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18324 OLYMPIC VIEW DR.PDF11111111111111 12544 18324 OLYMPIC VIEW DR &b. - ST EL BILE USE PERMIT CITY OF EDMONDS ZONES-� 2 NUMBER.9?3 CONSTRUCTION PERMIT APPLICATION Do OWNER NAh1E/NAME OF BUSINESS ADDRESS 1 6� ,0�%YWI G VIEW p9i SUITE Mawm,1 •a / LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID ry — Z MAILING ADDRESS ILjIJN��G •O� �_ AD,DR SS y� O l✓ ��t I4 'PIZ I PUBLIC RIGyyT Cf WAY PER OFFICIAL STREET 11yy��P. TESCP Approved CITY ZIP TELEPHONE NUMBER /_�hl RW Permit Required Eo. / � -w> A 0.A 11 y�' /' /� /11 EXISTING j_ 1L�1� REOUIR/ED�DICATION Sheet Use Permit Req'tl FYYJJ�J M /��/JL'� (y/h '(/N// I /Ww•L (V/f PROPOSED /� Inspection Required NAME �7, ��� Sidewalk Required FAREMARKS / I,` Lu ADDRESS �'N� �14A',/ �,O TIaYL/NG 41l CITY ZIP TELEPHONE NUMBE ejwjg 6%,w& • Dlw (s NAME / lw,� —A�•` !iV �' �J C EN MEMO DATED �v�� f REVIE_ W 8Y cc ADDRESS V ��- METEP_Sl E // BUILDIN -SU!'�PPLY SIZE N0. OF FIXTURES CITY ZIP TELEPHONE NUMBER •iJCfJ7/ 07- 7, W REMARK n / STATE LICENSE NUMBER EXPIRATION DATE '/C` SIGN. AREA . SEPA REVIEW E)B NO. Legal Description of Property - include all easements ALLOWED PROPOSED COMPLETE EXEMPT // w)T $ ax 7 T-or-: SE L)a X SH SHPRELiNEE a EXP'' ~ 0 �� U A VARIANCE OR CU * I U¢ ✓1 • � ` W.•i •�l/` �I , t� Ew BY*VE AT� Lu a= / SETBACKS =FEET, p�(Z w .;HEIGHT LOE. Tax Account r- Parcel No LAh NEW ADDITION REMODEL REPAIR DEMOLISH GARAGE CRRPBRT NUMBER OF �j� A, � `FRONT �: SIDE 8�1 �' REAR `�� "4-(�! •� REMARKS , V1W RESIDENTIAL PLUMBING aCOMMERCIAL MECHANICAL ' APT. BLDG.= SIGN' OR D FENCE CHECK D BY TYPE OF CON§TRYCTION CODE CVDS ` ( s x °�FT) WOODSTOVE i J SWOMICOL t .' SPECIAL:INSPECTOR `' AREA 'OCCUPANC INSEgT �}HOT,TUB/Sf1t . ; . �'t REQUIRED GROUP, e # ❑YES ti ®RETAINING WALL/ 4• RENEWAL MARKS.. ?SSOFLAVTY)EXPC IN �Y'' . .r PROGRESS INSPECTIONS'PER UBC'305 7. NUMBER'OF CRITICAL:,.-, , �il/!/�(� `: L� l {'V�.�G(� �l� y l DWELLING ` AREAS ���� UNITS-' r .,•1'- ,�.. NUMBER;a�Ll�/� pcar.Rlac wnRK TO 6E DONE (ATTACH PLOT jpLAN),`' ` "• ` .y . ' ;_ ' �'v v+C'�� •• ,FINAL.INSPECTION�REQUIRED New I•M ,6, FWIL., I• bit• di W1 ` T ,EC,% . r , �O 'Q+71' ipa�V �/F���!pltic//{�.� PLAN CHECK FEE BUILDING %. HEAT SOURCE' /(�/ /�� ,cry GLAZI G % ; ��1I31 �/ Vr� PLUMBING %•.m Plan Check No. "� ii= MECHANICAL This Permit covers work to be done on private property ONLY. aRADINGIFILL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days Permit Limit: 1 Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE "Applicant, on behalf of his or her spouse, heirs, assigns and ENO. INSPECTION FEE successors in interest, agrees to indemnify, defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of whatever nature, arising directly or indirectly from the issuance of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT modify, waive or reduce any requirement of any city ordinance h CI ' f x nor Imlt In any way t e ty s a Ity to en orce any or nonce TOTAL AMOUNT DUE provision." I hereby acknowledge that I have read this application; that the information given is correct; and that I am the owner, or the duly ATTENTION authorized agent of the owner. 1 agree to comply with city and THIS PERMIT state laws regulating construction; and in doing the work authoriz- AUTHORIZES ed thereby, no person will be employed in violation of the Labor ONLY THE Code of the State of Washington relating to Workmen's Compensa• WORK NOTED N 1 ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC INSPECTION DEPARTMENT CITY OF EDMONDS CALL FOR INSPECTION 771-0220 . c/ / / ■ 0 a a 3 -9Z—I HEIGHT OCCUPANT LOAD Z z m PIE. N APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his/her Deputy; and fees are paid, and receipt is acknowledged in space provided. OF C /L'S� SIGNATURE DATE �/ RELEASED LW DATE ,D .....----1 u ORIGINAL — File YELLOW — Inspector Ir, - ��,v �. ._ �fr.-,,...r-"'�,f-�n.'�,.,4'•D�yy'q-�.,,•.r•y�4"Liy,�...�;{�.,;`(s'�^''�.+`u'�/3-+,ry.,r•ti"�!ly+"+i•.i 71��•�i`�+Hll�"�•�y''17-+y,..�h�S�S'Y'e�j�P�yY'S"7�14`�'a'(Cyiv��.d':"'Sf'"'M'f�l.w�i��4,fYt`rr•'14"`W7v+•'� -� EDMONDS I CITY OF EDNI �N7 PLANT SIDE SEWER PERMIT �g 90. 199° PERMIT t`VO 8617 Address of Construction: / L , - G Property Legal Description (Include all easements): Owner and/or Contractor: LAC- 4 ez J 62 J i 0/9711 State License No. (�D ` CQBuilding Permit No. 9qQ (04 D Single Family X- C3 Multi -Family (No. of Units ) ❑ Commercial ❑ Public ., I c&4iLy4KatJI have re as indicated on the b * CALL Invasion into City Right-of-Way)No ❑ Yes RW Construction Permit No. LW Cross other Private Property: No . ❑ Yes Attach legal descriptions and copy of recorded easement 7edhal com I.y with all ci requirements Date Permit Card. IAL-A-DIG (1-800-424-5555) BEFORE ANY EXCAVATION OFFICE USE ONLY * FOR.INS�P?ECTION CALL 771-, PUBLIC WORKS DEPT. Permit Fee: `-� © Issued By Trunk Charge:Date Issued:- /5 -��� Assessment Fee: ,�/y �� Receipt No.: Lid No.: Partial Inspection: Date -Initial - Comments Reason Rejected: Date Initial Final Inspection Approved: Dat & 2 Initial ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy: File Green Copy: Inspector Buff Copy: Applicant Revised 3/90 0 F A A w O W z pN Z oa 0z W W c J IJ 7 • - ., +-yy•... yr.. r...,_: ;}.: :.1i...