21620 81ST AVE W.PDFIIIIIIIIIIII
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21620 81 ST AVE W
10
'STREET FILE. APPLICATION
for
146 City of Edmonds SIDE SEWER PERMIT EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS 0 C4-7-)
......................... .............................................. . .............................
OWNER ........................................................................ ............. CONTRACTOR . .................... PERMIT No . ......................
ADDRESS ...... ..... ..............................
....... WE-.Zl LEGAL DESCRIPTION: LOT No . ................... ...................... BLOCK No . ............................................
......................
NAME OF ADDITION.. ...... tN'N-N ....... ..............................................................
I
RaV F-Xcs�r->
.................
I.,
.,The City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS 0 EASEMENT No . ..........................................
0 L16 /ZZ
------------------ --- ----------------------------------- PERMIT No. A-J.t�.
0 Vir N E R // ------- .. .......................................................... CONTRACTOR../
ADDRESS ...... ........... .......... LEGAL DESCRIPTION: LOT No . ....... .. . ................................... BLOCK No . ............................................
NAME OF ADDITION .........
J6 --- Y ....... ----- —?t" *** ..................
RECEIVED
APR 8 19714
Approved:
DATE................................................ By ......................................................................
NOTICE:
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of �Eclmonds does not warrant the
accuracy of anything set forth on these
rnap(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the informa tion shoWn on
_tFe -map(s), including, but not limited to,
th I e 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
e m pl- o-y e e-s o -r o ffi c e -r S-) -s h a 11' 1 b e V' i a. b-'Fe f o r +L h e
information given on this map(s), nor for
any one representation provided based
.upon said map(s).
a
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT 7?" 4612
IJ4
Call 775-2525 for side sewer inspections BEFORE co ering any portion of the constructiz.)
Inspection will be provided within 24 hours after requslv� NO Sat., Sun., or holiday inspections.
............................................................................................................. . .......................................................
ADDRESS LOCATION OF CONSTRUCTION. 21623 - 81st AVe
PROPERTY LEGAL DESCRIPTION ........................ L ... q. t_ --- No. 3 Joy i-,.nvi Park
..................................... ................................................................................................................
.................................................. . ....................... .......................................................................... ................ ......................................................................................
---------------------------------------------------------------- OWNER AND/OR BUILDER ....... Johnson
.................. ; ................................................... . .......................................................
Russ Johnson, 1600� N.'NeadcAale Road
CONTRACT`OWS NAME & ADDRESS .......... ............................................................................ . .............................. . ...........................................................
%nission Is granted -------- ------------------------- 1 197�_., for repair and/or connection of a side sewer to the city sanitary sewer
n in accordance with Cit'y' of Edmonds ordinances.
Ar.—TION IS CALLED TO THE FOLLOWING:
NOTE No. I —The owners of the property may obtain a permit to construct sewer inside pmperty 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—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtadnable 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 of 2%. No bends in grade
sharper than % will be permitted.
NOTE No. 5--Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for fallure 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 Date . . .....
;R( - ByA-C---- Dt ........ ------------------ P., Date ............... . ....
APPROVED Date
...........
X /i�4 -----
Remarks: ...... ... wl
. . ... . .....
............................... - ------ ..................................................................................... . .................................. . ............................................. .........
__42� .............. I
BOTH�PernqA C+ieshIRST Be S!Paed By Owner of Firm Performing Construction PRIOR To Request For Inspection
ing _ Con - str - u. . ctio - n .... hereby certify that the side sewer installati constructed under this permit
all n a ng ordinances of the City of Edmonds. 7
Dated this .....
... . .... . .......
_q ------------------ day of. 6w4/ ..................................... 1!��j
V V Check BEFORE you dig for: Water [], Gas E], TeleAone E], Power-7 Sewer 0, Other [:] %/ V