19813 78TH PL W.PDFlill 11111111
6751
19813 78TH PL W
APPLICATION
MET FILE for
The City of Edmonds SIODE SEWER PERMIT
NEW CONSTRUCTION 0 REPAIRS 0
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OWNER .....................
ADDRESS ................ .4F�7 .. .... ... . ............. w ............
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LYNN PLANT
EASEMENT No.
CONTRACTOR ...... r . ..... J"'. PERMIT No. I.Q/ �Iell-
LEGAL DESCRIPTION: LOT No . ........ ................................ BLOCK No . ............................................
NAME OF ADDITION ..... �..0.4,47 .... 4W 4J . .1. . , :
... w .... ............. No ...... f2N .................................
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A.P
#961
Approved:
DATE By ..... ............................
NOTICE:
No warranty 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 these
map(s). Any person or entity requesting a
copy should conduct an independent
inquiry regarding the information shown on
the map(s), including, but not limited to,
the location 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-loyee-s or officers sha-111 be ha-b-le 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 —WATER-SEWER DEPARTMENT Is ready for Inspection. (No Inspec-
tions Saturday, Sunday or holidays.) N2 1818
SIDE SEWER PERMIT
ADDRESS ----------
i .-Ser* ----------
OWNER ........... . .. --- $4AAy'X ............................. . ............. CONTRACTOR ------ A1!19k-q9T:t --------
Perinission' Is granted .......... Mamb .. 29 .............. P 19 ... 6�7p f or ...................... days, to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file 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 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; -fnimum grade of 2%.
No bends in grade sharper than % will be permitted.
street restored to original condition. Contractors shall be responsible for
—Trenches in street must be water settled and surface of
F No. 4 fallure 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-
purtenances except to insert the pipe Into the wye.
c:
DATE 610Z-A?-3
CITY OF EDMONDS
COMPLAINT RECORD
Complaint voiced by:
Name:
Addre ss:
Property owner: Yes V No
Where . /q F05 7T,7�4
Address of property TH
to be investigated: 631 a -
Name of owner: -P, - NIGNEAC)Q:
Address: j!rj 13 7�T-rll to I- Phone:
Description of complaint:
'�(Ayz-p 16 o o ewx,- owpi Eb-!
rz_ 6 FU 6 6- -T0-- CLEAlU 72-16
M.-
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