19511 81ST PL W.PDF111111111111
7462
19511 81 ST PL W
NOTICE:�
----------N-o--warranty-of-a-ccuracy.
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of EcIm.onds 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
._tFe -map(s), including, but not limited to,
th . e loc'ation 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
ernpl:o-yee-s o-r office-rs -sh-a-1.1 be [ia-b-l-e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
CITY OF EDMONDS Call PRospect 6-1107 when work
CIVIC CENTER —W-ATER-SEWER DEPARTMENT is ready for inspecUon. (No WsPec-
tions Saturday, Sunday or holidays.) N2 1922
SIDE SEWER PERMIT
ADDRESS------------------------ 1SL511 --- 81st --- P-lace-West -------- ----------------------------------------------------------------------------------------------------------
..........
OWNER --------------------------- EArl ... L-? .... S.tgy ................................... CONTRACTOR ............. O.wn.e.r .............................................
Ap --A7 for ...................... days, to REPAIR or CONNECT a side sewer
Perniission is granted ------------------- _X!;Lj ... ��$ ...... Ig..
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION 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--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 coverage at property line and 12 inches Inside property line; minimum grade of 2%.
No bends in grade sharper than % will be permitted. responsible for
No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be
failure due to improper work which may develop within one year of completion.
NCYPE 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 the main sewer or its ap-
purtenances except to insert the pipe into the wye.
CITY of'.EDMONDS S I D E SEWER:' PERMIT,
For Inspection Call 771-3202 PERMIT NO.
KET FILE
Address of Construction:
Property Legal-Description'(Include all easements): 2-w �t4
ak, 00
Owner and/or Builder:
Contractor & License No
Single Family Residence
Mul ti - Fami ly
(No. of Units
LYNW 0
�INE
Commercial (No. of fixture Units ,
Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No Yes
— (If Yes,
easement
required,
attach
legal
description and county easement
number.)
,tj:C;F i
q ED
PLEASE READ THE
ITEMS LISTED ON THE BACK
aRws
I certlly
that
I have read and shall comply
Date
with the
items
listed on the back.
�Ir
00
CD
Permit Fee: 000.C)C)
Trunk Charge:
Assessment Fee: auu
,Issued By:
'Date Issued: eg
Receipt No.: 0 9,:5 �
Partial Inspection:
Comments
Final Inspection Approved:
Date Initial
Rejected:
"Rea slon 5V-� xc,�,r NO
** PERMIT MUST BE POSTED ON JOB SITE
Date Initial
--), V
Da
Wh.ite Copy - File Green Copy - Inspector
Buff Copy - Applicant
PU]3I,IC WOM - EMINEERIkU
ACTION REPORT
M? 2590 -
SUSPENSE DATE:
Date: —Time:- File #
Attachments: =Yes
=No
SUBJECT: )h fk LO
REQUESTOR: Joe e C,
ADDRESS:
REQUEST RECEIVED BY:
TELEPHCNE u-&* r\e-
CONTACT IN OFFICE
OTHER:
RECEIVED BY: lelby�6 e— k1n d-
DMITr Tn-
er
MIN
rAF—
�3
All Concerned Notified
Action Completed/File
�/ �V'3
Si e Sewer Drawin
a
The City of Edmonds EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION E] REPAIRS E�-' LID NO . .................. . ASMT. NO - ------------------
OWNER................................................................................................ CONTRACTOR ------------------------------------------------------------------------------------ PERMIT NO. 03D ... +L�
JOB ADDRESS — ---------- W, ----------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
i
PWW-0001-1 1/75 (REVA 1/78)
NAMEOF ADDITION -----------------------------------------------------------------------------------------------------------------------
-t-
c;—, 0
C)
_D INE
Approved:
DATEAI/ . ........
I-Q. L ...................... By --------------------------------------------------
APPLICATION CARD No . ......................................
ILE for LYNN PLANr
The City of Edmonds SIDE SEUMB PERMT
.w EASEMENT No . ......................................
OUTSIDE E] INSIDE E) REPAIRS F-)
OWNER-�gM/ ------- ............................................................... CONTRACTOR --- --------------------------------------------------------------- ...... PERMIT No
... . ..... .... .... ....
STREET
Z 7-
HOUSENo . ........................................... V ........ ........................ ........ AVENUE LOT No . ...................................................................... BLOCK No . ...............................................
'eq., J',
NAME ADD. ----------------------- ----------------
..........................................................
271
Date Approved:
_6RD
BACKFILL WORK idR--ISSUED . .......................... ..............
SEWER WORK ORDER ISSUED ................. ........................ DATE -7
.. .........
...... By -e4 .......... a ..... rl .............