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520 PINE ST
CITY OF EDMONDS
ASSET INFORMATION SHEET
40 El NEW
F� ADDITION
1:1 RETIREMENT
STREET FILE ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION DEPT. NO.
-!5'2 c, 6CK c>
"PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
PROJECT N U M BE R
PROJECT COMPLETION DATE
COST ?
B.A.R.S. ACCOUNT NO. C5 r q
ESTIMATED LIFE
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT -
G.L. ENTRY
REFERENCE
DATE
VERIFIED BY
PROCESSED
BATCH NO. -
INITIAL
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DEPARTMENT FILE
CITY OF EDMONDS
PUBLIC WORKS DEPARANT FOR INSPECTION CALL Permit No
..775-2525 Ext. 02,0
S"I,DE SEWER PERMIT Issue Date
PEP -MIT MUST BE POSTED ON JOB SITE
I Address of Construction
!L
Qj Property Legal Description (include all. easements) ITREA P.1
_.j PtcRpl . —I W
Single Family Residence Multi -Family No. of Units
Commercial
Owner and/or Builder
a No.
contr'ctor & License
fl"�'6. Invasion into City Right -of -Way: No Yes (If Yes Right -of -
co
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation).
7. Cross other private property: Yes No V Easement,required,,-
attach legal description and county easement number..
READ THE FOLLOWING AND SIGN:
a. Property owners must obtain a permit to install side sewers on
their property. A licensed side sewer contractor must be employed to
construct side sewers in the public' right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year.
C. Commercial establishment requires a minimum of a six inch (6")
side sewer line.
d. Side sewers may not be installed closer than thirty inches (30")
to any structure.
e. Side sewer lines must 0 be laid at a minimum grade 6f 2% (1.150)
and maximum grade of 100% (45 ). 0
f. No turn in side sSwer greater than 45 (1/8;bend) is 0 allowed
between cleanout. All 90 turns must be constructed of a 45 (1/8
bend) and wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100' along sewer 'line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k. Side s6wer.must be left uncovered until inspected and approved
by the City.
l.. Inspection during normal working hours only. Two (2) working
c
days noti red. :7s 7Za
2
DATE: j2
Vcertify7iHaf I 'haOe read
and shall comply With the above
PERMIT FEE-:
CONNECTION FEE:
0
Pk
* PERMIT
DISAPPROVED By:l;a6W�, -Date: Vzz 9--Y
B Date:
APPROVED By -2-9-8
T BE POSTED ON JOB SITE
Pts BUILT
The City of Edmonds for EASEMENT NO - ---------------------------------------
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS F1 LID NO . .................. ASMT. NO . ............
OWNER P-Q-G-C--r ----- W- -F--45--r .... !�;O-Rp -------------------------- CONTRACTOR ------------------------------------------------------------------------------------ PERMIT NO. 0
JOB ADDRESS .... 52-0 ......... Rt-NiE� ------ S: 7 ............................ LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
P"Pckry t-%"c---cAS-r
........................................................................................... ............................... .................
NAME 0 F ADDITION ...............................................................................
13.5 2"WATFR METLP.
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2.5 -
C.O. WYE
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Approved:
4-2-9- C3 P
DATE...... I ......... . .......................... By .. . ....... . ... ............ fiHg
0-
RECEWED
i7
TREIE i FILE JUN -181982
LETTER OF TRANSMITTAL
i
TO: v F EA ma
Walken/Roti & Associates
2313 N. 172nd Street
Seattle, WA 98133
(206) 365-9435
Attn: N 6 vv\, 4dO .344 D ate:
Job Title: adwo",5 5ZUa4._Job No.
Location: 2
Subje ct: G_WJIQ�.
We are sending herewith via:
No. of No. of No. of Description
Originals Sepias Prints
ooze LT_L�o n��l
KLY-1 5ZW'2V- LL) 1 4J4 12
For Approval /g7 For Your /_7 Returned for Cor-
Information rections as Noted
/_7 Per Your �_7 Approved as'
Request Noted
Remarks: A e4
1-7 Please Re -submit
1ce" Wi 5 IP r-0) Ct:4 By:
bv A?_-/4,,.
CITY OF EDMONDS
PUBIJC WCRKS EMINEERING
ACTION REPORT
ZI I
N? 1650
STREET FILE
SUSPENSE DATE:
Date: Time: File #
Attachments: r---lYes
SUBJECT: r-71No
REQUESTOR: NAME:
(I
S:
ADDRES 0
PHONE: 76 - 3� �-?
REQUEST RECEIVED BY:
TELEPHONE r---1
CONTACT IN OFFICE
ER:
RECEIVED BY:
ROUTE TO:
IBM
RM
All Concerned Notified
Action Completed/File
APPLICATION CA-RD No.
for
The City of Edmonds SEDE SEWER PERYaT
OUTSIDE E] INSIDE n REPAIRS EASEMENT No.
......................... CONTRACTOR.
OWNER ----- ----- ....................... 6,00
..........
L
I OQ STREET
HOUgE No. ---.d ............ jo ---------- —0 . ............................................ AVENUE LWOT-, o . .....
NAME ADD . ..................
APPRO
ED
APR
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'41
Date
BACKFILL WORK
ORDER ISSUED ................................... DEPOSIT, $ ------
SEWER WORK ORDER ISSUED ..........................................
N
................... PERMIT No.
.......................................... BLOCK No . ...............................................
.....................................................................................................................
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Approved:
.................... /112
DATE.......................................... By ...... P, ......................... ........
CITY OF EDMONDS
CIV11C CENTER -WATER-SEWER DEPARTMENT Can PRospect 6-1107 when work
is ready for Inspection. (No Inspec-
N2
tions Saturday, Sunday or holidays.) 1391
SIDE SEWER PERMIT
......... 5.20 e .. .. .... .. ......................... ...................... ..... ........
ADDRESS ....... _S.treii�t .... ... ........................................ .......................
OWNER, ....... Hazel ... 5 ..... Slye ................................................... CONTRACTOR ---_----- 1199 ... ��qt4PY --------------------------------- ........
Perinissio'n is granted ... April --- 4 ......................... 19_6j5., for ...................... days, to REPAIIR or CONNECT a side sewer
with City Sewers In accordance with application on file and governing ordinances.
ATTENTION IS CA.LLED 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.
NOTE No. 2—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
N�TE 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.
V Aes
z�E 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.
No. 5---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 ap-
purtenances except to Insert the pipe into the wye.
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