGBIND PEDS 0 POLES 0 ROAD BORES OVERHEAD LINES 1.0. UTILITY POTHOLE ILIC TRENdH)NC ---iJCT— nmmR 27 7-- - - t�� - R#O,Ws --------- ---------------------- ip ———--—-—— EOP OLq le qx 3 ?Q" - - - - - - - - - - - - - - - - - - - --- - - - -FC9?A 9017 I CUTS. 16:42 L, NO. 413 -Z ACON SHALL BE INSTALLED AT FLASHING EACH SIGN FOR NIGHT-TILAE USE. 2. DISTANCES MAY vARy AS APPROVED BY THE ENGINEER. 3. FLACCERS REQUIRED TO CONTROL TRAFFIC WHENEVER THE CONTRACTOR MUST INTERRUPT TRAFFIC FLON TO ACCESS THE V.ORK SITE WITH MATERIALS OR EOVIPWNT. I EGENa- @9 CONE OR CHANNELIZING DEVICE (SEE $TO 702) WORK AREA TRUCK WITH LA HING OR WITH BEACON t 50, MIN 42 12 -1161 3T 200' SHOULD WORK l(w 21-5) X* TRAFFIC CONTROL PLAN SHOUU)m wow t'Ar. CITY OF EDMONDS BARBARA FAHEY MAYOR 121 5TH AVENUE NORTH EDMONDS, WA 98020 - (425) 7il-0220 FAX (425),771-0221 cbmMUNITY SERVICES DEPARTMENT Public Works e Planning/ Building e Parks and Recreation Engineering Wastewater Treatment Plant September 3, 1997 Kbith'Dimorier 701 Daley St. Edmonds, WA '98020 Subject: Sight obstruction in right-of-way ad*acent to subject address Mr. Dimorier: A complaint has been received by the City'regarding an obstruction caused by the bushes on 7th Ave. in front of your property, City staff investigated the compalint, and it appears that the trees acros I s your street frontage extend considerably into the public right-of-way. This makes it very difficult for traffic on Daley St. to see traffic approaching on 7th Ave. Your cooperation in bringing these trees into compliance is. appreciated. The Street Maintenance workers will be instructed to do the necessary trimming if you. are not able to accomplish it by September 22, 1997 If there are any questions, do not hesitate -to contact me at �771-0220. Sincerely, e. James C. Walker, P.E. City Engineer GCH/JCW/sf C1 /:3 701DALEY.DOC 0 Incorporated August 11, 1890 0 Sister Cities International — Hekinan, Japan CITY OF EDMONDS STREE ENGINEERING DEPARTMENT FILE 505 BELL STREET EDMONDS, WASHINGTON 98020 APPLICATION FOR INVASION OFRIGHT-OF-WAY. (Subinit In Duplicate), Permit to be issued to - For work at: (address or vicinity -7- Type of work to be done:' (Attach, Drawing When Applicable) Owner: Name MWling Address f. -City -,�State ..Telephdhe..'Number Co n tractor: Name Mailing Address. City State Telephone Number Sign�ature: M Zz e., r Aont I Date Signed .0 DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency) Permit Issued (date) Permit Number Remarks: AIII At r4 -AA Upon i�z!7 -�e cif, Ll,,is p-rmit,.vi,2 contractor is eriais for 'UMINMI APPI[OVAI DATE ro 0 n7. 11 te 0; y f i-sp!27ction of a pe, ation by i�)e Lr,,f7ine rin- Dept. the restorz CITY OF EDMONDS ENGINEERING DEPARTMENT S bEET. 505 BELL STREET E EDMONDS, WASHINGTON 98020 APPLICATION FOR INVASIO N OF.RIGHT-OF-WAY .(Submit In Duplicate) -7-V 'I Al, Permit to be issued to: 5�,zqA &;,/77 511 or work 'at: address or vicinity aelc,/f 7-0)f 2?0,4-0 1 c�A Type of work to be done: CU-7-r 5Y (Attach Drawing' -When Applicable) AccRe55 R64 9: 7,-�44glv 70 Owner: Name Mailing Address 'City State, -Telephone,,Nuraher Contractor:- R 10 - Name Mailing Address city -State Telephone Number Signature �r. Agent Date Signed DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency) Permit Issued (date) Permit Number Remarks:_QFE.._ I Z 50 0VZ// /X—Y/ orAfl �U,07 .2 contractor 'is Upon i:7"SI.:arce of th ENGINEER'S APPROVAL DATE , . -� �;� r %. rc— mal-rials for a p -pncticn of Cf the restora6on, L-y t;i Er,,�7ir-eerina Dept. -CITY 6P gbmoft§ ENGINEERING DEPARTMENt,* Insp ........ .-Plaftrks ... Ut-Q .... c MOK: In'sp Date ..... .. ....... ... . ..... T-,sp Date ................. By .............. Rema rk s lns� Date.. ........... Remarks....APPaDtft-v ................... .............. .............. E 0 0 WATER-_.!