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549 PARADISE LN
The City of Edmonds
APPLICATION
for
SIDE SEWER FERMT
NEW CONSTRUCTION REPAIRS 0
EASEMENT No.
OWNER............................................ . .
....................................... NTRAC OR ................
CO T ................ PERMIT No . ....................
ADDRESS ... �k--44�� ..... . ..... ................ LEGAL DESCRIPTION: LOT No . ............................................. BLOCK No . ........................................
NAME OF ADDITION
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Approved:
DATE .. . .......... ...
... . ...... .
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CITY OF EDMONDS SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PER3
1IT 4518
he construe ion.)
call 715-2525 for side sewer inspections BEFORE covering any portion of t . 4
(Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.
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5A9 Paradise Lane .................
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ADDRESS LOCATION OF CONSTRUCTION --- ....... .
----------------------- ....... ------------------ --------------------------------------------------------------
LEGAL DESCRIPTION_ ..... ---
PROPERTT'
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............ ....... ......... -------------------- ............. ...... ------- ....... . ......................
................ ..... ............... ......
.... . ............... ....... .. . ............... .......... ......... ................
. . . . . . . . . . . . . . . OWNER AND/OR BUILDER-
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Owner .............. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - -- - - - - - - - - - - - - -
CONTRACTOWS NAME & ADDRESS.-m-m ------ m -------- ------- mmm_m -------
-tion of a side sewer to the city sanitary sewer
Permission is granted .... Oc.tob.e.r ... 1.5 .............. 19.73— for repair and/or connee
system in accordance with City of Edmonds ordinances.
'.1qTION IS CALLED TO THE FOLLOWING:
A licensed Side Sewer Contractor must be employed to construct
No. 1—The owners of the property may obtain a permit to construct sewer inside property line.
has been inspected.
side sewer in street area. Do not cover any portion of sewer before it er's office.
o. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engine
N
OTE
6.030 and Regulations governing side sewers when you get permit.
NOTE No. 3—Obtain full information regaxding Ordinance 11.1 hes inside property line; minimum grade of 2%. No bends in grade
least 30 'inches coverage at property line and 12 inc
NOTE No. 4—Top of side sewer must have at
sharper than % will be permitted. ble for failure due to improper
to original condition. Contractors shall be responsi
,-Trenches in street must be water settled and surface of street restored
NOTE No.
work which may develop within one year of completion.
the main sewer or its appurtenances except to inm
the permit, or to do any work on.
NOTE No. 6—It is unlawful to alter or do any other work than is provided for in 7
sert the pipe into the wye.
pp--- Date ..... --------- - ------------------- 'BY ....... ......
Date__ ...... ........ ----- By ............. Date_. .... .... BY
DISAPPROVED 00-
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APPROVED Date.. BY-9 - - - - - - - - - -
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Remar
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ks: ....... . ------ ---- m ....... -- - ------ mmm_ ---------- ------- ---------- M ------
rm Performing Construction PRIOR To Request For Inspection
BOTH Permit Copies MUST Be Signed By Owner of Fi
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......... hereby certify that the side sewer installation constructed under this permit
(Owner of Contracting Firm. Performing Construction)
dmonds.
Istalled in accordance with all governing ordinances of the City of E
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Dated this ------------- -------- day of ---- -----------
OTE No* 6m-" is unawf'
sert the pipe
D=PROVED
APP OVED, ..........
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Power Sewer Other
Gas E), Telephone E],
Check BEFORE you dig for: Water
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