19730 86TH PL W.PDF111111111111
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19730 86TH PL W
APPLICATION
The City of Edmonds FILE S Z, CARD No . ...................... a
]ODE SEWER PERbUT
EASEMENT No . ......................................
OUTSIDE E] INSIDE El REPAIRS f-1
411116 z
OWNER ........ V.� ... Ail?lr ------ ................ ------------------- w ---------------------- CONTRACTOR -------- A . .. ...
X-,�--n ................................................. I ..... PERMIT No
eo� STREET
HOUSENo. ...A!9-7.14 ----- ................ ........................ AVENUE LOT No - ------------ ................................................ BLOCK No . ...............................................
NAMEADD - ----- ....... .............. J ........................... ..............
96 -/ h 60 -
19 "Je f t'
Date
11
Approved:
A\
N
R 0 V D
BACKPILL WORK ORDER ISSUED ----------------------------------- DEPOSIT, $ ---------------------------------------------
SEVIERWORK ORDER ISSUED .......................................... DATE ... .... ............................. By ...... k .................... 01 ....... .........................
f OVE6 N DS
-C 1"V'i C �01 PRiispeo il-1107 wben7-worh
ENTER WAiER-SEWtIt DEPARTMEN Is- r Inspection. (No Inspec-
.ready fo
* 0
tions Saturday, Sunday or holidays.) T%Tr- 140:6
SIDEr. S.F-WEk- PERMIT
r",ADDRESS ............ P.M 86th Place West
................ ...................... e ................................ .................... .................................. ......................................
-OWNER ...... Udean R. Call
.......................................................................... ......... CONTRACTOR.� ..... ..........................
,..!qlen .......... -
........ .........
peiniission Is' -granted ... -19 ... 19M., for � ...................
. ................. ...... days, to REPAIR. or CONNECT a side sewer
With City Sewers In accordance with applichtion'on ffle and governing -ordinances.
ATTENTION IS'CALLED TO THE FOLLOWING:
NOTE No. 1�The' owners :of the property may obtain a, permit to construct, sewer Inside property line. A licensed Side Sewer -Contractor must
be employ�d to construct aide sewer In street area.. Do not cover* any portion of sewer before 'it haa been inspected.
NOTE No. 2—Obtain full information � regarding Ordinance 11.16.030 and' R'
egulations 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
Nc�_bends in,grade sharper than W will be permitted. Inside property line; minimum' grade of 2%.
r NOTE No. 4rr�ncb�es in itreet must be water settled and surf street restored to original condition. Contractors shall be responsible for
failure due to improper work. which may develop. &wciethlorf 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-'
pLkrtenances except to insert the pipe Into the wye.
2.1 TSTREETEFILE
PUBIJC WMM — EMINEERIM
ACTION REPORT
M 1904
SUSPENSE DATE:
Date: YZ/ Time:- 43 ;15 —File #
Attachments: =Yes
REQUESTOR: NAME:
ADDRESS:
PHONE;
REQUEST RECEIVED BY:
TELEPHCNE C=--
CONTACT IN OFFICE r-1
RECEIVED BY:
P
All Concerned Notified
Action Completed/File
NOTICE:
�a�n t �yUf-
0"Wa
The information shown on the attached
by the CitY Of
map(s) was c(Dmpiled for use
nsultants.
its Employees and Co
Edmonds,
rrant the
Th..e City of 'Edm.onds does not - wa
these
accuracy of anything s(o-,t for.th on
-requesting a
rnap(�-). Any person or entity
n independent
copy should conduct a
0 ation shown on
inquiry regarding the inf rm
_tF�e -m a p (s) . including, but not Hmited to,
th . e lociation of any sew-er stub shown. Such
sewer stubs may or may, not exist and may
at the location shown.
or may not exist
ts
Neitheir the city of Edmonds nor i
mpl-o- ee-s o-r office-rs -sh-a-11 be 11a-b-'Fe for the
Y
information given on this map(s), nor for
e representation provided based
any on
upon said map(s).