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
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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 ------------------------------------
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--------------
---------------
--------------
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--------------
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----------
----------
---------- I
----------
----------
----------
--------- �iw��Mm�mm�m��_
Tees -----------------------------------------
------------------------------ - -------------------
-----------------------------------------------------
------------------- ------------ ----_----------
------------------------------------------------------
------------------------------------------------------
----- - --- ------------------- 7 ----------- -----------
------ M ...... M ......
--------------
--------------
--------------
--------------
--------------
-----
--
--------------
............
I --- - ------
------------
-------------
-----------
--------- I
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---------
----------
----------
----
----- - ---
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 -------------_------------- -
---------- - --
----- - ------
--------------
--------------
-------------
--------------
-- - --------
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----------
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----------
---- - - --
- -------
Gate Boxes ----------------------------
---------- - ---------- - --------------------------
-- - ----------- 7 ---- - ------------ - ------------
-----------------------------------------------------------
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--------------------------------------------------------
------------------------ ..............................
------------ ---------------------------------------
----------------------------------- -------------- -
Hours Time —Day Men --------
--------------
---------------
---------------
......... . ....
--------------
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Hours Time —Monthly Men --
---------- ------
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Hours Time —Auto ------------ ---
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It
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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):