7103 176TH PL SW.PDF111111111111
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7103 176TH PL SW
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).
,.A.
3 i R EET FILE
The City of Edmonds
c9(1CC)
APPLICATION
for t
SIDE SEWER PERMIT EASEMENT No.
NEW CONSTRUCTION REPAIRS
OWNER ��lL�••.......j�/-t,�5T��-111.......... CONTRACTOR ..c4fSc1.9A0..(............................................ PERMIT N�.(................
/} � / �
ADDRESS Gl �..... ��..i..t._w.................... .. LEGAL DESCRIPTION: LOT No..._._._...Z/........_......._.._........ 'BLOCK No..............__....---�`.: .............
&E�.:�&)A 1,
NAME OF ADDITION .._..... ..._ _
•
ice?
RCENED
A 27 N11
Approved:
p �
DATE/G.a 7 1/.. Jl By _..... .......
CITY OF EDMONDS - SIDE SEWER PERMIT "
WATER -SEWER DEPARTMENT
PERMIT
(Call 7.76-1107 for side sewer inspections BEFORE covering any portion of the construction.)
\Inspection will be provided within 24 hours- after request. No Sat., Sun., or holiday inspections./
ADDRESSLOCATION OF CONSTRUCTION ................................................. :....................................................... ,....................------..............................
PROPERTYLEGAL DESCRIPTION ...................................... :......... ........................ :...................................................................... ........................................
OWNERAND/OR BUILDER ::..:....:..............................................................................................
CONTRACTOR'S NAME & ADDRESS .........:'...........:. ..............................
Permission is granted .................:: .................I............. 19.......... for repair and/or connection of a side sewer to the city sanitary sewer
system in accordance with City of Edmonds ordinances.
ENTION IS CALLED TO THE FOLLOWING:
IvvTE 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, ¢ci�os�ns,truct
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 lest 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%. No ben ads- 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 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. ........ ...................... B --.... .. ... Da .................................... 'By--.............
APPROVED Date..�4�......... f...17... �........ By...
Remarks.....................•------........................................-•------•---.............................
.........................................................•---.....----........ •----•------.................._..---•-----------...............---------......................-•---................----......................................................--
- BOTH Permit C ies MU T Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection --
I,........ ..../ .........::................. ../ '....... , hereby certify that the side sewer installation constructed under this permit
(Owner of Contracting Firm Pt�fcrming Construction)
installed in accordance with all governing ordinances of the City of Edmonds.
i. Dated this ..... ..�o� ..7................ � ...day .............................. --..., 19...`)/
J J Check BEFORE you dig for: Water ❑, Gas ❑, Telephone ❑, Power ❑, . Sewer ❑, Other ❑ J V,