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17126 67TH AVE W.PDFiiiiiiiiiiii 5242 17126 67TH AVE W APPLICATION for Th,d City of Edmonds SEDE SEWER PERMT EASEMENT No . .......................................... NEW CONSTRUCTION REPAIRS 0 UC� d::ZkAS*T OR............................................................................... PERMIT No . ...................... OWNER ............................................... ................................................................ CONTRACT *4' - 7+14 N JF— - N"' ADDRESS --- .......................................................... LEGAL DESCRIPTION: LOT No . .......................... BLOCK No . ............................................ C>E> PZlhbN <" —r1;zbb4l—,-r4E-6. NAMEOF ADDITION ......................................................................................................................................... 0 0 P. c 11, 7CEEP -T LaAwy -imp-L -&41 T 2teeP Ell Goil— D" c Approved: P. A DAITME By . . ........... �A - APPLICATION for ,ity of Edmonds SIDE SEWER PERNaT EASEMENT No . .......................................... ,NPW CONSTRUCTIONJ�- REPAIRS . .................. ............ PERMIT No. OVvrNER .. el4av ------ ....... CONTRACTOR .... ...... ADDRESS J.71,121 ............. .............. 4�e ........ .......... LEGAL I3ESCRJPTION: LOT No . ........... t.1 .............................. BLOCK No. Pc ... c 1.0 .... NAME OF ADDITION ZOO ......... 1,24/ye'v ..... .................. 0 I* P� i L 6q ZVI 0 1 c, 15", Approved: DATE .......................... ........... By ...................................................................... I A V ".S'V WMER., `PfIR)MV $11 YT.-OF-IM01 N, EWSEW AT ER b -ME W_ EPART NTI IRMI, �4 4.51 T' j�, 4, A A-P 1, , W;1 111 '.7.76-1-1071 "for- side, ;sew�r .,inspectio 4E C. ns FdREj 66yering, , I "Y' port�lon,..of: Ahe �constructj a- pr6vided".�viil�1h;j24-ifiourit-ECft-e� request.. NO)fSat% �S�n;,. o '-holiclayl I' ' e nspPetion,milith nap ctions:Y. % DRESS, P4 LOCATIGNIo C ONSTRUCTTIOM!' ME` 6 Ith ................. .............. .. ........... ...................... ................ .............. ........... . '14��'. bou le �P�tOPERT'-Y'LEP�A'L'IIDESC-R1,P'RON� 1-0 . . . .............. . ........ ....................... ............ .......... ........... ............ ................... . ............ . ..... ............ ............. ....... .................... 7 .................. .. ....... ........... .............. . . ............................... . . ... ................................ ...................... ..... ...... . ................ ... 4L_ATRA4j,TbR'1��,`N1 AMD -'&DqHaven: C&154`� 4 ....................... ............. ................... .. . .... ..... 13 0_16� vn, t, 'P, ...... IL h!I�Qq_ c ........................ ...................... 7 3' �,J'91 .... -,�4br4el!a1u.-andY�6r, (con# ib' YS, �UW-Aee6rd Akftii3O VfAil"Ade sew�ri�t `city js kne�i' ,It' - t 'I W)therl ?.'sanil; Y,(oVjEdMbn&Tbrd tnances:,' ary. sewer, NTION%I-� "LEDYT&TH I J,CAIL VTOLLAIDWING". 'NO! -l-�-The-4ow�ersi-o'f4�t�-ei,prope�.iy��]�ay i O��Obtg]W&'Permff lto,,cOngtru�f-ise,��'er, if�sldeo P`ropak�,iine�* side4ewer, Inustreet iaxe&-.;�'bo,�;n A' licensedriSid a .'c5�ver-lan5�?,POrtIO-rit,oi�isewertibdf6re-�it Ihasobiew-,'Ifispectedl a?'Slew rj,,Co.nfrAc0r, imustIlbe, empl�yed;foltconsfruct, 2—A'111,�r,'�ik sp6rforme .. — ' - . - .1 . .1 — . % . , ., . I .. dI �Jjnl,city ijght�lof_,�,v,4y, rqquIrcsijjnIInyasibnt.of- Rlght-� -Way-Perrdi -5NOTE1 I4m : * - �V I . . . . of t"obtal nable from 'th e:�C I ty Engineer'voiflce�. 3, 'obfiin�iiill-zinf.br-'maCi'o'ni',,egarding;,Ordiy;iince,-1-1I t40TMVo;. 4-7T'�P_1_ . A 6�030'lajid�,-RegulationS;'4govern In 9�Alde�-sewera!z;.�heni yo' wt�slde ,sewer - must-,lidv6�atAeast: Ul.ge , permit._ ';shaxper1thaLn;,%', mill(tbe), I ;30',Lnches,zcov�er�Lg�e�,at,proPerty," Ijne,.aj4 12,�Jndlies Insidet;pro arty) din minlmuffi� [greA'�)%Of':2'o/e.., N& ibends, JnI igra4e, ye�rnitted_ N'6TE"vol. 15--Trenchew,thrstreat must bqLwater';settle d� and4,surf&ce,-of,,street, on:,. ractors.,a a vork , P W,bs, �r spo sibib, f which�qnay I ithihl,6nei�year,df,compi4ti6nl,.. _10ont I P 'or','f�ilue;��-ue�,io)��ihiprqper, VOTEI;�No., &�'Jt-Ij�fiuniiwfup to=10,oprlita N "serf,"Oei,pipeliin Olfanyj othar'�%prk thar0,.,Is providedt fbz;,� 'ork'ldn' dman�,'w toahe,wye. Afie., main, sewer;,�or 1. s�,ELppu�tenanc6si,ex�ept,tol'in.. �:,1D1S"PR0,\ ME D) 'D .......... "BY' Date'; ....... .... ............... ......... . ...... . yl� ............... ..... . ...... . .... ... ............ ............ ................. . ... ................ ......... ...... .............. ............. ...... 1:. ............................ ............... ............ ................... ............. ........................... ........ . . . . ....... . . ................... ....... ...... ...... ............ ...................... -7 . . ............. .............. 'e S' ST'- e Si" 10 THOP PiJes, e ..... .............. fy� th&t��'.the�iside,-�6w6r.,in�tb�llat Date ... I ........ �1-1 wne,,,,f',C her6bk�7certi tru-ctj" ion, CO'iitructb�d,�under,�thisl,�6rmit-� - erf6irn1ng,-,Cohs h9tall" Ilaccorftnce"Witlik all: nink,�or inanas,!'f' gpyer P 0 * 6TXdfn' ndk _10f ... .......... 1 7-.v; ................... I (0 IfeckMkFORM yout,d ik),fdr- W Gas T f h c ep One�.Ej,,*, p6we OtherjE91 'y N.