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15516 72ND AVE W.PDFIIIIIIIIIIII5584 15516 72ND AVE W 0 ADDRESS: 0 . TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: CRITICAL AREAS: DISCRETIONARY PERMIT #' DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR:_ PERMITS (OTH DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: 40 / SIDE SEWER PERMITS) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: LATEMP\DSTsTormsl.Street File ChecklisLdoc STREET MLE i ?5ao-?.�dt��GJ �/2� Sdfirvta' �B 9y L��7 RECEIVED AIA FEB .1 1977 Ed"I"„ s fill. UPL v MEMO TO: ORRY l,lIIITCUTT BUILDING OFFICIAL FROM: LEIF R. LARS.ON CITY ENGINEER SUBJECT: BUILDING PERMIT FOR DENES ZSI6MONDY AT 15516 72d.Avenue W. In reference .to the addition of.plumbing fuxtures, this property is served by an individual septic disposal. system. Prior to issuance of this permit, the septic system must be brought into compliance with City Standards. The applicant must submit data certifying.the adequacy of the.existing system or must make applicaitn for a permit to.increase the size to comply with City Codes. RHA:LRL:mjr rma 62 t2l LAW /ssf lv 7�t7 .i4c� W . �_-j6W= GROUP FOURInc.,P. S. 19707 - 44th Avenue West • 206 775-4581 Lynnwood, Washington 98036 February 15, 1977 Mrs. Denes Zsigmondy 15516 72nd Ave. West Edmonds, Wa. 98020 Re: Septic Tank and Drainfield Inspection 15516 72nd Ave. West, Edmonds, Wa Dear Mrs. Zsigmondy, 7710077 An inspection of the septic tank and drainfield at the above noted home was conducted on February 10 and 11, 1977. The septic tank which is located on the north side of the existing one bedroom home was opened and pumped by Evergreen Sanitation on February 11, 1977. The septic tank is a single compartment concrete tank. The concrete tank appears to be in good condition with no noticeable defects. A new concrete cover was installed over the access hole. The septic tank sludge depth was less than one-half of the effective fluid depth. The septic tank appeared to be a cast in place concrete facility and had inside dimension of 4.50 feet wide, 6.50 feet long and 4.50 feet of water depth, for a volume of approximately 1000 gallons. The drainfield is located on the north side of the existing house and appears to be functioning properly. No noticeable breakout of the drain - field effluent is evident in the drainfield area or over the bank below the drainfield. It is impractical to determine if the drainfield meets current City of Edmonds standards. If you have any questions concerning our inspection, please call. Very truly yours, GROUP FOUR, INC. Wi 'am S. Brunjes, .E. Utz Richard E. Schmidt, P. E. WB:mf S. WAsjo:' -%ZS10NAL VN0� a E. �-r• it • Q- L .:q p • �A 9 14376 ofV�i� `�NX SURVEYING ENGINEERING PLANNING MANAGEMENT �; 9 FILE l : GROUP FOUR,1W.,� 19767 - 44th'.Avenue West . 206 775-4581 Lynnwood,, Washington 98036 February 15, 1977 ondy 15.516 72nd Ave. West E mo Re: Septic Tank.and Drainfield Inspection .15516.72nd Ave. West, Edmonds, Wa Dear Mrs. Zsigmondy, .42 mPT• 2)I5�'7 7710077 An inspection of the septic tank and drainfield at the above noted home was conducted on February.-10 and 11, 1977• The septic -tank which is located on the north side.of the existing one bedroom home was opened :and pumped by Evergreen Sanitation on February 11, 1977. The septic tank is a single compartment concrete tank. The concrete tank appears to be in good condition with no -noticeable -defects. A new.concrete cover was installed over the access hole. The septic tank sludge depth was less than one=half-of.the effective fluid depth._ The septic tank appeared to be a cast in place concrete faci-lity and had inside dimensi.on of 4.50..feet wide, 6.50 feet long and 4.50 feet of water depth, for a volume of approximately 1000 gallons. The draihfield is located on the north side of the existing house and appears to be functioning properly. No