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7105 212TH ST SW.PDFiiiiiiiiiiiiii 15922 7105 212TH ST SW i � i /i �, CITY OF EDMONDS STP?ET ASSET INFORMATION SHEET FILE l?' NEW ASSET NO. _S�97 ❑ ADDITION ADDITION TO ASSET NO. ❑ RETIREMENT 14 DESCRIPTION SERIAL NO. LOCATION / � �- � ` ' DF�T� O. * * PURCHASE ORDER NO. PURCHASE ORDER DATE COST * PROJECT NUMBER Al � 00 PROJECT COMPLETION DATE COST B.A.R.S. ACCOUNT NO. 44 DD- Gc3 ESTIMATED LIFE INITIATED BY DATE APPROVED BY "SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT G.L. ENTRY REFERENCE DATE b P INITIAL DEPARTMENT FILE . �r� VERIFIED BY PROCESSED BATCH NO.- J CITY OF E D M O N ® S HARVE H. HARRISON MAYOR 200 DAYTON ST. • EDMONDS. WASHINGTON 98020 • (206) 771-3202 OFFICE OF THE CITY ENGINEER STREET FILE December 22, 1981 Mr. Donald K. McIntosh 7105 212th St. S.W. Edmonds, Wa. 98020 Dear Mr. McIntosh: STREET FILE SUBJECT: L.I.D. 206 - SANITARY SEWER CONNECTION RE: PROPERTY LOCATED AT 7104 210TH ST. S.W. City of Edmonds records indicate that you are the owner of property located in the College Place Area, and that the sanitary sewer service is now available to your property. Residents abutting this sewer main are required to be connected per Edmonds City Code (18.10.010). In consideration of the completion of the sewer system and the aforementioned code, you are hereby advised that you should make arrangements to make the necessary sewer connection within sixty (60) days. If you have any questions, please contact Jerry Saterlie at 775-2525, extension 259. Permit and connection information may be obtained at the Building Department, at 505 Bell Street. JR:jky Sincerely, JAMES E. ADAMS, P.E. City Engineer 0 May 9, 1979 MEMO TO: John B. Mitchell, Supt. Water/Sewer Division FROM: Fred F. Herzberg, P.E. City Engineer SUBJECT: B & M CONTRACTORS INVOICE - 7105 212TH SW The attached bill is a justifiable expense of Fund 411. When the contractor checked the as -built drawings prior to starting construction, a lateral was shown as having been installed. The field conditions showed only a "T" with no lateral. .,The road was excavated and work needed to proceed without delay. The Director approved the contractor in- stalling the lateral at City cost: This can be justified by connection charges being deposited to the credit of Fund 411. FFH : j ak Attachment ( - - - - - 9-' 1,4 -� '1/? 5 `A ' n \�'ID tt, 5 Director Dt. t CITY OF EDMON i . D S _ PUBLIC WORKS DEPARTMENT «; if TO: LU SUSPENSE DATE: O Q - 4 DIRECTOR �y"��'�. .. .'Y ...,�y.. ±` wf�,.,iM...b(•, '�I,y.}yh. ya,•t 7.P �..� . ../f.!.,::Yw A r!rp,��..A ��_ �.Y,�. rt.+�r-asRJ1}� •a.dcE!c.r *' Investigate t�, + ADMINISTRATIVE SECRETARY and Report ,l 'C • i BUILDING Take Appropriate Action CITY ENGINEER z Prepare { �. °c letter/memo -f EQUIPMENT RENT ~ - AL SUPT. for my signature STREET DIVISION SUPT. For Information WATER/SEWER SUPT. y Ref'd � Previous) Status of Action?