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1230 HIGHLAND DR
CITY OF EDMONDS - SIDE SEW K-PERMIT
WATEWSEWER DEPARTMENT
PERMIT
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/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
ADDRESS LOCATION OF CONSTRUCTION.......... A°-L?. G: .Al....t��+........ :, a Win. r
......................•......
PROPERTY LEGAL DESCRIPTION........... ==-% c�� �- rriaa : arc -_� 8............� p�. .. ..................
..................................................._.................................................---•--•----....----------.............................---.....................................------...........................................
..........--•---------------------------------------•----.......OWNER AND/OR BUILDER .......... '�=- �'�'- '-`�'1.... _� r , n.��c-�, n .. .................
CONTRACTOR'S NAME &` ADDRESS .............. .- ~ .---- �"'?.� .�5 .........................................................
Permission is granted ............ :. _:......', ...........?....., 19ni!o, for repair and/or connection of a side sewer to the city sanitary sewer
system in accordance with City of Edmonds ordinances.
A&TION 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 1/8 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 ...........
-............
APPROVED �' Date ..... �.....�,..��.... By
Remarks: ....................................................... •---.... •-----......................................._... ---........
By ................ Date.....
..................... By....--- _-----
............................................
i....--•--•----------------•---.....--------------•-------.....------------.............................---...---......--••-----...........----.....................-•-•--.................--------....---...------......--..............................
— BOTH Permit Copies MUST-B Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection —
I ., hereby certify that the side sewer installation constructed under this permit
wne� t cling Firm erfcrming Construction)
*11talled in accordance with all governing ordinances of the City of Edmonds. .
Datedthis ............................day of .................................................... ............ 1 19.........
J Check BEFORE you dig for: Water ❑, Gas ❑, Telephone p, Power ❑, Sewer [], Other p
APPLICATION
j The City of Edmonds for EASEMENT NO . ............................................
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS ❑ LID NO. — ................ . ASMT. NO...................
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OWNER ......-S-C'_�N-L�i .---- G-1l C� ,gS CONTRACTOR----?R't --11_l K ----• CDe 1 ..._....... PERMIT NO.
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JOB ADDRESS __!'' _�'`�-'Np..._w� LEGAL DESCRIPTION: LOT NO. __-__ ...... 5..................... BLOCK NO. ____...._..._.._____-_..__________..
NAME OF ADDITION .................................................
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APPUCATION
The City of Edmonds for SIDE SEWER PERMIT EASEMENT NO- -------- -----------------------------------
NEW CONSTRUCTION [] REPAIRS ❑ LID NO- ------ ----------- - ASMT. NO. ------------------
-------------- ---------------------------------- CONTRACTOR Ald-? t
OWNER AIA54)1 s 7--W40rk --------- PERMIT NO.
JOB ADDRESS -YA-3.4 ---------- ---- ot LEGAL DESCRIPTION: LOT NO- ......... -------------- ...... BLOCK NO. ---------------------------------
............................. ------------------------------------------------------- --------- --------------------------------------------------- --------------
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NAME OF ADDITION AW,6,9�� ---------------- ...................................
Approved:
DATE----------------------- .................... By --------------------------------------------------- fi7-Y!Y
MEMO FOR RECORD
October 13, 1980
MEMO TO: File
FROM: Lee Willeiksen
Water/Sewer Divison
SUBJECT: CROSS CONNECTION IRRIGATION SYSTEM
AT 1230 HIGHLAND DRIVEr
The irrigation system at the above address is in
compliance with the State of Washington and City of Edmonds
ordinances per Lee Willeiksen.
c/ I
LEW/amm
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IMP RT NT MESSAGE
FOR
A.M.
DATETIME , P.M.
WHILE YOU
M7777zo
WERk,, OUT
OF
PHONE NO.
TELEPHONED
PLEASE
PLEASE CALL
CALLED TO SEE YOU
WILL CALL AGAIN
WANTS TO SEE
E YOU
RUSH
RETURNED CALNL'
MESSAGE
SIGNED- �.......
CASCADEQ LI-C2334
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CITY OF E D ®N ®S HARVE H. HARRISON
200 DAYTON ST. • EDMONDS, WASHINGTON 98020 • (206) 775-2525 MAYOR
DEPARTMENT OF PUBLIC WORKS
October 9, 1980
Account No. 220-02555
Mr. Darrol Haug
1230 Highland Drive 3aS -G(GO � C�
Edmonds, WA 98020
Dear Mr. Haug:
SUBJECT: CROSS CONNECTION/IRRIGATION SYSTEMS
An irrigation system located on your property may be in
violation of State of Washington and City of Edmonds ordinances
related to backflow prevention. To protect the potable, or
drinking water supply,an approved backflow device is mandatory
on all irrigation systems.
Please call the Water Department Cross Connection Inspector,
Lee Willeiksen, at 775-2525, extension 226, for information or
an appointment for inspection of your irrigation system.
Requirements to meet State and City Codes need to be com-
pleted within thirty days from receipt of this notification.
~Siinc rely,
LEE WILLEIKSEN
S �Q Cross Connection Ins
/1 �� P
lJ Inspector
r' Water/Sewer Division
LEW/amm