noticeable breakout of the -drain' - field effluent .is evident in the.drainfield area or .over.the bank below the drainfield. It is impractical to determine if the drainfield meets current City of Edmonds standards. If you have any questions concerning.our inspection,.please call. Very truly yours, GROUP FOUR, INC. Wi 'am S. Brunjes�, P.E... Richard E. Schmidt, P. E. WB:mf SURVEYING ENGINEERING NAL PLANNING E: SCyd�,ti 0 73 1A376 :414 0'�� •p�C/ � � � Ei't, •. `,,, 1. "ON A `• E� MANAGEMENT l 10D /I (JE' 6Ve ST (UN/ti+P,CouEA� 0 �`'T •o '... AZ Sri tST. loop (vAL. ps. -SEpTIG T�n� K. ' eV-51' F k, f. CON R r .a y PA1,0 Naw 4"Sg /LA 7.14 pA2lEG C LoT 3 zax.�Q s I Tic' OFF' All Oe— GROUP FOUR Inc • 'e -5 r//vG -} =i 19707 44th Avenue West Lynnwood, Washington 88036 206 7754581 /$S /, �2y✓D ,Sl UE N/��r /VIIVfI'IM. - IM.IMta1M. 'MAMW M. - MAMA.dKim Cp ;; :.r.::t •:; •::, DRAWN BY AV� CHECKED BY A►IRo' DY -u ,_ eel .'1YV' rr`t t 1i1• NtF 1•P� EVE 'RZFE,. `43 t•*� 1 71 j 0.=: ['�i S» TJe4 /'OOr SOLD BY J��,�,� DATE 77 19 NAME ` ADDRESS / PHONE CITY ❑ CASH'~ ❑ CHARGE. ❑ MDSE.'RET'D ' ❑ C.O.D. ❑ PAID OUT ❑ PD. ON,ACCT OUAN. DESCRIPTION PRICE AMOUNT ! � � ter. ••s;'��=c�� � ���-t���� ; f�'C'fwc.L no 11 f c 12r• l�� %i� _ V 14 x v. 16 RECEIVED BY �f `4"i" fT'OTA .•--'•''- :l.s f•'t s Kam. 6. . e •. t y1, } -STREET FILE PATE: I.J ".�� MEMO TO: Harry 14hitcutt Bui1di.nq Official FROM: Richard H. Allen Assistant City Engineer 5UBJECT: � 1"LDNEEr 1.,551( 72NO. 4Nia.. W After review of the subject building permit application, we have the fo.11owinq comments: 2 G ;,-=r- e r-I DOR __ l L8S, I N D t Cla7141ii rDLI o _ STREET FILE October 4, :1976 . HEMO TO: HARRY W'NI.TCUTT GUILDING'OFFICI. AL FROM: LEIF R. LARSOPJ CITY ENGINEER SUBJECT: GUILDING.PERMIT FOR DE14ES 7SIGMONDY AT 15516 72d Avenue W. In reference o the addition of umb'n .f to .this r i r t ti pl i g ux res, � p operty s , served.by an individual septic disposal.system.. Pr:ior.to issuance of this. permit, the septic system must be brought into compliance..with City Standards. The applicant.must submit data certifying the adequacy of the existing system or must make applicaitn for a permit to increase the size to comply yith City Codes. 7?0 06.4 FILE #` FORM FOR [ MMUMFINAL ] DECLARATION OF [.ZZEZZMJ=/NON-SIGNIFICANCE]. Description of proposal Addition .to existing residence Proponent D, Zsigmondy Location of Proposal 15516 - .72nd West Lead Agency City of Edmonds,. This proposal hos_been. determined to-,[I./not have a signif.i cant adverse impact upon the environment. An EIS [i /is not] required under RCI%T 43.21C.030(2) (c) This dec-ision was made after review by the lead agency of -a completed environmental checklist and other information on file with -..the lead agency. Responsible Official E. Joseph Wallis _ Position/Tit-le City Planner Date December 2, 1976 Signature �.4C Additional..information on this project may be obtained in the Edmonds Building Department.. 2 3, 5 6' 71 i 8 9j l�l 1211 13; 14` I 16� 1718 191 20 21 22 23 2.4 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 •41 42 43 44 45 46 .47 48 49 50 51 52 53 54� 55• 56 57 58 59 60 ENVIRONvIENTAL CHECKLIST FOPU•t I. BACKGROUND 3500 - 2s-"` Ova w *Ilz5- 281 - /&23 a). -1. tame of Proponent �'u'J �_ 'Z,61,60000Y 2. Address and Phone idu— er of Proponent: _IS51to--7-V9 AUC W• %4.3-5-03(., D;� _ W 3. Date CTiccT ist: Subriittcc 1 4. Agency Requiri r: ; ChecklisL 647`t' OF &04406 04 OLA'WIPA, 5. Name of Proposal, if applicable: 6. Nature and Brie, er I escrlptaon o ne Proposal (inclUT= in,.,, but not liiaited to its size, general desi,,^,n ele- menu , and other factors that will five an accurate understanding of its scope and nature): �I�?fL'e /ina, �o� , 34'154 .F'T i sr rt a ciao o mvo2 Left • 70 [3X./.St/�tJ� 2�10G�AQ5 . GAf2 R727 (LG� ALD�f1�I hJpG �ilt�'l/aU� 7. Location o Proposal (describe the plivsicaT setting of the proposal, as well as the extent of the land area affected by any environmental impacts, includs_ng any other inforruiti.on needed to give -in accura'-, understand- ing of the environmental setting of the proposal): 155110--i2*5/lU6 Iii. reaaaUGi L3Yi,cf,,y, --Arb -FDt> u1�TN �1_Cp1tlCdlZj uto"" {1 4 9519r, OYP Al 1.411tU- Oe WP►•, 8. Lstima atc ior Completion of thc Proposed Action: 14-17 9. Li.st oZ-a].Ycrr:its, Licenses or GovernmonL ApT,I�r.ovaTs Required for the Proposal (fCLICral, state and local -- including rezones): -3).