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21513 92ND AVE W
APPLICATION
for
The City of Edmonds SIDE SEWER PERBUT
NEW CONSTRUCTION 0 REPAIRS EASEMENT No . ..........................................
110-09550
OWNER.............. L-UG.fl.l-e-Jl.e]-S.Qa ........................................................... CONTRACTOR ................................................................................................. � PERMIT No . ......................
ADDRESS ......... 2.1-5-1.3 -- - --- 92ad--AvQ.-..J;j ............................................. LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
11
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NAMEOF ADDITION .........................................................................................................................................
Dye Tested On sevier 1972
Approved:
DATE................................................ By ......................................................................
0
NOTICE,
�-a ccMu
t— _- r
No wa r.r an t. y ... ot -a--CCU,
The inform ation'shown on the attached
lied for use by the City Of
map(s) was comp
Edmonds, its Employees and Consultants.
Th,..e City of 'Edm.onds does. not. warrant the
n these
accuracy of anything set for ' th o
m a p (S"). A n . y person or entity -requesting a
copy should conduct an independent
orm'ation shown or
Inquiry regarding the 'nf*
tHe Map(s)/ including, but not I'm*ted to
'c ion of any sewer stub shown. Sud
the lo' at*
-not exist and may
sewer stubs may or may
or may not exist at the location shown.
its
o n '.,4 -./ & I -
-it y o f E cd, m ' ris n o r
Nei -their tihe �, I ice-rs,shalrl be 1--i a. b-IF e. f o r t h e
empjo-yee-s o,r off'
information given on this map(s), nor for
ov-ded based
any one representation pr I
upon said map(s).
a
APPLICATION
The City of Edmonds for �2 6 ISwO
SIDE SEVVER F=N"
EASEMENT No.
NEW CONSTRUCTION Zj-- REPAIRS
L
OWNER.. . ... ... .............................................. CONTRACTOR .................... ................................ PERMIT No..
S ...
ADDRESS ................. . .. ............ LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAME OF ADDITION ...... ..
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724 e - U,)e-S7- AM 7He-ROF
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DATE ... i7n22.!7.454,Fn ...... By �--
'CITY OF. EDMONDS
CEM Call PROSPect 6-1107 when work
TER — WATER -SEWER DEPARTMENT Is ready for Inspection. (No Inspec- 0
lions Saturday, Sunday or lielidays.) N_: 2841
SIDE SEWER PERMIT
ADDRESS...........................
OWNER ................. �UCille Nelson OR Western Sewer
................................................................... CONTRACT
Permission is granted ...... M.a. ... r --- c.h. ..... 2� 1 ................... 19fi.p., 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:
NOTE No, I —The ,,nor. of the properly may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer in street area. Do not cover any portion of sewer 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 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.