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PUBLIC WCM — EMINEMIM
ACTION REPORT
N? 2522
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SUSPENSE DATE:
Date:--� Time:10)", 800.r^ File #
Att.chments:
SUBJECT: /y-, t _ -- — C�
REQUESTOR: NAME: CYN
ADDRE.S: ao
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PHONE:
REQUEST RECEIVED BY:
TELEPHONE
CONTACT IN OFFICE r---j
OTHER:
RECEIVED BY:
ROUTE TO:
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No
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All Concerned Notified
Action COmpleted/File
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Approved by Public Lbrks Pepartnacnt
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APPLICATION
The ity 4,f Edmonds � r7*1 for
-4 �. SEI)E SEAVER PERNaT
STV FILE OUTSIDE E] INSIDE F1 REPAIRS
CARD No . .......... cll;;`�
............................
EASEMENT No . ........................ .............
A / /0
OWNER..... ........... 0 ............ -1.0-). .... /0.9 .... . ................... I ........ CONTRACTOR .......... 6..AZC�e�� ................................................................. PERMIT No.
...... STREET -1 No.
HOUSE No..('3..&/ ........ ............... AVENUE WT No. 42 ............ Tlrlt-R4 ------- PA -le t..3 BLOCI .............................................
.1/10,3 - 78 ra Ale idl, NAME ADD . ..................................................................................................................... - ......................................
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Date Approved:
BACKPILL WORK ORDER ISSUED ................................... DEPOSIT, $ .............................................
SEWER WORK ORDER ISSUED ....................................... DATE,
By----- --- - ---- --- ... . . ... . ............. ..
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
accurac y of anything set forth on these
map(s). Any person or entity reque sting 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
employees 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
RTMENT
CITY HALL — WATER -SEWER DEPA
t SIDE SEWER PERMIT
Call I PRospect 6-1107 24 hours (plus
Saturday, Sunday and Holidays) be- 926
fore work is ready for inspection.
ADDRESS. ............. 34 ... ........... ..............
..................... CONTRACTOR ............ CKJ�ner ....................................................
OWNER ................. 1C.
zal" ECT a side sewer
19 ....
Permission is granted ........ F. 4*,V%ja.W .. V ............ 0 .6Mor ........................ days, to REPAIR or CONN
q ii ning ordinances.
with City Sewers in accordance with apptication on f e and gover
ATTENTION IS CALLED TO THE FOLLOWING line. A licensed Side Sewer Corytraotor
NOTE No. I —The owners of the property may obtain a permit to colastruct sewer inside property ted
er in street area. Do not cover any portion of sewer before it has been insPec
must be employed to construct side sew governing side sewers when you get permit.
NOTE No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations inaum grade of
NOTE No. 3—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; min
1 1/8 will be permitted.
20/c. No bends in grade sharper than Contractors shall be responsible for
NOTE No. 4—Trenches in street must be water settled and surface of street restored to original condition
failure due to improper work which may develop within one year of completion.
provided for in the permit, or to do any work on the main sewer or its ap-
NOTE No. 5—It is unlawful to alter or do any other work than is
purtenances except to insert the pipe into the wye.