18919 92ND AVE W.PDF111111111111
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18919 92ND AVE W
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NOTIC�:
.N'o---W-'a'r-r a n ty ... oT.
The -inform ation'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
Th,..e City of *Edm.onds does. not . wa rra nt the
accuracy of anything set for.th on these
rnap('�-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the inform-ation shown- or
-t-Fe -MaP(S), including, but not limited to,
the lo�,'ation of any sewer stub shown. Suc
sewer stubs may or may not e.xist and may
or may not exist at the location shown.
Neither the city of Edmonds nor its
empl-o-yee-s o-r office-rs -sha-H be l.-ia-b-l--e for -41-he
information given o.n this map(5), nor for
any one representation provided baseu
upon . said map(s),
ANN APPLICATION
It" w— EDMONDS
for TM r�T
The City of Edmonds gnat SWE SEWER PJMMA�= =TREATMENT PLANT
EASEMEI-M No.
NEW CONSTRUCTION REPAIRS n 17 /-%
OW,NER Z,
.................. I ........ ........................................
ADDRESS ........
.. ........................... I/V .............
CONTRACT()R Z C/ ........ . 56 --- W-J— R.— ... ��-6-14ERMIT 40.
LEGAL DESCRIPTION: LOT No. 1-1 ............................. BbDCK No . ............................................
NAME OF ADDITION
V ......... .. 4(7�.Llr ....... .....................
�Ab --iplog
LIV ED
JUT, 197,
Approved: -7 -L-
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-7-- 71.-IMM77 7—
MITTY OF EDMONDS.
C $10,' SEWER PERM,
WATEI�_SEWWER. �-DEPARTMENT'
PERMIT�4
(Callt 71641-1:071 for',sld& 4sev�er lnspectlons� BEFORE, covering,-,,any� portion, of�thet construction,
n.� pection wllll�be proyid-ed withlnit24 !hours! aiter'requbst. - No),Sat., sum,, or,holiday Inspecti ons)'
ADDRES&IL` CW-nONI�,�OF,��CONS-T-R'UC-TION ..................... .......................................................... ................................. ...........
....... ........ ................
. �kj
.;A
'PROPERTY S EGAS DESCRIPTION..'._'.�
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. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................................... . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
...................................... ............. ....... OWNER, ANWOR BUIIILDER..� . . ....... ..
...................................... .............................................................
coN.TR,AC,T.01rS(W,M4E ADDRES& --- ...... .................................... Iv"I al
............................... ....................... ............. .............. ..................................
Pbrinlssibn,fs�igrante&.
. .......................................................... for repAir and!/or:connection* of side sewer to. th6- eft
�a y'sahitary �sewer
syst -in, accordafic& with,,City_of Edmonds,,ordinances.
ATTENTION,:18, CAL D� TO 'THE.FOLLOWING:
NOTE No� I —The owners. of the property may obtain,. a permit to�.construct �sewer Inside propeityiine� Al'license& Side,Sewer,Contractoi must be employed,,to,.construct
side sewer in %street area. 'Do� not cover any portion of sewer before It 'has been. Inspected-.
No. 2—A\ll work- �perfqrmedl In city, rl ght- o'f-way, requires an Invazion�,of Right-of-WayPermit obtainable from the Cit�*Engi eer's 6'ffice.
iTNoi '3---�Obtain� full! Information., regarding -Ordinance- 111; 16.030 an& Regulations governing, side, sewers, when' you get permit, -
NW 1,R"Nol 4—Top of.,sideo,se'\�er,.must,ha've at lea_9t'30j1iches coverage,4tt property."Mne `andj:12 Inches inside property line;, �mlnlmuffi grade, of 2%., . Nol,bends-in, grade',
Aarper tham! 1/8, will" be' -permitted..
NOTE; No. &---�Trenchew in, ' street m ust.,be water settled and surface of street restored Ao original, condition 'Contractors shall -be responsible for failure, due to Amproper
work which may develop within one.year of completion.
NOTE) No. 6—It is�,unlawful to.alter �or,do� any -other work -than� is provided, for in the perrait, or to, do! any work -on the main:se)Ver or'its� appurtenances except* to in—
sert the pipe into Ahe wye:-
DISAPPROVED E]! "D t ................ �-By ....... ........ D ...... ................ .
AW .......... y ............ D at . ........................... By: ......
T
D
Z, ........ --- ......................... .................................
APPROVED ... .. .
a
Reinarks:; .................. .......................... .......
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........... .............................. ............. ....................................... ............. . .......................... ............................
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B C
OW i opiles� MU ST B& Signed -By Qw—iier,of'Firm, Performing, Cbnstruction,� PRIOR TaRequest For In'spec- timi
'n/ here*byl,certify thatthe, side,sewer, installation constructed� under thi's permit
(dwrier,of,Contractl rig Firm'Pe, G min g Construction�)
wasilnstall6d�inaccordaif6e,�withl.a,ll'.gp ningordinaiicesi,o'fthe,,Ci;ty,ofEdm6nd's.
Dated4hir ...... ................. -,day" of ..........
. ..... : .... I ............
Check you,dfg, for*: Water' '6as,!3, .Tclepfionei'�E],, TQwbr,,[]," §ewp 8i '_,:dther ul VWV,
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