19015 DELLWOOD DR.PDF11111111111111
10886
19015 DELLWOOD
DR
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ADDRESS:
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE): -
COVENANTS (RECORDED)
CRITICAL AREAS: DETERMINATION: [—] Conditional Waiver E] Study Required F] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED
LATEMP\DSTs\Fomis\Street File Checklist.doc
The%it ".f Edmonds
APPLICATION
for MN PLVIT
SEDE SEWER PERMIT BASEMENT No . ...... ...................................
NEW CONSTRUCTION E] REPAIRS El
OWNERFIG .......... ............................................ CONTRACTOR ..... y 7 ................................................ ................... PERMIT N
ADDRESS ........ 'D.e�ll ....... F�;,j'ft.O.A LEGAL DESCRIPTION: LOT No. ............................... BLOCK No . ............................................
NAME OF ADD ITION ..........
APPROVED
MAY-3,,l 1�bl
'10,
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Mr. C. E.
19015 DeJ
Edmonds,
Dear Mr.
issued by
of 19015
we have r
same,
Edmonds;
from the
Edmonds C
No. 2309.
JEM: jw
October 24, 1967
309 was
d connection
nd to date
nnection of
he City of
act quoted
96 of the
dinance
'QUIPED.
7y -fu t u rl-
may then
at make
the regula-
You-4-are therefore requested to execute side sewer permit
Yours very truly,
CITY OF EDMONDS
JOHN E. MORAN
Director of Public Works
7�
W..
7�
F EDMO
LN
NbS
Teftz�_%VATE
..7 -EWER DEPARTMI�NT Can PROspect 6_IIo7 whe Work
SEW...
!a -read -for I n
4 ��-i-ASI D E t1ons Saurd nsPec"on. (No IRS
ER -P Pee-
Uftt Ry, Sunda Or hol
Id.".) -2-3:09--
POP--
��N " A D
DRES,
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S ONTRA
c
'grdzit6d
city, Sew 19 . ........ I .......................
ers n
.�accordance %A -p for
47� ..........
aPP11cati . . .......... days togE
on 071,111 . _ —, . � . — w �.
-g
TENrjON 46 and:, overnini: PAIR or CoNNE
ordinance,. 6 sewer
TO -THE VoLLowj� CT a
0; I —The own- ' - - - , , NG:
the 'Pro' P_ erty
ers of
e employed -to TRY, obtain
construct aid a permit to
_2 a Sewer !1� Street a�rm ot, c - pr
—Obtain fall jnf6j 0oustruct S6;�,er I - . -
nSld6-
-NOTE ma ion regarding'. Ordhis,"" Do n . Over aRy-portl `- "Pely line A llcen.� 8
0. 3—Top Of,Bld . a sewer. Must nee 11,16.030 . and Regul&tj on of-86wer beio ed Ids --Sewer -C.ntraetor
No �bends 1n -rdde have at.le-ast 30'Inefies ons-gOverning, re-1t has been InspMted. must
she^rP6i.than rage -at prope
e - side sewers -
NO. 4--Trenches 1�-_ will be Per cov rt when you
fallui &-_ ;--strebt znuot_b,, r . 1 Mitted, Y line and: 1 _ 1. . � I . get Permit.
e- ue�to- 0 Water- Jn6bes jnBldepr I operty 11
I-PrOPer -work whl-'settled and Re;, m1W
:No - 5-- oti "rfac,�, Of street restore .`nUR1 grade-of-2%,
�Lwful to alter or:do- any -other oln C
-.It is' unl-Z- may develop *ltbin one ye&, o d t
tenan - original condltlon� ontract
ces cep lw rk 'is C Pletion.
t to-113sert the pip eo than Ors shall be re
e into t wy ...Provided f- I . 11 � I - 'I , spon for'
or. in the pe
rznjt, or to do,"Y.wo
rk o
z�'the main as appUjr
War