19127 84TH AVE W.PDF11111111 lill
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19127 84TH AVE W
NOTICE:
__�Vi�rot cc racy.
N:o warran.
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
Th��e City of �Edm.onds does not . warrant the
accuracy of anything set forth on t hese
map(§-). Any person or entity -requesting a
copy should conduct an independent
-ation shown on
inquiry regarding the inform
_tFe -map(s), including, but not limited to,
th'e lociation of any sew-er stub shown. Such
sewer stubs may or may- not exist and may
or may not exist at the location shown.
Ity of Edmondcz- nor its
Neither the C*
ice-rs,shall be 11a.b.-Ife for the
ernp[o*yee's o'r off*
information given on this ma p(s)) nor for
ov'ded based
any one representation pr I
upon . said map(s).
CITY OF EDMONDS
"I 18PI 1-1107 when w.rk
ClViC CENTER — WATER -SEWER DEPARTMENT ready for Inspection. (No Inspec.
SIDESEWER PERMIT 'tons Saturday, Sunday or holidays.) N2 3142
19127 84th Ave. West
ADDRESS------------------------------------------------------------------------------- ......................................... . .......................................................................
OWNER --- ��q�A ... Kal-lun.k-i ------------------------------------------------------- CONTRACTOR -------------- (..Own.e 0 ................................................
------- ------- -- -- . ....... ..... .
-sion is granted ----------_ October..21_.
Permis -----_----_------ ..... __., l9fi.P., for ........................ days to REPAIR or CONNECT a side sewer
,with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. 1—The owners of the property may obtain a permit to construct sewer inside Property line.' 'A licensed Side Sewer Contractor must
be employed to construct side sewer in street area. Do nut cover any portion of sewer before it has been inspected.
NOTE No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 3—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%.
No bends in grade sharper than % will be permitted.
NOTE No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to improper work which may develop within one year of completion.
NOTE No. 5--It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or Its appur-
tenances except to insert the pipe Into the wye.
tll%4rfw lu APPLICATION
Tho City of Edmome I for
SMDE SEWER PE]jBM
NEW CONSTRUCTION [i REPAIRS 0
OWNER ...........
.... IL.!� ..........................
ADDRESS'..ffm 1 . ......
I AO-11-1AMMAW --- .. . ........... ......
0
E
r I
�K -,
'R�f3
FIASEME14T No . ...........................
4 - /, /) 13� 9
CONTRACTOR P
........ PL muT N,
LEGAL DESCRIPTION: LOT No . ............ 11 ......................... — BLOCK No.
NAME OF ADDITION ...
y � (�,4 4V
Approved:
-:5�617w-
.4,00
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U)
DATE
19127 84th STREET FILE 0
October 31, 1979
M E M 0 F 0 R R E C 0 R D
The following is a list of calls received during the
heavy rains during.November of 1973 and March 1979. Some
were only for covered inlets, others for plugged drains and
creeks. During the week of October 22 to October 26, 1979
all of these addresses were checked for possible plugged
or trouble problems. Nothing was found to cause a problem.
These addresses were checked by Leadman Bill Stroud.
Eobby Mi-Pls
Street Foreman
0 CITY of EDMONDS BAESS LIC TION
LUAU
Civic Center - Edmonds, Washington 9802
City Clerk 6TREET
Phone 775-2525
xell � 14
A - LICENSE NO.
�4- HOME OCCUPATION
CLASS I YEA� LIC. EFFEC. DATE REASG.- -LIC. NO. SPEC.
INSTRUCTIONS: $10.00 (A)
All items must be completed 1710 SMALL BUSINESS
or application will not be ac- RECEIPT NO. DATE PAID A- $15.00 (B)
PRINT'X'
PENALTY AFTER FEB. 15
ADDITIONAL $5.00 0
ADDITIONAL $7.50 0
cepted.
5-1 (
�,)I )I / I r-I-) I
IN SPEC. BOX
0 Business with 10 or
Sign and return application
FEE PAID
PENALTY PAID
FOR ISSUE OF
CORRECTED
more employees
ADDITIONAL $25.00 0
with fee. Renewals received
[�A.,/
I
LICENSE WITH
'LC'ACTION.
$50.00 (C)
after February 15 must pay
NEW APPLICATION (LA)
penalty in addition to fee.
0 RENEWAL
(LB)
NEW BUSINESSES AFTER
0 CHANGE
(LC)
JULY 31, 1/2 FEE. —
(PLEASE MAKE ANY NECESSARY
CHANGES) 0 DELETE
n m
ME OF F - I RM 9 BUSINESS PHONE EMPLOYEES
MAILING ADDRESS ?, NATURE OF BUSINESS
* '107 -lelic tVA$1,4&,0 S
-Y 4 &Apt-,e IL:�S
,,IBUSIN-ESS ADDRESS
7 Y-1/
/�u -e ct)
INDIVIDUAL PARTNERSHIP CORPORATION
. = P
(S) (P)
OWN-ERS-NAME
(11111wrles:
-ETJ
HOME ADDRESS
/ q —
7 S3 �-z V
HOME PHONE
DAT,� Of
BIRTH
PIL F 13IRT
TSOCIAL SECURITY NUMBER
EMEhGENCY NOTIFICATION:
(1) NAME
(PLEASE
LIST TWO)
(2) NAME & TELEPHONE G LEK'
Yj 9 J
*-
.WASHINGTON STATE TAX NO. APPLICANT'S SIG NATURE/yl//tz-��Z
DO NOT -WRITE BELOW THIS LINE
STAFF REVIEW: FILL IN LAND USE CODE, UFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR
DISAPPROVAL, DATE, AND SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT"
SECTION. ROUTE TO NEXT DEPARTMENT ON LIST.
PLANNING DEPARTMENT DATE LAND USE CODE ZONING
12"APPROVE 0 DISAPPROVE CODE
SIGNATURE
I I -T—] IS I I I -1�11
CONDITIONAL USE PERMIT
COMMENTS SIC)
BUILDING DEPARTMENT
DATE 2-.r,0 M.
APPROVE 0 DISAPPROVE
Building El
Hotel/Motel
(L)
SIGNATURE oft
Permit 0
Apt. Bldg.
(A)
I I I I I El
Office Bldg.
(0)
COMMENTS:
Occupancy 0
Restaurant
(R)
Grou 0
Hosp/Nurs Home
(H)
T CAPACITY: (NO. UNITS, APTS.,.OFF16ES, SEATS, BEDS, STUDENTS)
El
School
(S)
FIRE DEPARTMENT DATE U. F. 1. R.
APPROVE LJ DISAPPROVE SIGNATUR
COMMENTS:
POLICE DEPARTMENT
-,�<APPROVE 0 DISAPPROVE DATE -L-1 7- -2 SIGNATURE
COMMENTS:
PUBLIC WORKS DEPARTMENT
0 APPROVE 0 DISAPPROVE - DATE SIGNATURE
COMMENTS: