19012 DELLWOOD DR.PDFIIIIIIIIIIIIII
10884
19012 DELLWOOD
DR
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010
ADDRESS:
TAX ACCOUNT[PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:
DISCRETIONARY PERMIT #'
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
DETERMINATION: E] Conditional Waiver Ej Study Required 0 Waiver
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PERMITS (OTHER): ,b)
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
SHORT PLAT FILE:
LID #:
LOT: BLOCK:
SIDE SEWER AS BUILT DATED:-2 - (a ver'byed
SIDE SEWER PERMIT(S) #:.
GEOTECH REPORT DATED:
STREET USE ENCROACHMENT PERMIT
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DS'Ps\Fomis\Street File Checklist.doc
The City of Edmonds
APPLICATION
for tyM PLAMT
SII)E SEWER PERMIT EASEMENT No . ..........................................
NEW CONSTRUCTION E] REPAIRS
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OWNER -0 . ...... . ............................. -- ...... CONTRACTORA-4 - 4. 4 ........... ...... PERMIT No.
.... .... ....
ADDRESS P? .. 41-2 .......... P-:nq�kz- 4,n, 04i ..... ....... 0 ........... LEGAL DESCRIPTION: LOT No . ....... 1-k .............................. BLOCK No . .................. .................
............. ......
NAME OF ADDITION.P. ............... ........... ..........................
APPkOVED
FEB v%, 1967
11 -
DATE... . ...... . ......
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0
0
Mr. Lawrence E. Sheldon
19012 Dellwood Drive
Edmonds, Washington 98020
Dear Mr, Sheldon:
According to our records
issued by the City of Edmonds on Fe
of 19012 Dellwood Drive, Edmonds91t
our records show that your permit u
received the final inspection,
October 24, 1967
sewer p , prmit No. 1614 was
y 14 67, for proposed connection
s y sewer-, and to date
r lilryarinspected but never has
Concerning ind d a .1 P t"4ewers within the City of
u 1 hoo �
Edmonds; the following, s the ordina e covering this subject quoted
t
from the general dina oes for thyety of Edmonds, Page 96 of the
Edmonds Ci ty Cod
Ord -,go. 82 Y�a-, aph 2, as amended by Ordinance
N7.118 1, May 2, 1961; rUTURE CONNECTION__WHEN REQUIRED,
r
..�must within -'sixty days of M completion of any future
r�nk rlatez4a� sewer upon which said homeowner may then
t or be wi�hin two hundred feet therefrom, must make
I C
con 1( tion tt� 'aid trunk or lateral pursuant to the repula-
ti" %_�Ci na as set forth in Section 11.16.010.
You are therefore requested to execute side sewer permit
No. 1614.
Yours very truly,
CITY or EDMONDS
JOHN E, MORAN
Director of Public Works
JEM:jw
%
CITY"i' VIDMONDS
4-11.67 :'-wheu *orl�
4c' MV C.1FNTER--,WATE`R'-SE'_ V0E.R-:,DEPAATMENT -
or)"Pe
ow
NQ
1 4
PERMIT...'i
DE, EWER
A,:-AMDRESS.:
------------------------------------------------------------ 7 7-
. . . . . . . . . . .
q
:.71: OVVIVER
............. ........... . CONTRACTOR.
..........
4ksi, to: P
,.�Peiinission W:ki-Ante�,� 'for ............ 4 RE Oi'CONNECT a side sewer
S
with. Ab el wers. in accor, 4p cation on. Aie anif'g': p'oe�rno o',rdinalices.
P 9
ATTENTION; IS CALLE TO THE - FOLLOWIN
P. G.
-':.:'.NO�T��N.'.I—�h�'�bwnil-i,of thelpropeity�..mayobtain,a permit to construct sewer inside property. line. A, lkens6d Side Sewer Contractor mus�
inspected
be 'employed to� con 6t -side sewer in lstieet,,area. Doo'not'cover any portion of sewer be ore it has been
NOTE- No. 2—Obtain-'full information regarding �Ordinance 11.16.030 and Regulations, jovernt
ng'iid sewers when you get permit.
NOTE No; 3�Top of side '�ewer must have at:lea�st' 30 inches.coverage at -property line and 12'ine.hes inside property line;' minimum -grade of 2%.
-.'No bends, in. grade sharper. than - % ;.viill be permitted.
NOTE No,:�`4—Treriches 4n s water settled'
and'. surface of.,_stmt restored to original condition. Contractors shaD be responsible for
failure to.. impr6perjwor4. which. may develop � within one year of completion
E No*' 5--It,.is unlawful to alter -or do an�i other work than I , s: pr6vjded-�MT'in the permit, or to'do any work on 'the sewer or.its ap-
purLenanees, except to Insert the.pipe.into thjL Wyp_