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1033 8TH AVE N.PDFIIIIIIIIIIII 8629 1033 8TH AVE N ET FILE City -of Edmonds W RIGHT-OF-WAY CONSTRUCTION . PERMIT Permit Number: la f.s Issue Date- - —W A. Address or Vicinity of Construction: 1033, 1035, 1036 8 Ave N (9404592 ) j 8 9p 19 () Q5 B. Type of Work (be specific): Install 2" PE IP Main EIDi in 8 Ave N. - from 181S to 2121S centerline of Brookmere Dr. C. Contractor: Washington Natural Gas Company Mailing Address: 815 Mercer St Seattle WA State License #: 98111 i D. Building Permit # (if applicable): Contact: Frank Swan Phone: 224-2278 Liability Insurance: Bond: $ =' Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project ❑x Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: l•-t\ f c.y'"1 7 F. Pavement or Concrete Cut : Yes ❑No G. Size of Cut: 1 (2 x13) H. Charge $ APPLICANT TO READ A D SIGN INDEMNITY: Applicant understands and by his signature to this application, agrees t he City of Edmonds harms from ltjuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be m de ainst the City of Edmore of� Cgfitta departments or employees, including or not limited to the defense of any legal proceedings including defense c ts, and attorney fees by real n o • nting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP 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. Construction drawing of proposed work required with permit application. A 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. I have read the above statements and understand the permit requirements andifie pink copy of the permit will be available on site at all times for ' •spection pur oses. NQ Signature: Date: April 12, 1994 (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVEDBY: W\T Gv t "f RIGHT OF WAY DEPOSIT TIME AUTHORIZED: VOID AFTER J� ry Z DAYS DISRUPTION FEE/FUND 11-1r,. SPECIAL CONDITIONS: PLAN CA-,M Al d RESTORATION FEE: 1—E,t=T V JeS—r ©l^ SKI S727 tr, PERMIT FEE: 30' 00 e A TF- K_ M R % N <2 N tg i1 ;TOTAL FEE: COMMENTS: -DATE: RECEIPT FEE: ISSUED BY: NO WORK. SHALL BEGIN PRIOR TO PERMIT ISSUANCE F.nkrg. I)iv. 1991 FIELD INSPECTION NOTES Comments• Diagram.: (Fund 111 - Route copy to Street Dept.) CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: FALEcCITY 0F EDMOPdDS ,-1-4 Sl° EEC S. DEPARTMENT, ENG I NEER I N4 VISION =Ml. THIS PERMIT MUST BE AVAILABLE.AT THE JOB SITE FOR INSPECTION PURPOSES Applicant to Complete Parts A and B AA~' ` . Permit to be issued to,: ISnh • ��1�/''� For Work at :(address or vicinity) / O 3� Type of Work to be done: 6? ( SCl e (attach drawing when applicable) Time Required -- Start Finish: Owner: Sv e ,%- Name Mailing Address City State Zip Contractor: iS A f-i A(_ ( I w Name a lye e 6 - U- Mailing Ad Iress 1PI)"I C s ro L City State Zip Telephone Number 2--3 - o +- State License Number fY 2- -_t 3 / 7 Telephone Number B. 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, foreseen or unforeseen, that may be made against the applicant or the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year following the final inspection and acceptance of the restoration by the Engineering Division. Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at which time a debit or credit will be processed for issuance to the applicant. Work is subject to inspection and restoration in accordance with City Code. A 24-hour notice is required for inspection by Engineering. Call 775-2525, ext. 220. I understand that this permit must be available at the job site ,for inspection purposes at all times. Signature: Date: Owner'or Agent TO BE Date COMPLETED Y ISSUING AGENC"• Issued :42 77 Permit Security Bond: - /�ol't-e— ?h Time Authorized: ---?' 0 No. :7 7-271 Fee: Jar o� ,i vftC1 -- - 10_771i, /Roi,tcn,ll PPROVED B / Date 4 CITY OF EDMONDS LIc40KS DEPARTMENT, ENGINEER4AIVISION STREET FILE, APPLICATION FOR RIGHT-OF-WAY CONSTRUCTION PERMIT THIS PERMIT MUST BE AVAILABLE AT THE JOB SITE FOR INSPECTION PURPOSES Applicant to Complete Parts A and /B A, Permit to be issued to: (Soli /JA/b,•%. _ For Work at:(address or vicinity) 10311 t9 Type of Work to be done: 6, Seu, P (attach drawing when applicable) Time Required -- Start: Owner: &e, Ile,, e i- Name Mailing Address Finish: 3 0 Al - City State Zip Telephone Number Contractor: !?e b f7 /e( l # Name N.1 )L I e v (y. - 0- w , Mailing Ad ress City State Zip .State License Number Telephone Number B. 