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709 ELM PL W.PDF11111111111111 11167 709 ELM PL W • ' CITY OF EDMONDS PUBISC Y�xS _ GREET FILE ACTION REPORT Nm 1475 .. SUSPENSE DATE: Date: 7/16/82 Time: 3:05 pm File # Attachments: =Yes SUBJECT: Someone came last week and took samples of whi tFND stuff in creek. Called to report the stuff is gushing into creek now if someone wants to take a look. NOTE: RADIOED TO JERRY HAUTH AT 3:10 P.M. REQUESTOR: NAME: Carol Hayes ADDRESS: 709 Elm P1. W PHONE: 774-4203 REQUEST RECEIVED BY: TELEPHONE CONTACT IN OFFICE OTHER: r---j RECEIVED BY: Mary LeVan DMITF TO ®�jerry Hauth MW 0■ MM HIM MIMWMEMMIMMEMIM ©� MIN no MEM ©m MIN WMENIMMEMEM ACTION All Concerned Notified Action Completed/File ."M CITY OF EDMONDS - SIDE SEWER PERMIT r. WATEWSEWER DEPARTMENT Ow PERMIT Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction. Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections ADDRESS LOCATION OF CONSTRUCTION ------- M� y EL• Plac<� West PROPERTY LEGAL DESCRIPTION .........................................................ti �ILw'b+l � ��•'��®t4: L Lot,.............. r-.....---................... C ..........................................................................-................ _.._----•-..........--•-------................................---..................................... _........._._......--------.................------...._._. ...........................•----.._...---•--....----.....OWNER AND/OR BUILDER----.u.•T'•.-l�g�!'--f _OIXIES ................._..... _....................................................... CONTRACTOR'S NAME & ADDRESS......... .. �? ...�......2.e'1C`�OA granted ='� .............. 7 5 , for repair and/or connection of a side sewer to the city sanitary sewer Permission is anted .....-------•---•---•.-•- - � .•---•---- 19-I � -- s7n in accordance with City of Edmonds ordinances. A i'TION 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 obtainable from the City Engineer's office. 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 'A 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—I1; 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 appurtenances, except to in- sert the pipe into the wye. DISAPPROVED ❑ Date .... ....... ........................ By....---------... Date ---- .. By ------.-.-.-.-.-.-._...- Date.__.._........._..............._... By -------_------ APPROVED ] Date..._,�`� �f By..-_ Remarks: ........... Q.....9Al'_'.f7...............•-••.........._........_.._............................---•--....................._._.........................................---- - BOTH Permit Copies^MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection — I,...... ......... ,/....... i .............. hereby certify that the side sewer installation constructed under this permit (Owner of Contractingrm erfcrming Construction) Oinstalled in accordance with all governing ordinances of the City of Edmonds. Datedthis............................day of ................................................................. 19......... Check BEFOR you dig for: Water ❑, Gas ❑, Tele�hone ❑, Power ❑, Sewer ❑, Other ❑ ADDRESS: TAX ACCOUNT/PARCEL#: DD(Q�-ZrL0D�002D0 BUILDING PERMIT (NEW STRUCTURE) #: COVENANTS (RECORDED) FOR: CRITICAL AREAS #: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑Waiver CRITICAL AREAS #: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORD FOR: PERMITS (OTHER — list permit #'s): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: 2 BLOCK: SIDE SEWER AS BUILT DATED: 1 �' 3-7 `i SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE/ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: -7 f d % — p 9� (� ✓� OTHER: L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc APPLICATION The City of Edmonds for EASEMENT NO. SIDE SEWER PERMIT E NEW CONSTRUCTION REPAIRS ❑ LID N�O�T�.... ASMT. NO . .................. OWNER ....... S CONTRACTOR . = 8.. ..M CaN�Tg '?�5.:. PERMIT NO. .�.. ���.L-M�Ll C WESTJOB ADDRESS �---.--.----_---LEGAL DESCRIPTION: LOT NO. ._.-:--------------------------------- BLOCK NO. -----------------------------------. Lu Ll- w Lu •-------•-•--•---------------------•----------•-•-----------------------••----------------•---------- ------•------------_--------------------------••------------ NAME OF ' ADDITION-_.:_aL-M__-____- 1 i=W hpC�l�T \DIV . G . red: �. DATE..._: -= � ....�-------._. B -- ----------------------------------�. --- •� •---• t� f 1 x t f DNtnct*; "° ' w�Edm�ands :city:of W'adA r ipment artI ;TAP °- ,M4. =N�o .-� ��►/ CTARDDateN ap .... . 67.G eter f rIl Sized - Size,1! For c .T .......... ..... i_ Lot kNo Blk No ...................... _ ..... .Add' ...... .. ,.. ,:... ............................................................... Service Location ......- • . Meter L' gcation...!1 fi-R of......... t. Macke _Tap ...... _ S Pressure l..l.:0.- :.:abs Test ...:..................: ....::.:%... =Send Bills ,to . •...... .................................................. .. ... .. V abate of Work' — 7 ..... r E ••. ---.. .. Foreman I. Guar Voucher No:.. „$ Kema.rks.......9'�:1:.7�' �'�,�.:.r x. r:.a ............................................. ....... + .. _ r.. . t................... ............ ... x I OUTGOING -.Index .Reg ::. Route Bk f' Stencil Card. ��� INCOMING Index. Reg Route Bk Stencil Card: � .u:�: WATER SEWER CHECK LIST CALL AND FIELD CHECK BEFORE DIGGING 4DDRESS NAME DATE DISPOSITION 0 v� W 2 � g J � W � H � W J m Q The City of Edmonds s APPLICATION for SIDE SEWER PERMIT NEW CONSTRUCT -ION E] REPAIRS 0 EASEMENT No. J-7 )4 OWNER.4t ... lyr.4 ... toj .............................................. CONTRACTOR ........... ......... z .......................................................... ............ PERMIT No. ADDRESS 1�M )," L10 Rk IA/ ..........No...-; ....................................................................................... ..... LEGAL DESCRIPTION: LOT ........... . 2 .............................. BLOCK No . ............................................ NAME OF ADDITION ... -Y'45w. .... . A . . ....... r . .............. . ........................... Approved: DATE................................................ By RECEIVES SEP 4 1975