19305 89TH PL W (2).PDFiiiiiii-ill III
8585
19305 89TH PL W
-5
't APPLICATION
The C.ity of Edmonds for EASEMENT NO . ......................................
STREET FILE SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS F� LID NO. ...... . ASMT. NO. .7
OWNER INC
................................................................................................ CONTRACTOR ......................................................................... PERMIT NO.
...................... LEGAL DESCRIPTION: LOT NO . ............
jOB ADDRESS ----- .........
..................... BLOCK NO . ..................... --------------
NAME OF ADDITION . ......
..............................................................................................................
Approved:
DATE ............. By .... -------
fl
NOTICE:
'0***w-a r-r a n' - y o - a
N'
The information shown,on the attached
piled for use by the City Of
map(s) was com
Edmonds/ its Employees and Consultants.
Th,..e City of 'EcIrn.onds does. not. warrant the
f anything set forth on these
accuracy 0
map(�_). An . y person or entity -requesting a
copy should conduct an independent
o r
inquiry regarding the info'rmation shown
-map(s), including, but not limited to,
the lotation of any sew-er stub shown. Sud
ewer stubs may or may* not exist and may
s
or may not exist at the location shown
Neither the City of Edmoinclis nor its
empl-o-yee-s o-r office-rs -sh-a-1-1 be 1-Ja-b-1--e for the
information given on this map(5), nor for
any one representation provided based
upon said map(S).
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
e
, --� �) F7
PERMIT
Call 77 -2525 for side sewer inspections BEFORE covering any portion of the construction.
Inspecti5on will be provided within 24 hours after requst. NO Sat., Sun., or holiday Inspections.)
ADDRESS LOCATION d.F CONSTRUCTION .... . ....... PL.,
PROPERTY LEGAIL DESCRIPTION ....... L4C,+-,:�F .......... . S
....... . ...............................................................................
....................... . .......................... . .......... . .......... . ........................................................................ . .............. . .................................. ...................................................
................................................................ OWNERAND/OR BUILDER .........
..................................................
COXTRACTOR'S NAME & ADDRESS .... <-_� . ......... 3 7;
.......................................................
Permission Is granted ........... MA-t-4 I q
........ 19_77ff�_ for repair and/or connection of a side sewer to the city sanitary sewer
Edmonds
system In accordance with Ci ---- ----- or��iances.
ANTION IS CALLED 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—All work performed in city right-of-wav requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office.
NOTE No. 3—ObtaJn full information regarding Ordiname 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 'A 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.
DISAPPROVEDDate ... . ...... - ------------------------- By ................ Date ................ ---------------- By ---------------- Date .............. . .......... By .................
. ..........
APPROVED D a t e..
By._ --------- - -- - -- - ---------------------------------------------------------------------------------------
Remarks: ....... . ...... . .......................... . .. . ...............
.................................................................................................. . ...................................................
..................................................................... . ............................................................................................................................ . .................................... ..................
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
..... .......
-- ---- .......... .... hereby certify that the side sewer installation constructed under this permit
(Owner of Contretin*g- rm Performing Construction)
%%,-,installed in accordance wi0rall governing ordinances of the City of Edmonds.
Datedthis ............................ day of ................................................................. 19 .........
V Check BEFORE you dig for: Water 0, Gas 0, Telephone E], Power [:], Sewer E], Other E] V I
APPLICATION
The City of Edm'onds foir
SIDE SEWER PERMIT EASEMENT NO . .................. ------ -------------------
NEW CONSTRUCTION -R]-:PAIRS
LID NO . .......... ....... ASMT. Na...
OWNER -Agu�--- ............ 5-4 ------ CONTRACTOR cr 2*7
... . ........................ ................... PERMIT NO. ...............
.............. LEGAL DESCRIPTION: LOT NO . ..... ....... -------
JOB ADDRESS IFSO-57�4W .................. --�o .. BLOCK NO. -, ---------- .................
..................................... ................................... .......................... .............................. ...............................
NAME OF ADDITION ....... .... ... . ................................................................
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