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19928 80TH PL W
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APPLICATION
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for
'The- City of Edmonds "REET FILE SIDE SEWER PERMIT EASEMENT N� 5. .................... ..........
REPAIRS
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NEW CONSTRUCTIO
OWNI�.4 ......... . . . .. .......... .............. PERMIT No.
CONTRACTOR .......
..... .... ......
.............................. BLOCK No . ...................... ............
kDDRF .......... ............................. LEGAL DE.SCRII�TION: LOT No . .........
.... 91 . . ........ . .....
..........
NAME OF ADDITION ....... ................... ........... .......
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APprqve'd:
.................. .
DATE BY ... �q . ........
j
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 �Edmoncls does not warrant the
accuracy of anything set forth on these
rnap(�_). Any person or entity -req uesting a
copy should conduct an independent
inquiry regarding the information shown on
tFe -map(s), including, but not limited to,
th , e 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
emp-l-o-yee-s o-r officers) sh-all be hab-le for the
information given on this map(s), nor for
any one representation provided based
upon said map(s)..
CITY OF EDMONDS
CXV][C CENTER — WATER -SEWER DEPARTMENT
SIDE SEWER PERMIT
Call PROsPect 6-1107 when work
Is ready for InspecUon. (No IDEV -
ef N2tiOns Saturday, Sunday or holidays.)
1645
ADDRESS ............. 19
._q2.$_..Tn .. a
ptil ... KIPA-t ............................................... -- ...................... I ...................................................
OWNER ......... Wayn.e ... T
..iMM ............... .......................................... CONTRACTOR --- ... qq!j�truction
. .................. ........ .......
Pernlission is granted ---- Febr-Uar.Y ... 2Q .............. 19-V-, for ...................... days, to REPAIR o r C ONNE CT a side 8 ew . a . r
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 are& DO not cover any Portion of sewer before It has been inspected.
NOTE NO. 2—Obtaln 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; mini
No bends in grade sharper than % will be permitted . mUM gmde of 2%.
-vOTE 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.
JTE 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.