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7030 164TH ST SW
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CITY OF EJ)TfMf1LE SIDE SEWER PERMIT
PERMIT
3 3 971
VA
Address of Construction: C, '3 C) I(C-1-
L co obs— -
Property Legal Description (include all easements):
RECEIVED
MAY 18 1992
PUBLIC WORKS DEPT-.
Owner and/or Contractor:
c, iz c t; oi
State License No. B u i I d i n g Perm it N o. cx� L,--q
Single Family Invasion Into City Right-of-Way:x No 11 Yes
Multi -Family (No. of Units—) RW Construction Permit No. —
13 Commercial Cross other Private Property:x No El Yes
11 Public Attach legal description and copy of recorded easement
-7-i
1 certify thaJA have read and shall comply with all city requirements Date
as indicated on the back of the Permit Card.
* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION *
1, OFFICE USE ONLY I I I
* FOR INSPECTION CALL 771-3202, PUBLIC WORKS DEPT.
Permit Fee: 30 00
— Issued By ___JZnc�
Trunk Charge: . ...... Date Issued: - '5 --/ 93 - 9 _7__�
Assessment Fee: Receipt No.:
Lid No.: O?WAa
Partial Inspection- Date Initial
Comments
Reason Rejected: Date —Initial
Final Inspection Approved: Date -164 lniti� �_
** PERMIT MUST BE POSTED ON JOB SITE **
Whitt Copy: File Gr"n Copy: Inspector Buff Copy: Applicant
Re,sed 3'90
1;
The City of Edmonds
Side Sewer Drawing
EASEMENT NO - ------------------------ ----------
NEW CONSTRUCTION F� REPAIRS [:RZ LID NO - ------------------ ASMT. NO - ---------
OWNER CONTRACTOR PERMIT 0.
-------------------------------------------------------------------------------------------- ---- --- ------- ------------------------------------------------------------------- - -- ----
-7 D 3 Q - 164-v q T - �S - \�)
JOB ADDRESS � ---------------------------------------------------------------------------------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
PWW-0001-11/75 (REV.11/78)
.......................................................... -------------------------------------------------------------
NAME OF ADDITION ------------------------------------------- ------------- L
C(D
a
j
Approved:
DATE ............... By
�9. �LJNE.
41
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 Call PRospect 6-1107 when work
CIVIC CENTER — WATER -SEWER DEPARTMENT is ready for inspection. (No inspee,
tions Saturday, Sunday or holidays.) N2 3874
SIDE SEWER PERMIT
7030 — 164TH STREET So W. ................... ............................. ...................
ADDRESS------------------------------------- ---------------------------------------------------------------------------------- . ........
OWNER -------- DUSTY --- NE-ELY --- ----------- --- --------------------------------- --- CONTRACMR ...... CASCADE__SEWE.RS -----------------------------------
per"ssion is granted ... NOYEABER-.2.0 ------------- iq.79, for ------------------------ days to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING: inside property line. A licensed Side Sewer Contractor must
NOTE No. 1—The owners of the property may obtain a permit to construct sewer
be employed to construct side sewer In street area. Do not cover any portion of sewer before it has been inspected.
NOTE No. 2—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No.. 3—Top of side sewer must have at least 30 inches coverage at property line and 12 Inches inside property line; minimum grade of 27..
No bends in grade sharper than % will be permitted.
NOTE No. 4—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. 5�_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 appur-
tenances except to Insert the pipe Into the wye.
The City of Edm.,-..Fr..g FILE
APPLICAn8�N
for
SIDE SEWER PERMIT
EASEMENT No. Rf ..................................
NEW CONSTRUCTION 0 REPAIRS 0
OWNER . .......... T�r ......... CONTRACTOR .... ...... r-,# 4
........... c'- T ------- -------------------- . ...... . 5 ..... .......... : .......... PERMIT N
ID
ADDRESS ...... 77e A
LEGAL DESCRIPTION: LOT No . .....
........... . ............. V ......... . ................ . ....... V.- ......................... .F .... ........ BLOCK No. . .................. ........................
0
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NAME OF ADDITION ..... A94-94 /Y-
.. ........................................ ...... ...........................................
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Approved:
DATE./9.- Y— 9c)
. ................ - ...................
REC E I V k I:.,
NOV 2 0
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ASEMENT
F 0 R A
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THIS AGREEMENT, made this
17 day of V L--z- A' 13
botw on
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arties of the
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first part and owners of
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/j, A k 1.�,
J.,fley C,
a r t I e s of the
and
second part and owners of:
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WITNESSETH: That for and
in consideration of the
mutu al covenants
herein expressed#
it is hereby agreed between the above parties that:
I
Ist: There shall be an easement six (6) feet wide, 3 feet on either side
of the side sewer along the line of said,sewer as constructed for the use
and bon0fil' Of said properties.
2nd: The cost of maintenance, repair or reconstruction of that portion of
the sewer used in common shall be borne in equal shares, except that the
owners of any lower parcel shall not be responsible for the part of the sewer
above their connection; and when necessary to repair, clean or reconstruct
the sewer, the parties to this agreement shall have a right of entry for
that purpose.
3rd: This agreement shall be a covenant running with the land and shall
be binding upon all parties and their heirs and assigns forever.
IN WITNESS WHLREOF wo huruunto sot our hands and sealS the day and yuar first above
wr ten.
AV 20;0�1_ lzt
STATE OF WASHINGTON.)
COUNTY OF ) ss 19)P, personally appeared before me
On this 7 44— day of 'NA 0
UZI ca�a Le, and Woo 4 to me
known -to be'the indi (s) described in and who execUTeG the Within instrument and
acknowledged that j nd sealed the same as C4*. ftee and voluntary act
A.&,,signed a
and deed for the us_es -ark purposes therein mentioned.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official
and year in this certificate first writte
seal the day
STATE OF WASHINGTON )ss
COUNTY OF
on this day of 19� persooally appea ed before me
nri %AA 406. 1 A ajX'l to me
QL A _&-, __ — N - "TrT ument and
indi ) de-s4ribed in ancT--who -executed the Within i str
known to be The ua s
acknow1c.-aged That 'G'v - �A signed and sealed the same as C�, free and voluntary act
and deed for the uj=se1A_n purposes therein mentioned.
IN WITNESS WHEREOF, I have hereunto set My hand and affixed my official
and year in this certificate first writte
seal the day
NOTARY PUBLIC in and for The bTaT6 OT Vdbt1111W1V"
i
NOV 13 1?91
PERMIT COUNTER
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