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6517 170TH PL SW (2).PDF11111 ' 11 954 6517 170TH PL SW NOTICE: No warranty of accuracy. The information shown on the attached map(s) was compiled for use by the City of Edmonds, its Employees and Consultants. The City of Edmonds does not warrant the accuracy ot anything set forth on these map(s). Any person or entity requesting a copy should conduct an independent inquiry regarding the information shown on the map(s), including, but not limited to, the location of any sewer stub shown. Such sewer stubs may or may not exist and may or may not exist at the location shown. Neither the City of Edmonds nor its employees or officers shall be liable for the information given on map(s), nor for any one representation provided based upon said map(s). CITY OF EDMONDS - SIDE SEWER PERMIT WATER -SEWER DEPARTMENT PERMIT Call 175-2525 for side sewer inspections BEFORE covering any Porkion of the construction.% Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.j ADDRESSLOCATION OF CONSTRUCTION ....... ---- — -- I ......................................... ...................... . .......... ........................ ................... PROPERTY LEGAL DESCRIPTION ------- ......... ......................... . ................................................................................. Q'n ................ ....................................................................................... ........................... V ...................... ............................. a .................................................. ................................................................ OWNER AND/OR BUILDER._.�� --- S -------------------------- . ....................................................... CONTRACTOWS NAME & ADDRESS ------------------ ��__J_ A(A1_)C5rC -- ------------- ......... ........................................................................................... ---------- ---L-----_-_------ for repair and/or connection of a side sewer to the city sanitary sewer Permission Is granted ........ . . ......... 197�� s­%tem in accordance with'City of'�E_ ... d --- m"'o, n'd­s, - 'o'_r,'d', in"'a"n ... O'c's. A-�jOENTION IS CAM 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 obtainable 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 % 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. DISAPPROVEDE] Date _- - ----------------------------------- By ................ Date ------------------------------------ By ------------_- Date ............... - ------------------- 'BY ---------------- "PROVED Date ........ !i: . ...... ............. By.. ae! ------ - -- * --------- ­ -------------- --------------------- * ---------------------------- Remarks: ...................... I ..................... . .................................................................... ...................................................................................................... — BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection — I .......................................................... ............................ ... I hereby certify that the side sewer installation constructed under this permit C-) (Owner of Contracting FIrm Performing Construction) �. s installed in accordance with all governing ordinances of the City of Edmonds. Datedthis ............................ day of ------------------------------------------------------------ --- 1 19 ......... V -V Check BEFORE you dig for: Water E], Gas E], Telephone [], Power E], Sewer E], Other F] V V 0 APPLICATION The City of Edmonos-r,,-, for EASEMENT NO . ................................ .......... SIDE SEWER PERMIT NEW CONSTRUCTION N REPAIRS E LID NO. ....... ASMT. NO. OWNER ------ — ------ . .......... I ................................... CONTRACTOR ..................................... PERMIT NO. JOB ADDRESS ................................................................ ....... ............. LEGAL DESCRIPTION: LOT NO . ...................... --------------- BLOCK NO . ................................... ------------------------ -------------------------------------------- ----------------------------------------------------------- ................................ NAME OF ADDITION --- ...... ............. 