19916 76TH AVE W11111111111111
15103
19916 76TH AVE W
The City of Edmonds
Side Sewer Drawing
I'
0
EASEMENT NO. ............................................
NEW CONSTRUCTION ❑ REPAIRS [?(
LID NO . .................. ASMT. NO. ..................
OWNER ---------------•---._..... .._...........-- .._ CONTRACTOR
QG .. ERMIT NO . ....................
JOB ADDRESS 11 .► __.-_.� C1---.-7(P-r" 49r - \,^S: LEGAL DESCRIPTION: LOT NO .....................
BLOCKNO . ....................................
.....--•............................•--..._........-•----•--...._..........__......._...........
NAME OF ADDITION .......................•-•----.._...........---_--
) Cl 4ly -74'0dur_ W,
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Cr�b P—IL , \ s S Lc L► ti
Approved:
PWW-0001-11/75 (REV.11/78)
DATE..L.�.30..-.T-........... By •-•- .............................
The City of Edmonds Side Sewer Drawing
EASEMENT NO. ----------------------
eF NEW CONSTRUCTION REPAIRS ❑ LID NO- ------------------ ASMT. NO. ---------------
OWNER------------------ CONTRACTOR ... --------------------------- -- ---- 2 ----------------------------------------------- -------- PERMIT NO.
JOB ADDRESS ---- -- ---- - - ------ ---- LEGAL DESCRIPTION: LOT NO. - ------- -C -------- ----------- BLOCK NO-------------------------------------
PW)
------------------------------------------------------------------------------------------------------------------
NAME OF ADDITION ------ ------- --- �=-
►pprovcd:
BYE - - --- ------------- j ztT:
1/1,
'CiIT, r, O►r,EVMW NDSr SI D Ev S'EW! -:.4R�?PER , IT'. n.
r W/ATER"SEWE1V- ,DEPA1WfMENT y +i:
- J. _ PEER a f S
r/CalU T1b 262b for -side-.sewer,dnspectionsi IiEF.ORE covering.'any :portion of thef-..constmbtlon�i1
;`cInapectlon ,wl1L beryprovided within 24-,•hou ra aft-er'. requst." �NOi,Sat -,sun .or 'holiday, �Inepectlona'/r
ADDRESS LO I AUOMOF'iCONSTRUCTION :
IM
4 PROPERTY 1LE(i`AL 'DESCRIP•TION .::. ',�-•,,®®-+'
{• �i"..
.. ..... ..... ....... ....... ......... _
s n �
_ , , .
' OWNER,'.�AND OR -BUILDER ..� f
S t ....
f GQNTRfACTOR;SI'NJAMEV! ADDRESS`::. ....... r .... >h. :..:
J Permission{ isl granted �7 �... .. 19� for••re ir•.and'/;,or ,connectlom,;of a .side sewer ,to the cit Pa yC•sanitary Isewei
�systemyim;accordance,w[tWIC*ffy.of'Edmonds ordinances
'!ATTENTION;ISPCALLEDI'TOfTHEhFOI.LOWING: - - - - - -
NOTE No.,'1—The1•owners- of ,they;property,-may,-,obtain-•a.-permit to:,�construct sewer. dnsldeApropertyrllne:.- A.w 'licensed, Side seer.(Contractor:must',be)iemployedlifo#, nstruct;
sideNaewer.yints�teet area.. Do not;cover%any, }portion :of ;sewer -,before ;1t•+haelibeen. inapedfed'.. y j
NOTEnNo, i2—AIINworkrperformediim,city!rlght-of-way requiresuam'Invesfom.sof-Raght=of=Way,•Permtt,.'6btainable.from 'the City`Englneeraoffice*
•-NOTEI-No:,t3—Obtain"fulls•informatIon. regardingiiOrdInancer 111.16.030` and, Regulations • - � f
governing; ide sewers{ when�,yougget permfti �-
., 'NOTE{ No:; 4'=Top)lof7slde�eewerj:must.lhave'at•,.least' 30-..lnchea,;coverage'.at•'property,'aine•,and!.l2i inches,"inslde;vproperty llrie;.-.mintmumagradeiiof 2,/,.t.:No�„bendei iri2Jgrad'e�1_,
sharper•(than', 3¢ will{ be,:permitte'ii:.
'. 'bewateettled-nd+surfe• of',street restred.,;to-1 original;1condition-Contraetors,�ihall: beresponsible: Yor failure due.-to�aimproperyNOTE No IS—Tm
?workwhichimay�developP.within,rone.•yearof� coinpletiont• --
,;NgTEI No i:B-_ It ''ieaunlawful!,to.,'alter ,or -•do any,_ ether -`work than ls:;provlded. for In,Jthe• permit,, on to �doi.any�work on .the malm sewer or ;lta�,appurtenancesl except' ao Ines
s '-sert'thei,pipe3ntoiithei wye.,. _ ,
�APSApPROViEDJ. it {~Date By Date � By, Date By
DI
a
;PROVED ,. .. - - - .... ... O, - - s- .......................................................
