19826 81ST PL W.PDF111111111111
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19826 81 ST PL W
COMPLAINTS MST BE WRITTEN: NO VERBAL C(>lPLAINTS WILL BE ACCEPTED.
STREET FILE THIS FORM MUST BE COMPLETE. -5-
DATE - //I
CITY OF EDMONDS
COMPLAINT RECORD
COMPLAINT SUBMITTED BY:
Name: MLO Phone:
Address: &,or 0(-`-`TREET FILE
ADDRESS OF PROPERTY TO BE INVESTIGATED:
, AMR M, Z,�z
Nam of Owner:
Address: Phone:
DESCRIPTION OF COMPLAINT: mo
DO NOT WRITE BELOW TliIS LINE —FOR-CITY USE ONLY
CODE SECTION VIOLATION:
TYPE OF ACTION &"�PECTED:
TDE REQUIRED TO DNESTIGATE J ACT ON COMPLAINT:
RESULT OF INVESTIGATION: DATE: 5--IR,2 lq,-e, TIME REQUIRED:
INVESTIGATED BY;,--���
APPLICATION
for LY"
The City of EdmondsQin SIDE SEWER PERMIT C A
MENT No..J .. U4. T&# ........
4M-041r)() NEW CONSTRUCTION REPAIRS E] ZIP 139
OWNER......... ..... . ....................................
ADDRESS ......... ---------- . . .......
...... V...a . .
10
� 0
...... .......... ..... PERMIT No.
CONTRACTOR Z� ...... . ....... .
LEGAL DESCRIPTION: LOT No . ..... L3 ............................... BLOCK No . ............................................
0
NAMEOF ADDITION ........ Y4116fr ....... A�� .......................................... ..............................................
APPROVED,
JAN 2,- 1967
Approved:
D A T E
By
.........................
. ........ ? ..............
APPLICATION
The City of Edmonds
for
SIDE SEWER PERIV111T
EASEMENT No.
NEW CONSTRUCTION REPAIRS F!
_j -------
P
U
— --- ---- ------- -------- ------ CONTRACTOR ....... CA� ....... . ..... ----------- ----------------- PERMIT No. ...........
-
ADDRESS
...... ....
... .. ...
............. ............... LEGAL DESCRIPTION:
LOT?N-o.
------- ........ ......... BLOCK -N'o.
� .......
NAME O�' ADDITION
................. -----------
APPROVED
J�AN 2 0 1967
6b
Approved:
DATE................................. ......... By ........ ........ .............................................
-CITY'OF -EDMON,DS
Call PRospect 6-1107 when work
CIVIC CENTER WATER -SEWER DEPARTMENT Is ready for Inspe , qla�n. -.(No in ce- -515
tions Saturday, St.mdp�y_or' - hol . Idayi _s..) N2
SIDE SEWER PERMIT
ADDRESS ..................... 19.06 ..... .. 81st Place West
.... .. ............................................................................................... ........ ........................................................
Tonald
& U Construction Coo
MnMd..K....Starilng ........................................................... CONTRACTOR-P ................................. : .........................................
Permission is grantell January 20 67
d .............................................. 119 ......... for ...................... days, to REPAIR or CONNECT a side sewer
with City Sewers In accordance with application on file and governing ordinances.
ATTENTION IS CA_LLED 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 not 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; rnInImum 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 stieet restored to original co I ndition. 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 ap-
purtenances except to insert the pipe Into the *ye.
J
E A S E 11 E N T-
F r q_gpod and valuable nsiOeration the grantors �o L) (.1
eo `�,_. Ic & �_
C_ (q R_ , Id c, hereb grant
to the owners, L-6c Mq1_LeiZ�C-#P_A A
and to future owners of:
OT ( 2- A L-L-
An easement for the installation, operation and maintenance of a sanitary
sewer line over, across, through, under and upon the following described
property, situated in Snohomish County, State of Washington, to -wit:
DATED this day of A A) ti.
STATE OF WASHINGTON
) ss
COUNTY OF SNOHOMISH )
on this day personally appeared beJ
and ('1 j -,a _.,z - ze", to T
1 09, 1 "
destriMed in and who executed the withilln and foregoing instrument, and
acknowledged that signed the same as free and
voluntary act and de-eA 'for the uses and purposes therein mentioned.
GIVEN under my hand and official seal this day of
I
A,a*
,,.,Notar)r Public in and for the
State of Washington, residing
at
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