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17921 72ND AVE W
C ity'of Edmonds, PERMIT NO: .9367
PEW-0aT EXPIRES
C. I gl)� SIDE SEWER PERMIT':
-719 ID #
Address of Construction:. T I lold L
Property Tax Account Parcel No. 6- /'F!5
Attach copies of all access and utility easements Verified and Approved b
Owner and/or Contractor: 5 f
Contractor License #: 6 0 Isis '61 15 Building Permit
�irlgle Family 1rivasioill into City *Right -of Way: Ej Yes 3wo
F� Multi -Family (No. of Units *RW- Construction Permit
Commercial (No. of Units Cross.0ther "Private Property: Ej Yes 0>0
F] Public *Attach- legal des'cription.and copy of recorded easement.
A_xl�c Ownert(�ontracR �y 0
to
Owner or contractor signature and acknowledgement statement: Date
By signing for this permit I certify that I haveread the City'.s public handout entitled.
ide Sewer Specifications, and shall comply with all City requirements outlined, therein.
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CALL DIAL-A-DIG.(1-800-42-5-5555) BEFORE ANY EXCAVATION 2.
W FOR INSPECTION CALL 425-771-0210 gitension 42"'91,W 1
24 HOUR NOTICE REOUIRiEl) FOWALL INSPECTION REOUESTS
FOR OFFICE USE ONLY
Permit Fee $ -Repair Fee $ Issued 13'r:
Trunk Charge $ Date lss6ed:.
Assessment Fee $ Receipt No: (ell.
City Permit Surcharge Fee $5.00 Total Fees Paid $
N OT'E IFJOB SITE IS NOT. RE ADY FOR INSPECTION WHEN.
INSPECTOR ARRIVES A $45. RE.INSPECTION.,FEE WILL BE CHARGED.
Job Site Ready*YES 'NO.; Date:, Initial:'!..,
Partial Inspection: Date: Initial:
Partial Inspection:
Date: Initial:
FINAL INSPECTION APPROVED: Date: -Initial:
41-o ( 0 - - As-buili to Street File:
111!.� PERMIT MUST, BE -POSTED ON JOB SITE t,
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CITY
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EDMONDS SIDE SEWER AS -BUILT
ADDRESS
17921 72ND AVE W
PERMIT
NUMBER 9367
HOMEOWNER
CONTRACTOR COBBLE STONE HOMES
DATE
04/17/01
DRAWN ISMAEL ABILA
13Y
19
/07
s
M
L
Y HAAKENSON
MAYOR
CITY OF EDMONLUREET ADDRESS FIT
-i". PUBLIC WORKS DEPARTMENT - 7110 — 210TH ST. S.W. - EDMONDS, WA 98026
(425) 771-0235 - FAX (425) 744-6057 - E-MAIL: k1ein&i.edmondsma.us
WEB SITE: wwwxi.edmondsma.us
January 31, 2000
Kunchyo & Dekey Gyaltsong
17921-72 d Ave. W.
Edmonds, WA 98026
Subject: Water Leak Credit Account #357375
Dear Mr. And Mrs. Gyaltsong:
I have reviewed your account and will allow a credit for the billing period between
November 3, 1999 through March 3, 2000 in accordance with our City policy. The policy
states that the customer will be billed at the retail rate based upon the average water
consumption for the same period during the previous year. In addition, the excess water
lost from the leak will be billed to customer at the City's wholesale rate with a 15%
surcharge added for administrative cost. Only one leak credit will be granted in any three-
year period.
Should you have any additional questions after you receive your new billing, please
contact Denise Burke, Utility Billing Clerk, at 771-0241.
1
Sincerely,
Jim Waite
Water/Sewer Supervisor
JW/lk
cc: Denise Burke
Utility Billing Clerk
wordata\water\2000credit\#357375
0 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
CITY OF EDMONDS
PUBLIC WORKS DEPARTMENT - 7110 — 210TH ST. S.W. - EDMONDS, WA 98026
(425) 771-0235 - FAX (425) 744-6057 - E-MAIL: k1ein@ci.edmonds.wa.us
WEB SITE: www.d.edmondsma.us
January 5, 2000
Kunchyo & Dekey Gyaltsong
17921-72 nd Ave. W.
Edmonds, WA 98026
Dear Resident:
GARY HAAKENSON
MAYOR
On January 3, 2000, the meter reader notified the tenant regarding a possible
water leak in your water system.
Our most recent reading of the water meter indicates unusually high consumption
and/or a current water leak in the system. Please check faucets, toilets, pipes,
etc., as no billing credit is allowed on these items.
If you have any questions regarding this matter, please call Utility Billing after you
receive your billing statement at 771-0241 or Water Maintenance at 771-0235,
extension 647 or 649.
Sincerely,
Jim Waite
Water\Sewer Supervisor
JW/Ik
wordata\water\Forms\Leak Letter TN
Incorporated August 11, 1890
Sister City - Hekinan, Japan
B Ak- L PLuM
IM23 Pl. W. 533
Sft"G s'Rv'CLP 4845
&knoub, WA -'- 14
Cl" 743-4162
CUSTOMER'S ORDER NO. -TEPARTMENT
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CITY, STATE, ZIP
SOLD BY
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CHARGE
ON ACCT.
MDSE RETD
PAID 0
QUAmTrry
DESCRIPTION-
PRICE
AMOUNT
2
3
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5
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