-S,t�.'rl.Zia.p1,;. C. City of Edmonds RIGHT-OF-WAY CONSTRUCTION. PERMIT Permit Number: Issue Date: A. Address or Vicinity of Construction: �)3a�i ���'(� P1 8 9 0 1 9 B. Type of Work (be specific): � � w ,�, N ( 1_3 `( 10,1 \ Qsk ld- CXZL kt C A� L C_1.L 1VC S Contractor: CUy►MVl P V JD•11lcontact: 9M 1AKQA NTo1.)C �-J Mailing Address: \QNE, \4u,-( 1 9 Phone: ( '� 0- State License #: eoml joss W A '9602,ko Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): P E. ❑ Commercial ❑ Subdivision ❑ City Project EX Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family Ix Single Family ❑ Other TT INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut: ❑ Yes 0 G. Size of Cut: x,, H. Charge:$ APPLICANT TO READ AND I/GN INDEMNITY: Applicant understands and by his signature to this application, agrees to ho a City of Edmonds,harm[eas f rn Fnjuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, 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 defens costs, and attorney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAIR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION-IWE, t,WII�L BE HELD UNTIL THE FMAL,S EET PATCH P IS COMPLETED BY CITY FORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE ROCF,S F.D FOR ISSUANCE TO THEAPPL CANT. 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. :, ! 10 M �— I have read the above statements and understand the permit requirements and the pink copy of the permit luill be available on site at all times or inspe ti purposes. 41 Signature: Date: �'�� c1` (Contractor or I ent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY:, RIGHT OF WAY DEPOSIT; TIME AUTHORIZED: VOID AFTER er� DAYS; , , DISRUPTION FEE/FUND,_ 111: _ SPECIAL CONDITIONS: RESTORATION FEE:, PERMIT. FEE: . TOTAL FEE#50 COMMENTS: RECEIPT FEE: DATE: ISSUED BY:.. .1 NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. Div. 1991 FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.) Comments I Diagram CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: II '_ } KIMEMMEMEM �PUBLIC UTILITY DISTRICT; NOA OF SNOOHO,MIISH COUNTY LOCiATION ..--....POLE NO.. REASON .FOR WORK A�Jfl P C•D FO R tD DATE WORK COMPLETED FOREMAN _. FEES REQ'D YES ❑ NO PRIMARY OVERHEAD ❑ RESIDENTIAL ❑ COMMERCIAL LEO# 1 /4 ­ § 13--�T 2 RE1476 V. 7/87 _r ... i-. !..: «. �. :._ j _ 1 _1_ • I. } ..f i... _-.: r_ ' I j i , ! i _ SO G I. AREA \ '. ��,r�. DATE "'I W.O..._NO. 2O "'1� �l \_. - ENGINEER P:�'�C 1 DWG. NO. I O L I -7 13 I I ' — C . ~ Y ~,Mn' DRAFTER U.G. N0. i j j \A SCALE \=�� _1_ -.i... -� -if �V �'._. Q.�GI\��-T L��� +�c i ENVIRONMENTAL ANALYSIS ® EXEMPT ❑ NOT EXEMPT PARA. 18 ITEM C O.H..U.G. COND. KV ADD CO. FT. PH REM CKT. FT. PH /®$ /=$ NET CKT. FT. O.H. U.G. COND. KV SECONDARY OVERHEAD BASIC FEE $ ADD CKT. FT. PH REM CKT. FT. PH - NET CKT. FT. METER/CONY, POLE $ PERMITS (DATE GRANTED) _. PRIMARY. UNDERGROUND ❑ TREE TRIM ❑RESIDENTIAL ❑ STATE ❑ COMMERCIAL ❑COUNTY __BASIC FEE $ CITYEl EASEMENTS ❑ REQUIRED NOT REQUIRED SECONDARY UNDERGROUND - BASICS. �FEE $ S, UNDERGROUND::PLAT:_.:_... - -...:. DATE -RELEASED .' BASIC FEE $ FOREIGN CONTACTS _ 04 _. ❑ GTNW JPN# - - STREET LIGHTING ..; _ T. ®$ $ , =-i -�-:- ❑ CATV ._ : ;.JPN# ❑JOINT TRENCH GTNW &CATV WORK, -IN -RIGHT. OF WAY.: ' Cl JOINT BORE GTNW & CATV ❑ PRIMARY- ❑ _ .. POLE STENCILING P(SEcoNAOARY / FT: ®$__ _ $ FROM TO MISCELLANEOUS FEES' TAKE OFF POLE VAULT $ PRE—CONSTR. REQUIREMENTS " PERMIT$ O ❑ TREE TRIM ❑ PUD LOCATOR DIM A .� . o , aa_ $ U . ❑ BACKHOE ❑ $ ❑ ONE CALL DATE $ # INDEX POLES PLAT TOTAL DUE $ ��J�a, DATE PAID LOGS U-MAP RECEIPT# - Q, XFMR C-MAP NEW SVCE APPLICATION# a,>>q� ' LOCATION MAP PAGE L��LI 1 APPROVED DATE PRINTED SUBSTATION M ��l.�S-J 00� 2c),72.0� a _= CIRCUIT N0. 2 -3 'ZZ) PHASE �,`•/� O V � L.J �.J� �` tom[ \J � � � �:J J ��: S� i-���c7�►,+ po 70 �;l 1�_- ©� y.10 or, Critical Areas Checkli i REET �` V.® Site Information AU6 0 9 1993 Project Name: WAS ��PENCP— Permit Number. P Site Location: 1 2 ' aYMF1&VM Mroperty Tax Account Number: 0404 Approximate Site Size (acres or. square feet): i5, w J .,:m•ifi- Have you filled out a Critical Areas Checklist for a project on this site before?O General Site Conditions 1. Has the site been cleared or logged? ` Date of most recent action: Soils / Topography 2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? 3. Describe the general site topography. Check all that apply. 'Sow60AM �g Flat: less than 5 feet elevation change over entire site. ✓ - Rolling: slopes on site generally less than 15% (a vertical rise of 10 feet over a horizontal distance of 66 feet.) V Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10 feet of horizontal distance.) Steep: grades of greater than 30% present on site. Comments Hydrology/Vegetation 4. Site contains areas of year-round standing water: 5. Site contains areas of seasonal standing water. Approx. Depth: 6. Site is in the floodway fLO floodplain 90 of a water course. 7. Site contains a creek or an area where water flows across the grounds surface? !y flows are year-round? Flows are seasonal? L142U p*_¢ !�:P(157PV6 8. Site is primarily: forested ; meadow ; shrubs ;mixed 9. Obvious wetland is present on site: 10. Wetland inventory or map indicates wetland present on site: 11. Critical Areas inventory or map indicates any Critical Area on site: Y For City Use Only TUDY REQUIRED: Critical areas study is required. CONDITIONAL WAIVER: Critical areas study not required if specified conditions satisfied. WAIVER: Critical areas study is not required. r�,C� 2 Determination Number. l r Reviewe Planner Date'. Rev 3n7/9z.......I. I........ I. ... I....... . City of Edmonds Critical Areas Determination Applicant: Mark Wagner Determination #: [CA-92-115 Project Name: Permit Number: Site Location: 18324 Olympic View Drive Property Tax Acct #: 5656-002-008-0004 Project Description: Waiver Criteria (all criteria must be found to apply): XX There will be no alteration of the Critical Area or its required buffers; XX The development proposal will not impact the Critical Area in a manner contrary to the goals, purposes, objectives and requirements of the Critical Areas ordinance; XX The development proposal meets the minimum standards of the Critical Areas ordinance; XX The above findings are based on the following conditions of approval: L. The applicant _must follow the requirements of the Building Official for construction on steep slopes 2. The applicant must follow the requirements of the Engineering Division for erosion control Based on the above findings and conditions, the requirement for a Critical Areas Study associated with this development permit is hereby Waived, as authorized by Chapter 20.15B.150 (B) of the Edmonds Community Development Code. Awo Q )� _ -71glq 2- Name Signature Date L N ' / G v STREET FILE H3lNnoo lIWU3d c6a 6 o o nd ®3AI303H STREET FILE R A Y E R NST A R C H I T E C T August 16, 1993 Robert J. Alberts, P.E. City Engineer City of Edmonds 250 - 5th Ave N. Edmonds, WA 98020 RE: Request for Driveway Slope Waiver Wagner Residence 18324 Olympic View Dr. Plan Check No: 93-137 Dear Mr. Alberts, This letter is a request for driveway slope to exceed the 14% maximum grade required by the City of Edmonds. Site conditions and height limitations imposed upon this site necessitates this request in order to construct an attached garage within the setback limits. We have held the garage elevation as high as possible to minimize the driveway slope and run. The majority of run would meet the 14% grade requirement with a short run up to 20 feet in length which may need to be up to 20% grade. Respectfully yours, Ray Er st Property Owners: 1 a��•�e Suzanne Wagner 755 BELLEVUE AVENUE EAST SEATTLE, WA 98102� 206 324-2166 I8%� 3AI80 A31A OIdWAIO 0 �� Qo 3s � STREET FILE I -lj OOT�B%89� 3 00-SS- -- 1S11 -- 96 C�� _f aF 1 Vb �E 'n a0 i 1 — — Zb ( a 1 1 , Ob b 1 LL Go.R/S NI P O1 W I1 ..p. N I 0 V U p� 3 c J d 1 w o N I--H z� O F44- fn n n aovv lu + + + IL OL � �1"33� Nm'�tn M M`D VC�m> A . . I I —1 V la Dot VI fib F LO N d 1 D� n A .LL 1 q� 1- z 1 I 92 1� — 1 � 1 y m v z m 1 ' N O m 1 '-10 5/ N N m 1 z m I 90 - 1 � 1 > q4 I 1 (P- C7 q6-,EAST -55-00 E 68-Ir3-FT / OLYMPIC VIEW DRIVE 100 STREET FILE R A Y E R N S T A R C H I T E C T October 25, 1993 Robert J. Alberts, P.E. City Engineer City of Edmonds 250 - 5th Ave N. Edmonds, WA 98020 RE: Request for Storm Water Detention Waiver _Wagner Residence __ ___ % 18324 Olympic View Dr. 1> Permit No: 930685 Dear Mr. Alberts, RECEIVED 0 C T 2 9 1993 ENGINEERING The Wagners have obtained approval from Burlington Northern Railroad to extend their surface water drainage lines over BNRR property for direct release into Puget Sound and request a waiver from storm water detention requirements as would be required if they wished to discharge into public storm water system located uphill in Olympic View Drive. The system as designed by United Pacific Engineers, Inc. will incorporate a catch basin in the driveway for oil/water separation, tightline connections from roof downspouts and exterior surface drains, connections from foundation drains all collected and carried via 4" diameter drainage line to discharge at toe of slope into existing BNRR culvert system. Respectfully yours, FA rn 755 BELLEVUE AVENUE EAST SEATTLE, WA 98102 (206) 324-2166 i STREET FILE "ceiv., O C T 0 8 1993 M" NORTHERN AER�IT CQuA'TT RAILROAD COUNTER ER RIGHT-OF-WAY OCCUPANCY PERMIT NO.,PX93-16216 THIS AGREEMENT made this 15th day of SEPTEMBER, 1993, between BURLINGTON NORTHERN RAILROAD COMPANY, a Delaware corporation, hereinafter called "Burlington" whose post office address is 2000 First Interstate Center, 999 Third Avenue, Seattle, Washington 98104-1105, and MARK AND SUZANNE WAGNER whose post office address is: 18324 Olympic View Drive Edmonds WA 98020 hereinafter called "Permittee," WITNESSETH: Burlington, for and in consideration of the fee herein provided to be paid to it by Permittee and of the covenants and promises hereinafter made to be observed and performed by Permittee, does hereby grant to Permittee license and permission to excavate for, construct, maintain, and operate a four (4)-inch polyethylene drainage pipe coming onto the east side of Right-of-way and ending at ditch. Pipe to be properly suge ported on slope per clamp detail and pipe should end short of centerline of ditch. Pipe should teed at end near ditch to dissapate water, hereinafter referred to as the "Facility," upon the right-of-way of Burlington or underneath the surface thereof of Burlington's track, as the case may be, at or near EDMONDS, in the County of SNOHOMISH, State of WASHINGTON, to be located as follows, to wit: Line Segment: 0050 Survey Station: 1128+ 06 Milepost: 19.43. Permittee in consideration of such license and permission hereby covenants and promises as follows: 1. Permittee will pay'in advance to Burlington for this permit the sum of THREE HUNDRED DOLLARS ($300.00) for the first TEN (10) year period hereof and ONE HUNDRED FIFTY DOLLARS ($150.00) for each subsequent TEN (10) year period that this Permit remains in effect and Permittee will also pay or reimburse Burlington for all taxes