20800 78TH AVE W.PDF111111111
6631
20800 78TH AVE W
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 doesnot warrant the
accuracy of anything set forth on these
map(s). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
the 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
employees or officers shall be lia-b-le for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
CITY OF EDMONDS Call Ppospect 6-1107 when work
CIVIC CENTER —WATER-SEWER DEPARTMENT Is ready for inspection. (No WSW-
tions Saturday, Sunday or holidays.)
SIDE SEWER PERMIT
N2 1066
ADDRESS.................. JOQ.-..n ... 2.2nd.T1&Ce..SQUth ---------------------------------------------------------------------------------------------------------------------------
OWNER ........ Robert --- L.-.-Jones ---------------------------------------------- CONTRACTOIR ------- ReCUt3T&--&--S(M --------- - -------------------------
Permission is granted --- - __ jIMA ... 9 ------------------- I lq.A!�_, for ...................... days, to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinalices.
ATTENTION IS CALLED TO THE FOLLOWING: onstruct sewer inside property line. A licensed Side Sewer Contractor must
NOTE No. 1—The owners of the property may obtain a permit to c
be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been inspected.
h et permit.
NOTE No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers w en you 9
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 2%.
No bends In grade sharper than 2A will be permitted.
NOTE No. 4—Trenches In street must he 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. 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 ap-
purtenances except to insert the pipe into the wye.
FILE APPLICATION
t: I for
The City of Edmonds SIDDE SEVVER PERN"
OUTSIDE El INSIDE g REPAIRS F1
&Y'
CARDNo . .......................................
EASEMENT No . ......................................
A0
Ap .................................................... .... .............. ... ....................
OWNER .. J- ea'o ....................... CONTRACTOR ... ....... PERMI T
SE X07; STREET
HOU ............ ................... -. AVENUE LOT No . .............. Y ............ �/ ....... BLOCK No . ......... 37...
---------- * -----------------------------
z).So 7g7-,.w .4 NAME ADD. .12 ............... .... . ..........................................................
:1
'40
Date
BACEFILL WORK ORDER ISSUED
SEWER WORK ORDER ISSUED .....
DEPOSIT, $ ..........
APPROVED
Ju 1964
..............
-CITY OF EDMONDS
STREET FIM, IC WORKS.DEPARTMENTi ENGINEERING DIVISION
rATim Pnp P1r.PT_nP_iqAv rnm(ZTP11rTTnm i)FQfv,
THIS PERMIT MUST BE AVAILABLE AT THE JOB SITE FOR INSPECTION PURPOSES
Applicant -to Complete Parts A and B
A. -Permit to be issued to:-aaw,6
For Work at:(address or vicinity) _Aa4F06'- 7 We,'
Type of Work to be done: NOV C, Q'F FPCV7 V,04T) Up ;;Z0' d'FF J 7 -JZ (5� i
(attach drawing �hen applicable)
Time Required Start: Finish:
Owner: ) Vwptat-b SC14 4-A 0 G5C
Name
269ra- — -ZFZX .4V45 CAI
Mailing Addres s
ED #106S Wif
City State Zip
Contractor: r--cfws-
Name
Mailing Address
t- wom A U)"q ciff 0.?
State Zip
-7 -7 7
Telephone Number
State License Number
Telephone Number
B, INDEMNITY: Applicant understands and by his signature to this application, agrees.
to hold the City of Edmonds harmless from any injuries, damages, or claims of any
kind or description whatsoever, foreseen or unforeseen, that may be made against
the applicant or the City 'of Edmonds, or any of its departments or employees,
including or not limited 'to the defense of any legal proceedings including defense
costs, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and
materials for a period of one year following the final inspection and acceptance
of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until
the final street patch is completed, at which time a debit or credit will be
processed for issuance'to the applicant.
Work is subject to inspection and restoration in accordance with City Code. A
24-hour notice is required for inspection by Engineering. Call 775-2525, ext. 220.
I understand that this permit must be available at the job site for inspection
purposes at all times. I Date:
Signature.
Owner or Agent
TO BE COMPLETED BY ISSUING AGENCY: 1,40,
Date Issued: Permit No. Fee: AX
Security Bond
Time Authorized:
APPROVED BY(
D a t e : 9_A1ZY'
19
17
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