303 3RD AVE N (2)1111111111111114604
303 3RD AVE N
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APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT
OUTSIDE E] INSIDE E] REPAIRS ❑
CARD No. .........
EASEMENT No. ......................................
On
OWNER...... 'OR ............ ................................. ..................... CONTRACT .............................. ..... ......... . ...................... PERMIT No.
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STREET
HOUSE No..--j ...................... AVENUE 0 ------ --- - - -YELOC No . ............. ......................
..... 0 LOT No. A Al.-
.... ................. ......... ............... -- ---- ...........
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NAMEADD. .......................................... .. .. ------------ ---------- ------------------------------- ..... .....................................
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BACKFILL WORK ORDER ISSUED
SEWER WORK ORDER ISSUED .....
Date
........................ DEPOSIT,
,STR)E)E-r FILE
Approved:
...........
DATE
ARIPIRIWPD
0 0; T 2 P rlll 1§64
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CITY OF EDMONDS
CIVIC CENTER — WATER -SEWER DEPARTMENT is r PRoor In ecti ov when work
Is ready for inspection. (No tnspeo- �T O 1179
Lions Saturday, Sunday or holidays.) jr
SIDE SEWER PERMIT
ADDRESS............. KI_..Third. .------•-•--------_-----•-•-----.--------.-----•-•-----•----------------------------------•----•-----.-------••---•-----•-----.--
OWNER--------J)Qn- Tripp---•---------------------------------------------------------- CONTRACTOR.......Lee WOOley--------------•-------•----------------------
Permission is granted .._October 23........ Ig 64 for ...................... days, to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING: ,
NOTE No. 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—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 3—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 % will be permitted.
NOTE No. 4—Trenches in street must 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.
NOTE No. 5—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 ap-
purtenances except to insert the pipe into the wye.
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The City of Edmonds
APPLICATION
for
SIDE SEWER PERMIT
EASEMENT No ...............................
NEW CONSTRUCTION 0 REPAIRS ❑
.I.W...... ........OWNER .........L o .....................
ADDRESS................................ I .................... a ................... ...................
CONTRACTOR ...............................................
LEGAL DESCRIPTION: LOT No ..............
NAME OF ADDITION .................................
.................................... PERMIT No. ly<-�/-/ . .........
.................. BLOCK No..............
..........................................................................................
�yo-
C>^,)
Approved:
DATE.... ....... By ...............................................