21629 82ND AVE W.PDF7586
21629 82ND AVE W
APPLICATION
for
,The City of Edmonds SWE SEVVER PElwT EASEMENT No . ................................
NEW CONSTRUCTION 0 REPAIRS C-]
L)D )y
----------- 4e-� . ......... A�!�A.Ap�c ...... ...........
OWNER .-Zt,2,r . .... ....... ----------------------------------------------------------- CONTRACTOR A. PERMIT No. 4_7
ADDRESS ...
.......................................... LEGAL DESCRIPTION: LOT No . ......... 6 .................................. BLOCK No . .................................... ......
NAMEOF ADDITION .... ........ A,�ll ............................................................................................
Al� Approved:
DATE------------- ---------------------------------- By ----------------------------------------------- * ----------------------
APPUCATION
for
The City of Edmonds vrwiLE -EASEMENT--NO.
STf TW+.,tT SIDE SEWER PERMff . . - 1 1 4:� 12, No. -
NEW CONSTRUCTION REPAIRS LID NO. --------------
- - ------------------------------------- - \.N. -'PERMIT- -No
- ------------------------- I -------------------------- C01+17RACTOR ------------------------------------------------ - --- ------------
- ------------------------------------------ --------- - - --- LEGAL-DESCRIFT1,19N: LOTNO - --------------------- :: ........ BLOCK NO.
JOB ADDRESS ...
0
0
11
------------------------------------------------------------------------------------------------------------ -------------
--------------------------------- ----------------------------------------------------------------------------------
woved:
... .......
--- - A --------
IrE Ale'l"t ------ 2-3 - BY ZA ---- --- 6 1/
N
NOTICE:
Nb--warrantyof a-ccuracy.
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.onds does not ' warrant the
accuracy of anything set for.th on these
map(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
t-Fe -map(s), including, but not limited to,
th'e location of any sewer stub shown. Such
t and may
sewer stubs may or may, not exis.
or may not exist at the location shown.
nor its
Neither the City of Edmonds the
_'). h a. ` -a.b.-I-e for
e M p]-o-ye e-s o-r off icle,rs I b e
information given on this map(s), nor for
ion pr
any one representat' ovided based
upon . said map(s).
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER-SEVVER DEPARTMENT
PERMIT
Call 775-2525 for side sewer Inspections BEFORE covering any portion of the construction.1
Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections -I
AJMDWSSLOCATION OF CONSTRUCTION ----------------- ............ I ........................................................ ................... . ... ........... ...........................................
,0019WY LEGAL DESCRIPTION ................... . ................................................................. . .. . .. . ...... ....................... . ................................................... ...
- --- — ---------- - ------------------ - ------ - ---------- - ---------- - ---------------------------------------------------- - - I ------ I --------- - -------------- - ------- -------------------------- - ----------------------------------------------- ---
-OWNER AND/OR BUELDER ............................. 6 ........... ; . . .................................. . ........................
- — ------------- - ----------------------------------
001020ACTOR'S NAME & ADDRESS ...... : . ...... . ................... .................................................... ............. ......... ............. .................................................
= im Is for repair andlor connection of a side sewer to the city sanitary
Arauted ............ ..... ...... ............... 119 ......
in ac6ardanoe, with My of Edmonds ordinanevs.
ATTMSWWN IS CAIJAD TO THE FOLLOWING:
NOTX No. I—Tb* owners of the Property May obtain a Permit to construct sewer Inside property line. A licensed Side Sewer Contractor must be employed to c
9W sewer in street aft&. Do not cover any portion of sewer before it has been Inspected.
Sim 2:— 4
::A�lk performed hi city right-of-wav requires an InvaAion of Right -of -Way Permit obtainable from the City Engineer's office.
-.4 340. 114 full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTIS No. 4-7bP 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 trade
. she per than % will be permitted.
XOTX 100. 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.
NOTS So. 6—It is unlawful to alter or do any other work than is provided for in the permlt� or to do any work on, the main sewer or its appurtenances except to in-
nert the pipe into the wye
DARANIMOVED 0 Date ... . ........... .................. . ... By ................ D
B; By ---------------- Date .............. . .. . ............... . By ----------------
2- Z
y ..
AMOOVED, JK Date.Aw. / ..... Z-3 .......... 7 ---------- .. . .. . ............................... ............................................... .......
Remarks: ......... ... ... ........................................................... . ...................................... . ...... . .. --- - ---------------------------------------------------
- - ------------------------- ----------- ------------------ - --- ------------------------------------------------------------------------ - -------------- - ----------------------------------- -- - ----------------------------------------------
BOTH Permit Copies 7T Be Signed By Owner of Firm Performing Construction PIUOB To Request For Inspection
I hereby certify that the side sewer installation constmeted under this permit
------- i &-er-4-ContnRcting Firm -------------------------------------- ----
Performing construction)
wa- 'led in accordance with all governing ordinances of the City of Edmonds.
Dated this .......... 1-2 ........ day Of .......... .................... --., 19
Check WiFORE you dig for: Water [3, Gas E], Telephone 0, Power [], Sewer 0, Other C]