21903 82ND PL W.PDF111111111111
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21903 82ND PL W
NOTICE:
No warrantyOT au(�ul dl�,Y
The -information'shown on the attached
map(s) was compiled for. use by the City of
Edmonds, its Employees and Consultants.
Th,e City of �Edm.onds does not * wa rra nt the
accuracy of anything set forth on these
rnap(�_)- Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the inform-ation shown on
I I
tFe -map(s), Including, but not I*m*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.
o nor its
Neither the %city of Edm 'nds
emp-to-yee-s o-r office,rs,sha-ll be Hab-'Fe for the
information given' on this map(s), nor for
ation provided based
any one represent
upon . said map(s).
I
APPLICATION
FLE for
The City of Edmonds
SME SEWER PERMT
EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS 0
L-\
E,R; Lj (:�-- F—= M
OWNER.............................................................................................................. CONTRACTOR ........................................................................................ ......... PERMIT No.
ADDRESS . . ........ W ........ LEGAL DESCRIPTION: LOT No . ............. 0 ............................ RLoWK No . ............................................
F'N-T Va-, k C:l � & tSJ-At--A Ft�,R-�V� '* =�-'
NAMEOF ADDITION ..... ...................................................................................................................................
0
3�
Vl�
D A T E .. BY
........ .... ..
5 'ER'
C TY.f,,VFT!EiD,M, ]�LiffllfflE �SW,M �M RMFT��
I . � :,;� - :V. - V 7
T.
PERMET' 4678
tCall','71�- - �525, for side. sewer inspectibns BEFORE covering tany_ portion, 'of- the 'construction:
ibe� provided',within, 0
2C hours, after reclust, NOI,Sat. jSun ,,orA lida
7 .6 y, trispecti ns;
21903 82n'd, Placip U!;I,
ADDRESS,' �LOCATION 'OF rCONSTRUcT.ION ..................................................... ( ........................................ ........ ........ . ..................................... ..............
RIPTION.'... -C N6
E 41,E ',,DE Lot. Patri ta
PROP IiTYVL'�' dAL SC .. ....... Ann ... Rdxv. 4 .......................................... M .... .............. W .......................... ......
........... ......................... ....................... I ................................................. ................................. ............ .......................... ...................
..................................... I
B RUC E - MW 6ij e
.................. ................. .......................... OWNER AND/OR, BUILDER ........ : ............................. ! ...... ........................ ..... . .........................................................
ICONTWA F. E Bechtol d "Co.., -.P.0'. lRox .5,86 �, Kenmore ,..Washj hqton
CT.ORIS,',,.NAMF;�,&,,A�DDRESS ................................................................ ........................... t ..................... . ......... I .............................. ............ ........
Permission4s4glia,rited .. ........... A.D.00 .... 2-6.�: ................ for repair and/or connection; of',a; side,. sewer to- the elty.,sanitii-�, �sewer
19
syp—n4fi 4c.66ii1ancewith, Citj of, Edmonds ordinances.
A�,.�d�'T�'ON' IS, C�LLEI)i'Tb) TIIE� F.OLLOWING:
NOTE'No� I —The' owneril-of the- property'may obtain: a, permit to construct' sewer'Inside propertyhiie� A licenied,,Side'Sewer Contractor iP-ust'be4mploye& to �c6rstruct
side sewer in street'area. Do not cover any portion of sewer before: it :has beenAnspected. I I I - , ". .
NOTt.-N.. 2—A,11, wo,k,�perforrnedi in city right-of-way requires,lan Invasion' of Mght-of-Way Permit 'obtaInab,161rom: the City Engineer' s,�offlce.
NOTE"No.i, 3—Obtain,:full, tnform&tion.Lregarding Ordinance 111.16.030 an&.'Regulatlons governlng,,sldeT.sewers� wilen, get permit..
i NOTRIINo. 4—Top, �of side, sewei'mustbave`kt least 30, inches coverage af�p.ioper Ine and"'i*,lin"ches, jnside property,-llne;� minimum grade of 2'%,.':'Vo4endsMn� -grade
s
harper L;than Will. the ,permitted.
NOTEY No. _I—Trenchegi in, street�niu * st be 'water �settled ajid surface. of street restored to original',condition.. Contractors shall be. responsib4e for failure, due toAmproper
work which , �may develop, within, one year of completion.
NOT& No. &�It is. -unlawful to alter or do any otheT.work thanAs provided, forAn 'the permit, or'tc,Ao, any., work on. the main sewer or Its appurtenances, except to An-
sert the pipe Into�. the wye.
...... By� ............... Date ............... . ........... ....... 'By .......
DISAPPROVEU E]� Date!_ ......... _....By ........ ate*- .. .........
.......... ....... Date ....... ............
APPROVED- X,
Date ......... By",.. . . .............. ........ . ............................................... ................................. ......
.......................................... ..................... 7.
................. I ............ I ......................................................... ** ......
.................................................................................................................................... a ............. ...................................... ............ . .......................................................
BOT it Copi'�S� 4V, SY Be Signed By,0wnerW F1'r-m. Perfon-ning;Constructfon PRIOR -To Request For lftsgection(�
hereby certifythat.the, side sewer installation constructed under �this�%permit,-
..... r�k
';I, 'rming Con* .......
M_
(Owner,of Conl ... 11
La in struction,)
1.�U.
wa�-Jnstalledi inaccordand'With allgoverning ordinances of, the,.City 6f'Edmonds.,
Dated,t�is;,. day, -A__N ...........................
rof,
"0i 6k BEFORE, yow dig for: Water E],, Gas Telephone, �Ej,,. r E3, -sewer �E)j �Other �C]i
#4
4
The City of Edmonds
APPLICATION
for
SIDE SEWER PERYRT
NEW CONSTRUCTION 0 REPAIRS 0
EASEMENT No . ..........................................
V1 /
-e - .1�011 I ,
.......................... TRACTOR ... ...... 7 ...... ........................... ...............
...... CON e, .............. PERMITNo.
OVVNER ....... ................
15�41 -- BLOCK No.
ADDRESS............. .......... e ......... . ........ ........................... LEGAL DESCRIPTION: LOT No . .............................................. ...........................................
- 7 '-�r 447 1
.......................................
NAME OF ADDITION ........
7-7
,//;/ ,l/
S e tf V F
Approved:
RECEl'0,---,,--
APR 2 6 1974
DATE................................................ By ......................................