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23819 76TH AVE W
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STREET FILE
September 15, 1969
TO WHOM IT MAY CONCERN:
This is to certify that the house at 23819 - 76th Avenue West
within the City of Edmonds, was connected May 13, 1969, on permit #3373
to the City of Edmonds sewerage system according to the City of Edmonds
standards.
Yours vei-j truly,
CITY OF EDMONDS
RONALD L. WHALEY
Asst. Director of Public Works
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APPLICATION
for
The City of Edmonds SME SEWER PE T W A Q�
. wvv 9!11 NEW . CONSTRUCTION . W/1' REPAIRS IVL.UJ.L'4.L 110. - ........................................
.............................
OWNER . . ...... Ve CONTRACTOR .................... PERMIT No.
) . ..............
ADDRESS ..... .... . .... .. .. ............... ..... LEGAL DESCRIPTION: L N ...... ............................. BLOCK No.-.
.. ........................... ............
NAME OF ADDITIO
PER
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APPROVED --
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Approved:
DATE ... .......
.......... .. .....
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CITY OF EDMONDS
CIVIC CENTER — WATER -SEWER DEPARTMENT Call PROsPect 6-1107 when work
is ready for inspection. (No Inspec.
SIDESEWER PERMIT Mug SstuMaY, Sunday or holiday,,.) N? 3273
ADDRESS ------- M19 ... ..... 7ftb.
. ................................................. . .............................................................................
OWNER .......... "MR
--------- CONTUAC .......
Perinission is granted ...................... !%y— for ........................ da s IR
y to REPA or CONNECT a side sewer
with City Sewers in accordance with ailillication on file and governing ordinances.
ATTENTION IS CALLED 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.
-�E No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
i. . -.CE 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 bends in grade sharper than % will be permitted.
NOTE No. 4—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.
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 appur-
tenances except to insert the pipe Into the wye.
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No. REVISION DATE BY
WA RUSKM FISHER & ASSOCIATES', INC.
CIVIL ENGINEERS LAND SURVEYORS
CL S U RVEY.
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DRAWN BY: J.\/.0 Z- 4069 Joe NO. 6c�- 5.0 S 3
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APPROVED BY: DATE:
LED BRUNING CO. IN 1-66
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