16315 71ST PL W.PDFIIIIIIIIIIII5558
16315 71 ST P L W
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..> APPLICATION
The City of Edmonds for
SIDE SEWER PERMIT EASEMENT NO- --------------------------------------------
L Ot �, NEW CONSTRUCTION REPAIRS ❑ LID NO - ------------------ ASMT. NO. ------------------
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OWNER -----. L—ES ----------•-•----•----------------•-- PERMIT NO.
---------------•=---------•------------------------------------------------------.....----. CONTRACTOR --------------------------------------
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JOB ADDRESS ------- ..... ------ T PL-.-. w- ------------------ LEGAL DESCRIPTION: LOT NO....................................... BLOCK NO- --------•--------••-----------------
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NAMEOF ADDITION----------------------•-•--•-----------•_•--•---------------_-......----•-----------------------------------------------
Approved:
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DATE �---------... B is -v Y
1,11 i� �-APPLICATIONt"T CA
FILE for
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The City of Edmonds
SIDE SEWER PERMIT
NEW CONSTRUCTION [�;�REPAIRS El
-
EASEMENT, --------------------------------------------
LID NO ---
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OWNER ------ ...... kg
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CONTRACTOR ----- ----------------- 6 ---------✓----------------
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----------------- PERMIT NO. 5113 .......
JOB ADDRESS --------
21 ..I----`"-------vim----------.
LEGAL DESCRIPTION: LOT NO. ------------- ----------------------
BLOCK NO. ---------------- - ------------------
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Call 775`25M - for*�-�side,, gewer�, Inspect Ions` BE'F*6&ve�f,,riportionof 'the' construction . , any
09 8 pec t I on w I I I b 6 IJ p�rbvl d e d I t I n 7'24 h ou rs afterqult.
"' No,!Sat., oSun. �or holiday insp�ectt6hi.).
,IAMDRESSi%LO.CA'nGNVOF,,,CONSTRUCTION 16315 ',lace ................ : ............................... ............................. . ................... ....... ................ .
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DESCRI TTON.., .......... ....... 9.Westmor
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,C0NT1kCT0R'SNAME.....................................
&ADDRESS ................... ........ ............. .....................................
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grant6d_L,.t.;,..:
yEerinissYon is March 24 '76 t _,.tjj6 Cjt�..
........... I'll ...... 19 repair,- aind/br�,colrinediion, -of sewer 0 __�S a . n I ta , ry'-s-4 r nver
6f-`kdM0ndS"1ord1n e6s,.
an
ATTENTIONIS,'CALLEIYTO -TIM FOLLOWING
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f the pr6pe rty; -may obtain..,&,permit,,to,..Construct.-sewer,.;Inside�.proper,�y.- line..A Aicensed, Sid e,:Se;ke e Contractorrmust,belempl6yiid to:construct,
r,a!iy•portion-oF ewer :before It. * has: been inspectedl
I Je,sew�x,Afi,street;area. ' Do mot cove .8
NOTE No.2MI,work 'jpeirform4jn cit'y.,riglit-of-way,,re4uires;dn,,-InJazion*-of Right -of-Way,,Perrnit,obtalnable, from�,the,City! Engineer's . office.'
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NOTE; No '3olbtaln. iu1lt,.,I,n,fo'rm'a'ti'6'ri,.regar.ding Ordinazfce. .111'.,16.030. andRegulations --hoverning. side se;weri you'get pbrrrdkz'
covemge',at'property line and, 12; inches inside'tproperty'lin; e'minirrium-grad ',-f,:2 No'ndslb6c
�ide,4ew�r, must have,at least 30 inches o"ffi7_gral
-taharpei,tfiAn, 'A, will 'be: permitted.
NQTE.,No. _6—.Trenches�,ln!,,Ireet,,must,,be, water•settled-,and' a
surf ce-of, :a * treet'restored to -original condition. !C6ntractors shall be responsible. -for failure 'due 6-;irnlroper.'
,.work'.whidh:may -develop 'within one year of completion.
E. Ji-o'..,14'�. *or* d' 'any -,other* �,vork 'than't -Pro
1. �b ,i�e'rrc�f,'ot�-toado ,ECTiyr;Nv6ik on; the%main,�sewer on -its •appurtenances except to
vided't r, In the
iiert 'jplp�e w in*.
)th.e �'JnW.Afi� ye..
"MS"TROVED.1, 4E3,"j* Date-'-.* ......... -By.� .......... Date... ............. .........
. .............. ........... e ........................ Date_.:
"_BY ............. I—.
APPROVED
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Remarks
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,MUST.BeSign d,Bybwne r of. rmn_g:Construqt1:on,PR10R To,Request Forlispec ion
7.
. ......... .... ._,hereby,c6rtif_y,that,the SW6',sewer inst-aHiLtion'-constructed , under this ;permit
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'(bN�6eP�6f"Co'ntra'cti,n.g.,,F'-irm'PerfGrming :CoinstrLictton)
was,JhSt fn=;Ic6or dafid6Wit-li:all,,,gdverniiig,,,.ordinance's of%thb.'�City.'oVEd . ffi6ndS.'
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