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20903 80TH PL W
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The City of Edmonds
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APPLICATION
for
3"TREET FILE SIDE SEWER PERMIT
NEW CONSTRUCTION [:] REPAIRS rl
OWNER e ........ ...... .........
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ADDRES ................
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EASEMENT No.
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CONTRACTOR ........................ 6 ..... ......... ..... .......................................... PERMIT No.
LEGAL DESCRIPTION: LOT No. .1 ......... S. t7 ...... BLOCK No . ...........................................
......................... ...... ........................
NAME OF ADDITION /f ........ ?�7-#( .....
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APPROVED
OR 21 1�67
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Approved:
DATE.$-- . . .......... BY
................................... . .. ............................. ....................
Is 7,1za c 1-1
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(�-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
tKe -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-o-yee-s o-r office-rS -sh-a-11*1 be l-J-a-b-11--e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s),
CITY "'OF EDMONDS
III FRospect 6-1107 when work
CENTER— WATER -SEWER DEPARTMENT is ready for inspection. <No Inspec-
xTo
SIDESEWER PERMIT tions Saturday, Sunday or holidaws.) 2081
209-20th Avenue South
ADDRESS--------------------------------------------------------------------------- ............................................................................................................................
Janice M. Justin YTOR owner
O"WER ----------------------------------------- -------------- _ --------------------- CONTRAC ................................................................ _ ..............
Pernilssion is granted ............. A.prii --- 2! . ...... 19 .... 6.7, for -_-------------_ ..... days to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED 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.
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 2%.
No bends in grade shaxper than % will be. permitted.
NOTE No. 4—Trencheq 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.
r1E 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-
tenances except to insert the pipe into the wye.