706 BIRCH ST.PDF11111111111111
10329
706 BIRCH ST
CITY, OF EDMONDS SIDE 'SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT
Call- %715�2525 for side sewer inspections BEFORE covering any portion of the construction.
Inspection will be provided within 24 hours after requst.' NO S&t-., Sun., or holiday inspections.)
ADDRESS LOCATION OF CONSTRUCTION ---- R / R !�_ 1-4 ... <,- `7-
............ * ........... *"** ............ * ----------------------- . .................. * ---------------------------------
PROPERTY LEGAL DESCRIPTION ......... ........................ .......
...... - -------------- . . .......................................... t��tw ...............................................
....................... . ........................... .......... . ........... .......................................................................................... ......................................................................................
OWNER AND/OR I BUILDER ...... r-<� 9/ AA
7,> J_'AA ;= ; ; ----------------------------------- ---------------------
STRA NAME ADDRESS...,..7"" ...... .............................. . .............................. . ... ...................................................
Permission Is granted. (.__ — _1P_ --) - .. .., 1971�� for repair and/or connection of a side sewer to the city sanitary sewer
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system in accordance with City of Edmonds ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. 1—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 sewer in street area. Do not cover any portion of sewer before it has been Inspected.
E No. 2—All work performed in city right-of-way requires an Invasion of RIght-of-Way Permit obtain -able from the City Engineer's office.
*E No. 3—ObtaJn full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 4—Top of side sewer must have at least 3G inches coverage at property line ajid 12 inches inside property line; minimum grade of 2%. No bends in grade
sharper than % will be permitted.
NOTE No. 5--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. 6—It is unlawful to alter.m-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-
sert the pipe into the wye.
DISAPPROVEDDate .... ... ............................... By ................ Date --------------- - - ............. By ................ Date ................ ................... By ----------------
APPROVED
....... ..... e --------------------_--- By . . . .... L ............ _.— .. . .......................................................................................
Remarks: ....... . ....... .......................... . .. . ........................................................... ...........................................................................................................
-.20 ........... ............................................... . ................................ I ....................................................... . .................................. . .......................................................
BOTH Permit Copies MUST, Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
.Ixe .. ......... ..........
,/ �� LL ............ .... hereby certify that the side sewer installation constructed under this permit
Zwner oft.�ontracti pi Performing construction)
was Installed in accordance 4 2governing ordinances of the City of Edmonds.
Datedthis ............................ day of ................................................................. 19 .........
Check.BEFORE you dig for: Water E], Gas [-], Telephone [], Power 01 Sewer [:], Other E]
ADDRESS: -pu 31Lb
TAX ACCOUNT/PARCEL NUMBER: bl)&',�9561)0000 100
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS V DETERMINATION: E]Conditional Waiver []-Study Required []Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DA
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED: Id I �
SIDE SEWER PERMIT(S) #: - 0 bq
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DS'rs\Fonns\Street File Checklist.doc
S"TREET FILE'
DATE: IZ- 7- 7,V
MEMO TO: Building Division
Community Development Department
FROM: Engineering Division
Public Works Department
SUBJECT: FINAL INSPECTION
PROJECT:
APPROVED NOT APPROVED
Engineering Division
BY:
Water Division
BY:
Sewer Division
BY:
STREET FILE
\ - CORD.
TNISPECTI011 I'l.:
C I TY 0 1 FD'-�01`11)S, PUBLIC �-!ORK\S
------ - -----
APPLICATION
The City of Edmonds for EASEMENT NO - --------------------------------------------
SIDE SEWER PERMIT
NEW CONSTRUCTION 0 REPAIRS F-1 LID NO - ------------------ - ASMT. NO - ------------------
OWNER --- ----------------------------------------- CONTRACTOR ----- E�2 --- *6 ---- KA --- PERMIT NO.
JOB ADDRESS ....... ---- LEGAL DESCRIPTION: LOT NO - ---------------- 4 ------------------- BLOCK NO - ------------------------------------
............................................................................................................................................................... —
NAME OF ADDITION ........... .......... N.L;;, cz�—1 .. *.A .......................................
Approved:
DATE ........... B
------------------------
APPLICAT ION
The City of Edmonds for EASEMENT NO . ............................................
SIDE SEWER -PERMIT
NEW CONSTRUCTION REPAIRS LID NO . .................. . ASMT. NO . ..................
OWNER 1304T ..... --------------- .................... CONTRACTOR, ...... .............. M . ........................................................ PERMIT
JOB ADDRESS ---- ....... ...... . ............. LEGAL DESCRIPTION: LOT NO. ............................ BLOCK NO . .............. . ....................
7 7
--- . ..... ....... ........................................................ --------------------------------------------------------
NAME OF ADDITION ......
/ -----------------------------------------------------
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4
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T:3 t,#C- 14-
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Approved:
'DA'17E .................................... PY ------------------------- ------------