221 9TH AVE N.PDFIIIIIIIIIIIIII
14817
221 9TH AVE N
APPLICATION
The City of EdmondsC,,,,. for
SIDE SEWER PERMIT EASEMENT NO . ................. --------------------------
-m ,Tw Fil E
NEW CONSTRUCTION REPAIRS LID NO - ------------------ ASMT. NO . ..................
OWNER .... t-4 ....... c =4 4 L E - -------------------------- CONTRACTOR ... ------- PERMIT NO.
JOB ADDRESS 57 lz I — ttt�.-j F—= r—A
------------------------------------------------------------------------------------- LEGAL DESCRIPTION: LOT NO. ...... BLOCK NO . .......... 7--b ----------------
0
C- t=—i" <= F--
....................... -----------------------------------------------------------------------------------------------------------------------------------------
NAMEOF ADDITION -----------------------------------------------------------------------------------------------------------------------
Approved: f",
...........
DATE ��/ .. 7
,t1g ................. B Y' I -A
I The City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT
NEW CONSTRUCTION E] REPAIRS F-1
OWNER -------- *
----------- c V., V - -------------------------------
JOB ADDRESS ------- -------------- r -------------- ief --------------------------
EASEMENT NO - --------
LID NO/'l - A-SX44V:N0
CONTRACTOR ------- ------------------------------------------------ .. PERMIT NO.
R ') ).
LEGAL DESCRIPTION: LOT NO - ------ --- - ------- Z --- BLOCK NO. -.7-Z*
....................... - ----------------------------------------------------------
lj ----------- jr.-P ------ F-4-w-vo
NAME OF ADDITION
7 72T
Approved:
DATE ...........
RFCFIVFD
APR 12 1976
PuW Works OW
Agg��< 3 ra 7
By
9
Memo to.: Director of M ' aintenance & Operation
Public Works
From: City Engineer
Subject: Sewer Connection'Charges
Legal Description:
Lots 20, 21 and.22, Block 79, City of Edmonds
Commonly known as: 221 - 9th Ave.-N.
Z.F.F. Calculation:
87 Z.F.F. x $8.50
Lateral X
1 Unit X. $25
CC:
RHA: rf
Date Apri 1 12, 1 97PECEIVED
APR 12 1976
Public Works V00.
owner: John Conley
$ 73.9.50 Connection Fee
$ -0- Lateral Charge
$ 25.00 Trunk Charge
$ 10-00 Permit.
$ 774.-50 TOTAL
.2108
CITY 01`.� EDMONDS SIDE.. SEWER- PERMIT
WATER -SEWER DEPARTMENT,
PtRMIT
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.)
7.21 - 9th, P:,ra7_v,,z
ADDRESS LOCATION OF CONSTRUCTION ........ .................................................
...........................................................................................................
Lots 20, 21� 8 �2� Kcc !�,v of
PROPERTY LEGAL DESCRIPTION ........................................................................................ 79 � CA
.........................................................................................
....... ....... ti ...... . .......................... . ........... .................................................................................................... . ......................................................................................
J3,7 r�j
................................................................ OWNER AND/OR BUILDER .......................................... .................................. ........................................................
CONTRACTOR'S NAME & ADDRESS ......... A.A.14 Contractors
. ... ..................................... a ...................... . .................................. . .......................................................
*7 12,
Permission Is granted ..... ....................... . ........... 1 1916 ... for repair and/or connection of a side sewer to the city sanitary sewer
in accordance with City of Edmonds ordinances.
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 hefore it has been inspected.
NOTE No. 2—All work performed in cit y 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 lin e and 12 inches inside property line; minimum grade of 2%. No bends In grade
sharper than % 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 failure 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 madn sewer or its appurtenances except to in-
sert the pipe into the wye.
DISAPPROVEDE] Date ---- ------ ........ --- --------- -- By ................ Date .................. By ---------_-_-- Date ............... . ................... By ----------------
.APPROVED Date, ------------_--------_--- By.__... .. . .............. ....... : ...............................................................
Remarks: ........................................... - ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
...................................................................... . ............. : ---------------------------------------------------------------------- I ........................................ . .................................................. ;;7"
BOTH Permit Copies 31
�ST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
......... - Con . str - u . ctio - n hereby certify that the side sewer installation constructed under this permit
irm
t
. ....... . �rcr-
'C'
ins',t�leldin ordance ewithtllgo ordinances of the City of Edmonds.
Datd this ............................ day of ................................................................ 19 .........
V N1 Check BEFORE you dig for: Water Gas Telephone [], Power E], Sewer F], Other 0
4PSTREET Fl,L\,,E\
Date— April. 12, 1976
Memo'to: Director of Maintenance & 'Operation
Public Works
From: City Engineer
Subject: Sewer Connection Charges
Legal Description:
Lots 20, 21 and 22, Block .79, City of Edmonds
Commonly known as: 221 - 9th Ave. N. owner: John Conley
Z.F.F.'Calculation:
CC:
RHA: rf
87 Z.F.F. x $8.50* $ 739.50 Connection Fee
Lateral X $ -0- Lateral Charge
Unit x �$25 $ 25.00 Trunk Charge
$ 10.00 Permit.
$ 774.50 TOTAL
2108
4.
re
ACTION TAB
To: LL9 P P* Date
From: --- TI-1-cr-,
[I FOR YOUR COMMENTS
[3 FOR YOUR APPROVAL
El TAKE APPROPRIATE ACTION
0 CALL ME
0 SEE ME
[I FOR YOUR INFORMATION
0 NOTE & RETURN
[I NOTE & FILE
[3 FOR YOUR SIGNATURE
El
COMMENTS:$ILL Pftor A+f 0
tL. Lk-rexm- RV Foil- OCO,
Mr cgj"" coaroy
/A -9 W- 00 P
LF 004-2
(Form OA-4)
rj
Copyright 1969, 1970 Laurel Office Aids, Inc., Bronxville, N.Y.
T6 Citj of Ed onds
APPLICATiON
mw&� for
SIDE SEWER PE iRMIT
E ASEMENT N( ------------------------------
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A -A,
NEW CON S TRUCTION Ej
RE] AIRS
LID NO.
ASMT.'NO:" -----------
OWNER ......... T-.......................
CONTRAC TOR
----- --------------------------------------------- PERMIT NO - ---------------------
----- -------------
JOB ADDRESS� -------- Q29� --------------- ------ 141
- - ----------------------------
LEGAL DESCRIPTION:
LOT NO. ---
------------------------- ----- ...
BLOCK NG. ---- --------------------------
:
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...............................
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NAMEOF ADDITION ----- ------------------------------------------------------------------------------- ...... r --------------------
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