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1254 7TH PL S.PDF111111111111 6996 1254 7TH PL S CI'V OF EDMONDS }� PUBLIC WORKS DEPARONT FOR INSPECTION CALL. Permit H�a� _ _ 0SIN, SIDE SEWER PERMIT 775-2525 Ext:. 220 Issue Date PERMIT MUST BE POSTED ON JOB SITE 1. Address of Construction 1 754- — ()T�+ PL EA h� evtd r 790Z.6 2. Property Legal Description (include all, easements) LOT h 3. Single Family Residence Multi -Family No. of Units Commercial 4. Owner and/or Builder =C"i + 5. Contractor & License No. a G CIN �&ys aE--Ll-*-r- E-34-s 6. Invasion into City Right -of -Way: No 111-�Yes (If Yes Right-of- way Construction Permit Required - Call Dial Dig (342-5344) before excavation). 7. Cross other private property: Yes No Easement required - v attach legal description and county easement number. H 1.4 READ THE FOLLOW.T.NG AND SIGN: a. Property owners must obtain a permit to install side sewers on >-I their property. A licensed side sewer contractor must be employed to construct side sewers in the public right-of-way. w b. The side sewer contractor=assumes full reponsibility for each H installation for one year. wC. Commercial establishment requires a minimum of a six inch (6") 2: side sewer line. o d. Side sewers may not be installed closer than thirty inches (30") to any structure. e. Side sewer lines must be laid at a minimum grade of 2% (1.150) and maximum grade of 100% (450). H f. No turn in side sewer greater than 450 (1/8,bend) is0allowed between cleanout. All 90 turns must be constructed of a 45 (1/8 bend) and wye with removable cap. g. No down spouts, footing drains or floor drains can be connected to side sewer system. h. Pea gravel is required for bedding when installing sewer lines through other than granular soil. i. Cleanouts are required at 30"-60" from each plumbing exit line and at minimum intervals of 100' along sewer line run. j. Trenches within City right-of-way must be restored to original conditions. Contractors shall be responsible for right-of-way failure due to poor compaction of fill. k.. Side sewer must be left uncovered until inspected and approved by the City. 1. Inspection during normal working hours only. "Two (2) working days notice required. DATE: P ° I certify that I have read and shall comply with the above H PERMIT FEE : ,5Z:;) """ (in�Vmb°1 / DISAPPROVED BY: Date: Date: � op CONNECTION FEE: ¢V / APPROVED By:j%,2,,L_Date: Tall w d o * PERMIT MUST BE POSTED ON JOB SITE The City of Edmonds R ide Sewer Drawing EASEMENT NO - ------------------------------------------- NEW CONSTRUCTION REPAIRS ❑ LID NO- ------------------ ASMT. NO. ---------------- --------------------------------------------------- CONTRACTOR _�^-� -_.. � --!-----�IrO�G O Ir----------------- f -J 03 OWNER T©Y1n----------' �'� ---- - • -- � - - PERMIT NO. - � ----- - JOB ADDRESS ----- I.. T- . --- P-L ---S ------ LEGAL DESCRIPTION: LOT NO.----------5----------------------- BLOCK NO.--------------------- Side Sewer PWW-OWl-11/75 (REV.11/78) ----------------------------------------------------------------------------•-------t---------.....----------------------------•-. NAME OF ADDITION ...... & ((_ ....--4Gl ''T --------- -.6-IL t_I YlC- W I i n J/ W LOr. OF Houses ,i N Pv.c. I /L-- Wat<v Meier --- Wo-ter Livie C3' C.U. Rpe- at- %louse C.Ol3 c�eeP 00 0 0 �l Approved: DATE-__!._.'f- } ! t By -- APPLICATION he Ci of Edmonds" tY " for EASEMENT NO ...............- -------- - .. .. ��� .