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CITY OF EDMONDS'
PUBLIC _WORKS DEP NT FOR INSPECTION CA permit IV? _ _ 62604#�
SEWER PERMIT:'
775-2525 Ext. 220 Issue Date
SIDE.
* PERMIT. MUST BE POSTED ON JOB SITE'*
1. Address of Construction I /--'!w 25- 7"' �,21Le
2. Property. Legal_Description (include all. easements)
'i°u X/ : r~
3. Single Family Residence Multi -Family No. of Units
Commercial
4. Owner aca er m ` " l x.1 F '�1 °2'. MA Al A�
5. Contractor & License No.
6. Invasion into City Right -of -Way: No Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig.(342-5344) before
excavation).
7. Cross other private property: Yes No Easement required -
attach legal description and county easement number.
READ THE FOLLOWING AND SIGN:.
a. Property owners must obtain a permit to install side sewers on
their property.. A licensed side sewer contractor must be employed to
construct side sewers in the public right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year..
c. Commercial establishment requires a minimum of a six inch (6")
side sewer line.
d. Side sewers may not be installed closer than thirty inches (30")
to any structure.
e. Side sewer lines must be laid at a minimum grade of 2,% (1.15°1)
and maximum grade of 100% (450). '.
f. No turn in side s wer greater than 45° (1/8,bend) is allowed
between cleanout. All 90� turns must be constructed of a 450 (1/8
bend) and wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100' along sewerline run.
j. Trenches within City right -'of -way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due -to poor compaction of fill.
k.. Side sewer must be left uncovered until inspected and approved
by' the City.,,
1. Insgesction during normal working hours only. Two (2) working.
days noticd,7. equired. /
DATE: ' j 2-0 - ..,
rf
I certify that I have read
and shall comply with the above
NPERMIT FEE: S' _ 0 ISAPPROVED BY: Date:
U w By: Date:
a CONNECTION FEE: iVovv_ APPROVED By: Date:
O
�' *,PERMIT MUST BE POSTED ON JOB SITE * °"
CITY OF EDMONDS FOR INSPECTION CAL permit N? 6 2 6 5
PUBLIC WORKS DEPA NT
SIDE SEWER PERMIT 775-2525 Ext. 220 Issue Date 3 L/
*_
PERMIT MUST BE POSTED ON JOB SITEUJ
1.
Address of Construction f:Ze 71: r" �, L
2.
Property Legal Description (include all easements)
Uj
3.
Single Family Residence Multi -Family No. of Units_
LU
Commercial
4.
Owner Asdq6er Reiieler TI l-0 is -z- A A�
5.
Contractor & License No.
6.
Invasion into City Right -of -Way: No Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation).
EH
7.
Cross other private property: Yes No_K_ Easement required -
attach legal description and county easement number.
H
READ THE FOLLOWING AND SIGN:
a. Property owners must obtain a permit to install side sewers on
their property. A licensed side sewer contractor must be employed to
construct side sewers in the public right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year.
c. Commercial establishment requires a minimum of a six inch (6")
side sewer line.
d. Side sewers may not be installed closer than thirty inches ('30")
to any structure.
e. Side sewer lines must be laid at a minimum grade of 2% (1.150)
and maximum grade of 100% (450).
f. No turn in side sewer greater than 45° (1/81bend) is0allowed
between cleanout. All 90 turns must be constructed of a 45 (1/8
bend) and wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100' along sewer line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k.. Side sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours only. Two (2) working
days notice required.
DATE: "3 " ZO " 27
I certify t a, I "-read
and shall comply with the above
PERMIT FEE: `S"-� /O t r ISAPPROVED BY: Date:
Fy By: Date:
CONNECTION FEE: IVQYIR_11W APPROVED By: Date:
0
w * PERMIT MUST BE POSTED ON JOB SITE