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625 GILTNER LN
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT
Call 775-2525 for side sewer inspections BEFORE covering any portion of othe construction.)
Inspection will be provided within 24 hours after requst. NO Sat., Sun., or h liday inspections.
ADDRESS LOCATION OF CONSTRUCTION --------- 625 ... ..... .......................................... . .......................................................
....... ..... .... ..... ..... .. ..
PROPERTY LEGAL DESCRIPTION .......................... Lot W A, Giltner Winheart Addition
............................................. I ...............................................................................................................
...................... ........................... . .......... . .......... . ........................................................................ . .............. . .................................. . ..................................................
................................................................ 014WERAI-MIOR BUILDER.3121A .-O.NS MR ........................... . .......................................................
CONTRACTOR'S NA3M & ADDRESS.Bob Aldin Baddice Sc-Avice
..................................................................................... . .............................. . ... .......................................................
Permission is g-rant-ed ........... . ...... S,� .......... . ........... 119.75— for repair and/or connection of a side sewer to the city sanitary sewer
9W in accordance with City of Edmonds ordinances.
ATTENTION IS CAIJ D TO THE FOLLOWING:
NOTE No. I —The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct
side sewer in street area. Do not cover any portion of sewer before it has been inspected.
NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtaJrrable from the City Engineer's office.
NOTE No. 3—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 inches Inside property line; minimum grade of 2%. No bends In grade
sharper than 'A will be permitted.
NOTE No. 5--Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to improper
work which may develop within one year of completion.
NOTE No. 6--It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or Its appurtenances except to In-
sert the pipe into the wye.
DISAPPROVED Date ... . ..... By ---------------- Date .......... BY ................ Date ............... . ................... . By ................
APPROVED Date ............ A_/�
!� . ...... By ........... ... .. .
....... . .. ... .............................. . .......................................................
Remarks: ....... . ............................................................................. ....................................................................................................................
..................................................................... . ............................................................................................................................ . ............................................. .........
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
I .................. . ................................................ .... hereby certify that the side sewer installation constructed under this permit
.......... .
(owner -oi-Con-tra-t-ing Firm Performing Construction)
all governing ordinances of the City of Edmonds.
was installed in accordance WI
Datedthis ............ ........... day of ............................ .....................
Check BEFORE you dig for: Water E], Gas Ej, Telephone 0, Power E], Sewer [:I, Other E] I V
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APPLICATION
The City of Edmonds for EASEMENT NO - ----- --------------------------------------
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS E] LID A T. NO - ------------------
OW
NER ---- -------- CONTRACTOR ------- -----------------
----- PERMIT NO - --- ----- --------
JOB ADDRESS LEGAL- DESCRIPTION: LOT NO - ----- - ...... -------------------- BLOCK NO - -----------------------------------
------------------------------------------------------------------------------------------------------------------------------------------- ..............
NAME OF ADDITION .... . .......... \4-li k NJ
.......................................................................
Approved:
7
DATE-------- ----------- By --------------- -------------
APPUCATION
The City of Umonds for
SIDE SEWER PERMff EASEMENT NO - ------- ------------------------------------
NEW CONSTRUCTION REPAIRS F] LID NO - ------- ---------- - ASMT. NO - ------------------
OWNER -------- lkt��C-4� ...... ----------------------------------------- CONTRACTOR ---- IZ4 ------
r - ------- ----------------------------------- PERMIT NO.",
JOB ADDRESS ------- (�� 3
.......... ------------------------------------------------------------------ LEGAL DESCRIPTION: LOT NO - --------- tt-'----!9 ............. BLOCK NO - ------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------
NAME OF ADDITION ---
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Approved:
DATE
By------------------------------------------------------------