- 1 2 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 241 5 26I 271 28I 29'. 30 31' 32 33 34' 35 36 37 38 391 401 41 42 43 44 45 46 47 48 49 50 51' 52 53; 54' 55 56 57 58 59 60 61 62 63 64 65 66 10. Do you -have any plans for future additions, expansion, or further activity related to or connected with this pro oral? If yes, explain: �0 . 11. Do you noa of y others which may affecr_ the_property covered by your proposal? If yes, explain: 12. Attach and otTer app ication form. tit has een com- pleted regarding the proposal; if none has been com- pleted, but is expected to be filed at some future date, describe tlnate of such application form: W CrRfE 2 01OUCC(to U II. ENVIRONi-1ENTAL IMPACTS (Explanations of all "yes" and "maybe" answers are required) Yes `Iaybe No' (1) Larth. Will the proposal result in: (a) Unstable earth conditions or in changes in geologic substructures? (b) Disruptions, displacements, com- paction or overcovering of the soil? (c) Change in topography or ground surface relief features? (d) The destruction, covering or .,modification of any unique geologic or physical features? _ (e) Any increase in wind or water erosion of soils, either on or off the site? (f) Changes in deposition or ero- sion of beach sands, or changes in siltation,.deposition or erosion which may modify the charnel of a river or stream or the bed oC the ocean or any bay, inlet or lake? — Explanation:. (2) Air. Will the proposal result in: (a) Air emissions or deterioration of ambient air quality? (h) The creation of objectionable odors? (c) Alteration of air movement, moisture or temperature, or any change in c'truate, either locally or regionally? Explanation: -32- 1: 2 3 .; 4: 5; 6; 7 8•, 9� 10� lli 12i 1314 15� 161 17' 18 19 20 I 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 (3) Water. Wille proposal result in: (a) Changes in currents, or the course or direction of water move- ments, in either marine or fresh waters? (b) Changes in absorption rates, drainage patterns, or the rate and amount of surface.water runoff? (c) Alterations to the course or flow of flood waters? (d) Change in the amount of sur- face water in any water body? (e) Discharge into surface waters, or in any alteration -of surface water quality, including but not limited to temperature, dissolved oxygen or turbidity? (f:) Alteration of the direction or rate of flow of ground waters? (g) Change in the quantity of ground waters, either through direct additions or withdrawals, or through interception of an aquifer by cuts or excavations? (h) Deterioration in ground water quality, dither through direct in- jection, or throu;;h the seepage of leachate, phosphates, detergents, waterborne virus or bacteria, or other substances into the ground waters? (i) Reduction in the amount of water otherwise available for public water supplies? Explanation: (4) Flora. Will the proposal result in: .