and assessments that may be levied or assessed against said Facility. Burlington reserves the right to change the fee on future Permits at anytime without notice. This provision shall in noway affect Burlington's right to terminate said Permit pursuant to Paragraph 10 hereof. Either party hereto may assign any receivables due them under this Agreement, provided, however, such assignments shall not relieve the assignor of any of its rights or obligations under this Agreement. R/W occupancy Permit r- f 'Q- w�, •�.4"f"j*'- r�"' x .4 •' Sd,M { •t�`,n? `�� e s `_ tt +,,,, rr i�qr. tea•. °.q. j �""��,t t. stc �:'": Y.?.: �` r"Ye, 2. Permittee, at Permittee's sole cost and expense, shall excavate for, construct, reconstruct, maintain and repair said Facility, placing same in accordance with the specifications provided in application dated 01 /05/93, heretofore approved by Burlington's Division Engineer. Permittee shall fill in the excavation and restore the surface of the ground upon which the Facility is located to its previous condition subject to the approval of the General Manager of the Division of Burlington upon which the Facility is located. Said General Manager shall have the right at any time when in his judgment it becomes necessary or advisable to require any material used in the work to be replaced with like material or with material of a more permanent character; also to require additional work or change of location of said Facility as a matter of safety and/or appearance, or on account of additional tracks being laid, change of grade thereof, construction of a building, or for any other reason whether or not connected with the operation, maintenance, or improvement of Burlington, all of which shall be done at the expense of Permittee in the manner herein provided. 3. Permittee shall give to the General Manager at least two (2) days advance notice of any work to be done by Permittee in the excavation for, construction, reconstruction, maintenance, repair, change of location, or removal of said Facility, and shall conduct said work in such a manner as not to interfere with the maintenance and operation of Burlington. 4. In the event that Burlington, at the request of Permittee or any agent or contractor of Permittee, or for the protection of its property and operations, performs any work, furnishes any material or flagging service, or incurs any expense whatsoever on account of the excavation for, construction, reconstruction, maintenance, repair, change of location, removal of the Facility, or otherwise, Permittee shall reimburse Burlington for the cost thereof within twenty (20) days after bills are rendered therefor. If the excavation for construction, any reconstruction, maintenance, repair, change of location, or removal of the Facility requires any or all of the following work: removal and replacement of track, bridging, protection of track or other Burlington facilities by work or flagging, engineering, and/or supervision, such work is to be performed by Burlington employees and the cost borne by Permittee. 5. (a) Fiber optic cable systems may be buried on Burlington's property. Permittee shall telephone Burlington's Communications Network Control Center at 1-800-533-2891 (a 24 hour number) to determine if fiber optic cable is buried anywhere on Burlington's property to be used by Permittee. The Communications Network Control Center will contact the appropriate personnel to have cables located and make arrangements with Permittee as to the protective measures that must be adhered to prior to the commencement of any work on Burlington's property. In addition to the liability terms elsewhere in this Agreement, Permittee shall indemnify and hold Burlington harmless against and from all cost, liability, and expense whatsoever (including, without limitation, attorney's fees and court costs and expenses) arising out of or in any way contributed to by any act or omission of Permittee, its contractor, agents and/or employees, that cause or in any way or degree contribute to (1) any damage to or destruction of any telecommunications system by Permittee, and/or its contractor, agents and/or employees, on Burlington's property, (2) any injury to or death of any person employed by or on behalf of any telecommunications company, and/or its contractor, agents and/or employees, on Burlington's property, and/or (3) any claim or cause of action for alleged loss of profits or revenue by, or loss of service by a customer or user of such telecommunication company(ies). 6. In the event any cathodic electrolysis or other electrical grounding system is installed in connection with the Facility which, in the opinion of Burlington, interferes with train signals in any way, telephone or telegraph lines, or other facilities of Burlington, Permittee, upon being informed by Burlington of such interference, shall forthwith discontinue operation of and remove said grounding system, or take such steps as may be necessary to avoid and eliminate all such interference. Permittee further agrees to indemnify and save harmless Burlington from and R/W Occupancy Permit against any damages, claims, losses, suits, or expenses in any manner arising from or growing out of interference with the signals, telephone, or telegraph lines of Burlington by the operation, use, or existence of any such grounding system. 