0 9 The City of Edmonds APPUCATION for SIDE SEWER PERMff NEW CONSTRUCTION F-1 REPAIRS F-1 OWNER---- ----------------------------------- : ----------------------- TOB ADDRESS ----------------- 6j, EASEMENT NO - --------------- ----------------------- LID NO - ---------- ------ . -ASMT. NO. � I ------------ CONTRACTOR ---------------- ------------------------------------------------------------------- PERMIT NO. 6F.26%.. LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------ ------------------------------------- ---------------- ----------------------------------------------------------------------------------------------------- NAMEOF ADDITION ------------------------------------------------------------------------------------- --------------------------------- 113 N Approved: DATE-- --- Dy -- REGARDING: 6517 - 170th Place S.W. _`?no -03/60 (address) R E C 0 R D 0 F C 0 N T A C T S DATE NAME, PHONE NO., & COMMENTS ACTION TAKEN ADDRESS of CALLER INITIALS 7/17/7S Alvin Moore Certified Letter No. 406703 sent Letter received. JT requiring hook-up within 60 days. 8/7/7S Mr. Moore came into the office and JT obtained permit #5285. 9/8/75 Mr. Moore called for an inspection. Disapproved. JT 9/29/75 Connection c=Qleted. JT Ui LL. `V R- PERMIT CITY..`),,---,EDM0NDS - SIDE r " WATER -SEWER DEPARTMENT� rip PERMIT N? 15285 Call 775-2525 for side sewer Inspections BEFORE covering any portion of the construction.) Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday Inspections. ADDRESS LOCATION OF CONSTRUCTION ........ <( .. ...... .............................................. PROPERTY LEGAL DESCRIPTION ......... . ................ ..... ...... ....... .................. .1 . . . . ........................................................ ............ ukca .......... ....... I .. . ..... t­V1.0 ....... Kk) ....... ........................................................................ .............................. ........................................ ........................... I ....................................................... ....................... OWNER AND/OR BUILDER ..... U . . ........ V64n­ 0Y. CONTRACTOR'S NAME ............... 1��. '0A .................................................................................................................. %ADDRESS ... Permission Is gran ......... ................ 19 for repair and/or connection of a side sewer to the city sanitary sewer system in accordance with"45ity of lEdmonds ordinances. ATTENTION IS CALLED TO THE FOLLOWING: NOTE No. 1—The o ners of the w 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 RJght-of-Way Permit obtainable 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 propert - y line and 12 inches inside property line; mini - mum grade of 2%. No bends in grade sharper than % will be permitted. . NOTE No. &--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. DISAPPROVEDr-1 Date ........................................ By ................ Date .................................... By ................ Date .................................... By ................ APPROVED(] Date ................................................................ 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 of Contracting Firm Performing construction) was installed in accordance with all governing ordinances of the City of Edmonds. Datedthis ............................ day of ............................................................ .... 19 ......... Check BEFORE you dig for: Water E], Gas E], Telephone E], Power E], Sewer E], Other E] V 4? . ....... ....... , 4 T, 21. a 0, 0 0. vi� J, =L (0 U) ;;-4. c), :,z ro Or > vg, ��E- 4— —M. 0, M* < 0 "M :,4 I -VI -Q), t:0 0 Q U, 'CIS, CO.-, I E- co 3.2 Wj z. I 0, jo� ILL[ IUJ;.t, 01 0 0", 0(n Af).. 0 X" av W CL ii `r"4 W, U)"= CL w64 rwh (4* 4J` u<. "I A- 0,-� 0 I:4:� 0- wi.'o: !,W C/) -Q 1. mjl 'ZI 1,0 � 1,;. —, lLjjj Wj; + pro,, z Ilk. 0 P. F iffl; -19,1311 —1811; IN16y. '--RETj(J'RNfi ,-�REGISTIER S REE), �ANP�'CEffTkFIED`,y�iL RECEIPT FOR CERTIFIED MAIL-30� (plus postage) SENT TO POSTMARK Mr. or Mrs. Alvin 'S. Moore Oil DATE STREET AND NO. --6S17 170th Place S.W. c P.O., STATE AND ZIP CODE Edmonds, Washington 98020 CJ5 CD OPTIONAL SERVICES FOR ADDITIONAL FEES RET URN 1. Shows t,0 whom and date delivered Wit I delivery to addre sser� n o ly 15?--- RECEIPT _ 2. Shows to whom, date and where delivered > SERVICES With delivery to addressee only ........... 850. DELIVER TO ADDRESSEE ONLY 50d SPECIAL DELIVERY (extra fee equirad) PS Form 3800 NO INSURANCE COVERAGE PROVIDED— (See othor side) Apr. 1971 NOT FOR INTERNATIONAL MAIL QP0: 1070 0-397-4U0