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CITY OF EDMONDS
PUBLIC WORKS DEPART T FOR INSPECTION CALL Permit
SIDE SEWER PERMIT Ext. 220 Issue Date
PERMIT MUST BE POSTED ON JOB SITE
0
1., Address onstruction
2. Property Legal Description (include all, easements) Parccl /U0.
( �F_e S-2-q-7rF )
3. Single Family Resid ence V Multi -Family No. of Units
Commercial
4. Owner and/or Builder V V ce Uja V
5. Contractor & License No. Gm-6vet Deved.
6. Invasion into City Right -of -Way: No V111, Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation).
7. Cross other private property: Yes No �Easement required -
attach legal description and county easement number.
READ THE FOLLOWING AND SIGN:
a. Property owners must obtain a permit to install side sewers on
their property. A licensed side sewer contractor must be employed to
construct side sewers in the public' right-of-way.
b. The side sewer contractor assum a 9411 Lmep t-1 CL L, I
installation for one year. . 111y�gD19c
C. Commercial establishment requir sa m OE R (W)
side sewer line.
d. Side sewers may not be\Installe clo th n :hWD000 h s ( 011)
to any structure. MEE
e. Side sewer lines must be laid a u rade. o, 1.15
and maximum grade of 100% (450).
f. No turn in side s8wer greater t A t
between cleanout. All 90 turns must b e OC T
bend) and Wye with removable cap. T1 _C R TIN It
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer.lines
through other than granular soil. ,
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 1001 along sewer 'line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k. Side sewer must be left uncovered until inspected and approved
by the City.
� 1. Inspection during normal working hours only. Two (2).Working
days notice required.
DATE:
I -certify that I have re&d
and shall comply With the above
r4l t T_
PERMIT FEE: 7> < _rmufj �r_ ) DISAPPROVED BY: Date:
V See By: Date:
CONNECTION FEE: -515-SZ— RrzvEkSWPROVED BY: og2 _Date:gg, 1
*,PERMIT MUST BE POSTED ON JOB SITE
t;�- Side Sewer Drawing
The City of Edmond
EASEMENT NO - ----------------------- _- ----------
NEW CONSTRUCTION REPAIRS El LID NO. .............. ASMT. NO - ---------------
OWNER ----- f5F�.�CE: --- ----- P?� ---- -------------------------- CONTRACTOR ------------ ..... PERMIT NO. -5��
JOB ADDRE LEGAL DESCRIPTION: LOT NO. -------------- BLOCK NO - -----------------------
NAME OF ADDITION -------------------------------------
ll�
DATE...... -------------------- By .... ----------------- --------------------
PWW4=1-11175 (REV.11178)
CITY OF EDMONDS LARRY S. NALIGHTEN
250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-3202 STREET FILE MAYOR
COMMUNITY SERVICES: PETER E. HAHN
Public Works 9 Planning ei Parks and Recreation e Engineering DIRECTOR
, 890 . 19 L)
February 27, 1990
Mr. & Mrs. Anthony Askander
19222 - 76th Avenue West
Edmonds, WA 98020
Dear Mr. & Mrs. Askander:
I have reviewed your account for the past year and also talked to the
utility billing department regarding your account. I will authorize a
credit per our city policy: the average consumption for the same period
during the previous year charged at normal customer rates, plus the
excess usage charged at the City's cost, plus a surcharge of 15%
applied to the excess only.
Should you have any questions, please call Ilene Larson or myself.
Sincerely,
Bobby R. Mills
Public Works Superintendent
BM/lk
cc: Ilene Larson
Utility Billing Clerk
#327600/TXTWATER
* Incorporated August 11, 1890 9
Sister Cities International — Hekinan, Japan
-7 ,7
UTILITY SERVICE ORDER.
CTO
Service Address
07 K 6J..-
Requested By.-
Water- Service Date: Tion
T/Off- C
Re/Pd__��
Reread
Location of Meter
Leave D/H
Customer"
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Cape",""
1701
/10131
1
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NEW METERS INSTALLED
:Rea By
Date,
Size
LOCK0 L04LOCAO
Notes 04 1
Residential
A L��, �2 1-4
Apartment
Units
CLOSING BILLS TO:
Office
Units
7�
Conurcial
Units
Name
Sprinkler
Other
Street
Sewer Avail.
