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17110 66TH PL W.PDF111111111111 5226 17110 66TH PL W APPLICATION for The City of Edmondi SIODE SEWER PERNaT EASEMENTNo . .......................................... NEW CONSTRUCTION REPAIRS -L—%C, 10.71 C4-1 NrL-ePL-, CONTRACTOR .................................... OVFNER ...... = .... X ... Z .... �. �..? ....... ------------------------------------------------------------------------------ 50 PERMIT No. - -T7 ADDRESS LEGAL DESCRIPTION: LOT N05SV=6 t- ............................................................................................... . ............................. f��LOCK No . ........ NAME OF �DDITION ................................ I .44 41D CL Kn-TiCF r--`T-i,hown on the affa-.,: — employees on, cz��,-, accuacy of anytn:[� -sting a copy 911C,U�. CL11, :-jon ShoWn W th o rn:� L ey sewef ftb nct exw A th,- lorL;4.111. .,,s or Liv orc! rt, seu,dLca prw;�AQ,: 1juuV, LOJL: Approved: DATE..:�� By ..... .. .... .. ... . I 64 APPLICATION for The City of Edmonds SEDE SEWER PERMIT EASEMENT No . .......................................... NEW CONSTRUCTION REPAIRS 0 CONTRACTOR .... PERMIT No. ------- �//Vu-pw .............. OWNER ------- ---------------------------------------------- 5 464 LEGAL DESCRIPTION: LOT No . .................... . ................. BLOCK No . ........ ADDRESS-'b�7--/J.P - ------------------------------------------------------------- C--tivl�, ........... NAME OF ADDITION ....... . .... ............. ... ...... .... ....... i� ... * 1, c owl 10/9 q4 & S cf V, a -6 :F- 1v -V 4-?� V,,-c 9 3- e' eC 1-4 ye'C 17 ;2V44' op A tc �5 4N sz7 0 E c i; Approved: DATE................................................ By ...................................................................... N CITY.; SEWER PE'RMOVI A. OF: JEDIM W0,10S T WIATEP.,L.Sk.WER..-DEPA�RTM-ENTI E IRMAITT m 45q. lu 25 5. for:side-., sewer.,! qs pect� ons)AI F FOR V' tcoveii6g� -any- -poklon-- 40f -,hoursuafter�-requst`,' N qS&f., J 'a 1111 be ;pro idedI,,WitfiinjT4 .ith�e, -Construct on �V'tlon,.'w c 0 Sum,, �br�-jhoiid -Inspectlons� T11i V Ut' WI F-WONSTRU, CI 4�VAWJ .............................................. 'Pir 'DE 6imt S6-Ri-� 4 . ........ el d T-1 0 -.--: .............. ......... ....... . ............. . .................... ............ .. ............................ ............................ . .............................................................. ................ ................................................................ _W:: ... 7 ............. ........ ............... . ................. . ..... . . .............. .......... ............... ............... AD RV, S'.' ;ho t� ... S F ....... B6 u- 'Aj.a ............. ......... �conri 't�m am*,* qY ,sewer ifo�Ah ocqy,`,sa,jt fsy"s '4 Ith (C �#V?k& ih ect,16miof -Im sideg xnonds'�,otd an& n al�y s.. (sewer'.. �j Ti6fq4.,iSl�C,�ILLED),TOe�HE��FOL'LOWlr4a-'I lt--The�-owne�s:'of.,thcl pr�ober�y ',in &�,-;obt&in,a:.perniit to,,Cons�ru`ct �sewer -inside Prop�Ky,llfie `-��,Jicensed('Side E!*evq�`j�,pnfrh�t�r�.,jnuq t gbb,,ernplbyedl,� , fo-,consfruc t, isidel(sewer,�lin�:street.4ar6w. Dornot �c.ov.er'�raiiy.�,porflon�,oi,�'sewer, 'befOMA; has ib'eerv,tnspeci;ed:I..#,' nuelt-y) right-,df-way recipiresiamInvaiion,of', kht.-of7Way�,,Per' mit,iobtaJnabl6,'from'.�the;�City Englnecrls:�ofp�e'.,"..' ern ng,,,side, sewers,, ou,'!'get p6rdfe. .�i�NOT- '30 inches, coverage ;at property line and! i20lhches,lnsldc- .1-No�;4p�L,�bbt�in��'f�iii�information,,kega�edirig��'Ordinan'c�el,ll,.-l6.030 and' Regulations, 96� I when�iy w sharper�.thin, W milli,belpermitted'.' -property, line;' M*inlnnum-.ginade"�Io� 25W., Voobendsr'in- ��NOT%144�0�,15-�!TrenchepP !grade, Jn!(6tmet' muiC.!b�,�w�terli�ettled,iazid�'s' na� nd ,worWwhichIIm . I urface,of' street%restored� to.,oriki iflom�. 'Confractors, shall-be�.,r myj developimithln� . i ne?.year1roficompletion enponsli3l�, for, Yallur&�du&: oy dniproper� NOTE),N�.,�"1,41�ltun]aNvful��t6'�alter'(or'(doi,iLny,'�other wbik-Ah .. -,is" � ` , I I p an rovid'ed for"UW ithei,per fie!��Ipe!Anto*Ahe,mye� niJt,i io,rito d6tiany, wo7rk 01VAei. main, tsewer,�or,;Ifs,tappurtena,�cesi,exce�t �to;' in.. ,,D S' .. ... ......... . ...... .......... I AIPPROME'D.) .......... ........... M�. . . — #Y. Date; 'B k Y; ................. . "A 'PiPROMW &iate!. . ..... .......... ............... ..... . ............... It6marksv ................ ...................................... ......... .......... ....... ................ ........... ................. .................................. ............. ....... .......... ......... ...... ............ . .... .. ........... . .............................. .............. ignedr"' owne (Co`nstriuc�t 'er,�-, !UST'IB 'S' IB '; r-I . rm.., ei ormidg-, domPffliak--Tc� Request F-or-,,,.�I�nspegti'o'nt'-7'-,�' y ... . ................. ...... . ........... 11. �hereby �pertif-y,,Itha�,.:the'�,�id'ej;sewer installa -i 4(6wnem,oPCon ractlng� frm�.Perfrrml g,�Cohs t .............. �4 Isf�i-edlTm,&ccord4Acte,, t1i'a-111-governin ,o�din� 6esv4',,t4e,�Ci, ali tYK-�OfEdmohft. Datedt ........................ .......... �11 ..... 7 �tws ..... w., 497 .. k., 7 Cfieck,.IBEIP6REI yOij!,d Sew r —,otfi ej6phonb! Ej, T' ..,ower): T', UP 01