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216 PINE ST.PDF11111111111111 12748 216 PINE ST APPLICATION City of Edmonds for EASEMENT NO . ..................... SIDE SEWER PERMIT CEO NEW CONSTRUCTION REPAIRS LID NO . .................. ASMT. NO. ----------- OWNER ,�4 F.4, . ...... . .... ................................... ......................... ------------------------ ---- CONTRACTOR -------------------------------------------- PERMIT NO. ............ JOB ADDRESS ---------------------------------------------- LEGAL DESCRIPTION: LOT NO._ -------------------------- BLOCK NO - ----------- ............. ----------------------------------------------- _nA ----------------------------- ---------- ----------------------- ------------------------------------------------------------------------------------------------- NAME OF ADDITION --- NZXN_rk(0t-A 4--t-T-r- 0V= EEC)t��Or= ----------------------------------------------------------------------------------------- : ......................... MGM -7 L -4-1 IV.C. ullp sl" _--mi g Approved: DATE ...... .............. By ----------- ------ ------------- -- CITY OF EDMONDS - SIDE SEWER PERMIT WATER -SEWER DEPARTMENT PERMIT Call 775-2525 for side sewer inspections BEFORE covering any portion of. the constru tion. Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday Inspeetcions.) ADDRESS LOCATION OF CONSTRUCTION ......... ?16 Pine Street .......................................... ............................................................................................................. Tni- 1 'Rlnr-Ic '; t'hp. 79- 6n, of the F. 1351 of Lot 1.2 ..................... PROPERTYLEGAL DESCRIPTION ....................................... 1 ....................... 7 ......... . ............. ..................................................................... I mnr-ic s, South Park Addition to the City of r-bnonds .1 ............................................. ............................... . ................................................ . . .................... . ........................................................................ . ............... ........ ................................................................ 01"WER AND/OR BUILDERJTN__K4ZC!S0X ............................................ . ....................................................... CONTRACTOR'S NAME & ADDRESS --- 16009 Worth Pleadowdale Road. E&T-onds' ................................................. . .............................. ................................................... Permission Is granted ......... Lln:: rCy: t � ........... ............. 19 ... 7 5., for repair and/or connection of a side. sewer to the city sanitary sewer s-,'-qm in accordance with City of Edmonds ordinances. ATTENTION IS CALLED TO THE FOLLOWING: NOTE No. I —The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to c6nstruct side sewer in street area. Do not cover any portion of sewer before it has been inspected. NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtain -able from the City Engineer's office. NOTE No. 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 coverage at property line and 12 inches inside property line; minimum grade I of 2%. No bends in grade sharper thaxt % will be permitted. NOTE No. 5--Trenches in street must be water settled and surface of street restored to original condition. Contraztors 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 except to in- sert the pipe into the wye. DISAPPROVED M Date ---- ----------------------------------- - BY .......... Date ...................... BY ---------------- Date ............... . ................... BY ---------------- ---------- APPROVEDDate ........ MA� J.-_< - -------------------------- By -------- ------------------ - --------------------------------------------------------------------------------------- Roearna,rks: ------- ----------------------------------- - -- - ----- :1 ................................................... . ........................................................................................................... ........................ 12\ ..... ............. . ........................................................................................ . .................................. . ....................................................... — BOJH Wrinit j0opj4e4(MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspebtion . . ... ..... ... .... ...... ................. .... hereby certify that the side sewer installation constructed under this permit r'-ViIV 9 Firm P 1i jwne n e rming Construction) 0 w� instal4in acr, rd e with all governing ordinances of the City. of Edmonds. Dated this ... .. .................... day of ...... 01 ---------_-_-------------- 19TS V j Check BEFORE you dig for: Water C], Gas E], Tel�phone E], Power 0, Sewer 0, Other E] -4 Af r The City of Edmonds APPLICATION for SIDE SEWER PERMIT NEW CONSTRUCTION P�- OWNER------- Aj -------- ------------------------- JOB ADDPESS _-2/6 ------------ /'-/`-Y(.-)� --------------- S ---------------- EASEMENT NO. REPA IRS [:j LID No /As NO. CONTRACTOR -- ----------- J. ------------- PERMIT NO. ��s ---------------- LEGAL DESCRIPTION: LOT NO . ......... ------------------------- BLOCK NO. ----------------------- ---------------------------- ........ .... ------ ------------- ------ NAME OF ADDITION .1-1-52de. --------------- DATE--------------------- ............... By ------------------------------------------------------------ INTER -OFFICE COMM U-1111_'�;A TIO NS DATE -February 26, 75 TO Harry Whitcutt FROM Bill Nims Building Official Assistant Engineer of Field Office SUE3JECT: Permit ADDlications for 216 and 220 Pine Street Per City Code, the permits cannot be issued at this time because sanitary sewer-s are not available. The developer must meet the engineering requirements of S-26-74, Item 8, Note 1. k/ WJN:mjr Attachments 4�' C�D