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CITY OF EDMONDS SIDE SEWER. PERMIT
WATER -SEWER DEPARTMENT
. ....... .....
..... ........ PERMIT
Call 77.5-2525 foz side. sewe,r inspections BEFORE covering any portion of the construction.)
Inspection'will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.
73r(i P1 aca ';-s
ADDRESS LOCATION OF CONSTRUCTION .... ...................................... .. .................................................. . .......................................................
PROPERTY LEGAL DESCRIPTIO,N�.... .........
4 Bera c s Sum Val 71 c�v Addit'lop `5
.................................................................................. ................................................................. I .......
. .................................................. . ..... .......................................................................................................... . .................................. . ..................................................
ij`rRAF
------- OWNER. AND/OR BUILD ......... .................................. . .......................................................
CON'JfRACTOR'S NAME ADDRESS...
..... .............................................................................. . .............................. ...................................................
Permission Is granted ........... 51-7ZIN - " 7 ........ . . ........... I 19K, for repair and/or connection of a side sewer to the city sanitary sewer
system in accordance with City of Edmonds ordinances.
AT-14TION IS CALLED TO THE FOLLOWING:
N' 1—The o ners 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—Obtain full information regarding Ordinance 11.16.030 aud 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 ltne�: 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. -J
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 in-
sert the pipe into the wye.
DISAPPROVED Date ... . ..... ...............
....... ...... By ---------------- D te .................. BY-- Date By.
............ ................... .............
APPROVED Date .. . ..... ...............................................
y ----- X-7- -- -----------
Roemarks: ............... . ..................................................... .. .......................................................................................... ................................................................. ..
-----------
--- -------------------------
") -------------------------- ------------------------ - --- ........................ . ........................................................ . .......................................................
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
I ....................................................................................... ... hereby certify that the side sewer installation constructed under this permit ..J
(Owner of Contracting Firm Performing Construction)
WP--installed in accordance with all governing ordinances of the City of Edmonds.
Datedthis ............................ day of ................................................................ 19 .........
Check BEFORE you dig for: Water Gas Telephone E], Power 0, Sewer Other [3
7
.4
.. . ..... . .
7
APPLICATION
for
The City of Edmonds S.EDE SEWER PERAHT EASEMENT No . ..........................................
NEW CONSTRUCTION E] REPAIRS 0 � ID )a , Qp
OWNER .... CONTRACTOR .................................................................................................. PERMIT No.
. ..........................................................................................
- -73 - A Eam,
ADDRESS ............ �/ LEGAL DESCRIPTION: LOT No . ......... // ................................ BLOCK No . ....... 3 ................................
.............. ...............................................
NAME OF ADDITION ..... fla7a,�.L5 ...... ............ . ......... .......
.... ......
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CC 1c;
R E('F 1 � - �
M 4Y 7 1914
Approved:
DATE................................................ By ......................................................................
0
q
REGARDING:
22427 - 73rd Place S.W.
036-60
(address)
R E C 0 R
D. 0 F C 0 N T A
C T S
DATE
NAME, PHONE NO., &
COMMENTS
ADDRESS of CALLER
5/l/74
James McRae
Certified
Letter No. 406393 sent
774-6865
requiring
hook-up within 60 days.
5/2/74
Please dye test.
5/7/74
Came into
office and obtained permit
#4720.
5/13/74
Cma "ciQns=1et2d.
ACTION TAKEN
Letter received.
D.T.N.O.S.
INITIALS
TE
TE
TE
TE
N
RECEIPT FOR CERTIFIED MAIL—,30�� (Plu�, p9stage)
500-03500 P 0 S Tj
OR'D
MC RAE, JAMES R. 0
22427 73RD PL. W.
cy", 00
EDMONDS, WASHINGTON
1974 c,
c:)
OPTIONAL SERVI E F ES
RETUR I Shows to whom and oate (10"vere .. ........ 150 -
IN
RECEIPT With delivery to.addressee only . ... ... 65
!A 2: Shows to whom, date and where delivered .. 3 5 0"-
SERVICES � __ With delivery to addressee only ............ 85d
DELIVER TO AuURLSSEE ONLY ........... 50d
—'P —FC I A L DELIVERY (extro fee reauired) ....... ..........................
P Form
S NO INSURANCE COVERAGE PROVIDED— (See other side)
Apr. 1971 3800 NOT FOR INTERNATIONAL MAIL QP0: 19700-397-400