18719 94TH AVE W.PDF11,11111111 . 11
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18719 94TH AVE W
APPLICATION
The City of EdmondZY, *"40' '*�F" for
SIDE SEWER PERMIT EASEMENT NO. - ..........................................
NEW CONSTRUCTION REPAIRS 0 LID NO . .................. ASMT. NO.
... ....... . ...
OWNER
------------------ ................................................ ... .............. -CONTRACTOR ... ----------------------------------------------------------- PERMIT NO -- ---------
JOB ADDRESS 5 ------ �t3� - LEGAL DESCRIPTION: LOT NO. NO - ------------_----_--------
cap
ck
A I s- r
NAME OF ADDITION
------------------------------------------------------------------------------
Approved:
DATE B y ------
CITY OF M!MONIDS, SIDE SEWER PERMIT.
WATEF�'.SEWM DEPARTMENT
FILE.
PERMIT
7,75-2525 for slde� sewer inspections, ,BEFORE covering any portion of the conetru�tjon,�
(11cz, 11 sic 1 tion, will be provided within 24 hours after requst. NO�'SaL, Sun., or holiday I nspectlons.)�'
AMDRES;�o�,,'OC TION ......... 18719 -Averlue. Wen�
ATIOMPF -CON8TRUCT ....... 7..Nth�
................................................... ................ .........................................................
Tract*#6% Edmonds "Seavi6w Tracts.
PROPERTY. LEdA,4,,1'DES6kIMON .................................. .......................................... ......
...................................... : .............................................................
....................... 7 ........................... . ... M ........................................................................
7 ..... ........... ................. ........ ....... .................... j ............
CLBIns
............................................ : ..................... OMWER-ANID�OR -BUILDER ....................................... ................................
1TRACTOR",'S''�NA*ME%& ADDRESS ........... 13ob-Aklin Backhoe Service
................................................................ 7 ............................................ .......... ..............................
Perm1ssl94As,griiht:�d-.... Jwi(� .... 16 ........................ for repairand/or'. connection 0 . f -it side sewerto- the,city-'sa . nitary
tein'iri,�accojrd` �1�1�h:Clty
of'Edmonds ordinances. sewer
A-,-PNTION, 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
m
side sewer In: street area. Do, not cover any portion of sewer before It has been Inspected.
NOTF�:No: 2—All worli,Periorm�d: in city right-of-way rbquires an Invasion. of RJght-of-Way Permit obtaJn-able from the City Engineer's office.
NOTE, NO. 3-m-Obtal,n, full" information regELrding'Ordinance 11'. 16.030, and Regulations governing stqe sewers when you get permit..,
NOTE'No. 4—Top, of -gid'e s6wer must -have� al -lea-9f:30- Inches coverage at.,property . line and�.12 Inches Inside property
shsxperithan�%_,,�ilf be permitted. iinc;',minimum, grade of 2.% . No- b6nds I k n -grade
NOTE,,No. '5-.'—Tee6dhes�'in�,,str6et,,rriust be water settl - ed and . surface -of -street resto I red to original,-conditio . n. Coritrictors shall be responsible'for failure -a�ei- to,�improper-
work� Whlch�,,rniyl develop within one,year of,completion.
--�'It is, 6 '
NOTU'Vo& nlawk4;,to. alter or 'do., any other work than is provided, forin the -permit, o� W d6 any work. on, the main sewer or lts,app�itenainces �except to in-.
wye.
DISAPPROVED E]_DbAe .. ..... ......... . ................. . Date� ......... ........... ....... . .....................
APPROVED DaU .......... By ......... ...
.......................................................
�90T.) Penat
-757
..... y By� Date ........ 'BY ................
P Only
......................................................................... ......... .............................. .................... ................................
........... .
................
....................... ............... i ............... ................ ................................................................ ................................................... I ........................... ................. .........
44�1�'ermitl;&lpes M-UST'Ee'Signed!:By;0wner of Firm Perfor: in'
m g- Construction PRIOR To Request For Inspection
I ...... . ..... ................................................................. ... hereby, certify that the �sid& sewer installation constructed- under this permit
(O,;Wnir4.�VConCiacting Firm, Perform in g Construction)
.'w--,,-Ihst,a-J,1,6dl:�iiif,.'�cebrdince with all governing �ordinances, of th& City, of Edmonds�
.............. dA ............. ............. .
Datedthis .............. of ...... 197
y
�BkrORE,you-*d1g,-for: Water E], Gas E],
Check
TeliBp4one,[:]',.-,'Fl�ower,,E), Seweru,�
APPLICATION
'The City of Edmonds for
EASEMENT NO. -- --------------------------------------
SIDE SEWER PERMIT
NEW CONSTRUCTION E) REPAIRS LID NO. fl�� ..... ASMT
OWNER .......... ....................................................... CONTRACTOR .....
................................................ PERMIT NO.
;7/
JOB ADDRESS ...... ----------------- LEGAL DESCRIPTION: LOT NO. ------ ;? -------- BLOCK NO . ............ -- ....................
