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The City of Edmonds
)4 � L — cc� �% "3 ,�)
APPLICATION
for
SIDE SEWER PERMIT
`7� �F � �u-- EASEMENT No.
NEW CONSTRUCTION REPAIRS
OWNER ).! ------- .......
.e') ...... .. . . ...... .
.... ................ ..........
ADDRESS .............. 7-.�'.77777�/
CONTRACTOR ... C ...... e,,-,.e .......... ............................ . PERMIT No.
LEGAL DESCRIPTION: LCY ....................... BLOCK No . ............................................
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NAME OF ADDITION ............ ......
APR 3
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4e Approved:
DATE................................................ By ....... . .........................................................
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(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
tfi-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
emp-1-o-yee-s o-r offiCers Sh-a.11] be 1--ia-b-11--e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
CITY OF EDMONDS
CIVIC CENTER — WATER -SEWER DEPARTMENT
SIDE SEWER PERMIT
call PROspect 6-1107 when vvork
Is ready for Inspection. _(No Inspec-
tiOns Saturday, Sunday 0'r"ho"days.) N2
1907
ADDRESS --------- ... We's.t
OWNER ............ �.!� ... P.-_SOren
................ �en
. .......... ................................. CONTRACTOR ......
PernAssion is granted ... April 3, 67
with City Sewers in acc: --------------------------- * ................ 19 ......... for ---------------------- days, to REPAIR or CONNECT a side sewer
ordance with aPillication on file and governing ordinances.
ATTENTION IS CATI ED 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. Do 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 cover ge at Property line and 12 Inches inside property line; minimum grade of 2%.
No bends in grade sharper than 'A will be permitted.a
failure due to improper work which may develop within one year Of completion. hall be responsible for
--'C No. 4—Trenches In street must be water settled and surface of street restored to original condition. Contractors a'
Nu &,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
Purtenances except to Insert the Pipe into the wye. the main sewer or Its ap-