+ TREATMENT PLANT SUPT. Return to: t' f --f COMMENTS: 01 1% PE FROM: LE ^qIr- P- E. �' '` • � VWA-0001-11-:e DATE '8&M s. a P.O., BOX BP116 TrMOAs3' Y3 a 1 r4 Air j 1979 Dir. Of Public Works v a �? DETACH AND .,_ Rt'fURN THIS DATESTUWITH Y REMITTANCE �' ''®''�jj - DESCRIPTION B OUR a !�� CHARGES CREDITS BALANCE PREVIOUS BA Qm. LANCE e _ NO - jCD i� to -- _ r _...._ O rn P% PER MONTH INTEREST CHARGED ON PAST DUE ACCOUNTS B St M CONTRACTORS ALL ACCOUNTS NET. NO DISCO UNT 778-0247 Sold TO B & M. CONTRACTORS 'P.O. Box 216 21400 Hiway 99 h4- AY 1979 Lynnwood, Wash .98036 Edmonds, Wash. 98020 Dir. Of Public. , _ZRIS 1 % PER MONTH CHARGED ON PAST DUE ACCOUNTS J- x 7 A -I J— Ti f0i Lt gay 5 C ICE INVOICE INVO B & M CONTRACTORS i A 3 2 2' ' 7 21400 HIWGY 99 7=ATE P.O. Box M6 Wash 98036 Edmonds, Wc1sh* 98020 DATE 778-0247 Lynnwood, L7 I 6eter Sold TO -- ----------- ' p L t "All 1 TE S —NET TF S I% PER MONTH CHARGED ON PAST DUE Acc=M ------------------------ v offift Prea--". ` seam*. W-& Ii :-T "VI 1;. j i. w l A .f B & M CONTRACTORS P.O. Box 216 21400 Hiway 99 :-0247 Lynnwood, Wash 98036 Edmonds, Wash. 98020 l INVOICE nr,ju- (DATE d �� f TERMS — NET I % PER MONTH CHARGED ON PAST DUE ACCOUNTS Z. li2�J1.w L r / `1-ILA 7.1.c /L, 4) 1 CaUb MUM Product. Inc., SGSWO, Wean. . 48080" s.! � �• 1 �-' gyp' tar �r r: � � fir. • .. _ i .. �+F. 4.�•y l t 1 t, fl L�) k?" - 77�4,70`"77-7 C. issued By: Permit Fei� (TU a - Time Authorized: V014 after, —days Stcurity Deposit: speclq C onditio iqd-A �O CIA,n , 'ns: C Fuind, I 11 Ammen meats: Strtet Cut,Diminsions . . . . . . . . . . 0 BEGIN, **�Tb -JA .. .. ...... . NO T I S U' N 44 FIELD INSPECTION NOT* (Fund 111 - Rout opy to Street Dept.) Comments: P 12 Diagram: Contractor called for inspection- Yes No ;Mork Disapproved By: Date: B( Date:__ [cork Approved By: Date: Inspector: Ena. Div. December 1978 CITY OF EDMONDS PUBLIC WORKS DEPMENT FOR IN5FECTION CA10 Permit N? __6 2 5 7 SIDE SEWER PERMIT 775-2525 Ext. 220 Issue Date * PERMIT MUST BE POSTED ON JOB SITE 1. Address of Construction 2. Property Legal Description (include all, easements) o�F!/tt/,6 /7,�i Stirs .�i di S/,v / #s"' ffZ.-_11.:/(-D 3. Single Family Residence ✓ Multi -Family o of Units Commercial T�c�FILE r and/or Builder, -j) ,r A/TD S121 5. Contractor & License No. ,�j,� N 6. Invasion into City Right -of -Way: No P"' 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 - 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 thirty inches (30") to any structure. e. Side sewer lines must be laid at a minimum grade. of 2% (1.150) and maximum grade of 100% (450). f. No turn in side sewer greater than 45° (1/8;bend) is0allowed 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: / I certify t at I ave read and shall comply with the above _ .IG