(a)Change in the diversity of species, or numbers of any species of flora (including trees, shrubs, grass, crops, mi.croflora and aquatic plants)? (b) Reduction of the numbers of any unique, rare or endangered species of flora? -33- Yes Ma � No n X i 1'' 2' 4 S 6 7 8 9 10 11 12 13 14 15� 16 17, 181 19'' 20 "21 i 22 23'1 24 251 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 (c) Introduction of new species of flora into an area, or in a barrier to the norial replenish- ment of existing species? (d) Reduction in acreage of any ,agricultural crop? Explanation: • Yes Maybe No (5) Fauna. Will the proposal result in: (a) Changes in the diversity of species, or numbers of any species of fauna (birds, land animals including reptiles, fish and shell- fish, benthic organisms, insects or microfauna)? (b) Redixction of the numbers of any unique, rare or endangered species of fauna? (c) Introduction of new species •. of fauna into an area, or result in a barrier to the migration or movcm„ent of fauna? — (d) Deterioration to existing fish or wildlife habitat? Explanation: (6) Noise. Will the proposal increase existing noise levels? Explanation: (7) Lis,,ht zinc Glare. Will the pro- posal produce new light or glare? Explanation: (8) Land Use. tdill the proposal resin the alteration of the present or planned land use of an area? Explanation: Yes MayAnk No (9) t�aturnl. Iles(Wes.. Will the pro- ,. pos�if resuTt iii c (a) lucre_ase in the rate of use of any natural resources? (b) Depletion of any nonrenewable natural resource? Explanation: (10) Risk of L!J) t Does the proposal I a risk of an explosion or the release of hazardous subsLanccs (including,- but noL limited to, oil, pesticides, Chemicals ol. radiation) in the Lvcnt of an acci- dent or upset-. conditions? — x Explanation: (11) 1'0; ul.ation. Will the prof>osal alto' t'(' location, distribution, density, or .uowth rate of the. . human population of an area? Expl.anat. i bn :. (12) tl�usi.np. will tile. proposal effect (>:istng hou:i.nF availability, or creaC� it demand for additional. 110U;;1ng? -- -- Explanation: (13) T�rans_],or t�ti.on/C_i_rculation. Will Llle projiOSar rL:;Ult lie: (a) Cencr.a.tion of additional Vehicular movement? — (b) Effects on exi_Stinl; parking — facil.i.ties, or demand for new parking? — (c) Impact. upon existing trans- portation portation systems? — (d) A1Lr.t-ations to pr.esetlt patterns of. circulaLi.on or move- ment of people, and/or goods? (e) Alterations to waterborne, rail or air traffic? x -35- Yes Ma e No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 1.5 16 17 18 19 20 21 22 2.3 24 25 26 27 28 29 30 31 32 33 .34 35 36 37 38 39 40 41 42 43 ' 44 45 i 46 47 . 48 49 50 51 52 53 54 55 56 57 58 59 60 61 (f) Increase in traffic hazards to motor vehicles, bicyclists or pedestrians? Explanation: (14) Public Services. Will the pro- posal lave an eeffecC upon, or result in a need for new govern- mental services in any of the following areas: (a) Fire..protection? (b) Police protection? (c) Schools? (d) Parks or other recreational facilities? (e) 'Ma int:enance of public facili- ties, including roads? _ (f) Other governmental services? _ X Explanation: (15) Eneq y. Will the proposal result in: (a) Use of substantial amounts of x fuel or energy? (b) Demand upon existing, sources . of energy, or require the develop- ment of new sources of energy? Explanation: (16) Utilities. Will the proposal result in a need for r.: systems, or alterations to. the following utilities: ,( (a) Power or natural gas? � ____ !✓� (b) Communications systems? (c) Uater? (d) Sever or septic tanks? (e). Storm water drainage? X (f) Solid waste and disposal? Explanation: -36- 3 41 5 86I. 9 10 111 12! 131 14 15 16 17 18 19 20 21 22 23 24 25 26 27 281 29 30 31. 