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18100 86TH PL W
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NOTICE:
'ttached
The information shown on the a
iled for use by the City of
map(s) was comP
Edrnonds� its Employees and Consultants.
The CIty of �Edm.qnds does not warrant the
accuracy of anything set for.th on t, ' hese
Map(�_). Any person or entity -requesting a
copy should conduct an independent
'ation shown on
inquiry regarding the inform
-map(s), including, but not limited to, -h
th . e lociation of any sew-er stub shown. Suc
exist and may
sewer stubs may or may
or may not exist at the location shown.
Neither the City of Edmonds nor its
empto-yee-s o-r office-rs -shalrl be Via-b-11--e for the
information given' on this map(s), nor for
tation provided based
any one represen
upon . said map(s).
APPLICATION
It STREET FILE for
'The Oky of Edmonds SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS
a
OV*rNER ------- -",r ............
ADDRESS ................. ... k ...............
10�
T fL4W
EASEMENT No. . . ...... �14�
7
CONTRACTOR ..... NV... ? �Z. .......... PERMIT No� . ..........
LEGAL DESCRIPTION: LOT No . ....... / .................................. BLOCK No.
----------- * --------------------
NAME OF ADDITION ..... V ....... .Zce.) .....................................................
— - , , n Z- c 1-44 L--�JL 4112-2-
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Approved:
-(% 7-- ' Z
DATE�... B
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_CITY Gf'� EUMV DIMS JIDE,SEWER.�PERM
W.-ATEP-ShIVER -�DEPARTME]14T
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PK
406
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,(,.Call, 7,76-4,107, we inspections! BEFORE, icoyerink:Any, portion �of 'the const
Inspection will1he,provided. within,:2choursi after request.i N6, Sat;; Sun_,or holiday, inspections.
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AMDRESS'LOMMON i0V`,C0iSFTRU1 C TION.:.:: ......... ....... ;:t ......................................... .
......................... ............................ ............. ... .........................
PICOPERTY �LEGAL,DESURIPTION .......... �jh!MNIX,
............ : .................................... ............................................................... ......... .......... I ..... ...... ....................
......................... .................. ....................................... .............. ............................................................ ............. ........ ....................... ........................
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POTTF
SUVART, V, , R
................................................................ OWNER.AND/0R.-BUIL DER .......... :�t .............. ................................................ I ............... .............................
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S ........
CONTRACT-ORIK N r&, :kDDAES ... . ................................. .............. ........ IM ..........................................J ...........
pair dnd1/or`.6onneAAjojj of a'side sewer� to 4h tv a�y
Pennissiohl4ii-girdrited-Ij .... �iDVDDPI" -3 19*11.'for�re &A ,-fja�it Sew
sy,stelfi�'ih�,a�eco'rdanceLw,itW,,City,.
jo Edrnon:&, rdinances,
-ffd�TAF -FOLLOWIING:!
LE
ENTIONj&'CkL D, G'
n r he�.property may obtafii a perniii".to co'hstr�cf ewer lnsldle� property:iine.. A licensed, e,sewer. Contractor muse- to constru
�,.&TE J. Th��,6* e s,,6f;t` Sid
side -sewer Inlistreet'area. Do not coveriany'portion- of sewer before it h"'been insp4cted��
NOTk'N6 :2�kilvwork performed in.�6dy right-of-wa:y.requires an Invasfon of iught-of_-W�y Permit' obtainable from the City Engineer's office�
NOTE,No. 3—Obtain.full Infofmation rega�rding Ordinance 111. 16.030,and Regulations governing side sewers'whem you,, get. Termit..
c ew coverage at property ]in I e'a�n . d, 12 in f 2;%: No� hends,ln� gra'
KOTE,No� 4�-4`rop��& side sew6r must Kave;at least:30':in inches,inside, property-"� 16*, minlmurr�jigrade�'o
sha'
rper';than.W�,will��b�,'pe�mitted�
NOTE'�qo�'ZTrench7es: in sir6A, must be water settled, and, surface of str6et.resfored ti�- origina]1, condition. Contraeforii-,sball be respbnsi6le for faliure �due- -to Imljrc;r
worit �whlchi may develop, within one year 'of com�letlon..
NOTE! No."G�XIs, unlawfufl-to,�aiter or do any' oth6r'.work :thanAs, provided, for in. the�p_ermit,,,or AV.do any work on the- miln s.eNver...'or its appurtenances' except to i
sert,thefpipe�:into,,thewye..:.
By.
WU Uah� ............. By ................ .............. ............... .............
DISAPPROV ............... ... ....
............. ................ .............
APPROVVED) D ..... 'By ............. ... .
RelwAg:! ...... I ............ ............. ............................................................................................................... .......... -------------- ........... ...............
. ....... ... I ....... 4. 1 ....... I
.......................... .................................................................. ................ .............. ................... ......................
A, iq R,�a M-:11 Owne� of. 01rin P&forrni �;..nspec -ion,
rl� �* on�txulo
B P i ried: By'�*! ilg, dt, nPR10 ues ,.,or,
. ......... ...... ... .. hereby, eerfif�that-the, �ide'se�ver irfstallation.icoristructied; under, tfiis-perm
. .............
c
own( 6 fing. Firm% Perfr
lnq. e� with. all goVerning, ordinanc6& of thei'City -of'Edmonds.
istlede!'ion-a ord'a
Dated`this....." .....................
............... &Y of...
hone" r6w, r
Pheck.,BEFORE'you'digioir: Water,.�Ej, �4�61e ,,,[3
el.