oo PERMIT FEE: S _S.no DISAPPROVED By: Date: w By: Date: CONNECTION FEE: APPROVED By: Date: * PERMIT MUST BE POSTED ON JOB SITE Date APRIL 21, 1978 MEMO TO: John B. Mitchell gyp' Water/Sewer SuperU encient FROM: Richard H. Allen Assistant City Engineer SUBJECT: SEWER CONNECTION CHARGES Legal Description: Seattle Heights Division #4, Block 06, Lot 6. Commonly -known as: 7105 212th Street SW Owner: Donald McIntosh SEATTT F HEIGHTS (Pjjn) LATECOMER AGREEMENT Z.F.F. Calculation: ( 147.43 ) Z.F.F. x ( 7.50 ) _ $ 1105.73 Connection Fee ( 1 ) Lateral x ( 100.00) _ $ 100.00 Lateral Charge ( 1 ) Unit(s) x ( $25 ) _ $ 25.00 Trunk Charge $ 10.00 Permit $ 1240.7 TOTAL APPROVED BY: &je,4Q Lei R arson, P.E. Directo of Public Works DLD : j ac CC: Owner 5/1n/77 ft Date APRIL 21, 1978 - MEMO TO: John B. Mitchell Water/Sewer.Superintendent FROM: Richard 11. Allen Assistant City Engineer SUBJECT: SEWER. CONNECTION CI-ARGES Legal Description: Seattle Heights Division #4, Block 06, Lot 6.. Commonly SEATTLE known as: HEIGHTS (Ptjn, 7105 212th Street LATECOMER AGREEMENT SW Owner: Donald McIntosh Z.F.F. Calculation: ( 147.43 ) Z.F.F. x ( 7.50 ) _ $ 1105.73 Connection Fee ( 1 ) Lateral x ( 100.00) _ $ 100.00 Lateral Charge ( 1 ) Unit(s) x ( .$25 ) _ $ 25.00 Trunk Charge $ 10.00 Permit $ 1240.73 TOTAL APPROVED BY: Leif R. Larson, P.E. Director of Public Works DLD : j ac CC: Owner 5/1n�7, +. t� I Ell I I I 4 E I I I } It t-' --- -- z-o t II I I I 1 I I I I It I I I I I � _ I ' I t } aII �, I � I I (v��- I , �d - r t .I _ I I�-��9��0n oo I �� O�C x �D��'7� 1 I sue \/cc J-4 O _ I I I I I o - I I ' r a ' 1 I I 1 ' I I 17 f 1 I I 78 AX STATEMENT fst,REpL ESTATE 9 T�GRNAL COPY 00INL�� t a -T MARKET VALUE 1 TC VAX pOUARS GO 10 THE nON`OwING: a a LFG. L DESCRIPTION SEATTLE HEIr,HTSL IV 4 BLK 006 0-00 Oi / TAXPAYER , <tC.I io.N;,E OF`�4DURE55 r S I n t E ----------� 0Oc _.�--- 0 10 MAKE REWTIA,NCES PAYABLE TO: E;*.,L L 1979'I AX . STATEMENT SIEVER lIx T K I R K E S RETURN OMMAL COPY ONLY SNOHOMKH COUNTY TREASURER P.O. BOX St i: - EVERETT, WA 98206 TOTAL !0217 15.58.200 —54_O —13 YO'-;Q TAX D:): GO 50-THFOLLOWlt:G: DUE APRIL 30-IST HALF DUE TO AVOID FULL TAX PLUS INTEREST DATES OCT. 31-2ND HALF DUE TO AVOID INTEREST TAX UNDER $10.00 TO BE PAID IN FULL. Nt ME X f PkOCESS ACCOU�J FP A L SPECIAL I I NUMBEF 3,3� 13-43-9-5 56.69--0-0 6=0 0 6--0 0.02 0' 4 Clli'f OR ROAD'LIE1. SCHOOL DISTRICT P011,:: -'SfRICT 146.24---. -5 6 5 I .clspj; At I V;ATER I SEWER I FOREST FIRE, NO. NAiME AND ADDRESS 58041-73 LEGAL DESCPIP113N MCINTOSH DONALD R ISEATTLE FEIGFTS DIV 4 :7105 212TH S W IBLK OU 0-00 — LOT 6 ,EDMONDS WA 98020 A; aim 0\ Avry NAME To ADDRESS CITY PRINT. CHANE 0;: TAXPAYER OR CHANGE OF ADDRESS ZIP ATE CODE 1979 FULL TAX OTHER L am —543,53 LESS EXEMPTION, IF ANY 77 1— CHECK BOX TO INDICATE FULL, 1ST HALF OR 2ND HALF PAYMENT. 