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21431 86TH AVE W
APPLICATION
for
MEUNF
The City of Edmonds 41EIDE SEWER PERNaT
TRUCTION g,--' REPAIRS
OVv'PMR ..........................................................
ADDRESS ...... ) ...................
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EASEMENT No . ..........................................
CONTRACTOR ...................................... PERMIT No.
LEGAL DESCRIPTION: LOT No . ..... 1p .................................... BLOCK No . ............................................
NAME OF ADDITION ..... 1j[?4a4ke.ke4.-.,.0 ..........................................................................................................
Approved:
B e&..�L ....
Water Service Drawing
The City of Edmonds
EASEMENT NO . .................................
NEW CONSTRUCTION [:1 REPAIRS 0 LID NO . .................. . ASMT. NO . . ...... .........
Nil m -Z. 0.07zptp
Ar *j CONTRACTOR . ...... .. .. PER , T 0. 0
..30kW
OWNER ... . ........................................ . ..
LEGAL DESCRIPTION: LC T NO . ...................................... BLOCK NO . ....................................
JOB ADDRESS .... LvIN-51 ........ ..................
PWW-00ul -11175 (REV.11 1178)
NAMEOF ADDITION ............................................................. ............... ......
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DATE ..... ............. By ..,t;..4 ......................................... ---------
NOTICE:
w- a r r a �Y- - 0 - Fa.-C C -U. Fa7U'T�
-N'o ached
The information shown on the att
map(s) was compiled for use by the City of
Edmonds; its Employees and Consultants.
Th.e CItY ofEdm.onds does not - warrant the
accuracy of anything set for.th on t . hese
Map(�-). Any person or entity *requesting a
copy should conduct an independent
ation shown on
inquiry regarding the inform
tHe -map(s), Including, but not Jimited to, -h
th . e location of any sew-er stub shown. Suc
sewer stubs may or may- not exist and may
at the location shown.
or may not exist
Neitheir the city of Edmonds nor its
1. 1.1 be 11a-b-Fe for the
emp*lo-yee-s o-r offi-ce-rs -sh-al
information given on this map(5), nor for
tation provided based
any one represen
upon . said map(s),
CITY OF EDMONDS Can pRospect 6-1107 when work
CIVIC CENTER — WATER -SEWER DEPARTMENT is ready for inspection- (No In"Pec-
tions Saturday, Sunday or bolids,".) N2 3244
SIDE SEWER PERMIT
ADDRESS----------------------------------------- q?� ... . ...
OWNER.......... .............................................. COMI'RACTOR --- ------------------------------------
Permission is granted ---- ;�? --__-------- _' 19..!�9.' 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: sin a permit to construct sewer inside property line. A licensed Side Sewer Contractor must
NOTE No. 1—The owners of the Property may obt Do not cover any portion of sewer before it has been inspected.
be employed to construct side sewer in street area.
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 2%.
No bends in grade sharper than % will be permitted. street restored to original condition. Contractors shall be responsible for
NOTE No. 4—Trenebes in street must be water settled and surface of e year of completion.
failure due to improper work which may develop within on
NOTE No. 5--It is unlawful to 'Uter 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. .