7004 175TH ST SW.PDFiiiiiiiiiiii
1071
7004 175TH ST 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
A
I
TWe City of Edmonds for EASEMENT NO - --------------------------------------------
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS F] LID NO . ................... ASMT. NO . ............... -
OWNER ..... Cazi�-� ... . ......... ............ CONTRACTOR --- IE!=k ... -t�A ...... CD.P?� ..... PERMIT NO.
�--5 --- LEGAL DESCRIPTION: LOT NO . .......... ---------------------- BLOCK NO - ------------------------------------
JOB ADDRESS ----- ------- ---
-------------------------- �v -----------------------------------------------------------------------------------
.. --- -------
NAMEOF ADDITION .......................................................................................................................
.npprovcu-.
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...........
DATE ...... ;e ......... B,,,�4
-7,
''OVEDIMNO, MR V
-'�`PERM
pER
WATEWSEWER -DEPARTMENT
IT
PERM
7A
Call .7-75-2525 for side sewer. inspectibns -BEFORE �overiihg �,any_ portion, of the. constructi
on.)
c
Inspection will be, provided within 24 hours. after reclust. -or holiday inspections.
NO, Sat.,' Sum,
ADDRESS, LOCATION,'OF CONSTRUCTION ......
.......... ........................ ...... z ....................
..........
PROPERTY LEGAL -DESCRIPTION ............ Z.��7 ..........
. ............. -- — ------- 7 .... , .. . .................................... : .................................. ( ...........
............................................................................ ......................
............. 7: ........................................................ ....................... .................................... ..........
. ........................................
j ....................... OWNER AND/OR BUILDER ............ *.,���� !!;7 .......... ... . ....... ..........
CONTRACTOR'S NAME & ADDRESS ........ /Z::2>
....................... . ..................... : ...................................................
.................. .
Permission Is granted: ........... —2
.. ;-4"-u ........ �! ................ t 19 for repair, -aBd/or. connection of. a side sewer to the -city sanitary 46wer
tem1n accordancewith City of, Edmonds ordinances.
ENTION- IS CALLED TO THE FOLLOWING:
property may obtain a permit to,,construct, sewer inside Icensed Side Sewer
.—JE No. 1—The ownem of the 'pr46rty line. A, I (ion tractor must bie employed, U0, construct
side sewer,i�i street arew., Do not cover any portion of sewer before it hast beew Inspected.
'NOTE No. 2—All work, perform ed,ln, city right-of-way.requires an Invasion of Rjghtwof-W&�,* Permit, obtainable from.1he City Engineer's: office.
—Obtain full", Informatl ow regarding Ordinance 11.16 030 and, R egulations 'govern ing sid I e.sewdrs when-yo u,'get permit.
14OTENo. 3
.NOTE No. 4—Tbp,,of side sewer must have at least 30 inches, coverag,e,at property line, oa,nd�:12Jnches, inside, property, -line; -mlnimumgrade,-of� 2 % No.r,):;�n , ds. In-giade,
sha�per'th6i 'A wllli�be permitted.
�,,'.NOTE. No;. 5—Trdnches in,itreet, ust be water settled and sur face of�
work .,Arhlch-,�m�ay dmevelop within one year of completion. street restored 't6 orIgLIha'Y`c'ondition. ',Contractors sha.11 be responsiblis. for failuieA,�'§!,.to,
�.NOTE 'No. 6-�—It is, unlaw�f�l� to'alt r cc
i r appu a
er or do. any othe 'work than Is, provld6d�.for� im Ithe,,,pe it or! to,do. any wo�k: on, the main, sewer, or its ten" cbpt: to,'In-
sert tht.plKinto the-wye.
DISAPPROVED� C] Date.._ By ............... L Date., .......... By ................ . Date ............... ......... By ...........
ED 34 ....................... . By ........ .. . ............................................. ; ............................................
..... ... ... .......
APPROV
Remarks: ............
.............. : ........................................................................................ ..................................... ...............
........................................................................................................................................ .............................................. ......................................................................
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request- For Inspection,
/,WlI,., ...... . . w .................. hereby certify, -that the side,sewer installation. constructed under�this permit
(owner of Cont
.ctin�a �ir;n fG*r'?ing Con.iru`cii._n,)__
-installed in accordance.with all governing ordinances of the City,.6f 1�dmonds.
Datedthis ............................... d4y"of .......................... 7 ..................... ....... 19 .........
VV Check BEFORE you dig, for: Water-[],.: Gas �E)t -Telephone, E]i Power C),. 'Sewer, 0; Other. E]
APPUCATION
,The City of Edmonds for EASEMENT NO - --------------------------------------------
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS E] LID NO. -- ------------- ASMT. NO - ------------------
A
OWNER >44 --j * A
------ CONTRACTOR -------------- -------- --- t ---------------------------------------------- PERMIT NO.
-5
JOB ADDRESS LEGAL DESCRIPTION: LOT NO.
------------------------ BLOCK NO - ----------------------- ----------
------------------------------------------------------------------------- ---------
NAME OF ADDITION .............................. ...............................
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PUBLIC WORKS
511 --.1 6 F.CJ Mrl
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ST. 5 15/i ( 177R
(address) (date)
Street Right -of -Way Exist'
�EQP N Ar
Z
Access Easements Existin
QD
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Utility Easement Existing
D
W
Lot Per Subdivisions-1
Assessor '�h
Site Plan Checked for Acc uracy
Z
Underground Wiring Reqd.
�f
�-4
Check Accuracy of Le al Description
Z
Review by
Date
Existing Water �1ain Size (0 it DZ:
Water Main Required
Service Line Required
Hydrant Size Existing d-=> t-
P4
Hydrant Reqd Per Fire Code
—Size
Detector Check Meter Reqd.
Cross Connection Inspection.
Fire Department Comnents
"dater Meter Charge Reqd.
Review by
Date :�;-Z� //-2 je,
K.K.K.
Septic Tank Design Approved.
Date
Septic Tank Permit Reqd._A.,/,,4
Permit No.
Sanitary Sewer Availability
Proj -10-12/5xr
Drmring No. XX,4 J_
File No.- 7 -7—
Side Sewer Availability, . -po
XJ 95-7
Sanitary Sewer Connection Fee Reqd.
:3:
Review by
Date 2?,=S
e�z -en—"ex qeq�d. k
Open Ditch Existi � r
Culvert R:,e d. —Z471-,g
"v rc
Size�-,Z,4
P4
Catch s'n Reqd.
s
Indicate an Site Plan
0
S r r,
ulder drainage maintain collection on
swale open runof f
�Im-ihole reqd.
Indicate an Site Plan
Soil Conditions and Ground Water Field Checked
Review by
Date/ Ze —:Ej
19 7
Revised: lvlO