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21828 76TH PL W
APPLICATION
lor
4he City of Edmonds SIDE SEWER PERMT EASEMENT No . ..........................................
LULLMW CONSTRUCTION REPAIRS 0
STREET Fllil&-
MF--, 'FF;2�E-LD HEIMEL-LJ(f HaV---, J-,NC)T7
OWNER.............................................................................................................. CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS....................................................... .............. .. .. ..................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
0
0
......................................................................................................................
Approved:
DATE .....
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 liable 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
-.0
(Call 775-2525 for side sewer inspections BEFORE covering any Portion of the construction.)
Inspection will he provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.
ADDRESS LOCATION OF CONSTRUCTION ......... Z1Ka..-_._76th
PROPERTY LEGAL DESCRIPTION ....... LQt ... 3.n --- Q�Clrog ... PArk
................................................... ...................... . ........................................................................ ............... . .................................... ............ I .....................................
................................................................ OWNER AND/OR BUILDER__.EKQ ... REINKHER
C-11TRACTOR'S NAME' & ADDRESS ........ D_a_n ... K.Qo.t.t_..C_o n-s.tru-c -tio.n... _. 21.1 0 9 ... �v_p.re.s_s Nav_., Al.derwood Manor
.. .... .. ....... .. . .. .. .. . ----- - ----- .. . .... .. .... .... ... . . .. . .. ....................................................
Permission Is granted ........... .... Anrfl ---- n ..... . ........... I 197A_ for repair and/or connection of a side sewer to the city sanitary sewer
syr-tem in accordance with City 4 Edmon6 ordinances.
A� ITION IS CALLED TO THE FOLLOWING:
NO rii; 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--Obtaln full information regaxding 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
shaxper than 'Is will be permitted.
NOTE No. 5--Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for.fallure 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'ln-
sert the pipe into the wye.
DISAPPROVEDE] I Date ... . ......................... * ......... By ---------------- Date .................................... By ................ Date ............... . ................... By ................
APPROVED 5KDate ... t;lk/
�_ �1_4�/ ... I ... �e ------------------------------ .. . .......................................................................................
Remarks: ........ ....... .......................... . .. . .......................................................... . ....................................... .............. . ............................
.......................
-------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------- ....................... . .................... ** ............. , ......
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
1�1_ - -
I ........... z .... .......... .... .... hereby certify that the side sewer installation constructed under this permit
.0
on
(owner of contracting
W11- -/Stalled in accordance with all governing ordinances of the City of Edmonds.
Datedthis ............................ day of ................................................................. 19 .........
V V Check BEFORE you dig for: Water [-], Gas [], Telephone 0, Power E], Sewer E], Other [] V N/
a
The City of Edmonds
APPLICATION
for
SEDE SEWER PERIVHT
EASEMENT No . ..........................................
NEW CONSTRUCTION E] REPAIRS E] L- I'D ) Czz
CONTRACTOR ..... tAOMP ...... r1V .... . ..........................
OWNER .... RZ? - - If ........ - - PERMIT No.
ADDRESS .... 2 46. 0 ........... 70 ............. I .. 4 ........... %� ........... LEGAL DESCRIPTION: LOT No . ..... ................................... BLOCK No . ............................................
NAME OF ADDITION f#iw. ....................................................................................
Approved:
DATE.................................... ..........
RECF-i*,,, --)
APR 2 3 1974
RECEIVC0
APR 2 3 474
By......................................................................