19004 DELLWOOD DR.PDF11111111111111
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19004 DELLWOOD
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ADDRESS:
TAX ACCOUNT/PARCEL NUMBER: rf1,WbW02, 000
BUILDING PER -MIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: E] Conditional Waiver E] Study Required [j Waiver
DISCRETIONARY PERMIT
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
Q .
PERMITS (OTHER):
PLANNING DATA CHECKLIST DA'
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #: 13-�
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:- t t -
SIDE SEWER PERMIT(S) #: atQA
GEOTECH REPORT DATED:
STREET USE /'ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DS'l7s\Forms\Street File ChecklisLdoc
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APPLICATION
for
4P Tjhe City of Edmonds SME SEWER PERMIT
NEW CONSTRUCTION REPAIRS
OWNER -;.k1r�_1 ----------------- �-'7 -------------------
ADDRESS 45'00!� ..... .......................
Ao�
Z/ - 6 / 1/0
11
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40
=14 PLANT
EASEMENT No . ...........................................
e�� - 6-,IV /-5,9
CONTRACTOR .................................
..................... PERMIT No.
LEGAL DESCRIPTION: LOT No . ............... ..................... BLOCK No . ................................. ...........
NAME OF ADDITION ............................. 4
Approved:
7
....... ......
DATE .// ....................................... ..... ..............
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STREET FILE
Mr. Marvin S. Tierney
19004 Dellwood Drive
Edmonds, Washington 98020
Dear Mr. Tierney:
According to our records
issued by the City of Edmonds on
of 19004 Dellwood Drive, Edmonds
we have no records of the installa
same,
October 24,, 1967
Z-7
�ew r permit No..1763 was
9 9
7. for proposed connection
tary sewer; and to date
pecti on, and connection of
Concerning, i idua up '6 sewers within the City of
1
�i
Edmonds; the foll in r the ordi nce c Zing this subject quoted
from the general omil ses for th ity of Edmonds, Page 96 of the
Edmonds City Code: JJ
Or;l�mze as(raph 2. as amended by Ordinance
No. '82'1�,
NO 881. May 2, 1*1-.. ruTuRE CONNECTION —WHEN REQUIREDO
/.,,must with�a sixty days of the completion of any future
I
l,runk or lat�ral sewer upon which said homeowner may then
t or be ihin two hundred feet therefrom, must make
Snection said trunk or lateral pursuant to the regula-
'40,
4 �ble as set forth in Section 11.16.010.
You are therefore requested to execute side sewer permit
No. 1763.
Yours very truly,
crTY OF EDMONDS
JOHN E. MORAN
Director of Public Works
JEM:jw
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tit-V 6.i':,"Eb,W6WbS,
Can IrRospect� A�U07 wh�n. *oi*
qfy!Q; CENTER WATE DEPARTBU&N T is ieady, f !or. tnspli�uon. (;�q
'gaturdij Siindsv "or, 61i".)
thins
SID PERMIT
06,4- B611W
66d;
ADDRESN9....
............... . ......... ....... ------------------------------ --------- ......................................... ........... ......................................... . .....
OVVNER..-'
--------- . .. . .............. CONTRA ... ................ ..........................
........................ ....... ...........
Pern�SSj'� is g�� . jed 'March 10 _67 REPAIR or CONNECT it side Sewer
0 . ........................ . ................ 10 ......... for ................... :,d4ysjo.
,;0, dance with ap
th '6 Seweri in�. abedr viicaiii3�..�n� ine and jqverning okiiinnnees.
ATTENMON IS W'ING-
CALI. D'.' TO' TRE
�VOTE 1�oi"I'—The -oi-;t�e'-_�'Iop�rty may obiis�n -it, perzati to construct sewer inside pjope�tj. line. A 116ensed Side Sewer Contractor. must
trdet -inspected.
be iznplojid tb,'coos side sewer in,str�eet.irea. Do*66t 6oVer any portion of sewei �before it has been
_NC No.! zL—Ootain full tAf sm
��ardlng , Ordinance 11.16.036 ziLnA .#e�ulatlon governini' iide ie:wers'when you 'get permit.,
Nk 'Zo." 3=Top,�of siae'se*er-mxis&li&ve at.leist'iI6"i�cl�es covdi.,e�latpr rty,line and 12 inches inside'pr9perty line; mi-Imuin grade of 2%.
ope
No bendi:in gi�,de.-ih"r than %'will V6'pe=-tt6d.
NOTE NO;: 4�-�renches: in str��., #n*, be! water settled 'arid surface of street I restoi�a t6'origlnal conaitloiL Contractors shall be:respolFible flor
%.,fajl� - re due to� improper 'work *liieh'p*,d,i�velop'*Ithin.,oii6'yeiLr,of cornpletion.
NOTE �No. 5,�—It* is unlawful ' to alter or do, any.. other,-woric, than is provided for in the perrnit, oiAo d6 any w6rkl.,on the main sewer or iii &
purfenincesi �exeipt to'insert Ah6� pipe 46WIhe wye.*