2ND HALF] OMIT ROLL YFAP YFA; TAX MOIJN", i.11F. E -ST M.O. CC -WNQUENIT TOIAL ONLY CASH 3 ..-5 0 0 CI • Date iOlyak "_ `I9�— MEMO TO: John B. Mitchell, Supt. Water/Sewer Division FROM: Fred F. Herzberg City Engineer SUBJECT: SEWER CONNECTIO14 CHARGES 0.5 - 21 ZT� ST- S •fin/.. e Street A dress I" [ • a.JCJ VVGLI U k l_U.J VL (Legal Owner Single Family Residence ✓ Subdivision Multiple Commercial LEGAL DESCRIPTION: Plat P.R.D. 5e_0AiI tie-i 'S QIVksikCM q- f3Li�, 00 Sec -1 0 1 7 27 i J R 4 . ,-S v\-,o�-avv,,.►s ) 1 �jl Z.F.F. Calculation: ( �46•q� ) Z.F.F, x ( 7 50 ) _ $ / I DZ-ZO Connection Fee ( ) Lateral x( 100.0C) _ $ )100- 00 Lateral Charge $ Equivalent Count (when applicable) ( ) .Unit(s) x( $25 ) _ $ ZS 0 O Trunk Charge $ 10 •0 0 Permit $ 1) Z 3 7 Z 0 TOTAL CC: Owner APPROVED BY: Leif R. Larson Director of Public Works 10/78 180 63.27 6 . 6 63 63.27 aW m 8 ❑ 0 IN, ^ U m 9 N N 7 d 6 N 5 N 4 N 3 N 2 P I N l0 —AUROIRA II bass 0 S T S =� N 12 , 1 15 g D 16 � G 17 s 18 N 19 ^ no P ?0312 b F: 13 m P P A P a p N N N N ❑ N N N I 1 p ZRG ATLAS OF EVERETT COPTHIGHTED •.• PUBLISHED by KROLL MAP COMPANY, INC., SEATTLE SCALE: t IN.=200 FT. 103.81 103.00 6 � � s d HEGH S" 23 a N 8 9 10 I I 12 1 ?�sz7 I , I 10401 104.02 104.02 104.01 104.01 20903 _ N 6 7 6 5 ?0- 1 3 ^ s ^ ,f 10 4.3. " � o 104.3 i 2.50 AC. Gordon M. Hoyt R7.20 A I � ll I60 .:12Z54 7i LEGEND 1, /: ~ Eisen s. A ING RAILROAD-►-+-�-+ WATER MAIN & HYDRANT- --6 BUILDING SEWER B" HOUSE NUMBER u RED TRACT NO. RT• IBO 63. 27 a e •• 63. 63.27 0 jo � s�e u P a m m 9 N 7 lP•r 6 CPi 5 N N 3 N 2 P I N $ ID 14 A ROR I I S T S 2Ei ? / 12 15 p •D 16 p •0 a,17 `C 18 � 19 20 n 1 IJ m �• P P P P P p 1u N N N C. N N Q T�.g' b 71 2 6o 103.80 i 0 ❑ RT- P4 25 4" S cez.7z • I0ae1 60 4" ❑ 206® F� �R q ` 2oe/Bn 4 5 6 v' 194.07 104.01 $EATTL r 1018 �oeis a d UK i HEGH S N 73 N N 98 I D 2 n 1 104.02 104.02 104.01 104.01 V104 2a90 _ 20E 8 7 6 5 i ?o �o 4 3 0 o of 104.3. k " 104.3 0 2.50 AC. ? L - .Gordon M. Hoyt 0. El �1 4. N � f � � � � �^'� Fq •"`•;•'�' R�?e y��] p�� .w ��.�]��.�..�_q� 60 lea. , FF �. ........I - rrr.1 �++:.!��hi%E J_!�� L./.-.Y-� L✓Mis a 104. / ( /./•- .•'�.,' ...TT�•R .. .. �. " loan 160 n 1 _ - -- NDSMAIN.—$T- .•1 .. .. .T.-�{.�1�T. �r� •�y..�..^:yam{. ATLAS OF EVERETT 'L`. - Ij EGEND �'% Eisen s CO►YRICHT[D ••• ►UOLISHLD by PAVING RAI LROAD How W KROLL MAP COMPANY,.INC.. SEATTLE WATER MAIN 6 HIYDRANT—i --6"— BUILDING—r �—�® J SCALE: f IN.=200 FT. B" SEWER HOUSE NUMBER E --i; - - — - RED TRACT NO. RT R T- 24 2S rail KOY-7 AYE 01 w lbo 63.27 6S.2b b3 26 63-27 8 I C3 C, 9 4 0. 01 C4 7- 6 5 4 3 2 10 —A RO� —i—s STT Hom 12 1 109/2 15 16 17 18 19 20 c % 0. 01 P 01 cli t4 ('3. to 0 8T R-4o S T_ 4 1 81.7Z 103.80 10361 - 4 60 Poo Q q A P4AT�— . F R 103.81 103.80 —co HE GHI—S (;ri c. c" c� 4 4`7 8 9 9 10 12 &?7 104.01 10401 10, 402 104.07 104.01 104.01 2o$o3 ?o E 7 6 6 5 4' 20 w, 0 E3 3B F` 0 R lr:10 4.3. n k n 2.50 Ac. J! 11 Gordon M.Hoyt d CL j L R7-20A T,..r 104.1 C, --F-F-4 Pl-.