20017 82ND AVE W.PDF111111111111
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20017 82ND AVE W
APPLICATION
The City of Edmonds KESIDE SEWER PERMIT
EASEMENT No . ........
NEW CONSTRUCTION' REPAIRS,
L
L L' TkIc_
........... PERMIT
............... CONTRACTOR ............
OWNER ........... .....................................................................
...... . .... ......... ........... OAL DESCRIPTION: LOT No . ............................... ----------- BLOCK No . .................................
ADDRESS ....... .............. 0-4,
... ........ ...........
NAME OF ADDITION ...... ......... . ........................... -------- ---
. . ..........................................
............
1Y
R 19
-77:�4
Approved:
DATE !�f ....... 7Y ......... By
NOTICE:
No warranty of a-ccuracy.
The -information 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 warrant the
accuracy of anything set forth on these
map(§-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the Information shown on
I I
tf�e -m a p (s) , including, but not I'm*ted 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
ernplo-yee-s o-r officle-rS -sh-d-11.1 be Hla-b'Fe for the
information given on this map(s), nor for
ion pr 'ded based
any one representat' ovi
upon said map(s).
CITY OF EDMONDS - SIDE SEWER PERMIT
WATEWSEWER DEPARTMENT
PERMIT
( Call 7,76-1107 for side sewer inspections BEFORE covering any Portion of the constru tion,)
Inspection will be Provided within 24 hours after request. NO Sat., Sun., or holiday inspece
tions.
ADDRESS LOCATION OF CONSTRUCTION .......... 2')C_''1 - 62nd
... ................ ..........................
................................................................................................................
PROPERTY LEGAL DESCRIPTION .... F
...............................................................................................................
--------------------------------------------------- - ---------------------------------------- ............................................................................................................ ..................................................
................................................................ OWNER AND/OR BUILDER.......A.�L!L �_;_PJT.T
CONTRACTOR'S NAME & ADDRESS .... QaS
Permission is granted ........ AL)X!iI 19 ...................
........................... ............. for repair and/or connection of a side sewer to the city sanitary sewer
system in accordance with City of Edmonds ordinances.
C"ENTION IS CALLED TO THE FOLLOWING:
_-E 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—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineers offi
NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations ce.
harper than % will be permitted. -age at property line and 12 inches inside property line; minimum grade of 2%. No bends in grade
NOTE No. 4—Top of side sewer must have at least 30 inches cover governing side sewers when You get permit.
s
NOTE No. &—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 .......... 0 .......................... BY -----_----_- Date .................................... By ................
APPROVED Date ......
Remarks: 7
...................................................... ............................. ................................................ ....................................................
....................................................................................... ........ I .... I .... I .......... ........................................... ............................. ...............................................................
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
/A
�- ----- ----------------- _- hereby certify that the side sewer installation constructed under this permit
_Ag C'onstruction)
installed in accordance ith
1 0
W verning rdinances of the City of Edmonds.
I -,,I -V - 1< A
Dated this ..... /__/ ---_--------- dav
V Check BEFORE you dig for: Water Ej, Gas El, Telephone Ej, Power [:], Sewer E], Other E] V V