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, foreseen or unforeseen, that may be made against the applicant or the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, court costs,. and attorney fees by reason of granting this permit. Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year following the,'final inspection and acceptance of the restoration by the Engineering Division.. Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at which time a debit or credit will be processed for issuance to the applicant. Work is subject to inspection and restoration in accordance with City Code. A 24-hour notice•is required for inspection by Engineering. Call 775-2525, ext. 220. I understand that this permit must be available at the job site for inspection purposes at all times. Signature: e CC Date: Owner or Agent TO BE COMPLETED YISSUING AGENCY: Date Issued:/42 77Permit No.:77-r77/ Fee: Security Bond: 4-'o/?� %(ei--,, C/ Time Authorized: ---? 0 PPROVED B / Date :11���717 1n-771v (Revised) r p ! STREET FILE O . CITY of E"Mw 4).s Civic Center • Edmonds, Washington 98020 • Telephone (206) 775-2525. Office of the City Engineer July 29, 10,76 Resident 1033 8th Avenue N. Edmonds, 1!ashington 08020 SUBJECT: Concrete York in Public Pinht-of Dear Resident: It has been brought to our attention that some concrete work adjacent to your residence is being done in the public right -of -gray. In order to insure public safety and integrity of the street imr)rovements, a permit is required from the City offices for work-in the right -of -ray. Please make application as soon as possible for such a permit along with explanation of the work you propose to continue. Yours very truly, CITY 0 EDP OPlDS RICHARD H. ALLEN Assistant City Engineer RHA:mjr 11 .,c 111) PLAl FOR SV`�N HEI REN The east 133 feet of Ah, vi'c'st 620 feet of the south' half of the southwest quarter of the northeas': quarter --- of the northwest quarter of Section 24, Tminship 27 North, Range 3 East, W.M. EXCEPT the south 150 feet thereof. r) r L I v DENNIS HUSTON ANTHONY MANZO 487 HAROLD SH i PiAA N w w 0 0 A d' !91 111000 .0 cr 0 w Q w 12 Vt w w co 0 0 B (D 6 \0' 0 I G504' -. - - - , - — -I T l7t- - , - , - - (— /&, s To I I K . 1 0 1 A y -r-r L7- L) 0 9 SARA JOHNSON LO 30' SW Corner of SW 1/4, NE 1/4, NW 1/4, SECTION 24 w z 0 ul co 1) I A NIQ 117 t\ i 1-1 /-\ 1 .4 -) L- 1 -4 BROOKMERE DRIVE' A r,\ r t% I L/L/l i I*-,,lINi RUSSELL BRADLEY ) --yr-% I- L- /-\ 11 1 L7- Lr JAMES NICKLE T- r*,N,l A r%r,% L•L JAMES SCHEND 30' 64791 1 G4791 CASPERS STREET CITY OF EDMONDS - SIDE SEWER PERMIT WATER -SEWER DEPARTMENT PERMIT Call 775-2525 for side sewer inspections BEFORE covering any Portion of the construction. Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections. ADDRESS LOCATION OF CONSTRUCTION ....... 1033 - 8th Avenue North .............. ..................................................................................... . ....................................................... PROPERTYLEGAL DESCRIPTION ......................F..A .................. ........................................................................................................... ...................................................................................................................................................... .................................................... .................................................. ---------------------------------------------------------------- OX-*WER,?k_1%M/OR BUILDER ..... CONTRACTOR'S NAME & ADDRESS-_.--_.._-_ Bob Min BacIdjoe Permission Is granted -----------e -- - ------------ 197�._, for re r connection Of aside sewer to e S---an In accordance with City of Edmonds ordinances. pal and 0 ec s! e se e the city sanitary sewer 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. an R Permit obtal from the City Engineer's office. NOTE No. 3--Obtain full information regarding Ordinance 11.1 .030 NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way nable NOTE No. 4 6 d Regulations governing side sewers when you get permit. —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 Y8 will be permitted. NOTE No. 5—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. 