Unavall.
Address
Meter Charge
0
Connection
city Sta
Street Cut
Total
DEPWIT
1.
ENTER CUSTORMS/NEW KURS
Written By
Customer No.
Sort Code
Type
Mun.? MAILING ADDRESS
SERVICE ADDRESS
Name
Name
Address I
Address I
Address 2
Address 2
City/State Zip
City/State
Zip
Phone
Phone
Ser*vice Location
Active Date
2. ENTER CUSTOMERS SERVICES
Customer No.
Start Date
Rate No.
Billing Type
Address
Code
Billing Cycle
I of Digits on
Meter
Factor
Last Reading Date
Meter No.
Last Meter Reading
Route/Sequence
Meter Size
Cust. Equiv.'Cl&ss
Sprinkler
Sewer Connected
11
JAN 31/1990
TO: MR. BOBBY MILLS
ABOUT A WEEK AND HALF AGO I RECEIVED A NOTE ON
MY GARAGE DOOR FROM ONE OF YOUR WORKERS ABOUT A
POSSIBLE LEAK IN MY HOUSE IN ONE OF MY -"TOILETS.
I WAS VERY SUPRISED, SO I HAD MY HUSBAND CHECK
IT OUT BUT HE COULD NOT FIND ANYTHING WRONG.
THE FOLLOWING DAY I CALLED YOUR OFFICE AFTER I
RECEIVED THE SHOCKING BILL OF $165.? , WHICH IS
VERY ABNORMAL CONSIDERING OUR USUAL BILL IS ONLY
$30.00 to $38.0'0'EVERY COUPLE MONTHS. AND OF COURSE
IT IS NOT SUMMER TIME WHERE I'M RUNNING THE SPRINKLER
SYSTEM OR ANYTHING ELSE.
DUE TO THE FACT THAT I WAS NOT AWARE OF THIS\PROBLEM,
I'M ASKING YOU IF YOU WOULD PLEASE TO GIVE ME CREDIT_
AND I ASSURE YOU THAT I HAD MY HUSBAND TAKE CARE OF
THIS PROBLEM AS SOON AS WE FOUND OUT.
PLEAS'E LET ME KNOW SOON OF YOUR DECISION. I HOPE IT
WILL BE TO MY BENEFIT BECAUSE I REALLY WAS NOT AWARE
OF THIS PROBLEM. AND I TOOK -'&ARE 'OFIT S--�-OON.-'
AS I FOUND OUT. THANK YOU FOR YOUR SERVICE AND YOUR
COOPERATIONS FROM YOU AND YOUR WONDERFULL STAFF.
P.S. I REALLY APPRECIATED THE FAST RESPONSE FROM
MR. WILKINS BECAUSE WITHOUT HIS HELP I WOULD HAVE
NEVER BEEN AWARE OF THIS PROBLEM.
RECEIVED.
FROM: LOLA W ASKANDER &
FEB 0 2 1990 ANT ' HONY L ASKANDER
19222-76th AVE WEST.
PUBLIC WORKS ..EDMONDS WASH, 98020.
778-9159. home.
771-2544. work
AGAIN THANK YOU VERY MUCH, AND I HOPE TO HEAR FROM
YOU AS SOON AS YOU REACH AS DECISION. OK.,
I'M SORRY IT TOOK ME SO LONG TO TYPE THIS LETTER
BUT I HAD A VERY SICK GIRL ON MY HAND.
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COMMENTS: /hta L'a
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CITY OF EDMONDS
N E W"
ADDITION
RETIREMENT
I DESCRIPTIO
ILOCATION
/ ") 2- J t-
"PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
t�np
EitSTREET F fflM 1: ORMATION SHEET
ASSET NO. I- /, 1 2--
ADDITION TO ASSET NO.
t4i
SERIAL NO.
DEPT. NO.
*PROJECT NUMBER 2-3
PROJECT COMPLETION DATE (o-3o-61(3
COST ��^ q,5- - 6 F-
B.A.R.S. ACCOUNT NO. q 0 / 15- V �5- cic,
ESTIMATED LIFE -6'
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
Wl DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
INITIAL
REFERENCE
UAlt
VERIFIED BY
PROCESSED
BATCH NO.
