570 ELM WAY.PDF11200
570 ELM WAY
CITY OF ED
CIVIC CENTER . WA MONDS
SIDE S . ' . TER-S-EVIER DEPARTMZNT
.EWER PERMIT
ADDRESS ...................... 5.7
_.O_.Z
_IM ... Way ---------------------
OWNER -------------
!3an PROSPect 6-1107, when
is ready for (No - "For*
"One Sltlizfty, Sunda,, 0, 1, u1spec.
OfidaWs.) 3519
I.CAS ...............
-rerinisslon is granted - ----------------- -------- -- - ----------------------------------------------
........... November CONTRACTOR -------------- W001eyl.s-
with City Sewer, in accordance with 19-69, for. ..P4-e --- & ... S.e
A, application on fil -------------- - ------- days to R we x ..........
.1 and governing ordn..ce XPAIR or
TTENT'ON -TS CALLED TO THE F,LLOV,,N,: �s.
-NOTE No- I —The CONNECT a side
11� - """' Of 'he sewer
NOTE be employed to construct Yway Obtain a Permit to co
NO. 2—Obtain fu side struct sewer
--T Information regard' 0 not Cove
1�0-,-E NO, 3 er sewer in street area, 1) n- inside Property I.
No bends in .16.0301 and Reg.Wa"tjoysi-tlon Of sewer A licensed Side Sewer
OP Of side sew lng ordinance 11 me -
grade I t have at least 30 inche before it has bee. jn�spec,ed. COntracto
Per
'%-"OTE NO. 4—Trenches in street must be than % will be pe ' Coverage at propert COlerning side sellers Wben you get permit. r must
failure due to Improper wo water settled and "Initted. Y line and 12 inches Inside J>r
rk pvbich Ina surface Operty line;
5�—It is unlawful to alt ' develop Within One Year of c minimum grade of 27
No tenaacleS except to I er Or do any Other of street restored to original Condit-
nserl the pipe into work than � OMPleti.n. Contractors shall
the wye. is PrOvid ed for in lOn.
the permit, or I to do any work on the be responsible for
main sewer or its appur-
cl
APPLICATION
for
The City of Edmonds SME SEWER PM3tNW
NEW CONSTRUCTION El REPAIRS F] F,.A-SM&Er-pr No . ..........................................
c) J 7- -S
OWNER — ----- -,.4, CONTRACTOR
............ PERbM NO.
ADDRESS ......... 4.4 . . ....... ................ LEGAL DESCRIPTION: LOT No . ............ --------------------------- BLOCK No . ............................................
NAblE OF ADDITION .............................. .........
car --op—,,ae 0 5�1
1�
t "Zk
.0
APPROYED
i
ROV 14 ! 1969
AppWV4:
DATE ... 4
........... By ..
.. .............