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20815 78TH AVE W
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OMEET FILE APPLICATION
CARDNo . ......................................
for
The City of Edmonds SEDE SEWER PERMIT
OUTSIDE INSIDE REPAIRS EASEMENT No . ......................................
OWNER .......... . ......... LJ ... ................... CONTRACTOR ........ 7r4 ... C.klf Ir ............................................................ PERMIT No.
STREET
HOUSE No. ................................................ . AVENUE LOT No . .........
.............................................................. BLOCK No . ...............................................
—00( 14"'
NAME ADD. -- ....... ;tal . ........ ......... ...........................
2'0 &J'S.S ill
L7
Date Approved:
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ .......... ..................................
SEWER WORK ORDER ISSUED .......................................... DATE
0A.
By. . . ................
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 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
emptoyees or officers shall be liab-le for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
CITY OF EDMONDS
CIVIC CENTER — WATER -SEWER DEPARTMENT
SIDE SEWER PERMIT
Call PRospect G-1107 when work
Is ready for Inspection. (No inspec-
tions Saturfty, Sunday or holiftys.) N2 1085
ADDRESS -------- ........ - .... 141 ..... ... 2.2n.d --- Pla-ce .... South .......................................................................................................................
. .. .. .... .. ..... .. .... - . .......
OWNER .......... ]Duane ---- Williamson .......................... . ............. CONTRACTOR .......... Tuc);.er .. ------------------
Permission is granted ------------------- June-22 ......... 19.6.4-, for ...................... days, to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CAT-TED TO THE FOLLOWING:
NOTE No. I —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.
"TE No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
,jTE 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 % will be permitted.
NOTE No. 4—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.
NO'�E No. ry--It Is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the maln sewer or Its ap-
purtenances except to insert the pipe into the wye.
I )