21001 78TH AVE W.PDF111111111111
6648
21001 78TH AVE W
FILE
AeP&IC.ATION
f or,
CARD No . .............................
The City of Edmonds
SEDE SEWER PERlVHT
OUTSIDE INSIDE REPAIRS
EASEMENT No . ............... . ...............
_,226 0,2 41,-Jo
Y
J/p )/I
OWNER &?.fil ....... .........................................................
CONTRACTOR .. .. ...... PERMIT No ... Z-5 Z,
HOUSENo . ........ 3.1 ...............
C-51-
............... .................
STREET
AVENUE LOT No . ............. ....................................... ................
BLOCK No . .......... . .................................
��Al A�.�/6
-7-t )0//
�
7h rwAve IJ
NAME ADD . ............ .. 1_/ .........
..... ..... - - 1 11; 1) d.-; 2 5'.. -, �
................. .....................
0
0
I&
BACKFILL WORK ORDER I
SEWER WORK ORDER ISSUED ..........................................
Z-/.
DATE ......... 13 Y ..........
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
empl-o-yees 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 E01" Call PRospect 6-1107 24 hours (plus
-MONDS
CITY HALL - WATER -SEWER DEPARTMENT Saturday, Sunday and Holidays) be. 957
fore work is ready for- inspection.
S I D E S E WIE" R" "Pt R1 M I T'
ADDRESS ..... 3
. . . .......... ....... . 0 .....................
I.................... ....... ............................................................ .....................
................................
OWNER D
... Ao ... LaCdrib .. ..................................... ................. ......... CONTRACTOR ............. EChd,'
.................
Perihission is granted Pob.--98 .................... : ............... 19.64, lor ........................ days,. to.. REPAIR, or.CONNE , CT a side sewer
with city Sewers in accordance with aPplication on file' and governing ordinances.
FEBATTENTION IS CALLED TO THE FOLLOWING: .
NOTE No. 1—The owners of the Property may obtain a permit to 8104b
construct sewer inside property linerNTAV FGeiised, S1de3 Sewer Contractor
must be employed to construct side sewer in street area. Do not cover any portion of sewer j�efore,iit.has been inspected.
NOTE No. 2—Obtain full information regarding Ordinance 1
1.16-030 and Regulations governing side sewers when you get permit.
NOTE No. 3—Tp 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 f street restored to original c I ondition. Contractors shall be responsible for
failure due to improper work which may develop with 9
in one Year of completion.
NOTE 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 ap-
purtenances except to insert the pipe
into the wye.