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17001 68TH AVE W.PDF1111111111115263 17001 68TH AVE W STAtEET FILE APPLICATION for The City of Edmonds SIDE SEWER PERMIT EASEMENT No ........................................... NEW CONSTRUCTIONS REPAIRS ❑ /� � w OWNER .DIc'K...... -.,-•.TE ........... ............ CONTRACTOR �H !�►R .-....�S..V..DEHF�►�IEN .. PERMIT No.A."1 8� �...... - N ................... LEGAL DESCRIPTION: LOT No..-p..........iG.--.........--................ BLOCK No............................................. NAME OF ADDITION .. C QU.5 L.� .....-: � N—H...... NZXAT %�Nftz fq�l ...... � - _- . C_ - fir• f3 1 c go- yeBE*AM lab Approved: DATE ... ...vz— . By .. .... ..�C% '....:1:*`:..:.' '.GIiT !R��IIDS "SIIDESEWER]PEM�OF:HE'D+NaN :-MATE DEPWRTMENT ¢ y ' PE�Ra1Vi�I1 '(.Call : 776-1107 for side .sewer 'inspections- BEFORE covering any,• portion of .the. -construction.1 '\Inspection will +be:provided,withinr.24�hours,:after-request.:.NO Sat.`,-.Sun',aorrholtday--inspections./ •+.•, _ `;ADDR'ESS+]OCATIO,N OF ,CONSTRU.0.11tI•,iP3 i 1 ,.;PROPERTY',jLEGALrIDESCRIETION:.. L0 -�• ,, _Double DD aftl Adt! tt�on Nq 2 _ ............. -:................_..................-----_ •... ........... ... ......................................................... .......;.OWNER: A+ND/QR, �BUII:DER:.:..... DI C K...PT% C K.-.' .... . CONTRACTOR.'S NAME & AD ., •Fclmnnc s•DRESS.R7mhfre rnn<i-n�hA , :.•.:-F.a•,::.W Permission islgranted ...: ft Q�E'i"... , 19 . 73 •for repair and/or connection of: a, side sewer to ,the c1ty, sanitary sewer system,;in,aceordance.with City. of. Edmonds: ordinances. A` rIONr.IS,tCA•LLED-�TOTHE FOLLOWING - NOI_rVo.:;l-The .owners -.of •the ,property .may. obtain �a',permit;.to. construct sewer Inside ,property A'+,Hcensed Side;Sewer.Contractor,muet tieYemployed1,to}construct • - afdegsewer fn;street area: Do,not cover•.any, portion -of sewer -before it .has"been. inspected - ,.�. '• .- •NOTE No.,,.2 - All;�viork .performed 7n :city right-of-way;requires-an :Invasion ,of. R.tght-of-,.Wax;Permit �obtaanable from the�City �Engtneer s •,offloe ^NOTE,Vo.`3-ObtalnJull.;lnformation, regarding Ordinance-.•11'.40.030,and Regulations..goveinin - '_ g.sld'e�•sewers.:when you�lRet=Perrnit: - - ••r- `NOTE ;No.-4-Top'o{}sldeLsewer must' have,at least:30 inches coverage-at-property�,llne.:and 12�linches'inslde.'propertyl.line; ,mtnlmum ..grade oP 2;jo:: Nm,bends4•1n'-igradel `. •sharper -than 3/8 will be permitted: - - - -, - NOTE No.;.5-Trenchesainystreet'+muat,be. water settled Fand?+surface of --street- restored: to original ,00ndi[ion - ` Contractors"Fshall be ;.responsible for=,fallure due%.to Improper wark� whibb0may develop',vilthin'one. year of+completion.:' _ •'. - - - •.;i w NOTE.No:4�-It:is!}unlawfuli,,to'.alter:or do:,any other:;work,tham[s provided foran=.the permlt,'�or•*to`do-any-work'on•'the main':sewer-or"�tts--appurtenances.`except-fo',iri ' eerf{the;pipedhto -the wye.' - - - ' �.. - � .. .. n . DISAdPPROYiED' Da , .D ite.Date By. APPRO�!rED i --jute :.:.... .. ....... BY ' 4 .................................................... .G,{. BOTHi Permit ,Copies, UST jBe'Slgned ;B�.;O'wner of Flrrri <Performtngs�Constructon •PRIOR Top1Request For I•nspectiolij j a Ire : ?. hereby. .certify that ttlie side+'sewer InsGallatlon, constrilctedrurider thispermrt Q,wn!,o'o tra ng r or o stru to l: r l�n9€a11;ed14n accordance with- 11,governing;;ordinances,of;the City; of Edmond11 s t t Dated;,this ,/. .......c7ay..of !... �`� t 19 ' .� . ,x< a. x .61iecli f!BEFORE you,'dig for.::: Water ` :Gas>' T61e hone Power ; Sewer<<� O'thi r 0 r x � - � 0' r a p � ' �'' • -` � _..'�.--'- — -- —. .._ . . _!;r. � �.. _...._ ..,--- ........ ....... .. _.._. ,__� _w_ ate>S— APPLICATION for Tka-CiVy of Edmonds SIDE SEWER PERMT EASEMENT No ........................................... NEW CONSTRUCTION'Sa.-- REPAIRS ❑ 4iIL-1 171 Ll i OWNER ...... . 19e-cg ..... ............................................. CONTRACTOR ... 117A-Lkfl-W ...... PERMIT No. ADDRESS ./7a4?/` ............. 6'1'4&&L DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................ NAME OF ADDITION . ..... Z:D ...... /. . .......................... 6s� - � , 17r- el Approved: DATE................................................ By ......................................................................