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20917 80TH PL W
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PERIMI. T
TIREET
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7 (.0 a] 1, 7,7.5-� 152 5 :i. FORE
!�S�ecq ering� iany-;.pqr�ion ol� the constructl
I , Pec9pnis ISE on.
4." 4; ",,h 'fre
4repect wit9in, �24 af er
urs t opsit.;,,�sun.;,,or. holiday 4n n�):
p�, sbe6tio
i?�s will�� provi�
SS�L .................................... .................... ...............................
-t�ict.'3 Block- I-: - Alderwood
.:.,:S -100! of N. :'200,11�'Pf ,'I Manor 10
..........
...I ...................................................... ................... .................. * ........................................................
............................................... ............... ...... ................................................. ................. ....... ......................
................................................................................
............................................... BMM '1421!��
R�,.OR�BUILDER..: ............... ...... .....................
....... ...............
I . .7 ........................................
DO..... .................
............................. ...... .... ......
.
......... repair.,: iLnd/6r.,bofineet16n,, oV'fk'-s1d1e,. sewer' to" th 6'.
orda6cemlih.' ... ..
THE-F6Lt6iVI'
NG:
�T6�vners,,of ithet,*'p
NOTEz'No1 YTh , r6p�rty;.may 'obtain,a-,perMit:�tot:co!ist_ruct sewer Anslde�;prop�r�y�.Ilhe.,,- -,A:Ii�irise.d'Side!Sewer:C6ntiitdtor"m' ust be,employed: tW'con (ruct
sidi ��6we�-'Ari. �ire� area.. Do n�t',cov�-r �of sewer before it has .1;ee Inspected.
In lclty� right-of-,w In�'"ion' of Righ�t-of�Way';J-'6rnjjt��6bfal n,--able 4rom the, City Eiiglneer:'s'office�.
&Y n
biiln�fullkd�formatlonl rewding 4bri1Ina�fi'e,1-1,.,M030 laxid,*Regtilatlons`,�governi neilde �s6ivcis �vhen:you geC pe�rmit.
f,�ide��cwe� .mu"it -have laf`le"t 30.3riches-coveiige'ai
NOTE No!%A�- .property line taild 124richea'Anside pr6per-Cy line; mln�lmurn grade of 2%. 'No �bends In grade
NOTFE�No.,-i'-5'-��Tr�'n�hes-ei6"stre6t4mu�t be -,water settled �an'd: face �of street' ored Contractors shall be responsible -for failure due to:,Impr
.,sur rest to:qrlkinal, condition. oper,
�of
eyelqp�w.ithi� one. -year i Icorfipldtlon.�
T No. t As.,unlawful, to 'alter :or do. any other work A han,�js 6ro�Jded.- foi in thea pern�t.','D�'Co.*do -any - work on the main sewer or its- appuifenancei excep o in-
eL
.......... ............. *-_.iBy..:.�-.:.:.... Date.� ............................ Ry� ............... Date ......................... .......... -By ..... ...........
�7 - — ----- . ... . ......
Or�3 ............
.01 te ................. By ........ ............ ............................
: . ............................................ .. ....................................
.............. .......................
711111 ........................................
........... ---------- ........................................................................ .................................... ........ : .................................
S
oples-MUSTY,B6 igned- By ?Owner� of Firm --Performin,&.;,Constru6tion PRIOR TO. Req'uiest For Inspection*—
.... ....... ...... ....
... hereby certify,that',the sidesewer-instaliation construded unde� this -mit.
per
-':1(0�ne -o`f,965;onii;a ti�hng:Tift�;.,
an- I-. iotdfn6fic est. of the City...Of�Edirridlnd'&'
�accorldanee,wi, ;a overnln_
Dated ..............
K'. .......... 49.
............. ....................................... .......
you-.d11'gJo I ei-%%Vaier��Ej -`Gas E] on
T.e�ep'4'e`,1[],, r.ower Sewer,10, 'Oth6r.
UT 'OF EDMONDS, Sibf' )WER PERMIT
EWER DEPARTMENT,
PERMIT N9 -5,15 70
Call 77572525 for side s,ewer inspections BEFORE covering. any-, portion of the construction.1
Inspection will be provided within 24 hours after requst. . NO Sat., Sun., or. holiday Inspections.)
ADDRESS �LOCATKON. OF C0145TRUCTION ....... K,Place -West.
........................................................................ .......................................................
PROPERTY LEGAL- DESCRIP17ON ....................... S. 100' of 'N. 266" of Tract 3 -, Block , 1, Al&twood -Mafio-� - #9
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....................... ....................................................................................................... : .......................................................................... ..................................................
................................................................ O*VNER,&ND/OR BiJILDER ..... B.RUCE ... tZAPI.M ................................................................................................
.. .......... ......... ......
CONTRACTOR'S NAME & ADDRESS ......... ff .
..................................................................................................... .......................................................
