21817 77TH PL W.PDFIIIIIIIIIIII
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21817 77TH PL 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 Edmonds does not warrant the
accuracy of anything set forth on these
map(s). Any person or entity requesting a
copy should conduct an independent
inquiry regarding the information shown on
the map(s), in . cluding, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
employees or officers shall be liab-le for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
APPLICATION
The City of Edmonds for EASEMENT NO . ............................................
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS LID NO . .................. ASMT. NO - ------------------
------------------------------------------------------------------------------------------------ CONTRACTOR ---- PERMIT NO
JOB ADDRE --------------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
E
0
0
............... --------------------------------------------------------------------------------------------------------------------------------------------------
NAMEOF ADDITION ------ -------- ................................................................
DATE ------- Zl:-v ...... By ---
The City of Edmonds
OWNER
----------------------------------
A t, 54
JOB ADDRESS ---------------- ...
--------------------------------- ----
12-4 e�- 1 -7 -
11
APPLICATION
for
SIDE SEWER PERMIT EASEMENr -.,sjo - ------------------------------ -----------
2 -- --� ---------
NEW CONSTRUCTION REPAIRS LID N NO - ------------------
�,� �A4 �
CONTRACTOR 0
- PERMIT NO.
LEGAL DESCRIPTION: LOT NO - ----------------------------- I -------- BLOCK NO - -------- ---------------------------
---------------------------- — --------------------------------------------------- ----------------------------- --------------------------------------------------
NAME OF ADDITION ---
- w-1
T-SEP 171976
Public WO(M DeVL
Approved:
DATE ----
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CITY OF EDMONDS - SIDE SEWER PERMIT
WATER�SEWEIEL DEPARTMENT
�':;PERMIT
rim
715-2525 for side sewer inspections BEFORE covering any portion of the construction.N
(Call st. NO Sat., Sun., or holiday inspections.]
Inspection will be provided within 24 hours after requ
ADDRESS LOCATION OF CONSTRUCT110N.-.--.Zt—EN--1.7:7I ..... F'. ........... --------------------------------------- ----------- -------------------------------------------
..........................................................................
PROPERTY LEGAL DESCRIPTION -------------------------- : ..................................................... .............................
...................... . .......................... . ......... . .......... . .......................... ......................... . ................................... .................................. . ..................................................
OWNERAND/OR BUILDER ........................................ - ---------------------------------- - --------------- 1-1 ------
.......................................... . .......................... ....... . .......................................................
TTRACTORS NAME & ADDRESS ..............................................
-wer
Permission Is granted ----------- - -------- I -------------------------- - ----------- 119� ...... for repair and/or connection Of a side sewer to the city saultarY se
system in accordance with City of Edmonds Ordinances-
A's MON IS CALLED TO THE FOLLOWING: rty line. A licensed Side sewer contractor must be employed to construct
NOTE / No. 1—The owners of the property may obtain a permit to construct sewer inside prope
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 obtairrable from the City Engineer's office.
NOTE No. 3—Obtaln full information regarding Ordinance 11.16.030 and Regulations governing side sewers -hen you ge . t permit. 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 line; minimum
sharper than % will be permitted. t restored to original condition. Contractors shall be responsible for failure due to improper
NOTE No. 5--Trenches in street must be water settled and surface of stree
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
spri. the nine into the wye.
...... By ................
DISAPPROVEDE] Date --- - ----------------------------------- By ---------------- Dat�e ........... -- - ------------------- By ................ Date --------------- - -------------
APPROVED-------------------------- By.._ - -- - - - ---------------------------------------------------------------------------------------
7, ........................ ....................................................
Remarks: ------- - ----------------------------------- -- - -------------------------------- -------------------------------------------------------
......... . ......................................................................................... . .................................. . ......................... .............................
...........................................................
g Construction PRIOR To Request For Inspection
ST Be Signed By Owner of Firm Performin
BOTH Permit Copies MU
hereby certify that the side sewer installation constructed under this permit
I....................................................................................... .
(Owner of Contracting Firm Performing Construction) ty of Edmonds.
WE stalled in accordance with all governing ordinances of the Ci
19
Dated this ... ................................................................ 19 .........
............ . ........... day of
Check BEFORE you dig for: Water Gas E], Telephone 0, Power Sewer Other
lu
Memo to:. Director of Maintenance & Operation.
Public works
From:. City Engineer
Subject: Sewerconnection Charges
Date
Spi)tpmhp-r 17, -1976
RECEIVED
sco
UWV) 19 6
P ;ic
U *C #Works J0801.
Legal Description:
The south 74.52 feet of the north 156.09 feet of Lot 4,
Blk 2, Hadley§ Acres, according to the plat thereof as the same
is recorded in Vol. 8 of Plats on Page 30, records.of Snohomish
County, Washington
Common . ly known as: 7712 218th-St S.� W.. Owner: H.agan Co nstruction
Z.F.F. Calculation:
Z.F.F. x
Lateral X
Unit X., $25
Charges -Paid previously under
7710 218th and developer has
installed additional sewer main
CC:
RHA:LRL:Wr
$ Connection Fee.
$ Lateral Charge
$ 25.00 -Trunk Charge
$ in_jaQ_Permit
$ 35.-00 TOTAL
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