20901 WOODLAKE DRIIIIIIIIIIIIII
14 568
20901 WOODLAKE DR
ITY
DMO
DS--
WATEWSEWER, DEPARTMENT:
5378
PERMIT
I LE,
call 775-2525 for, side sewer Inspections BEFORE covering any Portion, of. the
construction.)
(Inspection will be, provided within 24 hours after requat.' No'� sit., Sun,, or�hoftday Inspections.
ADDRESS LOCATION, OF CONSTRUCTION ....... -t- '10
..........
PROPERTV� LEGAL'DESCRIPTION ........ LV-.)n1r ........... 1A ... ...... <1 r�, . . ................................ ......................................
.......... ............. ........................ . ................................................................................................
......................................................................................... .............
....... ............... I ......... ............................ 01*47NERAND/OR BUILDER .......... ... tht* ... . . ......................................
OR`$ ........
CONTRACT NAME& ADDR SS ......... ....... .............. ............................ ...... . .......................................................
.......... juw'a,�� ........... ........... I 19.-7.4,-.for repair and/or. connection,of a side sewer to the city sanitary sewer
S:p� in�accordance4ith City of Edmonds' ordinances.
A', -NTION IS CALLED TO THE FOLLOWING:
:N0TE-1No.,'1—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 an Invasion of lUght-of-Way Permit obtaJnable'from the City Engineer's office.
sewers when you get permit.
W6TE,No. 3---wObtafn full, Information regarding Ordinance 11.16,030 and Regulations governing.
—Top 1,�.d:b ps Operty line; minimum grade of 2%. No bends in gra4e
PTE No. 4 of side sewer must have at least 30 inches coverage at property line and 12 ,,ee'�j Id 1:,k
sharper than % will be permitted.
NOTE No. 41—Trenches, In street must be water settled said surface of street restored to origi I nal co I ndition. Contractors sball 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 maAn. sewer or its appurtena;nces except to in.
Bert the pipe into the wye,
DISAPPROVEDI Date ... . ....... . ................. I�y ................ Date..., . .. ......... �By ............... Date ................ ................... . By ........... ....
............. .. . .......
...... By. 6 .
................................................................................
S . ....................... I ............................................... ..................................................................................... .....................................................
ROM
............................................................. . .............. ......................................................... ............ ........... ..................................... ...................................... .........
BOT4,",-Per mi , it Copies MUST Be Si , gned By Ownerof, I Firm Performing'
0
qnstructi 4, PRIOR To Request For 1" nspection
hereby certify,that- the side sewer installation constructed under this permit
................................... ..... I ........... ....
N�'(O,vnlner�of ,Con
imeting Firm. Performing -Construct on)
w. I
4zistalled",In�,�'coordando'With 611�,-gov'ornmg �ordinanCes _of the City, of Edmonds.
]plate this. ............. day'. of-,�....
777T7r-7=
6h6e4,,BE'FORE you dig for: Water E], C7as Telephone, M, oWer 13, Sewer Other
APPLICATION
i he City of Edmonds . for EASEMENT NO . ............................................
SIDE SEWER PERMIT
LID NO.
NEW CONSTRUCTION REPAIRS f
------------------
OWNER ....... -------- CO NT RA C TOR ----- E-.�.:-) --- � ------ M T�N
......................... ............................... --------------------------------------------------- PER 1 0. E& ................
JOB ADDRESS =)P;2�-- LEGAL'DESCMPT'ION: LOT NO . .......... I I
--------- ------------------- ........ ------------------- BLOCK NO - ------------------------------------
------------------------------------------------------------------------------- --------------------------------------------------------------------
T A � - � � . � � - � � I - - - C�h.
------------------------------------------------------------------------------------------
I I Y
By------ -------- ----- - - ---------- - -----
The City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT
NEW CONSTRUCTION 2- REPAIRS n
EASEMENT NO - ---------------------------- - ..............
LID NO . .................. . ASMT. NO - -----------------
OWNER ------
--------------------------------------- ---------------------------- CONTRACTOR FA ---- ---
----------------------------------------------------------- PERMIT NO.
4�� --------- ------------------------ LEGAL DESCRIPTION: LOT NO - --------- ----------------------- BLOCK NO - -------------------------------
JOB ADDRESS
------------------------------------- -------------------------- ..................................... ------------------------------------------------------
NAMEOF ADDITION .......... . ..... : ---------- - --- -----------------------------------------------------------------------------
Approved:
DATE............................................ By ------------------------------------------------------------
CITY of EDMONDS --- PUBLIC WORKS DEPARTMENT
Routing of Building Permit Applications
Proposed Property Address of Application: 20901 Woodlake
BUILDING
DEPARTMENT COMMENTS
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PERMIT APPLICATION
Inside Heavy Lines
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NAME (OR NAME OF BUSINESS)
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LEGAL LOT
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LO T AREA
SUBDIVISION NO.
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MAILING ADDRESS
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TELEPqONE NUMBER
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IGHT
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PLANNING DEPT. APPROVAL DATE
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ADDRESS
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TELEPHONE NUMBER
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STREET AND/OR UTILITY 0 YES
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WORK REQ'D NO
UNDERGROUND YES
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WIRING REQ'D N 0
TYPE CONNECTION
VERIFIED BY
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NUMBER
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METER SIZE
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TYPE OF CONSTRUCTION ICODE
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SPECIAL INSPECTOR
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El YES 1:1 N 0
OCCUPANC Y
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1
OCCUPANT
LOAD
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
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PRE -MOVE swim
REPAIR El INSP. POOL
OF EDMONDS. LOCAL SALES TAX
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REMARKS
NUMBER OF STORIES __rD
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