22328 100TH AVE W (2)iiiii iiiiii15577
22328 100TH AVE W
NOTICE-
f�'o... )v.a r.ra n . y...
o ...a-c-a-r
The information shown on the attached
iced for use by the City o
map(s)was compiled
Edmonds,; its Emp loyees and Consultants.
T11:e City
of Edr .onds does not warrant the
� accuracy
of an thing set forth on these
Map(s'_). A person or entity -requesting a
�
copy should conduct an independent
it ardng the inforrn'ation shovvn c
a nq uy re g
.._fie -nna s , including, but not limited to,
the
location of any sewer stub shown, Su(
se
werstubs may or may, not exist andmae
or may not exist at the location shown.
N e ith er the Cit° of Ec monds nor its
_� ... _ h �li be I..ia.b.l..e for t
e rn p o-ye e-S o r o f�f-i-Ce-rs .s... a. .
Information giVen on this rnap(s), nor for
any one represe
rotation provided based
.
upon'sadn�� sa
y p
-"CITY OF EDMONDS
CIVIC CENTER — WATER -SEWER DEPARTMENT Call Prospect 0-1107 when work (�
is ready for inspection. (No inspec-
SIDESEWER PERMIT `ions Saturday. Sunday or hondays. ) ,�o 2021
ADDRESS ............. 136 4--..-X=--2 th.-Avlenue---South----------------------------------------------------.
OWNER ----------------Startand Potter CONTRACTOR- BEM Contractors
-------------------------------------
Permission is granted . ----- Ap-r-il---14............... - 19...6.7 for ------------------------ days to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
1 ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. 1—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 side sewer In street area. Do not cover any portion of sewer before it has been inspected.
NOTE No. 2—Obtain full information regarding Ordinance 11.16.030 and regulations governing side sewers when you get permit.
I NOTE No. 3--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. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to improper work which may develop within one year of completion.
NOTE No. 5—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 appur-
tenances except to Insert the pipe into the wye.
>V.
0
- APPLICATION
^a for
The City of Edmonds SIDE SEWER PERMIT EASEMENT No ...........................................
4ME W CONSTRUCTION ❑ REPAIRS ❑
1 0 "r SIS
OWNER 1...��1.-U... �. -PQ 7.2- � --• --. CONTRACTOR ----- —--...--'..!!-. TfI.-.C/...0 �!ef..... PERMIT No. ��.-z�....
.ADDRESS .. ........... '---�Q.Q.n) LEGAL DESCRIPTION: LOT No . ............................. ............... BLOCK No. ............................
223.2 S ID 0, 7N 1I/EST NAME OF ADDITION .....-.� ..1 .0.-y-.%}..1 ..........
,s `���e •ham � %� .�-
Approved:
DATE ..... L..1! I7..� `..J... By .... :e':.! ..... An—/.........................
i . -•.. .,.. •� r,�T..,-�• ter,,.!' `<.:,. K,.�..pti.,.--Jw...1r1 ""'-h4.i�i.r z:J%s^r�r r.... .��r�i-V%"``'r.:wrf"�ja a,(,.a-„•,'',^-��•.,.,,�-e�"1,,,:h.,-1.,+v'''1:i ems,. 2,.�:�.
,CIT1.OF EDMONDS
41
RIOGHTARTMEN UOF WAY CONSTRUC ION PERN>TI' REE7 FILE
A. • Owner: xWashington Natural Gas Co B. • Contractor:
8a1T 156 AV NE
Mailing Address
Bellevue, WA 98007
City State Zip
• Address or Vicinity of Coi
Type of Work to be Done
n
Permit No. Q
Issue Date lo- %=99
Same
Name
Mailing Address
City State Zip
4471A 700
State License Number Telephone Number
Work in Connection With: ❑ Sub or Plat ❑ Single Family ❑ City Projects
F., ❑ Commercial ❑ Multifamily C�( Utility
QPavement Cut: ❑ Y ❑ N
U
a APPLICANT TO READ AND SIGN
a
Q 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
wof any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit.
H
a THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE
0 YEAR-F'OLLO-WING,THE:_EINALwINSi'ECTION,AND:A�CCEPTANCE.OFTHE_WORK.__ ;
U Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed
m 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 Public Works: 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.
a
O
W
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w
I understand the above and that this permit must be available at the job site for inspection purposes at all times.
Signature: Date: 10 / 3 / 8 8
Owner or Contractor
This Permit Must Be Posted at the Job Site For Inspection Purposes
Call DIAL -DIG Prior To Beginning Work
ISSUED BY: `—'/ r / •y`f'%r-�� 00
PERMIT FEE:
Time Authorized: Void after days. Security Deposit: (`
Special Conditions:
Amendments:
Receipt No.:
Fund III Fee:
Street Cut Dimensions:
X =
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. July 1985
FIELD INSPECTION NOTES (Fund III - Route copy to Street'Apt.j
Comments:
A
Diagram:
CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY:. Date:
Eng. Div. July 1985
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PLEASE INDICATE BELOW IF YOU WISH TO SPEAK ON THE FOLLOWING ITEM:
Item 8 HEARING ON TRAFFIC CONTROL PROPOSALS FOR 9TH AVE. S. BETWEEN
MAIN ST. AND EDMONDS WAY
Name (Please print clearly)
KA,
ehiv eel hi4i),
Address
F b e-
:5�
CY
),j its
16 / 3 f XV-70A 400� . SC-4
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