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:-,r-ITY OF EDMONDS
BLIC WORKS I DEPARAT FOR INSPECTION CALL
7/7/5V2/M2A/ Ext. 212V
SIDE SEWER PERMIT 17 1? 11 1z 1) ft 1) 1 1) n 7
Permit No.
Issue Date
§1 P MIT MUST BE POSTED ON JOB SV"]rjjEj
ER
1. Address o7onstruction .5i. -�2_ 9 4 3
2. Property Legal Description (include all, easements)
0 j 7-
--?Gee
h',
rBALLINGER
3. Single Family Residence Multi -Family No. of Units
commercial
4. Owner and/or Builder K
5. Contractor & License No. Z-)
6. Invasion into City Right -of -Way: No Yes (If Yes Right-of-
way Construction Permit Required Call Dial Dig (342-5344) before
excavation).
7. Cross other private property: Yes- No Easement required -
attach legal description and county easement number.
READ THE FOLLOWING AND SIGN:
a. Property owners must obtain a permit to install side sewers on
their proper ' ty. A licensed side sewer contractor must be employed to
construct side sewers in the public' right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year.
C. Commercial establishment requires a minimum of a six inch (6")
side sewer line.
d. Side sewers may not be installed closer than thirty inches (30")
to any structure.
e. Side sewer lines must 0 be laid at a minimum grade of 2% (1.15 0
and maximum grade of 100% (45 ). 0
f. No turn in side s8wer greater than 45 (1/8,bend) is 0 allowed
between cleanout. All 90 turns must be constructed of a 45 (1/8
bend) and Wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100' along sewer line run.
. j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k. Side sewermust be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours only. Two (2) working
days notice required.
DATE:
I'dertify that I have read
and shall comply With the above
PERMIT FEE:
CONNECTION FEE:
DISAPPROVED BY: Date:
B)j:__.A. Date:
APPROVED By:ZEJA. Date:/6.7-81%
PE IT
T BE POSTED ON JOB SITE *
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The City of Mmonds Side Sewer Drawing EASEMENT NO - -------------------------------- -----------
NEW CONSTRUCTION REPAIRS [X LID NO. - ---------------- ASMT. NO - ------------------
OWNER --------------------------------------------------------- --------- ---------------------------- CONTRACTOR ------------ J...k ------------------------------------ PERMIT NO.
....... LYK
JOB ADDRESS ... 2-290-3 --------- f7(o'rlA--AV-F-.--W- --------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ---------------------------------
-------------------
VIA BALLINGER
-------------------------------------------- -- f 7 TATIO
uFT s -N ----
NAMEOF ADDITION - ------------------------------------------------------------------------------ I ..........................
-----------
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PWW-0001-11/75 (REV.11178)
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DATE -10-9�aS ................. BY.../-.
NOTICE:
No warranty of accuracy.
The information shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of Edmonds does not warrant the
accuracy of anything set forth on these
map(s). Any person or entity requesting a
copy should conduct an independent
inquiry regarding the information shown on
the 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
employees or officers shall be liable for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
The City of EdmondSTREET FILE
APPLICATION
for
SIDE SEWER FERNaT
OUTSIDE ?� INSIDE 0 REPAIRS Fl
ll-�-) Z-A� — 4A-:-j �)� � C) -
OWNER ... OFZ�� .. -------------------------- . ............................ CONTRACTOR ......
STREET
HOUSE No. '�AI'3 . . ....... .............................. AVENUE LOT No.
NAME ADD . ..........
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41
u
CARD No. .........................
EASEMENT No . ........... .....................
......................................................... PERMIT No.
........... BLOCK No . ............... / .........................
-7v ... .... . . ............ -- - -------------
........ ...............
'11d . /"�
a
APPROVED
J U L 19, IBM
Date Approved:
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ ............................................
SEWER WORK ORDER ISSUED .......................................... D A T E .. 71,6711:
.;�: . . .................. By
.. .................
0
CITY OF EDMONDS
Call PRospect 6-1107 when work
civic CENTER —WATER-SEWER DEPARTMENT. is ready for Inspection. (No Inspeo- N2 1250
tions, saturday, sunday or houdays.)
SIDE SEWER PERMIT
ADDRESS ---------------------- RZP.0.!�� --- ....... 76.116L ... �.'ruzae 0!!Ujr� .........................................................................
.........
OW14ER ----------- ------ :..4./ ----- !;e'O!:� .......................................... CONTRACTOR ............ IL
191C, for ...................... days, to REPAIR or CONNECT a side sewer
Pernilssion is granted
with City Sewers in accordaXce wi* application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
sed Side Sewer contractor must
NOTE No. 1—The owners of the property may obtain a Permit to construct sewer inside property IIne.orA iteen
be employed to construct side sewer in street area. i)o not cover any portion of sewer bef e It has been inspected.
TE No. 2--Obtain full information regarding Ordinance 11.16.030 and Regulations governing side'sewers when you get Permit.
rE No. 3—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside Property line; minimum grade of 2%.
No bends4b ban % will be permitted.
%0!ade sharper t o shall be responsible for
NOTE No. 4—Trenches Imistreet must be water settled and surface of street restored to original condition. Contract rs
failure due to improper work which may develop within one year of completion.
NOTE No. 5--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 ap
purtenances except to insert the pipe Into the wye.
.......... '77
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