18426 79TH PL W.PDF11111111 lill
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18426 79TH PL W
IPC. 194-
S PERMIT NO: -98 - 62
City of Edmond PERMIT EXPIRES
SIDE SEWER PERMIT
Address of Construction: I Z5 'T,4.W f—I
Property Tax Account Parcel No.M#--7
Attach copies of all access an ultikity easerneUts *r
Owner and/or Contractor:
Contractor License
f_'K 14DI
k.�
Single Family
F-1 Multi -Family (No. of Units
�. Ej Commercial (No. of Units —)
F� Public'
Verified and Approved by.
Iding Permit #:
' 10
Invasion into City *Right -of Way: [:1 Yes JJCNo
*RW Construction Permit
j
Cross other "Private Property: El Yes T40
**Attach legal description and copy of recorded easement.
Owner/ ntr ctor
Owner or contractor signature and ack�owledgement statement: Date
Osigning for this permit I certi!�,that I have read the City's public handout entitled
iyde Sewer Specification§, aiend'shall comply with all City requirements outlined therein.
CALL DIAL -A -,DIG (1-.8004;r47_:�5555) BEFORE ANY EXCAVATION W
W FOR INSPECTION CALL 425-771-0220 extension
.
24 HOUR NOTICE REOUIRED FOR ALL INSPECTION REQUESTS
FOR OFFICE USE ONLY
Rermit Fee $ Repair Fee low)(� Issued
Date Issued: —
Assessment Fee $
City Permit Surcharge Fee _Uetr IlLS77
Receipt No:
Total Fees Paid
NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN
INSPECTOR ARRIVES A $45 RE -INSPECTION FEE WILL BE CHARGED.
Job Site Ready YES NO —Date: . Initial:
Partial Inspection: Date: Initial:
Partial Inspection: Date: Initial:
FINAL INSPECTION APPROVED: Date: jj� e4,jnitial: As -built to Street File: F1
t- PERMITIVIUSTBE POSTED ON JOB SITE t-
White Copy: File Green Copy: Inspector Buff Copy: Applicant
L;temp;bldg;forms-,sspermitjig4/00
NOTICE:
No warranty of accuracy.
The information shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of'Edmonds does not warrant the
accuracy of anything set forth on these
map(s). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
the -map(s), including, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may'not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
employees or officer-s Shall be liable for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
NOTICE:
No warranty of accuracy.
The information shown on the attached
map(s) was compiled for use by the City of
Edmonds,, its Employees and Consultants.
The City of'Edmonds does not warrant the
accuracy of anything set for ' th on these
map(s). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
the -map(s), including, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may* not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
employees or officers, ,-)hall be liable for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
APPLICATION
TheVity of Edmonds STREU FILE , for
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS
2-;- Q 550 Q
OWNER ....... )6/9. e.. -.�ff ...............................
ADDRESS .................
--------- 2--c/ ...................... / ........ . ..
0 -
0
IYNN PLANT
SEMENTNo . ...........................................
,,5
CONTRACTOR.. -------- ------- PERMIT No.
z ......................... BLOCK No . ............................................
LEGAL DESCRI1. TI =N:LOT V7;��
NAME OF ADDITION ........ ................
v 'E-1 D
lq,67
kt�
Approved:
DATE........... By Agwl ...... .............................
---------------- 777----7 7 i
CITY �,-,OF.: -EDMONDS..
work
Oall, rRojpect 6-1107. wheu
-.�9NTER'� WATER -SEWER DEPARTMENT is ready for lnspectlou�.* (?ii) Inspe -0
lidayZ -,.rN' 16 9'
tiolts Saturday,
su-nday or ho
-SI
DE. _SEWER', PERMIT
............................
4 7 th .......... ...... ............ ......................... ......................
-ADDRESS—..., ............... -1.8 ... 2.6 ... ........ .........
d
f
...................
..... RUSS-el1AQhh&0n .........
OWNER: ....... Richard.-B ell ........
art ................... ................ CONTRACTOR..
R -a side sewer
_.Mara ... I ..... ........ ....... M5.7., for ..... .................. dayS,.Lt6 REPAI or CONNECT
erlpisslonjs- granted-
P 'L
with �City: Sewers Iii accordance with application Oil fife, and gov I erning ordlna . nces.
ATTENTION IS CALLED. -TO THE- FOLLOWING:
of permit to construct . sewer.inside property. line., -� A' licensed Side Sewer. Contractor must
'NOTE No. 1—The owners the property may obtain EL Do not, cover any portion of' sewer before it has -,been Inspected.
be employed to construct side sewer In street area.
full Ions governing 'aide sewers :.when you get permit.
'E:No. 2—Obtaln Information regarding Ordinance 11.16.030 and Regulat ilr � .
2Anches Inside
line; minimum grade of 2%.
",_-�E:No., -3—Top of side sewer must�have,at least 30 inchei coverage at ..'property line'and 1
'A will be permitted.
No -bends in grade sharper than
-No. 4—Trenches in stree L t must be.water settled and surface.of street-. restored I toeoriginal condition. Contractors shall be responsible for
NOTE f compi flon.
failure due -to.improper work which may develop within,* one -year o
o. 5--It I - s 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,. ap-
NOTE, N purtenanceSL except to Insert the pipe into the wye.