19011 78TH PL W.PDFlill 11111111
6745
19011 78TH PL W
NOTICE:
No warranty of accuracy.
The information shown 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 forth on these
map(s). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
the 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
ernpl-oyees or officers shall be 1..iabl-e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
CITY OF ESUM NDS
0,
Call PRospect 6-1107 when work
CIVIC CENTfl-FWATER-SEIVER DEPARTMENT Is ready for Inspection. (No inspec-
SIMSEWER PERMIT tions Saturday, Sunday or holidays.) N2 1915
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ADDRESS ----- ?811-19i-s-t- Place Southwest
1]�o h n V a n MO U r i k
............................ Coz'� amn
OWNER --------- W ............................... A - p - r . i . 1 ... 4, 67 Russell Johnson
Perniission i ted .... .................................
with City Sel W1, ......... 19 ......... for ----------------------- days, to REPAIR or CONNECT a side sewer
"W accordance with application on file and governing ordinances.
ATTENTION I:MED TO THE FOLLOWING:
NOTE No. I —The owners of the Property may obtain a permit to construct sewer Inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer in street area. Doo not cover any portion of sewer before It has been Inspected.
NOTE No. 2—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 3—Top of side sewer must have at least 30 Inches coverage at property line and 12 inches Inside property line; minimum grade of 2%.
No bends in grade sharper than % will be permitted.
.40TE No. 4—Trenches In street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to Improper work which may develop within one year of completion.
NA-E NO- 5--It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or Its ap-
( I purtenances except to Insert the pipe into the wye.
APPLICATION
The City of Edmor;dg'- for
Efj�IkE SEWER PERXff
Gil UCTION [:] REPAIRS
2-- '()7t (J'-J
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. .. .. ..
OWNER ............. 60 _ . ......
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ADDRESS..... ...... —...T..,( --- I ....................... .................. .............
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0
0
0
EASEMENT No . ..........................................
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... 0
CONTRACTOR.. . ........ ....... PERMIT No.
LEGAL DESCRIPTION: LOT No . ......
/ ................................. BLOCK No . ......
NAME OF ADDITIONs--/.e�,:.-RR..#-.. ........ . ........... 67W..11.2 ..
APPROVED
APR 4
CIO
Approved:
DATE By ..... . ......................