6604 170TH PL SW.PDF959
6604 170TH PL SW
N
STREET FILE
C -I T Y 0 F E D M 0 N D S
SEWER DEPARTMENT
STOPPAGE OF SANITARY SEWER MAIN REPORT
DATE: TIME CALL RECEIVED:
LOCATION OF STOPPAGE:
RECE,,�/3
OCT 17,1973
TIME OF ARRIVAL ON THE JOB SITE:
TIME NORMAL FLOW OF SANITARY SEWER REESTABLISHED:
CAUSE- OF STOPPAGE:
7-YW
"a-
-RE D T(Y-eLEAR-MA-1N- AN-D/OR- LATERAL-r - Z-4e;_.
ACTION-REQUI
CITY CREW ON STOPPAGE CALL OUT (Personnel Involved):
wg2aw 411&AE7_f;Z1
LOCATION.OF RESIDENCE AFFECTED: Zee /—/"Zl 'er-_ 'F,
NAME�, ADDRESS, -AND PHONE NUMBER OF PROPERTY OWNER:
�el
DESCRIBE DAMAGE TO PRIVATE PROPERTY-.-
e.,0
REMARKS
70',,
APPLICATION
S11DE SEWER PERMT
for
The City of Edmonds
n
EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS 0 L-1c)
-T"F— PERMIT No.
OWNER ..... .......... F: > .......................................... CONTRACTOR .............. ....................... ................
* %.- , LEGAL DESCRIPTION: LOT No . ..... - ....... cip, .............
.7 ...... ........... BI"K No . .................
ADDRESS 4> ............. f ... ............................ ...........................
NAME OF ADDITION ....... ........ ...... bbrl�*Tloc�Nws
. ................... . ...... .. ..........
0
9-w-
--ST"MB. (w camw)
AllcLth,--e
(Z�CMUMF)l
Approved:
DATE ........ By .. . .. .... . ............
. The City of Edmonds
APPLICATION
for
SEDE SEWER PEPwNaT
NEW CONSTRUCTIOD_t*45-' REPAIRS
EASEMENT No . ......................
),Io 1171
................................. CONTRACTOR ....... CAk.0!;.l5 4(
Q� .. .......
OWNER ........ . ..... PERMIT No. V�7 ..........
---------- -- ---------- 2 .....
............ . ..... L.., DESCRIPTION: L No . ................ ........................ BLOCK No . ............................................
......... ..
ADDRESS
NAME OF ADDITIO] ....... Al -0 ..........................
0
0
Approved:
DATE................................................ By ......................................................................
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 of
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 :,Jn, 4477
r.a."C 776-1107 for side sewer inspections BEFORE Covering any portion Of the construction.
IeCtion will be Provided within 24 hOurs-after request. NO Sat., Sun., or holiday inspections.)
ADDRESS LOCATION OF CONSTRUCTION .................... 66 - 0 - 4__.-- - I - 70th PI-1c
PROPERTY LEGAL DESCRIpTION.. C
_1 ............................ W_j5, --- Doi ------------------------------------- ---------- * ........................
.............................. ....... &ia ... ... 0 ...........................................................
..................... . ....................... .......................................................................................... .
................................
-------------------------------- OWNER AND/OR BUILDER-_._ --------------------------------------------- * ...... -----------
... Ray --- Fmiy.�op ............. * ......
Pce0rNnjTjsRs1ACT0R's NAmE & ADDRESS .... c
on is gTanted . ..... 5qptember --- U --- ti.0n.,...1 - 7 .1-09. 6-7th ----------------------------------------------- ---
Wes t
ity ordinances. Pair and/or connection ...... ...
sYstImn in accordance wi .19 .............. .
Al� Of Edmonds 119 for re Of a side sewer to the City sanitary sewer
PON 'IS CALLED To THE FOLLOWING:
No' —'NO. 1—The owners of the Property may obtain a Permit to construct sewer inside Property line. A licensed Side Sewer contractor
side sewer in street area. Do not cover
NOTE No. 2—All
NOTE No. 3 ally Portion Of sewer before it has been inspected.
work Performed in city right -Of -way requires an Invasion Of Right -Of -Way must be employed to construct
—Obtain full information regarding Ordinance 11-16.030 and Regulations
NOTE'No- 4—Top of side sewer must 1'ermit Obtainable from the City Engineer's office.
harper than % w have at least 30 inches covem governing side sewers when You get permit.
ill be Permitted. ge at Property line and 12 inches inside property line; minimu
NOTE No. 5-_Trenches in treet
s t be water settled and surface of street restored
work which may demvueslop within one Year of completion. to original condition. Contra,
NOTE No. 6--It is un m grade of 2%. No bends in grade
tOrs shaJI be responsible for failure due to improper
lawful 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-
ert the Pipe into the Wye.
DISAPpROVED 0 Date --- - ------
"PROVED Date .... .... ...... ................. By ---------------- Date ........... ............... By---
............. Date ................ ................... BY ................
Remarks:
................................... ........................ ........................................... . .............. . ...........
.2 .................. . . ............................ ........
............................................
BOTH PernUt/cop S — I
Signed B Owner Of Firm Performing Construction pRj
Y/
I ....... OR To Reque on
..................... st For Inspecti
Owner of .. ...............
w 'ng Firul Pen .. ..... ... hereby certify that the side sewer installation constructed under this pe
�.Stalled in accordance
ciion)
with all 90V !� r'�ii--- -_nstr.
erning ordinances Of the City of Edmonds. rmit
N1 Dated this ........ / I
V Check IJEFORE YOU dig for: I . .................. day of ........ V---L
Water 0, Gas 0, Telephone 0, 1_0wer .................................... . ...
0' Sewer 0, Other Ei v Vf