19013 80TH AVE W.PDF11 lill iiiiii
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19013 80TH 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 forth on these
map(s�). Any person or entity -req uesting a
copy should conduct an independent
inquiry regarding the information shown on
th-e -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
employees or offiCerS) shall be liaL'-)I.e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
MR PLAW-
Sri EET FILE APPLICATION CARD No . ......................................
R for
The City of Edmonds SME SEWER PERMT EASEMENT No . .....................
OUTSIDE E] INSIDE E] REPAIRS E]
D
'T .. PERMIT No.
OWNER.- ....... �.Mrnc-h ................................................. CONTRAC OR ....... Dtl/. — ------ U.11 .. Lu ....... la�
A STREET
HOUS...... f ...... LV ................. AVENUE LOT No . ...................................................................... BLOCK No . ....................
ENo.-Jaci.6 ------ 4ort ----- F . % -
NAMEADD - ----------------------------------------------------------------------------------------------------------------------------------
do
Date
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $
SEWER WORK ORDER ISSUED ..........................................
Approved:
DATE...... 4 .. ;w ............. By --- ..... .
I
t
ITY QVIDMO
NDS
E
-.04107
rw 101 PRe
C'V",C; T NT9R -WAITEWSEWER ��' P�1� - _'. - I - 6 work
!)E NT SPect, when.
fc�r inspeetio, �- �(N- :sPec- 0
. ", - .; win —
t ons, atarday, Sunday or h"oIj(jajg;)
15:02
PER;
Wtk
AD ...... �-80th Ave-,.
L 2 ]?�RESS ...... 3
�9 ...
.............. ..................... ...........
..........................
....................................... ..................
'o Th
WNE
. . .......... .......................... ...... CONTRACT01t M)i ... iqx ... FlUaUmg ...................
�-Termisglof�;As lgranted'.-.,_�i
.................... 1.9...
W`iWClW , jor ...................... days, to RkpMR -or CONNECT a side sewer
eweis. in- ai�i�aordance mith - application on file and go%�ernlng ordinances.
Al�iENTION. _S �CALLED, TO THE FOLLOWING:
No. T e
ers
10 - f the Property obtain a permit to construct sewer. Inside property if
ne. _A licensed Side Sewer Contractor. must
a em �ed 'too construct side. Mseawyer in street area. Do not cover any Portlowof sower before it has'bein inspected.
NOT
E No. 2
fain full 'Information regardin
9-Ord.ina,.n.ce 11.16.030 and Regulatt
NOTE N"3 013,1�01! dide'se- Ono governing side sswers, when you get permit.
wer Must have at least 30
'property line, and-12 inches inside pro'perty line . n lin mum grade.0 2_%.
sharper,.than % will be perifiitted. . a at .
N benq ��Jp grade Inches '�O�.rag
f
__J �Tren-ches th street must -he wafer settled and surf
--fitilure.due to, improper. Mork which: ma ace of- street restored to orl
"'NOTE No' fi�i.. Y develop. 9.lnal condition. Contractors a
-1 within one year -of -Tompletl hall be responsible for
t_Js unlawful to alter or do any other work thAn 'is Provided for In the Permit, or Ao do any work on the maiii sewer or Its - ap-
Purtenances
except, to insert'the Pipe Into the wye.
APPLICATION
Qr for
The City. of Edmonds 01REET FILE SIDE SEWER PERMIT EASEMENT NO - --------------------------------------------
-2- - C�-A C-7-Ic-D NEW CONSTRUCTION F-1 REPAIRS Ej LID NO . ................... ASMT . NO. ---------------
OWNER ---- ----H ..... . -<: CONTRACTOR ------------------------------------------------------------------------------------ PERMIT NO.
---------- ...... -----------------------------------
S ........... .......... LEGAL DESCRIPTION: LOT NO - ------------------------ ............. BLOCK NO - ------------------------------------
JOB' ADDRE S ------
...................................................................... z -------------------------------------------------------------------------------------------
NAMEOF ADDITION .......................................................................................................................
Approved:
DATE ....
.................... By --------- -------------------------------------------------