19703 81ST PL W.PDF111111111111
7476
19703 81 ST PL W
NOTICE:
_____----N-o---w-arranty 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 for.th on t hese
map(�-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
tf�e -map(s), Including, but not limited to,
the 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
ernp-1-o-yee-s o-r office-rs -sh-a-11*1 be 1--ia-b-11--e for +1-he
information given on this map(s), nor for
any one representation provided based
upon said map(s).
APPLICATION CARD No . ......................................
for
The City of..Edmonds STREET FILE SEDE SEIVM PERBUT LM' PLANT EASEMENT No . ......................................
OUTSIDE Z INSIDE [-] REPAIRS E] �0-
06 c-) CQ
"V
OWNER ...................................................................................................................... CONTRACTORO.en'-4.�a..' ------- Ot.... PERMIT No.
) I P�. M) e- �� STREET No. L13..T
HOUSE No . ...... 1.1.7 ---- O-Z ----- . ......... IF .......... . J7 AVENUE LOT ............................................ 13LOICK No . ...............................................
------------------ ------
NAME ADD . ...... ..............................................
Date
BACKIFILL WORK ORDER ISSUED ....................
SEWER WORK ORDER ISSUED ...........................
DEPOSIT, $ ..................
Approved:
DATE ........... ......................
1i I r
Tr:
CIT, _,EP NDS
Call PRospec .671 07 when-
C work
WATEWSIDWER ----DEPARTMENT - nsoectic;n.;
-is. reedy for
tions Saturda� , Siindayor "1 5.7-9
MIT
9703--- 816V_1?18�6�,.��
.............. .............. ....................... I .......
.......................................................................................... . ................. M.
.. ......... Coas Conic te
................................ C-ONTRACTOR .............................. �Mtjq ...... MiAw....
...... jq� 7.
P �dq�
. ................. ... . .... '6 ..... for ........ ................ days, to,,.REPAIR or,CONNECTA
ytLn side: sewer
� t S A onlile kind..
Y, ewers, irkit�eep!4�mee,mlth p;f)pjicat1on goveihing 6rdimincesi
ATTENTION, JS C�_LLED THE FOLLOWING:
N 0.: 1' -permit to 'construct se
-NOTE The wrieis of the. pro_p:erty� mayq�btain a wer* inside p..ro5erty:'Iin6. A licensed Side Sewer- Contractor must
be' employed -to. construct side:se'W6r_ in street 'area. ' Do:not cover"ahy portion- of sewer before it: has been Uspeicted.
NOTE No. 2—Obtain. full information �ii�aing' 6r*dfiian'c-e 11.16.030, and Regulations governing side sewers When you get permit.
nt
NOTE. No. 3�Top of. side sewer -must -have at least 30 inches coverake property line and 12-inches Inside property line; minimum grade of 2
'.No bends in grad& sharper than 'A will be permitted
NOTE NO. 4—Tren ches Irf street must be w I ater set tied . ajid s ur face7-of street -res I ored to -original ondition. ponsible, for
failure -dub to Improper4ork ,�filch -may. develop within one y .0 Contractors s,hall be. r s
eir.of, connPlet.lon.
'E No.
—It Is; unlawful io-Alter-or do.any other work than' is provided for In the permit,:�or. to any work on the main* sewer or Its ip4
pu rtenances except to insert the p!pe into the wye.