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21420 86TH AVE W
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The City of Edmonds
APPLICATION,
for
SIDE SEWER PERMIT
NEW CONSTRUCTION E] REPAIRS E]
OWNER........ .O.-kel ......... ?t� ........ .........................
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ADDRESS ... .............................................................. S ..
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EASEMENT No.
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CONTRACTOR .......... R)AX ............. 4-//r2� ........................................... PERMIT N
LEGAL DESCRIPTION: LOT No?�..z ..................................... BI.A)CK No . ...................... .....................
NAME OF ADDITION ....... .................. ?Wal!! .......................................................................
Sa,
Approved:
DATE.J.- IF ........... B, ... ... .....
.................... -Y
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NOTICE:
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Nb--w-a r-ra f�ty ... 0 T at u.- u .1
The information I shown on the attached
map(s) was compiled for use by the City Of
Edmonds,? its Employees and Consultants.
Th.e City ofEdm.onds does not ' warrant the
t for
accuracy of anything se - th on t. ' hese
Map(�_). Any person or entity -requesting a
copy should conduct an independent
ation shown on
inquiry regarding the inform
-map(s),? including, but not limited to,
th'e lociation of any sewer stub shown, Such
sewer stubs may or may- not exist and may
at the location shown.
or may not exist
Neither the city of Er%,A'MO'nds nor its
empl-o-yee-s o-r office.rs -sh-a-11-1 be I.-lia.b..Fe for the
n on this ma p(s), nor for
information give.
e representation provided based
any on
upon'said map(s).
CITY OF EDMONDS Cail pRospect 6-1107 when work
CIVIC CENTER — WATER -SEWER DEPARTMENT is ready for inspection. 040 InsPer,
tions Saturday, Sunday or holiftvs.) N2 3207
SIDE SEWER PERMIT
. U h . .. ............................................................................................................
ADDRESS ------------- 15-*th ... 4y'e-T)'U-e ---- SQ t ------- --- -- --
OWNER ................. John..M....Lindhilad ---------------------------------- CONTRACTOR ----------- .............................................
Permission is granted --------- aecember__26 ...... 19.6a., for ----_-_--------------- days to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING: t to construct sewer inside property line. A licensed Side Sewer Contractor must
NOTE No. 1—The owners of the property may obtain a permi cover any portion of sewer before it has been inspected.
be employed to construct side sewer in street area. Do not
NOTE No. 2—Obtain full information regaxding 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 2%.
No bends in grade sharper than % will be permitted.
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 appur-
tenances except to insert the pipe into the wye.