613 CAROL WAY.PDF11111111111111
10506
613 CAROL WAY
0 . 1 0,
TAX ACCOUNT/PARCEL NUMB
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS/ DETERMINATION: 0 Conditional Waiver F1 Study Required Ej Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DA
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED: —
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DATED: (,p
OTHER:
LID
LOT: C9 BLOCK:
I
LATF-MP\DS7Ps\Fon-ns\,Street File Checklist.doc
The City of Edmonds
APPLICATION
for
SEDE SEWER PERNaT
CARDNo . ......................................
OUTSIDE INSIDE Ej REPAIRS C] EASEMENT No . ......................................
OWNER....,�j ................................................. CONTRACTOR ........ 5XA�� ......... -------------------------------------------------------------------- PERMIT No.
HOUSE No . ..... 66.7.1 ----------- !��lzfo ........ lov STREET L0
- ------ ------ .................... AVENUE LOT No . ........... ..
.................................... ......................
...... BLOCK No. J9 ..
------ .........................................
.NAME ADD. ...... AP z ----------------------- ---------------------------
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Date
BACKFILL WORK ORDER ISSUED .....
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DEPOSIT, $ .............................................
Approved:
OR
WS
APpROVED
SEWER WORK ORDER ISSUED .............
DATE .... . .......
............
CXVIC CkNiM WA Call PROSPeCt 6-1107 jvbefi.-
"TER-SEWER DEPABTr4ENT work
Is rbOy for Inspection.
I'lOns Saturd&Y, sunds* or holidAy&)
SIDE SEWER PERMIT
ADDRESS .................... §_!;�L_baroi
................ ��giy ...... I ........................... ...................................................................................................................
OWiNTEP ....... Y,_K! KqC'
............................... Cow] PTO
................................................
Pemilssibil -is, 91l'ant1d,.89pJ;i3mber..2 .......... 19.04, for .............. da;ysi tq
w - or CONNECT a side sewer
MY �Se ers in accord
with --------
ance with application on file and governin or"n" 11, es.,
9- c
ATTENtIOFq IS
CALLED To THE FOLL6WING:
'NOTE No. 1—The owners
of the Property, may. obtain a per it t
be employed to construct side sewer rn 4? ru 8 ide'proporty.itne. A licensed Side'Sewer, Contractor must
qo st ct ewer
in street area. Do not �cover'any plonNtlon.of sewer befoj
TE No. 2—Obtain full Information ie it has been inspected.
garding Ordinance 11-16-030 and Regulations governing side sewers when you get permit I
—1 9TE NO. B—Zo%of side sewer Must have at least 30'Inches coverage at Property line
o ends in grade sharper than % will be Permitted. and 12 inches Inside property line; IniniMuM. grade of 2
NOTE No. 4—Trenches ln�*street must be water settled and surface of street restored to original condition.
fai!uiedue: to improper work which may develop within one year Of Completion. Contractors
shall be responsible for
NOTE No.
5—I� Is -drilawful to,- alter or do any other work than is Provided for In the permit, or'to do any work on th main sewer or its ap-
purt6nafi6eseii6ept 'to insert the'plpe Into the wye. e
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