19801 86TH PL W.PDFiiiiiiiiiiii
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19801 86TH PL W
NOTICE:
rra n
N a'ttached
The information shown on the
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 for.th on t - hese
rnap(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the inform-ation shown on
-m a p (s) , Including, but not limited to,
th . e location of any sew-er stub shown. Such
sewer stubs may or may- not exist and may
at the location shown.
or may not exist
Neitheir the City o monds nor its
f EA
empl-o-yee-s o*r offi-ce-rs -sh-a-11-1 be 1--ia-b-11--e for the
information given' on this map(s), nor for
e representation provided based
any on
upon said map(s).
APPLICATION
for
The City of Edmonds-S-T ILE SIDE SEVVER PERAHT
__'? I / OUTSIDE 0 INSIDE E] REPAIRS
CARD No . ...........................
. I..'
EASEMENT No, ......................
Z- /9
OWNER
-- - ---------- - - ...... CONTRACTOR ------------- ..........
7 .............. — ------------- - -- --------------------------- ------_----- PERMIT
? STREET
HOUSE No. _-:6 ------ / / V(� / ?, K /�/� _ �., c_.
.. . ... .........
------ AVENUE LOT No . ...................... _I_;
.................................... ........... BLOCK No . ...............................................
NAME ADD . .........................
................................................ .............................. .............................................
W,
OV'EDMONDS
C. Ti
'*A:IER�SEWER EPARTM Call �'PILOSPect 6-1107
-61VIC CENT]ER U1,
when wok
ENT 11ti YAo (No ins
peq-
t!OrZi S&5rday, Sunday or holidays.)* NV�
4Y-
�'S EWER- Of
S I D'E'
lqgq,-114�_-�.; 86tfi'�'P,]
.................
�� ........ .......... ................
:.11 ......... 4i�
. ..................................................................
OWNER'..—YA .... enry --- 131"i,
---------- -- Mier... ..........
7... CONTRACTO*
------------ 1*1
Perinission is gran 0 q t ob e"I r�,
DIM ... . ................... .
. .. .......... "ys;-- REPAIR or CONNECT�'�'-_sid , e sewer -
for ........
diqttion A e L'I K0verning:or
with Cit co da'
y -welfs in a4c r nce wit
dina
D TO THE FOL IN
NTION IS CA�=,
NOTE No;,
roperty m ti In
Property m 0 t:�, 0
of the Property m L!n A plermij�.'
be� employed to, construct side�'se e In nLrqcL are con.troct newer inside-prt)p.!e�rty-,Iine..-I�,; licens , Ida Sewer Con
a. tractor muit I"
out cover any Portioft"or sewe,,,.
1, NOTE No-'�--Obtaln�_l
..full 'iiiformation regarding and
and ulations goy.
NOTE N TOPL oV side se or � must have at ieas permit.
11,;h c er *oporty line and. -ij��:
No' be Q I�tc r I
in gradc� 1411n.rper th.'�. it e m film in grade of 2%
NOTE No. �,-Trenc es nult be water
—Lied �nntl r et restored t 'n 'I 66naitio'n. :nti�6tors%imuill be responsible for
failu -e du im "11jer work wfii '. n 0 or
t
IqV
PI
Ono year of Com e t I
"NOTE No. 5.�It is unlawfull"MU an. r or (to any 'o ;I( titan is provia d for In the perniii;� r to do,an ork
tl.,j o
purteriances excpn I I I. the pipe into wye. . _ �n .:,,e, maln sewer or Its ap-
1V
�Z
...........
Date Approved:
BACKFILL WORK ORDER ISSUED .................. ---------------- DEPOSIT, ................ ............................
-- ------------
SEWER WORK ORDER ISSUED .......................................... DATE 2 ......
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