20311 84TH PL W.PDFIIIIIIIIIIII
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20311 84TH PL W
CITY OF EDMONDS
STREET FILE ASSET INFORMATION SHEET
12 NEW
EIADDITION
0 RETIREMENT
ASSET NO. -2,-1
f
ADDITION TO ASSET NO.
DESCRIPTION
v Icel /,v f
SERIAL NO.
N DEPT. NO.
lot ct,) 6,-/o
"PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
B.A.R.S. ACCOUNT NO. 4/t
ESTIMATED LIFE
*PROJECTNUMBER W3;1��13y
PROJECT COMPLETION DATE /2--31-,9-3
COST 6 -2 "W6,
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
19 DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT -
0 G.L. ENTRY
REFERENCE
DATE
VERIFIED BY
PROCESSED
BATCH NS",--ir 54'!j
INITIAL
t(p)
DEPARTMENT FILE
CITY OF EDMONOS 70
FOF*SPECTION CALL J
PUBLIC WORKS PARTMENT Permitle
7YYWYYYY Ext. 22'0' Issue Datb
SIDE SEWER PERMIT
PERMIT MUST BE POSTED ON JOB SITE
DMONDS
0 lv",� V
1. Address f' ' nstruc7lon 7, '(7 e t — _�_ -I I- -LMMI-MENT I
2. Property Legal Description (include all easements)
3. Single Family Residence Multi -Family No. of Units
Commercial"
4. Owner and/or Builder
IV I ?
5. Contractor & License No.
\J
6. Invasion int:o City Right -of -Way: No,,\, Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (3A2.'Q5t,3A.4) before
excavation).
E-4 7. Cross other private property: Yes No Easement required -
attach legal description and county easement number.
READ THE FOLLOWT.NG AND SIGN:
a. Property owners must obtain a permit to install side sewers on
their property. A licensed side sewer contractor must be employed to
construct side sewers in the public' right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year.
c. Commercial establishment requires a minimum of a six inch (6")
side sewer line.
d. Side sewers may not be installed closer than thirty inches (30")
to any structure. 0
e. Side sewer lines must be laid at a minimum grade. of 2% (1.15.)
and maximum grade of 100% (450). 0
f. No turn in side s8wer greater than 45 (1/8�bend) is 0 allowed
between cleanout. All 90 turns must be constructed of a 45 (1/8
bend) and wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Clea I nouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100' along sewer 'line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k.. Side sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours only. Two (2) working
days notice required.
DATE:
I certify t at I have read
and shall comply,with the above
PERMIT FEE: :_:I�n-" 7<�, _3
�&_T bISAPPROVED BY: Date:
T, - __ ----I
By- Date:
ty - _j / / .4 -
P4 CONNECTION FEE: APPROVED By: Date:
146.0
0
P4 PERMIT MUST BE POSTED ON JOB SITE
NOTICE:
No-w -a r.r a n y 0 t. ac c.
The information on the attached
iled for use by the City Of
map(s) W3S cOMP
Edmonds.1 its Employees and Consultants.
k n
The City of �Edrn.qnds does not - wa rra nt ti ie-
accuracy of anything set for.th on t hese
map(§-). Any person or entity -requesting a
copy should conduct an independent
0 ation shown on
inquiry regarding the inf rm
including, but not limited to,
tF�e -m a p er stub shown. Such
the lociation of any sew
sewer stubs may or may* not exist and may
or may not exist at the location shown.
Neither the City of Edmoinds nor its
empl-o-yee-s o-r office-rs -sh-a-11.1 be 1..ia-b-11--e for the
information given on this map(s), nor for
Ided based
any one representation prov
upon . said map(s).
The City of Edmonds
Side Sewer Drawthg
EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION Z REPAIRS F� LID NO . .................. ASMX. NO...
OWNER T7H_0_M_A-_%S ...... BEL= ----------------------------------------- CONTRACTOR __71��A_TVA -------------------------------------------------------------- PERMIT NO.
JOB ADDRESS ------------- 8_4 ------------ ?L ...... V -------------- LEGAL DESCRIPTION: LOT NO. _11 ------------------------------ BLOCK NO__ - ------
------------------------------------------------------------------------------------------------------------------ -
NAMEOF ADDITION ..... ........................................................................
CATt�m 16ASIN
.7 'STOr'kW% DROMM
4'f)r- l"b!)PPF_R
19 .
w- 4 7r
lop
5-4 1
let
Approved:
0
PWW-000 1 - 11175 (R EV. 11/78)
DATE ..... ............. By ........
40
8114EET FILE
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