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1020 6TH AVE S
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i No. -----...
APPLICATION. cARD'
The Cit of Edmonds p� -------------
for
Y M SIDE SEWER PERMIT
- S
� EASEMENT No:
FILE
OUTSIDE- ❑ INSIDE ❑ REPAIR ❑
OWNER � -�-----i: .. .. ............. CONTRACTOR ..s :k i _ -.- _ a�'-'.------ PERMIT No.
dYv
STREET
- • ....... ...... .......•--•-----........... o. ---- --- f. • ;
HOUSE No
,- - ENUE'.•�-LOT �N�\�� N
AV :-:: .. ..- BLOCK
NAM7:ADD , ------------------------ ......................................
APB' QVE,
fvIAR 1965 i
t.r
Date Approved
BACKFILL "WORK ORDER •ISSUED ._... DEPOSIT,-. •$_..-....... r ..
SEWER WORK ORDI R ISSUED ._....:.:.._ , DATE.,1'' �.�_ ` - BY �� ............. ��
•r t.' e f ,4 . .. 1 i ) `1 W L"Y .5 . '
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CITY
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b�-Iid7hifiIC,CENTER-MAtEw-S9WEhbARTMENTis. ready for tnspectjon(Notin
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;jvOVVNEkrT�m-Steyqns6n ` CONTRACTOR. Contractors s�kjt4.
`'P%riilskon-is grantedMrG.h
f
aytito,REPAIR oryCONNECT'a side sower ,,i
'a
ewers:in-" 6cordiin
n file7and,govo
IS'CALLED
TO THE.- FOLLOWING:','.
6-T- E, No. he. owners oi. the.* PropFsrty6,- ma:ir 'obtaW a' Permit'to construct "be**emplo�ed.'to construct' sewerAn street PsIqe..Rrqper!y.ii"e..: XIlcensedi:SIde_Sewe tr�:Contractor must
D6;:jj6j,,6over lany, qrtlon. of:;aewer_befoie it--h'"'.,b6en'Inspiec d
eet'area.'.
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&t�-Jnfull, - * , * , __,� ; '_ * f .:,NOTE'No. 2— Information regarding Ordinance 11.16.030,ihd;Regulations,:governin'R,.side , sewers when wli
p,_.you-,get �permit. ,
N OTE No.. 37-Toj�
12
t have at,least 30 riches rage, at,,property,41
-cove jnchesAr!slde pro re�,lj.e -nilnirh�'m;jrad bends IK.:grade.sharper,than-, Itte
0. - 6 - peftj -i- a.. oft' 2
�wlll e d*
NOTE No. 4-7're�nchjs In street .'must' be' wnt'er settled .and: aurfa.ee of -street -restored "to'.
'
original condition Contractors
tshallbe! ;risiionjibjjf to'Improper' work whichmaydevelop: within'- one, -year 0
'.NOTE No..S-�-It alter or: do any -oth6r� ij
a permit, or wor than is � provided . for.:In: --d r on the. main - Bawer ...or
the 1014n�
Purtehance's; except' to Insert the,�ipe Into tthe* wye v
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