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23602 76TH PL SW
USE PERMIT
ZONE NUMBER
BVILDING DEPARTMENT Applicant Fill
PERMIT -APPLICATION lnside,Heavy Lines
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REMARKS
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Legal Description of Property (Show Below or Attach Four, Copies) STREET.AND/OR UTILITY WORK R*/W PERMIT REQUIRED
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2- :UNDERGROUND
WIRING REQ'D, YES ONO
TYPE CONNECTION 0 YES: F41FIED By
SANITARY SEWER 0 No
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SEPTIC SYSTEM Y ES PERMIT NUMBER
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REMARKS
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REMARKS
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NUMBER
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NUMBER OF
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NATURE OF WORK TO BE DONE
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FILE
- PUBLIC WORKS
DEPARTMENT -
Routing of Building Permit, Plat, or -Subdivision Appliqations
Proposed Property Address:
23602 76th Place West
77
DEPARTMENT
COMMENTS
INITIAL
& DATE
IVA T E R
2-,
;2 -7- 7 7'
S E W E R
S T R E E T
B U I L D I N G
0 R
P L A N N I N.G
ADDITIONAL INFOR�IATION:
10/11/76
APPLICATION
The City of Edmonds for EASEMENT NO - ------------ ------- ----------------------
SIDE SEWER PERMIT
NEW CONSTRUCTION [:1 REPAIPS LID NO.. ------------------
OVNER e4� ---
------------------------------
p/ W
JOB ADDRESS --- 0-1 — -------- 2-4 ----------------------------- �t_ -------
CONTRACTOR _C�r/--*A644A ... ..... ............. PERMIT NO.S7q -
LEGAL DESCRIPTION: LOT NO. JtA-f ------ 9 -------------- BLOCK NO. --,13��- "-J�
.............................................................................................................................................................
NAMEOF ADDITION -----------------------------------------------------------------------------------------------------------------------
'A Ma,31 W
Own
Approved:
DATE-------------------------------------------- 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).
CITY OF EDMONDS SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT
side sewer inspections BEFORE covering any portion of the construction.)
(C. 1p�.-- �.�: provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.
ADDRESS LOCATION OF coNsTRuCTIoN .... 73AQZ ---- 7.6.th --- Place .... West .................................... .. . .......................................................
.. .. ...... ... .. ......... ......... ..
PROPERTY LEGAL DESCRIPTION .................... Lot 8, Beheki Addition
.............................................................................................................................................. . ...................
...................... ........................... . ........... .......... . ........................................................................ . ............... .................................. . ..................................................
........................................................ 0-4,71,41M.S.31D/OR, BUILDER.--..KENNE.TH --- AND-E.RS O.N ......... . .......................................................
................ ...... ... . . ........ .. ......... ...
Ot-P.NTRACTOWS NAME & ADDRESS ........... OFNEA ............................................................ . .............................. . .. . ............................................ ..........
..............
Permission is �gwwted ........... . ...... March .... 3 - 1-2 ............ 19 ... 7.7 for repair and/or connection of a side sewer to the city sanitary sewer
-'em in accordance with City oi"Edmonds ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —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 leaut 30 inches coverage at property line 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 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 maln sewer or its appurtenances except to in-
sert the pipe into the wye.
DISAPPROVEDE] Date ... . ........... �A ..................... By ................ Date .......... 4!t_de� ............ By ................ Date ................ ................... By ................
00
APPROVED -P�eDate._,,A,4V'_. !�K/ BY
------------------ .......... ........ . ... .. . .............................. . .......................................................
Remarks: ....... . ................................... .. . ................................ i ......................... . ....................................... ...................................................................
------------------------------------------------------------- - ---------------------------------------------------------------------------------------- - ---------------------------------- - -------------------------------------------------------
BOTH Permit Copies> MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For. Inspection
0 1 ......................... ............................................................. ... , hereby certify that the side sewer installation constructed under this permit
(Owner of Contracting Firm Performing Construction)
was installed in accordance with all governing ordinances of the City of Edmonds.
Datedthis ............................ day of ................................................................. 19 .........
Check BEFORE you dig for: Water 0, Gas E], Telep4ono 0, Power [:], Sewer C], Other C] %
9
0
APPLICATION
The City of Edmonds for EASEMENT NO . ..................................... ------
TF? SIDE SEWER PERMIT
CET 1:114,
CONSTRUCTION REPAIRS R LID NO - ------------------ - ASMT. NO - ------------------
OWNER ..... CONTRACTOR ----- PERMIT NO.!=---7'A-z_t_l
- ------------------------------------------------------------------------------------ ----------------------------------------------------------------- --------
JOB ADDRESS Z .... — ----- ..... \t4 ....... LEGAL DESCRIPTION: LOT NO - ---------- EN ----------------------- BLOCK NO - ------------------------------------
.....................................................................................................................
WTAIX�� f'%YT ATNT-%T�M�XT r-2� ;== %4l I Nx--;[--�> �-n (nk-4
---------------
Approved:
DAT . ........ ;Z ...... B,
11/75
1/7