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21905 83RD AVE W
SEWER". PtRM,11 T
GINDS, SIIDE::�,`
0, W,
CITY, F'10M
WMATEWSiWER, DEPARTMENT,�,:,
E RM 4,64
4Call. 7;7572525 for- side,' s6ver in6e:ciiciniq.�'B
EFORE: coverih any,, po_ ion!,of' th
9 e construction.),
kinspectioni will.,be! provided� wlthiln;"�Tl
reriust." No, �S 'Su .,,:ov1ho Iday inspectlons�,
hours,4fter at.,, n
119
............... .......................... f.er.1 7.1— ............
............ ..................................................
-;PROPERTY LEGAL, DESCRIPTION .....
................................... ........................... .... .............. .............
. ......... ..........................
...................... .............. ......... ..................................
............................ .. .... ..........
... . ......... W
................................. .............................. 01 ER AND/OWBUILDER: ...... MARY A..� LAM8 -
.......................
................ ............................. ......................................................
CONTIVACTOWS�NAMIk. AMDRhss ........ 9WNER
.................................... ...................................................
.................. ............ 7 ... : ............ I ........ : -----------------
i Penrdssionls,�granted ... 74
.. .... 119 ....... for.repalr., and/or �connectlon of a
Syst6ii*JWa�,-60rdanbe-i with, City, of .... E ... d-I ... o. r.-t d. s. 7o.. r-d i r. i i -t - - � ' - � " 7 ' - - � I ..-side.sewer o the,city sanitary sewer
%
A. JTION, IS � CA'
-LLEDITO, THE. FOLLOWING-1,
NOTE, No; 1—IThe: owners� of the -property, ms� obtairCE�'
8 - y
lae',sewer,iuilsfreeCarea. Do!not,coveridny��ortlbn .,InsIq,e property line. A licensed! Slde.'Sewerl qonIractor must.,be ernployed?16-'construct
NOTE N 6f`i6l�lei� before it-, �has--been 'Inspected.
6, 2—All,,work�.pLrformed, In city, rIgh�'of'-,j;."'requ 1res' j "'! I � 6
_awl nvazlon, oURIght- f-Way Permit,obtainabI6 frbrrt. the.,CRY Engineer's office.
gul 'scwers, When! y6u'.1get: pe��Jf.:
NOT-Ei'No., 3—'Obtain, fuli�Ari_orffidtion, regarding. brdinance�,l�lqS�0'30.',�'��61-i� &ii(ulE�'governlng,sidb
NOTE No. 4--�Topeof�,sldc.�.e-er must, have at';IeksC30(j6cfi;s co`verage�:at- pro ert,
ha�lper than -,I/ y�. iine and 12* Inches Inside, -property,ij ; minimum,,grad6 .0 �2'%.. No� bends J6'kra�e'
s; mill �be, permitted. ne
NOTE No.,,5--TrenchesAn, stre6t,'Must be water settled and, surface of,*;etreet, r
work -which,.may develop, within one year of,completion.. es tored . %to or] . glued I condition. C o"ntractors,"shall" be� responsible for failure, due -to, improper
NOTE -No. 6—It is unlawful, 10-�alter cor' do any other work thanAs. provided, for In -the permlt,-or to,,do any work on. the -main -sewer or itwappurtenances.exc ep . t .to n-
sert'thepipe.intothe,wye.
'DISAXPROVED, E]. Date
.............. .
Date; .......... ... jy 'Pate ............ .. . ......... ....... Ay'...-
APPROVE6
,z -�/ ---------- BY ....... .
Remarks: . ..........
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........... ....... ................... .......... .......................................
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..... ........................ : ..........
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—,�BOTH,',I�e'r"�mif;,Cbpie�,,m�ugT Be, Signed, By'',Owne'r ofl�irn Performing Cbns�-ruction! PRIOX'To Requegt� F r Insp dion
0 e
....... ... ;'Jiereby certify'th�i1fie'sidei!sewer installation constructed, under �this,
.......... .............. ........
(owner., of.,Contracting, Firm Performing :Construction,); permit
"WL istalled, in �accordan.ce,- With 6,11%goyernin ordinances; of 'the,City -16nds.'
9. �'�of"Edh.
Date&,this, .... ......
...... A4y, ot ........................................................... M!_19:
Check. -BEFORE you dig for: Water , '[3, 'Sewer? Other',"n
..""El-' _Te16j)ho1fe�;[]" P6,wer,,E),
14
The City of Edmondsl�'-,_;'.
�', j
APPLICATION
for
SEDE SEWER PERMT
EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS [-] C, -1 Z2�-
HC)NAF—:;
OVVNER-------------------------------------------------------------------------------------------------------------- CONTRACTOR ............... .................................................................................. PERMIT No . ......................
2 1 C-:!� C) "-\] F=- - '11-�4 -:4
ADDRESS................................................................... :� - — ------------------------- : ..... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
.......................................................................................................................
By.. . .. ... . . .. .. .........
APPLICATION
for
The City of Edmonds SEDE SEWER PERNaT EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS
OWNER --- ........ .
......... ---------------------------------------------------------------------------------------- PERMIT No.
................................................ CONTRACTOR
ADDRESS ...... 1M.. LEGAL DESCRIPTION: LOT No . ............ 31 ---------------------------- BLOCK No . ............................................
............... .. ---------------------------------------------
NAME OF ADDITION .... P r 1.c..i c ........ Atm ...... A-rlk.. .................................
...................
--7
if
RECEIVED
avr APR 19 1974
0
Approved:
DATE................................................ By ..............
NOTICE:
N'o ... wa rr a rity 0 T -d- U '� Ut.d �' 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.qnds does not . warrant the
accuracy of anything set forth on these
rnap(�_). Any person or entity -requesting a
copy should conduct an independent
-ation shown on
inquiry regarding the inform
tFe -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
ernp-'fo-yee-s o-r offi-Ce-rs -sh-a-1.1 be 1-`1a-b--l--e for the
i n
information give on this ma p(s), nor for
any one representation provided based
upon . said map(s).