21015 78TH AVE W.PDFiiiiiiii lill
6650
21015 78TH AVE W
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 forthon these
map(s). Any person or entity requesting a
copy should conduct an i-ndependent
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 EDMONDS* Call PRospe't 6-1107 24 hours (plus
ucnday and Holidays) I No
Saturday, 8
CITY HALL — WATER -SEWER DEPARTMENT 990
fore work is ready for inspection.
SIDE SEWE'R,'PERMIT'
I AD .............
DRESS
. . ........ .. . . ............................... ............................................. .........................................................
...............
OWNER ....................... J=,sa..-.s.t.Qne ....... I ......................................... CONTRACTOR ............ TUCkek..'.'.0.CnStjV.UdtiM .................
I Permission is granted .......... D2apejj ... 17i .................... 19.6
1 _ 4, for. ........................ days, to REPAIR or CONNECT a side sewer
I with City Sewers in accordance'with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
I 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.
I NOTE No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
J, 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
201o. No bends in grade sharper than 1/s will be permitted.
I 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 work which may develop within 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.-
4 APPLICATION
12) for
The City of Edmondc 2;ET FILE SIDE SEWER PERNaT
OUTSIDE E] INSIDE ar REPAIRS F-1
CARD No .. .......................................
EASEMENT No . ......................................
OWNER .............. . . .... 4. /V. ------- �S .............
. ................................. CONTRACTOR ..... ........ ----------------------------------- PERMIT No.
STREET
............. ............. ......... AVENUE LOT No . ..................................................... ................
HOUSE No. ......... A/ BLOCK No . ...............................................
NAMEADD . ................. ....... .......... 3 .......... ............................
110 / S - 79 ro Aa a -
0
's
Date Approved:
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ ................................ ............
SEWER WORK ORDER ISSUED ..................... .................... DATE
..................
By 10,
CITY OF EDMONDS
FOR INSPECTION CALA Permit mo.
PUBLIC WORKS DEPA10ENT
775-2525 Ext. gZ&V Issue Date
SIDE SEWER PERMIT,
PEP -MIT MUST BE POSTED ON JOB SITE* IV
'Address of,Consttuction
Property Legal Descriptio*
n (include all easements)
3.
4.
5.
6.
VIA BALLINGER
LIFT STATION
Single Fardily Residence y Multi -Family No. of Units
Commercial I
Owner and/or Builder tj,1j,'aj,-j
Contractor & License No.
Invasion into City Right-ofLWay : No v Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig U%MZMM,) before
excavation).
7. Cross other private property: Yes No X Easement required
attach legal description and county easement number.
READ THE FOL140WI.NG AND SIGN:
04
a. Property owners must obtain a permit to install side sewers on
>4 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.
�4 c. Commercial establishment requires a minimum of a six inch (6")
04
z side sewer line.
0 d. Side sewers may not be installed closer than thirty.'inches (30")
to any structure.
e. Side sewer lines must be laid at a minimum,�g,rade of 2% (1.150)
0 and maximum grade of 100% (450). 0
E-4 f. No turn i * n side sSwer greater than 45 �,bend) is 0 allowed
between cleanout. All 90 turns must be constr'd6 ed 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 systemi
h. Pea gravel is required for bedding when installing sewer lines
through other,than granular soil. I
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:
Ace, I certify thatI have r�iiid
and shall comply With the above
4/0
PERMIT FEE: .30 49 C2 DISAPPROVED BY: -Date : RZ2,e�kj
OW 6, 0 B Date:
CONNECTION FEE:
P4 APPROVED,�yc Date..:,
0
44 h!X
PERMIT MUST BE POSTED ON JOB SITE
The City of Umonds Side Sewer Drawing
EASEMENT NO. ----------------------------------
NEW CONSTRUCTION 0 REPAIRS CK LID NO - ------------------ - ASMT. NO - ------------------
OWNER --- WILLAAK ----- NOYES ..... ------------------------------------- CONTRACTOR ----- ---------- -------- ---------------------------------------------------- PERMIT NO. (0990..
JOB ADDRESS -11.0-15 ----- 787-R--Ave, .... W-- ----- LEGAL DESCRIPTION: LOT NO - -------- 4 --------------------------- BLOCK NO . ....................................
PWW4=1-1 1/75 (REVA 1/78)
---------------------------------------------------------------------------- --------- ------------ ------------------------- .......................
VIA BALLI�jjER
NAME OF ADDITION ....... MRRA -------- PA . .. .......
------- --- 401 STATIOlt....
1!9 1
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21015
;Ova
Approva---
DATE-5-31-83 ---- -------- By -------
Al
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CITY OF ED "I. -I -IDS
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