21527 89TH AVE W.PDFiiiiiiiiiiii
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21527 89TH AVE W
APPLICATION
for
The City of Edmonds SWE "W= PMMT EASMIENT No.
FMOONSTRUC77ON 0 REPAIRS 0
ONMERR .. ..... ....... - ---------- & ------------ Ian-
.......................... CONTRACTOR ....
T--a 7'r
# ....... LEGAL DESCRIPTION: LOT No . .............. ...............................
ADDRESS d_-0-2 .... --------- BLOCK No . ............................................
NAMEOF ADDITION -------- ow-'r . ....... ........ ( .. . .................... ..........................................
14a
Approved:
:3
DATE .... /
t� -
7-0 99,6'
d-
/7-) A
..............
-----------
NOTICE:
-al
Y__
-Nb"Wa r-ra n y...,,D.
The -inform ati o n'shown on the attached
map(s) was compiled for u-se by the CitY Of
Edrnonds� its Employees and Consultants.
Th,..e City of "Edm.onds does. not. warrant the
these
accuracy of anything set for.th on
rn a p A n . y person or entity *requesting a
copy should conduct an independent
inquiry regarding the info*rrn - ation shown- on
tRe -map(s)l including, but not limited to,
the lociation of any sewer stub shown. SUC
sewer stubs may or may, not exist and may
or may not exist at the location shown
ts
Neither the City of Edmonds nor i
ernpl-o-yee-s o-r office-rs -sh-a-1.1 be 11a-b-[e for the
information given on this map(5), nor for
e representation provided based
any on
upon said map(s).
CITY OF EDMONDS - SIDE SEWER PERMIT
WATEWSEIVER DEPARTMENT
PERMIT
4
Call 7�76-1107 for side sewer inspections BEFORE covering any Portion of the ion,
- NO Sat., Sun., or holiday inspections
(Inspection will be Provided within 24 hours after request construct'
ADDRESS LOCATJ[ON OF CONSTRUCTION
PROPERTY LEGAL DESCRIpTION ------------------ * -------------------------------
.................................................. . ...................... . ........................................................................................ . ...........................................................
. ...... ............................ ..................................................
---------------------------------------------------------------- OWNER AND/OR BUILDER
CONTRACTOR'S NAME & ADDRESS
Permission Is granted ......................................................... , 19 for repair and/or connection of a side sewer to the ------------------
systeim in accordance with City of Edmonds ordinances . ......... city sanitary sewer
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —The owners of the Property may obtain a permit tooconstruct sewer inside property line A licensed Side Sewer Contractor must be employed to construct
side sewer in street area. Do not cover any Portion
TE No. 2—All work Performed in city right f sewer before it has been inspected',
_)TE No. -Of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office
3--Obtain full information regarding Ordinance 11-16.030 and Regulations governing side sewers when You get permit.
NOTE No. 4—Top of side sewer must have at least 30 inches cove ge at property line d 12 inches inside property line; minimum grade of 2%. No bends in grade
NOTE No. --sharper than 'A will be Permitted. M an
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. 6—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 appurtenances excent in in-
sert the pipe into the wye.
DISAPPROVED Date ... . ................................... By ................ Da _ z
— -----------------
APPROVED Date --- ......... ------------------ B ..... . .......... By ..........
Sly Date ............... - --------- ......
Remarks:
................................................................................... .......................................................
........................................ ............
rf rm .........
Pl�� ALU�ST J:Se Signed 13Y Owner of Firm Pe o ing Construction PRIOR To
Request For Inspection
0 ner --fcrming construction) stallation constructed under this permit
was lnst��Ied_(i_po_ ------ hereby certify that the side sewer in
In ace ance with all governing ordinances Of the City Of Edmonds.
ated this..._,_-?.4� ---------- day of ........ 01-.4—te
Y11 (ug lor: Water 01 Gas EJ, Telephone E], power E], Sewer 0, Other E] ...... V ......... N