18827 89TH AVE W.PDFIIIIIIIIIIII
8568
18827 89TH AVE W
The City of Edmonds
APPLICATION
STAa7 FU for
SIDE SIEVVER PZRAM
NEW CONSTRUCTION 9--l" REPAIRS 0
c 1; 717
owNERW ........... &A..��./ . ...............................................................
ADDRESS J. ... 2 - � .. ;L7 .. . ...... 4,�l ..... .......... w ................
F-&.J%ftVJcNT No - ------
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CONTRACTOR IVlkN We,*d PEPJAW NO.
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LEGAL DESCRIPTION: LOT No . ...... 16 .................................. BLOCK No . ............................................
NAME OF ADDITION5.i�64--& ... 0 ..... AV ........... / --- I... / ...... 4 ...... T ...... 5 ...........................................................
RME'VEED
V I tipw—ro'I'Vc 0-,,-
Approved:
DATE ............... By
. ........
�'PERMT
,.:C1TY0F`E
�,WATEPV-SEWER PEPARTMENT
P ERR!
M [TNO�' 4039R,
ORFG�� C 0-v�ring,',-Vfy portion, of the constructlom)�
-410�J- for side sewei inspections AIEF,
J
Nol'SELt., sun., or, holiday inspections
G8,111 T76
inspection will he, provided within 24J h6urs!iafter request.
-T,
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31 7,
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ADDRESS, L ()C�jT16Y,OY-CONSTRUCTION ...... ; .......... . .... ........ .......................... ................. .................
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ESCRIPTIOM P .... .. ........... .......
,P,R0PERTY'&EGAL ,D
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D ........................... ........ ................ ........ .......
........................ ......... 0W,.N.ER. AN, �ORBUILDER .... ......... ..........
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-CON,TRACT-OW,S'N�AM-E,&A'DI)ItES ............... . ........ ... ...
er to, the city, sanitary,'Ni--uer
19:.21 for repMr and/or iconnee,tion of...a side,sew
Permission isi;granted ...............................
system, in, accordanc&WIth"City, of EdMo
-ENTION� IS,.,CALLED'TO, THE FOLLOWINd_: 'Side Se -er -dontra . ctor �must be e mR I loye& to construct
o f the, property, may obtain a permit to, const.-kict sel�,.er -inside pr6perty, line. k licensed, w
��E No, 1—The �owners cover y portion' of sewer before It, has been �Inspected.
side sewer� in' *street an
Do,not ' ht-of-Wh�Y,j�erinit.lobtain-able from the.City Engincer's. office.-.
-of-way requires an Invasion oi,Rig
NOTITNO. 2—AIII, work performed in�'�city eight get permit
NOTE No.: 3—,Obt&i , n full' information reg I ax . ding Ordinance.11.16.030 and Regulations, governing'Cside sewers�,wlien you
n -bends In grade
'must have at least.3 c S
0. i , 0 inches coverage,- at property I.ine and. -12�.in'_'he, Inside property line;, m! imum, grade.of 2 No
NOTE N. T�p (of,side sewer
sh&rperAhan 'A will be.per.mitte * d. Contractors shall be. responsible for. failure Aue to Improper,
5—Trenches: in, street must be, wat settled and surface of street restored. to original,
NOTM No.. I er . I t. I I . - . .
work,which may,develop with n one year of Completion. except to Jn7,
NOTE No. &--�X Is4rilawful, to aiter; or- do any other work. than is provided� for in the. permit,, or' to, do any work on.-the.-rnain sewer'or its appurtenances
pi��t:the� pjpe� into the wye.
r
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......... Date: ............................ ........
Date..— bate ......... . By
DISAPPROVED) Fj� ..................... ......... .
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APPRO
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VED
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est�'P',6r insPkfton,
BOT'H.Periyiit' Be Signed, By owner-'of'Firm Performing Construction. PRIOWTo. Re u
Copiesi'MUSY
�'ffif& perinit
hereby -cert y at-the,si e� sewer inStallafion -cons rud. ted, �,und I e
if th' d' t
.... ... ....... P t
onst I
"�ContW&ing Fjrm� er orming ons rue Ion)
)G, .of - �01
v',e'rning ordinanc e& bf'the, City of,E.dmqnd§.'
-as, lnstall'ed� in a:ccordan6e,With. aUgq
'Dated, th.is .............. I .................. (lay of ........... �: .................................... ... ...... .....
�oWer,[]"' SeWer�.E]� . Oth6r E], _:q., V,
0 -dig for: -Water Telephone
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