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September—
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for, repair, -_and/or;�,66nne�_Aion_of I;t,.�§ldcscwl�r
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NTIOT�,71�.-,C��;LF-6.,TO'THE�F61�LO�'W' INP:
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us cmpl6y
':.NUTE.-No�� .1 oWders "Of -the '�ropertk,� may, obtain. a' Perriiit -to, const riu`ct sewel*�-�lihside,�r��ei-f�'.iifie.-.��,--1'16dnsdd, Sid -C-fit, � t
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at 0 actbr
_side se%�er'jn, reet,areii% D
ono��.cover-atiy,po.rtidn-'of-f3c%�'er, before it has bein:'lnsizi&tcd.
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�NOTR,No.* �2--LAIL.work'performed--in city right-61'-way jr�qu�re�� �p: %of-Righ
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ble fi�orrj the,Clty Engineer's office
NOTE,rl,lo� - 3�bbiai�. f uil�Jri orrn�at16n_, Jr- gUl t16*'
egaxding' 0irdinance' ,j+.-I 6!030,a�nd�: F�e a: ns governing side is�wers'whinyoli
.',-N0TDNo:`4' gld�Aewer must,hliv�'k"lea�st' �()'M�hes�covcradei'alt,�pr . o��rtylr
Tolkol. lffi,-a-�d-12i,inc�'�sI.in�tde,ip.r?p�rLy, nq,;,..mlqlmum grad&of..-2% N6i,benas',,ln%.grade
l.rier4hari*
tract' respons'Ible ""to J m l:ioroj� r
���ches:-in�.stre6i-piusttb�,-,�a�er settled',"a�,surface.6f-.,t,,�et.i�-.t���d t6"original.'c6n'�it'lo�.:"-iZ:�A rs'�.ha. ;falluref,due
%�brk� whlch� rridy'dev6lop' Within 'on'� �ear:of- om '1 0
P ction. for,
Dr"cib an� �therlrw6
,,unlawful! to.�alfer��
'tfie �errnit.%or' t6l do�any,work:;on-:the.-.main,4sewer.,,or,;Its--appurt-enances�'except "to, in-'
7 rk�than ls.Prpy!ded�f?r..,j.n�-,
_�sert-.Ahe,ptpeAhto the,.Wye. -t,
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--:'A'PPROVeE
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rmit: CopiesMVST.�:Be 'Signedt'By" Qwner,,1oV,,Fl�rn 'Pei4cir-i-ni�i��,-bo��'tr.u'ti' _F V
c OxV R10k, -6,,k'eq��st,,Eo��,I,nspectibi:i,,
',certifyAl�;it
— ..... .............................. cre -semier,4nstall�ttioh,* con: t-i,�ct�d,,iifid6r,,thisr,permit-
h by*' Aheyside,,
'PeFfdrmjn c ion, i
wrier, of.�Contracting Firm,
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j:.11nstaMedhT, accordafice-withi Verninz.6�diniances�io .,.the`*City., 'of Edmond�,�.!"
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'3�ou for W A er, .,Tel�phone-;E]; �-PdWcv, owe r:,
, k:BEFORE. Aig,:
t
APPLICATION
for
The City of Edmonds SrDE SEWER PERMIT
CD NEW CONSTRUCTION REPAIRS
C) c-,
OWNER .... —5�1.1 ........ .................... 11 .................... CONTRACTOR ..... . /57 -S
............................ .......................................... .................... PERMIT No/.4w_-
ADDRESS .... . .... _ ............................................................................... LEGAL DESCRIPTION: LOT No . ............ ��o .................... I ------ BL40CK No . ... ......
Y�
V41P
t
531�T 1,Nlo . ..........................................
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NAME OF ADDITION J: ........ t� ..........
............... .......
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J�l �,
'S"c-
5—,
Approved:
1-7 N)
DATE .... .. i Q. -----------
i... i ---- ------- 3 3 Y ......
SYREY FRE
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS,WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20080346
SIDE SEWER PERMIT (I -Single Family)
Permit Ntunber: ENG20080346 Expiation Date: 9/4/2009
Job Address: 18919 8 1 ST AVE W, EDMONDS
APPLICANT CONTRACTOR
ALLEN PLUMBING ALLEN PLUMBING
6013 RIVER VIEW RD 6013 RIVER VIEW RD
SNOHOMISH, WA 98290
SNOHOMISH, WA 98290
425-367-4744
LICENSE #: ALLENP*930B4 EXP: 1/24/2009
_Y�REPAIR
N
JOB DLSCRIPTION
N PROPOS TOREUSELATERAL LID NUMBER-
IGUNDERPUMP N I PROPOSE TO REUSE SIDE SEWER
SIDE SEWER REPAIR
I
•
•
EAsEmENT INFOWN'UkTION
PROJECT CROSSES OTHER PRIVATE PROPERTY
VERIFICATION OF RECORDED EASEMENTS COMPLETE
IADEMATTY- The Applicant has signed an application which states helshe holds the City qfEdmonds harmlessftom injuries,
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City ofEdmonds or
any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
attorneyfees by reason ofgranting this permit.
CALL DIAL -A -DIG (1-800424-5555) BEFORE ANY EXCAVATION
CALL FOR INS PUCTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUHZED FOR ALL INSPECTION REQUESTS
THIS APPLICA11ON IS NOT A PERNUTUNTIL SIGNED BY THE CITY ENGINEER OR HISMER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED.
471qld
110 1 RM30 Q WA
F-1 FILECOPY KE14SPECTORCOPY F-I APPLICANT COPY
STATUS: ISSUED
ENG20080346
• Refer to City of Edmonds Side Sewer Infort-nation handout for approved pipe materials, inspections and other requirements.
• A 6" cleanout with 12" locking cast iron lamphole cover is required at the property line.
• Maintain IY separation between the sanitary side sewer and the water service line.
• Applicant shall repair/replace all damage to utilities or frontage improvements in City fight -of -way per City standards that is
caused by or occurs during the pennitted project.
0 E-Sankary Side Sewer Inspection
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIA L: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
0 1 0
81 AVE W
E.D * CITY OF EDMONDS WATERLINE AS
A D D R E S S
(i k ta 1 QQ1 I - 01 U
CD
VAMJPIJM
HOMEOWNER CONTRACT OR SCALE
MAESS SOUTHWEST NTS
DATE DRAWN PERMIT
12-06-2004 By SIBREL NO, 2004 0986
NOTICE:
No warranty of accuracy.
The information'shown on the attached
map(s) was I compiled for u.se by the City of
Edmonds, its Employees and Consultants.
The City of �Edmonds does not warrant the
accuracy of anything set forth on these
rnap(�_). Any person or entity -req uesting 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
ernp-1-o-yees or officer-s -shall be 1--iab-11--e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s)..