21308 92ND PL W.PDFiiiiiiiii
9031
21308 92ND PL W
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NOTICE:
VA 1-';�'r r a n
a. —a- c-c-u- ra7c�:
The information on the attached
lied for use by the City Of
map(s) was com ' p
Edmonds, its Empl-oyees and Consultants.
Th,.e City ofEdm.onds does ' n ot. warrant the
accuracy of anything set for.th on these
m a p (S"), A n . y person or entity -requesting a
copy should conduct an independent
inquiry regarding the infbrm'ation shown- o
t F�� -m a p (s), including� but not Jimited to,
c ion of any sewer stub shown. Suc
the lo* at'
sewer stubs may or may, not e.xist and may
or may not exist at the location shown,
y of E ci m o n Id S nor its
Neitheir the " I i-cers I- I b e 1--i a. b-11--e f o r t- h
empl-o-yee-s Of off"
I n on this map(5), nor for
infor . mation g ve Ided based
any one representation prov
upon . said map(s).
'w APPLICATION CARD No . ................ . ....................
for
The City of Edmonds LA SIDE SEWER PERAM EASEMENT No . .......................................
STREET F1' r- SIDE INSIDE E] REPAIRS F1
R ..... ................... CONTRACTOR
OWNE . ........... ------ --- — ------ . .................... PERMIT No . .... . .....
�2 STREET
. .........
HOUSE No...�� ......... . . .... AVENUE LOT No ....................................... BIA)CK No . ...............................................
4-1
92azA - NAME ADD. ......... ....... ... ... ......... .............. .......................................................
I
Date
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ ...........
SEWER WORK ORDER ISSUED ..........................................
Approved:
g-�8 -64
DATE.......................................
Fj
ko
..... By ....... .......... ..............
Call PR"PeCt 6-1107 whm- work
Is ready for -luspection. (No'-Inspec-
Mons Saturday, Sunday or holidays.) N2 1385
ADDRESS ........... S
........... 8.0.4 ... 12tb ... P1-----S.outb
OWNER...
............ 'Serald --- R-i ... Severson ............................... CONTRACTOR ...... Gemald-R.—Severs.0TI .....
....................
Pernilssion.is granted .... ................ for ............... 7 ..... days, to'REPAIR or CONNECT a si'
with City Sewers in aecordan�e with application on file and governing ordinances. de sewer
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. 1�The owners of the property may obtain a Permit to construct sewer inside . Property line. A
be employed to construct side sewer In street ar licensed Side Sewer� Contractor must
ea. Do not cover any portion of sewer be fore It has been inspected.
NOTE No. 2—Obtain full Information regarding Ordinance 11.16MO 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 2%.
No bonds In grade sharper than 'A will be permitted.
NOTE No. 4—Trenches in streft must be water settled and surface of street restored to original conditio . n. Contractors shall be responsible for
failure -due t6 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 provi I ded for in the permi t, or to do any work on the main sewer or Its ap-
purtenances, except to Insert the pipe into the wye.
APPLICATION
for
The City of Edmonds SIODE SEWER PERYaT
NEW CONSTRUCTION 0 REPAIRS E] EASEMENT No . ..........................................
111-05500
Ov.rNER .......... Bichard Nelson
................................................................................................. CONTRACTOR ................................................................ --------------------------------- PERMIT No . ......................
ADDRESS ...... 21-3.0.3--r! ... 9-2rid.-P].....14 . .................................................
40
0
LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAMEOF ADDITION .........................................................................................................................................
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ......................................................................
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