125 9TH AVE N.PDF11111111111111
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125 9TH AVE N
The City of Edmonds
APPLICATION
for
or SIDE SEWER PERAHT
A
IL
NEW CONSTRUCTION REPAIRS E]
OWN,,
----------------------- -----------------
.............................................................
ADDRESS
T��14�t�c
E:NT PLAJam, -r
EASEMENT No . .......... -..............11
...
CONTRACTOR
... .. .. . ... ............................. PERMI.T No.
-7:
LEGAL DESCRIPTION: LOT No. .................... BLOCK No. . ............
.....................
NAME OF ADDITION
.......... ......
..... ....
TS.........
Approved:
........ 7 ......... 2 ......... DATE ....
I?.Y
i
4.
Dates .
Otobex 2b
I•lemo' to:. Ron Whaley
-
� .;. •.
- �-_`- a
From: •Leif. R.. Larson
City En . gineer
•
;'Subject: Sewer Connection
Charges
s
Legal Description:' Lots 18
& 19p.B1k.
780 Plat of tho City
of Edmonds
--nmonly known as
Owner: John W. Cotftyr
Z.F.F. Calculation:
50 ) Z.F.F. x
4 8.50)
= $
425.00
Connection Fee.
(.1 ) Unit x
(S 25.00)
= $
25.00
Trunk .Charge
_
S
10.00
Permit
$
460.00
Y
-TOTAL
T,S.'."""�^�'e"
Oil
;.:46, CITY 0, AID 'h'-D°,S x= tS'1 E SEWER` ERsN1'1-T
r WATER-SEWEW, DEPARTMENT
- PERMIT74
.[Call„7�70-1�107 fon:stde sewer Inspections"n1;FORE coyering�tany, ,portion of .the''constriction - .,-.,(Call.,,
will -be proJided` within. 24• hours,a[ter request: NO Sat. ,Sun or holiday- inspeclions'� :
�4. .,.ADDRE$SLOCATION°OF GONSTRiJCTIOIV Q [ie'1 5t>�e�t ::
')ERO�'ERTY LEGALiDES.CRIPTION:: ! t7tS .�.a`�. 9...:..�.�F_?.. :.::�� .:R �:.�:fiV nF::.ciip�-psis.:_::..:...........
' y .. O •..WNER AND/yOR-.BUILDER Y.
t?.�HNCO�dLEY
;CONTRACTOR'S NA11ZE48 ADDRESS(��.�C.}.11 ��.kfZop ,�.�^rvi.e�4(}t F at. ►ic1::.�11ff .t..�.:..: FA ..............
..
-
iPer111ission isjgranted _ , ri�i'.:: �� '-.: : 19 ? for repair and/orrMconnectlon of aside sewer to the city sanitary sewer
'i3y§te+m=in;ac6ordancerwith City6f;Edmonds:,ordinanees j
' 'ATTENTION THE FOLLOWING
'-`� •�YNo •1`=Thezowners_of�the property*may obtain'&�permit- o-construct"sewer inslde,property,,line A-licensed'Side.Sewer 'Contractor,'must tie'-employed'to construct
i \ '•sfde sewer In.�street area _ Do' not cover-; any' portion of;sewcr.before It has'•been'tnspected _ -
-+' I.cityightPE-,No: 2 r All work;performed'm-of-wayirequires�an - Invasion of. Right of Way.}Permlb obtalnablet-fromn'.the City. Engineer s -office -
NOTE No 3 Obtain full information regarding Ordinancefli•.18:036-and:Regulallona governing sideisewers''when-•you'get permit. +
_'-
'.._NOTEallor 4, Top iof'side,sewer•'musU:.haveat 30rinches.overage a.,propery-Alne and+hroleast
',sharper: ywlil'be-permitted erty-line; minimum .grade of 2/'.-. No bends�lri`grade;
_ -
` •NOTE No:':S--=Trenches in'.street,must�be.watensettIed:and;,surfaceyoP.street restored-to%orlglnal:condition- aiontractors-$half. be. responsible_ for failure due'to'.Improp'er
ork w hich� inay"develop within, .year: of -completlonc -r -
`NOTEtIgo:6—IE, Is UnlawTtllt<to-alter:or do ;e ny other work than is provided fordri ,the pecmlt or Yo'•do wny;work oricthe_maln sewer:or.its:a.ppurtenances.lexcept`ta in
V.' serf:the�pipe•intolthe�wyc...,_ '.'--
�....
DIS'AP$ROVED ❑ :Dato .. -:•... ..- By,.. Date'•t ... 13y- -. ... Dato: By
tAPPROVED ] ,Date a: Zr ?. Z By •�•!y..
Ren1ar................................................•- .- .
ks.._........................ II.*..:.!.
�_
........- _ ...-..,.
--:.. .-.;.:: ....
BOTH`.Permlt;Copies:;,DIUSTBe Signed By;Ownei `of FirmiPerformmg Gonstructioil PRIOR-To,Request For"Inspecfion
I, ti
heteb : y<certlfy.:that the slde-sewer installation constructed;under.this permlt
(Owner of Contracting Firm Perfcrming Construction)
was installed in accordance -with all''govelnmg;oldinances of:;the City, of Edmonds
Datt,d:afus.......:day. of...::.:...:..._. :.... 19
f. rh ,n'Ii RF IrnR.TC arnn:rilo•'Vnr••..�,Untnn..r_t3: -:.f`°v-.-.r-i-.:'.•.-Tnlnrihnnn:.r-{'_;:,;.Pnurnn_rri: i'>aCn°i�nn: rri-.% .:.L14h.;.•-ram
Building Deportment
CITY OfEDM
ONDS
Snohomih.-. Counly, Washington
'1,27 22, 1972
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