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21028 81ST PL W.PDF111111111111 7515 21028 81 ST PL W 7`-Fr FILE APPLICATION for The City of Edmonds SME SEWER PERYaT NEW CONSTRUCTION [-] REPAIRS EASEMENT No . .......................................... 0 ER ....... AL� ........... ? ............................................... CONTRACTOR ............... . ............ .......................................... PERMIT N ADDRESS .... (��4 . ............. ......... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................ 7" NAME OF ADDITION ................... . .............................................................. -A I I q 7/4 'A"- . fj�q e 67- 36', T/� APPROVED AUG 2 Approved: DATEAS ... 7 2:71�..7 ....... X6 -41fll� 7194 -- — ------ — ------ Z_ CITY OF EDMONDS CIVYIC. CENTER WATER- - E S WER.-DEPARTMENT C 11 ]PROSPect 6-1107 when work is ready for inspection. (No Insper, SIDE SEWER PERMIT, tions Saturday, Sund" oi holidays.) N2 3399 ADDRESS .................. 416 - 19th Place South . ..... .. .. .. Newe 1 1 N P ................................................. OWNER ................................................................... . ......................... CONTRACTOR ....... owner Permission is granted ................... August 21 60 ..................................................................... . ....... I .............. 19 ......... for ........................ days to REPArR or CONNECT a side sewer with City Seivers in accordance with aPplication oil 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 pro erty line. A licensed Side Sewer Contractor must be employed to construct side sewer in street area. Do not cover any Portion Ofpsewer 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 27o. No bends In grade sharper than % will be permitted. NOTE No. 4—Trenches intstreet Must be water settled and surface Of street restored to Original condition. Contractors shall be responsible for failure due 0 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 appur- tenances except to Insert the pipe Into the wye.