17222 SEA LAWN PL.PDFIIIIIIIIIIIIII
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17222 SEA LAWN PL
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR. -
CRITICAL AREAS:
DISCRETIONARY PERMIT
DRAINAGE PLAN DA
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS
PLANNING DATA CHECKLIST DATED:
S CALED PLOT PLAN DATED:
DETERMINATION: 0 Conditional Waiver E] Study Required E] Waiver
SEWER LID FEE LID#:
SHORT PLAT FILE: LOT: BLOCK -
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:-
SOILS REPORT DATED:
STREET USE / ENCROACTUVIENT PERMIT #:
FOR�
WATER METER TAP CARD DATED:.
OTHER-
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NOTE: Applicant Subject to Plan Cbeck Fee
This rer"dt -.re wnrk to be do , Or private p-p.!rty ONLY.
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INSPECTION
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The City of Edmonds
APPLICATION
for
SIUDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS 0
p'r- .............. ................
OV%rNER ... Y ----------- Z' z - < ell
;LDDRESS ........ J.:. ... ...... e ...........................
0
I
EASEMENT No . ..........................................
CONTRACTOR...
.......... .............................................................. PERMIT No . ....................
LEGAL DESCRIPTION: LOT No . .... .................. ............... BLOCK No. ��Ya .....
NAME OF ADDITION .......... ..... . ................................
DATE................................................ By ......................................................................
APPLICATION
for
The City of Edmo'nds SEDE SEWER PERMIT
EASEMENT No . .......................................
NEW- CONSTRUCTION REPAIRS 0
OWNER .............................................................................. ......... ......... w ......................................................................... 4- --4
............ PERMIT No . ......................
77
7
_�DDRESS . ....... I ...... ......... . —LEGA-L-DESCRI-P-T-ION2-LO-T-No.-.-..-...-.. . ........ -BLOCK ........ ................................
- --------------------------------------------------------------------
.......... if ........................................................................................................................
NAME OF ADDIT P S
ION
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Approved:
.. ..... .............
DATE,'.- ...... .
Y
n17 11 �Y
..........
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T.t IT-'� T T E-�-Z C I WOO X
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CITY OF EDMONDS SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
�S PERMIT
Call 7,76-1107 for side sewer inspections BEFORE covering any portion of the construction.)
Inspection will be provided within 24 hours after request. NO Sat., Sun., or holiday inspections.
ADDRESS LOCATION OF CONSTRUCTION ....... 1.72 2.2.. -6e.a.l.a.wn .... Pla.ce ..................................................... . .....
- -- ---- -- ..... .. . .. .... .. . .. .....
Lot 3,.Division C, Sealawn Terrace
PROPERTY LEGAL DESCRIPTION ...................................................................................................... I ...............................................................................
. . ...................... . .......................... . ...................... . ......................................................................................... ......................................................................................
Jim Dunican
. . . . .............................. I ................................. OKWERANDIOR BUILDER ........................................ . .................................. . .......................................................
7
ADDRESS ... Russ Johnson. 16009 No. Meadowdale Rd. Edmonds. Wash. 98020
6,, ACTOR'S NAME & .................................................................................... . .................................. . .......................................................
Permission Is granted . ........... gekt ... 1.1 ................ . ............ 19 ... 7.3-, for repair and/or connection of a side sewer to the city sanitary sewer
syst-om in accordance with City of Edmonds ordinances.
AT�ITION IS CALLED TO THE FOLLOWING:
NOTE No. I —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 obta.1nable from the City Engineer's office.
NOTE No. 3--Obtain full information regaxding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
140TE 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 E] Date ... . ... .. ........... . Y-.-�., Date ...... . ..................... .. ........ Date ............... . ................... By ................
APPROVED Date ...... -------
By.— .... ........................ ......................................................
Remarks: ............................................... . ............................... ................................................................ . ...................................................................
. . . . . ..................... ............ .................... .. .. . .......................................... ............................................. . .................................. . .......................................................
BOT Permi opies S Signe Owner of Firm Performing Construction PRIOR To Request For Inspection
hereby certify that the side sewer installation constructed under this permit
. .. ................... ............. ....
0 Co cti Firm Perforn�in onstruction)
V�--;enst in accord ce th all gove ordinances of the City of Edmonds.
te ------ ---------------------
Y____ F
...................... ...
...........................
.4 Dated this ..... -- ------------- day
...............................
V Check BEFORE you dig for.: Water Gas E], Tel�phone Power Sewer E], Other
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