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117 OLYMPIC AVE
CITY OF EDMONDS
B9p-19
Address of Construction: /
f
Property Legal Description (Include all easemen
Owner and/or Contractor:
State License No
ASingle Family
❑ Multi -Family (No. of Units )
❑ Commercial
❑ Public /
SIDE SEWER PERMIT
PERMIT 1" 1?- 3868
EDM0NDS
/iL� I'TR.T.
ENT PLAI
a 3
�UeUP LI�n�,. f 9%
. vn.A DFpj
Building Permit No
Invasion into City Right -of -Way- No ❑ Yes
RW Construction Permit No.
Cross other Private Property:] No ❑ Yes
Attach legal description and copy of recorded easement
I certify that I have read and shall comply with all city requirements
as indicated on the back of the Permit Card.
2,
Date
* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
. .. , ' OFFICE tJSE,.ONLY
* FOR INSPECTION CALL 7"=-3M, PUBLIC WORKS DEPT.
Permit Fee: ' Issued By --—
Trunk Charge: Date Issued: _ �%
7.
Assessment Fee: Receipt No.:
Lid No.:
Partial Inspection: Date Initial.
Comments'
Reason Rejected: Date Initial
Final Inspection Approved: Datob- �I lnitial��
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File Green Copy: Inspector Buff Copy: Applicant
Revised 3'90
I
Side Sewer Drawing
The City of Edmonds EASEMENT NO . ...................................
NEW CONSTRUCTION REPAIRS ❑ LID NO . .............. * ... ASMT. NO . ..................
(08
OWNER............................................................................................ --- CONTRACTOR ......................... .......................................................... PERMIT NO. —8
JOB ADDRESS ........ �3. M .. V.. c ....... LEGAL DESCRIPTION: LOT NO- -------------------------------------- BLOCK NO. ....................................
- -na�- -
-------- *1 ------------------------ ------------- ** -------------------------------------------------- [--------- EDNI-Oms ............
.................................................. NAME OF ADDITION ..................................................
TREATMENT PLANT.................
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t
c, Cap
DL N
k PWW-0001-11/75(REV.11/78)
q3( p..).c- eo
17 TWILL)
S +D eHls�+t i SD' - 0
Approved:
DATE ... ..�.7 ...... By 4f
Ap
STREET FIL •
CITY OF E D M 0 N D S
- SEWER DEPARTMENT -
STOPPAGE OF SANITARY SEWER MAIN REPORT
DATE: J V L.
Q
TIME CALL
RECEIVED:
LOCATION OF STOPPAGE:
ATT-4 L, H E-D
02A W I N�Gz
TIME OF ARRIVAL ON THE JOB SITE: $: CUZ) A. " .
TIME NORMAL FLOW OF SANITARY SEWER REESTABLISHED: p.AA .
CAUSE OF STOPPAGE:
ACTION REQUIRED TO CLEAR MAIN AND/OR LATERAL: DLaG l� LA'ft�2At...
A.'r Qg¢y2a1ZTY L I -- u SE D M EGt1Lti�.-� ► G_a► L.. Qpr�D�]�(L
'To P_c:>D Ar . pi k-i r t:>pe1JiED Aru D QcDoc>e-p 22 "
{ rEE 2EMA2�S aA L.L. PaZ> •A w/l A N I...! D �TW.D,t...
CITY CREW ON STOPPAGE CALL OUT (Personnel Involved): C.dQ`{ QAY MDU Q
-it>A JE.N se:-�
LOCATION OF RESIDENCE AFFECTED: 1 1 dLY L.& P 4 C... AV. j
NAME, ADDRESS, AND PHONE NUMBER OF PROPERTY OWNER:
V-1 t►A TZVS H
I l't �1..`! 1►�l P 1 C.. 4 V . D 1►�C� DS, W�•l
DESCRIBE
DAMAGE
TO PRIVATE
PROPERTY: QC3 pd1�..�/� G—. E --
G.l� STLy►�1 EQ,
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REMARKS: gQL,i pt nEyT us>;--D tt 39, tz 4o - 5
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CATION
The City of Edmonds
APPUfor -
SIDE SEWER PERMIT EASEMENT No.
NEW CONSTRUCTION E3 REPAIRS E] LID NO. ------------------ - ASMT. NO. ---------------
OWNER ------------
CONTRACTOR............. --------- -------------------------------------- - ------- ------------ PERMIT NO. -------
JOB ADDRESS
---------------------- ----- LEGAL DESCRIPTION: LOT NO. ------------------- ------------------ BLOCK NO. — ----------------------
ui
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u-
uj
--------------------------------------------------------- --------------- ------ -- ---------------------------------------------- I -------------------------------
NAME OF ADDITION
2> 7— 05
A"roved:
DATE............................................ BY
" CITY OF EDMONDS SIDE SEWER PERMIT
1890 19°jle
t). PERMIT Nb 8863
ry
Address of Construction: 112 a&//y%P/c /N-,_o- j%7
F
Property Legal Description (Include all easements): N
ARKS DEPT
of 7, /S, 19.Z Ob bQf-' 0,
Owner and/or Contractor: 61"If Tc/NG�
State License No. e o 3 0 Building Permit No.
,R Single Family
❑ Multi -Family (No. of Units )
❑ Commercial
❑ Public
Invasion into City Right -of -Way: K No ❑ Yes
RW Construction Permit No.
Cross other Private Property: No ElYes
Attach legal description and copy of recorded easement
It( /z Z2 7
I certify that I have read and shall comply ith alI`city'regpirements _ Date
as indicated on the back of the Per
* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File Green Copy: Inspector But Copy: Applicant
Revised 3190
t
The City of Edmonds Side Sewer Drawing
EASEMENT NO. ............................................ t
NEW CONSTRUCTION E] REPAIRS ❑ LID NO . .................. . ASMT. NO . ..................
OWNER r.ONTR ACTOR PRR MIT NC)_4R 4� (C 3
................................................. ..............................................
JOB ADDRESS .147 ....... 0/ 'C &7 Z)l ...... 7 - - --- ------ -------
PWW-0001 -11/75 (REV.1 1178)
LEGAL DESCRIPTION: LOT NO_ -------------------------------------- BLOCK NO . ....................... ...........
........c.r,.7.V ..... A/ ... �P- -
NAMEOF ADDITION .......................................................................................................................
Approved:
.AT. 31JAII IV ............... By .77li .................................................