261 12TH AVE N.PDF1111111111
620
261 12TH AVE N
-- ---- -----
-- --- -- ----
The�,",#`.ilty of Edmonds
APPLICATION
64% for
tami E T F L E SIDDE SEWER PERMIT
OUTSIDE INSIDE El REPAIRS F1
7eo
CARD No . ......................................
EASEMENT No . ......................................
OWNER ACTOR ........................ PERMIT z0z
CONTR ..... ��4 ..... ....... ............
HOUSE No . ....... ------------------------- STREET
...... ............ ......... AVENUE LOT No - ----------------------------------------------------- ................ BLOCK No . ...............................................
NAMEADD - ------- ........ -4 ----- �z .............................................
Date Approved:
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ ---------------------------------------------
SEWERWORK ORDER ISSUED .......................................... DATE .......... ..................................... By
t
OV, EDM
C CE1WJ M-R�
Calti
�7 ]EPA-RTT"NT j, vvl�en, �j6rj.
( is,
NO, I pec,-
or
S'I D ffl�- S_ tin 8, .14
.-,E:W I -ER
ADWIdESS-
th. Avenue No t�'
2
................. ...... I..
..................................................... r ----------
7 ------------------ --------------- 7
0� ...... 6tli'�bi�..H -b ' '
Ip'e
..........
_-Wo
............................................ .
sslon Is-IrAilt6d A.14&�S t
it* ...... ....... iL9 66
W, 16"' ` .1 - :--� ---- �.v' for .... ------------------- days to Rt
�,In accor anec'W',th U ' . P PAIR or 0,
.�apoffi�aj ron on file and ONNECT a side sewer
9#"ancesl
ATTtNTI ON is C-AL.L' ED To , TErl�._FOL'
Low ING:
&O-J�The. Owner Of the Pioperi� btain a pe
be 61inployed, to construct' jido� =to �rMlt to &fistruct
full in Do &f.co , sower inside property onsed� Side Sewer Cont
NOTE No. �"LLObt�j` st et axe& ver any Portion of sewer, before it
re line. A li�
ractor must,
informatiori 'regarding Ordil' has b�en inspected.
NOTE NO. 37::7Top of sic lanLee . 11. 16.030 an I d Regulations go % ing side sewers wh
lo�i�w�er tnu�t'h��e at least,�30 ihbhe vern en you
an e and
'No,*bends in gra:d s- coverage jit property lin get permit.
e. sharper,, 0
NOTE es wl I be Permitted 12 incheq'Inside property line;'rniWm
lY9. 4�-;Trench - - - P-, . . I � . um graclepf-.2%.
street,must b6 water settled suja*'i
W.ini I . _. W
failure duo proper work. �I'gurfaze of street restored to oiigi
1141 condition. Contiactorii �hal
Lo alter,,or'd6. ahy for
...May develop'� within che year Of completion. I be
o-
i
�7 respois bl,
0; oth n is Provided for in the permit,
NOTE
Purt6��tis ept, tb ei'iori
the, Pipe into'tho""'� y or to do any work o
w
n the main
:se'�Tr,or its lip-