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18612 80TH AVE W
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
th-e -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 Shall be liable for the
information given on this map(s), nor for
any one representation provided based
upon said map(s),
J,
CITY OF' EDMONDS
Call ' PRospect 6-1107 when work
CIVIC CENTER � WATER -SEWER DEPARTMENT is reaft for Inspection. (No Inspec-
tions Saturday, Sunday or holidays.)
SIDE SEWER PERMIT
2315
--- - ----------
ADDRESS.
OWNER. --------- CONTRACTOR -
Permission is granted.
----- ---------- l9..V/_y, for ------------------------ days to REPAIR or CONNECT a side sewer
with City Sewers in ;�o�rdance 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.
NOTE No. 2--Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 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.
7y No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to improper work which 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.
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT
STREET FIMEW CONSTRUCTION REPAIRS E] MIT PLANT EASEMENT No . ..........................................
OWNER ..................... via.y. .. ..... L) ........ ............ CONTRACTOR ................ k.Q --- S.5 ..... K-6k.At..g.a.,u ..................... PERMIT No
ADDRESS .................. -- — ------- ................. LEGAL DESCRIPTION: LOT No . ...... 17 .................................... BLOCK No . ..... / ....................................
. ef c, A
NAME OF ADDITION ........... ..... TV ........ ts ................... I..k5R.r
J
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C. 6
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60
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Approved:
DATE ... .............. By 4j�.�
.............................. .... ...................
.. ..................
CITY OF' EDMONDS
ENGINEERING DEPARTMEN0.
API� 011tFOR RIGHT-OF-1?,1,',Y CONSTRUCTION PERMIT
't
T to Cc=lete A & F and Subm,, in D-,4:?Z-*cate)
A. Permit to be issued to: R-- n, /L) 5'T /Z V�-c
For work at: (address or vicinity)
Type of work to be done: C 0 4) IV Ce-- 7- -�7-2)12 7 /�,-L 4.1 A)
(Attach Drawing Mhen Applicable)
Time Required Start: 7 7 Finish: 7�)
Owner:- � 0 4.0 C-0 P-i-01i
Name .
I !R � 12 4-A lWe �J
Mailing Address
o-,L o 45: A)
City State Telephone Number
-Z
Contractor: V> -�- I i) -J
�,Cjl 64
Name li5�- 14--2 state License Number
ng Address
IA/ ,
city State Telephone Number
B. INTEMNITY: Applicant understands and by his signature to this*application, agrees
to hold the City of Edmonds harmless from any injuries, damages or claims of any
kind or description whatsoever, foreseen or unforeseen, that may be made against
the applicant or the City of Edmonds, or any of its departments or employees,
including but not limited to the defense of any legal proceedings including defense
costs, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and
materials for a period of one year following the final inspection and acceptance
of the restoration by the Engineering Department.
Vork subject to inspection and restoration in accordance with City Code. A
24-hour notice is required for inspection by the Engineering Department.
Call 775-2525.
Signature:--L�, Z
Ouner or A 40f Date Signed
C DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency)
Permit Issued (Date 2
A i 1�� Zq Permit Number;77-7—
Fee:— j5,
1,2 , 0 Bond:
Time Authorized:
7-
ER'S APPR(
-,�q ".." I
77. "1 (ITT)s
Tfs—
Insp ....... ......
1� .......... -------------------------
Insp Date,.,:,,,.
Insp Date
................
Invp ...... ........ ....
..................... ...... . .............................
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