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. DISAPPROVEDp Date-_,-`------, ------------------------- BY-----_--------- Date ............... ------- BY ---------------- Date ............... . ................ BY ---------------- APPROVED Date -% --- -------- ---_--_------ By---- --- - ------ Remarks: .......................................................... ..................................................................... . ........................................................................................................................................................................... ......... BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection 3 .... ................................................. (0 ............... ... I hereby certify that the 'side sewer installation constructed under this permit er ti Contracting Firm Performing Construction) was installed in accordance with all governing ordinances of the City of Edmonds. Dated this ---------- 11-.�....... day of ............................ gt ........ _., 19. v �/ Check BEFORE you dig for: Water Gas Telephone E], Power E], Sewer Other 0 Am APPLICATION The City of Edmands for f SIDE SEWER PERMIT EASEMENT NO. -------------------------------------------- NEW CONSTRUCTION REPAIRS LID NO. ............ ASMT. NO . .................. OWNER ...5P-It6t ........ 11CIlee I' CONTRACTOR. ---- . PERMIT NO. ------------------------ ............... ----------------------------------------------- JOB ADDRESS --- /0-33 ---------- 0 -- — ------ ....... d/ ------------------- LEGAL DESCRIPTION: LOT NO. -------------------------------------- BLOCK NO - ------------------------------------ ................................................. - ------------ ....................................... ----------------------- ........... :.NAME OF ADDITION ------------ -------------------------------------------------------------- ------------------------------------------- FEB 2 6 1976 Public Vt'ufxs mep;- C Approved: DATE............................................ BY ............ ............................................... APPLICATION The City of Edmonds r-l; i-, - for EASEMENT NO. ............................................ SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS ❑ LID NO. ------- ASMT. NO ................... ...... --------------------------------------------- CONTRACTOR ---- OWNER ----- E---. t--A ............ -------------------------------------------------------------- ... PERMIT NO. '� E JOB ADDRESS .... ... = . ...... t4 - ---------------- LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO- .................................... Sf 0 • ....................... ...................................................................................................................................... NAME OF ADDITION ------- ...... tzh—, V--=.CZ:O ................................................. Approved: DATE ------------------- ----------- B� �y ...... BFU30K ME RE DR Z" SHORT STOPPER IIBIS t4 ITW(P-- 2' TR-IN5VTION R'RING 20'5 4-- 1, 1-r ' W (t-- II FA LJ Q Q rn m 60 ' I RI►'V ff WF 501 Ul 'N ml i - 44 MI6) �I BROOKMERE w DR. =1 1 ---€X I" 5TVJ IP I 17' S CCP) T.6 9 .'i"7_s h W1 C\J u1I Q v► 008 Ozg PROR Z"SOR-II PE IP MRINI 17' W T-- EX : I S' ESMT_ - I G l7 ` - 4 1 1 Y Y `� FIELD L(0G NO. I DESCRIPTION I DATE I BY I APP'D REVISIONS NOTES: EDMONDS 1.) FIELD LOCATE ALL UTILITIES CALL 1-800-424-5555 48 HOURS BEFORE DIGGING 2.) INSTALL LOCATING WIRE OVER ALL PE DIRECT BURIAL PIPE 3.) INSTALL A ONE POUND ANODE FOR EVERY 1000' OF LOCATING WIRE 4.) SURVEY IS NOT REQUIRED 5.) MAINTAIN A MINIMUM OF 5' HORIZONTAL AND A 3' VERTICAL CLEARANCE FROM ALL CITY UTILITIES AND APPURTENANCES 6.) a TSjK PAVING ME SHOWN AS 7.) 0 CUTS ANTICIPATED 8.) COMPLETE EXPOSED PIPE CONDITION REPORT WNG FORM 1563.13 (D-1) 13 I ' r 2" PF- CAP - --- — -- 52 ew _ 1 TEST_LEAD BOX C7-W IRZEI 50- 30-T 7 10' 410 TF-ST LEAD W IRE a5- 5130 I z"YRAI�S1T10'�1 >=1if1(V� _ 78= 8C50 1 Z"SHOR-T STOPPE,- H I l90 Z C� 743 195 it 14 GAUGE - DETEGT WARM. WIRE a5 340 1%5 .9- FIRE 170 S-70CKNO BILL OF MATERIAL. PERMITS EDMONDS 1 .'4 SE'I N V\1 24 • 7-7- 3 Ex ES MT_ — °! AT IGZ- GG - -- OP MAP I GO - 62 ® AREA- 21 1 TAX CODE 1t " SEO NO Pa$ii�"c� �� A v•rasrxr,!cn D G R: ' 1 r ��4 PROP_ 2" 5DR-11 PE IP MAIN EXT. -To: io3s a AVE lV. DWN DIKON 04 PR --- --- 340 4532 iJ03 CHK'D' ,-P\ —I:�>; //-- DRAWING -- -- ,� - 3404592— SCAL F.