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21830 84TH AVE W
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F IDMONDS -S;P
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PERMW
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0 ill!-175-2525 jor- sideL_�dw�r.. fRskptlons �,Iwi it
t :construc ?n.,),�
-will-be provided withl� -'24�--hburs, a e r' at.*, S":
k1fis ctibn: It, equ. :-Y40, un;, or�'fibilday-inspecittions./':
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UCUON..-_2�
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SEE. ATTACHE
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M 'ARM ROVIG'_.
DAVID
.......................... AN K BUILDER: ...............................................................
�T ....... ................
..... -UrNkR 70 ........... ...... .................
---NAM-E.-&,A01t S ......................
CONTRACTOW& E S: OWNER-,
............... ...... ............ ......... ........................... ....... .............. ........
T* ........................... 7 ................ 7 ......
14.,'for r 0 0
...... J.U. JY ... 2.3.,_'._� .......... 9 Qafi� and/ W cofineoeti6n` f a,side sewer' to'Ahe city.sanita sewer
ry
S�s in-j'a'cc'o'rdance,%Vlth�'Cii-�. 4-,Edmonds�or,,
dinances
7
A" CION,'Is�b:YLLED) TO THE. FOLLOWING:
;NO'x- N 1 0-. 1--�-Thc;"�ers of 6�,P`ropeii ' y-bbtain- a permit to,�construct s6wer, lneicI6 prop��ty lific.- _A::lt6ensed Side Sewer' Contract6r,musCbe employed._-to� c6nstiuct--
'Do not cover -any p6ifio'n',, of "sewer before -it lias been Inspect6d� r,
SiO. sewi�r j.n,strqct'area.-,:,y ma
NOTE �N* o,':2L!All�vorll: performed- i�, clty,r*ight-of-way reqplKes- an.,Inyagion of. RJght -, ofwWay- Permit obtaInable -from the Cit!-Englneer's�
Y. office.-
-i '66, '114n
-an ou,get� i It
NOTE., No:: — tain fu formation�-regajr:dinii Ord inari6e. i.l� M'60� Regt�lations governh�i:siae_sewers'whe �y permi
-NOTE, No._14—,TGp of. side-sewer.must ha-xe -at least 30 inches, cove -line 'and 12:, Inches Anside-prpipkrty, line; mlnimurn-_*�rf4e of '2 N6, b6n&'Tn- gr�ds -
1 . I rmitted pr�!erty.
shafper than ,� will be:pe :, _ �: ' I I - - . - '- �- 1 7
to, originah cond ontract6rs sballbe.resp6ngible-for fid lure,: due - 1o" _Jr
ch,may,
NOTE -No. 57-w4r�ncbei`in, street �must be;wa�t���"tile�,a�a,'surfa�cd-6f!,itreet restored iti6n- �C npioper-
work whi develo -.within- om�-year of completion.
R.
NOTE No. r,-i� js't*unlawfu,1,tP4alter or,:d o, any, other, work" th,axf 'Is proyid ed for, In tho'krmit; or,to'dokny-work�on the maln,sewe�'or- -,�E�op.4i�ten�.�cii-ex�ei5,t,-.to in-
..sert the -pipe, nto 1he,,wX6:.
DISAPPROVED7- "Da e:�.
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APPROVE6 ....... _. ........ ...... ....................
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---------- . . . . . . . . .. ... ........... ....................... 7: ...... ......... ......
,BOT 10W'-�`I. V-Request�,For
M,Per-m.it,-:CbPies, MUST' Be SignedCBy wner-o irm
xuatbd� under Ahik��er t
hereb�.:be�tifk, thati,thevsi eese�W.*6r�inst�l,i�tibn,�'*d6ii*ii�.
...........................
.(O%�,nbr_of,� Contracting Firm. Perfcr-ming �Con4tructton)
.......... *"***"**, ..................
W_ stalled.iii:-�a6cordhnce with all.governin
g ordinatices4of. the City. of Edmonds., w"
�6_
Q.,
9".
-4. 4, 1 Dai� hi ........
ed! I
Xheck-.!BEF0RE�-you, dig
Jor: W nei ]RONWiE),v 0 t h er,,v
f gas -Sew6r�,:[�j 1; ......
A T'el 6*p-'h*, .0, 1
aw
APPLICATION
7he City of Edmonds for EASEMENT NO. ..........
SIDE SEWER PERMIT
NEW CONSTRUCTION Ej LID NO.
REPAIRS ... ASMT. NO.
CONTRA ................. ... PERMIT N
OWNER CTOR 0.
JOB ADDRESS --------------------------------------------------------------------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - -------- ...........................
---------------
----- a ----- Z� ----------------------------------------------------------------------------------------
NAMEOF ADDITION -----------------------------------------------------------------------------------------------------------------------
\z
Approved:
V -4-0
.ZecEi r-
3&,o �914
DATE-------------------------------------------- By ------------------------------------------------------------
APPLICATION
The City of Edmonds for EASEMENT NO . ............................................
SIDE SEWER PERMIT
NEW CONSTRUCTION IM REPAIRS E] LID NO. - ................ . ASMT. NO. ..........
----- -----
OWNER ...........
.......................................... CONTRACTOR ------------------------------------------------------------------------------------ PERMIT NO - --------------------
JOB ADDRESS ------------------------------------------------------------------ LEGAL DESCRIPTION: LOT NO . ............ - ------------------------ BLOCK NO . ............. ......................
-------------------------- --------------------------------------------------------------------------- -----------------------------------------------------------
NAME OF ADDITION .........
----------------------------------------------
L/
- - - --------
-7
17
1
6
Approved:
-----------
DATE ....... ............................... By ...... ..... .............................
APPLICATIOW
'The City of Edmonds for EASEMENT NO. ..........
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS E] LID NO. lf�Z ..... . ASMT. NO.
OWNER ---- .......... i S� M— F R�,� t - ----------------- CONTRACTOR ..... ------------------------------ PERMIT NO.
JOB ADDRESS ----- ---- W--.. LEGAL DESCRIPTION: LOT NO. -f5E=-F=X�--TTt�C"UD BLOCK NO - --------------- ....................
NAME OF ADDITION ...................................
co
DATE ------
NOTICE:
No ... Wa r-ra nty-oi-
The information'shown on the attached of
Map(s) was compiled for use by the City
Edmondsl its Employees and Consultants.
Th.e City of �Edm.onds does not ' wa rra nt ti ie-
accuracy of anything set for.th on t ' hese
Map(�_). Any person or entity -requesting a
copy should conduct an independent
0
inquiry regarding the inf rm'ation shown on
including� but not limited to,
_tFe -map(s),
C Ion of any sewer stub shown, Such
the lo' at'
exist and may
sewer stubs may or may not i
or may not exist at the location shown.
Neither the city of Edmo-nds nor its
emp-l-o-yee-s o-r office-rs -sh-a-1-1 be. Via-b-Ife forthe
information given' on this map(s), nor for
any one representation provided based
upon said map(s).