..........................
---------- ............... - - -------------------------------------------------------------------------------------------
NAMEOF ADDITION ....................................................................... ...............................................
RECEIVED
jON
DATE-------------------------------------------- By ..... ------------------------------------------------------
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT
STHEU HLE
NEW CONSTRUCTIONb// REPAIRS
EASEMENT No . ................................
4-1 D i 5--/
OV,rNER _.DQpr monds, Wash
X....Xillar-4k.. mQ�r�.ey... -Northwest -.S.ewer Cons truct iAT_
Bj� An 1-. 1.1 r ..... CONTRACTOR .... ................................... 0
............... : .......................... ...... PERiAT N 3
ADDRESS 15.719.7n94th Ave. West...... Ed-nonds Wn..,
.................................... .. .... ............... I .........
_9.�jQ20 LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No. ._Tr.aCt..T.67 ..................
NAME OF ADDITION ...... Fdmonds Seaview Tracts- Volume -4r3 Of Platg'z
.... * --------- ** ---------- * ... *""'* ................ * ... **"** .... * ...... * -------- * ............................. On --- page
TZ, Mi"f Snohomish County, Washington.
.......... qZ/
N
Approved:
A P
N 0 V 14 110y: 9 1,
DATE .........
CIjY OF EDMONDS
PUBLIC WORKS - ENGjINEERING
ACTION REPORT
REET t- ILE
SUSPENSE DATE:
Date: Time: A- File #
Attachments:
SUBJECT:
FA
REQUESTOR: NAME:
ADDRESS:
PHONE:
REQUEST RECEIVED BY:
TELEPHONE
CONTACT IN OFFICE
OTHER:
RECEIVED BY:(--:��-
OnlITC Tn-
N9 2656 ,
=Yes
9�0
=am=
mms���
�
MEN
MIMI
'no
ACTION:
rclAl - 11
All Concerned Notified
Action Completed/File
F EDMONDS
PUBLIC WORKS - E�UINEERING
STREE": T !ACTI�QN REPORT
ILE:
N� 2381
SUSPENSE DATE:
Date: Time: File #
Attachments: =Yes
SUBJECT: No
C"�
REQUESTOR:
NAME:
ADDRESS: 7� �197
PHONE:
REQUEST RECEIVED
BY:
TELEPHONE
CONTACT IN OFFICE
OTHER:
RECEIVED
xx, /-1
BY:
MITC Tn-
Kim
mmmm�m
cm�
IN
ANEMONE
ININ
RM
MIMIMM
ACTION: C-Z� —t
3 -,P-j L-k-(Z--
All Concerned Notified
Action Completed/File
CITY OF.EDMO'NDS Call PRospect 6-13-07 when work -31
ER -SEWER DEPARTMENT is ready for irspectrion. (No inspec� 0
ENTER — WAT tions Saturday, Sunday or holidy..) 20
SIDE SEWER PERMIT
18719 - 94th AveRue West ------------------------------------------- . ........................... ............................................ _
ADDRESS -------------- - ---- ---- - - ---------------- * -------- Northwest Sewer ..' ---------
Donald ... �t ... !��4�kr ------------------------ --------- CONTRAC'JMR ...................................................................
OWNER ----------------- --------------- day, to REPAIR or CONNECT a side sewer
Permission is granted ...... ...... for ------------------------
rdance with aPPliCatio" on file and governing ordinances.
vAth City Sewers in aCCO
'VNTION IS CALLED TO THE FOLLOWING: co truct sewer inside property line. A licensed Side Sewer Contractor must
No. I —The owners of the property may obtain EL permit to us cover any Portion Of sewer before it has been inspected.
be employed to construct, side sewer in street area. Do not
NOTE No. 2—Obtain full information regarding Ordinance 11.16.03D and Regulations governing side sewers when You get permit. e of 2
0 inches coverage at property line and 12 inches inside property line; minimum grad
NOTE No. 3—Top of side sewer must have at least 3
No bends in grade shaxper than % will be permitted. ed to original condition. Contractors shall be responsible for
NOTE No. 4—Trenches in str,eet must be water settled and surface of street restor
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.
NOTICE,
a
-o ... w-ar-ranty...O.
N'
The -information *shown on the attached
lied for use by the City of
map(s) was comp
Edmonds/ its Empl.oyees and Consultants.
Th,..e City of "Edim.onds does ' not ' warrant the
accuracy of anything set for.th on t * he.se
M a p (S"). A n . V person or entity -requesting a
copyshould conduct an independent
orm . ation shown-o
inquiry regarding the infi
tFe -map(s), including, but not J'rn'ted to,
c ion of any sewer stub shown. Suc
the lo' at'
-not exist and may
sewer stubs may or may
or may not exist at the location shown.
cf Edmoinc,41S, nor its
Neitheir the "I h. a. I b e 1..,, a. b-11--e f o r -41-hE
empjo-yee-s o-r officers -s
I n an this map(5), nor for
infor . mation give' Ided based
3ny one representation prov
upon'said map(s).