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1004 10TH AVE N
APPLICATION
The City of Edmonds for
T",`EET FILE SIDE SEWER PERMIT
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EASEMENTNO. __ ......................................
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NEW CONSTRUCTION REPAIRS E]
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------------------------------------------------ --- --------------------CONT CONTRACTOR ------------------- --- --- -------- --R ----
JOB ADDRESS - - -------- ----- :: .................................................... .. LEGAL DESCRIPTION: LOT - NO. ---------------------
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Approved:
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DATE.......... - •- ---------- --------- By ---------- . . ................
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n u s��•,,#: Y �F .EDINI,O#NDS SIDE{SEV1/ER,, PERIIAIT
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a 4 } 1 W/ATER-SEWER DEPARTMitN* T
PERMITS
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77R-2E 1 for• side 4ewer inspections IS N.I'ORN .:c rvering r•any portion of the'•conslructfon 1.
\Inspection will �be,providcd•.withtn- 24 .hours. after requgv NOr Sat• -Sun .or -holiday' inspections)
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;i ADDRESS LOCIATIONEiOFJ; CONSTRUCTION ..... Q�r T R AV...t.U.` �Jbrth 1 { 10 0 th
st 900X„121 4t of tlje lVor i� i22Q` of ir�ick l
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�s?PROP,ERTY.iLE' aDESCRIi T:h :. ...-
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Puget' Sound `M4(Zhibery Depot f t'vc� Acres Tracts
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s s... "........................................... rl -. O.X ER AND'/.OR BUII:DER..... f3rl•T HOES ...- a !
t. ryCON{TItACT�OR;S�1VrAMk, ADDRESS-......� .. � s ? -- 6Vd� k.c iiDn s:- l
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t Permission is granted c r ... .,..- s 19 ---.- " for: repair!and/or, connection of `a. Side sewer to• thei.city sanitary sewer
systomrintaccordanc4twith. Csty of Edmonds ordinances..'"..
.A, "TioNi IS-JCALLED.T,O''THFi.FOLLOWitvC
iN Qot 1tt The+;owners of-the,propertymay.;obtam' �a permit to• construct si wer.'inside :property line A Ifeenaedt Side Sewer Contractor; must be' emptoyed
;.to. construct, y
sid`eYsewer•in,'street'area:.,Do not cover any'portion-of-sewer•before'it2 has 'been "inspected - - i - - f" ';•':,l*
-. -. ... -
tC''n"'NOTE?No.p�g�2 �;All:work,fperfocmed inicitYcright=ot-way:requires.an,Invasion*of Right-of-Way'Perrnit obtainable from•the Clty'Engmeer s'office- - `` ,-✓i. i- t"
-- NOTI'.kNo > 3 Otitaf nAfull'intormation: regarding Ordf•nance 41010:030 and'. -Regulations, governingrslde sewers,when'you -get• permit.
;r•;'JNOTErNo•'}'4 Top of side sewerkmu"s[ have:at °Ieast'30' inches'covera�e(.ut rroperty' line and 12� inches inslde,property',IInc:'minimum: grades of,"2 /` No.•bends 'in igrade `
�"T' " sd'a'rper tlianpys will be .pc rrnitted - - r -' - '
i tt.st + xa w,,, c J , C t ,; i' • .. �? a ?t t•q7 bit a ,et t ,',
•rjNOTEsNo- 57 :Trenches}1n,street must!•;be?)water.-settled'and' aurfac
of 7streetsiestored to. -original •condition ,•Contractors- shall' bey responslble for failure due�'toyimproper_'
'� �i �* iNf, ! vgwoi•k whichi•may?deGelop��wilfiin`.one� Year of: completion .i ' - " i r ! ti!,t'"�
''i•�NOTEi-Nod'tfi—YYIt°.isPunlawfuly'�to�alter; or .do'any `other' woNc• than ls� provided. for in the' {hermit or to'diiany-work" on " the'main'sewerlor, fit" appurt'nances^�ekept
'�-): •„ ,. �.; ;i eerCSthe-ypipe•into'the: wyo: - ' ?•, �• 'J , �•
t DISAPPROVSEll s❑ ,Date /1:-- By,.. ,tDate.. Y/:: j jBy Data 'By' ' I
�`,APPRO,VED 'J )� Date) yr�rr ,By .. .. ..
a �i✓��1t W) � r��t' . - •�� - •`
l ; i'Renlarks - ..
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} f , BOTII Permit Copies IIIUSTFBe ,Signed By Ownel .tif Firm;.Perforinmg`Constructiorn PRIOR To: Request or, -Inspection `
`: `,� :,_.,,�, .-.. heI eby'certify.,that the side sewer installation constructed under this permit
Vi' }tr Owner of Conlracting,-Ffrm erfcrm{ng Construction) ,.+ r , ':,
we^§tailed"inaccordance with all overnin'g, ordinances of the'City of Edmonds
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wt'..'•`.'-r:Dated --this y;of....................................
,. J J _rCheck;BEFORLIyou dig.,for.': Water Gus �, Telephone �;Y Pow`era� q' Sewer, Other i0 t
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APPLICATION
for
Thel meaty of Edmonds
SIDE SEWER PERMIT
NEW CONSTRUCTION C] REPAIRS n
EASEMENT No . ..........................................
q-/
OWNER
CONTRACTOR
PERMIT No.
..... . ------
... ... ....... .................
.................. ........... ........................
......................................
LEGAL DESCRIPTION: LOT No.......
ADDRESS
.......................................................
........................................
BLOCK No . ............................................
NAMEOF ADDITION .......... ..............................................
........................ ......................
R EC E N
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Approved:
DATE.............................................. By ................ .....................................................
-r A0171
-TAP, V if q c�—Aox-)771 c-4,:V. 0, 0 0
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APPLICATION
for
The City of Edmonds ��� SIDE SEWER PERMIT
�, REEU I E NEW .CONSTRUCTION REPAIRS EASEMENT No ...........................................
� �
117-00800
OWNER...........Be.1.t..Homes ----------------------------------------------------------------------- CONTRACTOR---------........------.........--------------------.....------------............................. PERMIT No. ......................
ADDRESS ....... 1.004... 1.Oth..A.v.e...A........................................................ LEGAL DESCRIPTION: LOT No........ ...................................... BLOCK No. ............................................
NAME OF ADDITION................•----......---------...........--
DYE TESTED ON SEWER, 1972
Approved:
DATE............ ................................... By........................................------.............----....--
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