21824 76TH PL W.PDFlill 11111111
6491
21824 76TH PL W
APPUCATION
The City of Mmonds for EASEMENT NO - -----------------------
SIDE SEWER PERM ---------------------
NEW CONSTRUCTION REPAIRS LID No. --/f0�---.-ASMT- NO. _14Y
OWNER I..- -":;Z-
------------------------------------------ ------------------ ---------------- CONTRACTOR --------------------- -------------------------------------------------------------- PERMIT NO.
JOB ADDRESS '4V, LEGAL DESCRIPTION: LOT NO.
------------------------- -------- ------- ------------------- BLOCK NO - ---------------------------
---------------- -------------------------------------------------------------------------------------------------------------------- ----------------------------
NAME OF ADDITION ----- ------------ dood��*<'04�
-------------------- -----------------------------------
--IVED
2 1974
DATE-------------------------------------------- By ------------------------------------------
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 E - dmonds 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 stub-s may or may not exi and —may
or may not exist at the location shown.
Neither the City of Edmonds nor its
employees or officers shall be liable for the
information given on this map(s), nor for
any one representation provided based
upon said map(s). .
CIT __ OGEDMONDS - SIDE�)EW__X PERMIT
j WATER -SEWER DEPARTMENT 11
7
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.
ADDRESSLOCATION OF CONSTRUCTION ...... ........ ........... --------------------------------------------------------------------------------- - ---------------------------------------
PROPERTY LEGAL DESCRIPTION ...... 1-6,;. 2. � ... niat-7, ---------------------------------------------------------
......................... .... --- mi .............. ! ...........................................
.................................................. - ---------------------- - ---------------------------------------------------------------------------------------- - ---------------------------------- . ..................................................
................................................................ OWNER AND/qR BUILDER-....!
- - "; —) - . ..... ............... ........... . .......................................................
CONTRACTOWSNAME, ADDRE4� ---- GY..'_" --------------------------------------------------------------------------- - ------------------------------ - -- - -------------------------------------------------------
�t_ for repair and/or connection of a side sewer to the city
Permission is granted -------- .. ................ ...................... 19U sanitary sewer
system in accordance with City of Edmonds ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE 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 obtain -able 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.—Trenches in str�et 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. - 'to in -
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
sert the pipe into the wye.
DISAPPROVED0 Date .... ...... ...... By_ .............. Date --------- .............. By ---------------- Date ............... . ................... . By ------_-------
/ ... ------- 4?�� 7� -ir .........................................................................................
-------- . . .....
Date ...... ve ---------- _.X -
APPROVED ... ......
Remarks: ....... . .................................. . .................................... ----------------------- . ...........................................................................................................
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
_10
lin.0 rm'�ericr'
"C;-� ��er__o .... hereby certify that the side sewer installation constructed under this permit
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was install �Vn accordance with all governing ormances of the City of Edmonds. v"
Dated this .......... �? ............. day of -------- A .............................. 19. 2..Jl
V V Check BEFORE you dig for: Water F], Gas E], Telephone E], Power E], Sewer 0, Other [] -V V
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9
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0
APPLICATION
for
The City of Edmonds
1,71LIF SIDE SEWER PERMIT EASEMENT NO . ......... ............. --------------------
NEW CONSTRUCTION 0 REPAIRS F-1 LID NO. —\cEr) e2—..- ASMT. NO.
OWNER.-�JPHt4 ......... F — --------- C ......... ...... CONTRACTOR --- I ............................................ ................................... PERMIT NO . ....................
JOB ADDRESS --- .......................... LEGAL DESCRIPTION: LOT NO . ............. 2 . ................... BLOCK NO - -------------- I ....................
........................................................................................................... ..............................................
NAME OF ADDITION --- c— th.V-1
...................................................... .....................................................
Approved:
DATE —.419L-V� .. ......... . �. /-.. By
",/,0 . -- ----------- I