20616 80TH AVE W.PDF111111111111
7138
20616 80TH AVE W
PUBLIC WORKS DEPARTMENT CHECKLIS`r
BUILDING PM!IT;W�7,0(p
-(address)
4e
0
Street Right -of -Way Existing
REQD
Z
Access Easements Existing -0 k)
M� REQD
_0
p4
Utility Easement Existing
REQD
W
Lot Per Subdivision Plat
Assessor Map_X
W
Site Plan Checked for Accuracy
Z
Underground 14iring Reqd.
F4
0
Check Accuracy of Le al Description
Z
Review by
�ate
sting Water Main Size
Wat Main Required
Service e Required
Hydrant Size s ting
P4
Hydrant Reqd Per Fi de
Size
Detector Check Meter Req
3_
Cross Connection Inspection
Fire Department
77�-S��
Water Mle!ter ge Reqd.
R,ev7r y
Date
<�,
eptic Tank Design Approved
ept'c T D sign pprove,�__
Date
Sep i Tank Perrdat Reqd.
Permit No.
3 il Ilit
Sanitary r Availability_
Proj.
Drawing No.
File No.
Side Sewer Availability,
Sanitary Sewer Connection Fee q
:2:
Review by,
Date
Open Ditch Existing___
R�eqd.
Culvert Reqd.
Size
P4
Catch Basin Reqd.
Indicate on Site Plan
0
Shoulder (� �e maintain collection an swale open runoff
Manho reqd.
O�
Indicate on Site Plan
d
SConditions and Ground Water Field Checked
7
-"'Review
by
Date
Revised: MO-1977
Page 2
4;p -
7
�1
Ze,,t Paving %Reqd.
Curb an ter Req�d.
W SiZSidewalk Reqqd.
W Curb Cut for Driveway Reqd.
*b Cut for Dr y Reqd.
ru.
c4 Right -of -Way Const ction Permit
B I ov=ts
ond Reqd. for Public ts
Street Naim qd.
0 1
th igning Reqd.
Pe I Site Inspection made an
0
BY: S
't Site Inspection made on
WATER
z STREET
INEE I
!ENGINEERING
Special Requirements listed in memo to Commmity Development Department,
Building Division _Aff:�:Ift Date � zx
BY Y�26-iV
V . - — V-V
All items filled in an Building PermLt Application
P4 BY 8:2�3 Date
Drawings Starrped and Notations Made
BY Date
Approved by Public Works Department
F,,�_sed: 1v 10-1977
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
�Fe -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
emp-l-oyee-s o-r office-rs -sh-a-11] be 1--ia-b-l-e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
APPLICATION
for
The City of Edmonds SIDE SEWER PERMaT
flu:
NEW CONSTRUCTION E] REPAIRS 0
= (MN PLM
MENT ............
... ..... .......
'LID "39
OWNER.... ............ 0� �--4 �- .................... CONTRACTOR ......... ............................................................. PERMIT
... ..... ...... ... . .... ........ .. ....
ADDRESS A�- ........... ......... ��---LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAME OF ADDITION ....... att"--- ..4—
. ........................... ... ...................................................................
......... B
..................... Y
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 3243
SIDE SEWER PERMIT
------------------------------------------- - --------------------------- --- --- -----------------------------------------
ADDRESS ---------
OwNER ----------------- Lucille ... W-ank .............. ------------------------------ CONTRACTOR ------ QW-JI-er ------------------------------------------------- .......
Permission is granted ............... March --- 10 . . ...... 19..6-q-, for ----- --------- - ------- days to REPAIR or CONNECT a side s wer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION is CALLED TO THE FOLLOWING:
perty may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must
NOTE No. I —The owners of the pro t, has been inspected.
be employed to construct side sewer in street area. Do not cover any portion of sewer before i
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; minimum grade of 217g.
No bends in grade sharper than % will be permitted. original condition. Contractors shall be responsible for
3 No. 4—Trenches in street must be water settled and surface of street restored to
failure 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 aPPur-
tenanees except to insert the pipe into the wye.