424 WALNUT ST424 WALNUT ST
APPLICATION
. " yr., •.
The City of Edmonds for
SIDE SEWER PERMIT EASEMENT -NO• s�
NEW CONSTRUCTION ❑ REPAIRS E LID NO - __________________ ASMT
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OWNS
R ��F�af�hll lam..--- �lii i� ._ CONTRACTOR .._ ?-----� �L _Zi--------------------- PERMIT NO .A. A:
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JOB ADDRESS -__4-�--WL�--i11 1T______LEGAL DESCRIPTION: LOT NO - ______.____-..--.--___--____________ BLOCK NO.; . r
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NAMEOF ADDITION....................•---------......_...-•----.._..._....-------------------•.--•-
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3 - CITY OF EDMONDS -SIDE SEWER PERMIT *? �� r., ? WATER -SEWER DEPARTMENT
PERMIT
_ rCall 775-2525 for side sewer inspections BEFORE covering any portion of the construction.) YT
\Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections./
ADDRESS LOCATION OF CONSTRUCTION........, ._.. d-_k....._ t..-_ .................... .-•----. .......................................................
' PROPERTY LEGAL DESCRIPTION_._......,. ?---a.l•� ran -_ c-�.. 1
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.' • ............................ O BUILDER .� a OWNER AND/ORB ER ....__` _�� D - � - ... '
NTI+_ACTOWS NAME. a a DRE C�.� C'—.�a �T: !� � y _
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Pe nis ordance gran a with "o'f- Edmonds ordinances.9` =„for repair and/or connection of a side sewer to the city sanitary sewer
Sir --In in _ - - ATTENTION IS CALLED TO THE FOLLOWING:
1'. • •O)'•'••� 4 - 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.
r NOTE No. 2—All work performed in city right-of-way requires an Invasion 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.
"`'r�'•' • • ' • NOTE No. 4—Tap of side sewer must have at least 30 inches coverage at property line and 12 inches inside ;.,,•-.' •:.� property line; minimum grade of 2q,. No bends in grade
®harper than % will be permitted.
,• fit;' - NOTE No. 5—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to improper
r 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. - -
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;r-'_,• 4 ;;, DISAPPROVED Date ... _........ ._ By---------------- Date.....-•-----••-- •................. By---............. Date.__...._...-..._.__.............. By....
4(i APPROVED Date,.•_-,...,_ rl Y •-••-_,_. ,__,_..
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Remarks
1 —BOTH PWtC
es MUST Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection-_-f________ m rf nstr.. hereby certify that the side sewer installation constructed under this permit
Owner of Contracting Firm Performing Construction)
was installed in accordance with all governing ordinances of the City of Edmonds.
71 Dated this ............... - ........... day of...........................•---...._......_............---------, 19--------
d Check BEFORE you dig for: Water p, Gas p, Telephone p, Power p, Sewer E], Other 0 V V
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