19031 OCEAN AVE.PDFIIIIIIIIIIIIII
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19031 OCEAN AVE
�74 CITY OF EDMONDS SIDE SEWER PERMIT
10 WATER -SEWER DEPARTMENT
PERMIT 1 ']13 1� 1,61 _� 2
Call 775-2525 for side sewer inspections BEFORE covering any portion of the con truction.)
Inspection will be provided within 24 hours after requst . NO Sat. , Sun., or holiday ins"pections.
ADDRESS LOCATION OF CONSTRUCTION ................ 1.9.03.1 .... Oc-e.a n .... Ayc?.M.3 .............................................. . .............................................. I .........
.. .... .. .... .. .... .... .. .... ..
PROPERTY LEGAL DESCRIPTION ............ S ----- 3 ... 7 ... 09 ... 7 ... 143.9-9 fron, tho NE Cnr of Blk A pf U,�vscnrded
I I J. ....... ...... *-5'21.'31"* ... N ... o'f ... 11_46.,27"' .... N' .............. * ------------------
- ---------------- * .. .... ..... . .....
0., 1--uil"dale on Ue Scum' unth said HE 13,
..................... i� ........................... . .................................... e ........... a ......................................................................................................................................................
')ac. 14
r- COT. O'i" gov. Lev j , , -
OWNER AND/OR BUILDER ......
t— ......... ............................................................................................
I N__ I A- I M1_ I E ----- A --- D --- D ... R-ESS ... (19.031 .... Cccan Avenenu) RUSS JOHNSON, 16009 M. 1-i. Edraon:A'
............................... w ................................. . ...........................................................................................
,Mav 13
Permission Is granted ........................................................... 19_34 for repair and/or connection of a side sewer to the city sanitary sewer
system in accordance with City of Edmonds ordinances.
ATAII&ION IS CALLED TO THE FOLLOWING:
NdWo. 1—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. Do not cover any portion of sewer before it has been inspected.
*NOTE No. 2—All work performed in city right-of-way requires an Invasion of RJght-of-Way Permit obtain -able from the City Engineer's office.
NOTE No. 3—Obt&in full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 4—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.
NOTE No. 5--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.
NOTE No. 6—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 appurtenances except to in-
sert the pipe into the wye.
DISAPPROVED Date___0 ............ ...... ... ... ate ...... ............ By ................ Date ............... . ................... By ................ ..
APPROVEDDa BY --- .......... ....... .. . .......................................................................................
Remaxks ......................
-------------------- .. ...... ;// ...................................................................................................................
........ ...................
— BOTH
offrim
Firm
all
Be Signed By Owner of Firm Performing Construction PRIOR T6'Request For Inspection
hereby certify that the side sew
eir,* installation constructed under this permit
� , /e-rrn'�in- g ordinances of the City of Edmonds.
Dated this ....................... ; ....... 19-2.q
...... / .......... day of ---- /-X-- .......
V -j Cheek BEFORE you dig for: Water Ej, Gas E], Telephone [], Power E],
E], Other [] -V -V
CITY OF EDMONDS, PUBLIC WORKS --DEPARTMENT,,,-, . .....
R,
200 DAYTQN S"REEV ,
EDMONDS, WA -j9802d-_1'
(D. 775-2525
SIR APPLICATION FOR STREET USE PERMIT . 5i_v
Name of Applicant:
Mailing Address:_ zz_�q
7f
Tel'ephone Number:__7, Date:
Description of Public Place or Portion thereof desired to be used: (exhibit -may be
attached). X�__ I - x5I
(E-A5-1 —>0DF_ OF- F-66D,
Type of Use_Aesired to be made of Publi&Place,:
If dpolicable, attach plans and specifications for any utility or structure to be erected
and/or maintained on the Public Place:
0',�MPORARY PERMIT: Unless otherwise designated herein, this permit is understood by -
applicant to be wholly of a temporary nature, that it vests no permanent right whatsoever.
If the permitted use becomes dangerous or such structure shall become insecure or unsafe,
or shall not be constructed, maintained or used in accordance with the provisions of this
title, the same may be revoked and the structure and obstructions ordered removed by order
of the City Engineer. If this application is for a specified period of time, the terms
of said application is:
INDEMNITY: Appl i cant, understands and by his signature to this application, agrees to hold
the City of Edmonds harmless from any injuries, damages or claims of any kind or descrip-
tion whatsoever, foreseen or unforeseen, that may be made against the applicant or the City
of Edmonds, or any of its departments or employees, including but not limited to the defense
of any legal proceedings including defense costs, court costs, and attorney fees by reason
of. granting this permit. In addition, applicant understands that the City shall be provided
a certificate of insurance to indemnify and holdthe City of Edmonds harmless from all
claims and/or property damage, naming the City' "of Ednionds as an also insured.
APPLICATION OF CHAPTER 6.40 OF THE-EDMONDS CITY CODE: Applicant warrants that he has read,
or had the opportunity to read, Chapter 6.40 of—t-Fe—Ednionds City Code, attached herewith,
and understands that all terms of that Ordinance are incorporated herein as if set forth
in full and this application and permit therefore are subject to the terms of that Chapter
of the Edmonds City Code.
ED-
11/7/74 rev.
APPLICATION
for
The City of Edmonds SIODE SEWER PERBUT
EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS
PERMIT No.
O"ER ....... I ...... -.L .................................................................... .................... CONTRACTOR .........................
',�N E-
ADDRESS j <�Dc:�F= L
........................ 4 ..................................................................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............. ..............................
NAMEOF ADDITION . .........................................................................................................................................
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NO OP I t 40 - -L-1 - \N. OP =-. CC,�
Approved -
DATE: By.
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APPLICATION
for
The City of Edmonds SME SEWIM PEBaM
NEW CONSTRUCTION R�—� REPAIRS EASEMENT No..
OWWER ---------
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... ................................................. —z� 5
CONTRACTOR ---------
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ADDRESS ..... —�/ --------- ...... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ......
NAbM OF ADDITION 1 .....
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DATE................................................ By .............