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17170 SEA LAWN
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TAX ACCOUNT/PARCEL
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRMCAL AREAS: DETERMINATION: C] Conditional Waiver Ej Study Required [—] Waiver
DISCRETIONARY PERMIT
DRAINAGE PLAN DA
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE LID#:
SHORT PLAT FILE: LOT: BLOCK -
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S)
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
FOR:.
WATER METER TAP CARD DATED:
OTTIEK-
LATEMP\DSrsTomis\Suret File Checklistdoc
APPLICATION LYNN PLANT
for
The City of Edmonds SEDE SEWER PERYaT EASEMENT No . ..................
NEW CONSTRUCTION C] REPAIRS El
........ j ..............
OWIIIER ....... ..........
CONTRACTOR ......... ------------------------------------------------------------ PERMIT No . .... LR
ADDRESS,,/../.7/`*` .... Za .........
LEGAL DEScRii-riON: LOT No . ......... 6 ................................ BLOCK No . ............................................
APPR
MAR 2
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NAME OF ADDITION ..... ....... I&AUZ) .......... .......... L-)I..v ....
Approved:
40'/
DATE.......................... 7 ................ By.
.,-:.CITY OF EDMONDS
Call PRospect 64107 when work
i..61VIC CENTER — WATER -SEWER DEPARTMENT Is ready for Inspection. (No Inspec.
tions Saturday, Sunday or holidays.)
NO 3626
SIDE SEWER PERMIT
17170 Sealawn Drive
ADDRZSS....................................................................... w ........ ; ........................... ............ ....................... ; ................. ....... ............................
OVVNE Homer J. Shurtz
R ....................................................................................... W
CONTRACTOR .... 0 ... n.e.r .................... W . . ............. ..........
Permission is granted .............. _Manch ... 26 ......... ig ..... 7.9 for ....................... days to REPAI R- or CONNECT a side sewer
With City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. 1—The owners of the prop _rty may btain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must
P 0
be employed to construct side sewer In street area. Do not cover any portion of sewer before It has been Inspected.
NOTE No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
TE No. 3—Top of side sewer must have at leant 30 inches coverage at property line and 12 inches Inside Property Iffic minimum grade of 2%.
No bends In grade sharper than Ilk will be permitted.
NOTE No. 4—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 whJch 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 appur-
tenances except to Insert the pipe Into the wye.