18829 81ST AVE W.PDF11 lill lill 11
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18829 81 ST AVE W
NOTICE:
No warranty of accuracy.
The information 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(�-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
tFe -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
emp-'I-o-yee-s o-r offiCer-s) sha-111 be 1--iab-11--e for the
information given on this map(s), nor for
any. one representation provided based
upon said map(s),
APPLICATION's
for
The City of Edmonds SIDE SEWER PERNaT
NEW CONSTRUCTION REPAIRS
70 0.
EASEMENT No . .........................................
/0 1,39
........................
;. 4V�1/2v ACTOR 6
OWNER . .. .... 4 ............................. CONTR PERMIT No.
Z21 cl-�- -.7-7—,
ADDRESS ........... EY/I ... ............ LEGA.L DESCRIPTION: LOT No . ....... ------------------------------ BLOCK No . ....... .................................
NAME OF ADDITION
......... c ..... . . .............................
N
'Aj
Approved:
-2 DATE.-7.--2.2.-.2.q:: ................ I
APPUCA71ON
T6 Chy of Edmonds for
SIDE SEWER PERMIT EASEMENT NO - ------- ......... ------------------
NEW CONSTRUCTION F�'- REPAIRS LID NO - ------------------ - ASMT. NO - ------------------
OWNER ....... ----------- ---------- --------------------- CONTRACTOR
JOB ADDRESS --- 00/ 4r 641-1 - ------ --------------------------------------- PERMIT No.
_ --------------------------------------------------------------- LEGAL DESCRIPTION: LOT NO - -------- // ------------------- ---- BLOCX NO - -------- 1
------------------------------------------- I ....................... ----------------------------------------------------------------------------------------------
A—, * t-, el -Se
NAME OF ADDITION ------------- ..................
----------------- ------ ..................................... --------------
^/ Sr
c7l,
�J
ApPrOved:
DATE--------------------- .................. --- BY ------------------------------------------------------------
#I. APPLICATION
Ae City of Edmonds for EASEMENT NO . ............................................
SIDE SEWER PERMIT
NEW CONSTRUCTION 0 REPAIRS F� LID NO. .... ASMT. NO
OWNER=--4'-'� ....................... ---------------------------------------------------- CONTRACTOR -------------------------------------------------------------------------------- .... PERMIT NO - --------------------
-r — -: WRS.T � k I
JOB ADDRESS --- ---- -- L;z"k L'4-�P�'AL4 -- ------------ LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO - ------------- .... 11 ...........
NAME OF ADDITION .... ------------- -
........................ ----------
Pvc
7 1
I
Approved:
DATE .1-6e-1, - ------
By.... �VA . .... . ................... ;
10�� (5��
E,`S, E j WO! E * R P 4 E RMY I T i:
_C T
M
P
-AWATEWSE DEPA ENT
A.
PERIMIT 5-1
6
on
C I
a] .'7.75�2525. or :a e, isewer'Inspections*, lIEFORE`�cov'6Hng.;any.,.por lon,,�of the.:c6nstruct
Ins'pectiori �illl: v within. 24 1 ours"aft r -requst,!, NQ at.',.';Suh_.,or holiday* 10 s.
be. pro, ided, W ins* ea.
p
ADDRESS h0lb 0 81 st Avenq�'Wb'
�in6N,'40F: CON STRUCTI 8 2 9
.................. .......... ...................................................................... Or .................................................
4r.
.. .... .....
LOt-j1:'..BIO.ck ... ................ .........................
Ost jbnson
. ................................. .............. I ....... .....
4
.............. ............... ..................................................................... .......................................... . .
........... ................................................ ...... ................... ....... ........
SEEN
-ND/.QK BUILDE& ...................................... ........ ........................
........... ....... ........................................ O"R A
ADDRESS .. ........... ................
';qnI4I66iWIbTOR',&`NAME tib�'Aklin .&Lckhoe'SeMc6'
......................................................
...................................................... ......... ..... ..
is,' Aiii` 1- 72 .......... ;.;jqj::7!j,,f -r' pair:,a6 Voi,-conhectiori- of a 41dw, sewer toAhe.
-1gran ....... ........ ............................ or, c d
r in
d ..ances.
