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24111 BEESON PL
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
STREET ME 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.241-1.1 ....... E-po-lop'n>5 L-�A
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PROPERTY LEGAL DESCRIPTION ....... LOT .... 1-3 ...... . . ......... 4A 4 9- _2;�A e- AX 6 12 pt-A -r
. I ..................................................................................................
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................................................................. O-*-11NER-,PANDXOR BUILDER ...... .... A9.90777 I
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LIRACTORIS NAME & ADDRESS --- XJ 0 fZ:TM B oc--r 5
. ................................. ..... ......... ....... /2-00 ......... . .......................................................
Permission Is granted ..... . ... ............................................. I 197-q- for repair and/or connection of a side sewer to the city sanitary sewer
M in accordance with City of Edmonds ordinances.
ITION 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.
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.
A.: No. 3—Obtaln full information regarding Ordinajice 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 4—Top of side sewer must have at lea'st 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 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 [:] Date ... . ................................... By ................ Date ...................................
APPROVED arDate ... . .............. . ...... By..-
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R4nnarks: ..........................................................................................................................
By-----_--_--- Date .............. . ................... . By ................
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BOTH Permit C�o es MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
'00
.... ... , hereby certify that the side sewer installation constructed under this permit
. ..... .........
Perfor2
(Own f C cling Flrn�
Smstalled in accordance with all governing ordihances of the City of Edmonds.
Datedthis ............................ day of ................................................................. 19 .........
Check BEFORE you dig for: Water E], Gas E], Telephone E], Power E], Sewer 0, Other 0 N/
KOU I I Nhi �>L I F
'TALLAT [ON
NEW -S-I'VICE INS
ADDRESS:
DATF:
DJAT, A DIG#
1). U. 1).
TELEPHON-_
CABLE T. V.
GAS
STORM SP14FR
OTHER
FUTURE'SERVICE INSTL: YES NO
BORE: CUT:
SURCHARGE: YES (NO)
LOCK
INITIAL:
CREV
AT E/ /- !F- 75,1 1 N I T I A L 4�
METER SHOP ACCOUNT NUMBER:.5-0/ - 0c?65_?D.
SUPPLIER:
TREATMENT PLANT SIDE -SEWER PERMIT'
ClVIL'ENGR.
DRAFTS11AN E a L T #
SUPERINTENDENT INITIAL: DATE:
TAP CARD INETER 7APPLICATION/
UTILITY DISPATCH
B T LL I N(;