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21819 77TH PL W.PDFIIIIIIIIIIII 6590 21819 77TH PL W � 0 APPLICATION The City of Edmonds Cw low for EASEMENT NO . ............................................ SIDE SEWER PERMIT FILEW CONSTRUCTION 0 REPAIRS Ej LID NO - ------------------ ASMT. NO - ------------------ OWNER NA!)� -- ----------- F ......... ---------------------------------- CONTRACTOR .. ....... ;--- -1 �4tA YC=- tht�A ----------------------- PERMIT ----------- . ......... LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------- ...................... JOB ADDRESS NAME OF ADDITION ------ ;��7�771-�� 5- U:� ....................................................................... DATE ........ c6p.. By .... Z,4 A- �U-Y- APPLICATION Thn r;#%. #%f CA."~%Ae for SIDE SEWER PERMIT EASEMENT NO . ............................................ NEW CONSTRUCTION REPAIRS LID NO. NO . . ................ OWNER .... M,\�KE ......... RNm-�l(AN -------------- — .................. CONTRACTOR ......................... A ..... PERMIT NO. TJOB ADDRESS ---------- LEGAL DESCRIPTI O*N: LOT NO . ...................................... BLOCK NO . .................................... ........................... ........ r2_1 i C!> PL . ........................................................... ---------------------------------------------------------------- ------------------------------------- NAME OF ADDITION ......... ........................... REQFEVED, SEP 17 1976 Tblic Works UePt- db -� -� 14 '� -� -0-\ Approved: DATE I 1 11-1 ..... By ................................................... YOT9 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), including, 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). CITY, OF EDMONDS - SIDE SEWER PERMIT WATER -SEWER DEPARTMENT PERMIT 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:,:, _-.L�i�,C:E�E= . .......... W . _..f55.T ........ . . ......... ... PROPERTY LEGAL DESCRIPTION ..................... SM. AMOM3 . ............................................................................................................... ...................... ........ : ................... . .......... . .......... . ........................................................................ . .............. . .................................. . .................................................. ............................................................. OWNER AND/OR BUILDER.....k I ,MTRACTORS NAME & ADDRESS .......... cl;Tlm ............................................................................. . .............................. . ... ....................................................... Permission Is granted ...... SS'OtE�X&,2Z --- 1-7 .... haii�--oi --- E --- dmon-d--s-- ordinances. 91,—*,= in'accordance wit ............ 19_7� ... for repair and/or connection of a side Sewer to the CRY Sanitary sewer ALENTION-IS CALLED TO TliE FOLLOWING: NOTE No. 1—The owners of the property may obtaJa 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--Tren�ches 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. DISAPPROVEDDate...- ..................... By ................ Date ----------- IV, . .............. By ---------------- Date ................ .. . ............... BY- I ............... APPROVED I?ate ....... ............... B . . ....................................................................................... Remarks: ....... . .................................. . .. . ................................. - -------------------------------------------------------------- - ---------------------------------------------------------------------------------------- . .................................. . ....................................................... BOTH Permit Copies MUST . Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection ........................................ * --------------------- * ---------- * ------------ ---- hereby certify that the side sewer installation constructed under this permit (Owner of Contmctin Firm Performing Construction) w—,installed in accordance with all governing ordinances of the City of Edmonds. Datedthis --------------- . ........... day of ................................................................. 19 ......... V N1 Check BEFORE you dig for: Water Gas 0, Telephone Power C], Sewer Other -0 Qj .. 4 0 co Z 0 F� n C__ M 0 -j M �1 �r a- C-) W c—, (D --i C) C C> D 0- > n 0 \.n ry Z: CO- Ln :3 C> 0 W11 0 M 0 --1 3 = M 0 (D C-) 0 C: Ln 0 M C-) C) 0 V1 C C D LA Ln Ln :3 LA (D D Ln D 0 0 n (D rQ (D 03 0j 0 C_ Ln 0 Ln Date September 17, 1976 Memo to: Director of Maintenance & Operation Public works RECEIVED From: City Engineer Subject: Sewer Connection Charges PUW22 oapt Legal Description: '75.31 feet of the N 231. 40 feet of Lot 4, The south Blk 2, Hadleys Acres, according to the plat thereof as the same is recorded in Vol. 8 of Plats on P.age 30, reocrds-of Snphomish.County, Washington. Commonly known as: . .7714 218th St, S.W. owner: Hagan Constr uction Z.F.F. Calculation: Z.F.F. x Lateral X Unit x $25 Charges paid . previously under 7710 218th St.; also, developer has installed additional�s'ewer main. CC: RHA:LRL:mjr $ Connection Fee $ Lateral-Char'ge $ 25.00 Trunk Charge $ —Permit $ 35.00 TOTAL 2108