709 BROOKMERE DR.PDFiiiiiiiiii lill
10454
1• BROOKMERE
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ADDRESS: I ze
TAX ACCOUNT/PARCEL NUMBER: OD3 t I 0 0 0 O ho SO�
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS,DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER): I
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #: 91
SHORT PLAT FILE: ( LOT:
SIDE SEWER AS BUILT DATED: ri I Z� g
SIDE SEWER PERMIT(S)
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
BLOCK:
LATEMP\DSTs\Forms\Street File Checklist.doc
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The City of Edmonds Side Sewer Drawing EASEMENT NO .............................................
NEW CONSTRUCTION ❑ REPAIRS V1 LID NO. - 9.7....... ASMT. NO ...................
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OWNER off.--...�?(.-------------------------- ........... CONTRACTOR ...3QA..... A/1..R-e4 ..... -........... -----...................... PERMIT NO. 4!..G....73
JOB ADDRESS .-------0 % irri-(e ✓C-....lJr. LEGAL DESCRIPTION: LOT NO- -------------------------------------- BLOCK NO. ...............
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PWW-0001-11175 (REV.11178)
---•-------------------•-----....-----•-----..................-•---------•--•---------...........--------....................------..........---------------------
NAMEOF ADDITION--------------------•---••-------•--...---••------------................._..._.._...............------._...---•-......
5 1 �3 ooA�te re OR
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Approved: p
DATE/ .............. B /���
,CITY OF EDMONDS _
PUBLIC"WORKS bEP" FOR INSPECTION CA** Permit l�l® _ - 6673
:."SLDE ,SEWER QERMIT 775-2525 Ext. 220 Issue Date
PEP -MIT MUST BE POSTED ON JOB SITE
.1: Address 'of 'Construction -70 t)d
2: Property Legal Description (include all easements)
'3. Single Family Residence 6-- Multi -Family No. of Units
Commercial
LUA Owner and/or Builder
�5. Contractor & License No.
�6. Invasion into City Right -of -Way: No L-'" Yes (If Yes Right-of-
way Construction -'Permit Required - Call Dial Dig (342-5344) before
excavation).
7. Cross other private property: Yes No Easement required -
i
i attach legal description and county easement.number.
i
READ THE FOLLOWING AND SIGN:
a. Property owners must obtain a permit to install side sewers on
their property. A licensed side sewer contractor must be employed to
construct side sewers in the public right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year.
A�l ��R�
C. Commercial establishment requires a minimum o s 6")
side sewer line. BEFORE YOU DIG
d. Side sewers may not be installed closer than t ' y c �(30")
to any structure. -- 5�'�-g18 0
e. Side sewer lines must be laid at a minimum grade of 2% (1.15 )
and maximum grade of 100% (450).
f. No turn in side sewer greater than 450 (1/8,bend) is allowed
between cleanout. All 90 turns must be constructed of a 450 (1/8
bend) and wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required.for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100' along sewer line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k.. Side sewer must be left uncovered until inspected and approved
.by the City.
1. Inspection during normal working hours only. Two (2) working
days notice required.
DATE : , 3 -,;z7 - R t
I certify that I have read
and shall comply with the above
-+ PERMIT FEE: =-2� DISAPPROVED By: Date:
V CONNECTION FEE:~' By: Date:
� p � APPROVED By : Date
w 2 i ✓
* PERMIT MUST BE POSTED ON JOB SITE
CITY OF EDMONDS 4ft_
PUBLIC WORKS DEPA FOR INSPECTION CAI permit N?
SIDE SEWER PERMIT 775-2525 Ext. 220 Issue Date �JL
� �* PERMIT MUST BE POSTED ON JOB SITE
W1.
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Address of Construction '70 2' Brook Afcrc D'sp
Property Legal Description (include all, easements)
Single Family Residencey Multi -Family No. of Units
Commercial
Owner and/or Builder
Contractor & License No.
Invasion into City Right -of -Way: No Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation).
7. Cross other private property: Yes No L--- Easement required -
attach legal description and county easement number.
READ THE FOLLOWING AND SIGN:
a. Property owners must obtain a permit to install side sewers on
their property. A licensed side sewer contractor must be employed to
construct side sewers in the public.right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year.
C. Commercial establishment requires a minimum of a six inch (6")
side sewer line.
d. Side sewers may not be installed closer than tQLLy4&r 530")
to any structure. g���0� �O� n
e. Side sewer lines must be laid at a minimum 1M1-0)
and maximum grade of 10 0 % (4 50) . 1- gOOi ,- 56?647§
f. No turn in side s wer greater than 450 (1/81ben ) is a owe
between cleanout. All 90 turns must be constructed of a 45 (1/8
bend) and wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100' along sewer line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k.. Side sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours only. Two (2) working
days notice required.
DATE: 3 -,R7 - P t
certify that I have read
and shall comply with the above
PERMIT FEE:
CONNECTION FEE:--'
* PR]
DISAPPROVED By: Date:
By: Date:
APPROVED By: Date:
T
BE POSTED ON JOB SITE
STREET FILE
C I TY• OF EDNIONDS
- SEIVER DIiPARIM'NT
STOPPAGE OF SANITARY SEIVER MIN REPORT
DATE:
TINM
CALL RECEIVED:
2:QQ p►'�
LOCATION OF STOPPAGE:
0
Roo k
TEE RC
TIME OF -ARRIVAL ON THE JOB SITE:
TINE NORMAL FL01V_ OF SANITARY SEIVER REESTABLISHED:
CAUSE OF STOPPAGE: li,o uTS 1 �s ' I I pE SCw EQ LATGf�� i
PLUGGG-D WITH ROpT�
ACTION REQUIRED TO CLEAR MAIN AMID/OR LATEI ,: Pomo Rco0-T-E2 SEg
CL_ R�REQ uNE V5 FROM G O
CITY CREIV ON STOPPAGE CALL OUT (Personnel Involved) : E`I ge= AkAI�
7aO t3 E, c k C,14 L/ \t,3 (1
LOCATION OF RESIDENCE AFFECTED; 709 20U1� ME2E
11WE-, ADDRESS, AND PHONE NI NMER OF PROPERTY Mti F.R:
70 'D- ROO K "\c 2 C—
DESCRIBE DAMAGE TO PRIVATE PROPERTY: NONE {�rc PO 2'rE
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