Re»arks......_ .-...... ..
....... ...... ...... .... .......... ................................................ - ..
'BOTH Per-mit iCopieg> IM-UST''Be; Sig'nedl:.By.Ownel .:of' Firm.�Aerforming',Construction :PRIOR To: Request" For�,inspectlon';
-- ,-,. ..................................................,. Hereby certify that tthe,idersewer installation constiuctedrunder)thisi',permtt'
(Owner+of Contracting• Firm sPerforming ConstructionT
wasr'lnstall'ediintiaccordarice�with-all governing.ordihancesrof the City:-of'Edmonds f,
z
•;, .- -. .. atedt,this .:.. , ..-:.. day ;iof' 19
i
Ji Jl f +Check BEFORE'.youi dig for Water p, Gas. p' Telephonei 0„ Power.. p; �, Sewer 1 Other N r
STATE.+ Y
Op PIA z " w S F`v *0.
C ASH NGTON) �,��� ,� •�; ',
0U1V7y OF SNONOM
tS10
.(.� and JOn thts a
meS day Per
the. wt thin L• $al l gird sonallY a
and to PPeared
' y't Mentioned.
r�� i ne t1leti. fOref;o,in fie tcnorin to .he fore me
1f S.
free and olnta ument� and the indivtd $umPus,. Ca
Cty�N roji
weer fiy rY act and. deedno�,,led� d lth.z n and who
d
hand and oiFictal tthey
for the Pc1rP� c heY , snt ,; .
°g tQ°til,,
PARCEL C
The west 60.00 feet. of. ro,:
the east 90.00 feet of the south half of the south,",`�,��;`'
half of the south half of the northeast quarter of the northeast quarter.
of Section 19, Township 27 North, Range 4-East W.M.,'.
EXCEPT , - -- - •,���,;.
the south 30.00 feet thereof
Situate in the County of Snohomish, State of Washington.
STREET FILE
August 31, 1979
MEMO TO: Art Housler, Director
Finance Department
FROM: Fred F. Herzber
Director of Public Works
SUBJECT: REIMBURSEMENT OF STREET CUT SECURITY DEPOSIT -
ORDINANCE #1935
R/W CONSTR. PERMIT NO.: 78-313
DATE ISSUED: 12/19 _
LOCATION OF WORK: ';19916 76th Ave. W.
SECURITY DEPOSIT AMOUNT: 200:00
RECEIPT NO. & DATE: #4583 1�2/ 27 / 78
COMPLETION DT. OF REPAIR: By Contractor Feb. 1979
Please prepare a Treasurer's Check in the amount of $ 200.00
made payable to the following:
M.S. Bumpus Const.
P. 0. Box 1351
Lynnwood, Washington 98036
The balance of the deposit in the amount of $ -0- is to
remain in Street Division Revenue Fund 111-000-000-33T-.10.
lv
CITY OF EOMONDS
PUBLIC WORKS DEPARTMENT, ENGINEERING DIVISION
APPI - I CAT I GiJ FOR f? I GHT-OF-I LAY CQ JSTf?UCT I �PJ PER�� I T
THIS PERMIT MUST BE AVAILABLE AT THE JOB SITE FOR INSPECTLON PURPOSES
Applicant to Complete PartsA and B
A, Permit to be issued to: C, ���►_ v�I:� ��C %
For Work at:(address or vicinity) /C767/6 bt,2
Type of Work to be done: ��/t/,•�'� (D�J fi ��,c �� CL�',
(attach drawing when applicable)
Time Required-- Start: / `� — /� .!� Finish:
Owner: ��-,�,�( C%z ;>�Nt':Zp
Name
Mailing Address
C c r7S C` �✓a �; sv 2 c1
.City State Zip Telephone Number
Contractor:'? ��aip ov���;
-ime
i' 0
Mailing Address
City state Zip
i3U.- He- a g-u P 0
State License Number
-7 -2 g � � -, - ,--'5> %
Telephone Number
i 0 1•:0R1, To BEG1i1 PRIOR TO PERIIIT 1SSUAHCE
B. IHDEM[vITY: 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 car 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,granti.ng this permit.
Upon issuance of this permit, tile'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 wi.th Citv Code. A
24-11our 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.
Si natur
gL tLi Date
Ow er or Agent
TO BE COMPLETED BY ISSUING AGIENCY:
Date Issued: 1� ")SPermit Nlo. 99— 313 Fee: �--
Security Bond:
Time Authorized: S'
Ck 4L
4.el
,COX
0
CITY OF EDMONDS
.PUB4VS DEPARTMEtIT, EtIG I NE N` IVI S IOtNL- _.