DATE: May 13, 1980
MEMO TO: John B..Mitchell, SupL.
Water/Sewer Division FILE COPY
-FROM: James E. Adams, P.E.
I
City Engineer Eff FILE
SUBJECT: SE14ER CONNECTION CHARGES
IRPAPAPAW10141 =9�00151 0=0 4
BruQe R. Warhol
(Legal Owner)
Single Family Residence XX
PRD Multiple
LEGAL DESCRIPTION:
Parcel No. 2 (See S-29-79)
XX
Subdivision Plat
Commercial
The South 95.00 feet of the East 146.00 feet of
the South half of the North half of the North
half of the Southeast quarter of the Southeast
quarter of Section 18, Township, Z7, North, Range 4
East W.M. . 1 .1
EXCEPT the East 30.00 feet thereof for road purposes.
Situated in Snohomish County, Washington.
SUBJECT TO an easement for ingress, egress and
utilitites, over, under, through and upon the South
25.00 feet thereof. $5.50Z. F.F. City of_Lynnwood-76th Ave. Sewer-
Z.F.F. Calculation: September 8, 1961 age System
93.73 Z.F.F. x ( 5.50 $ 515.52 Connection Fee
Lateral x( $ Lateral Charge
$ Equivalent Count
(when applicable)
Units(s)x( $25.00) $ 25.00 Trunk Charge
$ 10.00 Permit
$ 550.52 TOTAL
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DATE: Z' I ct a 0
MEMO TO: John B.,Mitchell, Supt.
Water/Sewer Division
FROM: James E. Adams, P.E.
City Engineer
SUBJECT: SEWER CONNECTION CHARGES
192-2-2- -'� (b"
(Street AddressT—
Bvvc wovk 0
(Legal Owner)
Single
Family Reside nce
Subdivision
Plat
PRD
Multiple
Commercial
LEGAL DESCRIPTION:
I)o r 2 Zcj --7 q
The South 95.00 feet or Lhe East 146.00 fccL ol' t 1,
South half of the North half of the tiorLh half Of
the Southeast quarter of the SOLIthcasL quarLer of
Section 18, ToAn5hip 27 11orLh, 11ange 4 Last W.H.
['.xcu,T the Last 30. 00 f ecL thereof for voad purposet-
SitLl3ted in Snohomish County, Washington.
SUBJECT TO an casement for ingress, C( * JrC55 Jnd
utilities, over, under, through and upon the SOULI)
25.00 fect thereof.,,
16,,5.5 o -2. P. F Ct-+-rA (3 P LsAtiowood -7�;" A\je-. '��ewey'aqe
Z.F.F. Calculation: 5e I kq
Z.F.F. x $ Connection Fee
Lateral x( $' Lateral Charge
$ Equivalent Count
(when applicable)
Units(s)'x( $25.00) $ 2-5-00 Trunk Charge
$ 10.00, Permit
$ TOTAL
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CITY of EDMONDS
Civic Center - Eclimonds, Washington 98020 - Telephone (206) 775-2525
Office of the City Engineer
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CITY OF EDMONDS MW
PUBLIC WORKS DEPARTMENT
RIGHT - OF - WAY CONSTRUCTION PERMIT
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A. *Address or vicinity of Construction
/ �' 7 ;_1 -? -
,7/
_Z:Y
Owner:
Name
Mailing Address
City, S ta te, Zip Code
S4 10
9 Contractor: _ - L42,
Name
2 o / 1 1-441
Mailing Address
/ ;,;, 117 J-9 - IJ,41
City, Zip Code
Wit No.
Issue Date
Permit Issued To:
Type of Work to be Done: -7_A-,e_—A11'-1_,A
Work in Connection With: 'S 4"W
0 Sub or Plat .9 Single Family
1:1 Comml. / Ind. El Apt. Condo.
Pavement Cut: El Yes No
State License Number
-7 -7d — -7
TelephoWNumber
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
B. APPLICANT TO READ AND SIGN
INDEMITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless
from any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made
against the City of Edmonds, or any of it's departments or employees, including or not limited to the defense of any legal
proceedings including defense, costs, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
following the final inspection and acceptance of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call
775-2525, extension 220.
