19727 86TH PL W.PDFIIIIIIIIIIII
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19727 86TH PL W
CITY OF EDMONDS
8 9 0 19 o��
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Address of Construction:
Property Legal Description (Include all easements):
(Sp and/or Contractor:
State License No.
SIDE SEWER PERMIT
PERMIT 1\12 80 9 5 4
Building Permit No,
EDMONDS
Single Family Invasion into City Right -of -Way -# No 13 Yes*
El Multi -Family (No. of Units—) RW Construction Permit No.
0 Commercial Cross other Private Property: No 0 Yes
El Public Attach legal description and copy of recorded easement
I certify t I have read and 'shaii comply with all city requirements Date
as inclild on the back of the Permit Card.
CALL DIAL -A -DIG (1-8 0424-5555) BEFORE ANY EXCAVATION
f
��OFFICE: USE. NLY:�'..
FOR INSPECTION CALL W+-OM, PUBLIC,,WORKS DEPT.
Permit Fee: — (.00 - 00. Issued By �'7 wl��
V
Trunk Charge: Date Issued: 9/4
Assessment Fee: Receipt No.: 4? 0'tT��
Lid No.:
Partial Inspection: Date — Initial
Comments
Reason Rejected:
Final Inspection Approved: Date -Initial
Date —Initial
PERMIT MUST BE POSTED ON. JOB SITE
White Copy: File Green Copy: Inspector Buff Copy: Applicant
Revised 3190
1*
The City of Edmonds
OWNER----------------------------------------------------------- -- - ----------------
<g G" ID �,
JOBADDRESS ................................... 4 ...........
P,WW-0001 -11175 (REV. 11/78)
le Sewer Urawing
EASEMENT NO . ............................................
I CONSTRUCTION El REPAIRS �� LID NO . .................. . ASMT. NO . ................ .
...... CONTRACTOR ................................................. ................................. PERMIT NO.
.... LEGAj- DESCRIPTION: LOT NO . ..... ................................ BLOCK NO . ....................................
....................................................................... I ..........................................................................................
NAM�--. OF ADDITION ................................................................................................................
I I PRFATME.I\-T
T--
18 1
450 N4 pvc
li it P V c-
-0 Y\ c-
L
,.,�+C) q " c
,t--E�te+iv\j CoAc.
q,, I,fy\c-
Approved:
DATE.......... ...........................
APPLICATION
a I— for
The City of Edmonds FLIOD SIDE SEWER PERYaT
OUTSIDE E] INSIDE n REPAIRS E]
9 -
OWNER
HOUSE No.
CARD No . .............
EASEMENT No. ...
-------------------------
CONTRACTOR . . .......................
STREET .......... PERTvlIT No. -K
AVENUELOT No . .................................................. ................... BLOCK No - ------------------- -- ---------- ............
. 4
Date
BACKFILL WORK ORDER ISSUED ----------------------------------- DEPOSIT, $ ...........
SEWER WORK ORDER ISSUED .........................................
Approved:
---------------------
1 -,)7
DATE � .......... ....................
.......... -------------------------------------------- ------------
APPROVFE�,�
1; 4
j - 119 151
---- 13Y ...... tl ........................... ---------------------------- - --
TO 'WHO
( Lot 3
been c4
approv(
JEM:ek
Saptember 27. 1966
86th Plpce West
i of Ednonds has
I whs Inspected and
Ly yours
MMONDS
�rident of Public VWrks
41,
b.
NOTICE:
.--wa rra�R�tyotacc
-N:o a"ttached
The information shown on the
map(s) was compiled for use by the GtY Of
Edmonds,; its Employees and Consultants.
The CIty of 'Edmonds does not warrant the
accuracy of anything set for.th on t . hese
rnap(�_). Any person or entity -requesting a
copy should conduct an independent
iry regarding the inform . ation shown on
inqu*
im'ted to,
_ff�e -rn a P (S) / Including, but not H I -h
er stub shown. Suc
the lociation of any sew
t and may
stubs may or may not exis.
sewer
hown.
or may not exist at the location s
ts
City of Edmonds nor i
Neither the
--e fo
r t h e
e mp'-o-yee-s o-r office-rs -shal] be Via-b-11
information given' on this rnap(s), nor for
e representation provided based
any on
upon said map(s).
CITY OF EDMONDS
Call PRospect 6-1107 when work
CIVIC CENTER — WATER -SEWER DEPARTMENT is ready for inspection. (No inspee-
tiOns Saturday, Sunday or holidays.) N2 1426
SIDE SEWER PERMIT
ADDRESS ................ 19727 86th Place West
........ I ....... .............. .......................................................... ................. .....................................................................
OWNER ------ C0MBerr—e-.1nVes.:tjwnt ..................................... CONTRACTOR .... Lee --- Woole-y ...............................................
Pern-dssion is granted ...-..Jme --- 2-4 .......... .......... 19.46-, for ...................... days, to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on ffle 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.
NOTE No. 4—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. 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-
purten&nces except to insert the pipe into the wye.