17425 69TH PL W.PDFiiiiii iiiiii
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7425 69TH PL W
APPLICATION
The -City of Edmonds for EASEMENT NO . ............................................
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS E] LID NO. ASMT. No.
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OWNERL-E7-- ........... ......................................................... CONTRACTOR .................... - .................................. ----------------- PERMIT NO. ...............
JOB ADDRESS --- V-14 2_c�� LEGAL DESCRIPTION: LOT NO. - -------- ------------------------ BLOCK NO - --------- - ......................
............................... ----------------------- - ----- .........
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................................................................................ .............. --------------- --------------------------------------------------
NAME OF ADDITION ...... ------------------------------------ .....................
Approved:
.... 44/
DATE ... --- ... By -------------------
Cl'"' OF EDMONDS - SIDr SEWER PERMIT
WATER -SEWER DEPART,_,;NT
PERMIT N? 4829
Cal 775-2525 for side sewer Inspections RFFORE covering any portion of the construction.%
Insplection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.)
ADDRESS LOCATION OF CONSTRUCTION ....... TT4?� ........ 6.9.t.h ... PJA c.e ... W.e.s. t ......................................... . ........................................................
PROPERTY LEGAL DESCRIPTION ............ �9�t..3,...Cherry ... qr�q ......................................................................................
. ..... ........... . .................................
...................................................................................................................................................... . ......................................................................................................
................................................................. 01,111,WERALNDIOR BUILDER ........ GKEAN ... RO.BE.R.TS.O.N ............................ . .......................................................
..... .... .. .... .. ..
Frank Lichtenberger, 14223 Hi hway 99, Alderwood Manor
.................................. ... ............................................................................................
CONTRACTOR'S NAME & ADDRESS ................................................
June 3, 74
Permission Is granted .......................................................... 119 ......... for repair and/or connection of a side sewer to the city sanitary sewer
system in accordance with City of Edmonds ordinances.
�_�ATTENTI*ON 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 RJght-of-Way Permit obtaJrrable 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 them �fi 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 permJt, or to do any work on the main sewer or its appurtenances except to In-
sert the pipe into the wye.
DISAPPROVEDE] Date ... .................................... By ................ Date .................................... By ................ Date ............... . ................... By ................
................ By ........................................... . ........................................................................................
APPROVED Date .... .. . .. .....
Remarks: ........... Zkvi ......................................................................................... ....................................................
..................................................................... . ................ .................................................................................................. . .......................................................
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
hereby certify that the side sewer installation constructed under this permit
o.-.ir_u_.iion)
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=.. Ang n '
�*as Installed in accordance with all -govern rig ordinances of the City of Edmonds.
Datedthis ............................ day of ........................................................... . .... 19 .........
Check BEFORE you dig for: Water C], Gas 0, Telephone [], Power C], Sewer [3, Other F] 4 -4
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APPLICATION
LE for
The City of youst SIDE SEVEM PERAW
NEW CONSTRUCTION [] REPAIRS EASEMENT No . ..........................................
OWNER C74.1�k-4V ............. ----- CONTRACTOR
7ZZ� -lz ............................ PERMIT No. 4--1
ADDRESS ................. ............. / -
.................................... LEGAL DESCRIPTION: LOT No . ........ 3 ................................ BLOCK No . ............................................
NAME OF ADDITION ...... ......... 6 ... 8 T
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