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18303 84TH PL W
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NOTICE:
No ... w'a rra nty ... 0 T -d`Uk, U Y-
The information . shown on the attached
Map(s) was compiled for use by the City Of
Edmonds/ its Employees and Consultants.
Th.le City of �Edm.onds does not * wa rra nt ti IV --
accuracy of anything set for.th on these
Map(�-). Any person or entity a
copy should conduct an independent
0 -ation shown on
inquiry regarding the inf rm
t-Fe -map(S), including, but not limited to, -h
th*e lociation of any sew-er stub shown. Suc
sewer stubs may or may- not exist and may
or may not exist at the location shown.
Neither the city of Edmo'ndlq nor its
emp`o-yee-s o-r office-rs -sh-a-l`l be 1..*,Ia.b-11--e for the
n on this map(s), nor for
information give'
tation provided based
any one represen
upon . said map(s),
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E D, MY 0 N; D S' S1
'CITY -:0F., R-,, P,
W -ATER—SEWER- DEPARTMEN
-
-PEIT
RM
1 7.76- 1107'for'.side sew . er 'Insp ec�t i6ns!;B EFO . HE . covering !any ipoition of,.' the constri ic I tio�.
Inspections.*
hours -,a
klclalpecilon. wjll� be,provided
p
-.within 24 fter, requesf Sati, Stm.;,or, holiday.
S - Q4�,ATI N, ................ ....................................................
-AWDRES L, 0 JOF�:CONSTRUCTION .............. 1.� . . .................................... .....
....................
PROPERTY X!EGA-L;*.DESCA1PT40N....
........................ .................................................................................... ................... ............. .......
...................
...... .... ...... .................... ............ ..................... ......... . W ........ ............. .................................... .......................................................... ............. ....................
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................................ ............................. O'vV.NER,.AND/OR:�BU-IL'DER...�, ----- ............................................ ..... ................... ........ ; .................
T-
AJ ...... ....................................... m ................
,CONTRAC, wbirs� NA,,ME -4 d6w, da _'b3, Rd,
DDRESS ............................... ................. ............. ................................... ......
-2 4
: - , 9L.c-., fori,r
PeriYdss1pnz1k1granted_._i ...................................................... 1- epair, and/6r.,-cohnectiou �of_a, side,:sewer.:to�Ahe'eity� s�aljjtEiry._ sewer,
ein4ma rdancemith-City. of-Edi"onds ordiha
Isyst CC0 nqes.
/__'1�,'NT1ON!-1!§,,0ALLED�TO TH E'FOLLOWIN
G:
actor �m
ewer -inside'property'line;.f. A 11c6nsed'-SideSewer�Contr .,.U�t,b6lerdployed.to,�constrtict
side,.sewer in,strtiet, area. _.bo,not cover any,-Pbrfion-.of -sewer before it fia& been, Inspect'ed:
NOTE'No, i—XIM _%�',ork,performed ln� city'righ . t-of-way. req I uires a n�'Tnvhs - ion , " . of RI ght-o f-Way�Perrnit'_61itair�W'e from _ :the. City,.,Engi - nee I r' s office.
NOTR'N6.. 3�Obtainljull Information, regarding Ordinance. 11.16;030,'.an :Regulations hoXerning-skle.sewers when -you get.permit..
NOTEj3 No� 4—Top:�� I— sit] e- sewer' m I st have at least. 30. inctfesleoverage,.4V..Ip�operty,-.Iine. and -12.-inches��ihsiile�property line; miniry,iuni��grade,�of�2%..,No,bendst ffi��gratle,
��harli�rAhir- 1/.'wi1l,-b6,permitted..
..,NOTE No;,45--,trefich�i-,in��stre�t� 'str6et� jeit' fi�dltl' IPbe, re�ponsible'for,,fail�te'd�e-�to� imiirpper,
Zust, be, water settled- an&,, sur fade ."of' ored, to original -,do on. Contractors -Aha
i&66rk vh1chmay' eveloii:withm one' year'of comp , -. . - : .. , , _ _
letin 7: 1 1 . � .:
7
NOTE, Wo..A 1t1is;,unIawfuNto.,aIt'er orAo.'any other,.work than is'provided.,for, In., the perrrdt,,;.6r-to- do�any,,,work. on the �main-sewer�,or,its�.appurtenane6s�,bxcept to -in--
- Pert the �Ipe'into' the,Nvye.
DIS"PROVED� ,Date .................... ............ ........ pat6 ......................... ............
Y
......................................................................
APPA 0VED.* -Date., .................. ..... .......
... ........................... ................................. ............................... ...................................... .......... .................... .......
7 ....... ..... .......
, C,
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..................... ^ .......... ... I ...... ......................... ...................................................................... ................... :.-� ...........................................
2
s- U :-Be-'Signed, By�!O`v'�-ni'ei' 8f-.,Fir
-BOT
m Perforn�ingConstruction, PRIORTb*� equest,For - Insi:iectibn
. ........ .... r, 7her6by�,cer -",that,,'th . et� w adon,,
.. ............. ... tifk si e� sewer ins :�onstructed`unde'r lhis,
il t
Owner: of ntra in Firm Porfc, 9 struct n)�,
installe in a ith.&H, governing or 1 ces -of thc'City� of 'Edmonds,..
eco anVwi
0 ...
ns...
11 ti (IAY,.- f .... .19.
Sew r 0ther.,01
�CheekBEFORE 3 ou, dig.. for:� AV.ater:j[j* Telephone 0 P-,o%
j
APPLICATION
for
The City of Edmonds Mir SIDE SEWER pERMIT EASEMENT NO - ------------------ ---------------
NEW CONSTRUCTION EL,� REPAIRS 0
....... PERMIT Nq�'
. ............
----------
CONTRACTOR -----
----------------------
/177j�= ....... ................... .... / ) ........
oVV-NER --- LEGAI, DESCRIPTION: LOT No - --------- IE . .............................. BLOCK No . .......... ....... ...
��3 ............... . .......
ADDRESS ... / .. oz-
NAMEOF ADDITION .... -------------------------- .............. ...............................................
4- 15 fk
Approved:
...............
DATE ....... ....... ... ... .. Y z
CITY OF EDMONDS
ASSET INFORMATION SHEET
IVNEW
ADDITION
RETIREMENT
STREET FILE ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION
�jj
DEPT. NO.
tz�—
* * PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
*PROJECTNUMBER \&D—js(nF�C)
PROJECT COMPLETION DATE 9
COST r3�a,c';I-S
B.A.R.S. ACCOUNT No. ql I - 0 (03
ESTIMATED LIFE— a-5
INITIATED BY
DATE
APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
O� /DEPRECIATE
MONTHLY DEIIRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE
tnp INITIAL
DATE
n A.. ---
7 'VE'RIFIED BY
PROCESSED
BATCH NO
DEPARTMENT FILE