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NOTICE:
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No warranty OT
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.onds does not. warrant the
accuracy of anything set for.th on these
rnap(�_). Any person or entity -requesting a
copy should conduct an independent
-ation shown on
inquiry regarding the *nform
m a p (s) I ited to,
t 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.
nds- nor its
Neither the city of Edmo
ernp-l-o-yee-s o-r office-rs -sh-a-11-1 be Via-b-'Fe for the
information given' on this map(s), nor for
tation provided based
any one represen
upon . said map(s).
w
APPLICATION
for
"'The City of Edmonds EET FILE SIODE SEWER PERMIT EASEMENT No
...........................................
NEW CONSTRU CTION REPAIRS 0
F= - F—= .4 —1.4
OVIVNER.............................................................................................................. CONTRACTOR ............................... .................................................................. PERMIT No . ......................
-2.1 -7 2 c:--> �E� a . \1-,/ - .................................. ]BLOCK No . ............................................
ADDRESS .......................................................................................................... LEGAL DESCRIPTION: LOT No. ;;��F—' PMRM17_
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red- 174/
DATE .... .............. By . ........
-6 . .... ...................
NOTICE:
N'o wa*r-ranty OT ac(-_.u.v:dk:Y--
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 �Edrnwonds does not. wa rra nt the
accuracy of anything set for.th on these
rnap(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
ited to
tFe -map(s), including, but not lim*
b shown. Such
the location of any sewe r stu
sewer stubs may or may not exist and may
or may not exist at the location shown.
Neither the (�ity of Edmonds nor its
emp-l-o-yee-s o-r office,rs -sh-a-11 be 1--ia-b-Ife for the
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
- !n,
PERMIT 4 V Al 1'�/ �, 31
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 LOCATION OF CONSTRUCTION ........ ................................... ................................
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go F7 j b
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Sec 33 0-�, RT-"')
PROPERTY LEGAL DESCRIPTION ---------------------- --- --- -- - --- -- --- --- ------------------------------------------------------------------------
fr-P.-I", ................................................................... . .................................. . ..................................................
.............
........... ......... .......................... - ---------- - ---------- ------------------------------- - -------------------------------------------------------
OWNER AND/OR BUILDER -------
Ux �92 T:.-
. ......................................................
RACTOWS NAME & ADDRESS --- EJ�.:_z ...... - -------------------------------- .. . . ...........
sanitary sewer
Permission is granted ------- ........................................... P 19 --- I .... for repair and/or connection of a side sewer to the city
system in accordance with City of Edmonds ordinances.
ATTENTION IS CALI D TO THE FOLLOWING: onstruct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct
k-- No. 1—The o ners of the property may obtain a permit to c
w Do not cover any portion of sewer before it has been inspected.
side sewer in street area. -of-WaY Permit obtainable from the City Engineer's office.
N__ No. 2—All work performed in city right-of-way requires an Invasion of Right
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. Contractors shall be responsible for failure due to improper
NOTrE No. 5---Trenches in street must be water settled and surface of street restored to original condition.
work which may develop within one year of completion.
NOTE No. rIt is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the maAn sewer or its appurtenances except to in-
sert the pipe into the wye.
DISAPPROVEDDate ... --------------- By ................ Date ..... . .. ................ By ---------------- Date ------------ -- . ................... By ................
.................................................
APPROVED ..... 7 .......... By. ................................................
Date, X -------
........ . ...................................... ...................................................................
------- - ------- -------------------------- - -- - --------------------------- * .. ....... .......
........................................................................ . .................................. . ............................................. .........
------------------------------------- * -------- * ---------- - --
rm Performing Construction PRIOR To Request For Inspection
BOTH Permit Copies MUST Be Signed By owner of Fi
hereby certify that the side sewer installation constructed under this permit
.. ------------ ----
r o ... � -Ter-ic ------------
(.6.wne. fi Con c �i;;. rmi-g Construction) Edmonds.
was installed in accordan e ;�M all governing ordinances of the City of 0
( Dated thi ..... ................ day of --- W.0-V ............................................ I _99-`-
V V Check BEFORE you dig for: Water 0, Gas E], Telephone [:], Power 0, Sewer [3, Other E] V j
ThO MY of lEdawnds
APPUCATION
for
SWE SZVAM PERMT
NEW CONSTRUCnON C] RUPAMS
EASEMIUM No.
OWN= .......... ...... ........................ COMIRACTOR
..JQ .................................. PMMT No.
ADDREW gL 4� t
................................ ,,j .............................. LWAL DESCRrPMON., JOT
....................................... BI,
,C)M No. RECEIVED ..........
NAMEOF ADDMON ......... ------------------------------------------------------------------------------- MAY-1.
4 .. 1.974 --------- - ---
3 -TW P q
ffT r-7- c5 F uj Fr F
IV br //,, L y fv.i E of-- C
.&Vvroved-
DATZ..........................
...................... ............................... ................................