1033 8TH AVE S.PDF1033 8TH AVE S
APPLICATION
Tics City of Edmonds for EASEMENT NO . ................................ -----------
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS E] LID NO. r,72 ........ ASMT. No. -----------------
/vl-
OWNER--------------------------- ------------------------------------------ CONTRACTOR
----------------------- ------ -------
...... PERMIT NO.
JOB ADDRESS -------- LEGAL DESCRIPTION: LOT NO. -------------- ----------------- ... BLOCK NO. --------- ...... --------------------
- ------ --- --------------------
1031
/-
. ........ P-0 -- -------------
- ------------------------ -- ----- ----------- ----------------------------
J T�
NAME OF ADDITION
----------------------------------------------------------------------
Approved:
DATE-------------------------------------------- By ------------------- — --------------------------------------
CITY ,OF EDMONDS SIDE YSEWER 'PERMIT,- _
WATER=SEWER DEPARTM42
ENT a
v
s
PERMIT r `�
.. r
•-a, - Call 775-2525 for 'side sewer inspections nF)PORF covering any portion oC the crost ruction
(In9pectlon'wlll be provided withim 24 hours after re9ust. NO Sat Sun:, -;or holiday inspections
ifl^ f 4
'i�DDRESS LOCATION OF CONSTRUCTION .�^ : '.i .f!
.. .......
�::...:a :i. of lot b f�: �iri� 3()'..:®f:..L�� 7 Y6� Yoe rust ,�dtl
PROPERTY I.ECrALeDESbRIPTION" ....
ins= - .. ... .... .. ..
PHI 50-1001G
. .....r1 .........:OWNER AND/OR.BU•lI.DER:..:........................................
k ��►- S; � , czz! rt c�.c�� s, 2 s� 00 H Y Etlsli�r��c,; ll a��itllt;_i�n
.`.CONTIiEYQTOR'S NAME S ADDRESS ..._. ...
. i f {� ': 19 4 ; for repair and/•or connection : of si side. sewer: to _the ;citi sanity
..Peruilssion�i�s;granted ,.---. pa y ry sewer s
aystom:in' accordtince with Clty -of .Edit n4. ordinances. a
A 1TION IS°LCALLFD TO THF-FOLLOWING ,
.:NOTE •No T The"owners�of tho;properly."may obtain a'Permit :to construct -sewer inside property, line: ,A• licensed Side Sewer Contractor mustbe'employed to eonatruct
side:'sewer:in'streeCarea."Do"not cover -an _ - '• " - _ y. portion of_'sewer'be[ore It :has been dnapected.• - -
,`"•NOTE No" �'LAII'wo k-'performed:in c,ty`rlght=of:way. requires an Invasion' of IUght-of-Way Permit='obtalnable ftom.the City,�Engineer's office
.�r NOTF. No 3 Obtain full-dni6rinai ion rega ding,•Oidinance- 11.16:030:'dnd'' Regulations', governing side 'sewera'when'.•you_-get permit. "
T
_rN0('!•.No 4-Topnf.side`sewer.must have'at;leas{30inches-coverage'�at.property. line and12-inches inside-'.property:.line;,minimum grade'of " Nobenda.inigrade
sharper�lhan.yn=:wt11-.be. permitied. -::_ _ '.._ .?
-NOTE No .5-Trenchesan-street-must=.tie• watersettled and .surface -•of-street restored to, orlgtnad-condition .Contractors shall,be;responslble for'' -failure due'tor�impi-oper•';e'
'.. ,...y., works which,may, develop within one year. -of-completion. -
'NOTE No B-It`is unlawful-�to':alter`or? -do any. other work than.is -provided •for in- the permit, or-lo,'do any. work on the. main -sewer or -its -appurtenances'! _except to. in
_,sort;the pipe intoalhe-wye. - -
DISAPPROVED D :Date ... ....e By. ..: Date; 1.�� f'l.. By Date r�By
APPROVED fJj .Date ._. ..Ci9.'� . gy . . _ '
r: r
I/
/� �.
Roniarks ..... _ .....`.. ............
..
................. ...... .. ... ---
u.,
BOTII^Permit Copies . UST. Be ;Signed; By -"Owner Hof Firm: Performing.-Constructiolf, PRIOR`To Request For: Inspection
I ..... hereby. certify. that the side sewer installation constructed und&r' ihis�perm,I >
l }+ne c . Contracting Firm Per trig Construction) -
inst led in accordance with all.go - rning ordinances of the City of Edmonds ;.t
,Dated Ahis` day of 19 . r
Cheek you -dig for: Water :Gas O Y Telephone 0 Poiver ❑ r Sower �, Other 0 �I J .• L}f