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7006 175TH ST SW.PDFiiiiii lill 11 1073 7006 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 The"City of Edmonds for EASEMENT NO - ------------------------------------- SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS LID NO - ------------------- AsmT. NO. ---------------- OWNER ------- . ........ � ---- CONTRACTOR ------ ':::Z� --VV2,L=.(D-F?�PERMIT NO. at c— JOB ADDRESS LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------ 0 ............................................... ------------------------------------------------------------------------------------------------------------------ Z; NAME OF ADDITION ---------- ........ FA—!:�� ...................................................... Approved: DATE ..... By ... ..... . 71 CITY Call 775-2525 for side sewer inspections 33EFORE, covering any portion- of the construction.), Inspection will be provi ded within 24 hours after requst'.! .,NO Sat., Sum, * or holiday, inspections. ADDRESS., LOCATION OF,CONSTRUCTION ....... 7. 7.Z. 7 7 / ............... ....... ......... m ......... . . . .................... :­ ................................ PROPERTY LEGAL DESCRIPTION. ....... . ................... ................................................................................................ .......................................................................................... ............................... I .............................. ...................................... I ................................................................. ............... D/OR BY IL DER ... ....... ...... ........................ ................................................. OMINER:AN .... .. CONTRACTOWS NAME.& ADDRESS ........... ............................ ....................................................... 4� 7' ......... ior-repalr�ajW/or connection of a sidesewer to the,city sanitary sewer Perinission Wgranted ....... 4v!� ......... i ......... ...... . ........ 'imliniapoqrd*ance��,.W'it4,'Cit§�,of.Eariiond-s7j-rdinances.,"-- ATENTIOM IS: CALLED TO,1THE 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 isewer in,street;area. 'Do not cover any portion of.s.ewer before,I t has been Inspected. , .. '. I NOTE No. .2�All wor k performed In city right-of-way, requires an Invasion of -Mght-of7Way Permit obtainable from the City Engineer's office*. NOTE, No. .3—Obtairl full*Information regaxding* Ordinance 11.16.030 , and Regulations' governing,sidb sewers, when you get permit. NOTE,. No..,4—Top of* side sewer must have at least .30 Inches coverage at property� line land;. 1 2, inches inside 'property I Ine; minimum,grade of 2%. No bends In grade sharper than 'A will be.permitted. NOTE No.��5--Trenches.ln street must be -water settled and -,surface of street restored to original condition. *,C.ontraetors shall be,rpsIonsible for failure due to improper work'which may develop within oneyear of completion. NOTE] NO..6—If Is­unIawfui,.t6.:iIt6r 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 - .Bert the pIpe,jnto the.-wye. DISAPPROVED, n:,'Date ................... By_� ...... ....... Date ............. , BY ................ Date .................................... By ... ...... APPROVED I ...... By ...... ........... . ................................... ...................... ............................ . .... . . ........ lneniarks:, ...... .............. .......... ................................... ................. .. ... ........ ................ ............................................................................................... 7­Z ............................. I ........................................... m ............................... ........... ; ................................................................................ : ........................................... 'B 0,Tii'�"P�r;x�t-',O�Pies'jM,UST Be Signed' By Owner� of Firm: Performing Construction. PRIOR To Request"For Inspection 'tify,thdt the Sid6 sewer installation cons tructed under this permit ... ... ............. ...... .. . . ................ ................. .... hereby cer, k '_ - '(Owner. of !Con*tracfin. PI Perforniing Construction) m�iC�'�insi�'E�l(�d-in�acdordande 'with, all, governing -ordinances of the,City !of:Edffibnds. Dated,, this .......... .............. day of ....................................... ........................ 19 ......... -Check,-'BEFORE you,dig for:, Water'�,[], Gas 1[Dt, TeIe ho e E3, !lower �E], 4Sewer E]? Other .n APPLICATION I The City of Edmonds for EASEMENT NO - -------------------------------------------- SIDE SEWER PERMrr NEW CONSTRUCTION E] REPAIRS 0 LID NO - ------------- -ASMT. NO - ------------------ - -M. - ------------------------ ------------------------- PERMIT NO. 4� OWNER ........ CONTRACTOR -------- rl -7 JOB ADDRESS 4-77-9 .. Al ----- LEGAL DESCRIPTION: LOT NO. ----------------------- BLOCK NO - ------------------------------------ ......................................................................... --------------------- NAMEOF A ------------------------------------------------- ------------------------------- * ------------------------------------ ViLl z By--------------------------------------------- IODS.�10 PUBLIC WORKS DEPARV J;W BUI1,DING PER1-,1IT REVIEW . - ,W,r_-j C11 �p ST, kaddress) (date Streewp; uisting REQD Z Access Easements Existing p4 Utility Easement Existi REQD Plat 7 Lot Per Subdivision Assessor 14a Site Plan Checked for Accuracy Z Underground 14iring Reqd. Check Accuracy of Description .Z Review by JjAa��D�ate -Iola Existing Water Main Size Water Main Required 0A% Service Line Required ,ay Hydrant Size, Existing, P4 Hydrant Reqd Per Fire' -Code Size Detector Check Meter Reqd. Cross Connection Inspection AJO Fire Department Comnents Water Meter Charge Reqd. V; Review by. Date �9&Z2 E, K.K.K. I Septic Tank Design Approved Date Septic Tank Permit Reqd._ Permit No. Sanitary Sewer Availability. Proj_ Drawing No. XXy4 File No 7_7—/SS_ Side Sewer Availability, �,3 P_r Sanitary Sewer Connection Fee Reqd. :3: Review by Date �431 ILK.K. Oe Open Ditch '-Peqd. Culvert Re d. Size P4 Catch s* Reqd. ?! ; Indicate on Site Plan 0 ul der dra inage maintain collection on swale open runoff P . U) Manhole reqd. 415E�: Indicate an Site Plan Soil Conditions and Ground Water Field Checked Review,by Date . Revisea:'MO-1977�� `//_ ­ --- - 4,�� 0�104n- � P a-g e 2 Street Paving Reqd..:. E-4 Curb and Gutter, Reqd. Sidewalk Reqd.— AOL- f v /Vi2 N Curb Cutfor Driveway Reqd.,&4 t"2 p4 Right -of -Way Construction Permit Reqd. Bond.Reqd. for Public Irrprovenents Street Nam Sign Reqd.-- Other Signing Reqd. 'Pre Permit Site Inspection made on z F 4 BY: S94ER WATER PA z STREET ENGINEERING Special'Requiren-ents listed in memo to C onumity Developinrant Department, Building Division BY Date o All items filled in, M Building Permit Application P4 BY Date 0-4 Drawings, Stamped and Notations �hd,e A4 BY Date Approved by Public Works Department -0 Revised: 1v 10-1977