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18319 HIGH ST
CITY OF EDMONDS
PLJBLIC WORKS - EMINEERING
ACTION REPORT
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SUSPENSE DATE:
Date: Time: /.'
_s3O PIP - File #
REQUESTOR: NAME: a)a&613,)
ADDRESS: ez tit.
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PHONE:
REQUEST RECEIVED BY:
TELEPHONE
CONTACT IN OFFICE
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RECEIVED BY: LI/)-? Q—>z
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All Concerned Notified
Action Completed/File
The City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT
NEW CONSTRUCTION E] REPAIRS E]
...................................... ------
OWNER --jIle
ADDRESS...... ......................
EASEMENT No . ............. ............................
CONTRACTOR ------------ 2i�� S� -- - ----- 44� . . .......
------ PERMIT No.
LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ................. ..........................
NAMEOF ADDITION .......... ------------------------------------------------------- ;"r ------------------------------------------------
Approved:
DATE --- ...... B
-- -------------- Y ---- --------
CITY OF EDMONDS
Call ]PRospect 6-1107 when work
WATER -SEWER DEPARTMENT
CIVIC CENTER Is ready for inspection. (No Inspec-
lions Saturday, Sunday or holidays.) N 0-: 2839
SIDE SEWER PERMIT
ADDRESS................ �trgq�t ............................ .................................................................................................... : .........
OWNER .......... V ...... A ...... W.a.l. 1-i s ..................................................... CONTRACTOR ...... M.CW ...... Inc .....................................................
.. ..... . ....... .
Permiss!6n-.1s.granted Rarch ....... 21 .................. 1 19 ... 6-8., 'for ........... ............ days to REPAIR or CONNECT a side sewer
witli City'Sbivers in accordance %vith application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOT . E No. I —The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must
lmi'employed to'construct side sewer in.street* area. Do not.cover any portion of sewer before it has been Inspected.
NOTE No. 2—Obtain full Information regarding Ordinance 11.16.030 amd Regulations governing side sewers when you get permit.
NOTE No. 3=Top, _of.�. side sewe�. must have at le"t-30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%.
Nb b6ds in.-gradi,sharper -than- �peirnitteid:
i46TE No. 4—Trench&s In'street4nust 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.
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NOTE'1,16:1-624t ils'.,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 appur-
tenance's, except to Insert the pipe into the Wye.
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