APPL-ICAT ON FOP - •J. CO'JSTPUCTION P 1 197
8
THIS PERMIT MUST BE A'""Kt;�:IT THE JOB SITE FOR INStj(CT�QN PURPOSES
wurrc works
Applicant to Complete Parts A and B
A. Permit to be issued to:
For Work at :(address or
.5' T/� /►/L�l� GI/AGri�/�ie .!/ D � 8A4 7 �/
Type of Work to be done: ,P4=Ae V 141
(attach drawing when applicable)
Time Required Start: /�- Tj,¢� Finish:
Owner: S V,9 . Co . D. • /
Name `
9 9
Mailing Address I
City State Zip Telephone'Number
Contractor: +Spm� ,gs .�abyE
Name State License Number
Mailing Address r
City State Zip 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: /Z - 2/— %
Owner or Agent
C. TO BE COMPLETED BY ISSUING AGENCY:
Date Issued: /�i Permit No.: Fee: /-5 r
�
Security Bond:
Time Authorized:
APPROVED BY Date:L��G`����
F
STBEET Fk� CITY OF EDMONDS
IC WORKS DEPARTMENT, ENGINEERING.DIVISION
APPLICAT IO'FOR FIGHT -OF -MAY CONSTRUCTION PERMIT.
THIS PERIMIT MUST BE AVAILABLE AT THE JOB SITE FOR INSPECTION PURPOSES
Applicant to Complete Parts A and B
A, Permit to be issued to: d -s�—
For Work at:(address or vicinity)
Type of [,pork to be done:
(attach drawing when applicable)
Time Required -- Start: -2 ef— Finish:
Name
d S �
1����
Mailing Address
.City State Zip Telephone Number
Contractor:
P me
Mailing Address
City State Zip
tate License Number
Telephone Number
*'E NO I•]ORK TO BEGIN PRIOR TO PERMIT ISSUANCE **
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.agains•t
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.
Signatur Date:
Ve�r or'Agent
TO BE COMPLETED BY ISSUING AGENCY:
q I V_
Date Issued: IZ I )O Permit No.: ',"31� Fee: (
Security Bond: tt 2M.�
Time Authorized:
APPROVED BY - -- ')n re
a *
CITY OF EDMONDS
PUBLIC w GINE�INr, DIVISION
T DEC 197
APPLICATIONFOR RIGHT—OF-1IgY CO,dSTRUCTIO�d PERMIT 1 $
Dir. Of Public Works
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: /1/O, a D.
For Work at : (address or vicinity) ,� -*1 9//e rif
ze -ye - W. oy
47
Type of Work to be done: �, Si�E/ti.9LiC AN Tj2�NCJd i�/ o�/�{f
(attach drawing when applicable)
Time Required -- /Start : /— �,q � Finish:
Owner: �ivo L �. ; a /�
Name
/,Z/,r/C�
Mailing Address /
7 754 - Z Z/ Z
City State Zip Telephone Number
Contractor: -,g1171E
Name
Mailing Address
State License Number
City State Zip Telephone Number
r
B, INDE:VITY: 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: G� �/�G2�/GG�' Date:
Owner or Agent
TO BE COMPLETED BY ISSUING AGENCY.
Date Issued: Permit No.: :2 '7' Fee•Z',5 1' 6.
Security Bond: ��-
Time
Authorized:
1 0- 3 7 1„ t o .... ,.- i N
1e1on� PUBLIC UTILITY DISTRICT No.l of Snoh mish CountyCC'
QLAMH QLAw-E a AREA
Location J G t (Q —7 CoMh >� . 1/Ll. Date — - W.O. No. Z R 4-131
ME-1/4- L 9_ S Z-7_T_ R Revision "' Scale I, = 2-n n
Reason for work = NI C r At -,IL- Tw 1 r-r .&MineerGMofl1F—nS 1As Built —"
7:'C7Q FOB STAt�iL `� �fAc-!!rt lETZ.
� _ USG. File No.
Approvals
PERMIT REQUIRED FOREIGN CONTACTS EASEMENT.- _ ENVIRONMENTAL ANALYSIS
Type_r—j-rY c-�F EL1 m Cohpany�EN., �'E1r, - Exempt -under DistricR SEPA
procedures, Section tl t A .
Daite.Granted Gral�tQ►-� Mragraph—_, Item
Fees required Yes® Moo
�stesl.- invent D. "PndT' D ranted Dote i2 By C-:r&—n&Q1S
Transf.Card Role De Dote
� 1i .� Amount ZIS, Interpretation Referred To:
Pos Circuit Ma _-
Date Released For Construction Date By
Date Wank Completed By Foreman
Circuit Number-)--' — I Zco Substation 'AEI--iZ1 N V 1 I_L O.H. U.G. Cond
Add C PH
emv=Ckt Ft off
N Ckt Ft
' - - .• � I 1.
Water
Sewer
_ 3 M
J -
Gas.
-
-��,i,� S' Backhoe
_ V "D1+4L i�►�
2C)C:),rWVN
Sr.
I
w -
_314-3X
S 2C>C�w J
s ._ V='o,, _ O. _`�>✓tit0�/E TANS•.. ,S•-��I _, '.. -
H n,1\1 C--r ZS K v/�
v L-i-Ac E
=NST. �" 1zI�ER �N�- RUN �.50 mCM ,
w o. No. R 3� 4 "7 a� : -