WTr-0NTIONV_I
permit',toaconstruct. -sewer, lnslde;pro'Perty;llne. A-*,llcehsed'Slde Sewer Contr'�:ctor mu . at be empi6yedI-'tb!eonstr;uct'.`
�146TE-�,r4or,'lf_L3he�;o,nnersaof; th .1
ld'6�*sii�er,�'in�street.,,ar;ea; &Do,not, cover,any,,portion,:of -sewer beforeAt, has �been-Anspected�
ed`ir,-�ity. right7,of-way' requires,-afi�-I�vasio�. of -Rlght�-of-Wayi,�P r it.obtailirrable' ';from �the City Engin6erls offic'
rM .6 in
,�N0,T'Eallo','3—'6b'ta'in-f�ll.'i�f.rmeLti0h*rega,rdink"O�di�ance: f--I; 16-.030, -and Regulations, ;govern ingj'side"sewers'-w' hen, you. get permit.
NOTE,'V o 4t--Top �of'fs Ide' tsew`e�;Inn 6st' have at'least 30Aricties coverage rat propertyr line , and 4211 - nchesAnside' property line; minimum gradb of 2%.- 'No :ben6,'in,-]r9r6,de
Jsliaiper,than,'% :.will v,be permltted.�
6, oilginal.. condifEm :,Contrabtors, shall be. responsible fo 'f*'fl'r 'd
I IW61!t-n4u�66be'waie ',oeitlid�andi�igil�iac�,'of'str��t'.res'tore'd,,;t r a u e,I,ue.',,to;'Mm'
',�'.-.�--,;�'ork'.'which�'rhay,�de�e]6p',,�lithirf.,one year, of*�&�pletCon--
'r4OTIki'l4o.� 6L-�t.,Is.�unlawful*�toialter,or��do,,,any,;other wor .1han, ls,provided,,for in the -permJt,.�or.t6_,.d Tany work 'oft,,Afie n sewer -or its;appurtenan
:'.sert,,the�pipe�into.sthe,�wy�. -0
_4
D* ..... ... -Date.' ...........
ate... ...................... ... ... Date .........
............
APPRO,V5EE .. ........ .................... ......... *.: ................... I ... . ..
.......... ..........
.. . .............
..................
R;6
t
.............................. Or ......................................................... .......... ............. .......
............. ....... ....................................................................................... ............ ....... ........ ............. : ......
............ ..................
�BO , TI I `�i s�'MUST �Be'Signedl�ByriG�vnel�.of Firyn, Te estFor--Irni6�AS
.`xn#&p&� rformin Construction PRIOR To�'Requ n�-
'Y
.......... ..... .................................... .........
her,eby-t.c6rk�� hatAlle side sewer installation- constructed *under this�,P,ermi�.,
Irm' �.e'rfo'r'ming,'Ccinstruction;)
wner'�iof,,ContractIng*F
d.�:ii�'a�ic�ordan'd,e,,,,With,,.bL]11.',goyeriiing o�dinances',oftthe-,Cit.�, df_-Edhionds:
We
-,Dat
............. ..........
..;.....:.,.:day of ................. 77—
'.yo 4 Oth'
N44,-G, li�W-BEFORE;
AN
PE
M ID'S
CITY,�:!O, ;�ASBMWOP
SEWER' ��M, T.,
TEWSJ�Nyj�;�C;DEPAR -E
AIT
�A
11.20
of the
C, kll�.7.76-1-107. for side �sewer,,'�Ins tion
e pect ton s,'BE FORK �cdverin'g,any, port16n ..'construe
4 hours, after request. ;o�,-�hollday 'Inspealuns. 4
-:41n.spe�tlb'n 1will be:,provided 'within.,2
:A
AMDRESS,,-L0CX- ��C&-,i�oNSTRUCTIOM,.'
............................................................................................................. ..........
. .. ...................... ....................... . .
.T -ERTY.
"Ll lfa4
,ROP E!WA1LJ)E . ...................................................... f�.
.. ............................................. ......... .................
.................... ...........
..................................................................................... ......................................................... ..............................................................
.............................. ........
. ........................................ '.0,WN-E ............... ...........
....... ..... : .......... ..... ........................ ..........
'ADDRESS1 ............................... ............. F.. ....... ............... ...........................
-ONTIVA-' Ok4 -1�
C CT - r.
