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20907 72ND AVE W
`TY OF EDMONDS
FOR INSPECTION CATL Permit
'"LI'C WORKS DEPARTJ�, T
SIDE SEWER PERMIT 775-2525 Ext. 220 Issue Date
; POSTED ON JOB SITE * q
�AEW,MW,=WAW,MWAWmW3MV3WAWA0L
Address of Construction
Property Legal Description (include all easements)
3. Single Family Residence Multi -Family._ No. of Units
Commercial
4. owner and/or Builder
t
5. Contractor & License No.
-of-W ay: No Yes (If Yes Right"of-
6 Invasion into City Right
Call Dial Dig (342-5344) before
way Construction Permit Required
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excavation) .
7. Cross other private property: Yes - No Easement required -
attach legal description and county easement number.
READ THE FOL,140WT-,NG AND SIGN:
a. Property owners must obtain a permit to install side s.ewers on
their property. A licensed side sewer contractor must be employed to
construct side sewers in the public right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year.
C. Commercial establishment requires a minimum of a six inch (6")
side sewer line.
d. Side s-ewers may not be installed closer than thirty inches ('30")
to any structure.
e. Side sewer lines must be laid at a minimum grade of 2% (1.150)
and maximum grade of 100% (45'). 0
f. No turn in side s 8 wer greater than 45 (1/8,bend) is 0 allowed
between cleanout. All 90 turns must be constructed of a 45 (1,8
bend) and Wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100' along sewer line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k.. Side sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours only. Two (2) working
days notice required.
DATE:
I certify that I have read
and shall comply With the above
PERMIT FEE: ' DISAPPROVED BY: Date:
By: Date:
APPROVED By:�L-? �- Date: 2 7.7-.4 7$�z
*.PERMIT MUST BE POSTED ON JOB SITE
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CONNECTION, FEE:
onds
Oty,of
�RIGHT-OF-WAY CONSTRUCTION,
.,PERMIT Permit Number. 67&__30?y
Issue Date: q
'iJ0907 72 AV V (9701265)
A.- Address or Vicinity of 6nstr�ctloin:
9 0 9 B. Type of Work (be specific):. Iustall Service
C. Contractor: — Washington Nj�tural Gas Contact: ilariAmue Kiugsbury
Mailing Address: 1122 75 St SW Everett Phone: 356-7500 X7596
State License #: 98203 Liability Insurance: Bond:$
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. F1 Commercial 0 Subdivision El City Project FL] Utility (PUD, GTE, WNG, CABLE, WATER)
E] Multi -Family E] Single I [J Other
INSPECTOR:
F. Pavement or Concrete Cut: )WYes ONo
INSPECTOR:
G. SizeofCut:�"' x
APPLICANT TO RI
I cut
SIGN
H. Chargq-$
INDEMNITY. Applicant understands and by his signature to this application, agrees to holdthe City ofEdmonds harinless from injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be 4mide against the City of Edmonds, or any of its departments or
employees, including or not limited to the defense ofany legalproceedings including defense costs, and attorney fees by reason ofgranting thi8permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH
IS COMPLETEO BY CITY FORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPLICANT.
Construction drawing of proposed work.required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
Work and material is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
Ihave read the above statements and understand thepermit requirements and thepink copy of thepermit will be
available on site at all times for inspection purposes.
1114�
Signature: — __ �_/% Date: I 0= 18-96
tracto or ent
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE'ONLY
APPROVE'D'BY: ,RIGHT OF WAY DEPOSIT
TIME AUTHORIZED: VOID AFTER DAYS DISR UPTION FEE/FUND Ill:
.SPECIAL CONDITIONS: _—MIA RESTORATION FEE:
D,
PERMIT FEE:
TOTAL FEE:
COMMENTS:,.ot-:���-_-'f RECEIPT FEE:
ul
DATE: ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
En& Div. 1994
W� -�p
FIELD INSPECTION NOTES
Comments:
Diagrani.:
(Fund Ill - Route copy to Street Dept.)
CONTRACTOR CALLED FOR INSPECTION . - 0 YES
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
0 NO
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Addendum to: City of Edmonds
Right of Way
Permit Application
Submitted by: Mariamne Kingsbury
Engineering Aide
Washington Natural Gas
1356-7500 X7596
DO
Key: -w- Water
-G- Gas
-SS- Sever
-& Water hydrant
0 Water valve
Washington Natural Gas Company
1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331
M.
The City of Edmonds Side Sewer Driwing b
EASEMENTNO . ............................................
NEW CONSTRUCTION REPAIRSE< LID NO. 040�6 ...... . ASMT. NO ..........
OWNER .... ....................................... CONTRACTOR ... . ................................ PERMIT NO.
JOB ADDRESS ..... Q ......................................................... LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . ....................................
NAME OF ADDITION
9's S�
4 C�WOW1-11/75 (REV.11/78)
4
Ic nos
7,Z' 4A,-<—. W.
Approved:
DATE ... .. J9.9.... By,(:
I
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S 17, 1 T, 4 ,=, E T F--"u'L F.
CITY OF EDMONDS HARVE H. HARRISON
MAYOR
200 DAYTON ST. - EDMONDS, WASHINGTON 98020 - (206) 771-3202
OFFICE OF THE CITY ENGINEER
December 21, 1981
Mr. Gregory Quinlan
20907 72nd Ave. W.
Edmonds, Wa. 98020
Dear Mr. Quinlan:
SUBJECT: L.I.D. 206*- SANITARY SEWER CONNECTION
City of Edmonds reco * rds indicate that you are the owner
of property located in the College Place Area, and that the
sanitary sewer service is now available to your property.
Residents abutting this sewer main are required to be connected
per Edmonds City Code (18.10.010).
In consideration of the completion of the sewer system and
the aforementioned code, you are hereby advised that you should
make arrangements to make the necessary sewer connection within
sixty (60) days.
If you have any questions, please contact Jerry Saterlie
at 775-2525, extension 259. Permit and connection information
may be obtained.at the Building Department, at 505 Bell Street.
Sincerely,
JAMES E. ADAMS, P.E.
City Engineer
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