21516 86TH AVE W.PDF11111111 lill
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21516 86TH AVE W
NOTICE:
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No -w-a r.r. a h V 0
The -information'shown on the attached
map(s) was compiled for use by the City Of
Edmonds, its Employees and Consultants.
Th.e City of �Edm.qnds does not . warrant the
accuracy of anything set for.th on these
map(s). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
tffe -map(s)., including, but not limited to,
-er stub shown. Such
the lociation of any sew
sewer stubs may or may- not exist and may
or may not exist at the location shown.
Neither the �ity of Edmonds nor its
empl-o-yee-s o-r officle-rs be 11a-b-1--e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
APPUCATION
for TREATMENT PLAW
The City of Edmonds SIDE SEWER PERM- EASEMENT No . ..........................................
S NEW CONSTRUCTION El REPAIRS 0 Z
OWNER.............................. ............................................................................... CONTRACTOR ................................................ ................................................. PER11IT No.
ADDRESS ....
....................................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ......................
... .......
NAME OF ADDITION
Approved: Cz>
DATE ...
... 22� ..... ........... 4 . ....
........... ;,;Wl.
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MD �.Sli!REI!.Sf SPER.-, ',,E- jM
APMW�`ZKwo NOMAD -'7
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'WX,iER�$EW�ER.�,DtP.A'Rl.r4,El4T*'*
PE-RIV.
[IT
-o the constr�c ?n;%,
Lll;'476'-252i� for s d eW inspections. �BEFORE covering, any portion
A: CE e -s er:*
Inspectl , 6n will 66 p royided withiri,,.24',hours afte I r requst.Tm. S'st., Sun., 0 holiday Insp:ectib
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rl
Afth Avpnjjp-� Wp.q
APDRESS,,�,L&CATIOY:OF CONSTRucTI
ON ............................................................
'PROPERT-Y AL.'�DESCRIPTION.: ................. ..........
..................................................
.................... .
..................... ................... .....................................
. ..........
................................................................................ ................ ...........
. .......................................... ..... .... ................... I ........ ......... ....................... I
RAY HAWKS.
............................................... ........... 019
YWNER AND/OR BUELMER ........................ .............. ....... ...................................
'10'T WSNAr4h�'&-AbDREss ... ... W.A ..................................................
.. .. .... ..... .. .... ...
Peiml' ion Is granted . ....... ............. ................ 197-5.... for repair and/or connection of a side 'sewer to th ;city -Sanitary sewer
acco"' nce I
r .,��,,,Cfty 6LIddmonds -ordinances.
'A N T�, 1.6 b � k Li, E D 0 i 'T H E L 4 0 W, I N G
.4;N'i -S I
Thej'6wnem.
_:1,",-NOT&,,No.,11 8e. 'obtain. a permlt*,� to, construct sewer inside property�'Ilne.,' kjicensed! -Side Sewer Contractor must: be employed' to *construct
r, ' -,�,Nide�sewer. iw street'; cover any� portiow of sewer before It has been inspected.
2", ] , . I 1 .1 1 .
t— , erformed7.A ght-o -way requlres� an lnvaalonj�of PJght-of-Way Permit, -able'-from the City Engineer's office.,
lj�fqr .,p in 'elty,:rl f
obtain
0 .
i"tloi�,�-�eg�rdlng Ord I nance 11. 16`030 and' Reguldt ions governing sldiei sewer's.when you 'get. permit.
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4sewer-.,m'ust %have at least 30 inches coyerage,--at Property line and, 12,An'ches Inside- property line; minimum- grade of 27,�.,-eNo �,bends,ln, grade
1�0
TE,,No�;4
e�permitted.
'.shCLrperjthkn,, !&,will�%
I�OTE�,No;-, &t-,Trenchesjjn�A�det- must- be water -settled and surface -of street rest*
ored to original condition. Contractors shall be responsible for, fallum diie to Improper
yo)—rk wh!,J� 'insy,develop, within, one year of cory�pletlon*
w
It
t Is n o'alter or'.do any other work than Is provided for in the permit. or to do, any work on the maJn sewer or its ap�urtenances_ except tQ in-
-NOTB;P, I IaWfu.L4
ert tg_
n
Bert tier, �ipq�l to the wye.
Date B y* ................. Date ........... ........ B D te.� ...
-By ................
77 7 a . ... ..........
Date:.'. ...... ..........
............ .......
W,
........ Or ............................ .......... A t�- of - AM t Rpniji rp
Rbmai sthat, N�rMlt
AP MP, , ... ..... ..
;PROX
.7W ... ................................... ..................................................................
................... ............ ........ ............................................................ ................. W .................... ................. : ................................. ......................................................
OTH'i� rm t. opies,*MUST'Be Signed'By Owner of Firm Perforrr�i4k,Construction PRIOR To Request� For Irisptetion
'-i C
hereby certify that the side.,sew.er installdtion �c6n4ti-U'Cf�edi,li�'A6�.,�this, p�rmit'
.......... .
f ..... &ns ruction),
Contracting. Irm m n
ns
;aC66rdance�with all governing- ordinances, of. the City'.of Edmonds.
this! ......... ..... .. . day 0 ,�,ty ................
Dated ...... .......
L/
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-,6he*ck, BEFORE you dig for:.,Water. T6 cphon P 'r E], Sewer/0, Ot��r.
0; C��as� El 1 -0 El, Owe
APPLICATION
for
The City of Edmonds��-,-,q-,
SIDE SEWER PERMIT
EASEMENT NO . ......... ..................................
NEW CONSTRUCTION REPAIRS E] LID NO . ............ ..... ASMT. NO
------------------------------------------------------------- 10 tsZT.1
OWNER--- ......... ....... CONTRACTOR' _.p ............................................................................ :--PERMIT NO. _----------------
T�-
JOB ADDRESS --------------- =.
.................................. -------------- LEGAL DESCRIPTION: LOT -NO . ............... ........... -BLOCK -NO . ...........
NAME OF ADDITION
DATE ---------- . . . ...... B,
--------------------
APPLICATION
��� ��� �� ��mm���� �� '
^^^~ -^ ~^ Edmonds 8�S��{�Y47I�(l
SIDE SEWER PERMIT -'------------
NEW CONSTRUCTION REPAIRS LID NO. T NO.
-------------------
CONTRACTOR PERMIT NO.,-:-
`
/
\
/
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NAMEOFADDITION ------------------------------------------------------------------------ --------------------------------
|
. .
' RECEIVED
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DATE----------------------- -------------------- B/ ------------------------------------------------------------