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City of Edmonds Non Edmonds MH 4@ Feet m� PI
121 5th Ave N Edmonds Manhole N PI
Edmonds, WA,
98020 Non Edmonds CB D
13 Edmonds Catch Basin
This document is for general information purposes only and is provided on an 'as is' 3/g 1 /20 1
and 'as available' basis. The data used6omes from a v4riq sources and no
warranty of any kind is given as to its accuracy. Users (�FWpftnt agree
to indemnify and save harmtess the City of Edmonds i 2&00: 32 AM
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APPLICATION
Ae City of Edmonds for
SIDE SEVIFER PERM"
NEW CONSTRUCTION E] REPAIRS EASEMENT No . .........................
OWNER CONTRACTOR PERMT No.
------ ---- — -------------------
ADDRESS ............ c� .. ... ........... lz�-Q5�r� LEGAL DESCRIPTION: LOT No..
............ .... ...... .... BLOCK No . .........
... ............ ------- .........
X,
NAME OF . .....
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Approved:
DATE ........ By ......
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17
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-'UI,VIC -11C EPCMRI�-: -WAJ clan PROSPect �6-4107 woft
i4RTMENT
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'S'gr' . ............... 1 19 ... ...................... daYS, tP REPAIR or'CONNECT a side sewer
Perrmssion anted ,..L ry.
Se%�ers in '"rdance with ApOlication o
n file and
�,goyerxping- ordinances.
�,j:��TION IS: CkLLE'D' T*o'
TIRE FOLLOWING:
VOTE- No. '1�The Owil6ks of the pr�perty��mjy* -obtain a permit to construct sewer inside property
be� ' line. A licensed Side Sewer Contractor must
eMPIOYed to cGnstAu6t side -sewer in -street area- any port
NOTE No. I 2—�6btajn - f * ull inform �1- on r. DO not cover ion 9f sewer before It has -.been* inspected.
ati . egardinj Ordinance 11.16.0,30 and Regul Se-
atiOnS governing. side w�rs when you get Permit.
NOTE . No. 37,ToP,6f-stde sewer -m�sj have it leasf �O ' "6j coverage "it PrOP-6 , it, "line and 12 1 1 n. . ch . es inside pro��j ii . e;
ends in grade�sljkrpej than. % 'will be' permitted. Minimum grade Of 2%.
.jtj
N -E No. 4--�Tre� be wate�
nc es in street ed.-and "surf
failure dui to im 'MI I - . . . We Of street, restored to original condition. Contractors shal
proper.. woik.L �Vhj6fi., fiiak develop 1witlif oil be. responsible, for.
n
tJs�unlawfui I;6�L
N E No. I e Year Of completio
after Or,do other work,�than'js Provided, for In the! Permit, to do;a:n
i lAirtenances to"insertL the',Pipe into thi--wye. or: y work on the main sewer or , s,ap-
it