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 w t� v (17) lluiaan Health. Will the proposal rc suZ t i n- t: - creation of any . health haza1W or. potential health hazard (excluding mental health)? Explanation: (18) Aesthetics., Will the proposal resultin the obstruction of any scenic vista or view open to the Public, or i*ill the proposal re- sult in thecreation of an aesthetically offensive site open to public view? x Explanation: (19) RVCrCa+ti.on. W1.11 the proposal result in an impact upon the quality or quantity of e%i.sting recreational opportunities? Explanation: (20) ArcheolozicaIPli.storical• Will the propo :ri7 resulC n an atterati.on of a significant archeological or his- torical. site, structure, object or building? Explanation: III • SIGNATURr: I, the undersigned, state that to the best .of my know the above inforiNation is true and complete. It is understood df�` that the lead agency may withdraw any declaration of non-sigili- ficance that it might issue in reliance upon this checklist should there be any misrc.presentati�nq lackulndclosur.e on my part. //Of Proponen 48 WAC 197-1.0-370 WIT] lDRA:•?Ai, 01'/ FI1,24ATIVE T1Ip�i.S1i0LD - 49 DETEId,fITti1'IOP:• 1 at any time a�d.r the entry of a declara 50 tion of signi.fi.cance, the proponent modifies the proposal 51 so that, in the judgment of the lead agenc 52 adverse in impacts r.esul.ting therefromsarelficant elimin- 53 ated, the declaration of si.Pnificance :h,:ill be withdra�•.gl 54 and a rieclaraticn of non-sig 55 1,ijicance entered instead. The lead agency shall. al::o revise the registers at its SEPA 56 public i.nformatiori center accordingly. If the pro- 57 ponent of a proposal is a prijate applicant, the proposal 58 shall not be considered modified until all license applica- 59 tions for the proposal are revised to reflect the modification. -37- 0 Kr 00 0 a, (A a) af R_ECEIV.ED SIy SEWER PERMIT; CITY of EDM06DS For Inspection Call 771-3202 O C T 151985 PERMIT NO. 4 0 1 Q Address of Construction: � �� WAR � V • JAADrV b,5 j Property Legal Description (Include all easements): Qif/�>✓ VIA Owner and/or Bui 1 der: N D 1 C Contractor & License No: �%i�%' Single Family Residence ✓ Multi -Family (No. of Units ) Commercial (No. of fixture Units ). Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way Construction Permit required. Call One -Call -Center '(1-800-424-5555) before any excavation.) Cross other Private Property: No. 1- Yes (If Yes, easement required, attach legal description and county easement number.) PLEASE READ THE ITEMS LISTED ON THE BACK I certify that I have read and shall comply Date' with the items listed on the back. Permit Fee: Trunk Charge: Assessment Fee: 25:0O Partial Inspection: Issued By: Date Issued: Receipt No..: /O • /S- 13s Comments Date Initial Final Inspection Approved: �(�_2.8 $5 f Date Initial Rejected: ason ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy - File Green Copy - Inspector Date Initial Buff Copy - Applicant r743-SO3IG The City of Edmonds Side Sewer Drawing EASEMENT NO - ------------ ------- ------------------- cmm. NEW CONSTRUCTION [- REPA. 10 --- AS1v1T. NO_ ----- ------------ PARS E] LID NO. OWNER --DG.NF-5 ....... 7—Sj-G-tA0.t4-D-'J ------------------------- CONTRACTOR -F�Q-S-V -------------------------------------- PERMIT NO. 74-0.1 JOB ADDRESS 155--Iro ------- 7 -?.t4 -------- LEGAL DESCRIPTION: LOT NO_ -------------------------------------- BLOCK NO. --------------- LYNNWOOD LINE - -------------------- -------------------------------------- ------------------------------------------------------------------- ----------- ----- - NAME OF ADDITION... -------------------------------------- --------------- A 1551ro 72..50. ro wait 193 flop A 4%1.0. 10P. 1. MOP 1ye CHSCKV^A.Vg 3�521 '0 73 WDR 4! co vpmc.it i CAP 1'DPI- 0- 4 8-00UMN e172imo A. SrUct Slop. 35 L.F. fiZOtft C L4^14 • OUT Approved: *PWW-DA"Q,&2 By 0001-11/75 (REV.11/78) -. - /^--- ----- / ----------------- 890 199 - S. _ r y.,.: CITY OF EDMONDS 250 - 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-0220 • FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works • Planning • Parks and Recreation . Engineering June 1, 1993 Y. Namkung 15516 - 72nd Ave. W. Edmonds, WA 98026 LAURA M. HALL MAYOR This letter is to inform you that you are served by a city maintained grinder pump system. This system pumps your sanitary waste to city gravity sewer lines as your house was too low to obtain gravity flow when city sewer mains were installed. I.hope to inform you of the basics of how these pumps function, who to call should you experience alarms, and what precautions.should be taken to prevent damage to your home. 1. The grinder pump was originally installed by the homeowner, but the hardware was purchased by the city of. Edmonds' Lid Bond that paid for the sewer project in your area in 1985. These pumps are float activated to cycle the one pump to take your sewage up to where gravity flow can be obtained. 