7122 210TH ST SW.PDF11111111111111
15895
7122 210TH ST SW
:`CITY OF EDMONDS
1.6677
DE SEWER PERMIT
PUBLIC WORKS DEPARTMENT FOR INSPECTION CALL Permit
775-2525 Ext. 220 Issue Date `M
SI�
PERMIT MUST BE POSTED ON JOB SITE
Aw
1. Address of Construction
2. Property Legal Description ( include all easements )-5-4 , ,g'
3. Single Family Residence Multi -Family No. of Units
Commercial R]
4. Owner and/or Builder
-w VIA BALLIrinm
5. Contractor & License No. oaf e
6. 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 pEasement required -
attach legal description and county easement number. READ THE FOLLOWING AND SIGN: STREET FILE
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.�� u^
b. The side sewer contractor assumes full reponsi MV h
installation for one year. Or.
YO
c. Commercial establishment requires a minimum o six iIcunside sewer line. .100 - 56-64 8
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 c�aly. Two (2) working
days notice required.fi
DATE
f.
I certi y t I have read
and shall c ply with the above
F: - ':f/r, 0 Sr"_ 64 0"V F r 9 DISAPPROVED BY: Date:
U94 � �;� vr�r� �fc:' � B Date: _
(B '"'Ff±E : , APPROVEDBy • Date :_
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* PERMIT T BE PQSTED ON JOB SITE
The City of Edmonds Side Sewer Drawing EASEMENT NO . ....................................
NEW CONSTRUCTION [] REPAIRS LID NO. Z-0 .-7. - ASMT. NO ...................
OWNER ---1J D.!@;t rr.L ..... .... ....... : ...... ....... CONTRACTOR --- /Q ............. PERMIT NO.
JOB ADDRESS --71 ---- -- -- LEGAL DESCRIPTION: LOT NO......(.... ........... BLOCK NO. ...... ee .........................
................... - ........................... 4
. . ........ rz :;�_7 .......................................................
NAME OF ADDITION ...... 5' ...... Arl t"', 4
............. !.t ............................
b
PWW -0001 -11/75 (REV. 11/78)
d
72-W
Approved:
'Al
DATE t
*/'/ -- ------------------
IfT STATION