21717 82ND AVE W (2).PDF111111111111
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21717 82ND AVE W
NOTICE:
No warranty of accuracy.
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of �Edrnonds does not warrant the
accuracy of anything set for ' th on these
map(s). Any person or entity -requesting a
copy should conduct an Independent
inquiry regarding the information shown oi,
_ffe -map(s), including, but not limited to,
th I e location of any sev\/er stub sho\A/n. Sucl-i
sewer stubs may or may not exist and may
or may not exist at the location shown.
Neither the C-ity of Edmonds, nor its
e rn p! o-y e e-s o -r o ff i C e *r s h. a. 1. 1 b e 111 a. b..11. e f o r h e
information given on thi,5 map(s), nor for
any one representation provided based
upon said map(s).
CITY OF EDMONDS SIDE 'SEWER PERMIT
WATER -SEWER DEPARTAIENT
G
PERMIT
caii 775-2525 for side ewer inspections BEFORE covering any Portion of the construction.
Inspection will be providsed within 24 hours after requst. NO Sat., Sun., or holiday inspections.)
ADDRESS LOCATION OF CONSTRUCTIO11T ......... 2 1 _71 T..—
................ ......... .................................................... . .......................................................
PROPERTY LEGAL DESCRIPTION ........................... UlLan
....................... ....................................................................................................
.................................................. . ................................................................................................................ . ................................... ..................................................
---------------------------------------------------------------- OWNER AND/OR BUILDER ......
CONTRACTOR'S NAME & ADDRESS .....
................................. ...................................... .........................
------------ - ....................... �4 ..........................
Permission Is granted ....................................... 19.75, for repair 'and/or connection of a side sewer to the city sanitary sewer
sy",�ezn In accordance with City of Edmonds ordinances.
Al-j:ENTION 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—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 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 ex'cept to in-
sert the pipe into the wye.
DISAPPROVEDte ... . ................................... By ------_-----_ Date -------- ------- ----- .. ............ ... Date ......... ..... . ................... . By
................
APPROVED 7tT
Rema,yat,.'._ . ............................ .......
y ... ..... ..........
.. ................ C . .....
---------------
I . 11� ----------- - ---------- -------------------------------- .......................................
- . . .......................................... . .............................................................. . ...........................................................................................................
............................................................................................................. I ................................................. . .................................. . ............................................. .........
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
.... .. . .. ..... ...... .... .. ...
I ....... . !Dw - ne . r .- of .. Con - tract - ing F) - rm --- P - erf . or . ming .. Con . str . u . ctio - n hereby certify that the side sewer installa'tion constructed under this permit
LIStalled in accordance with all governing ordinances of the City of Edmonds.
Dated this ...... ............ day v.of .... #40tol
.... ...............................
V V Check BEFORE you dig for: Water [:], Gas Ej, Telephone Power E]t Sewer [:], Other E] V V
T10 City of Edmonds
I
OWNER
JOB ADDXF
') I -� / -�
APPLICATION
for
SIDE SEWER PERMff
NEW CONSTRUCTION Ej REPAIRS 0
,&a�..... �:, ---- ---- -----------------------
IQ (D
----- ----- ---- - --------------------------------------------------
�� 11 L�� - F- [-)Ikn 0 n �0 S
EASEMENT NO - --------------------------------------------
- q
LID NO. -ASMT. NO.
CONTRACTOR --------- ------- --------------------------- PERMIT NO.
LEGAL DESCRIPTION: LOT NO - ----------- 9 --------------- ------- BLOCK NO - ----------------------------
---- cna2-0- t "
------------- -- --------- - ----- F--Sl --- — ------------------------------------------------------------------------------
NAMEOF ADDITION ------ ------ ............................................................................
Approved:
R F (1- E� I N.' E D
1975
DATE
BY
APPLICATION
0
is
The City of Edmonds for
SIDE SEWER PERMIT EASEMENT NO . ........... ........................
NEW CONSTRUCTION REPAIRS LID NO. ASMT. NO.
OWNER ..... 7 ---------------- CONTRACTOR
. . ....... ................................................................................. PERMIT NO.
JOB ADDRESS -W�� ------ LEGAL DESCRIPTION: LOT NO - ----------- 4E�7N -------------------- BLOCK NO - --------- - - ....................
---- .... ..
NAME OF ADDITION ..... < -- 4-C � �: V-- �-. > ...... t�: .... .............................. . .......
-/,. -� yaeso
Q9
7�-
I-rOe> P=ILU---�
roved:
—Yr
DATE 25 ........... By —0 ........................
PUBLIC WRKS DEPART1,04T CHECKLIST
BftmiNG Pau,= REviEw.
Date
Address
�21 1-7 -ee9A) Q,
'Street Right -of -Way Existing O"n N vim
Access Easeiments Existing REQD
.Utility Easement Existing REQD
Lot per Subdivision Plat; Aqsessor Map
Site Plan Checked for Accuracy C>
Underground Wiring Reqd.
C4` Check Accuracy of Legal Description
41 Environmentally Sensitive Area
4;� 'Environmental Checklist Reqd.
Z
Flood Hazard Zone
*Shoreline Management Area
�Z Slope, Soil, Vegetation
Stream, Creek, Drainage Basin
Existing Zoning Per Code
Amenities Design Board Approval Reqd. ADB # Approval:j-�.
Board of Adjus�ment Approval Reqd. k) n LY
Review By: Date: (-A I (r-16
Fod,sting Water Main Size
Water* -�Reqd.
gn4 �, Service Line Re-4d,,
W . Hydrant Size Existing�
Cress-r.onnection Inspection
Fire Department Cxmumts
Water Meter Charge Reqd.
by:
Re
Date:
Size
Septic Tank Permit Permit No.
Sanitary Sewer Availability Proi.
Dralding No. File No.
Side Sewer Availabili
Sanit Connection Fee Reqd.
Review B)r: Date:
WA- WA AAAA,
Ditcli E-,-lsting--,..... �eqd.
Culvert Req
Catch Basin Reqd. Indicate on Site Plan
Shoulder drainage n03 collection on on mioff
I'L ole- �rcqd.
Indicate on Site Plan
Soil Conditions and Grow -.id Water Field Checked
Re,,ric-w 4 -ite
y T)L
Street Reqd.
Curb and Gutter Req
Sidewalk Reqd.
Curb Cut for Driveway Reqd.
R qd
ee t e �e
b an�dt�teR q
P4 Right -of -Way --r �ction Permit Reqd.
���eqd. for Public Improven-ents
Street Narip- Sign Reqd.
Other Signing Reqd.
0
P-4
Pre Permi--E-*,��'
0
BY: SEWER
w WATER
STP=- T
Inspection made on
ENGINEERING
Special Requirearants listed in mem to Conimmity Development DeparUmnt,
Building Division
BY_ D Date A
o All items filled in on Building Permit Application
0� BY Date
P4
Drawings Stamped and Notations Made
BY J)dte
lApproved by Public 'Norks Deparn-no-it
Revised: Iv 10-1977