�Pye?;� -"L�E GAS - ENVIRONMENTAL ANALYSIS ,E)�,�rnpt tinder � District SEPA Procedures, Section o�a Para —&_ Item D,jte BY �reerr-� to� Labor Accounts I.'t.II M—o., R.-­. U.G. EQ. & MAT. COND. GFIDS. & ADDS SERVICES TRANS. & CUT-OUTS F_ I _j Date Work Completed — A '. __N_- 100-01 ICUTIL ITY DISTRICT No. I of Snohomish County AREA C7 Nfe�o* -AS6. No. U.G, �ILE IMP ::�T:MENT PERMIT zp_ ENGINEER DRAFTSMAN Tlotllw APPROVALS UNDERGROUND MAtERIAL,FORM STOCK ISSUE CR D by Foremen DATE 19— DELIVER TO SUPPL ES_ I 15-11aloll .10"fZ' ,LOCATION I In!21.4fe-_V29 IIREASON FOR WORK I ! , 116�4:!�lorll 94 aw 'A" eaA0 .01" neef?W ea4-0 ,oc'ne 'Oc-ev-exee- e-xz.) xexs've"l xrg '00'ex'r 'oo,� a4eeY SC C&'r _q Code S Pro U n ift, Quantity Its. Ord Material Cod. AcCl. Prop. �.Unit Quantity s,. O,d .,;.I 90 220 GROUND ROD 5/8 X6' N0.2 CU.PRI. SPLICE 88 070 GROUND ROD CLMPS. 49 CUTOUT 77 601 POWER PEDESTAL 34 FUSE 78 581 .1 8 191 55 SL. SEC. CONN. BAR '--ff 01-:51 is ,j ro y 25 762 NYLO�J INSULINER 78 579 44 SL. SEC. CONN. BAR 88 776 J-HOOK 78 578 6 33 SL. SEC. CONN. BAR 92 KELLUM GRIP 78 612 LUGS 2/0 AL. COMP. 76 1 STAND OFF BKT.e' 78 614 LUGS-4/0 AL. COMP. 76 132 PIPE CLMPS. 2" 78 616 LUGS 350 AL. COMP. 76 134 PIPE CLMPS. 3" 78 626 LUGS 500 CU. AL. COMP. 76 136 PIPE CLMPS. 4" 78 522 PLUGS33SLEEVE 9191 LAG SC13EWS 78 523 PLUGS77SLEEVE 781 524 1 PLUGS LP SLEEVE 25 030 2" RIGID CONDUIT 78 506 -,4C COVER L6 SLEEVE 25 032 3" RIGID CONDUIT 78 507 L-7-SLEEVE 25 002 1*'PLASTIC DUCT 78 508 .—COVER COVER LB SLEEVE 005 2" PLASTIC DUCT 78 6��2 3 LO D.F. COVER 25 007 1 3"_PLASTIC DUCT I 009 4" PLASTIC DUCT 25-134 GAND.BUSH, _L5_ STEEL 90'X 76 200 VAULT TRANS. 2X2 PLASTIC 90OX 3 STEEL TO PLST. ADAPT. VAULT 38 523 Z WARNING STICKERS 7ze 76 260 2" MARKER STAKES 76 230 STAND OFF INS. R.T.E. 77 705 POTHEAD No. 2 CU. 77 709 POTHEAD 1/0 AL. 76 117 OTHEAD GKT. No. I 4C 257 LIGHT_NING ASSTR. 77 722 STRESS CONE. No. 2 CU. 77 723 STRESS CONE. 110 AL. 84 211 WIRE 2AL.PRI. 76 238 2 TERM. J BOX 83 212 WIRE 1/0 AL. PRI. 7C 240 4 TERM. J-BOX 83 389 WIRE 4/0 AL. SEC. 83 386 �WIRE 350 AL. SEC. 78 532 No. 2 CU. ELBOW R.T.E. 83 220 WIRE500AL.SEC. 78 533 /0 LBOW 83 306 No. 8 AL. DUPLEX 22 159 ___No._159S.E, SLEEVES 76 125 DUST CAP R.T.E. 31 240 6 AMP. ST. LT. F SE 31 260 ST. LT. FUSE HOLDER REIMBURSIBLE MATERIAL NO. 71 130 D.B. STEEL ST. LT. STD. 70-- G — LUMIRE. TRANSF. FILLED MATERIAL RECEIVED MATERIAL CODE NECKED S.R. �O. W.O. NO. U.G. Reviewer's T -&4 1 � rmit AddresS701 00 &Y Legal Description 4P BUILDING PERMIT R F V I E!J FMGINFFRIN�3 DFPARTt,4FNT CPECK LIST 1. Septic Tank System nesiqn Approved, 2. San it r I hility Slit. of Dvin. No. 0 a y Sewer Ava0a Project: Side Sewer ai abi 3. Any Sanitary Sewer Connection Feesw n Al 4. Site. Drainage Chelcked6h�/V. 5. Storm Sewer Availabilitv: Slit. f DWq. No. 6. 7. 8. Project:_J_M!Mt:,, �-jl #L4 U Roadside Ditch Grading'& Final Contours �J— Sidewalks (Site Inspection shows condition of existina ytalks as follows): Curbs 9. Curb 10. Underground I-liring A Street.Lipliting 11. Street Right-of-way A Bldg. Setbacks: PTJ Sht. of Dwg. No. 2 A of Official.Streat.Map. 12. Existing Utility Easements 13. Access Easements MOVE 14. Water Mains A Fire Hydrants (Indicate Size !,later Main) 15. Bonds for Site 14ork NX2T- 16. Special Requirements listed in memo to Bldg. Dept. 17. Commercial A Apt. Requirements form corgnlete 18. Drawings stamped�& notationspade 19. Site Inspection ma.de on-61'4a-Z;?1 A 20. All items filled in I on Bldg. 1. Permit Appli . catior&11A/�' 21. This Lot included in Subdivi-sion<�—I(O-7(o,(LiJ any special requirements):