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1104 EXCELSIOR PL1111111111111113972 1104 EXCELSIOR PL CITY OF EDMONDS - SIDE SEWER PERMIT WATER -SEWER DEPARTMENT PERMIT �" a F� /Call 776-1107 for side sewer inspections BEFORE covering any portion of the construction.)1 \Inspection will be provided within 24 hours after request. NO Sat., Sun., or holiday inspections.) ADDRESS LOCATION OF CONSTRUCTION..-.. 412 01yl p•1c Avenue ....................•....--.--.•...•.•.--.........-.-..•............-.•..:.......-......-.-.........-.....-........ f H PRQPERTY LEGAL DESCRIPTION..-.-.- 1° 7�T �% .�... -.©f Lot ��,...S�w.9:ie..! ............................................_-.-..-.......••-•-----.........-...-----..........-.--........•---------.......-......-..---..-._..-..-....•..-............-•.-....--.•................-.-.............-...-.-...•............-........ Jerry U11 scan i----------------------------------------- OWNER AND/OR BUILDER....... ......................................... E-h Ml i n 3ackhoe Svc, 24006 - 92nd Avg:. 1,jes to 21"),20 CONTRACTOR'S NAME & ADDRESS ....................................................................................... . ��; ;c 1 73 Permission is granted..........:..........................:...........-.-......., 19.......-, for repair and/or connection of a side sewer to the city sanitary sewer system in accordance with City of Edmonds ordinances. . N IS CALLED TO THE FOLLOWING: P No1—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 anyInvasion 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 restoredto 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 By------.......... Date.---......... ..-....-.-..-....-- BY ---- t .....-•..-.• - ...-•----•-...... By ................ �L- r APPROVED Date.....--. - / By..•_-•... ' r ,............................................. �i Remarks:-...-..•....--.•......................•.........---•....-.......-.......-......--..........-------- :..:.......-..........................-.-.._.....-.............--..----.....-......•...-.........-..--......... — BOTH Permit Copies MUST 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 Perfcrming Construction) �nstalled in accordance With all governing ordinances of the City of Edmonds. ��// Datedthis .............. s/.......... day of............................................................ , 19!2. Check BEFORE you dig for: Water ❑, Gas ❑, Telephone ❑, Power ❑, Sewer ❑, Other ❑ 111 The City of Edmonds APPLICATION for SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS � EASEMENT No........................................... ® 19-0224C)0 uz lSl Ca34 OWNER .....JEf=1RY W-1sb-&N...................••----•-----------•---- CONTRACTOR�26-....NW'l "N ........ 4� ( S PERMIT No..- ........ 1 Irl wpl/ 1. 1 ►► IG N*7Q a �4211= 1�2 ADDRESS-!�...... .�----MGt... .............. LEGAL DESCRIPTION: LOT No. QF...!��.1..�---... ............ BLOCK No............................................. NAME OF ADDITION ....................................................... 1 Ew • 0 SZLJP.a !'b`QsCP' 0 ..%q l 211 G 0 • IV -PeN. 4 YeBaND (21 cwaP) a Appr: f DATE,;- 4 Y •. APPLICATION for The,Citr of Edmonds SIDE SEWS$ PERMIT NEW CONSTRUCTION [] REPAIRS ❑ OWNER-----•.. S t.'rr-;! ........ ------------------------------------------------ ADDRESS ...... f -Yj �!n ----- ---------- 4-� ------------------------------- No- ----------- .............................. CONTRACTOR ..... BA#?_ ..... 69.kb7!".*...... 3eho --- r ✓ -•---- PERMIT No. ` -, 1N, 7yA aF w. y,, aA LEGAL DESCRIPTION: LOT No.....................9Y.------------------ BLOCK No. ............................................ NAME OF ADDITION ................... GPp"'. c- 4kc L Approved: DATE ......... ............ BY - -------------------------------------------- •----------