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S I DE S EWER -TERMIT
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...... ----------------------------------------------------------------------------------------- .... ..................................................... --------- PERMIT
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'JOB ADDRESS ---- ------------------------------------------------------------------------------ LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO.
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NAMEOF ADDITION .................................................................................................
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Approved:
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CITY OF EDMONDS SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
V
0"TREET FILE PERMIT
Call 775-2525 for �4' inspections BEFORE covering any portion of the N
construction.
side sew
Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday
inspections.1
i7W7 - 6E'h Avonve, "Cst
----------------------------------------------------------- - -------------------------------------------------------
ADDRESS LOCATION OF CONSTRUCTION ------------- ** -------- * --------
LCO- 0, EnuLlc DD Ranc':l Tracts -'e. 2 ........................................
-------------------------------------------
PROPERTY LEGAL DESCRIPTION ........... -------------------------------------------------------------------------------------
...........................................
....... . ........... ........... .................................... ............... . .................................. . .......
...............................................
EDNA 11.
"t 'THE j
................ L--OV*rNER AND/OR BUILDER ........................................ . ................................ ; -- - -------------------------------------------------------
............................................. -;. .
'�I, 7 &n� Sever
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CONTRACTOWSNAME ADDRESS ----------- _ - 7 V ........................................................
2 9_7�-_, for repair and/or connection of a side sewer to the city sanitary sewer
Permission is granted ------------ ----------------------------------------------
system in accordance with City of Edmonds ordinances.
N IS CALLED TO THE FOLLOWING:
A=-ENTIO
f the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct
7, r A No. I —The owners o
it
side sewer in street area. Do not cover any portion of sewer before has been inspected.
-of-Way Permit obtainable from the City Engineer's office.
—All work performed in city right-of-way requires an Invasion of Right
NOTE No. 2 0 and Regulations governing side sewers when you get permit.
NOTE No. 3—Obtain full information regarding Ordinance 11.16.03
line and 12 inches inside property line; minimum grade of 2%. No bends In grade
NOTE No. 4—Top of side sewer mu'st have �t least 30 inches coverage at property
sharper than % will be permitted. to improper t
NOTE No. 5—Trenches in street must be water settled -and surfa6e'6i street.restored to original condition. Contractors shall be responsible for failure due
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.
..... 'BY ................
Date . ..... ----------- ------ ........ jate --------------- - --------------
DISAPPROVED Date ... . .............................
y-
...................
'ED Date ...... 5-7.6 ...... . ......................... ......
APPRO'V
...................................................................................
Remarks: ....... . .............. -------------------- - -------- ------------------------------------------- --------------------
--------------------------------- * --------- ---------------------- - ---------------------------------- - --- --------------------- ---------- ------------------
-------------- * ---------- - ** -----------------
-------------- ------------- ------
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection 31,
is permit
hereby certify that the side sewer installation constructed under th
cting Pe�rmi"g
0� �a 11� lerof-rmiM' 0-StruCtIO-1
w�,Installed'ion �,Z�'co-ldanc;e with all governing ordinances of the City of Edmonds. t-
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Dated this ........ ---- day of ......... ------- . . ................................... 19.. 1 zio,
Sewer Other V V
Check BEFORE you dig for: Water Gas 0, Telephone E], Power [j], . �&, �[:],
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APPLICATION
for
The Citv of Edmonds SEDE SEWER PERAUT
EASEMENT No . ..........................................
ft�-tONSTRUCTION REPAIRSO
(6
..... . ........... ........ PERMIT No. 4?Kq) ....
OWNER
............. .
............................................ CONTRACTOR
. .. ................ LEGAL DESCRIPTION: LOT D .. ................................... EL40CK No . ............................................
ADDRESS .... ........ . ..... .
NAME OF ADDITION ..... 4?-�-Yc--h ...... -7r�� ........ ...........
RECEIVED
I
Approved:
MAy 2 1 1974
DATE................................................ By ......................................................................
Applicant shall repair/replace all damage to OWNER/CON-IRACTOR IS RESPONSIBLE
utilities or frontage impro ments in City FOR EROSION GONTROIL ANI) I)RAINAGE
right-of-way per City stanpards that is caVsed
i or occurs., during the per itte'd proje ffo
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APPRU�-�D BY ENGINEERING
wr4a: 100. C>4&'
0
Date: 15hclls—
RESUB
MAY 18 2015
4a
BUILDING DEPARiTMEN*
CITY OF EDMONDS
(go L) e
97% avw4,,r,-
-r6-r*t, jMfJtt&1r9S VAIU*WS A--
ftSr-11177 =1114:jf+STREET FILE
STREET FILE
PUBIJC WCEW - EWMEMM
ACTION R PORT
1086-,
SUSPENSE DATE:
Date: Time: 7
Fil e #
ttachme.t,.
SUBJECT:
—�A /1�1
REQUESTOR: NA�E:
ADDRESS:
PHONE:
REQUEST RECEIVED BY:
TELEPHONE
CONTACT X�3
OTHER: IN OFFICE r --- I
RECEIVED BY:
r---lYes
9;i"10
All Concerned Notified r--j
Action COmpleted/File r-j ' j
A
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
=FILE I
Name: lvoo —P: ooLliqo(Doo o&-oo)
cT
Date:
Site Address:/ -7 1 dve-
(A)
Plan Check �—e S- 0 0 0
Project Description:. f7�1,10,re—
Reduced Site Plan Provided: YOE NO) —FZo
ing:
Map Page:
Corner Lot: NO)
Flag Lot: (YES �0
Critical Areas Determination #:
Study Required
E] waiver
SEPA Determination:
R4xernpt
Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist 0 APO List with notarized form
Require
od Setbacks
Street: T�i�dp:
/V 7 5—
Side:
1 e-
Actual Setbacks 7�
Street:
Side:
Side:
P,65 r: E)
ELDetachedstructures: Skccl� 1v corn ej-- — /6 S'-(
El Rockeries:
Lges/Trellises:
Q
Bay Windows/ Projecting Modulation:
El Stairs/Deck:
Heh7h t
Datum Point:
Datum Elevation:
Maximum Height Allowed:
Actual Height:
Offier
Parking Required:
Parking Provided:
Lot Area: 6v%
Maximum Lot Coverage: 35% Proposed:
Lot Coverage Calculations: �7-L -i--6 Y) —/7 2a
ADU Created: (YES DO)
Subdivision: Doo4 0 (Ztno� 4dcl
Legal Nonconforming Land Use Determination Issued: (YES 00
Comments
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Plan Review By: /? -7 /(S�
Nanning Data Form 04-11-06-doc