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17123 69TH PL W.PDFIIIIIIIIIIII 5317 17123 69TH PL W STRE y 0 F4 1 -13C CITY 09 a N s CIVIC CENTER - EDMONDS, WASHINGTON 98020 - (206) 775-2525 COMMUNITY DEVELOPMENT DEPARTMENT March 20, 1978 HARVG H. HARRISON MAYOR Mr. and Mrs. Robert Girardo 17627-69th Avenue West Edmonds, Wa. 98020 CHANGE OF ADDRESS In accordance with your request of March 17, 1978P we are changing your address to 17623-69th Avenue West. Harry M. Whitcutt Building Official HMW/ae cc: Utility Billing,'�� Steve Puhrmann I APPLICATION The City of Edmonds for EASEMENT NO - ------------------------------ ------------- pt SIDE SEWER PERMIT z NEW CONSTRUCTION REPAIRS M LID NO. - ................ ASMT. NO . .................. OWNER ----- RM ----- --- "F—:� ------------------------------------------ CONTRACTOR ------- -------- PE IT NO. JOB ADDRESS ...... !--)--r .................................................... LEGAL DESCRIPTION: LOT NO - -------------- 4 --------------------- BLOCK NO - ------------------------------------ 0 -10 9 NAME OF ADDITION ---- ...... F?-)\SPE:�t ................ ------ -------------------------------------------------- by tf., C'. a� tu -;z-, the Infoi,ti-ft- c L) ih�j 16wicn ut any' S`e�. M OV! and m. a� or r, , L� Clt� of Edn or c � n pr! red: ....... .... .. ------- . . . ...... By ------------ .. �ii iye A, 0 CITY OF EDMONDS SIDE S WER PERMIT W ATEP—SEWER DEPARTMENT PERMIT ti Call I . 75-2625'. for side sewer inspections Iti�,FORE covering any portion of the construe on.) t., sun., or holiday inspections. (Inspection will be provided within 24 hours after requst. No Sa . ................ ...................................... ADDRESS LOCAnON OF CONSTRUCTION.... (7 It ................................................................... ............. ..... �* ...... ....... v,_ PROPERTY LEGAL DESCRIPTION ............................................... .................................... .............. .................. .................................................... ................... ............. .................................... . ........... .................................................... .......... .... ........ .......... ................. OWNER AND/OR BUILDER ... .......................................... .......... ....................................................... 'CONTRAOTOR'S NAME & ADDRESS ......... ........ ........ for repair and/or connection of a side sewer to the city sanitary sewer Permission is granted ..... ............... system in accordance'with City of Edmonds ordinances. ATTENTION IS CALLED TO THE FOLLOWING: . I —The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side sewer Contractor must be employed to construct ;:NOTE No before it has been inspected. side sewer in street area. Do not cover any portion of sewer NOTE No. 2—All work performed in city right-of-way requires an Invasion of RJght-of-WaY Permit obtainable from the City Engineer's office. NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get% permit. rade of 2%. No bends in grade NOTE N 0. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 Inches inside property line; . minimum g sharper than 1/s will be permitted. j NOTE No. 5—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to improper work which may develop within one year of completion. its appurtenances except to in - NOTE) No. 6-11, is unlawful to alter or do any other work than is provided for in the permlt, or to do any work on the,main sewer or aert the pipe into the wye. ................ Date ............... . ................... BY .......... Date ...... DISA�PPROVED E] Date ... . .......... tj ..................... By ...... 00 ...... e2 ........ .. ......... Y.. --APPROVED Z Date ....... . ...... Remarks: ............................................................................. ;� ................................................................................................................................. ................................................................ . ........................................ .......................................... ................... ....... owner of Firm Performing Construction PRIOR To Request For Inspection BOTH p�qnit Copies'MUST Be Signed By ).v constructed under this permit ...................................... .... hereby certify that the side sewer installation (Owner of Contracting Firm Performing Construction) installed in accordance with all -governing ordinances of the City of Edmonds. .............. 19 .......... Datedthis ............................ day of .................................................. Power 0, Sewer E), omer V V Check BEFORE you dig for: Water 0, Gas Telephone The City of Edmonds APPLICATION for SIDE SEWER PERM NEW CONSTRUCTION REPAIRS EASEMENT NO - -------------------------------------------- LID NO - ------------------ ASMT. NO. -1 ---------------- -4% , CONTRACTOR OWNER -- N-'Ii -------- ------------------ -- ------ PERMIT NO. BLOCK NO - ------------------------- ---------- LEGAL DESCRIPTION: LOT NO. ----------------------------- JOB ADDRESS -- -------------- & ---- ? ��'d I ( -t� .............................................................................. k ------------------------------------------------------------------------- ---------- ---- ----- ---- NAME OF ADDITION ---- ------ ...... ....................... -- ....... --------------- �C; fv- wz�'� UY w�" uq 01 i'�:; of Ed:-ixivs do," noi co%ul, vits, N C h,�, set forth oi-, M6 1-114, �A'n�� perso�� or entity requc�'�;' Sh conduci an Inquir ,y reprOng the lnforioaff�lil th;a SlaP. Including, bul nn' Wic-4 to the loccun, Cf Pr?'� n C nc, r- Lv Approved: DATE-------------------------------------------- By --------------------------------------------------- Yi7-Y6 APPLICATION REET FILE for Tho City of Edmonds SME SEVAM PERMr NEW CONSTRUCTION gl RIMPAERS EASEMENT No . .................... ..................... OWNER .......... ................. ................................................ CONTRACTM RUS.:5 . .......... .................................... --- PERbuT No. A ADDRiSi4 ................. ....................................... ................ LEGAL DESCRIMON: LOT No . .............................................. BLA)CK No . ............................................ NAME OF ADDMOWMAM� .......... .F.T �,.. W!t. 29=4 - .02 ... (.:! 5 3�.. M 14, �T C"41 A�'W -�lii= �� L407T "OTICE, NO WARRW� 0 -tached map we cwplh�,', ic,� L��,, Lj� L. colisuftants. The ON, al Ecil.,,,l 1; c- �i ink--c . Incnair,, th, inio, i f, rw.,� Prp'46�_�, tc, the iccabor S-11 ,�y cw' ctl Edirnoqds not fts emplo f'—'C nr,� for ik I nri, L WSSr. 4 r-721 17�, Approved: ln=FpeiL- DATE ------------------------ BY------- ----------------- I -------- V; 7 Y% IT F0. C-E F E OMY "0' ERW TY, NO'S, �SJIDE, WDEPARTNI-E Y _- *G,.MT I 4. A _4 -7, 41PIEIRMRII 2` 9 0 4- 4 % Call .76-1,1071-'for,�,aldek.-Sewer."'Inspe�tlonsi',BEI�-6fiE'� -an pt�rtlo;�--of ihe�',�o'.ns'truct!on). cov�riind, 'vill',be, pri;�W4,wlthlni.�,�' hour's'4fter jnspections.' Lf., -.%-e 0 T.-Ru, �c .. ..... ......................................................................................... .......... ...... NS f _EEGA ON_ e lr�!ri' -5,4 at Y4 ..'iTibl.: 1R ......................................................... .......... : ...... �t ........... PROPERTYY WDESC Ipm .................... ------ ..... ........ ......... ................... %; ---10 '-bf Lot 7 Chbr..�y i 6; t c., ... ...... ... ... ................................................................... ................................................ ................................................ -- -------- . ........................... ............. ................ OMWEWANWOWBUILDER ............................................................. ........................ i ...................... .......... ......... .... Rvs, .61-ins-A-Mil I tZ, Rd. Edr6on ds� .,WA� 11'. , 92 AbDpm§s�-- lit poNxWWo T-OR1,&1N,!M,E5'& .............. ........................................................................ ........... * ............................................ .. ............ ........ enTu ....... ....................... �r6O4iri-andy.-or,,conneetibii,-,Of a,-Sid6 rsicmer-Ao;,the,c ty., sam ar. %Sewck 72 ......... 'X: 'I�y'steni,�in,,bkdordiLiicAe��ivithi,�Cit ordin -WTTEk;ric)j4j e -d(�tb-construct.! '-,str!�t., at�e�,%,-.P6:�nq,4qover any�portion.* sewer.befor� if', has'been inspected. �erf6rmed�16(,�ity,:right'-of-way requIresoarv. lnva�l'on,*& R�ghl -'of-Way:P�rr�liobtfii"�i*�'.fr�m �-govcfn't*n�',.st�'e!�se'wers,,,,tie'n;"�.o 'get -.p.eqn1t )bt �1i�.fullt';itt formiC T: 1;6.03& a� 4te� ulat 10 r� -4g -9 r'ade,: Inch6s,,coveraie.,��:,Prloi��rt*�.-,,ii rty Vne;:�mtn sh&fpdr:Athar4 %;%%�ill�rbe..pe��Iftfed.�% NQTEI'.,No;,!5—!Tre6c��4,.in��st�eet rnust.lb'c�,�vat resl>onsible�*.fori'f�ii6re-'��'t-,-toi�.impr(,'p�r v�withlmjone.year,,(��!F pletim _work mhjbfirma�,Aevelop' OM 'IN. OTERVo.,.i6'L--4t _'mnl t rpjt:.-.orPtoWdi)�any work �'om th4u,� m�in��se'wcr;7.6r'iti.L&,PpUrtena�n(�e�t,,i!xcept,��o'� 71 .4Asl awfiil�l �.-,'�Iter'ior',do,iany othev 'Isert' the' pl'0,lntolAfic wye" P ............ .................. D ... ..... SAPPROVEDC JE]f Mat& ...... .................................. T1 'A WPRO� D V, < ...... ..... Y- '7, - �-- ace.... jMlMrks:f� .................................................................................. ................................... ................................... ................................................. ..... . a ...................... ....... ........ ......................... .......... .................... .. ............................................. .... ................ ............... o(Owner mr a in Nn�acc Ac c. '0 jrMpbj1fOrrningZons -ruction.-FRIOR.�- o.-Request.. i _.pids,1, ,ST;,Be,!Sign 1j34r_1QVnel1Of R* n -her installati6n,,,d6n�ti�ucted�,iinder�'it�isf)�,6rn�ii�,'�., eby�zcettifylthe�t..the�si'de',..�sewer ...... ...................... .Of4co ting Ftr�n-t,tpa�mifl<,: 1orn_-s_.t�ru_etlon-)''.`� 6rd c wath4, overning,.ordinaiices,,io?";fhe�,City,- -bf. ��ql Lill ......... ............. 9i, 7 Vo -;;S6Wer$ APPLICATION for The City of Edmonds SIDE SEWER PMNW � e-cl �Aoe NEW CONSTRUCTION REPAIRS D OWNER ........ lyllle.5 ..hlo.,MC7 ....... ADDRESS ...... 1.76.2.7 .... ... 6-9.th .... Place --- Wes-t ........ .. .... .. .. .. .. .. .... .... ....... ..... .. .. EASEMENT No. //0 16� ......................... CONTRACTOR ...... -----_---------------- PERMIT No. -A ......................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No. ___ .................................... NAME OF ADDITION Jkq.. E 84. 01 - of the W. 204.02' of the N. 176.02, o f Tr" "a' c" -t ... * - 1 -5 --- 4 -------- P ... ta ... t ----- o --- f ----- M ... e ... a*4' ... o ... w"d"a' ... I ... e ----- B ... c"h ........ * r*'o',?c, ... o^ r- ... d, *e" d* ...... in Vol. 5 of Plats pg. 38, records of Snoh. Co. Except the N. 96' of said legal. Plus'the N. 16' of Lot 7 Cherry Hill Manor. -7 `7 11 9 4E� Pa I/ I C, - tiEC 'L� 3 1A 61_),� Approved: 17- IE DATE_ /j - 7. 0 1�y ----- �_?e