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18004 73RD AVE W.PDFlill 11111111 5749 18004 73RD AVE W CITY OF EDMONDS FOR INSPECTION CAI# permit N? -.6-2-40- PUBLIC WORKS DEPIPMENT SIDE SEWER PERMIT 775-2525 Ext.. 220 Issue Date PERMIT MUST BE POSTED ON JOB SITE AEWANWAEWA�1MW3WrjErA0r" A& 91 s nstruction d> A� — L)) f 7z "Tin' 2. Property Legal Description (include all, easements) t C= 44 -ALL. Nhmw j�dd- 3. Single Family Residence -.A— Multi -Family No. of Units Commercial 4. Owner and/or Builder 5. Contractor & License No. 6. Invasion into City Right -of -Way: No Yes (If Yes Right-of- way Construction Permit Required - Call Dial Dig (342-5344) before excavation) E-1 7. Cross other private property: Yes No_�e Easement required - attach legal description and county easement number. READ THE POLLOWT.NG AND SIGN: P4 a. Property owners must obtain a pe rmit to install side sewers on >4 their property. A licensed side sewer contractor must be employed to M construct side sewers in the public' right-of-way. 0 W b. The side sewer contractor assumes full reponsibility for each E-1 installation for one year. Pq 0 c. Commercial establishment requires a minimum of a six inch (6") P4 z side sewer line. 0 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 0 and maximum grade.of 100% (450). 0 E-4 f. No turn in side s8wer greater than 45 (1/8,bend) 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 1001 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 sewer must be left uncovered until inspected and approved by the City. 1. Inspection during normal working hours only. Two (2) working days notice required. DATE: -7 12 f- h a tV U I C 'r - y t a IVhave rea comolv and hall comply with the above PERMIT FEE: UW 'n CONNECTION FEE: DISAPPROVED BY: Date: By: Date: APPROVED By: Date: PERMIT T BE POSTED ON JOB SITE * Side Sewer Drawing The City of Edmonds EASEMENT NO - ------------------ ------------------------- NEW CONSTRUCTION REPAIRS F-1 LID NO . .................. . ASMT. NO - ------------------ OWNER ---------- -------------------------- — CONTRACTOR ......... ---------------------------------------------- PERMIT NO. JOB ADDRESS ------ bs� - � E—� —H - .. \, (\ i --- ------- LEGAL DESCRIPTION: LOT NO . ............ 44 ................... BLOCK NO - ------------------------------------ E .............................................................................. ................................................................................... NAME OF ADDITION ----- "� ----- Lz:�..s-"<D.�-A ................. ............................ PWW-0001-11175 (REV.11/78) DATE ...... BY ....... -------------- ........... 3. Address of Construction 4­0 L Property Legal Description (include all easements) AA —4-ILL Wfc��? t�jd, Single Family Residence Multi -Family No. of Units Commercial 4. Owner and/or Builder c;- / [y. 5. Contractor & License No. 6. Invasion into City Right -of -Way: No Yes (If Yes Right-of- way Construction Permit Required - Call Dial Dig (342-5344) before excavation) . 7. Cross other private property: Yes No \e Easement required attach legal description and county easement number. - READ THE FOLLOWING AND SIGN: a. Property owners must obtain a.permit to install 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 s ' ide sewer contractor assumes full reponsibility 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). 0 .f. ' No turn in side s8wer greater than 45 (1/8,bend.) 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 required 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 sewer must be'lef.t uncovered until inspected and approved by the City. 1'. Inspection during norma 1 working hours only. Two (2) working days notice required. D -7 ATE: I cer, ify that I; have�read s and(./hall comply with the above PERMIT FEE: kf_*N +2-S DISAPPROVED BY: Date: By: Date: rONNECTION PEE: