322 SUNSET AVE.PDFiiiiiiiiiiiiii
14494
322 SUNSET AVE
8 90 - 199
City of Edmonds
RIGHT-OF-WAY CONSTRUCTION
Permit Number:
Usue Date:
A. Address or Vicinity of Construction: - 322 Suuset Av (9610376)
B. Type of Work (be specific): Tnatall soryiep-
C. Contractor: —Vallbilngam Natursil Gas
Mailing Address: 1122 75 St SW Everett
State License #: 98203
D. Building Permit # (if applicable):
Contact: Mariamne Kitwsbu�y
Phone: 356-7500 X7596
Liability Insurance: Bond: $
Side Sewer Permit # (if applicable):
E. [] Commercial Subdivision 0 City Project JJ Utility (PUD, GTE, WNG, CABLE, WATER)
F1 Multi -Family Single Family [-] Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut: 0 Yes 53No G. Size of Cut: x H. Chargq�,$
APPLICANT TO READ ANIOSIGN
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City ofEdmondg harmless from injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of it'0 departments or
employees, including or not limited to the defense ofany legalproceedings including defense costs, and attorney fees by reason ofgrandng thi8permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A �ERIOD 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 TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
Work and material is to be inspected during progress and at completion.
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.
Ihave read the above statements and understand thepermit requirements and thepink copy of thepermit will be
available on sit at all tij7zes for inspection pur ses.
Signature: 7 11741 Zalv Date: 3-95-96
(C- actor or ent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
F'OR CITY USE ONLY
APPROVEDBY: 6, 16lieJ+1 RIGHT OF WAY DEPOSIT
TIME AUTHORIZED: VOID AFTER ;1P DAYS
SPECIAL CONDITIONS:
DISRUPTION FEE/FUND Ill:
RESTORATION FEE:
PERMIT FEE- 00
TOTAL FEE: 00
COMMENTS: RECEIPT FEE:
DATE- ISSUED BY -,,--
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. 1994
FIELD INSPECTION NOTES 4 (Fund 111 - Route copy to Street Dept.)
Comments:
Diacraw
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P.W.:
Work Disapproved By:
FINAL APPROVAL BY:
0 YES
Date:
Date:
11 NO
Wad I I I
AV*#*Vbn[neWCvTr"
IA10
Vaterm&In denth
sea main
Addendum to: . City of Edmonds
Right of Way
Permit Application
Submitted by: Harfamne Kingsbury
Ingineerlag Aide .
Vashington Natural Gas
1356-7500 *.X7596
job
�JO
73-ZZ E;ijk3c�ET
V
Ater
-w- U" .
-SS- Swer'
.& Vater bydrant
0 vater valve
Washington Natuml Go Company
1122 75th Stmet &W.. EveMt. Washington 98203. (206)3S5-3331
Mhdik i
AVAwVVanEneWCO"wv
I,s
Vatermain denth
gas main
Addendum to: City of FAmonds
Right of Way
Permit Application
Submitted by: Marianne Kingsbury
Engineering Aide - -
Washington Natural Gas
0356-7500 .X7596
LX>
�JO C,"TS
Ater
-w- "88.
—SS— sever
-& Ifater hydrant
0 water vidve
Washington Natural Gas Company
1122 75th Street S.W.. Everett. Washington 98203, (M) 355-3331
V" !a Mann
�www%"w
wturifGes`�
AV*ftVbnfrwWCarV"
I'M
.4110
I
Vatermain denth
gas main
Aadiidds to: City of Edmonds
Right of Vay
Permit Application
Submitted by: Marianne Kingsbury
Engineering Aide . ,
Washington Natural Gaa
#356-7500 .X7596
0
�JO C,"TS
Ater
-w- b" .
—SS— sever
-& Water hydrant
0 water valve
Wuhington Natural Gas Company
1122 75th Stmet &W.. Evemt. Washington 982D3, (M) 355-3331
7,77-- :-P
; VTY OF EDMONDS
COMMUNITY SERVICES DEPARTMENT
RIGHT-OF-WAY CONSTRUCTION PERMIT
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A. 0 Owner: GTE NORTHWEST INCORPORATED B. 0 Contractor:
Name
2312—OC WEST CASINO ROAD
Mailing Address
EVERETT, -WTA 98204
City State Zip
e-o
Permit No. �) �
Issue Date Z.4�
Name
Mailing Address
City State Zip
On File 488-1620 Carl S.
2100-2822290 242310 State License Number Telephone Number
e Address or Vicinity of Construction: 32i Suaset Avenue
Type of Work to be Done: GTE �o replace 60 feet of defective cable.
GTE to remove & restore section of sidewalk, Please see attached priat
Work in Connection With: 0 Sub or Plat El Single Family 0 City Projects
0 Commercial 0 Multifamily 2 Utility
Pavement Cut: E] Y a N
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds
harmless from any injuries, damages, or claims of any kind 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 de'fense costs', �court 'costs, and attorney fees by reason of granting this permit.
THE CONTRA(�7,9R_I§ RVPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE
YEAR FOLLOWING THE FINAL I1$9PECTION AND ACCEPTANCE OF THE WORK.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street Oatch is completed
by City forces, at which time a debit or credit will be processed for issuance to the applicant.
t
0 A 24 hour notice is required for inspection; Please call Public Works: 771-3202
0 Work is to be inspected during progress and at completion.
0 0 Street to be kept clean at all times. it".7 FILE
Restoration to be in accordance with City Code. STREL',-
0 Traffic Control to be in accordance with City regulations.
e All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
no exceotionsA I
I understand the.�Wve and that is permit must- be available at the job site for inspection purposes at all times.
Signature:.( . as. Suptzrvisor Date: 10-22-90
%f rpl. "0' wwner or Contractor
TERRY Mf
This Permit Must Be Posted at the Job Site For Inspection Purposes
Call DIAL -DIG Prior To Beginning Work
e,
ISSUED BY: finv PERMIT FEE:
Time Authorized: Void after FFA—=t3 I --T _4ay-& Security Deposit:
Special Conditions:
Receipt No.: —
Fund I I I Fee:
Amendments: Street Cut Dimensions:
x
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. July 1985
FIELD INSPECTION NOTES
(Fund I I I - Route copy to Streef Dept.
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION E] YES El NO
Partial Work Inspection by P. W.:
Work Disapproved By:
Date:
Date:
FINAL APPROVAL BY:
Eng. Div. July 1985
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