.................. .......
p
K
or- repair, and �or, corinecti6n side,-�sewer-to
Y&'si'on1sqjrrjifited. i:.J.�l ... ....... ...
rI
ary, ilewer
;1n:;abcordanee�w1th,.,Cfty o-f',Ed'mo'nds,',-ordinances-..--.,-.,
1NTION IS CAI�LED TO THE FOLLO j4
WING,
-obtain,ia,;P.ermit-lto�iconstruct,�sewer'�linside-property,line�,.;A Jicensed Side Se,�,er-C�ontractor. must", be-�eml�lb�64'4 . o co nat!ru'et
sId&sewer;IM;itreet �arda�.',!Doinot.:�ovei',arik.:�portl6n,-16f,sewer �b6foie-�ithas�,been inspected-��:�
'of
N�o�lk:pciform�d!I glif-ofrway-,re'�u ties iinL,,In�vastofi- of., RJ ght - -Way 1�.errn' itp'btaim-able -from jthe 'City' Engineer' sl-6ffice!
NOTE -;No. _:ful lijinfor,"tibn �rejax'aing.l Ord I na7fice M*A (3.030',anil. -,Reg u lation's�, govern Ing - sl d e'-s"ers, wlic n- you g e*t,. perm" it-.*. %
"t 30, lnclie;�6oyej me g�ade�,of 2:%., NoobendB m-,gradle,
'NOTELNo. 4 —,Top. of 'sjdcsewer,mu�t,�avc �ai �age.L" prop�rty;*11 widl:12�,Inches�insid� -pr'o_'perLy.,,Iine;. minimum,
A, '.,sha�per thati.-%-.will b6,,;iermdte& . .
'NOTE.f&o: *5--.Trenches. lw',�tre�t. lmjisi�;bc,_ '_��er'se�tticd* -and -su c o a et r orlgihal,'�donditlon!,," Cuntractors-shall�,be �esp,,nsible:,ior�-"fiil�re*�due-,to, I p . r per,
L ;st ed'
w �fa e i �r or
41ork �,iMlch,�rna -deveio�-,with 'n �one:'year-,of c�ompl6tlon:.
y I
to
',-,�OTE�)Nd.�i6�-�rlt;�isitunlawful,lto�alteriort�do.'any,',(jther-���i6ik�;th�n,,.Is�,provided"-for� inthe�-permit',-.or do.any�,�vork. Oil -th'c'main-�'sewbrtor�its..app6r'ten , a I n c es� I ex - c I epu o in-
J
�irt�.the,6ip6',I,nt7oPthe.'�w.ye e:" I'
z
By ... .... Dat ................
.......................... Date .............. —B
- I " , - - .....................
�MIS".PROMEWiF, t ......... .
_410 it_ I
%
. ...................
V. . *-,, - * * , . T - .
APPROVED "D ......... 1�*..,._:,.,.
.............................................
.. . ......
..........
.�JiZniar s: . ......
......................... .............................................. ......... .. ....................................................................... ........
............................
7
...............................
..................... ............... .......... .................... .... ......
........ .... ;—: ....... ...... ........................... ................ ...............
e. '�o f F i rni'- P UbmTRiOR7., , 0 .
t., 0 V,,ST,,B "Sigpe '�By':O%�iie�_ 'i ei�6ri�i�guc bn T ReqUest,*,For�:11,h�pedtibn,�,�—
pies! d, St". C
...... ;.,hereby �certj �cofistrueted�ti
e , N, , S ewerAnstalldtion
X. 1�-�'that. the; Sid 'n*- riih&,,permit-
g N
rac 1 �Vlrryf�pe
wn o ruictIbn-)'
�,'Instajle �i n:..
co �tnce �_WiWal P.'.goyern iqg�ordindll Ahelb t�, -Of'Edinon'ds-.'�
-,Dated-.,th -Aa 'jof:
-:,ee
the City of Edmonds
-31 - 6
APPLICATION
for
SIDE SEWER PERMIT
00 NEW CONSTRUCTION E�--- REPAIRS 0
OWNER. ....... ...... ............................
ESSADDR . .................. 7 ..........
............
LINE
EASEMENT No . ..........................................
1,:3 9
5�
�z �� z � PERMIT No...
CONTRACTOR . ........ Z w.e
LEGAL DESCRIPTION: LOT No . ....... ------------------------------ BLOCK No . ........ /
...............................
c--
NAME OF ADDITION..C:-\.C..��1.1�
..........
Approved:
DATE.Z..:J.2.-..'1?.'2 . ................