21609 85TH PL W.PDFIIIIIIIIIIII
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21609 85TH PL W
al L I
'IDS -��--SJIDEIF
CFT,-YY_*-�1,GjF EDMIGM, PER
SEWER, ' Milt.
!,WAT!� _% SEWER',D
EVA' MENT�
ERMI TT
JP� �z
a
.,(.Call: 7,76-1,107.. for sidi -4er in.j�ldti.ris �'-JIEJ�-O�k-,qo�e�fng.'�any i' ortic; of'. the -cons I truct
P _n , iony
thours�,aftei' requ�s' NO' Saiti._, Sufi:, or hollday� inspections.
'�nsp n will'be -provided-, w 21 t.
_ectio. ithin
-609
ADDRESS�'-Ll O'C AMN'io -CONS AuwvON.-:�' 21 P1aceM6$t--_*-;` J_ mon s,,, WaW-rigton
F T ...................... I ............................... ....................................... ......... ...... _...
................................
rk..
"PROPEiLiYU�GAL ',�DESCRIVTFON .....................................................
Lot'.,:7. �- Andorsoiv;h
.............. ....... .................................................
V
..................................
. ... ........... ................ .. ............................ .............. ..........................................................
. ..............................
ow''N9A., /OR. HANSEN HOMES:-.
; E ........................................................ ............... ........................... .
......................................... ................. AND BUILLD R
1.� 1 1. ' . , �� "�:_I)�' _. ;1, -, - , * � . . . ............ ......
I ._1:, - % h a 'T lo I - Sto-vens Wash..
� -.1' , . �'� r' �' L e fe rs- . Tolk s a. t 1 Q h s Q 'r x 621" L�ke
CONTIVACTOW&NAME'A AIDDRESS ......... ...... r�..'A�
................ ..........................................................
. ............................... ..................... ........ ...........
19..L'L�for-repa "of' sid se er to .th
Pennission, Is granted . .............................. ir ��d 01 W
e city �sanitary sewer
.s3—stem -im accordance I,Y of'Edmonds,ordinances.
..with C. t
�ATTENTION TO THE FOLLOWING:
NOTE No. 1—The�own�rs of -the, -property'MELy obtain a,permit to conseiuct sewer Inside property"li�e'. 'A licensed Slde7 sewer ContrEictor must 'b�' emPlo ed to construct
side seWer.,in street area. 'Do xi�t cover any-pox-tion of dewdr before it , has 1be,e_n;inspected.` y
WE No. 2-411 work �performed in city,:rl.ght-.of-way,req�ires,an.' Inva6lon of RJght-of-Wa�.Pe�mi�:obtalryable f - rom the City Engineer's .- offf . ce.
JTE, No. -3—Qbtain full. information� reiaxding ordinance. li.16.030.and Regulations, goverp!ng.side sewers when you,get permit,
�.-E No. 4—Top,of side sewer rnust'ha�,e ;aUlekst 36 inches. coverage . atr,property line��and'-12 in'ehes:inside property line; minimum-grade..of -2 Njo ibends in'; grade.,
sharper than -1/8 will be permitted.
`N 0 -LTren ches:ini,stre et -,must be�, . rface-of 'B_t�eet�' rest ored to-briginiLl �con , d Ition. ':Contrac
TE"No; .5 water settled and su tors ;shall be responii1ble for failure 'due 'to -improper
�,w6rk'whlch may devel6p%,�,itfiin �one,year`of compl6ti6n.,
NOTE No. aiter.,or do rl�,,'Ahari Aw provided for in the;,permi or ito. do any-,,NKork on:Ahe main sewer%or"its, a purtenances except',to* in-
7�any other w 0 t, P
�sert,tfie,,pjpe: �fito`the.,wye,�
S
61 ARPROWEI?!.-,�E] Pate ........... .................................. :.,�,J�y ........... Dzt6—.: 13
By: ... ......... Dat 7..
3y... ...................... ............ ..........................................
APPROV Ej?--Da .................. ms�.� .......... I y .. :�
ED: ............. .
7
............
......................
................ ... ............................ ..................................................... ......... ....... .........
7,
............................................... ................... ............. ............ ........................... ......
............. ...... ........................ .................................
-BOTH: Permit 'Copie -M ST.�Be:Sigried'.-i3"*�bwner'o'f- strticti6ri, PRIOR To' -1
sL U _y� �Fi on'. Aeciuek'�Eor-'-nsnecti6n
......................... !hereby c�itii�y�;�h*di--,-�lie,�side,se'wer:install'a4oii�,constr'uc -e -,un er'
his
d' - - ,perrl�ilt
....... g. Constrti�tiorr)' 4t
`(O�;nerof ;Contracti, zii.
City
I'�;wa��'i'li�t,ill6d�in�a6corda:if6drNV.itli,�11--,'iov6rnihg�r�indiiqes',�of,:t-*]�e� .,of8ilffio�ds'
d'
Date ilav" of ........... ai_7
A;. ...............
The City of Edmonds
APPLICATION
for
SrDE SEWER PERMT
STRM7H!, NSTRUCTION jTREATJ4AEf,,7 PL, A UN T EASEMENT No . ............... ..........................
REP
OWNER -------........... .......................... .............. ............
CONTRACTOR .......... - - — ------------------- ............................. PERMIT NO
ADDRESS ...... ......
LEGAL DESCRIPTION: LOT No . ............. -----------------------------
BLOCK No . ............. ...............
NAME OF ADDITION ............... . .........
P
Approved:
..........
. ............. 7 .............................
4-4
-t
I I
NOTICE:
KFn vA/Prrantv o
The -information 'shown on the attached
Map(s) was compiled for use by the City Of
Edmonds, its Employees and Consultants.
The City of �Edm.qnds does not ' wa rra nt t,
accuracy of anything set for.th on these
map(s). Any person or en.tity -requesting a
copy should conduct an independent
inquiry regarding the inform - ati on shown on
_tF�e -map(s), Including, but not limited to,
the lociation of any sew-er stub shown. Such
sewer stubs may or may- not exist and may
or may not exist at the location shown.
Neither the City of Edmo'nds nor its
I h. a. I. I b e 11 a. b.-II.-e f o r -,I h e
empto-yee-s o-r off ice,rs *s
i n on this map(s), nor for
information g ve
ov'ded based
any one representation pr I
upon . said map(s).