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18107 SUNSET WAY
-Y
RECEIVEL)
C I I OF
S E 8 1975.
PUBLIC I'lort/S
JH)
0.,'Tr-
REQUY.:STO;r�,: City Engineer
61;�alll CP,-r1-'R:
Water Dept.
DATE PREPARED: 9/17/75
DEPARTIMENT f1l.-ADIS
J013 i�DERI
S I cl;,,,T I'U I 'I E: r I J, ITY:
142-75
DESCRIPTION ANIWOR SKETCH 6,r WORK TO
PE PERFOP,,!,',[D
Transfer water sery 16ces a * t
18107 and
18111,Sunset ILU
from 12" water line to existing
6" waterline.
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tY fa
OCT
MAN1101IRS
c s t ijim t ed: a c t 11. 11
MATERIAL REQUIRED:
STREET
FILE
AUTHORIZING
SIGNATURE
DATE ASSIGNE D:
4s
PUBLIC ORKS
DIRECTOR:
DATE CO.MPLETED:
UUNFTSMANIS
INITIALS:
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A
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT
Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.)
Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.
4 5 2 .3
ADDRESSLOCATION OF CONSTRUCTION ................. 16MTSM!!;Ett .. azv ................................................ .. . ........................ .............................
PROPERTY LEGAL DESCRIPTION ........... Lot D, Brandt Addition ..............................
........................................................................................................................................
.................................................. . ................................................................................................................. . ............................................ .................................
------- OWNER AND/OR BUILDER ......... a --- R rI.13 V-S� ............................. . ........... ....................................
........ ................................................
CONTRACTOWS NAME& ADDRESS.-W Contractors,, P.-O..Box 216- Lvnnvjood. Wash., ... --- 9 8.0
-------------------- ----- --------------------- ----------------------------------- .........................................
---------------------------------------- I "' '
Permission Is granted _-_ N.ove-m-be.r ---- 1.3 --------- . ........... 1 19_7_3�, for repair and/or connection of a side sewer to the city sanitary sewer
s—tem in aamrdance with City of Edmonds ordinances.
NTION IS CALT D TO THE FOLLOWING:
1, 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 Hewer 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 Right -of -Way Permit obtain -able 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. imurn gia6e of 2 %. No bends In grade
NOTE No. 4—Top of side sewer must have at least 30 inches covemge at property line and 12 inches inside property line; mini I
sharper than % will be permitted. d surface of street restored to original condition. Contractors shall be resp?nsi . ble,for failure due to improper
NOTE No. 5--Trenches in street must be water settled an
work which may develop within one year of compi7tion.
NOTE No. 6--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 appurtenances except to in-
sert the pipe into the wye.
DISAPPROVED[:] Date ... . ... ........... Date ............. ....... ----------- By ............ Date, ........... . By ................
7> ............... By .......... ....................................................................
APPROVED i0gL._Date --- - --- All ......... / ---- e --------- By, . ... . . .... ... ... ... --------------
Remarks: ....... ........ .............................. . ................................... ----------------------------------------------------------------------------------------------------------------------------------
............................................................................................................................................................................................... . ...............................................
BOTH Yermit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
........... ... I hereby certify that the side sewer installation constructed under this permit
----- ---- ..
wrier of �rac
(O� i:on tl �n
I'rA g 1�er on. ruction)
Installed in accordance with all governing ordinances of the City of Edmonds.
Datedthis ........... J'./ ......... day 014 ........................................................ 19A
4 j Check BEFORE you dig for: Water E], Gas E], Telephone E], Power 0, . Sewer Q, Other [] V V
The City of Edmonds
OWNER ........ .........
ADDRE . .........
i (I
APPLICATION
for
SEI)E SEWER PERMIT
EASEMENT No . ...........................
NEW CONSTRUCTION E] REPAIRS
............... ................ CONTRACTOR ......... .. 41.oO�- PERMIT No.-4
C)
....... ........ LEGAL DESCRIPTION: LOT No . .............. ............................... EL40CK No— - .............................
t,-) ; q-
NAME OF ADDITION ............................ jz5e.�i-N,.na ....... 4 ... . vn...'fa ...............................................
Y//
R77- C E P� V E D
1973
Approved:
DATE................................................ By ....................... ..............................................
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS 0
.............................. 7TF;NC C3Zv4::=0PERMT No4��rZes
CONTRACTOR .............................................. . ......................
OWNER ............. r ................................................................................................
SS L ..................................... BLOCK No . ............................................
ADDRE .......................................................................................................... LEGAL DESCRIPTION: OT No . ......... 0
NAME OF ADDITION-.-eFL-V-4V--�T
......... . ... .............................................. . ....................................................................
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