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18303 ANDOVER ST.PDF11111111111111 10183 18303 ANDOVER ST CITY OF. EDMONDS 6VIC CENTER — WATER -SEWER DEPARTMENT SIDE SEWER PERMIT ADDRESS ........... 18303 Andover Road ................................................................... OWNER .............. Glenn Granger (Builder) .......................... . .................................... Call PRospect 6-1107 when work Is ready for Inspection. (No inspec- tions Saturday, Sunday or holidays.) N? 2696 .............................................................................................................. CONTRACTOR ........ Roy Allen .................................................................... Permission is granted ------------------ January ... 2.4, jq.AA_, for ........................ days to REPAIR or CONNECT a side sewer with City Sewers in accordance with application on file and governing ordinances. ATTENTION IS CALLED,TO THE FOLLOWING: NOTE 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 sewer In street area. Do not cover any portion of sewer before It has been inspected. Wo. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. o. 3—Top of side sewer must have at least 30 Inches coverage at property line and 12 Inches inside property line; minimum grade of 2%. No bends in grade sharper than % will be permitted. NOTE No. 4—Trenches in street must he water settled and surface of street restored to original condition. Contraaors �hall be responsible for failure due to Improper work wbJeh may develop within one year of completion. NOTE No. 5--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 appur- tenances except to insert the pipe into the wye. -ANEEL— City of Edmonds --- Water Department TAP CARD Date ....... . .... . ..... Meter No....,141e�.-Z ... Tap Size.. ... 15�� 1 ............ Size ................ ..... I .............. Mfgrs. No .................................................... Style .. . ....... . ....... . ....... . ............ . For ... ...... ....................... ...... . ....... . ................. -61- 150-5--a elo, .................................................. . ................ . ::5 .... 0 .... . ................ . ....... . ..... . ............ LotNo ........................................... Blk. No ..................... I Add. .................................................................... . ....... . ............... .......... ServiceLocation . .............................................................................................. ........ . ............. 7 ...................... . ............................................................... . . . .............. . MeterLocation ......... . ...... . ................................................ ........................ .................................................................................................................................... MakeTap ......................... ** .... 1*111**** .................... ................ . ............................ . ................................................... ...... .......... ................................ ....... . ............. Pressure .................... ......... lbs. Test ..................................... 50 SendBills to .................................................................................................. . Date of Work Foreman Guar. Voucher No ........................... . .............. $ .......................................... Remarks: ..AA ......... . ....... ea!�L12 . . ..... ...... ;� ......... OUTGOING Index ......... Reg.;.... -Route BL.—StenciL ..... Card. — INCOMING. Index .... -,...Reg..--.,--Route Bk ... . ... StenciL ..... Card.-- Mate* Chargeable to Installation Mete a. NO. SIZE DESCRIPTION RATE AMOUNT- .............. .......... Meter ................... m .................. .... ......... .............. .......... Meter Box .............................. ..... ...... . ............. . . ....... ............... ........... Meter Plate ..................... !, - -r .............. .......... Ch elck Valv6 ---- ------------ -------- ---------- .............. ......... Pipe Galv.,Screw .................. .............. . . ......... .......... .............. .......... . Nipples .................................... .............. . ......... .......... .............. .......... Bushings .................................. .............. ...... .......... ............... .......... Plain Ells ................................... ................ ..... ........... ............... .......... St. Ells .................................... .............. ............. .......... .......... . ... .............. .............. ............... ............... ............... ............... .............. .......... .......... .......... .......... .......... .......... ..... I .......... Tees ......................................... ----------------------- ............................... .. ------------------ ----------------------------------- ................ ..................................... ....................................................... ...................................................... ...................................................... ............... ........... -------------- ............... .............. -------------- I .............. ............ I ----------- ........... ------------ .... ....... i: ........ . ----------- ............ .......... -------- .......... ---- I ...... .......... ........... ----------- ........... Material Chargeable to Taps Connected � ; NO. SIZE DESCRIPTION RATE AMO NT ------------- ---------- Pipe, Black Screw ------------------ ............. ............. ......... .............. .......... Pipe, Galv. Screw .................. .............. ............. ......... .............. ........... Lead Connections .................. ............ -- ----------- - --------- .............. ........... Curb Cocks ............................. ........... .. ............ ......... .............. ........... Corp. Cocks ............................ ............. ............. ......... .............. .......... Unions ................... ---------------- * - ------------ - ------------- ------ ............. .......... 7 Saddles ............................... ... .............. ..... . .... . .......... .............. .......... Nitvles .................................... ............... ............ ......... ............... ......... Bushings .................................. .............. .......... ............... .......... Plain Ells ................................ ............. ............. ........... .............. ...... : ... Street hils .......................... . : - ------------ ............ .......... Tees .......................................... .............. ------------ ---------- .............. .......... Curb Boxes ............................. .............. ------------- -- * ------- .............. .......... S. 0. Extensions .................... .............. .. . ........... ........... ............... .......... Gates ............. . ......................... ............... ............. ........... .............. .......... Plugs ........................................ .............. ............ .......... -------------- .......... Couplings ................................ .............. . . ........... ......... .............. .............. ........... .............. .............. .............. .......... .......... ......... .......... .... ..... .......... Gate Boxes . ............................ ....................................................... ................................................ ........................................................... ........................................................... .. .............................................................. .............. ............. .............. ............. ............. .............. ............ . . ......... . . ......... ........... ............. ............. ........... .......... .......... . ....... . ....... ............. ........ .............. ............... ............... ............. ........... .. .......... .......... .......... .......... . ........ ............................................................ .................. I ....... I .... I ... I ...................... ........................................................... ........................................................... ........................................................... ........................................................... Hours Time —Day Men -------- .......... ... .............. .............. .............. .............. .............. -------------- ............. ............ ........ * ---- ............ ............ ............ ............ . ........ . ........ -- * ------- .......... . ........ .......... .......... ................ . ........ Hours Time —Monthly Men .. ......... I ...... ------- - --- ----------- ............. .......... Hours Time —Auto ................ .............. ............ .......... ............... .... uperintende6c6 ----------------------- -------- ----- ------------ ---------- ................ ..... 1.2... 11, �'. 1:' Total ... . 1. .. .. ....... . ... .......... ADDRESS: -7 TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: CRITICAL AREASV DETERMINATION: F] Conditional Waiver 0 Study Required 0 Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: — PERMITS (OTHER): PLANNING DATA CHECKLIST DA SCALED PLOT PLAN DATED: SEWER LID FEE $: SHORTPLAT SIDE SEWER AS BUILT DATED: �JALOK SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: — WATER METER TAP CARD DA LID #: LOT: BLOCK: LATEMP\DSrs\Fonns\Street File Checklist.doc 4 Ir pon%u 0., A0= �lr N�: mwar -BUILDING DM RTMEN7 AlUOSM FM sqa 0 CATION PERMIT'APPLI MA OF f —45" mi.-.uz—a XX�-�"x OF p xl" arrac.. ffm�— &.=,�C.x vc. �T �,Yv LITza -FWFP—LA N iiiii:ill=.t Now wn warrmo vrnzzT 7t/w -so= N —,�2 7.,1 �v by Lf 0 $7 ld�s — I ) 'K i� 6 30 uumv— d M I 'N TTVC oLwpccTuw k lurmay3w TV" Or OwarTRUCTWX =.Zw C3 TIM (3 m,.x= 0 IF§9� ULTAMMM El WALL InwaLml ALTrit =CCP.VATZ PTXM EJ or. rl� ?tXrATFt F, pnz�3wvlc r Mr. -HAT;� Wo WORK '16 Jto ja , =Ay & "S L= YWACKM WAJA, awrinum Yom rKw3wvx vozpzcTw� el el OR ru.L iL TOTAL AMCDfT D= q —d u& M. I "�y pi ATTM�0229 APPUCATION APPROVAL Thl. 12 lot & pen:.."t UUM W.&fte- Tvam; 723mr AC--IBM=FZS al&mad by t2w Building CfMW or bW DFP' W�. C..P--� wfty TIM and f� ext pa:d. =d recdPt Ix w- utr -Tam ,mrw NOTE: Perinit L120 000 Y— in spaft P-ri&& .t.n � t. D.,T ft": knewledged _J4 wt� MZ=) MEPECTMN V�.VT=Wff C= or VDXO-'%DS Applk,f S-lbject tO P"' Cbfck Fm ru �U" rZ ,VOTF 41 � The City of Edmonds APPLICATION for SME SEW= PERAUT NEw CONSTRUCTION 0 REPAIRS LYBN PLAIg EASEMENT No . .................... ...... 1�11 ---- — .... OT.4.141, OWNER Ley ----------- ........... CONTRACTOR ........ ------------------ ADDRESS ....... ......... -, .................... LEGAL DEWRIpTION: LOT No. ..................... S NAME OF ADDITION ........... .................................... ....................... -- ...... PER, ................ � BLOCK No . ............................................ .... I ....... ...... ....................... ........................... ........... ELI H APPROVED JAN 2 4 1968 Approved: DATE ........... ------------ ..... — --------- r-A