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7062 MEADOWDALE
BEACH RD
APPLICATION
-for.
The City� of Edmo'nds SIDE SEWER PERMIT
EASEMENT No . .........
.....................
NEW CONSTRUCTION REPAIRS
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-OVVNER 7
............ ............. . ...... . . ............................................................................ _PE_R_MIT No .. ......................
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LEGAL DESCRIPTION: -LOT No;-...- BLOCK No.
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CITY OF EDMONDS SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
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PERM
IT
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........ Call 775-2525 for side sewer inspections BEFORE covering any P, rtion of the construction.
(Inspection will be Provided within 24 hours after requst NO Sat., Sun., or holiday inspections.
7152 Keadm-jdalp Reach -nad
ADDRESS LOCATION OF CONSTRUCTION .............. k
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PRO#ERTY LEGAL DESCRIPTION ....... LK!t..4.. Rcbinc;al-
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GCGERT SCNS
------------------------------------- ------- * -------- OIVNERAND/OR BUILDER
CONTRACTOWS NAME & ADDRES ............................ -015 r no
S ...... H Excavators, If, - 2nd Avot e 1,J s , ", P n q� r
----------------------------------------------- ... ..............................
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Permission Is granted ........
........................ for repair and/or connection of a side sewer to the city sanitary sew
lgv---.n in accordance with City of kilmon4s ordinances. er
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.
NOTE 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.
A NOTE No. 3—Obtain 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 30 inches coverage at property line and 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
w rk which may develop within one year of completion.
NOTE No. 6—Itois 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 appurtenances except io
sert the pipe into the wye. in-
7
DISAPPROVED Date --- - ------ By ------_------- Date ............. ................... .. ......... Date ---------------- ------------------- By ................
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APPROVED Da ------ AK7-1 — ---------- By --- - -----
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Remarks: ....... . .
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BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To*Request For Inspection
---- --- . .......... ... hereby certify that the side sewer installation constructed under this permit
Owner of rac ng Firm
'6c.struction)
Li'nstalled in accordance all governing ordinances of the City of Edmonds.
Dated this ------ 2--/ ............ day of ..... X<-. ....................................
J, N1 Check BEFORE you dig for: Water Gas Telephone E], Power Sewer E], Other
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The City of Edmonds
APPLICATION
for
SIDE SEWIM PFJPM
NEW CONSTRUCTION REPAIRS 0 EASEMENT No . ..........................................
OWNER ....... ------ ----- CONTRACTOR
PERwrrNo—')./64.(
ADDRESS ................................
......... LEG." DESCRIPTION: LOT No... ............................................. BIX)CK No . .....................................
NAME OF ADDMON-,�e_
... . ............................................................................
Approved:
DATE................................................ BY .......... ..............