Permission Is granted . ........ August..ao ........................... . 19.7.6 ... for repair and/or connection of a side sewer to the -city sanitary sewer
systern in accordance with City of Edmonds 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 poition of sewer before'it has been'Inspected.
NOTE No. 2—All work performed in city. right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office.
NOTE No. 3—Obtain full information regarding Ordinance 11.16.00 and. Regulations gov�rntng side seweis when you get permit.
NOTE No. 4—Too of side sewer must have at least 30 Inches I coverage at property line anid,�12 . Inches Inside property'une; minimum grade of 2%. No bends In grade
sharper than 'A will be permitted.,
NOTE No. N--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 compl&ion.
NOTE] No. 6—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 appurtenances except to in-
sert the pipe into the wye.
DISAPPROVED[] Date ... .................................... By ................ DiLte .................................... By ................ Date .................................... By ................
APPROVEDE] Date ............................................................... By ........................................... . .......................................................................................
Remarks: ...................................................................................................................................................................
.................................... ! ....................................................................................... ...... ; ...................................................................................
BOTH Permit Copies MUST Be Signed By -Owner of Firm Performing Construction PRIOR To Request. For Inspection
.................................... ................................... .................... hereby certify that the side sewer installation constructed under this permit
* (Owner of Contracting Firm Performing Construction)
was installed in accordance with all governing *'Ordinances of the City of Edmonds.
Dated! thls,.� ......................... day of .......................... .........
............... ..................... 1 19
Check BEFORE you dig f or: Water [DI Gas E], Telelihono E], Power E], Sewer E], Other
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 -req uesting a
copy should conduct an independent
inquiry regarding the information shown on
tKe -map(s), including, but not limited to,
the loc'ation 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
empl-oyee-s o-r offiCerS shall be Hab-le for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
APPUCATION
The City of Edmonds for EASEMENT NO - -------------------------------------
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS LID NO. ----- - ASMT. NO. � -----------------
OWNER - — ------------------------- CONTRACTOR ------ ------------- -------------------------------- .- PERMIT NO. �5K70..
JOB ADDRESS ... W - --------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
... 7Tr! --- lil.k.-I ---A6w --- tA ft ----- -4) --------------------------
13
I
El
NAME OF ADDITION ... 4-41t� "A ..... V-a,-u"T -- -------- !�AA .....
P
Approved:
E C E". I V F- D
19 7 6
V,� c. � � , 1-1 i) -,,, P L I
DATE-------------------------------------------- By -------------------------------- - ----------------- i-i7.yg
APPLICATION
Is
The City of E s for EASEMENT NO - -------------------- ..............
STREPENT FILE SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS F� LID NO. ..X!:� ---- ASMT. NO.
OWNER - ------ ... CONTRACTOR . .........
.0 ........................ --------------------------------------------------- PERMIT NO.
... ewg= ----
JOB ADDRESS L
..... ........... LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - -------------------------------------
zcn(=:) I 'c=A=- -VW-� EF:,� % W4-JNA - 1-405�>
... ............................................................................................................................................................
=x=�t=5 6-14-AKAE&C--� C>
......................................................................... - -----
ps F,' pr
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PERMIT ADDRESS ITh P1 -,\�J
Dat.e ST CPI PT
REET FILE !15r
BUILDING PERMIT REVIEW ENGINEERING DEPARTMENT CHECK -LIST
Instruction:
Check Accuracy of Legal Description
Check Against Assessor's Map for Legal Subdivision
Does it conform to City Approved Subdivision?
Reviewer's
Initials
I
1. This lot included inkSUbdivisio
�/Plat/tlo.:
2. Site Inspection made on: ---I I Z�gl,`r)
3. What are ground water and soil conditions?
6
of Dwq. NoJi��' I Project
4c)[),
6. Grading & Final Contours: U<OT_
7. Septic Tank System Design Approved:.
8. Sanitary Sevier Availabilit Sht.
_)Q-of Dwq. No.L4--J9 roject L-10
Side sewer availability:
9. Sanitary Sewer Connection Fees.
10. Ilater Mains A Fire Hydrants (Indicate Size Mai n)41L1XAk NAWYD,
Check Fire Dept.'s Comments f
11. Sidewalks: (Site inspection shows conditions of sidewalks as follows)
KV nlk)= . - —
12. Curbs b Cuts/Driveways (Check driveways for safety, location,
grade and width):
13.. Underground I-lirinn: 4 Street Lights:
14. Street Right-of-way A Bldg. setbacks-V-t2) '6:��)A'27__Sht.q of nfficial Street Map.
15. Existing Utility Easements?,
16. Access Easements:
17. Site Plan checked for accuracy?
18. Special Requirements listed in Memo to Bldg. nept.__<:a�
19. Commercial & Apt. Requirements form completed?
20. Drawings stamped notations made?
21. All Items filled in.on Bldg. Permit Application? -7
11 f
22. Bonds posted for site work?—.
23. Right-of-way Invasion Permit required?
4. Site Drainage Checked?
5. Storm Sevier Availabilitv: Sht
Roadside Ditch K ) FIVVVY�__