21617 88TH AVE W.PDFIIIIIIIIIIII
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21617 88TH AVE W
ILE APPLICATION CARD No . ......................................
ME for
The City of Edmonds SIDE sEwEn rERWr
.. ...... ......
OUTSIDE)� INSIDE Ej REPAIRS F-1 EASEMENT No . ................
C> ... ........ '4 - /,/I
----------- . . ........ -.4 — CONTRACTOR F.4L.4�r ... ----
OWNER ..... ia ............. 1, v..z.A.4-4 STREET ... PERMIT N,.(��� -------
HOUSE.................................................... AVENUE LOT No . ............. & --------------------------------------------------- BL40CK No . ...............................................
NAMEADD . ..... Q . ...........................................................................
A*
4W
I /
films
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. . - . . . . . . . . . . . . . . . . . - voe 1"�-14 1�4)e— I k-'
Date Approved:
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ .............................................
SEWER WORK ORDER ISSUED .......................................... DATE .2. ....... A ........ I ..... ;lf�4 By ..... . .....................
i�l
APPLICATION
for
The City of Edmonds STREET FLE SIDE SEM9M PERMT
;� OUTSIDE 0 INSIDE REPAIRS
oq
V f
OWNER............................ ............................................................ CONTRACTOR ..................................
STREET
HOUSE N�'10-11 .......... . ............ 15,0--) ....................................... I ........ AVENUE LOT No . .........................
A/(- / 7 — AerwAw, 4J. NAME ADD . ......................................
Date
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ .................................
SEWER WORK ORDER ISSUED ..........................................
Approved:
CARD No.
EASEMENT No - -----------------
.................................................................. PERMIT No.
............................................. BLOCK No . ...............................................
DATE.....................................
BY-----
0
NOTICE:
N'0w`all!:� r a n Y
ation on the attached
The -inform
map(s) was cO.M.piled for use by the GtY Of
Edmonds, its Employees and Consultants
Th,e City of 'Edmonds does. not . warrant the
et forth on these
accuracy of anything s
Map(s�. An . y person or entity -requesting a
copy should conduct an independent
inquiry regarding th-e info*rm-ation shown on
__fff�2 -map(s), including, but not limited to,
-er stub shown. Sucl-
the lotation of any sew
-sewer stubs may or may- not e.xist. and may
or may not exist at the location shown
Neither the City of Edmonds nor its
empl-o-yee's O*r offi-ce-rs -shal-1 be I-Jab-[e for the
information giveh on this map(s), nor for
any one representation provided based
upon said. map(s).
CITY OF EDMONDS
Call PRospect 6-1107 when ork
CIVIC CENTER — WATER -SEWER DEPARTMENT Is ready for inspection. (No I wpec-
as
SIDESEWER PERMIT tions Saturday, Sunday or holidays.) N2 1376'
ADDRESS........................... 1.Q1.1-.--:!--15.th..Aven.ue ... South ............................................................................................................
OWNER ......... RP -It --- RQMeLS ............. ....................... .................... CONTRACTOR ..... B ... --- C.QU.tr.a.CtQr-$ ...........................
Pennission is granted .—Fahruary. ---- 1 ............... 196-6-, for ...................... days, to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CA.LLED TO THE FOLLOWING:
NOTE No. 1—The owners of the property may obWn a permit to construct sewer inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer In street area. Do not cover any portion of sewer before it has been inspected.
NOTE No. 2--Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 3—Top of side sewer must have it least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%.
No bends in grade sharper than % will be permitted.
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. 5--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-
purten&nces except to Insert the pipe into the wye.