7. Permittee shall and hereby releases and discharges Burlington of and from any and all liability for damage to or destruction of said Facility, and any other property of Permittee located on or near Burlington's premises, and shall and hereby assumes any and all liability for injury to or death of any and all persons whomsoever, including officers, employees, and agents of the parties hereto, and loss of or damage to property to whomsoever belonging, including property owned by, leased to, or in the care, custody, and control of the parties hereto, in any manner arising from or during the excavation for, construction, reconstruction, use, maintenance, repair, or removal of said Facility, however such injury, death, loss, damage, or destruction aforesaid may occur or be caused, and shall and hereby does indemnify and save harmless Burlington of and from any and all claims, demands, suits, actions, damages, recoveries, judgments, costs, or expenses arising or growing out of or in connection with any such injury, death, loss, damage, or destruction aforesaid. Permittee further agrees to appear and defend in the name of Burlington any suits or actions at law brought against Burlington on account of any such personal injury or death, and loss and damage to or destruction of property, and to pay and satisfy any final judgment that may be rendered against Burlington in any such suit or action. THE LIABILITY ASSUMED BY PERMITTEE SHALL NOT BE AFFECTED BY THE FACT, IF IT IS A FACT, THAT THE LOSS, DAMAGE, DEATH, OR INJURY WAS OCCASIONED BY OR CONTRIBUTED TO BY THE NEGLIGENCE OF BURLINGTON, ITS AGENTS, SERVANTS, EMPLOYEES, OR OTHERWISE TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW; PROVIDED, HOWEVER, THAT PERMITTEE SHALL HAVE NO OBLIGATION TO ASSUME SUCH LIABILITY TO THE EXTENT CAUSED BY THE NEGLIGENCE OF BURLINGTON OR ITS EMPLOYEES OR AGENTS WHERE ASSUMPTION OF SUCH LIABILITY WOULD VIOLATE WASHINGTON LAW (RCW 4.24.115), OREGON, IDAHO, OR THE PROVINCE OF BRITISH COLUMBIA LAWS. 8. Permittee shall not transfer or assign this Agreement without the written consent of Burlington. 9. Nothing herein contained shall imply or import a covenant on the part of Burlington for quiet enjoyment. 10. It is expressly understood and agreed that Burlington may at any time cancel and terminate this license and permission by giving to Permittee thirty (30) days written notice of its intention to cancel the same and at the expiration of such notice this license and permission shall terminate. Upon receipt of such notice and before the expiration thereof, Permittee, under the supervision and direction of the said General Manager, or his authorized representative, shall remove said Facility from the right-of-way of Burlington and restore the right-of-way and premises of Burlington in a manner and to such condition as shall be satisfactory to said General Manager. If Permittee fails to remove the Facility and restore said right-of-way to such condition within said thirty (30) day period, Burlington at its option may remove same and restore said right-of-way to its previous condition, and Permittee shall pay TO Burlington the cost and expense thereof. 11. Upon any failure of Permittee to punctually and strictly observe and perform the covenants and promises made herein by Permittee to be kept and performed, Burlington may terminate this Agreement on ten (10) days notice to Permittee, remove said Facility, and restore said right-of-way to its previous condition at the cost and expense of Permittee. R/W Occupancy Permit 4 12. In the event of Permittee's removal of the Facility from Burlington's premises, Permittee agrees to terminate said Agreement by notifying Burlington's General Manager in writing of Permittee's removal of Facility and termination of said Agreement within thirty (30) days from date of removal of said Facility from Burlington's premises. Any notices given under the provisions of this Agreement shall be good if deposited postpaid in a United States post office addressed to Permittee at Permittee's post office address above stated or as otherwise directed by Permittee. 13. Any notice given under the provisions of this Agreement shall be good if deposited with the United States Postal Service addressed to Permittee at Permittee's post office address above stated or as otherwise directed by Permittee. 14. The license and permission herein granted is subject to permits, leases, and licenses, if any, heretofore granted by Burlington affecting the premises upon which said Facility is located. Subject to the foregoing provisions, this Agreement and all of the covenants and promises thereof, shall inure to the benefit of and be binding upon the parties hereto, their respective executors, administrators, successors, and assigns. IN WITNESS WHEREOF, the parties hereto have executed this Agreement in duplicate as of the day and year first hereinabove written. i %-- f' i 60.(161,;�- (Witness) P'2e1-,7 .�� (Witn ) BURLINGTON NORTHERN RAILROAD COMPANY For: Title: Assistant Vice President Network Services MARK WAGNER (Permittee) (SIGNATURE LlSUZANNE WAGNER (Permittee) " A SIGNATUR R/W Occupancy Permit 'M,�r{'rlYtJ.t`fifsi?�`,[,+.�!'rr:.'d:r •:'.es:a`.:. ,. 4¢d� � �� � •�;P6 ^'1�•k�A #!f V h i = vaf;'§�^a��� .�'^u •�."�+a,`3 ' j` w�3�-� �- -L�. _ .. .ST5m�' - C �® .q .: ' PIItNIIT APPLICATION REOUIRLMENTS PLAN CK # DATE: � ZD 3 After review of the subject permit application, the following requirements mustbe met. 1. Construction hours are: WEEKDAYS ........... 7:00 A.M.