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21823 82ND PL W.PDF111111111111 7679 21823 82ND PL W NOTICE: No warranty of accuracy. The -information on the attached map(s) was compiled for use by the City of Edmonds, its Employees and Consultants. The City of �Edm.onds 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 on t-Fe -m a p (s) , including, but not lim*ted to, th . e 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 for the e rn p-'I- o-y e e-s o-r officers -sh-alfl be 11 1 information given on this map(s), nor for ion pr 'ded based any one representat' ovi upon said map(s). APPLICATION for The City of Edmonik"'ii SIODE SEWER PERNaT EASEMENT No . .......................................... NEW CONSTRUCTION REPAIRS E] OwNF ',,,,FR,0THEF2�s ,R Cl— CONTRACTOR F�..F- E�F-(!�HTQL-D PERMIT No .......... .............................................................................................. ........................................................................................ ...... ..... ......................... . I \NF- -TLEGAL DESCRIPTION: LOT No . .............................. -"' "C:> PLt CIE s ADDRESS. ................................................. ................ BLOCK No . ............................................ NAME OF ADDITION ----- L---E=� ---- --- 0 9 I r I OVEDWOMMi— TT, WATEWSEWER DEPARTMENT! EIRMIT P _4596 (Calli 775-2525, for, side, sewer.. inspections. ISF.FORE: covering, qLny,,- portion, of, the cc�nstructlon: lnspection.,�vill�.be,.pr'oyided! within" .24''hours after �Bqust, - NO,.,Sat,,,,,Sun.,, or�- holidlay irisp*ectlons� ............................................................. .................. .................... ... . ......................... -n t .823A -82 AMDRM§ OCATION�"OF'iCONSICIt.U�.CTION-. .21 d 01 ace - Ms Lo �j Gi 1-1 es; Additi on- ................... ;,-,­ ................. .................. ........... PROPERTY,'L' E GAI�MkSCRIPTTON ...... .......................................................... .................... ..... .... 7 ............. ............... ............................................. ............................ ........................ ................... .......... ...... .... ........ .............................. ............................ . ........................... ............................ ..... ........ OWNER AN1DYOR­LAb,1LDE&.�­ ........ ...... . CONTIVA , C TORi . S. NAME &AD - DRES& .... I r F ..'Rot- Nkn P. 0 �Pnt4 Y-P ' Wt� .......... ........... :z .. ............... ........... ................. ..................... .7 ... ........................ 7 ..... -P,enTdgsiiDfi�'isligranted,,...: M� ... ch,72RLi4s .11974 r ................ ^repair andyor connectiori, of, a_91de sewer., to,, the -:city, sanitary, sewer. . ecorila'rim wifW,C Ify"­of Edmo oirilin'a'n'e'es., % A7r-XNTION, 1&,CAILLIED,*�TO� THE. FOLLOWING: NOTE. No�� 1—The- owners bf 'the.,property may . obtain a permit -to - �onstruct sewer inside proper-ty lirfel., A, licensed Side Sewer Contractor must, be� employed1to, construct, -side, sewer -in street area. Do not cover any portion,of sewer before,,I� has, been inspected. NOTE No_'�—AIliwbrk . performed imcity right-of-way'requires:an 'Invasion of'Righf-of:Way Permit,obtain-able) fr6iry �t�e City, Engiheer,s,.dffIce.' NOTE, No;:�3 bbtain�"fulll� information, iegaxd1.ng,qrdina,.nce 1.1,�..1:6!O3Oj5and!,Regulatioils,,.�'governingiisid'e�fsi�we,rsl,,when.��y,ou,�get 'permit.,'.- es� ingide5woperty. line: :nninimum �gnide of 2 No!)bends, fiv, gy"e- NOTE,No... 4t--Top�;oVIside, sewer must 1haye.at least '30�'inches, coveragel.at propeyt�, line an 12Anch sharperAh&n,'%,,,wiII'be, permitted.. NOTE: No. 5--!Trenche�s�jni street must be. I 'water settled . -and s I urface of street,*.kestored, to originaJ, con�dlfion. Gon6actor,s-sball be responsible for -fallure­due; to, limproper, work whichi; may, develop within one year of completiom. NOTE1,No. �&--It is unlawful, to , alteror 'do, any,bther. work than is pr vided,, for In the: permit, or ­to do any, Work, on the 'maini sewer, or Its ELppZrtenaine .9.,except,to in - Bert the',pipe Into, the.v�ye. .............. APPROVEDI Pat ... .................. .......... ... ..... ..­4.Z.4.,.--V ............. ................. ............ I ............................. ..... . a P! ;w.-I. Date. DISAPPROVED. !a, Date!� ......... ....... By ... ....... ......... ........... Remarks:, ...... ..... 77 ............................ ................................................. J ................................................ ........ : ........ : .............................. .. .................................... ...... ......... ...... . ....... ...... .............. ........... ............. ......... BOTH, Pe t '(00 S" MUST Be"Signe& By,owner of,,ffirm";P'erfbrming,�fCo�structioii,--PRIORt'To:'Re4uest,.,For Inspectibm -17' IT ., i�, � , , . ;,�. . - . . I 7, h'ereby, �certif,� that A-he',sidee sewer Ins tallatiom c6hs trueted­un� hisitpermit� .. .......... .. . . ........................ oE .ra X';WCont ctin Firm Nrfrrming,�Constructioi (,Own InstallediInv�cCorddii ej ith. �01: governing;,ordinances�-.6f the Ci y of,'Edm6nds.. q y.1 ........................................ * ....... 41 ... Datedi 19 .0 ............. .... . day �Pheek, BEFO RE! you;,dig,16r: Wat6r.", lf]_ .,.�'Gas. �E 3-1 &Bwev:n,1. Other APPLICATION for The City of Edmonds SIODE SEWVj R T,ON�7T EASEMENT No .. .......................................... NEW CONSTRUC REPAIRS 0 OVVNER CA -? ----------------------------- ..... ........... ............................. 4- ............. ----j ... OT CONTRACTOR At ...... ............... PERMIT No. _4 ADDRESS ........... All ---- ........................................ LEGAL DESCRIPTION: LOT No. ... ------ ............................ ...... BLOCK No. NAME OF ADDITION ........ 6..: .... / --- 6 ....... e-.S ------------- A-9j..) M - Approved: DATE...................................... ......... By ....................................... ------------------------------