— 0 41 HE 2 1 0"TH lo4l 0 -MAI ATLAS OF EVERETT LEGEND Eisen s COPYRICHTEDL., PUBLISmEg) by KROLL MAP COMPANY, INC., SEATTLE PAVING (1.1ow RAILROAD SCALE; I IN.=200 FT. WATER MAIN & HYDRANT BUILDING' SEWER HOUSE NUMBER RED TRACT NO. RT, 1 I1 ti .I 1 i I lI - I - I I r 1 1336 71 .�I HOY--T AVE. 4- _ ()I IP.O b3. 27 b b ,• b3 63.27 60 I. 8 o � I0 1'. C. n a P m IO. P QI J J J y IN N P N N N N .0 N = I " 7. 6 5 4 3 2 I N 10 I 'AYRORA 11 �JI 0 m S T S =� z2 , 12 l 15 16 17 18 19 20 �p O > M S o ICE N c♦ •I IMP RT- 24 25 -2 t7t3�1' fT r� /� p u — 4" CIUI m s ST. 60 I IR A. 0 o 103.81 " 103.81 IO7.Y0 -CO- 9 n l 1 ' a � a - HE GH S a 23 ri � 0 8 9 '1 10 11 12 ° Bs=7 0 01 10401 I 02 104.02 104.01 104.01 2a9o3 20� 10-0 . W 8 7 6 5 4-- 3 > M 0 a Rch o N 104.3. " 104.3' 2.50 AC• Gordon M. Hoyt. RfE - HOUSE Rr 26 RT- 26 820 A..- CL�7` N 2i 1/ n r, c 216�9 ;13.a 2 S 9 c 2 ? 5 O 13.4 3134 2' 190.47 wo.s loos „ — F 3 c 7� i ❑ o " 104. a 1so 4 % .. I I ii y I I Zt 0.37AC.• 4$ 7ID I 6 J 3Y. ^ ~ N 5.,4 RT-16R 6 76 H0la �:�... P7-26 G 211 5 I b' I I Q I. I �r v^ Q °� R7-?6 E 1'^ "`rrrr^'"' li i I y i2 ^ a © a �I �o ^ ® R7-2oa I ! ,r I 1 0y , N ^ I t ^ a F RF= " 104.7`� @t?�?�.E=74 (BMf)YVflSEtf{ �_ 1oa. 60 104 3.0 �.�� .., �r;.•F�;r�..-a: �rPD. r.r.. 8 `— - l I " 1047 60 ATLAS OF EVERETT LEGEND 1= Eisen s COPTRICRTED ♦." ►U13LIS14ED by IlOPAVING w RAILROAD �••"'-"'•-'•-+-}�-- KROLL MAP COMPANY, INC., SEATTLE ,7 WATER MAIN HYDRANT--' 6" BUILDING SCALE: f IN.=200 FT. SEWER HOUSE NUMBER tt ----- __:- RED TRACT N.O. R' mp- Ft-; •- -I;n +m, c-c T 4z rq rn 'o ll/(2i4b ✓ o m 47 -1 4s-lyo 17 /04,-70. Total �z F F = 14b. l6' DEPT: N NARRATIVE �? --// 9 f S 9i� oa Cl 90� o�,�� -EGG rVe LOT p• 2 S-e c 2p j T-L7� '36Z.7J a.1-2 �4 3 9 42.75 3� 2•%� 75 3a2.7s 3G2.7S _. 3(z332.75 7-!r- DEPT: PUBLIC WORKS DEPARD C LIST S'� —+mot• �OV BUILDING PERMIT RE'V% 4 -- (address) 4(to Street Right -of -Way Existing �'x� �� REQD z Access Easements Existing_ REQD H a Utility Easement Existing Q REQD w Lot Per Subdivision Plat x Assessor w Site Plan Checked for Accuracy 2 1 - z Underground Wiring Reqd. H Check Accuracy of Legal Description z Review by Date I Z i w Existing Water Main Size Wa Main Required Service . e Required Hydrant Size 'sting c� Hydrant Reqd Per Code Size w Detector Check Meter Cross Connection Inspect' H Fire Department is 3 W r Meter Charge Reqd. Review by Date Septic Tank Design Approved Date Sept Tank Permit Reqd. Permit No. Sanitary r Availability Proj. Drawing No. File No. Side Sewer Availabi ' w Sanitary Sewer Connection e Regd. 3 Review by Date w Open Ditch Existing Reqd. Culvert Reqd. Size c4 Catch Basin Reqd. In to on Site Plan Shoulder dra' ge maintain collection on Swale open ff H M rorlereqd. Indicate on Site Conditions and Ground Water Field Checked Review by Date Revised: 1v10-1977 Page 2 t Paving Reqd. Curb an& Gu. Reqd. w Sidewalk Regd. w Curb Cut for Driveway Reqd. p4 Right -of -Way Construction'Permit H Band Reqd.'for Public I is Street Name S. d. Othe 'fining Reqd. 777 A Permit Site Inspection made on _ z a BY: S E-+ w w WATER. a En H STREET ENGINEERING Special Requirements listed in memo to Community Development Department, �. Building Division BY �� r) Date o All items filled in on BuildingPermit Application _ 2 w BY Date a 7 —? Drawings Stamped and Notations Made BY Date Approved by Public Works Department Revised: lv 10-19774. The City of Edmonds Side Sewer Drawing EASEMENT NO - --------------------------------------- NEW CONSTRUCTION REPAIRS ❑ LID NO_ ------------------ - ASMT. NO. ------------- OWNER -C:Z:: ------ CONTRACTOR ...... ----------- PERMIT NO. JOB ADDRESS ....... ....... LEGAL DESCRIPTION: LOT NO. ----------- <�� .................... BLOCK NO. ......... <:>-� -------------- PWW-=1-1 1/75 (REVA 1178) ............................ -------- ............................................ -------------------------- ............................................... NAME OF ADDITION ..... Approved: DATE BY------------------ - - - - - - - - - - - - - - - - - i 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2. 3. Auuxubb V1 P. v i 1 Property Legal Descrip71tion (include all easements). �J�:/�1%lt" //,t'��i/��S .11�y� s�r'.t� '°�T" �✓.C/�l:�i'D 4! �iC�% Single Family Residence Multi -Family No. of Units Commercial - ,.4 -----Owner and/or Builder l) ,° l Al �E:/� 5. Contractor & License No. ley 6. Invasion -into City Right -of -Way: No Yes (If Yes Right-of- way Construction Permit Required - Call Dial Dig (342-5344) before excavation). Ei 7. Cross other private property: Yes No V--l" Easement required - attach legal description and county easement number. w READ THE FOLLOWING AND SIGN: a. Property owners must obtain a permit to install side sewers on >4 their property. A licensed side sewer contractor must be employed to construct side sewers in the public right-of-way. A b. The side sewer contractor assumes full reponsibility for each H installation for one.year. C. Commercial establishment requires a minimum of a six inch (6") side sewer line. v d. Side sewers may not be installed closer than thirty inches (30") to any structure. e. Side sewer lines must be laid at a minimum grade of 2% (1.15°) and maximum grade of 100% (450). H f. No turn in side sewer greater than 45° (1/8 bend) is°allowed 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: I certify that I have reach and shall comply with.the above IU �� PERMIT FEE: ow a CONNECTION FEE: PERMIT MUST DISAPPROVED By: Date: By: Date: APPROVED By: Date: _77��y •0 BE POSTED ON JOB SITE 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).