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20903 78TH AVE W
APPLICATION
for
SIDE SEWER PERMIT
The City of Edmonds ET F NEW CONSTRUCTION E] REPAIRS 0 EASEMENT No . ..... ....................................
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OWNER... Umd.blad..) ... Joe .... D . .............................................. CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS .2-0q-0.5 ..... -Llt� ... AV4L....W�t .................................... LEGAL DESCRIPTION: LOT No . .............................................. . BLOCK No . ............................................
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NAMEOF ADDITION .........................................................................................................................................
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Approved:
DATE................................................ By ......................................................................
APPLICATION
for
The City of Edmonds SIDE SEWER PERNaT
I O'ne-ET FILEUTSIDE [:1 INSIDE El REPAIRS
OWNER ......
HOUSE
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CARDNo . .............. &'-�. .................
EASEMENT No . ...................... - .............
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CONTRACT 017Y
OR ........ ... 61Y /-�4,j ......... -- .............. ................ ....... PERMIT No.
STREET
AVENUE LOT No . ......... �;� --------- ................ ...... BLOCK No. .................... ...............
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Date
NAMEADD . ................. .. .... �e --- /t ... --- ...... ............................ I .................
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Approved:
APPROVED
1964
...... . ............
BACKFILL WORK ORDER ISSUED ............... ................... DEPOSIT, $ ................ -- .........................
SEWER WORK ORDER ISSUED .................................. ...... / ........ .4/
..............
........ .....
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
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 PROspect 6-1107 24 hours (plus
CITY HALL — WATER -SEWER DEPARTMENT Saturday, Sunday and Holidays) be.
fore work is ready for inspection.
SIDE SEWER PERMIT
NO. 934
ADDRESS ....... 2U
.....................
. .:�, . I �*11111 ........ .......................................... I .................................. ....... 111*11*1* .....................
OWNER ................... ROY Int-
ring . ........... I ...................................... CONTRACTOR
Permission is granted ........ F.(Db 17 . . .......... 19 ..... 64for RC7 ... ................................
with City Sewers in ............. ................. days, to REPAIR or CONNECT'a side sewer
accordance wi h aPPlication'On file 'and governing ordinarfres.
ATTENTION is CALLED T'O THE FOLLOWING:
NOTE No. 1—The owners f the Property may obtain a Perm construct sewer inside Property line A licensed Side
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to
NOTE No. 2—Obtain c Sewer
must be employed to construct side sewer in streettarea. Do not over any Portion of sewer �efore it has been inspected. Contractor
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 cover�ge at Property
2%. No bends in grade sharper than 'A line and 12 inches inside Property line; minimum grade of
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 wo k which may develop within one Year Of completion.
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NOTE No. r�—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.