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1039 6TH AVE S
APPLICATION
for
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The City of Edmonds -I �� " - sznE SEWER PERMIT
EASEMENT No ............................................
NEW CONSTRUCTION REPAIRS ❑ --- �, _ _�
-� - REt�t - ESONKLIN R��KHO� �15 2
OWNER -�
CONTRACTOR ........................................................ ..........•-•---•----•----'•--------•--•- PERMIT No. .................
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ADDRESS .: `. _ ' LEI EN U F .
-- LEGAL DESCRIPTION: LOT No. :-:................. BLOCK No. = :.. ..._.___.
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NAME OF ADDITION :Yc-�TS.��1�+ST�p.�OITION-
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CITY OF EDMONDS - SIDE SEWER PERMIT
- ° WATER -SEWER DEPARTMENT
PERMIT d 5-3 2
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Call 775-2525 for side sewer inspections BEFOREcovering any portion of the construction.
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::• - { - '; (Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections./ .
ADDRESS LOCATION OF CONSTRUCTION..
l 039-- Sy X_�h-_ AMn.. U...--SOG 1�61..... -=.............................. _..._-_....__-_-.....__........._......._..._.-._....__.
Tract 7, Block 5, Yost's First Addition to Edmonds _._._...---
PROPERTYLEGAL DESCRIPTION-------------------•------• --•------- _...-. ..._._...., _---_..._._..._.._...----_..._....._.._...._._....---...._.__
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OWNER AND/OR BUILDER.... t41!Zr!q) ;M..._.__ SVEN.--RFI 1_GR! 4N.---...._._.....---•.......................................................
CONTRACTOR'S NAME & ADDRESS._Rnh--Ulfl-ttv+--Rarlib+no ')/iflflr-_- Q2vnA liov.r�n 1.1_c4 C.lmnn�i�,.....--•-----------------------
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Permission is granted ------- i!IdrCh---21- ------------------ 19-14-, for repair and/or connection of a side sewer to the city sanitary sewer
syrtoan in accordance with City of Edmonds ordinances.
A'a ___iNTION IS CALLED TO THE FOLLOWING: i
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—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office. -
'" r - �• 5 NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. -
NOTE No. 4—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 -
' ' I sharper than % will be permitted. -
in stree
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t be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to improper,,,,,
.. NOTE No. 5--Trenches
- work which may develop within one year of completion. -
�. - - to in-
ided for in the permit, or to do any work on the main sewer or its appurtenances except
NOTE No. 6—It is unlawful to alter or do any other work than is prov-
- • -,;,� sert the pipe into the wye.
DISAPPROVEDte..._.-.... -----•----------- ----••--------- Date......- --•---------- --- Date_..............- y ..... ......
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APPROVE] ate.. _ �:° B
Remarks. ....... . 1./�r- -•-->� ��/���-•- ��/-...................... _...................................................................
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:`•` : — BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection —
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_• hereby certify that the side sewer installation constructed under this permit
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(Owner of Contracting Firm Performing Construction) .
;•I .:"Installed in accordance with all governing ordinances of the City of Edmonds.
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Datedthis.....--- ........ day of ......................... .. ...
Check BEFORE you dig for: Water ❑, Gas ❑, Telephone ❑, Power ❑, Sewer ❑, Other ❑ d ''
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_ The City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT
EASEMENT No. ..........................................
NEW CONSTRUCTION REPAIRS ❑
OWNER. ..... Sv�.!Y.......[7 .1� e r-............................................................... CONTRACTOR ..1�?.4 4 �i %'�lr..--....l3s c/1....o c................•..... PERMIT No.
ADDRESS ......3 .................../ .. ..................................................../ LEGAL DESCRIPTION: LOT No. ....... BLOCK No...................... / ......
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...................................... ......... ............ l NAME OF ADDITION----••-•----•.........................................................
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Approved:
DATE................................................ By...............----.............----..................................