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CITY OF EDMONDS WATERLINE AS -BUILT
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WATERLINE
236
12TH AVE N
No- 201842
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HOMEOWNER:
�;(;ALE:
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BARTLETT
NTS
.&t 1890
DATE MPEL;TED:
I%PEL;TED BY:
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DATE DPAWN:
DPAWN BY:
11/30/01
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7/3/06
J. COLLINS
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CITY OF EDMONDS - SIDE SEWER PERMIT
WATER�SEWER DEPARTMENT
PERMIT
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.
ADDRESS LOCATION OF CONSTRUCTION
--------- .............................................................. . ........... . ....................... ........... ...........................................
PROPERTY LEGAL DESCRIPTION ....... ........................................................................ . ............................................... ...........................
.................................................. . .......... . ........... ............. .......................................................... . ............... ......................................................................................
................... ............. ....... --- OWNER ANDIOR BUILDER ...... ................................... ................ .......................................................
4, ........ ... .
CONTRACTOWSNAME & ADDRESS .......... : . .......................... ....... -----------------
�'- . ............................... .. ...................................................
Permission is granted .......... ............ 19-3f,,jor repair and/or connection of a side sewer to the city swdtary sewer
............ % .... -----
tem in accordance with City of Edmonds ordinances.
A-rfENTION IS CALT D 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 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 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 line and 12 inches inside property line; minimum grade of 2%. No beads 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 fallure 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 main sewer or Its appurtenances except to in -
sert the pipe into the wye.
DISAPPROVED .............. By .............
E] Date ... . ... --- Date ..... By ................ Date ............... - ------------------- By ................
17
Date .........
APPROVED
-------------------- By ... . ... Z: 7' ... .. . .......................................................................................
Remarks: ....... . ...... . .......................... . .. . ........................................
................. . ...................................... . .............. . ...................................................
p�1*11111*1*1-1-"--,--,ll,"--"-""I ----- I'll, --- I— ---- 1-1 - -------- 11 ------------------------------------------------------ I ---------- 11 --------- - ---------------------------------- - --------------------- 11 .......... I ------------------
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection —
I -------- r-" � --- 6 ...... .... hereby certify that the side sewer installation constructed under this permit
Twner of Contractink Firm Performing Construction)
installed in accordance with all governing ordinances of the City of Edmonds.
Dated this ....... Z.A? ........... day of ....... 19-4_=
............................. ....
V N1 Check BEFORE you dig for: Water E], Gas [], Telephone [:], Power E], Sewer C], Other C] V V
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APPUCATION
The City of Edmonds for
SIDE SEWER PERMff EASEMENT NO. - ------------------ -----------------------
NEW CONSTRUCTION REPAIRS LID NO. ---------------- ASMT. NO. ---------
OWNER 6r
.4 .. ) -- ---- r-77-0 -------------- --------------- --- CONTRACTOR ----
. ... . . PERMIT NO.
JOB ADDRESS ----- g-:5,1 --- - --- -------- . LEGAL DESCRIPTION: LOT NO. ----------------------- BLOCK NO - ----------------
M
11
-------------------------------------------- ----------- --------------- ------------------------- --------------------------- -- --------------------------------
0' / V V,
NAME OF ADDITION ... 4
AA,lel - ----- / ---- ;/ ... S ------------------ -----------------------
Approved:
DATE-------------------------------------------- By --------------------------------------------------- j7j7F9
a/
STREET FILE
MEMO TO : Harry 14hitctitt
DATF: june 4,1976
Buildino Official
FROM:- Richard H. Allpn
Assistant CitY Fnnin(-,.Pr
SUBJECT: Building.Permit Application for 236 12th Avenue N. Lot-22
After review of the stih,ject huildinn nermit anOication, we have the fol-
lowing comments:
1. 11ouse location and utilities are the responsibility of
the builder.
2. Connection to sanitary sewer required.
3. Underground wiring required.
4. Driveway slopes not to exceed 14 percent.
5. Lot drainage to be contained on site or connected to
nearest City storm system.
6. Right-of-way Invasion Permit reauired for curb cut.
WJN:MM:mjr
7— Lt-5
( %, I . . r %-� Z; I -, : '. , �- " � ! C-T ----
L e 71 Cit', 77
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D 6-1-7 6
SU="-"T- : 12th Place �Nc)--t-h ( Both of: them
STREET FILE
-hat we still have
It has been brought to my attention t
( two each ) 12th Place North's in the city. Add to this
a 12th Ave Niorth and we can surely add a time delay if
not. ut-ter confuS.--ion in the event of a ertiorgency.
This did occur on 5-30-70' with potentially disasterous
results. L e 4- _-, cj e I- c h;::z
—n g e, a,
12
CC: Ron W,-!-)alcY, M.A.A.
Sgt. R. Greene
is WITY OF EDMON140
ENGINEERING jr.)EPARTMENT-
505 BELL STREET
EDMONDS, WASHINGTON .98020 vinEET FILE
APPLICATION FOR INVASION OF RIGHT-OF-WAY
(Submit In Duplicate)
Permit.to be issucdo- Ro(7M,�oo# "Mcs'S., Iftcot
For work. a t: (address or vicinity) 1:271f j4qtr 81,, opryloNQ5
OF
Type of work to be donc:CyT :Cv(?-i5 !t S I 116ki A-L4K ED d9A OLWAY
(Attach Drawing When Applicable)
E �- T A - N
0wner:FA4r\19 Vilcovocntf
Name
Mailing Address
City State Telephone Number
Contra�tor: &4jv 0.0 'Homes, "C'
N-&Me
7-
Mailing Address
IJU NUT WEITE BELOW THIS LINE '(To b.e'completed by issuing Agency).
Permit Issued (date)flnpr k
A
Remarks
ER'S APPR
9/1
Permit Nuni.br
co.� -: or i
cr I
DATE for
Of
P;
t1le rc-�t,,,ration LvI, j:i-, Dept.
-3
�,! 91 R 7R,
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14 AVE Permit Address
ET
Lecial Description La
rM4MWW..O, ttILLS
BU I LD INC, PERMIT RUIE14 nrWTMFNT
CHECK LIST
Reviewer's
TntiAlc
Sep tic Tank, Sys tem nes, i qn Approved
Sani tary Sevier Availability Sht. of Dwo. No.
T-
Project side Sewer Availability:
Any Sanitary Sewer Connec tion, Fees.
Site Drainage Checked
5. Storm Sewer Availability:*4y� Sht. f Dwg. No.
Project:
P Roadside D tch
6. Grading & Final Contours Ek:T
7. Sidewalks (Site I.nspecti.on shows condition of existing walks"as follows):
6- FTO (2DWM2;ff]W IS&M 99s,
7 8. Curbs im I R do
9., Curb Cuts
144 n ound Wirinq A -Street Linlitina
11. Street Right-of-way & Bl . dg. Sethacks:l�& (CO Fn Sht. 05
of Dwg. No. of Offi-cial Street Map.
12. Existing Utility rasements WF)NW-
13. Access Easements
14. Oater Mains A Fire Hydrants (Indicate Size 1later Main)
15. Bonds for Site 14ork-
16. Special Requirements listed in memo to Bldg. Dept.
515W MUM V
17. Commercial�A Apt. Requiremprits form comnleted ht Ar
18. Drawings stamped & nota
19. Site Inspection made on
.20. All:items fi,lled in on Rldg. Permit Applicati on
21. This Lot included in Subdivision (List any special requirements):
3/9/76