21707 82ND AVE W.PDF111111111111
7588
21707 82ND AVE W
APPLICATION
The City of Edmonds far
SIDE SEWER PERMff EASEMENT NO - ------------- ---------------- -------------
NEW. CONSTRUCTION REPAIRS E] LID NO. .-P7:!�-.-ASMT. No. -�� ------
OWNER
........ -------------------------------------- CONTRACTOR
--------------------------------------------- PERMIT NO. 41-
JOB ADDRESS
_7.<�.7 ----- ---- ------------------------ - ----------------------- LEGAL DESCRIPTION: LOT NO -- --------- 40 ------------------------- BLOCK NO - -----------------------------------
.......................................................................... -------- ------------------------------------------------------------------------------
N'AME OF ADDITION ---- -------- - "/
7" .- , - ----------------------------------------------- ...................
91;2 xd w-
Approved:
DATE-------------------------------------------- By
APPLICATION
The City of Edmonds for
SIDE SEWER PERMIT EASEMENT NO - -- --------------------------------- - --
CONSTRUCTION E REPAIRS E] LID NO. ASMT. NO.
OWNER ...... - ------------- ------ CONTRACTOR -E?-�.,E� - -------- 1�!O� . .... t�-4 ------ PERMIT NO.
JOB ADDRESS LEGAL DESCRIPTION: LOT NO - ------ ------- (-7F-) ------------------- BLOCK NO - - ----------------------------- ---
0
0
-------------------------- ----------------------------------------------- ----
Approved:
DATE
y
---------------
NOTICE:
-ccuracy.
No-warranty�of a
ion'shown on the attached
The -informat
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of �Edmc)nds does not warrant the
-on these
accuracy of anything set forth
map(§-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the informat on sholwn on
tf�e -map(5),,..`-,t.ncIuding1 but not limited to,
Such
the loc'ation of any sewer stub shown
sewer stubs may or may not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
eMPjo.Y -,he
ee-s o-r officer-'-) -sh-a-11-1 be Hia.b.-le for
information given on this map(s), nor for
ion provided based
any one representat
upon said map(s).
CITY OF EDMONDS SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT 0 .
Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction,)
Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.
ADDRESS LOCAUON OF coNsmucnoN_ 21707 - 02-nrl. krn-mip. TATP_-,t
...............................................................................................................................................
PROPERTY LEGAL DESCRIPTION ........................ Lot 6, Oc!ans Addition
------------------------------- ............. ............................................................................................
....................... . .......................... . ................................................................................................................ . ...................... ............ ..................................................
........ ....................................................... 01*47NERU�MIOR BUI1.,DER ..... DONT --- Sr- =__ MR .. . ................................... .......................................................
CONTRACTOR'S NAME & ADDRESS ------- Bob AkI in ... B , ack , hou Ser , vi - ce ----------------------------------------- * ---------------------------------------------------- * ---------
---------------
Permission Is granted ........... . ........ ime
............... 5L - - ---------------- 19 --- 7.5, for repaIr and/or connection of a side sewer to the city sanitary sewer
sywtem in accordance with City of Edmonds ordinances.
Al-rJENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —The owners of the property may obtain 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—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office.
NOTE No. 3--Obtaln 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
shaxper 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 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 appurtenances except to in-
sert the pipe into the wye.
DISAPPROVEDE]
APPROVED
Date ... . ................ ........... By ................
Jpr,1 Date._.. - - /
/ . ...........
Date ......... By --_----------- Date ................ ................... By ................
B . . ....... .......................................................................................
Psoemaxks
....... . ...... . .... .................... . .. . .......................................................................................................................................................................
---------- ---------------------------------------------- . ........................... ..................................................................... m .......................................................................... .........
- I I
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
I ............................................................................ .... hereby certify that the side sewer installation constructed under this permit
(Owner of Contracting FIrm Performing Construction)
L]nstalled in accordance with allgoverning ordinances of the City of Edmonds.
.Dated thi -------- ........... day of --- 0
;5 ------------------ --------------------
Check BEFORE you dig for: Water [j, Gas 0, Telephone E], Power [:], Sewer E], Other F] V -