21732 84TH AVE W.PDF111111111111
7932
21732 84TH AVE W
APPLICATION
-1 he City of Edmonds for EASEMENT NO - -------------------------------------------
SIDE SEWER PERMIT
ASMT. NO.*
NEW CONSTRUCTION REPAIRS 0 LID NO - ----- ------ -----
OWNER ------- ............. F ----------------- ... Z- --. i.7F.- ----------------------- CONTRACTOR CD ..........
... . ................................................................ PERMIT NO. --------------
LEGAL DESCRIPTION: LOT NO - --------- ---------------------- �nl-OCK NO - ------------------------------------
JOB ADDRESS
-------------------------------------------------------------------------------
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)roved:
T F, z � IK X// ..... Y
-------------
APPLKATWH
for
Tbo City of, Idawnds smic SEUva PEW=
NEW COINSTRUMON 1 0 REPAIRS 0 EASEMENT NO . ..........................................
OWNER ...... &L"R-K ----------------------------------------- CONTRACTOR ... A ... .............. ................. PERMIT No.
1w..... ........ ----- ----
4 ........... ....................... LEGAL DESCRnMON: LOT No . ...................................... ....... BLaO= No . ............................................
ADDRESS .... Z . ............ A
NAMEOF ADDITION ...................................................................................................................................
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RECEIVED
MAY, 3 1974
Approved:
DATE................................................ BY ...................................
NOTICE:
N'o wa rra nty OT -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
accuracy of anything set forth on these
map(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the inform-ation shown on
ited to
tFe -map(s), including, but not lim'
b shown. Such
the loc'ation of any sewer stu
sewer stubs may or may not exist and may
or may not exist at the location shown.
Neither the 'ity of Edmo-nds nor its
h. a- I. I b e Vi a. b.-Ife f o r t h e
empjo-yee-s o-r office,rs,s I
s ma p(s), nor for
information given on thi,
ov'ded based
any one representation pr I
upon . said map(s).
SIDE SEWER PERMIT
CITY OF EDMONDS
WATER -SEWER DEPARTMENT
- ?� Z'�;; - (,�
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 LOCATION OF CONSTRUCTION ......... :!�j732
.... ......................................................................................................................... ..............................
........................................ 4 ...... y .............
PROPERTY LEGAL DESCRIPTION ...... 27, �,E Cflr, S. 018 ... S
----------- .. ..... ...................................................................
M, S 80.CY', E �85.05', 1� ........................................................
.............. --------------- ............................. ..... ......
.... ................... . ...................... . .................................
ER AND _,_ ...... ........................... . ........................................................
---------------
................................................... OWN /OR BU
1) �j r 7
ss ... 585� "r� � to
_k_'13 ........................ Z; ..................... a ----------------------- n ............................................
C0.LjLRACT0R'S NAME & ADDRE .............. 2 ... .. . ....
Permission Is granted ----------- --------- ...................... for repair and/or connection of a side sewer to the city sanitary sewer
system in accordance with City of Edmonds ordinances.
1---INTION IS CATJ D TO THE FOLLOWING:
No. 1—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. &--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] Date --- - ----------------------------------- BY ---------------- Date 01 ...... ---- BY ................ Date ..................................... BY ----------------
#;; � 7A ........... ----------------------- .......................................................
APPROVED Date ....... - ---- --------- ------ ------------- .................. . ........
ow V
00�
....................................................
. .......... ........
Remarks:
62K_ .. ___ . .. .............
.............................. ------------------ - -_-------- --------------------------------------------------------------------------------------------------------------- - ----------------------- --------------------------_--
BOTVrP-)rmit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
Wn_i;�ci
I_ ........ . .. .. .. ...... .. ............. ... hereby certify that the side sewer installation constructed under this permit
--- ------ - -
(.6wner of Contract g r
4�Perfrrming Construction)
v--�nstalled in accordance with a governing ordinances of the City of Edmonds.
Dated this ------ &_ . ........... day ofAfl ... y ....................... ...................
Check BEFORE you dig for: Water E], Gas 0, Telephone 0, Power E], Sewer C], Other