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17731 69TH AVE W
CITY OF EDMONDS
P PUBLIC WORKS DEPARTMENT FOR INSPECTION CALL Permit AT00
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7/7/� Issue Date
SIDE SEWER PERMIT i :F I
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ERMIT MUST BE POSTED ON JOB SITE
1. Address of Construction
2. Property Legal Description (include all. easements)
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3. Single Family'Residence Multi -Family No. of Units
Commercial
4. Owner and/or.'Builder
5. Contractor & License No. 111) C0 V_
6. Invasion into City -Right -of -Way: No k, Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (3/`4/2`A8A/`4/4`) before
excavation). 1-800-424-5555
7. Cross other private property: Yes No><' Easement required' -
attach legal description and count y easement number.
READ THE FOLLOWING AND SIGN:
a. Property owners must obtain a permit to inst, , all side sewers on
their property. A licensed side sewer contractor must be employed to
construct side sewers in the public' right-of-way.
b. The side sewer contractor assumes full reponsibi-lity for each
installation for one year.
C. Commercial establishment requires a minimum of a six inch (6")
side sewer line.
d. Side sewers may not be installed closer than thirty inches (30")
to any structure. 0
e. Side sewer lines must be laid at a minimum grade. of 2% (1.15
and maximum grade of 100% (450).
f. No turn in side s8wer greater than 45' (1/81bend) is 0 allowed
between cleanout. All 90 turns must be constructed of a 45 (1/8
bend) and wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is require d for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100" along sewer 'line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall'be responsible for right-of-way failure
due to poor compaction of fill.
k.. Side sewermust be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours only. Two (2) working
days notice required.
DATE: 7h)/A/ /X 4 %, 4 /��
'I c6ftify that I/1-hdve read
and shall comp]�y with the above
-PERMIT FEE: &t) -S2 DISAPPROVED BY: Date:
--,17 Cie-, Date:
CON14ECTI'ON FEE:
1:4 �:) APPROVED By- t7t.1 Date:
0
PERMIT MUST BE PO , STED ON JOB SITE
Side Sewer Drawing
The City of Edmonds EASEMENT NO - -----------------------------------------
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NEW CONSTRUCTION RE LID NO - ------------------ ASMT. NO - ----- ------------
OWNER ... W-1-LA-0h.
CONTRACTOR. -------- 4a%#Jt
--------------- -- ------------ 4F ------------------------------------- ----------------------- PERMIT NO.7-164-
JOB ADDRESS .17-7,77-3-1 ------- (.6-9-71 -A
No larr
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1-*- 24'
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17731 09 T" A4E.
LEGAL DESCRIPTION: LOT NO - --------------------------------- ---- BLOCK NO.. --- -1 ------- -----------
LYNNWOO LINE
----------------------------------------------------------------------------------------------------------------------------------
NAMEOF ADDITION --------------------------------------------------------------------------------------------- ...... ------------------
Approved:
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PWW4)001-11/75 (REV. 11/78)
STREET FILE
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City of Edmonds
Gentlemen:
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Washington Natural Gas Company hereby applies for permission to:
Permission is requested to install a 2" plastic
gas main in 7th Av. S. from 5' East to 30' West
of the center line approximately 135' South of the
center line Elm St. To serve the plat of "Homeland
Homes".
P.A.D. 843-198
2g
We would like to be n construction about Aug. 184 and will require
approximately ?Oi days to complete the work. It*we have your
approval to proceed, please sign and return the original of this form.
(Please enter any special conditions.)
Application Date. 8-6-84
WASHINGTON NATURAL GAS CO.
Tony P. Tessitore
Distribution Engineer
Eastern Division
Washington Natural Gas is hereby authorized to perform the work
described above in accordance with their franchise responsibilities
and are further subject to all applicable federal, state, county and/
or municipal ordinances and specifications.
Approval Date
005- 156th Avenue North East. Bellevue, Washington 98OD7 Telephone (206) 285-9101
2ITY OF EDMONDS
PUBLIC WOM — ENGINEERING
&T-REET FILE
ACTION REPORT
N? 1337 -
SUSPENSE DATE:
Date: 4/19/82 Time: 2:00p.m. File #
Attachments: =Yes
(MNo
SUBJECT: Resident would please like someone in
the water dept. to give him a call. His water
usage has tripled and feels there is a le'ak in
the water line somewhere. PLEASE CALL TODAY!
REQUESTOR: NAME: William Johnson
ADDRESS: 17731-69th Ave. 11.
PHONE: 743-7557
REQUEST RECEIVED BY:
TELEPHONE
CONTACT IN OFFICE r--j
OTHER: -
RECEIVED BY: —M. LeVan
ROUTE TO:
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All Concerned Notified
Action Completed/File