17231 76TH AVE W.PDFIIIIIIIIIIII
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17231 76TH AVE W
APPLICATION
for
The City of Edmonds T511 SIDE SEVVER PERMT
FILE
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OMN PLANT
EASEMENT No. I-7-74A.6101
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STREET
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OWNER .... .... .. CONTRAC'TOR Ae PERMIT No.
- --- ---- .......... AVENUE LOT No. .............. ..................... 0.
, -.4 ....
HOUSE No . ...... I --- 742 ......... -?/ ----------------------------- ---- ------- ---- ----
NAMEADD - ------- ----------------------------- ...... .......... .........
10
Date
BACKFILL WORK ORDER ISSUED ....................
SEWER WORK ORDER ISSUED ...........................
_Je� 419P I(Y -
Approved:
DEPOSIT, $ .............................................
DATE X
APPROVED
APR 1965
...................
... .......... ..
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........ . ..
.... .. . ..... ........
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CITY OF EDMONDS
Call PRospect 6-1107 when work
CIVIC CENTER — WATER -SEWER DEPARTMENT to ready for inspection. (No inspec-
SIDESEWER PERMIT tions Saturday, Sunday or holidays.) N2 1223
ADDRESS........... 172.31..�r ... 7.6th-Avenue --- West ............ ...............................................................................................................
OWNER ........... ................. Donald L. Innes CONTRACTOR Lee Wool y
.............................................................. .............................. @ ...........................................
Permission is granted .......... APIAI--j5- ............... 119 ... U, for ...................... days, to REPAIR 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 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.
7E No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
,'E No. 3—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. 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 which may develop within one year of completion.
NOTE No. 5—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 ap-
purtenances except to insert the pipe into the wye.
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CITY OF EDMONDS
PUBLIC WC1RES - EMINEERING
ACTION REPORT
Da te: M, Time:
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4177
SUSPENSE DATE:
File#
Attachments: r--IYes
ADDRESS- I-1Q,31 - -7G,' /41,K, -
PHONE: 7-13 - Py,3 7
REQUEST RECEIVED BY:
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CONTACT IN OFFICE
OTHER:
RECEIVED BY:czn4
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