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17107 66TH PL W.PDF
111111111111 5225 17107 66TH PL W APPLICATION The City of Edmonds for EASEMENT NO - -------------------------- ........... SIDE SEWER PERMIT NEW CONSTRUCTION 0 REPAIRS LID NO. ASMT. NO. OWNER J�!;;�ITH ....... ................ CONTRACTOR LYN N W000 ---4---\N F-Fa-% ----------------------------------- (.2 --------------------------------------------- PERMIT NO. ��P-1.77 JOB ADDRESS --- EGAL DESCRIPTION: LOT NO . ........ ................ - ------------------------------ BLOCK NO. 0 .................................................................................................................................................................. NAME OF ADDITION ....... H0\'/-nlE= . ........ ........................................ By;, -.j� L� V SllDE-"�'S'EWEW----PE F E: Df; MY RMEF:`-`� .-J 5 C I ftl� Yl NIDS M, 'DEPARf A' N ATER-'SEWl E T! A. -71 %: 'M 7, -:��PEJR % h! 7 h )s ust,:,, NOls �7 j, 13 ............................................................ .... . ........................ . ............ .. ..................................... ................................................. ......... ......... ...... ...... ....... .......... ....... Jl ....................................... ...... ............................... ................................................ I ............ 7";: ........... ........... ............ "I',,',',,, V 11, ER. ................................ .... ........................................ ...... ....................................... ewer - a6d i)*�:.-'��-�*4-2.1-.4'.-.MArs.l'f�'",Pis�i*(i'.A-,,I v6 n n , CONTIVACT-0 I DRES� .. YRRMO ............................... ...................... I I ............................... % z�- 'Pefiftl ssfoWl d ...... . '.repa r�an( .6r.*6 pdon�'&'-a' -Sld6,---se%ver-AO; e �Sajilta Jh C ty t e��jfiitli r corda;n'�-"%vithljci�y:'Of�tdi�l;n,dSr,ordinand6s.' ap J, A7 "ION,All��.CXILLED,�TOtTHE!,F.OLLOWi�Jd�:� 6nstr'�ct,*seWer 7ins de Sewer Xontrfictor'rr�us� be,ernployedilo'corstruct-.'�' Si �T:slae--r;�w�rMnl kieet area-.7 -Db,riot';66ver"-an'y,'�6rtion-of sewer -before. It*..hasl,bee , nAnspectedl_-.-.:--�-,� �* work perfor AY�W. ig w�e'� -you- Il;e;";;ImlnIMum -le"as*t�30'inch'es."cove-r�'a�g6"-'zit".'�ro�erty- -JIne'.and!l-,, nches,llfislii';�a�'i��fty _7 -N G-T N Zi:im;stiect n4ul�'��e- * �v�ter.'s� and��ur-f-ace:rof�-street.,rqs�,or - ed., to,'originalt.conol�ion.�,.;,C6ntrixtors,.,shiLI I_,be: r ' esponsibfe�'for-i:-Il �-tbll e�:. 1 �.,wo?k. which*, mmy'develop�:,;vithin.6nil year.W.-completion-, f NOTEIN tper*,work-tfian, Is -6r�vided' for--, n--the�,Permlt r'to.-do::any.,-work� ort-7the., r,,or; ts, 9,� e es�,e'.�c 4614 &."(5—ItAi -dnlal�f�l.'tc�altir'-or*--do -any;�,o main�sewe I &PP e 0 -�Int6�thj�N W yye'. --sertritWpipe Y B "D -Di iU6 .... ............ 7, . ..... ... ....... ......... .... . ............ ........... .. .. --AIPP . ........ ........... . ...... . . ...... ............................................... R Y-e ............ ........................ ................... ........................................................ ..................................... .......... ............... . ..... B -.k ............................. ... .... ............................. ............... ........................... ................ -'w .. ......................... ... h p "'BOTWPermi '-d-o-ples-MUST.- e'.'si B�.�*6;�n'ei,.,-'�of�',Fi'rm'*-!'7 e qqest�-p.pr.J,nspectidnt--.- -Y, §t mm .',certi y� ed., pe hereby < C Firm., forming: onstructjon� (Owner,bf Contra d g '6oidance*-,,M -,W,- tall-edUn�,ac q�T.� -,-g�,Edrrionds.,,,,6�,z�.;.,L--,�. �j, t t 91 ... ........ Piitedl�t s- f S t er� 0 h' 5� '.':5 C I T I' one. -.0 i7, G 01 e_ CP J Z5, The City of Edmonds APPLICATION for SEDE SEWER PERMIT EASEMENT No . ........................... NEW CONSTRUCTION REPAIRS 0 /-/P 191 OVVNER ...... o ........................................ CONTRACTOR . ..... C41V�-1 ........................ PERMIT No. ADDRESS./ .. 71-0 ... 7 ------ ........ ... T .... 114 ------ tq� ......................... 0 0 /A - LEGAL DESCRIPTION: LOT No . .......... ( ----------------------------------- BLOCK No. 0-0p .... 0 .... .. ............... .. 171.75 .................................................... NAME OF ADDITION .... . ......... 11" afta&-ad ma�- wr- cni,,Ll�i ar z �y I,!;- r'!l '�7 an,,, coisuftar,:_1 Tlv�, Ci0y of Edp-:Tic, u�;.. fl. anyt,, 1;m; -.e- fcrL� ct, t0-.' in -tap An, OL;bL.'' c'; M �'I;'V I shc—,,,cwV-� z, :jv lnqu��y t— iin-L: t�. , Ir. i'l 1— limitter. to c' SliL.— Su(,.- ci ma� nc'� c'� �' ari.l r..* i:L�:�'k! tai� th�' n,z r,-'k: sajG ma�, Approved: prov�,QECI bixWJ UPOIL RECEIVE!-- AUG 2 1 1974 DATE................................................ By ........