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1109 EXCELSIOR PL
CITY 0 EDMONDS
- CiviGzCENTER.WATER`S'" `
- EWER .'DEPARTMENT Call PRospeet 6-1107 when work
k",
Is ready"for inspection. (No.lns.,.RPERMIT tions Saturday. Sunday or holidays., N0:: 3378
f..,A.DDRESS:.:......................... 19505.
............ Avenue West
.............
�' .Gemmj,.,l
•.............
CONTRACTOR..... qqj— ey t s Pipe
Pet riiission.: is granted ...... August..7.....-.-.... .......
with City Sewers in accordance with a lication on Gfiille and
d ..........wer
for ........................ ays to REPA " PP][R. or CONNECT a side sewer
ATTENTION IS CALLED TO THE FOLLOWING: governing Ordinances.
( NOTE No. 1—The owners of the
Property be employed to construct side s a obtain in street area. 2—Obtain full Information regardin permit to construct sewer PortiInsidon
property line. A licensed Side Sewer Contractor
NOTE No. Do not cover
Top of side sewer must have at ]east 30 inches coverage at any Portion in sewer before 1t has been ins
NOTE No. 3— g Ordinance 11.16.030 and Regulations moat
governing aide sewers when Inspected.
No bends grade sharper than
d 12
1 NOTE No. No
In street must be water settled and % will be surfaceOf street prestorty edetonoriglnalcconditfone you get permit.
failure due to Improper property line; minimum grade of 2q,,
NOTE No. 5—It fa unlawful top Per work Which may develop within one
alter Or do an Year of completion. Contractors shall be responsible foi
tenances except to insert the Y other e wyrk ehaq 1s Provided for In the permit, or to do
Pipe Into the
any work on the main sewer or its appur-
� v�
The City of Edmonds
OWNER
Is
APPLICATION
for
SIDE SEWER PERMIT
NEW CONSTRUCTION ❑ REPAIRS ❑ '
0
EASEMENT No.
CONTRACTOR ,e rl..... -:� - .... ¢r—ti:!'`� �---.... PERMIT No.
LEGAL DESCRIPTION: LOT N . L� .............................. BLOCK No.............................................
NAME OF ADDITION .-... / �..-.....�/,—t'r............ f... . /.. �'�........................
APPROVED
AUG 71969
5
-- 7:5
Approved:
DATE ....... ..... .....�.......-........-. By GO!'-.............-. --., _
x CITY of EDMONDS SIDE SEWER PERNFIT`�
h' For Inspection Call 771-3202 PERMIT NO. 07767
Address of Construction: 02 ,L_)(Cae-(_SI Ul2 ¢?L ,
Property Legal Description ( Include all �a *%)^ �[)�' `� 'Em3b1y1st ry- 1
00
_o
a�
Ln
•r
N
11 I-7-6c) ri != -r7PAc
W
Owner and/or Builder: -DO,c1AL-D A , ; ) A Q6ki? D v'�2 -
Contractor & License No: 1UU,U� -I 070-52/Z
/veecl Jrekvew- /ram /Z)
Si ngl:e Family Residence 0114"') 'vor
Multi - Family (No. of Units ) c'-- r- 11" e A
Commercial (No. of fixture Units ) 114ly-
Invasion into
City Right -of -Way:
No Yes
(If Yes, Right -of -Way
Construction
Permit required.
Call One -Call -Center (1-800-424-5555)
before any
excavation.)
Cross other Private Property:
No Yes (If
Yes, easement required,
attach legal.
description and
county easement number.)
EDMONDS
PLEASE READ THE
ITEMS LISTED ON
THE BACK
TREATMENT PLANT
shall comply
ate
certify that
I��e rea and
with the items
Lrsted on he back.
Permit Fee: 3n oo Issued By:
Trunk Charge: iSr
.00 Date Issued:
Assessment Fee: Receipt No.: -7 53�
Partial Inspection:
Comments Date Initial
Final Inspection Approved:
Date Initial
Rejected:
ason
** PERMIT MUST BE POSTED ON JOB SITE **
Date Initial
White Copy - File Green Copy -Inspector
Buff Copy - Applicant
F
The City of Edmonds
Side Sewer Drawing
EASEMENT NO- --------------------------------------------- -
NEW CONSTRUCTION �' REPAIRS ❑ LID NO_ ------------------ ,ASMT. NO. 071--N7,.'
OWNER ---�-Q!�I•.-`-llv-1�-------------------- CONTRACTOR -1r�.4 PERMICT� NO.
OB ADDRESS _�_�_b_ ------ '�_`-S�_u� ? . LEGAL DESCRIPTION: LOT NO.
..._---------------------------------- BLOCK NO. __..1___-________________..-__
NAMEOF ADDITION ------------------•-----•--------------------------•---------•---------------•-•-----------------------•---------------
�PRONDS
►�-�1 ��b Caa� s i o t Or aYI
I 3' J
,2f�� � 3� y F � ��r�'U•e, `I pl�QwO a'��
„ �•J •e ao 41 D �, ec,� .
I
1
i
I
Approved:
Q
PWW-0001-11/75 (REV.11/78) DATE _..1.' l �..'-_ll -7__-__
E
TREATMENT PLANT
... B
r
Fi�
m
d°I�
13
a '.'POYE.R
Q hDV ITtOpI
15,2 1
- I � 1�SIDENGr` � -
i -
1
Z
I vo
tj F-
AQ BL. t00.9 5puNRG0M �L. ID70
1EX15TINCr l « ADDITION
1IvewAY �. \ —----I-----�
=L o tC77.0
EL. 100.0
1
�l
1
�xISTINC.
eARPORT
• I50' � EL<I>A•
EX _E_L_ SI-OfZ 'PLACE
M
NORTH
LOT 5, S0I3DIV150H OP 71ZAC-T `lo
EDKONDs SEAY( _W TRACTS
RECfE;IVED
,SUN w 9 1987
PERMIT COUNTER w.
j, '
15O
a0
m
S9 O
13 0 - p
.4 `I O
L
o� �oYerr
4 AVPMO
-
' � RESIDENCE ' t`
b"
Z
W p EL. f07.0'
QQ . �. 1009 M U
EXI5T1 AbDITION I�
EL. 100.0
1
1
4x I ST ING
CAtZPORT
150'AIN
9baM ar. - ' - - - -
EXCE-L SIOK 'PLACE
NORTH
LOT" 1e , SUBDIVISION (tt/t7/&S) OF TV-Ac-T q0
.._ EDNIONDS SEAVlE�nl TRACTS
RECEIVED
2SZ�Sic� V Z2
.JUN ' 9 1987. GCA.LE : I" = 2o1
PERMIT COUNTER STREET FILE
. S