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23904 80TH WAY W
Ckof Edmonds Buflding Department
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DEVELOPMIENI Stmvi �ES CTR.
WY OF EDMONDS
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APPLICATION CARD No . ....................................
for
The City of Edmonds VILE SIDE SEAVER PER3HT EASEMENT No . .......... lZ---- ---------
OUTSIDE E) INSIDE REPAIRS n
I- �23-1)'-7�410 -/-I J9
z .......................... ........ PERMIT N
OWNER ...... e,�-&AITA / .......
...........
. . ..... ............ CONTRACTOR ....... g.
U.....7
STREET
-No
HOUSE No....173.9.6 --- AVENUE LOT . ......... ............... ........................... ...... BLOCK No . ...... .......
NAME ADD . .................. ;
M
Date
BACKFILL WORK ORDER ISSUED ........... -- .................... DEPOSIT, $ ...................... ............
SEWER WORK ORDER ISSUED ......... -------- .......................
APPROVED
MAY
Approved:
DATE-� ................ ... 10 .. ... ..... 13Y -------------------------------------------------------------------
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 Umonds does not warrant the
accuracy of anything set forth o,n these
map(s-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
t 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
emp-1-o-yees o-r offiCerS) -shall 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
CIVIC CENTER — WATER -SEWER DEPARTMENT Can PRospect (1-1107 when work
is ready for Inspection. (No Inspec-
SIDE SEWER PERMIT tiOns Saturday, Sunday or holidays.) N2 124 0
ADDRESS .......
Edward F Boyle
............................... CONTRACWU .............
OWNER._� ................................. 7 .................... Roy Allen
..............................................................
Permission Is granted ........ hay .. 24,.— ................ 19.65., for ---------_----------- days, to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —The owners of the property may obtain a permit to constru t sewer Inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer in street arm Do not cover any portion of sewer before It has been Inspected.
NOTE No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get perinit.
NOTE No. S—TOP of side sewer must have at least 30 inches coverage at property line and 12 inches inside Property line;
No bends In grade sharper than % will be permitted. minimum grade of 2%.
, _TE No. 4—Trenches In street must be water settled and surface of street restored to original condition. Contractors shall be responsible foi
failure due to Improper work which may develop within one year of completion.
i-17E No. 5—It Is unlawful to alter or do any other work than is . provided for In the permit, or to do any worl�/On the mal
Purtenances except to Insert the pipe into the wye. n seV Its