17702 69TH PL W.PDF11111111 lill
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17702 69TH PL W
APPLICATION
for
WO
FILE
The City of Edmonds SIEDE SEWER PERMIT EASEMENT No . ...............................
NEW CONSTRUCTION 1% REPAIRS
'NER ... ........................ CONTRACTOR .... 4..(1�1.s ...... . . .............................. PERMIT N4
.S .........
OVY .......
Eilc- LEGAL DESCRIPTION: LOT No . ........... BLOCK No . ............................................
ADDRES,S'..1j-*&.M ..... I..fj -------- OE - ? ------------------------------
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t7-?C)2- b�TT4 WCsT
NAME OF ADDITION ... ........ P.1-0 ...........
................................................................
.; 9 14 k tA.I/ I
Approved:
7/ k — I I , " .",
DATE 4&-Y01,
V .................................. By ..................... . ....................................
7 'A
PERMET.
CUTY,,,-.0F* FIDMI, "(0, NO&
-kN.T'
�WIATF�r-
SEWER �,DEPARTM
-��PEJRM,,JT�
.4.
:7
ring. aqy, �pqrqon of- the."constructlom
ll� 7-76-1-107! for side -,sewer. inspections,:1 EFO pe:�tio
a RE� :�ove -S I a �,Sun I or,,holid 1
ay n4 n
.9 �NO t
!('CIn pectlon.lwllP.�b�:pr ' 1'ed
ov d
4� ......
"DREss�,L.'@cAT-ION,,OF,,CONSTRU. 10N,.'--.-'-: ......... ..... ................... ................................................................. ............................
pi -at_. -.)2:r ... AAA ............
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TRIOPERT �YL�EiG�A�L,,DESCRI�P-TION�.:.'. .. ..........................
................ ...........
............. ............................................
. . .............. ...... ... ....................................
............................
Inc
'DER ............... ............... .....
I M
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....... .......... .. ... O.WN-Eft� AN. a
:s - �th
�l il�a t� In C n V . oil
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To*— .............
k ew r 6,Athe',Ci
ty,.sanl ary-Isewer',
Jlove.i�,ibnr,. 5 ir::ind/,or�',6onn&tion,6f-.a,§id�-is" e:1t
9 ,Jorr.epa
. .................. ........................ ..
'feifilm4 'Ordance4ith-City' nanees.�.
of,Edmonds..ordi
cc
�X�"'EN,T-ION,'.IS.,CAILLED,TO�,THE FOLLOWING:�
�-iirc:, 'A �Ik�nsed- Side �S�wer Contractor.,-must4b6 , emp oyo�d-��O'Iconstruct�'-
hoi�,o%�n'e'rs ofthe lirop�rty rr�&y 6btaln -&.,permit to cons ewer 16side bropert
f d'*
-Do.not cover any porttont)f,sewer.;1bc fore at..�has.',been,inspec c
side.sewer 4n, street.area.,
No..'2-.LAIIP�work perforineilAn, 'city right-ofway'requires..�'n',In�a-.gion� �of lUght-�of-W'ay'P�rmit,�ob_tdin&61t��frorri7ithe.�City. Engifteci'stb'fflcc-.
NOTEP . . . . . . . 1 .1 . . I . - - - , I , .., . -1 .
n 'ket
,N6T-k'�No:,,3".'6btii!1'6;fu'llt:inforrriaii'on.,:r'�g�rdink�iOrdin"ce- 1.1.16,!030 &-Regulations- ;governing.side:-sewers- whe.n* you, - -permit. -
ol-�121i I riche s Anside rml benols '�;n;hr�de,
N . 0*7E',N6, se%%�er must �have.:�t %leak,M inches'- coverage .&Cproperty.'line� :property;'-llne:,'.rnlnl ml!�rdo��,Tof 2 N m;
_Top"of's
-ibe
.qh.rp,,.1tban, %: will -permitted: .1
responsible, f6r -fa'llu�e! (dui'l iib�, rn 0 er
NPTE �No-.!5�T�renchesi;ihi,�treit:.niust*ib �,wa 'i-isettled�',.and�.-surface�oV�street,regtored�,��o orlgina1 cond.itioii,.��!C6.ntra�d-torslshE�lll!be.
e T71
.,work -whlch-,may�develo0)wlthlnone year -lot completibrr.l.
�ccs,!cycept',jt6.-'.in-
',-NO* TE;N* " t i - .
w
e,w�.
?Date. I ........
............
....... .................. ......
�-Ois"PRQ.V,EY�
s
q:
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APPROME6 -.771 ...... .......... ..... . ............
.....................
77/
J�e na: _14
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............... ........................................ . .......... .................................
�,BOTH P rMl CO]
WWI
....................... .
�Stalledljmaccdrdarf(
W.. �.T
e%i -of-_Firm-Performi Foi�*Nnsp c -ion,—.'=.
)ie;S,,MUST.B'7Signed�,By ownei ng-', - on'gtr&t ibrr'PkI quest,
histipernilt;
................. ........ .......
racting-Firin,-Perf�rmifig.Fconst-r�c�ion-)�','
e,W,ith,,a11r.gqv,erni -of �he,cit 0 -Edrhond
nE�,�ordinaiices' U
_4
i.S
C. ay'ko
dii IF
DiA6d;,th
1b
November 5, 1971
City of Ldsonds
Public Works Department
200 Dayton Street
Edsionds, Washington 98020
Gentleman:
The undersigned certifies herewith that the side s*wor installa-
tions serving Lots 2 and 3. Plot of Cherry Hill Manor (commonly known as
17702 - 69th Pl. V. and 17632 - 6M Pl. W.g Edmonds), were installed in
accordance with all City of Ldnawk requirements related to aide sower
installations. It is further understood that the undersigned shall be
responsible for materials and workmanship provided for these Lnstalla-
tions for a period of not loss than one (1) year from the date of occupavey
of the houses thereon.
Sincerely,
HILLIS KOMCSS INC.
LARRY 0. HILLIS, President
$20 South Broadway
Everett, Washington 9820
LOH i sam
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