I understand that this permit must be available at the job site for inspection purposes at all times.
Signature: 4 ' J ,
Owne or Agent
THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By: —0 ---"
4/ - J
Time Authorlied: Vold after _-Ft-) . —days
Special Conditions:
Ammendments:
Permit Fee:
Security Deposit:
Receipt No.:
Fund III Fee:
Street Cut Dimensions
X
* * �,,NOVORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. Div. December 1978
�IELD INSPECTION TES (Fund. 111 - olute c6'n:.v to Stree't,Dent.
Comments:
Diagram:
Contractor called for inspection Yes NO
Work Disapproved By: Date: Bv: Date:
Work Approved By: <5zn;��Ve Date:
Inspector:
Ena. Div. December 1978
1 5 - -
PUBLICUORKS DEPARTMENr CHEaCLIST
BUILDING PER,11T REVIEW
-,7/ 771 40C E/0 F - 1-11-71-90
(a ss) 9 1 V7"_ (date)
Street Right -of -Way Existing 6191
REQ�_ 1W A,45�'
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Access Easements Exist
H
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Utility Easement Exist
W
Int Per Subdivisim,�o� �-- �!lat
Assessor Map_5�K �6�-
W
Site Plan Checked for Accuracy,
Z
Underground Wiring Reqd.
�A
U
Check Accuracy of Legal Description
Z
Review by T -,;�w 1W
Date 1 1
r4'
Existing Water Main Size 19�
Water Main Required
Service Line Required
Hydrant Size Existing, S��
Hydrant Reqd Per Fire Code /V
1,4
—Size
Detector Check Meter Reqd.
Cross Connection Inspection
Fire Department ConvLents
,4ater Meter Charge Reqd.
Review by.
Date
Septic Tank Design Approved
Date
Septic Tank Permit Reqd.
Permit No.
Sanitary Sewer Avail -ability
Proj
Drm,Ting No.
File No.
P4
Side Sewer Availability
W
Sanitary Sewer Connection Fee Reqd.
:3:
Review by.
Date
Open Ditch Existing__,&,��
_Reqd.
Culvert Reqd. 7, 1
Size -------
C4
Catch Basin Reqd. 1�ez '. E,-i�. � n.
Indicate an Site Plan
o
Shoulder drainage maintain collection an swale open runoff I'f-e -v- P_4gjA
Manhole reqd.
Indicate on Site Plan
Soil Conditions and Ground Water Field Checked L4,, -e. 7�' /' o!y.
Review by_&,g�3��a�..�Date
;Z/— S..-62
Revised: Iv10-1977
Page 2
Street Paving Reqd. R-ev
Curb and Cutter Reqd. I I
Sidewalk Reqd.
Curb Cut for Driveway Reqd. -e 5,
P4 Right -of -Way Construction Permit Reqd.
Bond Reqd- for Public Inpravements S7
Street Name Sign Reqd.
Other Signing Reqd.
IM, Pre Permit Site Inspection made on
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ENGINEERING
Special Requirements listed in mem to Commmity Development Departnent,
Building Division
BY Date
c) All item filled in on. Building Permit Application
P4 BY Date
P4 Drawings Stanped and Notations Made
P4 BY Date
Approved by Public Works Department
Fevised: lv 10-1977
DATE: -cq o
14EMO TO: Building Division.
Community Development Department
FROM; Engineering Division
Public Works Department
SUBJECT: N2— 22 74
After review of the subject building permit application, we have
the following comments:
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Street Rig�it-of-Way Existin� �K;'
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Access Easements Existing,
_REQD
Utility Easement Existing__L�e.t-�
...REQD
94
lot Per Subdivision ),I Plat
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Site Plan Checked for Accuracy_
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Underground Wiring Reqd. y/—,
Check Accuracy of Legal Description
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Reviewby
Date k,(,
Existing Water Main Size Z."
Water �1ain Required AM
Service Line Required _'31/
Hydrant Size Existing
Hydrant Reqd Per Fire Code
Size
Detector Check Meter Reqd.
Cross Connection Inspection
Fire Department Conuients
Water Yleter Charge Reqd.K:
Review by,
Date
Septic Tank Design Approved
Date
Septic Tank Permit Reqd.
