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504 6TH AVE S.PDFIIIIIIIIIIIIII 14722 504 6TH AVE S Is E APPLICATION for The City of Edmonds SIDE SEWER PERMIT EASEMENT No . .......................................... NEW CONSTRUCTION REPAIRS E] OWNM ... Georqe Wilson Russ Johnson ......... . ...................... .................................... .................................. CONTRACTOR ....................... -------------------------------------------------------------------------- PERMIT No. M.9 ....... ADDRESS 568 H"m-f Stpe . .................................. ............................................... .................... LEGAL DESCRIPTION: LOT No. .1ots & ... 2.0. BLOCK No. A24 ..................................... 17-r 0,- NAME OF ADDITION ...... ................................................................................ ............ . 60� Aoo- 6. 11 NV Approved: Tz— DATE ......... ..... 13, ':�7 ......... .. ------------- .0 0 0 APPLICATION for The City of Edmonds SEDE SEWER PERMT NEW CONSTRUCTION E) REPAIRS E] EASEMENT No . .......................................... OWNER --- � r'! .............................................. CONTRACTOR ....... ........................................... PERMIT No. ADDRESS .... ......................... LEGAL DESCRIPTION: LOT -241 .... BLOCK No . ........... NAME OF ADDITION .......... e ... .......................................... DATE-Z' .. . ............ By _"SEWER"`�PM [T;": -"'ED 'T0!NiD&`-:-.` "S' CIT -0 i ly -IlF � M MATE" EWEk, W.� -7 ...... `N C 11 the.',iconstructl ow f�er �rieciu` inspection' .,ou a. 7 % "i", CAT16 ADDRESS.-t Tirj�_) i'0'6F,%C' TRUCTION ON . .......... .............. ................... .... ... .............. ....... r..e��z ..... ............................... T-Y, i)h§CRIPTION ......... . ?,�. .......................................................................................... .................................. . ........ .... ..... ........ .............................. ....... ............... .................. ....................... .................. ........................... X 0 ........................ k! ................... 'W f .................... aw'' ........... .......... . .... .. .......... .......... 1E'-&,ADDRES` i'C --ONTRACTOR!S�NWN .. ..................................... V .............. _7 -connextion. . ..................... ....... di ,,.yiaecor ance'. xv , ith`.C1!*i0Y�Edm'onds- . * -,,,�A E NT 10 Nt 19i CkLLE 6,'TO!,'�H E -F,'O L'LO I Nr,'*., E Wo!.,� ope'ft'Y;',,;r'na`y`_ohtaIn .a,-. lie�n�itt8z.co inside., nstruce-!'s.t'�w*er' - "P�r'o'zp"er-i'y�"`�' - - �"! d' S In 6� line., A,411cense ide se��pr�,, qntKactqr..,must.jb e 'Pi eal to:z ..'sidesew6ilin. street area: Dw-not cover any.:. port lon�,-o f ise ",�r, be f6 re-i t :,has 'been � iri-spect'ed, congtr'cf, NO-::2�' -All ;Nvork,:perfurmed'.In clty'rigl� -'of..Way,'PermIt'obtaJnablc: from!the'-City -Ehj�jne�r' —Obtain, fulll. inf s.-,,offjce, e pi�!7n t.. 1—,Top;:of��sldle�sew' r'm 0.- -�.nidi'. 1 2'ffic'he�s".)'ns 0 Wand -Regulations '* 'S ' _* - ' - J . . .' . . gh t No &o, 6* '� U-61ilv�-.�V'1,-mO3 '.Inchesi coverage' E�C`pr�ilierty A I ne 't t han - Ide: property.11ne; mlnjmuni`,,grade':of!'2%:, t sharper %vllli�be permitted No,�bc n., r e, o ..'NOTE;*N c f st%reet'-r-estored. �jc'1oiJgina1i.'eond!tI6n;% -do*n* 'o tractor;s,'shall�*'be"resp�n�ible' for., -failure .,,d ue.�tor;i liipi�per `1 ';�iork.,whibIr"niay�dCvelop wlthim;qne,y�ar, of-!c'ompl tlon: - 7 r, LI to�alter�or_do anY,Otffer' �vork 'thaii 'is:�p�ovide*d 1`6�_jn th�'! a n �appi�rt cept go�. in*- , fi , - , -wor, on .,If6 . I rt t e pipe, intolthe �vye..,,' enancesl:ex zwDIS"_ —4. ............. P tW C............... ... ......... . ..................... 34, A. . ......... ..... .................... .... .... ...... ... ... ...... ............................. ..................................... ........... ............................................. ...... ..... ..................... ................. % ....... ................................................ I ............. 4 .... ......... ................. ........................................................ ....... ............ ............................ . . . . . . . . . . . wner `�vasi S J. Ed , . . . . . . . . . . . . . . . . . . . . . �h' governin ZEFORE',.�otr-.*�i ci� a teri E]? Z�( f 1OK-To-Request'For nsp�C�1.0171�1__�'/JA 5, IS' i'permit zdmo (ds,. I& us zXL_ ... . .............. . Y��o