-10:00 P.M. WEEIUMSIHOLIDAYS ..... 10:00 A.M.-6:00 P.M. 2. A separate RIGHT-OF-WAY- Construction Permit is required for all work on Publicproperty. (ECDC 18.60) 3.:Truck haul route plan must be submitted and roved prior to permit issuance. 4. Builder/Owner is responsible for containing runoff and erosion control on site. (ECDC 18.30.030d). S. NO WORKSHAU BE DONE )YPl'IW IS FEET OFSTBEAMS OR IO FEET FROMANYCLOSED DRAINAGE FACIL- 2TT. Bi1ILDERIOWNER IS REPSONSIBLS FOR IDEhIT7FYlNG CONDITIONS ON T RE DRAWING. (ECDC 18.30.50G) 6: F=ZR FABRIC FENCE SHALL BE INSTAURI) AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION. •(ECDC I8.30) 7: INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEMS, TIGHMWIS, FOUNDATION DRAINS, AND CATCH BASIN INSTALLATION. INSPECTIONS ARE REQUIREDPRIOR TO BACK MU NG (ECDC,18.30) 8. Repair or replace all defective existing curb,.gutter, and sidewalk adjacent to the property. If an intersection is involved a handicap ramp may be required. Contractor shall meet with the City Engineering Staff to determine the extent of repair prior to issuance of the permit. (ECDC 18.90) 9. Driveway slope shall not exceed 14 % without a waiver. Every attempt should be made to keep the slope below 14 %. Waivergranted to ?_a %. (ECDC 18.80.060D) 10. Driveways must be paved from property line to City RIGHT-OF-WAY. A separate perimit is required. (ECDC 18.80.060C) 11. INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIOR TO AND AFTER POURING. (ECDC 1830) 12. No burning of construction refuse without a permit from the Fire Department. 13. Connection to City water system is required. There is a separate charge for the water meter. (ECDC 7.30) 14. A back water valve is'required if downstairs plumbing is below the elevation of upstream manhole. (ECDC 7.20) 15. Water and sewer main lines should be separated by 10 feet minimum. (ECDC 18.10) 16. Connecti �, J�he City sanitary system is required. A separate permit is required. LID115_ Fees paid: Yes w No Charge _ (ECDC 18.10) 17. Underground wiring is required -on all new construction; and for additions, alterations, and repairs that exceed 50 % of the total assessed value of the structure. (ECDC 18.05.010) 18. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCU-PANCY OF 771E BUILDING OR R ST RU . (ECDC/18.90) 19.E �� AUG 0 9 1993. PROJECT REVIEW CHECKLIST STREET FILE PLAN CHECK #: PROJECT ADDRESS: C-2 4 (01) 19 RECEIPT DATE: REVIEW D BY: PLAN. WATER :COMMENTS:.. -FIRE BLDG.'- SEWER STREET ENG... Setbacks/Variance/Setback Adjustment Conditional Use Permit ADB Requirements .......... . . . . . . . . . . . . . ............ -'---'-3 Other Zoning Requirements . . . . . . . . . . . . . . . ..4 Underground Wiring Required -------- --- ------- Lot Slope IS% SEPA Environmental Checklist/Hydraulics Permit ............ X.................. Tree Cutting Plan Plat/Subdivision Requirements Legal Description Verification ----- 11- - Quit Claim/Street Dedications Easements - Public/Private Engineering Storm Drain Review Fee . . . . . . . . . . . . . . . Engineering 2.2 Inspection Fee . . . . . . . . Drainage Plan (On -Site) Setback - Top of Bank, Stream, Water Courses 0 V Setback - Storm Drain Line Open Ditch - Existing Culvert Required .E . . . . . . . . . . . 19: Culvert Size Shoulder Drainage/Shale Open Runoff .21 Catch Basin Required -Ae 22 Driveway Slope & Vehicle Access-20—y •... 23.. Sidewalk Required ..... . . . . . . . . . . . . . . . . . . . . . . . . 24 Curb & Gutter Required 25 Curb Cut For Driveway Required . . . . . . . . . . . . . . . . . . . . . . . . . . I I . . . . . . Aj/ 27-- Street Paving Required ......... . . . . . . ........I . . . . . . . . . . . . . . . Right -Of -Way Construction Permit Required ..... 28. Street Name Sign Required C- .7 Other Signing Required Bond Required For Public Improvements . . . . . . . . . . . . 31... FEMA Map Check/Water Table 32 Side Sewer Availability ............. Calculate Sewer Connection Fee If No LID # ........ . . . . . . . . 34 Create Street File .. . . ..... . ............. .. ...... -36, Existing Water Main Size Water Meter Size ------------ *-*---- . . . . . . . . . . . . . . . - - - - - - - - - - - - - - - - - ------------ Service Line Size dL� oov4a - - - - 3 Water Meter Charge Required V4,,ab)4 39' Hydrant Required Hydrant Size Existing 41* Fire Line Charge Required - Sprinkler Street Cut AJ Q -43- Miscellaneous L--g .... 44 Reviewed By: FIRE PLANNING W ENGINEERING PUBLIC WORKS ,:Pvp 0 H-sc a_ Arev tv ev ev �F • 0 147 11 5,b+i2�Y�� �32 cF I STREET FILE STREET FILE '81-YN\ P I C VtEw DR VC z 0 m .71 9 ti Po m pf 30 z CITY OF EDMONDS "�• Call PRoepect 6-1107 when work CIVIC CENTER — WATER -SEWER DEPARTMENT is ready for inspection. (No mspec, � 0 [� tions Saturday, Sunday or holidays.) j� U 6 SIDE SEWER PERMIT ADDI VSS....................................18324 Olympic View Drive .................................................................................................................... OWN= ................ Albert_..�.9....Coville._....._...................... CONTRACTOR.......... Owner......................................................... Perinis;lion is granted ... Decemher..$............... 19...63, for ........................ days to REPAIR or CONNECT a side sewer with City Sewers in accordance with application on file and governing ordinances. 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—Obtaln full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. 