6620 172ND PL SW.PDF1111111111
986
6620 172ND 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 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).
APPLICATION
City of EdmodkW for EASEMENT NO - --------------------------------------------
REET FH.E SIDE SEWElt PERMff
NEW CONSTRUCTION REPAIRS f-1 LID No. __ ----------- - ASMT. NO
L
OWNEP L --------
---------------------- -------------------- ...... -------------------- CONTRACTOR -------------- 7 ---------------------------------------------- ---------- PERMIT NO. -------------
JOB ADDRESS ....... F7" - L N- -'*E!6' ".-
.. ........... ----------------------------- EGAL-DESCRIPTION-LOT 0 -- ------------------------- - --- - BLOCK NO - ------------------------------------
AT A VM nlQ A nnl'rTnw7
................................... -------------------- -
Appr'Dv--:d-- �;7
Atz
DATE . ...... By ...
DF`�SE WMER. PERMET'
�,GTY:, �ONWS, -S,,
E UM
W, T
'ER�SEWER DEPAI
P MIT 3-8 0
ER
7
fqall; 175-2525: for side'. - �ewer, I�spe��iohs, n�,FORE, covering , any - portl I on, of
the construction.
r -:,A46�p6c,tioK.will be provided, ,wr!��in.'24 hqur��'-after requst. NO -Sat.,
Sun., or,holiday inspection
e st
1 .7 2fid Place S.M.
AaTON�'Or 60�qSTIRUCTION 0
.................
OC
....................................................
7R Y LIE16 1DESCRIPTION ....... ............. Lol ... # 2:
..... .. .. . . .............. .. .... ....... .................................................. ...... ......... ...........................................
. .....................................
""77 ...................... ................................ ................................................ .......
.......................... ............
7 ............. ......
..................................................................... OWNER, AND/OR BUI ILDER.. R.A.. AMI-S
......................................................... ..............
CONTRACTORts N ADDRESS ........ d 8ertic Tank
...............................................................
...................................... .......................
.................. .........
Permission Is granted ............ ... %Ram Ary.. 11 19..M.;,'for' repair. and/or connection" of.'a side. �se "t city'rsAn I'tary sewer
system in accordanceW wer 0 0
ith Cliy'�of Edmonds-o-roinances. �th'
\ 1—i'TENTION IS, CALLED' TO'THE FO LLOWING:�'
NOTE No. 1---�The ownus� oU the property"may obtalij 'a perynit A6 construct sewer lnslde�property line. Ajlcensed Side'Sewer , Contractor must, be employect to con'struct
NOTE No. 2- side sewer'in, street I are&. Do, not cover any portibn sewer before it has been lnspected.�
�All work�.perfurmed,d
n,city. right-of-w y requires; an, Invasion, of R.Ight-of-Way Permit obtainabi
,i,nf
NOTM'N ��obtfdn e'from i!h6 City Engirleer's, offic'e
ation. regaxdtng Ordinance 11.16.030 and. Regulations governing,alde sewers when you� get perm , it.
4—T�p ' `4 - ' `�` ` ' ' " I I . . I
E 1 0. side sewer, ust, have -at'least 30 inches -coverage, at property - line and 12 inches Inside property line; minimu ''
OTj %% sharpoefi. thin' 'A wimll'be Perrot , tted. m tgrade. of 2%.. No bends, in grade
P
N�7�0-No. 5--Trenches *In,�st*reet must be water settled and surface of street I restored to orIgJnaJ 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 oth
er work thanI is provided for in the permit, or to, do any work on the main sewer or its, appurtenances except 'to in-
sert thepipe into the wye.
*DISAPPROVED- Date ............... *4 ......... P/ ........... B ............... Date ...........
By ................ Date ........ ...... . ................... . By ...............
PROVED
Date ..... .. ..... .... ... ...... By..
...............
Reinarhs:� . ................... ........... .................
................ ..................................................................................................... � .................... . .........................
...........................................................
............................................
...........................................................................................
— BOTH �-
M_
As'MUST Be §igned By Ownenglof" irm. Performing -Construction PRIOR To Request For Inspection'
"'A
..........
-6cnl�"L'ti.g Firm Perfo Ing 6..., r..-cii ereby . cer - tify that theside sewer installation constructed- under this permit
owner o n) 11 ll
. ',_Ls installed in accordance� witfi all governing ordinances, 6f,,:the-,City. oVEdmonds.,
Dated
............ (lay OL.,.: ....................................................... "Ib
V V Check'BEFORE you aig for:� Water),'E];, T_eIcphone,.,0;, Fow.er'.E], 'Sewer,E
:Qthe
the City of Edmonds
APPUCATION
for
SIDE SEWER PERM
NEW CONSTRUCTION [:] REPAIRS
--o,2-1 x 6
OWNER......... .......... /-* --- )17-V -------------------------- -------
JOB ADDRESS ------ --j-�r-2 - ----- h/
-P-�s ....................
EASEMENT NO.
LID N . .....
CONTRACTOR
IT NO. --�D -- ---------
LEGAL DESCRIPTION: LOT NO - ------ --------------------- BLOCK NO - --------------- --------------------
.................................................................................... ................ ......................................................
NAME OF ADDITION -..� ------ ........ - ---------- I -----------------------------
Approved:
DATE
BY
RECEIVED
A ti 14 1976
POW works Dam