23710 80TH LN W.PDF111111111111
7256
23710 80TH LN W
0
APPLICATION
City of Edmonds for EASEMENT NO - -------_-----------------
ST11`11�� FILE SIDE SEVVER PERMIT
NEW CONSTRUCTION REPAIRS E] LID NO. ASMT. NO. ��? ------
OVNER-�
............................ ---------------- ---------------- ------------------ CONTRACTOR N-O-:
...... ---------------------------------------------------------- - - -------------------- —
-------------------------------------------- ------------------------ ... LEGAL DESCRIPTION: L-aT No. q&� LOT7 BLOCK NO - ---------------
JOB ADDRESS .....
-------------- _------------------ -----------------------------------------------------------
- - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - * . . . . . . . . . . . . . . . . . . . . . . . 7
Approved: X, 19
---- - --- BY t�lo
1*04 ---------
ME
STR��o I s
kCTION UMRT
SUSPENSE DATE:
Date: Time: File # —
Attachments
Ha*,,-U 1�1'e
REQUESTOR: NAM: /v§gaL-
ADDRESS: 0 � FO lolj
PHONE: 77AI-,-1'77
REQUEST RECEIVED BY:
TELEPHCNE
CONTACT IN OFFICE r---j
OTHER: r--i
RECEIVED BY:
4173 ,
=Yes
"W�O
I -
�Mm
r MOMN."M
VA
=mom
ACTION: L J
All Concerned Notified
JL Action Completed/File
APPLICATION
for
The City of Edmonds SEDE SEWER PERMIT
NEW CONSTRUCTION 6--- REPAIRS 0
EASEMENT No . ..........................................
OWNER .... ....................................................... CONTRACTOR ....... Ai! .......
.... PERMIT No . ................
ADDRESS ........ :1 Ile ............. .......... �( ................ LEGAL DESCRIPTION: LOT No - ------------------------------ ............... BLOCK No . .........
0
...................................
1c7- 7 b14 3
NAME OF ADDITION
........... tc,
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 �Eclmoncls does not warrant the
accuracy of anything set forth on these
map(�_). Any person or entity -req uesting a
copy should conduct an independent
inquiry regarding th-e information shown on
tf�e -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
ernp[o-yee-s o-r officer-s) sha-111 be Hab--le 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
.&'� 0 H20
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 .......
..... LJtNVE ........
PRA)PERTY LEGAL DESCRIPTION .....
.76----
.... UITL_r�J.
............
...... . .. ...
.......... . .............. .................................. . ..................................................
................................................................ OANWERAND/OR BUILDER .........
---- �Ax<�s .... . .......................................................
CONTRACTOR'S NAME & ADDRESS --------- ......
Permission is granted ........... . ...
7111
systleju in accordance ..... ........ ........ 6 ............. 1 1977+74---, for repair and/or connection of a side sewer to the city sanitary sewer
with City of Edmonds okdinances.
Al-..;NTION 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 In.formation 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 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 im
work which may develop within one year of completion. proper
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.
DISAPPROVEDE] Date ... . ................ ..... /By ................ Date ............ 11 ............... By .......... ..... Date ............... . ................... . By ................
APPROVED Date ... . ........ ......
.............. By _- - --- . ..............................................
RemarkY.... . ....... .......................... . ............................................................... ...................................................... . ....................................................
..................................................................... . ..................................... .................................................. . .................................. . ..................................................
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For I--
n6pection
I
i6'w"ner of hereby certify that the side sewer installation constructed under this permit
Contracting nrm Performing construction)
---------- - - -_ * ------------ I -------------------------- ---
W stalled in accordance with all governing ordinances of the City of Edmonds.
......... day of
Dated thi ....... . .......... 19.73.
................
N1 V Check BEFORE you dig for: Water [I, Gas 0, Telephone Ej, Power Sewer 0, Other E] V V
/ / /a e V/---
I
/I - 1-fo'll /I/- � el
5X&17 4- 23 71�0, P
�/Z�V/417
�5vf4��