21604 78TH PL W.PDF11111111111111
15232
21604 78TH PL W
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PULOATION CARD No . ............
for
The City of Edmonds SgIfIF-ET
S11DE SEIVER PERMT
OUTSIDE E�� INSIDE E] REPAIRS EASEMENT No . ......................................
On kl)) // ? -
OWNER ."TA-�FZK ........ All-';: 3' rj ............. CONTRACTOR .... .......... PERMIT No.
STREET
HOUSE No . ....... 7 "r 1-�%f
.............. ........................................................................... AVENUE LOT No . ............................................. ........................ 13LOCK No . ...............................................
4$�r A4 NAME ADD . .............................................................. ................ .......................................................................
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APPROVED
Date Approved:
BACKFILL WORK ORDER ISSUE ................................... DEPOSIT, $ .............................................
DATE .5� ...... ;I ....... ....................
SEWER WORK ORDER ISSUED ... ...................................... .............. By
CITY OF EDMONDS, C-11 PR.P-It 6-1107 24 hours (plus
Saturday, Sunday and Holidays) be -
CITY HALL — WATER - -SEWER DEPARTMENT fore work is ready for inspection. 932
SIDE'SEWERTERMIT
ADDRESS .....
... ...... ....................... ..................
OWNER..... ....... .......... ......................................................
...... . ; ............. CONTRACTOR ...........
Permission is
granted
for .. ................... days, 0 REPAIR or CONNECT a side se
................................. 19
cc r wer
with City Sewers in a t
ith apprication on f, nd governing or"ance's.'
ATTEThION IS CALLED TO THE FOLLOWING:
NOTE No. 1—Th. owners of the Property may obtain a permit to construct sewer inside property I
must be employed to construct side sewer in street area. Do not cover any portion of sewe ine. A licensed Side Sewer Contraotor
NOTE No. 2—Obtain r..before it has been, inspected.
full information regarding Ordinance 11.16.030 and Regulations governing side sewers*when You 1. get permit.
NOTE No. 3—Top of side sewer must have at least 30 inches coverage at Property line and 12 inches inside
2%. No bends in grade sharper than 'Is will be permitted. Property line; minimum grade of
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. 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 ap-
purtenances except to insert the Pipe into the wye.
NOTICE:
No warranty of accuracy.
The information shown on the attached
map(s) was compiled for use by the City of
Edmonds,, its Employees and Consultants.
The City of'Edmonds 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
the -map(s), including, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
employees or officers shall be lia-b-l-e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).