21711 84TH AVE W (2).PDF111111111111
7928
21711 84TH AVE W
NOTICE:
vrar
Nb---warran-iy..o-.:a--cc
The information . shown on the attached
map(s) was compiled for use by the City Of
Edmonds, its Employees and Consultants.
Th.�e City of �Edm.qnds does not * warrant the
on these
accuracy of anything set for.th
map(§-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding th*e inform-ation shown on
I ited to
tHe -m a p (s) , Including, but not
b shown. Such
the lociation of any sewer stu
sewer stubs may or may, not exist and may
or may not exist at the location shown.
,,";ty of Edmonds nor its
Neither' the
e m pl- o-y e e-s o -r o ff i c e -r s -s h. a -'I* I b e !.`I a. b-lFe f o r t h e
information given on this map(s), nor for
tation provided based
any one represen
upon . said map(s).
CITY OF EDMONDS SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT
Call 775-Z5Z5 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.)
Avml , -,S� ...... . ...........................................
...... ..................................... ....
ADDRESS LOCATION OF CONSTRUCTION --------- ... .............
of..�, W01 Of SIJA 0f.Y1Qj/4..0LSet.0 .....
...... ....... i ........................ . ................. ...... ......... ...... ..........................
PROPERTY LEGAL DESCRIPTION ------- ------ !�t ........ 2� ... ! --- ---------------
V , V_ ... . ..................................................
"rTr . ..................................................................................................................
... ..........
.................................................. . ................. S"DMJ_It�,, C. FNIT
--- 011WERAND/OR BUILDER ............. y ......................... . .................................. .......................................................
........................ ....................... _' I,), r - - Ia.,; �-1 7, 9 '11cr
F. E. Bcch,�G.Old Co., P.0. Boy. , t .......................................
....................
CONTRACTOWS NAME & ADDRESS ------------------------------------ 7 - 4 ---------------------------------------------- - ------------------------------- h sanitary sewer
1 19 ........ for repair and/or connection of a side sewer to A e city
Permission is granted ................... - ------------------
..... .............
system in accordance with City of Edmonds ordinances.
AT/ \ 'ION IS CAM D TO THE FOLLOWING: ruct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct
Nd-_ I —The o ners of the property may obtain a permit to const
w rtion of sewer before it has been inspected.
side sewer in street area. Do not cover any po Permit obtajrrable from the city Engineer's office.
NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way
e 11.16.030 and Regulations governing side sewers when you get Permit.
NOTE No. 3--Obtain full information regaxding Ordinanc ne ; minimum grade of 2%. No bends in grade
NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property li
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 failure due to improper
work which may develop within one year of,completion. ed for in the permit, or to do any work on the main sewer or its appurtenances except to in -
NOTE) No. 6--It is unlawful to alter or do any other work than is provid
sert the pipe into the wye.
DISAPPROVED E] Date ... ....... .... ]URI
APPROVED t�' Date.. BY
Renwks: ---------------------------------------------------- - ------ / ..
.. . .......... By ---------------- Date ............... - --_-------------- 'BY ----------------
---------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------- - ---- I -------- * ---- ------------------------------------
..........
BOT . H Permit Copies MUST Be Signed By owner of Firm Perfonning Construction PRIOR To Request For Inspectio I n
........................ .... hereby certify that the side sewer installation constructed under this permit
c n rh
wner of Con g Firm Perfor ing construction) City of Edmonds.
W., st&IJeCdt, acco�rdan e *th all governing ordinances of the :19-9.1
Dated this --- ............. day of.-MAV ----------------------------------
Check BEFORE you dig for: Water [], Gas n, Telephone n, Power Ell sewer Ell Other
APPLICATION
ck, for
Th;'City of Edmon;',7--'C"'--;T Fyj�- 2-��4 1 2-Z I
EASEMENTNO . .................. ---------------- --------
SIDE SEWER PERMIT.
NEW CONSTRUCTION REPAIRS LID NO. ASMT. NO.'---(�.-
F- 4 --1 --,r7
OWNER ...
------------------------------------------ ----------------- -------------------------------- CONTRACTOR --------------------- ---------------- ---- ........................................ PERMIT NO . ....................
2-1 r-1 � � — eS� L�,\4 tE - O;��E
JOB ADDRESS --------------- ....................... ........................................ LEGAL DESCRIPTION: LOT N ------------------------------ .-- BLOCK NO - ------------------------------------
E
0
0
0
DITION.......................................................................................................................
Approved:
DATE AJ . ..... ------
-c ----------------- -------
APPUCATt*"
for
The City of Edmonds Smic SVw1c% PzRaw
EASENUa-rr No. ......
NEW CONSTRUCTION 0 REPAIRS 0
.............. r
OWNER Ad-teJ .... e— r ............................................... CONTRACTOR-4E, Ew, ...... 134-c-A -Id .............................. PER3ffTwo...4/7n.-.
A,DDR=s. ...... -..Jr.4 ................................ .........
LEGAL DEScRrpTioN: LOT No . .............. ....... ............... B1,101M No . ..................... I ......................
NAMEOF ADDITION' ................. .......................................................................................................................
S 13 t-4 F7',-, F N �g!%, q F Lo I Li v FT o F S oF
N J T4., /0 Q
7- F-r -Or F
RIEC EIVED
MAY 2 3 1974
Zk
ApprovW:
DATE, ............................ ..................................... ...... .........................
.70"oll
NOM
4
'EX I STfN p
.0
APt It 14 1 A
F.XISTIM(7
HMSE
-
(:-\/,I IST I N
DRIVEWAY
; . a �l n� 84 AVE W.
PLOT PLAN
Yl to"= I Fr.