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. 1 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. 0 June 21, 1983 City of Edmonds, Public Works Department Attention Mr. Mills: In order to imrpve the looks of our property at yI8324 _Olympic_ Vie r Edmonds, we are interested in blacktopping the adjoining parking strip to the bicycle path. We will take responsibility for any drainage resulting from this blacktopping from our street right away. We 4ave contracted the J.B Asphalt Paving Company of Edmonds to do the work. Any further information on this, our telephone number is 778-7231 Thank you. GU" 1-t ar��all Irwlr �-11.E RECEIVED 'JUN 211983 PUBLIC WORKS STPIE:ET FILE 899.199 City of Edmonds 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). JON ? a 69 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. With a signed copy of this form, the applicant should also submit a vicinity map of the parcel with enough detail that City staff can find and identify the subject parcel(s). In addition, the applicant is encouraged to include any other pertinent information or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site. I have completed the attached Critical Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner / Applicant: . Mom. Wil�6NIW, Name �N-r=� Title oLN/Mnelll Street Address 15PMoR W::;, , WA 6020 77f -6287 City, State, ZIP Pho e lure Dat Applicant Representative: Name Title 7t�* tr=L.LyVU ,A+u-F . r=A':3;r Street Address �,A-rrL r-- TWA 41P7142 324- ZICv�o City ZIP Phone to meg Si ature Date Critical Areas Checklist Site Information Project Name: WA6440Z �APEW-6 Permit Number: Site Location: 199�24 -alMROM Mrbperty Tax Account Number: Approximate Site Size (acres or square feet): 151 OL* 'em•fr. vat-m-00b,6004 Have you filled out a Critical Areas Checklist for a project on this site before? f�o General Site Conditions 1. Has the site been cleared or logged? 4 14 � Date of most recent action: Soils / Topography 2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? 3. Describe the general site topography. Check all that apply. �� CAM �8 Flat: less than 5 feet elevation change over entire site. ✓ Rolling: slopes on site generally less than 15% (a vertical rise of 10 feet over a horizontal distance of 66 feet.) ✓ Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise • / of 10 feet of horizontal distance.) Y Steep: grades of greater than 30% present on site. Comments HydrologyNegetation 4. Site contains areas of year-round standing water: l� 5. Site contains areas of seasonal standing water: 90 Approx. Depth: 6. Site is in the floodway floodplain f of a water course. 7. Site contains a creek or an area where water flows across the grounds surface? (y flows are year-round? Flows are seasonal? 1?66ND!�J_4� 81C1577N4 8. Site is primarily: forested ; meadow ; shrubs ;mixed 9. Obvious wetland is present on site: 10. Wetland inventory or map indicates wetland present on site: 90 11. Critical Areas inventory or map indicates any Critical Area on site: YE-5 For City Use Only TUDY'REQUIRED Critical areas study is required. CONDITIONAL WAIVER; Critical areas study not required if specified conditions satisfied.: WAIVER: Critical areas study is not required. Determination Number: ER ReviewelC'�� Planner *D.Fe: Rev.3/27/92 ...................... ...... .... City of Edmonds Critical Areas Determination Applicant: Mark Wagner Determination #: CA-92-115 Project Name: Permit Number: Site Location: 18324 Olympic View Drive Property Tax Acct #: 5656-002-008-0004 Project Description: Waiver Criteria (all criteria must be found to apply): XX There will be no alteration of the Critical Area or its required buffers; XX The development proposal will not impact the Critical Area in a manner contrary to the goals, purposes, objectives and requirements of the Critical Areas ordinance; XX The development proposal meets the minimum standards of the Critical Areas ordinance; XX The above findings are based on the following conditions of approval: 1. The applicant must follow the requirements of the Building Official for construction on steep slopes 2. The applicant must follow the requirements of the Engineering Division for erosion control Based on the above findings and conditions, the requirement for a Critical Areas Study associated with this development permit is hereby Waived, as authorized by Chapter 20.15B.150 (B) of the Edmonds Community Development Code. '1111) sew -71 g192 Name < *ign-ature���� Date °IVA- O 4 V m '•� p Q• O U Full �;. _,�'�;�EWE, t -�, :�•�,,, � � � Off. � '-y :,•, N . r � m o PECK O 11.31� 49.4' 8As' Lp H v a � 48.4' q �.r s- o k � fie► -- - — ¢ -�- - Ap /-fir 154 �, - S - • - -- � .. � ° •. � •tiny �'` ' , j, �y9 �•� ►e.s'='= 68.89' isB _..r <�? N �Z• ��, oo E . �"?o __-`8.$9' P.L. % R,°�� `��62 i /rim --- —'•- �.'hp:.n�inK i �itnc�. � \ b N 22, 55' o". - - 432.46' (Mews) - .,y_ QIrY M I G- v_1_ :'- O p I V E 137.78' ST JUN &9,0 _19N City of Edmonds 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. With a signed copy of this form, the applicant should also submit a vicinity map of the parcel with enough detail that City staff can find and identify the subject parcel(s). In addition, the applicant is encouraged to include any other pertinent information or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site. I have completed the attached Critical Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner / Applicant: . MAEZ-- W66NEEz Name yrYl� Title 1- co)Llm Y'1�1N L7e . Street Address coRD5 , M 16020 7TI.6287 City, State, ZIP Pho e lure Dat Applicant Representative: Name l Title Street Address 1�-apt'T`rL V-7- I WA 119710 2 324.01(do City ZIP Phone K U.l -1 v Si tune Date Critical Areas Checklist Site Information Project Name: V446REr— FQ�QPEXMI Permit Number: Site Location: 1A;O24 • aYMFIGUM Mrt)perty Tax Account Number:-G1�2'Gb� -Oao4 Approximate Site Size (acres or square feet): Have you filled out a Critical Areas Checklist for a project on this site before? 