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541 FIR PL
C
MONDS
Ono,
AT-E]�, D
TMMNT
-EPAR
SID�,t
S
R P RMIT
can PROspect
6-1107 when work
114 ready for hispmu0n. (No . ins
"ous Saturday', Sunday �, hoil Pee- No
days.)
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SS
---------------------
----------------
O�M�,ER ------- Q.Z�L:_.Gr .............................................................. .........
.Q ----------------------------------
................................... .........
-- --------
------ CoNTRACTop
..QQ
!?�rxwssion is gra�t e.0 -e _jey.
_eMt). - -------------------------------------------
it�:Sew- 7 ---------------- 1 19-6-5, for
in acCordan ---------------------- days, to RE
ce with. appliaji6n On file and gove . rning 0
;PAIR or CONNECT a side sewer
'ATTENTION rdinances.
D To THE F�6'
Z46TE N , LL6wjNd:
owners of the property M�y obtain a permit to construct se
be en'Ployed to construct side� sewer I. street ares_ wer inside property lin
:NOTE No. �;--6btafn . full I information re not cover e. A licensed 'Side S
NOTE; N garding, Ord any Portion Of sewer Ze
before jt� has been ins t�entraetor must
O.-'3�Top of.,sid6" Inance j '1'16�030 and R,egulation, governing side sewers
NO bends'In ., 'sh=v4, atw le"t 30 inches coverage at Property line and 12 inches Inside, when you get Pe . M31t.
NOTE No. j—Tre., ' " an ]A will beperulitted.
Q'ur :h-s In �,street must be 'w4t . er settled and
e due'to Improper work Property line; mlWrnum grade Of 27..
street restored
NOTE No. which Inly deve1�p'nv—,jthjo.f one Year of to Original conditio,
0 the wye. Contractors shall be responsible for.
Is unJawful to alter or do any Other than is Provided for in the Permit, Or to do any work On the InWn sewer Or its ap-
Purtenances. except to insert the pipe ,twork —Pletion.
-AWV-
The City of Edmonds
APPLICATION
for
SEDE SEWER PERMT
OUTSIDE E] INSIDE F1 REPAIRS F1
CARD No . ......
EASEMENT No. ..
/ �/ f / — u / C� zreol. - co
OWNER.4��. .......... ------------------------------------------- CONTRACTOR -------- 0. �— .......... 4V .. ............................. PERMIT No.
061 .0 STREET
HOUSENo . ..... 'w'.4Z .... . . ......... ................................................... AVENUE LOT No . .......... :�3 ...................................................... BLOCK No . ....................
9 fvzl -1 -go ------ dw, ----------------------------
NAME ADD . ..........
AIZ7
cl)
/,FPROVED
G 1985
BACKIFILL WORK ORDER ISSUED
SEWER WORK ORDER ISSUED .....
Approved:
3IT, $ .............................................
DATE ... ........... ) ........
By.... . .. .....................