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19003 88TH AVE W
ITR"ET
CITY OF
FILE
EDMONDS
PUBLIC WORKS —
EMIT�EERING
ACTION REPORT
SUSPENSE DATE:
Date: Tim: le;� File
Attac�anents
SUBJECT
REQUESTOR: NAME:
ADDRESS:
PHONE: 7:7 -6- z 4?q
REQUEST RECEIVED BY:
TELEPHONE r---1
CONTACT IN OFFICE r--j
C�THER: _ r---j
RECEIVED BY
DMITP Tf)
N? 1978,
=Yes
=No
ACTION:
gtD
P,�w uE�M YO 6iSI AT HO'
All Concerned Notified 1--t
Action Completed/File =
ay
I OF
ITTY" .,;EDM N, SIDE W
-WATER-SEW-ER. DEPARTMENT
4�.
;7
5422�
PERMIT d
Call.,77,5�_21525' for. �side: seweiv.inspe�c�tlons 41IFFORE covering any, portion, of the construction.
in p ins 0
ect�l,bn wil,l.be p�oVi,ded! within 24,,hours" after. requst'- No;,,Sat.,. Sun., or holiday pect�i ns)
ADDRES&�LOCA9 UOY��OF CONSTRUGvjP11ON ..... Uth Avenlip'West ........................
............
P�ERTY,,,I;EGA!t-'�',�DESCRIPTION ...................... rhe ?North 1101 of the East 1101 of Lot '24, E�Dnds -
.. ....................................................................... ...............................................................................
.........
Edinonds C' ot B)
Ss 4aview acts, City o.L
7 .... ------- 7 ..... :**'* ...... 1*11111"** -------------------- ......... ........ ........ I .......................................... .................................. : ................
....... ................ ... OWNER AND/OR. BUIL DER ...... EARL...S ....... H.M ................. .......................
... ............. .... .. .. A .....
........................ ................................
-C NAMEw& AD E
DR 'SS ...... IMIROWNER
...... �! ...................... .................... ....... 19.M., f or repair arid/or connection of a side sewer to, the city sanitary sewer
-;r— prhUn% 6da�iee-ivith..Citv of Edmonds, ordinances.
ATTENTIOri., IS �,qkLLE6.'TO'THE FOLLO�VING:
NOTE No� 4-17h6'��wfier�,rof* ih�',�prop'erty,may obtaina. - permit to -construct sewer inside property. line. A licensed Side Sewer Contractor must be employed to construct
slde_sewerlin�kreee area. Do not cover- any portion of sewer before it has been Anspected.
City Eng neer's office.
NOTEkN6- lm,city'right-of-way requires, an Invasion,of lUght-of-Way Permit. obtainable frorn the
-I17J`n'io�rnatI6njrcgaXding -Ordinance,11;16:030 a d' Regu ations. -governing side se%4rs -when you. get permit.
Ifu n I
ve ra e -inside property line; 'minimum grade of 2% . No bends, in grade
Q. a;je. �v X gu�i� hive!' at.,least-30"Anches,co g' .-at property.,, line, andl 12. Inches
Ssharperr.t & -Titted.
ter settled and- surface� of�, street restored to orlgInaJ -conditlom Contractors shall be, responsible for failure, due to improper
,:,,vwork)whi6li�iiiel�,�'dev�elo�, w1wthain one year of corripletfon�
I ter 'or. Ac, any lother'work thaA Is provided for in the perm�t, or to do any�work on the main sewer"o'r Its appurtenances, except to In-
toe.the-, ye.
...... By ............... Date.. ........... ................ 'By ................
AP,
-R vxp-
efo ...... By ....... .... . .......................................................................................
............. Date ........... ..........
P
'Reina'rk ... .... . .. . . .
S: ........................................................................... .......................................................................... ....................................................
�',7 7 ......... ............................................................................................................. I .................................... I .............................................. .........
