17109 67TH AVE W.PDFiiiiiiiiiiii
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17109 67TH AVE W
APPLICATION
Ae City of Edmonds
for
SEDE SEWER PERMIT
EASE ENT No
. ..........................................
14EW CONSTRUCTION REPAIRS 0
OWNER .............................................................................................................. CONTRACTORUNITF—D FLUMBIl"c--a
.......................................................................................... PERMIT No . ......................
1`7 <:�i>7_rw LS\JENU�_= WFESTLEGAL DESCRIPTION: LOT No . .................. .............
ADDRESS. ........................................................................................................ .............. BLOCK No . ............................................
0C:)UEK-,L_F_ Mn _F2;tS.Nr_-" -rTZ.NCT'Z—.,
NAMEOF ADDITION .........................................................................................................................................
.<, , :Z. -:] 31
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<1141.0
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4-31
W'PU NO WARl'.74TY
CE .106
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s—It, li".11-Itc t
prui�d�.0 Ni
IF ACCUF ", T�r infnrmatl,-- s�- rn the
tol ust t
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Dt Him
ot
nap Ar.
cia lnqL
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Of IT,
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Approved:
... By ..... .
DATE .. . .... / ............... F�.,r ..... ...............
0 V
APPLI"TION
Thochy of FILE SME SVWX3 PERMT
EASEAWINT No . .................
Niew CONSTRucriox RVPAMS 0 ......................
>OWN= ....... &-4wit � ............................................................. ....... C0WMACT0Rt/,MgX/ . ........... p3mmm 140.
. ........
ADDRSSS ... . ..... ...................... LWAL DESCRnMON: LOT No . ..... ................................... BLOCK No. 0-04P
6
NAME OF ADDMON . ...... OjO ..... ........ �Az
r ......................
RECENL�,'
APR 3 1974
N-011 ' CE' NO WARRANTY OF ACCURACY The Infonn—�-, cl
41 , the
The of Edmonds does not wara
MA' Pwat cOMP'lled fm use by the Cky of G;
ot
sei forM OP the map. Any pef$oa or.fi*' f
ce-ise ct an Independent Inquiry agardIng the
inc'wding, but not Dmited,to, the kialon 0, c�'-"T slub
Such sewar stubs mayor may WOW and amcr M�.'.11 P-1, at
10calluil shown, Nelther the Ckyof-Eftonds na i� or
Offk;6is sh4 be We for the InfamMon Oven on jjj w-*- �,snor for arty ore!
rep, ��sentafion Orovided based upon Sold map
Approved:
DATE................................................ By ..........................................
`IPERMAIT
.-CITFY' "-'(GF,:',-IE:DIM,',,O',NID',S*�..--.'."S'IIDE'�',.*,SEWER�,
.,WATFWSE.W
�ER, DEPARTMENT
qp C ;m p_v, u—M.
IR
:PE MIT
"j, C ]It .7 75-'2525,.,for. sidb-. sewer Anitiection's; JIFFORE, covering, any; portiont. of, 'the construct I ion,%
'a]
It' .,orl,holiday inspect a
T
v hours- *fter r qusv. ��40 SE&,*,Suw,' ion
inspection,,willi,b6l:providbdi,within,.24 - a e
'�T
v
DREW Ft 'I Mri :-'Oth -Aupthijp ki P c t
'LAO(C. W-nok"JO NSTRUCTION..' ...' I
............................................................................ ........... .................................................................
P
Oe I ot S Doub1.e'-.'.DD.. Ran ft
ERTi -DESC-RIPTION ...... *.*.. .f, ..... : ............................. ...........
. .. ........ .............. . .... ...... ...... ....................................
................................................................................... ................... .......... ..................... *_ ........
..................... .......... ...........
.....................
.............. .......... I . ......... 7 ... 7 ... OW UILDERL'.M.. . Ds.
.W1Ek,,ANDY,6k, B .............. ......... .... .. .............. ..........................................................
t�d PI Ombi pa'.1 - Sevie
*O-O�N�, i,,�,�OTR,,&AWDRES& ......... R! ................................................... .07
d -`N.,.F 11 f" AA ..........................
. ...... ...... ...
86 74:
-!P,eil iofi1!#jr - .......... ...... IJ9! ......... lor,,repAir- altid/ok.,tonnectibili,, �ofj'w Ade.' sewer 1w thecity� sanitary'.'seW.ev
�ordixiatnraes`,`
-1 0 ?ioViEdm6ndS,
y
IXTTE
NoTE er,.'Inside- property,linei. Alicenie&SIde Sewei,:Contract"6r mustbe, employed fo;'construbt-
re.'it, �hask been' inspected.
IMTE ght-of-Wak-Permit,6bta:in-able�fromN,the,City,,Engineer'6-lofficeI
tions,� governingi side�jsiwers,,whenryoult get permit,.*
rt I lne� and 111-1n.
NOTE y ches �ihside(prop�ei�ty)_-Ilne; minimum! 1grade, of'tVl��.r 'Nor.Ven6� thl,gradw,
..............
ac oper,
,NOT-E�,,Noi,i5---!Treric�eal�iii�i street mus tj;be water,�settle& an �s r ace,ofjstreetqres�ored. '1o. origineX condition. Contr tors shaIl be responsible for., fiilfuieod bi�imp�
work,',whichAmay., de yelop,. within- tonet -year of cc _Plefion;-, % -
:,NOTIDI N�.�-�& IQ1Tr'i�"Iiwf fmalter,4ordo,�any, iother,�'work.,than Is:proyided; iarf4n` th6i,permit,; torA6� -db,' work oir.1fie. main,'seNVd��.or�,its),iCppurteriances�4except, ito, in-,
:dB_ any
.,,Se, Wthe plpeQinto,%the�wye.
bi§"TRO,Ve��P�:JU� Mate: . ....... .. a
........... B _D' t .......... . ;� ........... ............. ...................
Y, y .........
ANRP,-ROMED�
......................................... ..... .......... ... ........
.... .....
q
:�.:% ............ ....... .................. .... . . . . ... ......... ............. ...... ............................ .... .......... ....................................... .......... .
................... . ........................... ................. ..... .................... ................ � . .....
.................. .... ........................................ .................... .... . ... ..
?B, TWIII�brmttx6iii�g��i STV, 'F
B6.JSl" -.ned(.B1 �Gwnbrbf,`� i�hi�,Performf ','C6 struc,tion,--PR1OR'Tb) R64uest -�kor-InsDec -ion
g Y, n
T.
.4, — I. " .. ; .
ideseW.er;�-in'stalliiti6n.�const,,ucted,�ur�der,� t�ls�`,per.,M`it,
/Dale
]BY
Ar
......... "' hereby -'cerfify�ithat t fS
wn ont ctip �.Firm
cordaxf6 wi liall eiCity of'.EdMond's-.,,.
of th
e S . ......................
Dat dttfii .................... .
J9
..............................
'Gasf JE]-,:' ..'Telepponei iE3,,,: IE],,), fSeiver 10',,
�4Check�BEFORE! y',pukd1gjor;t Waten;E ',V/'
..,P.o%ve.r
w