19306 89TH PL W.PDF111111111111
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19306 89TH PL W
NOTICE:
N'o-War-rantyl a- ra
The -information *shown on the attached
map(s) was compiled for use by the OtY Of
Edmonds.1 its Employees and Consultants.
Th,.e City of "Edmonds does- not . warrant the
these
accuracy of anything set for.th on , '
m a p (s�. A n . y person or entity -requesting a
copy should conduct an independent
-ation shcwn- on
inquiry regarding the inform
-map(s), including, but not limited to,
the lociation of any sewer stub shown. Suc
sewer stubs may or may not e.xist. and may
at the location shown
or may not exist
of Edmonds nor its
Neither the City
empl-oyee-s o-r offi-ce.rs -sh-a-1.1 be l..ia.b4.e for the
information given on this map(5), nor for
e representation provided based
any on
upon said map(s)
APPLICATION
Ae City of Edmonds for EASEMENT NO. - ..................................
SIDE SEWER PERMIT
N9W CONSTRUCTION 0 REPAIRS E] LID NO. ......... ASMT. NO. 3�%.,705
yi�
OWNER t�:-UF3 I r—F—. N-VH IR.40 ............. M TRACTOR .......................................... .................. 2
. ..... ..................... ... .... ...... . . .. PERMIT NO - ------ I .............
7 t�X=- , �
JOB ADDRESS ------ ----- S;7V LEGAL DESCRIPTION: LOT NO. BLOCK NO.
NAME OF ADDITION 'AF—
............................................................ -- ........................................................
DATE ---- Uar�-J-21114 -------- By
A/
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT
Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.)
Inspection will be Provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.
ADDRESS LOCATION OF CONSTRUCTION .......
.................................................................................................................................................................
PROPERTY LEGAL DESCRIPTION ....................................................................... i
...................................................................................................................
................................................... . ................................................................................................ .................. * ...... .........................................................
................................................................ OMINER AND/OR BUILDER ...... . I ....... ...................................................................................................................
CONTRACTOR'S NAME ADDRESS .......... ................ ................ .. ... .
............. 4 ............. .............................................................................
Permission Is granted ............ .............................................. 19--'r ...... for repair and/or connection of a side sewer to the city sanitary sewer
system in accordance with City of Edmonds ordinances.
A"--"NTION 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-way requires an Invasion of Right -of -Way Permit obtain -able from the City Engineer's office.
NOTE No. 3—Obtain full Information regaxdlng 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 '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.
NOTID 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 Di ............... ............ By ....
A ................... . .......................................................................................
Remarks: ....... ..........................................................................
..................................................................... . ............................................................................................................................................................................ I .........
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
�ing Construction)
wL,_�nstalled in accordance wit all governing ordinances of the City of Edmonds.
Datedthis ... ........................ day of ................................................................. 19 .........
V -,/ Check BEFORE you dig for: Water E], Gas [], Telephone E], Power (], Sewer [:], Other [] V V
die City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT
EASEMENT NO.
NEW CONSTRUCTION REPAIRS F-1
LID NO . ................... ASMT. NO . ..................
OWNER
CONTRACTOR -----------------------------------
PERMIT NO.!��3..
JOB ADDRESS
.... .. ..... ----------
LEGAL DESCRIPTION: LOT NO. .......................
I ------ BLOCK NO . ....................................
------------- ------------------------------------------------------- ................................... ---------------------------------------------------
NAME OF ADDITION . ................ ------- .......
-------------------- * --------
Approved:
DATE-------------------------------------------- By --------------- --------------------- ----------------------
74
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