1115 EMERALD HILLS DR.PDF11111111111111
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1115 EMERALD
HILLS DR
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMITS
(Call 776-1107 for side sewer inspections BEFORE covering any portion of the construction.l
\Inspection will be provided within 24 hours after request. NO Sat., Sun., or holiday inspections./
ADDRESS LOCATION OF CONSTRUCTION ........... I. J. � '..' � � d �a . i .� mi 1. i �..
- .....---a _.........................
PROPERTY LEGAL DESCRIPTION..... ..a.. -. -- -- I�?.: rH, 7 , c
H
:..............................................................OWNER AND/OR BUILDER.... R.... C,... _":;!t:r?......--...........................--
CONTRACTOR'S NAME & ADDRESS ....... ( 'j!h l--------------------------------------•-----....------------......._....--•----•-••-................-...
Permission is granted .......... ....�.!.............................. 19.... 1,; for repair and/or connection of a side sewer to the city sanitary sewer
• systems in accordance with City of Edmonds ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
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.
TE 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.
TE 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
sharper than 'A will be permitted.
NOTE No. 5---Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to improper
work which may develop within one year of completion.
NOTE No. r—It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or its appurtenances except to in-
sert the pipe into the wye.
DISAPPROVED❑ Date ........................................ By ................ Date .................................... By ................ Date .................................... By ................
APPROVED,.Dl Date.--- -' ./...' ........................ By......----- _ .......................................................
Remarks: ............................................... ----_-•---_------•--------- .....................................
-------------------------------------------------------- - ............................................................................ ---...------........--••--------------•---.....................................
— BOTIJ1AP1rm4t Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection —
I,.....'"` .1(. ." (....................................... hereby certify that the side sewer installation constructed under this permit
(Owner c Contra ing Firm Performing Construction)
was installed in accordance With all governing ordinances of the City of Edmonds.
Datedthis ............................day of ................................................................. 19.........
V N1 Check BEFORE you dig for: Water ❑, Gas ❑, Telephone ❑, Power ❑, Sewer ❑, Other ❑ J V
APPLICATM PIWAAKE�Jffa�nONb,,§
for;
The City of Edmonds SIDE SEWER PER W
0 — o NEW CONSTRUCTION ❑ REPAIRS ❑
OWNER. ..........
LU
....JDDRESS
Lu
uj
EASEMENT No. _..
= .....................................----•-......-- CONTRACTOR .. .tfJ eSi ._ ... PERMIT No. ..f.� "
Ems-... . �
..............•---...__......._.---•----•-••---......_.._......-----....._.......---.._....._ LEGAL DESCRIPTION: LOT No. .............. XY ....................... BLOCK No.............................................
L,j NAME OF ADDPPION................. Mt@o.....1?..t.LLsS.....................................................................
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APR 2 7 IJ72
Approved. �, !�[ l✓f _ �% �j 2.--
DATE --•.-------