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17020 68TH AVE W.PDF17020 68TH AVE W APPLICATION Thp,City of Edmonds for SIDE SEWER PERMIT EASEMENT NO- ----------------------------- --------------- REPAIRS ❑ LID i�r3.�..' :'' . NEW CONSTRUCTION � ::, ASMT. NO................... OWNER .'RtQL1.------ CC�tJT-RUOWNERTIU%1 CONTRACTOR .MU�TE�,t�GTdi�S PERMIT NO. JOB ADDRESS _17�20.--- G?8'?-'�.v�N�r��----�t�I�STLEGAI DESCRIPTION: LOT NO. ----.--.-- ------- BLOCK NO. ----..--.----------------..- NAME OF ADDITION ___ a ©tVtStCIV •-•------------------•-•------•-•--••-----..._...---��.__---- DATE .... By p-.:: l ....... Zb r C) M M H Q O G � � 1 C7 / yN y t • W U n rf n r - � NOTICE. NO INARP..P C"' �'.. • rV Th^ Informatlen shrnvn an the Q attached map vr. c: Ci ; c E' i'. c^_I ;ses and consults. 1: :i . �� ,. r... i' . �....._cy of x anything sc f~ rcw ,c..,:j a copy o z 0 shouldca. ih� Iniu.11ii - shown on ;� ; the map i InL'u:r, of any setiJcr stub'` / shown 4 e u;: I nay or m: not existat the locauc L ; , Irc ,;��;?t� nce its e,ployses or -� �' ( Z this map any oral t` F m o �.. s repress I,au : a:pruviddu u to t t aYd:inap u> , f n frmf i.g. , iy�p1 S" = r r ay V7 fl .• L { . d . ..+_ i.l' f:M dT.. ' �� �'i[ ate. � _. . - •,r •x. a .+« -..' A' .. - • CITY OF EDMONDS - SIDE SEWER PERMIT r ,p F WATER -SEWER DEPARTMENT �. PERMIT 45 /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 CONSTRIICTION..._ '�...�.__ _ _ ?.. fit ?? •.................................. PROPERTY LEGAL DESCRIPTION....................Lot-- ..5 �...�.. �� �`.�0� • �..�Sg®D .. .._...•. .......................................................OWNER AND/OR BUILDER._ Y RIDPt C�X••C:OI..T�' ...IL"A'-----.__.------------............_........ r CONTRACTOR'S NAME & ADDRESS.----?....F--.!...�:d37.i.� iC�QiCS...............•--------._._.-•----...._..•............ .... _ _ Permission is granted .___......_ . .................Nlay.-2g 19-.�5_., for repair and/or connection of a side sewer to the city sanitary sewer s. 'm in accordance with City of Edmonds ordinances. ATTENTION 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 --- _ • • ............... t BY Date .............. By........... Date...............- Y- APPROVED ❑ Date... _.. `............... By. .T.. _ _._..._..._..... S .. Remarks: ....... _...... _.......................... _---.......................................................... _....................................... ...... -........................................................... - — BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection rfr�krt r r hereby certify that the side sewer installation constructed under this permit 1.,,.:_,.,•. ... (Owner of Contracting Perfcrming Construction) I. was installed in accordance with all governing ordinances of the City of Edmonds. -:'- - -.- Dated this ............................ day of ----------------------------------------------------------------- 19........ J J Check BEFORE you dig for: Water ❑, Gas ❑, Telephone ❑, Power ❑, Sewer ❑, Other ❑ d J