18811 OLYMPIC VIEW DR.PDF18811 OLYMPIC
VIEW DR
CITY OF EDMONDS Permit No. '?rl ' 45 J
PUBLIC WORKS DEPARTMENT REET L� sue Date Aa / ��
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. *Address or vicinity of Construction
/ ;- J // . D r
• Owner:
Name
Mailing Address
City, State, Zip Code
• Contractor: ��/1L� Co.
Name //
zl ol,� lla. ly - 91
Mailing Address
G. r,-/ . /,�(164
City, * / State, Zip Code
• Permit Issued To:
• Type of Work to be Done: T,; �,--A
• Work in Connection With:
❑ Sub or Plat R Single Family
❑ Comml. / Ind. ❑ Apt. Condo.
• Pavement Cut: ❑ Yes 5Q No
State License Number
7-74--z//7_
Telephone Number.
tit * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
B. APPLICANT TO READ AND SIGN
INDEMITY: 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 it's 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 220.
I understand that this permit must be availa
Signature:
Owner or Agent
at tr
job site for. inspection purposes at all times.
ID, -__7/-.0
THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By: I ✓ /in��%tr'f._
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Time Authorized: Void after days
Special Conditions:
Ammendments:
Permit Fee: o i:?n.
Security Deposit:
Receipt No.:
Fund III Fee:
Street Cut Dimensions
X
RECEIifED
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * * Dir. Of Public rnu,,s
Eng. Div. December 1978
FIELD INSPECTION NOTES (Fund 111 - Route cony to Street Dept.)I
Comments:
Diagram:
Contractor called for inspection Yes N
I�Iork Disapproved By• Hate: Bv: Date:
[cork Approved By : Date:
Inspector: �.
Ena. Div. December 1978
1018
REV 12/79
PUBLIC
UT
UTILITY DISTRICT
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No I of Snohomish County Q -�D'h17-"1i Ar.eo
LOCAT ION
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'DATE,� W.O:'NO.' -
POLE NO.
1/4 -'s
REVISION
U.G. FILE . NO.
REASON FOR WORK
ENGINEER
AS BUILT
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ER T R
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APPROVAIS.
PERMIT REQUIRED
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EAJMEN
REQUIRED
REQUIRED
IDTREE TRIMMING '
[DWATER
ENVIRONMENAL ANALYSIS
®EXEMPT []NOT EXEMPT
TYPE
E�c> MQNJ-1�s
ISIDIAL DIG
C3 SEWER
SPUD, LOCATOR
OGAS'
PARA. ITEM
DATE GRANTED
DATE RELEASED
------------------
[]BACK HOE 'ED
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FEES REQUIRED y ES NOO'l
FOREIGN CONTACTS
POLE -STENCILING
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ADD -CKJ- Fl. PH,
TYPE
GTNW NO.
FROM TO
REMV. CKT FT.- ;PH.
NET CKT. FT.
DATE AMOUNT
CATV NO.
AAKE OFF POLE
LOGS POSTED
G. E:
C E.
SUBSTATION
DATE WORK -COMPLETED
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-'DISPATCHER POSTED
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CITY OF EDMONDS
PUBLIC WORKS DEPART41T
SIDE SEWER PERMIT
FOR INSPECTION CALL Permit N?
775-2525 Ext. 220 Is Issue Date
�e�uL..��cecum�aae.:a
6483
�h
PERMIT MUST BE POSTED ON JOB SITE
1. Address of Construction 9 w ( ,;,�,� r_�� ��u1� �_ 1' �(�
2. PrLL_operty Legal Description (include al easements)
ctico-vLds
3. Single Family Residence Multi -Family No. of Units
Commercial
4. Owner and/or. Builder 17 Gb C) r'i k I
5. Contractor & License No. C y V1 eV
6. Invasion into City Right -of -Way: NotZ Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation).
7. Cross other private property: Yes L/ No Easement required -
attach legal description and county easement number.
READ THE FOLLOWING AND SIGN:
a. Property owners must obtain a per to install side sewers on
their property. A licensed side sewer co t tor musn�a}�ed
construct side sewers in the public right oaw b. The side sewer contractor assumes f 1 b 1Q L f % ch
installation for one year. HOugs
C. Commercial establishment requires &'i:i f QA_� 6")
side sewer line. DIG
d. Side sewers may not be installed 1 a hirty c e (3 ")
to any structure.
., rv.� -" f
e. Side sewer lines must be laid at' �}� 90�}
and maximum grade of 100% (450) . k co'iJ�j�►
f. No turn in side sewer greater than 4 IN ka
between cleanout. All 90 turns must be constructed of a 45- (1/8
bend) and wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100' along sewer line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k. Side sewer must be left uncovered unti `hspected and approved
by the City.
1. Inspection during normal working ho s q1A
y.- 0 2) working
days notice required. c
DATE: go
certi -that I have read
and shall comply with the above
r o IJ I _(:,�wttivtcs
PERMIT FEE: %V DISAPPROVED BY: Date:
v W _rtm By: Date:
cd
::)CONNECTION FEE: APPROVED By: Date:
PERMIT MUST BE POSTED ON JOB SITE
CITY OF EDMONDS
PUBLIC WORKS.DEPART
SIDE SEWER PERMIT
FOR INSPECTION CALL
775-2525 Ext. 220
Permit N? _ , 6483
Issue Date
* PERMIT MUST BE POSTED ON JOB SITE *
Address of Construction / SCSI l I
. -1�-a ZD
Property Legal Description (include a easements)
Fj vv�-�t"c�S Sea w d F 7mc
Single Family Residence Multi -Family No. of Units
Commercial -t i� I 1 ii
Owner and/or Builder Ofp Q V--
Contractor & License No.
6. Invasion into City Right -off Way: Nov" Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation).
7. Cross other private property: Yes No Easement required -
attach legal description and county easement number.
READ THE FOLLOWING AND SIGN:
a. Property owners must obtain a per to install side sewers on
their property. A licensed side seweco tutor mus
construct side sewers in the public right w
b. The side sewer contractor assumes 'b 14L�jpp ch
installation for one year.
c. Commercial establishment requires f ffiunpa 6")
side sewer line. --�,DIGS
d. Side sewers may not be installed 1 a''" hirty c e (3 ")
to any structure. f °
e. Side sewer lines must be laid at, g ,
and maximum grade of 100% (450) . i tu�W COUNTY
f. No turn in side sewer greater than 4 0 9d
between cleanout. All 90 turns must be constructed of a 45(1/8
bend) and Wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100' along sewer line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k.. Side sewer must be left uncovered until spected and approved
by the City.
1. Inspection during normal working ho qA
y._ 0 2) working
days notice required.
DATE: ;) d
o tf _,-I, erti -that I ave read
Ll D IS
2
i PERMIT FEE:
w rm it
w CONNECTION FEE: - •
— `/ * PERMIT MUST BE
and shal comply with the above
DISAPPROVED By: Date:
By: Date:
APPROVED By: Date:
TED ON JOB SITE *