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20628 86TH PL W
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NOTICE:
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No--War.ra� t ... 0 T d u:y
The information . shown on the attached
map(s) was cOmPiled for use by the City of
Edmonds/ its Employees and Consultants.
The City of 'Edrn.onds does not . warrant the
accuracy of anything set for.th on t . hese
Map(�_). Any person or entity -requesting a
copy should conduct an Independent
ation shown on
inquiry regarding the inform
-map(s)/ including, but not limited to, -h
th . e lociation of any sewer stub shown. Suc
sewer stubs may or may, not exist and may
at the location shown.
or may not exist
Neitheir the city of Edmonds nor its
ernpl-o-yee-s o-r office-rs sh.al] be Viab-'Fe for the
n on this rnap(s), nor for
infor . mation give' tation provided based
any one represen
upon said map(s).
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER,SEWER DEPARTMENT
PERMIT
rJ
Call 7.76-1107 for side sewer inspections BEFORE covering any portion of the construction.N
Inspection will be provided within 24 hours after request. NO Sat., Sun., or holiday inspections.)
ADDRESS LOCATION OF CONSTRUCTION ..............
......................................... ........................................... . .......................................................
.,eT%4- :. -)n
PROPERTY LEGAL DESCRIPTION:_-= ....... ........ .... . . . ...................... i ......
........................ ........ ----------- �.0 -------------------
.................................................. . ..................................................................................................................................................... ..................................................
— , I - T
................................................................ OMWERANDIOR BUILDER .......... K'- njn-.i�
... ....................................................... . .......................................................
CONTRACTOR'S NAME &ADDRESS'10-; 'k.3-Jri Ml ')Ltorl,-,
_ ..... ............... ........... : ... .. ...
.......... t! ... . ............ ................ ................................... — - ..... ... �Z ..... T ------- T--ot-7 ------
Permission Is granted ........... -------- ----------- ------ _, 19.3-1-, for repair and/or connection of a side sewer to the city sanitary sewer
system In accordance with City of Edmonds ordinances.
�,__.,TENTION 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 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 In�aslon 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.
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 Vs will be permitted.
NOTE No. 5--Trenches in street must be water settled and surface of street restored to origina.1 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.
DISAPPROVED[:] Date .... ................................... By ................ Date ------------------- ................ By ____-_ Date ............... . ................... 'By ................
APPROVED.......................... B ................................. .................................
Remarks: .................................................................................................................................................................... .....................................................
..................................................................... . .......... .....................................................................................................................................................................
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
I .. .... hereby certify that the side sewer installation constructed under this permit
oe"., -4-4zz ----__--------- .... ....
....... (.6-w.-ner of Contracting Firm Perfcrming Construction)
installed in accordance with all governing ordinances of the City of Edmonds. /57
Dated this ......... Cy of ........................ . ............. 7/
... I ................... 19 .........
V V Check BEFORE you dig for: Water 0, Gas E], Telephone [:], Power Ej, Sewer E], Other 0 -V Ai
87EIEET FILE
The City of Edmonds
— U� �0 0
APPLICATION
for
SEDE SEWER PERMIT
NEW CONSTRUCTION E] REPAIRS
OWNER .... R;�ssell ...... �.e ......... .........................
ADDRESS ... f�4e?.,F .......
.............................................
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ITKATMENT PLANT
EASEMENT ..............................
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CONTRACTOR ........ &b 157el, 13,qc kl Zp e
.................... ...............................
........................ . PERMIT o.
LEGA-L DESCRIPTION: LOT No . .............................................. BLOCK No. ..!�! 66
.....................................
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NAME OF ADDITION / i:�-
...... ... ......... ...
................... * -- ---- * .....
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Approved:
DATE................................................ I Y --- --- .......................... .. .....................
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..............
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IAI94NT NO . ........... . . ............... ..........
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STREET FILE
INTER -OFFICE COMMUNICATIONS
DATE
'TO FROM
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FUP� 41 - LITTLE'S
SUBJECT:
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511
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STREET FILE
C I T Y 0 F E D M 0 N D S
SEWER DEPARTMENT
STOPPAGE OF SANITARY SEWER MAIN REPORT,
DATE: TIME CALL RECEIVED: o b
LOCATION OF STOPPAGE: x(z(--'m� InAl") n /'j-
TIME OF ARRIVAL ON THE JOB SITE:
TIME NORMAL FLOW OF SANITARY SEWER REESTABLISHED:
CAUSE'OF STOPPAGE: 67
-7-JA fZ 0 U G H 1,- 1-1 tQQ 7- 17 J? G K tZ-
ACTrON REQU1PXD TO CLEAR �MAfN AND/OR'LAT�ERAL:
CITY CREW ON STOPPAGE CALL OUT (Personnel Involved): T,�, 4V
�b e w,
LOCATION OF RESIDENCE AFFECTED: ?
NAME, ADDRESS, AND PHONE'NUMBER.OF PROPERTY 'OWNER: <
3 �k I - ocj:&-i� 0
DES�RIBE DAMAGE TO PRIVATE PROPERTY-.,
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REMARKS.:
tP.Ly4CN�� INJ'A
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