4:171
�,BOTH.P�4ffif'�C6�f6s�l%iUSTB'eSikri6dr.Byo,,�in6rof-Firm truction PRIOR To Request For Inspection
Performing Cons
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
hereby 'certify that �the,sldb seWer installation constructed under, this; permit
P,1�1 u w n e r
.vf;2,6�nt�acting* Firm Per form 1'6 g",,Con struction)-..
,�,,,,�'�',"Was�l"'nsta;llb'd�,inV,�xbc'6!td�ii6,�';,v�ith�!all�,governin��,.�"Ordinaii6es-of,,�the City ofr-9Edmonds.
f4
. . . . . . . . . . . . . . . . . . . . .
of . . . . r
Dated'lhis .......................... �,da ................................... 19 ..........
.y
y0U,,,4ikf6r.VVater. E), "Gas '0, :Telephone�_Ej, 'J�o I wer. E3,
FORE Sewer Other,
APPLICATION
The City of Edmonds for EASEMENT NO. !!( 001,,Z4 0 % t (P
- ;-"rt, ;'Eawwwas F114 SIDE SEWER PERMff --------- ---------------
t: I CONSTRUCTION E] REPAIRS 0 �LIDNO - ------- ------- ASMT. NO - ------------------
OWNER ------------ -------
---- ---------------------------------------- ---------------- CONTRACTOR PERMIT
--------------------------------------------- --------- ------ ------ --------------------
JOB ADDRESS
- -------------------- -------------------- ------------------- LEGAL DESCRIPTION: LOT NO - ----------------- ------------ BLOCK NO - ---------------
... ........... ...... .............. : ........................................... — -------------------- ...............................................
V,
ON
NAME OF ADDITION—
---------------- -----------------------------------------
Approved:
,-f
DATE- --------- — By --------
z
The City of Edmonds
3-2t- 7k- - QePfrev
OWNER ---
JOB ADDRESS ... doc, 4/
APPUCATION
f6r
SIDE SEWElt PERMff
NEW CONSTRUCTION E] REPAIRS4J
CONTRACTOR ----
LID
No' ---- ---------------------------
-1 lt--.ASM . No.
-,, U
------------ ----------------------- ... PERMIT NO.
LEGAL DESCRIPTION: LOT NO - ------------------------ ........ BLOCK NO - -----------------------------------
-------------------------------
...........................
N
............... ZA
NAME OF ADDITIO ---
... . . .. ...........
Approved:
F4
DATE
By------------------------------------------------------------
,.C-- - - --- -
0
M6 City of Edmonds:
0
OWNER .......... 5 ................ 5A .................................... CONTRACTOR ...... 27PERMT No.
ADDRESS. ............. . ..... P..$ . ................................. LEGAL DESCRIPTION: LOT'N6 . ............................................... BLOCK No . ............................................
AME OF DITION t):-! c 17,5 ........
TR
APPLICATION
for
SIDE SEWER PERMT
NEW CONSTRUCTION REPAIRS , 0 EASEMENT No.
. r� I 0�
Approved:
DATE :.Z.E ....... �L7 ...... B
NOTICE:
-C
-Nbw-ar-r a n ''L''y - or a- c Ur
The information shown on the attached of
map(s) was coMPiled for use by the CitY
Edmondsl its Employees and Consultants.
Th..e CitY of �Edm.qnds does not. warrant the
et forth on these
accuracy of anything s
entity -requesting a
Map(�_). Any person or
copy should conduct an independent
inquiry regarding th*e inform-ation shown on
tfi-�� -map(s), Including, but not Jimited to, -h
the location of any sew-er stub shown. Suc
sewer stubs may or may not exist. and may
hown.
or may not exist at the location s. . .
Neitheir the ,ity of Edrno'ndS nor its
emp'fo-yee-s o-r office-rs -sh-a-11 be l.-Ja-b-IFe for the
n on this map(s), nor for
information give'
any one representation provided based
upon said map(s).