2. The following precautions must be adhered to prevent damage to your home: A. Do not dump any nonbiodegradable products down into the pump tank. VIA your drains in your house. B. Minimize the amount of grease disposed.down your drain. This may cause problems with the float operations. C. Do not empty pools into the tanks without a restrictor approved by the city of Edmonds. D. Do not attempt to access tank or electrical cabinets. 4 Should you have a pump failure from,.any of the above mentioned items, the homeowner -will be held responsible for damage. F • Incorporated August_ I1,, 1890 Sister Cities International — Hekinan, Japan 3. The city of Edmonds Sewer Section will maintain the pumps every three (3) months to ensure the proper operations. We will also clean, operate and check all components to ensure proper working status. A separate log is kept to your pump that will reflect any maintenance done. We can track reliability and the need for upgrade or repairs when a chain of failures start to occur. Crews will require the use of your water so the tank can be washed down and we will always try to notify you of their presence when they arrive on the site. 4. Should you experience any problems with the pump, there are two alarms that will indicate failure. One alarm is located within your home and has a black push button to reset to silence. There is also a visual alarm located on'the electrical box outside your home. When this occurs, please call us at 771-0235 immediately to investigate any problems. Our office hours are 8:00 AM - 5:00 PM Monday Through Friday. Should an alarm occur after hours, weekends, or holiday, contact 911. There is a 24-hour call person on duty to be dispatched. We do carry parts for all of these systems and should be able to correct most problems within a_reasonable amount of time. If you have any questions or concerns, please contact Everett Akau or ,myself -at 771-0235, extension 349. Sincerely, Ron Holland Water/Sewer Supervisor cc: Everett Akau RH/lk GRIND/LT/TXTSEWER j-ET-F STRE 0, STREET F LE, C'I T Y O F EDMONDS v" CITY . OF' ;E D M O N D S ` PUBLIC WORKS - ENGII�2ING PUBLIC ROM - ENGINEMING i ACTION'REPORT " ACTION..REPORT I., .fit° 2726 ® .1559" SUSPENSE DATE: ` SUSPENSE.DATE: Date: r o -- Time: �.� c� �(i7� File # Date: 10�18%82 Time: 11 55�m File # Attachments: Yes. :' Attachments: =Yes Gt1Cf72L No No, SUBJECT: Garbage_ 'truCkA (Apex) lift Concrete cover t, SUBJECT: - " her Ineter'"and..busted" it 'to'`pieces. She called Apex and reported it."to tYiem:- but sYie needs a" new cover' as her meter, is��'exposed. Also wondered if . meter. could be relocated -because this is _ the secon REQUESTOR: NAME: Y.? . L/ REQUESTOR:... NArte: � rs , a i v 821C�3� .: .. - time it's id Av`e. w. . ADDRESS: `�.(o%-•-o been hit ADDRESS: ..15516�7�2,n - PHONE: _ ,.. - PHONE:-,_- "! 43 ' 5036 ., REQUEST RECEIVED � BY: �� REQUEST RECEIVED BY . • TELEPHONE TELEPHONE .. - .. . _ ? CONTACT IN OFFICE, � � � �.•,. i c '* CONTACT --IN OFFICE' .. OTHER: RECEIVED'BY. ;=% y `` a REGEIVED.BY M.LeVan ROUTE TO: ROUTE TO: # -OPR NAME - INIT. DATE # OPR NAME INIT lbkTE # OPR - - NAME - INIT. DATE & OPR NAME '- INIT.' -DATE 6 1 1 Archie,..6 ' 2 .. - 2 1 .•7. 3 3 8. 4. 9 4 i. 9 5 10 _.r, ... .: 5.. 10 ACTION:"1 i^�il+l.i!'-) UC%""` V��r�-L�=� ., . {. ACTION: ` All ConcernedNotifie Action. Completed/File r '11f