� � SIDE SEWER. PERMIT•-- •- -- " °NEW CONSTRUCTION REPAIRS ❑ LID NO_____________ _____ ASMT. NO. .................. E ,K ... OWNER �L �— H M ---- CONTRACTOR _� .M----CUN-[_� ,��- ------ PERMIT. NO. ��25 �-� JOB ADDRESS-I2s4--' T" --- C�----�------------- LEGAL DESCRIPTION: LOT NO. ------- -------------------- BLOCK -NO. -------------- =------------------------------------------------------------------------------------------------------------------------------------- NAME OF ADDITION G1 !__...D�l TI Oti! h1V 1111 L y 1' t ved: all E B t f /75 _ � r .. ,. t`=' A • [ylrj`1CN y'( e 4 � - - _E �. 1/�� -�'�_ br F. iT, frl- 1�'�t t_ ���"Y lh11�:'ktNl�t� -1+.i A4. ors 1 t 1� � •� ,. ' _ Pit i . c,yJ�z �'',.st �Zr—,.._ " �: _ _��•-�� j yam' _ _ .�� �s�r �M � J L _,s.�. _ .. .-. _, . - . , _.,... - v ---- - CITY OF EDMONDS =SIDE SEWER PERMIT WATER -SEWER DEPARTMENT - ; .s _ PERMITYa`�' Call 775-2525 for side sewer inspections BEFORE covering any portion of. the construction.No i *_ r_•.. -i t (Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections./ v a� 1 �+ ADDRESS LOCATION OF CONSTRUCTION-__---_._l�� - ..._ ""° _ . ........ ............. ..------_..... Q--••----•--•--- - v,j Ft Ge 9 /_i1!�................. _.._.__...._......__......_.. t• . ,� ._ - ,;, - PROPERTY L DESCRIPTION..---••---- .................... ... _ _�,, ._. � :;•1 LEGAL� � `�`�-•f-- •-�;:�; - r_ tt ........................ .... t t7 ......................::.................._......_._.._..._........__•___...._...................... _ - - rR- "f OWNE AND/OR BUILDE - ��' � �-�= � i-.-----•---- - CONTRACTOR'S NAME &ADDRESS......-----r:` - � •-�•c.�'..a--•F�':„�'�'=1.._._ ' o°'r.. --- r° _ / '�_. L. -. __...._... 19. ` __, for re and/or connection of a side sewer to the city sanitary sewer k. T�:`_rlission is granted ..__.--_ •.-..__ , -- -•• Pair ''.mn in accordance with City of Edmon& ordinances. yT ATTENTION IS CALLED TO THE FOLLOWING: EN ATT construct .. - _ �U - COMB S -- Contractor must be employed to _ _ • sewer inside property line. A licensed Side Sewer C . r NOTE No. 1—The owners of the property may obtain a permit to construct se PI' Pe Y -� { + _ side sewer in street area. Do not cover any portion of sewer before it has been inspected. i 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. j. .yC , —Obtain full information regarding Ordinance 11.NOTE No. 316.030 and Regulations governing aide sewers when you get permit. NOTE No. 4—Tap 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. s u C: f ! ✓; t +, t _ hall be responsible for failure due to improper NOTE No. 5—Trenches in street must be water settled and surface of street restored to original condition. Contractors s- 4- i 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- �,;-r{:S_ Bert the pipe into the wye. DISAPPROVED❑ Date..._......---- •-••......... .....•--- BY ---------------- Date.- ....... .. .._ By.___ Date --------------- _------------------- BY ................ ��1�kI9................................................................ az APPROVED Date.. ._.---•--- BY�L 4 4 t• '- : _•-_" ..' : t _ .............................. f .' t' • ; : . t. .., -_- .............._............_ ._. , t y>:. �.:•.':-�•.,� ri .•r.. ' _ Remarks. ..--•-------------------------- -—,-__...----........_�_ .....- --•---------------------- - o , — BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection — 1 �0 I •. ._-•-//-•,4aloverning hereby certify that the side sewer installation constructed under this permit (Owner of Contractinrfcrming Construction twas installed in accordance wiordinances of the City of Edmonds. /f, t-7 4 t /01 Dated this----- ......day Check BEFORE you dig for: Water ❑, Gras ❑, Telephone ❑, Power ❑, Sewer ❑, Other ❑ • T . �' 4 J. APPLICATION for The City of Edmonds SIDE SEWER PERI%HT EASEMENT No ........................................... NEW CONSTRUCTION El REPAIRS n ........................................ CONTRACTOR A........... .... .-..1..... .......................................... PERMIT No . ............. .OWNER ---- ADDRESS... .......... 7.7 ............................................................... LEGAL DESCRIPTION: LOT No . ....................................... 1�'ll ,BLOCK No. ............................................ NAMEOF ADDITION .... P!-- -------------- - ................................... ......................................................... 0 RN Approved: DATE................................................ By ...................................................................... PIi:1.IC '..i)i:1; ' 1�1"PT;fa:ISIT= -M. OPY BUILWNG PET;1_1 t3:l'rF %i>�T Strcet rdpht-of-1°ay F_cistirir, 600 Access I'aSC11Cnt-5 ExistingN0 REnn , I Utility rascmcnt Existing �j � � � TZM- T) 'Y W. li j� Lot Per Sui,division MEMO Assessor T Tan IISite Plan (lice] (ld for Accuracy t luicrgrctuid itcorl . 'Yes + I:evic:: Ly Date I� rYistiT?^ 1�aLCr .aln .Size ` L (I 1, C 1':atcr "a.in red !' S�rorC(, I,nc? R� 1W,0cl I c; � il;•ci?':!:t .`;; tc l:xistia_r �1 i II i� .�•r I llycir?:?t Rcquirrd Pei Fire. C.�(Ic, Size Q e _ t I T)ctcctor Cl?ccl: ; •ctcr Rccuired i� `` M Pie. I It �I tic Tan!: Anprovcci--��� Hate -- — I Septic Ta??i: Pcmit i'cottirccl ,U�/� Pcmi t ?'o. i Sanitary Sc?:•cr Availai:ility ! • Proi. l)1'a::7.I1..:':O.`_ T'11 C .:0. 49 'A-- � --- Si<ic Sm.-er Avai l abi l:i r- �F'} �e�p• //� f,��� v; III Sanitary Sever Connection Pcc- PcPccnui rr7c~d_��� `I i;.!Vic,..! !,) ,Q,L� T)atcA/7 I f II I mi Ditch T:cistir. Renuircc! c: Culvert Required �1 Size �f Catch i'.a�.;! 'k,(!uiTcd r--12_ Indicate on m;tl...-.?c.;in Col Ic?1 n In S ,L-11 cl�jN.Iln rolc rcquircd ,--_ Indicate or. Site 111m Soil Condition.. F, Grotuu] 1•,'atcr 1'icici CJicci:cd i !icvi.crr tn, - Date �— I V) U BUILDING DEPARTMENT Applicant Fill USE PERMIT ZONE NUMBER PERMIT APPLICATION Inside Heavy Lines JOB ADDRESS / J --" J NAME (OR NAME OF BUSINESS) LEGAL LOT LOT AREA SUBDIVISION NO. E �YEs❑NO W MAILING ADDRESS Z n /y} (//�� j� /\� �%O ��� Ale, STREET R/W 0 j / ✓ . / / !� C-O. // EXISTING STREET R/W -� FT, DEFICIENCY THIS PROPERTY CIT � TELE HONE NUMBER ' ` Y(/ L COMP. PLAN ST. R/W � � FT. � FT. NAMED REMARKS Z_ F U � W W F ADDRESS CHECKED BY W • Z = U 1 0:CITY TELEPHONE NUMBER STREET AND/OR UTILITY WORK / O R/ W PERMIT REQUIRED Z Q REQ'D. ❑ YES 191NO ❑ YES =NO W NAME UNDERGROUND m SA Aga ye- WIRING REQ'D. YES ❑ NO 0 ADDRESS TYPE CONNECTION lkYES VERIFIED BY F U SANITARY SEWER ❑ NO Q E CITY TELEPHONE NUMBER SEPTIC SYSTEM ❑YES PERMIT NUMBER F Z APPV'D BY CITY ENG. 44N O 0 U STATE LICENSE NUMBER CITY LICENSE NUMBER REMARKS Legal Description of Property (Show Below or Attach Four Copies) METE� R SIZE BUILDII�I� SUPPLY SIZE � W F RRKS F a_ SIGN AREA ENV. REVIEW ADB NO. E . ALLOWED PROPOSED COMPLETE EXEMPT J Q REMARKS U W J VARIANCE OR CU P NING R VI BY TE ID %3 177 YARDS Q LOT COVERAGE NEW RESIDENTIAL_ GAS LINE CQ FRONT 't� SIDE /s REAR FIRE ZONE TYPE O� STRUCT CODE HEIGHT NON-RESIDENTIAL ❑ SIGN ❑ ADD •T/�r �f`+- /-9 73 V J DEMOLISH ❑RETAINING WALL SPECIAL INSPECTOR AREA REQUIRED I OCCUPANCY GRO OCCUPANT ALTER EXCAVATE FENCE ❑ YES NO LOAD ) OR FILL X—'PLAN ❑ CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. PRE -MOVE swim REPAIR INSP, POOL F NUMBER OF STORIES NUMBER OF REMARKS _ DWELLING / z UNITS W NATURE OF WORK TO BE DONE f 6 W 0 VALUATION FEE USE PROPOSZ4� Ide- 1 ,9 Z ° PLAN CHECK NO. F Z W IL PLOT PLAN INDICATE BUILDI G SETBACKS, i i ABUTTING STREETS) BUILDING IL U 0 0 J W PLUMBING W 0 > 10 W 0 HEAT & GAS LINE 0 FENCE F Z SIGN f RETAINING WALL f 0 U SWIMMING POOL