14c? General Site Conditions 1. Has the site been cleared or logged? ` Date of most recent action: Soils / Topography EUb7MO- `�i4iV1 � �8 2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? �'v Y 3. Describe the general site topography. Check all that apply. Flat: less than 5 feet elevation change over entire site. ✓ Rolling: slopes on site generally less than 15% (a vertical rise of 10 feet over a horizontal distance of 66 feet.) ✓ Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10 feet of horizontal distance.) r Steep: grades of greater than 30% present on site. Comments Hydrology/Vegetation 4. Site contains areas of year-round standing water: 5. Site contains areas of seasonal standing water: Approx. Depth: 6. Site is in the floodwayfloodplain `�of a water course. 1� 7. Site contains a creek or. an area where water flows across the grounds surface? I'y flows are year-round? Flows are seasonal? JAQP;�to� e(1577)V6 8. Site is primarily: forested ; meadow ; shrubs , mixed 9. Obvious wetland is present on site: 10. Wetland inventory or map indicates wetland present on site: 90 11. Critical Areas inventory of map indicates any Critical Area on site: Ya5 For City Use Only TUDY-REQUIRED: Critical areas study is required. CONDITIONAL WAIVER: Critical areas study not required if specified conditions satisfied.' WAIVER: Critical areas study is not required. Determination Number. Reviewe Planner Date' Rev 3/27/92 City, of Edmonds Critical Areas Determination Applicant: Mark Wagner Determination #: CA-92-115 Project Name: Permit Number: Site Location: 18324 Olympic View Drive Property Tax Acct #: 5656-002-008-0004 Project Description: Waiver Criteria (all criteria must be found to apply): XX There will be no alteration of the Critical Area or its required buffers; XX The development proposal will not impact the Critical Area in a manner contrary to the goals, purposes, objectives and requirements of the Critical Areas ordinance; XX The development proposal meets the minimum standards of the Critical Areas ordinance; XX The above findings are based on the following conditions of approval: 1. The applicant must follow the requirements of the Building Official for construction on steep slopes 2. The applicant must follow the requirements of the Engineering Division for erosion control Based on the above findings and conditions, the requirement for a Critical Areas Study associated with this development permit is hereby Waived, as authorized by Chapter 20.15B.150 (B) of the Edmonds Community Development Code. �tvi�sEw -71g192 Name Signature Date r1i June 21, 1983 City of Edmonds, Public Works Department TE FIL Attention Mr. Mills: In order to imrove the looks of our property at 18324 Olympic View Dr, Edmonds, we are interested in blacktopping the adjoining parking strip to the bicycle path. We will take responsibility for any drainage resulting from this blacktopping from our street right away. We #ave contracted the J.B Asphalt Paving Company of Edmonds to do the work. Any further information on this, our telephone number is 778 7231 Thank you. w'"w C� RECEIVED JUII ')I '9183 PUBLIC 1'%/ORV CITY OF EDMONDS PUBLIC WORKS DEPARTMENT RIGHT - OF - WAY CONSTRUCTION PERMIT A. *Address or vicinity of Construction • Owner: AAe , C OLO iLt I~ Name Mailing Address C-DMOO K WA q aozo City, State, Zip Code • Contractor: Permit No r r,cp .m r.�yy k .' I �,. Y „ sue Date • Permit Issued To: • Type of Work to be Done: F /eACV lb,:)I,U 1W4J:-Y • Work in Connection With: ❑ Sub or Plat ❑ Single Family ❑ Comml. / Ind. ❑ Apt. Condo. • Pavement Cut: ❑ , Yes 1B/No Name Mailin Address State License Number City, State, Zip Code Telephone Number yt NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE B. 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, foreseen or unforeseen, 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 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 to be inspected. Restoration to be in accordance with City Code. Traffic Control,to be in accordance with Traffic Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call 775-2525, extension-2-20. 0-15'47/ I understand that this permit must be,,a ilable at 4 job site for inspection purposes at all times. e Signature: �,✓/- Date y_. Owner or Agent yt �t THIS PERMIT MUST BE POSTED AT THE JOB SITE FOR INSPECTION PURPOSES CALL DIAL - DIG PRIOR TO BEGINNING WORK C. Issued By: Time Authorized: V id after 30 days Special Conditions: Ammendments: Permit Fee:�1% B Lw,I ,-A pp, ttus Qhi/a3 - Security Deposit: Receipt No.: Fund III Fee: Street Cut Dimensions X_ tit * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * * Eng. Div. December 1978 FIELD INSPECTION NOTES (Fund 111 - Route cony to Street Debt. Comments: Diagram: Contractor called for inspection Yes rIo Mork Disapproved Fay• Date: v Date: [cork Approved By: - Date: Inspector: ~ Fna. Div. December 1978