20015 83RD AVE W.PDF111111111111
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20015 83RD AVE W
APPLICATION
Tho'citWf Edmonds STREET FILE for
SEDE SEWER P T
NEW CONSTRUCTION �� REPAIRS E]
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OWNER... ............ ........................................
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ADDRESS ..... 9!�e:-S .......... 6!t� ..... ...................................
ED10CNDS
TREATA404 T PLANT
EASEMENT No.
CONTRACTOR .... 1.��J6 ....... Al�h.A� ........ ........... I ....... PERMITNo
LEGAL DESCRIPTION: LOT No . ............ / .............................. BLOCK No . ............................................
NAME OF ADDITION ...... PORK ............
.7-2-
3
Approved:
DATE: --- ............... B
NOTICE:
N'o - w a r r a-n-t y 0 f—a-c-c-u-r-a-cy�-
The -information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of �Edm.qnds does not . wa rra nt the
accuracy of anything set forth on t hese
rnap(�_). Any person or entity -requesting a
copy should conduct an Independent
inquiry regarding the Inform-ation shown on
I I
tHe -map(s), including, but not Hm'ted to,
Such
the loc'ation of any sewer stub shown
sewer stubs may or may- not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
ernplfo,yee's o,r offi-Ce-rs -sh-a-1.1 be l',la-b-IFe for the
information given on this map(s), nor for
ation provided based
any one represent
upon said map(s).
CITY OF EDMONDS SIDE SEWER PERMiT
WATER -SEWER DEPARTMENT
PERMIT
Call 7,76-1107 for side sewer inspections BEFORE covering any portion of the construction.1
Inspection will be provided within 24 hours after request. NO Sat., Sun., or holiday inspections.)
2 ,- 1J. �. i -- -
ADDRESS LOCATION OF CONSTRUCTION ......................... ....... .............................................
-an, 1.%.
PROPERTY LEGAL DESCRIPTION ................. :
................................................................ O-ViffERAWDIOR BUILDER .......... f .......................... . .......................................................
CONTRACTOR'S NAME & ADDRESS .... 1�0'.) .... `_" 92n_d T,-ip.st - �::47
. ............. ........................ ............... .............................................................. ................................
Permission Is gTanted ..... .......... 1* 'L�j
------------------------------------------ 119 ... for repair and/or connection of a side sewer to the city sanitary sewer
system in accordance with City of Edmonds. ordinances.
NTION IS CALLED TO THE FOLLOWING:
N �TE 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—All work performed in city. right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office.
NOTE No. 3--Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. I
NOTE No. 4—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 'A will be permitted.
NOTE No. 5--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. 6—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 appurtenances except to in-
sert the pipe into the wye.
DISAPPROVEDDate ... . ................................... By ........ ....... Date ------------------------------------ By ................ Date ............... . ................... By ................
APPROVED----------------------- By ----------------------------------------------------
Remarks: ..................................................... .
...................................................... . ...........................................................................................................
.......................................... .......................... . ............................................................................................................................ . ............................................. .........
BOTH Permit Copies 31UST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
I ......... ............................. I., .... ... I hereby certify that the side sewer installation constructed under this permit
Twner of Contracting Firm PerfGrming Construction)
installed in accordance with all governing ordinances of the City of Edmonds.
Dated this ..... ...... day ------------------------------------- 19W
V V Check BEFORE you dig for: Water E), Gas Ej, Telephone 0, Power E], Sewer' [-], Other [] V V