1200 EMERALD HILLS DR.PDF1200 EMERALD
HILLS DR
•�► CITY OF EDMONDS - SIDE SEWER PERMIT
1 WATER -SEWER DEPARTMENT
PERMIT a Q, Q .
/call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.)
\Inspection will be provided within 24 hours after requst. NO Sat., sun., or holiday Inspections./
!1DDRESS LOCATION OF CONSTRUCTION.-_..--.:::.............:....:.:.........::.:..::........:.................................................. -.......................................................
PROPERTY LEGAL DESCRIPTION ....................... L �.t._ �� �.. �'.�..'�aIl d n' .......................................................................................................................
L
................................................................OWNER AND/OR BUILDER-_... L:�r.!`:i :D"'�1....... ' .._..............•--•---.._.........-_...........----•-..._.._............................. _.
CONTRACTOR'S NAME & ADDRESS-----..--.. '? 2_- .?.. n
.--••--•..........................-........--••---•------- .......... _... ....................................................
Permission is granted .......................a....... ............................. 197�1 _-, for repair and/or connection of a side sewer to the city sanitary sewer
system in accordance with City of Edmonds ordinances.
ONTION 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.
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.
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
sharper than % 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. 6—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 j Date.. .. ��.�__ � ..?�...----••............ By.--_-Zf1' ....`� 5:..........._................................
O...................................................
Remarks: ........ ................... �............_...--•-•----....-----._.................._...._-_---------.-----_---._---------._.----.-.-.-------..--•---..__....-_...........•-----.........._--•-_..._.
..........................................................•---......---.....•----•---•--••--•-----------------•-------------•---------•----...---------•--..................._.__._........---•---_....------..............--.........................._..
— BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
--- 6 -- _ .-................................................. .... hereby certify that the side sewer installation constructed under this permit
(Owner of Contracting Firm Performing Construction)
nstalled in accordance with all governing ordinances of the City of Edmonds.
Dated this ........... ( ........... day of .................
..............., 197o...
Check BEFORE you dig for: Water ❑, Gas p, Telephone [], Power ❑, Sewer ❑, Other 0 V V
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08: 0� OPCEN a L i NDY R EEC E I V EP. 762 D02
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APPWCA.NT TO READ AND SIGN
INta8�lal Iipl r+dsraw�+MW bi AV j4wlrvl W Ail 0rtmocm (a A &1ht Clry q'Fdmoub Aarm ku f►vm I puri*L dmwzu. or dasw of an
tlnd o► demrtoflam whauot.sr, farrstt�+ or m0riuse. "a' may ib erada o/aJRu qtt C41y of Edivondr, of any of of,
afd porimants pert r.or
v�{pto a►aoAllrnlrrd!od&A0Wgfallykopreone atfo tcawandwtw,uyftrtbyn►ata.gie
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rda x sPoN5/ats P:pa ,eawrAu�NSX�a ,t un l/A7ERLl tS FOR PdslRD PF ONE YEAR ouow�xc riiE FINAL PLE -
N�Y CQY #T �it1CX �AEd CR�twf 8JEOCED E�OR [SSUdJ1�ETfil6 �tPP6 c M£T PA7iH is COMPLETED
TWO so'te cfmstruGtian &gwings of proposed us�Oti( rt quired withpcnrtit application.
A 24 bmi0ke is mquinxl f0['i n�% Maio call tiro Uginwring Division, 711-0220,
Work owdififerjej is to be itiqp� durlag progress sst4 at campletion.
ReAoramffip to be in 000mbb" with City Codes.
street kept cleat, at suers•
Traffic trot and Public Woty shell be in amordanuc with City regulations as required by the City Engineer.
A I I strroato0 troch wane shall be patched with asphalt or City approved motcrial prior to the and of 6e working day:
NO EXl M014S. i
J havt road tht a ve tti understand the permit ►egstlrements and the pink Qapy of the Permit wiu h,-
avarlabla on site t tl 1 aces.
SAgnofare: 9190014Date:
o a D
r gc►io mac. A a. - A t:e�sr' Tr S /at+./
lCAl. 'D A -DIG PRIOR TO HEGVNMNG WORK
row, C"T Us? O7CY r
ArMOVUP PVZ won OP up
TIME AiMORUD' Vm Mtn ,17/ t' 4 DAYS. *alilP"" P094WD ! l l:
sl+sCtat, t�tDR�uorts:
TOYAL
arCettwr NO.:__r_ ___T,a
ISSUED 13Y
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE ".,
FOR USE WITH CITY OF EDMONDS PERMIT APPLICATION
GTE W.O. 2100-9POOIPF017
ACCT. 2423.10
FIELD TECH:
DOUG HOLFELD
425/710-4109
10-10-97
\ EMERALD HILLS DR.
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CITY OF EDMONDS FACE
• ENGINEERING DEPARTMENT
505 BELL STREET
EDMONDS, WASHINGTON 98020
APPLICATION FOR INVASION OF RIGHT-OF-WAY
(Submit In Duplicate)
Permit to be issued to:1A/C
For work at: (address or vicinity) -gz� a- z 2e 9Z- b
Type of work ' to be done: L7L 6S5 Dyk'l v,-1 WR V 6 Al zw/ VE A X o
(Attach Drawing When Applicable)
City State
Contractor: *Ae7-11 16/0 d'D 5
Name
77s ZhAI,4--
Mailing • ddress
/:-,Q116 112S )AM -) # .
City State
Owner or
Telephone Number
774-_ 2
Telephone Number/
Date Signed
DO NOT WRITE BELOW THIS LINE (To be completed, by Issuing Agency)
Permit Issued (date) Permit Number
Remarks:
•
t V. I�Y\J I A An I ��s}y�z-
'ENGINEER'S APPROVAL \ DATE
Upon issuance of this peljit, the contractor is responsible
for workmanship and materials for a period of one year
following inspection of the restoration by the Engineering
Dept.
NOTICE:
Work subject to inspection and restoration in accordence
with city code. A 24 hour notice is required for inspection.
Call 775-2525
`CITY OF ED11OND5
ENGINEERING DEPARTMENT
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APPLICATION
The City of Edmonds for
SIDE SEWER PERMIT EASEMENT NO . .............
! , E NEW CONSTRUCTION REPAIRS ❑ LID NO ................... ASMT. NO. ..................
OWNER `�-�T�WO�� -- CONTRACTOR -��� ��'�'���512-
..--•---------------------------•--•-••-----------------------------------...--•-••----------------------•----...._._....--•------------- ........... -• ...... -.._...._...._...._ PERMIT NO. -=--------------._..
JOB ADDRESS .... 174:5�� ...__ T/1 - 1��- 1-a�1._LS•----- LEGAL DESCRIPTION: LOT NO______________•-4a
................... BLOCK NO.-------•----------------------------
14
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NAME OF ADDITION ...........
DATE D%..„..G'.,��i...-�-�'�-............ BY
---------------
14
,The City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT
NEW CONSTRUCTION ®./ REPAIRS ❑
OWNER__-----------------------•------- --------------------------
JOB ADDRESS _ % aQ------ 1�------Pn!..---
EASEMENT NO_ __________________
LID NO. __ _._ _ AS
i
CONTRACTOR .1304------------------------------------------------ PERMIT NO. 4�
LEGAL DESCRIPTION: LOT NO. ------- X�________________________ BLOCK NO. ------------- ---- ------------------
-- .
witr'W�� 14,71 S -Dr- Approved:
DATE
BY /
--------------------------------------------------- -I-1---7----
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