Permit No.
Sanitary Sewer Availabili
Proj
Drawing No.
File No.
Side Sewer Availability _
94
Sanitary Sewer Connection Fee Reqd.
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Review by
Date
Open Ditch Existing___A,�
_Reqd.
X
Culvert Reqd. r_2_�',/ Z"
Size .............. .
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Catch Basin Reqd.
Indicate on Site P lan
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Shoulder drainage maintain collection on swale open runoff—/'
Marffiole reqd.
Indicate an Site Plan
Soil Conditions and Ground Water Field Checked t.,S, " r _
Review by �P
Date
N.'s
Revised: lvlO-1977
BUILDING DIVISION
Applicant Fill
ZONE/��_f NVR
PERMIT APPLICATION71nside
Heavy Lines
NAME JOR NAME OF B1 IS )
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ADDRESS
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LEGAL DESCRIPTION UBD�IVISIION
SHORT SUO NO.
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W MAILING ADDRUSIS
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
CITY
ELEPHO NUMBER
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DEFICIENCY OF RIGHT OF WAY
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PUBLIC IMPROVEMENTS REQUIRED
to
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0:
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DRAINAGE IMPROVEMENTS REQUIRED
0
(K CITY
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LEPHONE NUM13ER
NUMBER
DRAINAGE PLAN REQUIRED
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UNDERGROUND WIRING REQUIRED
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NAME
CONNECTION TO SANITARY SEWER
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SEPTIC TANK PERMIT REQ'D n NO.
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ELEVAT ION OF PROPERTY CORNERS
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& FOOTINGS REQ*D
CITY
TELEPHONE NUMBER
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-40
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Legal Description of Properly (Show Below or Attach Four Copies)
METER SIZE
BUILDING SUPPLY SIZE
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SIGN AREA kS A O.BLNO.
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SHORE LINE
REMARKS
VARIANCE OR CU [PLANNING REVIEW BY _TDATE
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FRONT
Er- EW
RESIDENTIAL
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FIRE ZONE
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ADD
NON-RESIDENTIAL
SIGN
DEMOLISH
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SPECIAL INS�PE
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OR FILL
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PLAN CHECKED BY
REPAIR
INSP.
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4UMB ER OF
REMARKS
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UNITS
— NATURE OF WORK TO BE DONE
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BUILDING
PLUMBING
MECHANICAL
FENCE
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in "Applicant, on behalf of his or her spouse, heirs, assigns and
$A
SIGN
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successors in interest, agrees to indemnify, defend and hold harmless
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I the City of Edmonds, Washington, its officials, employees, and
RETAINING WALL
M agents from any and all claims for damages of whatever nat C,
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x arising directly or indirectly from the issuance of this permit. ISSU.
POOL
COVERAGE
SIDE REARI
STRUCTION fCODE jH2
OCCUPANCY
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
VALUATION I FEE
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o I ance of this permit shaU not be deemed to modify, waive or reduce
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Is
STREET FILE
Memo to: Director of Maintenance & Operation
Public Works
From: City Engineer
Subject: Sewer Connection Charges
Date July 5. 1974 -
Legal Description:- Lot "B":.- The S 164.93ft of the E.116 ft of the
followi ' ng described Tr'act, sd Tract being the S P2,
N P2, N �2-, SE P4, SE P4
,,, of Sec. 18, T 27 N, R 4 E,
Except the W 1017 ft and,the E 30 ft thereof.
RECEIVED
JUL 5 1974
Commonly known as: . 19222 76th-.Ave. W.
Z.F.F. Calculation:
93.7 Z.F.F. x '($5.50 )
Lateral x ($100 )
unit x ( $ 25
cc: Roy Williams
Owner: Roy L.'Wi.11i,ams
. 1820&3d N.W., Seattle, 98177
$ 515.35' Connection Fee
$ 25.00 Lateral Charge
$ 25 .00 Trunk Charge
$ 1000 Permit
$ 575.35 TOTAL
Form 6
F Ale
BRUCE
WA R t E IDS - ENGINEEERING DEP
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LOT)( REET FiLrElillc-ciby-R
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SCALe:
79-403