20104 81ST AVE W.PDF11 lill 111111
7376
20104 81 ST AVE W
NOTICE:
-------N-o--warra-n-ty---of_ -accu- ra-cy.
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City.of �Edmoncls does not warrant the
accuracy of anything set forth on these
map(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shoWn on
-map(s), including, but not limited to,
th . e location of any sewer stub shown. Such
sewer stubs may or may, not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
emptoyee-s or officers -sh-a-11] be Via-b-l`e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
rh'e of Edmonds APPLICATION
for
STREETFILE SIDE SEWER PERMIT
NEW CONSTRUCTION 0
EASEMENT NO . .............................................
LID
ArMT xTQ
O\VN
-----------
...... ------------------------ ---CON TRAGTO L��t--.OQ
R _ .........
---------------------- .......................................... PERMIT- NO-.--:
JDB ADDRESS ----- --------------------- -----
---------- __-LE G A L� �DE SC RIPT -10 N.: - - LOT-- NO
...................
REPAIRS E]
------------------------------------------------------------------------- I ----------------------------------------------------------------------------------------
NAME OF ADDITION :
---------_--- .......................................... ..
------------
W- �(fl=_-7 LINE) P�-_)T.
Approved:
DATE
By
.......................
-- --- -----
APPLICATIC
for
The City of Edmonds SYDE SEWER PERAHT
.............
NEW CONSTRUCTION REPAIRS 0 EASEMENT No . ........ . . . ..........
V
........ ...... CONTRACTOR
OWNER .... —114�.A .... — /-.j
... ... ....... . ..... ViPERAUT No.
ADDRESS
................. .................... . .. . .......................... ........... LEGAL DESCRIPTION: LOT No . .......... ..... .......................... BLOCK No . ......................................
7
NAME OF ADDITION Zf.A--51 .......... fj
5 A
--- ------------ ... ..........
Al )AI
44
RECEIVED
JUN 2 6 1974
Approved:
DATE................................................ By ......................................................................
OF EDMONDS SEWER
WATER-SEWES DEPA, _" PERMIT
MIMN21
PERMIT N?
Call 775-2521S for aide sewer Inspections BEFORE covering any portion of the construction.1
Inspection will be provided within 24 hours after requst, NO Sat., Sun., or holiday Inspections.)
4902
gn
ADDRESS LOCATION OF CONSTRUCTION ...... 2.0.104 ......... P.T.S.T...Ay.enme .... W.e.s.t ......................................... . .......................................................
PROPERTY LEGAL DESCRIP17ON ....................... Lo. ... t ..... N ... o ......... 2 ... 6 ..... E..a. ... s ... t ..... Eld ... m..o. ... n d.s. .... A ... c.res ... D i v.... # 2 ... Le s s.. W ...... 1671 ... an
less FDT. Beg. N.E. Corner Thence 65' th W. 1371 th N. 65' t'�ence .... E.' *137 '*** ... ... * ... * ... ..............
.................................. I ........................................ I ......................................................................... .......................................................................................................
................................................................. OWNER AND/OR BUILDER ...... KCHARD ... FALC.OME ............................... .......................................................
CONTRACTOR'S NA31E & ADDRESS ...... LYNNWOOD SEWER CONT.
................................................................................. ................................... . .......................................................
A nission Is granted ............................. 0.qpq ... ........... 19J4,
in accordance with City of Edmonds ordinances. ... for repair and/or connection of a side sewer to the city sanitary sewer
'_�ENTION IS CALLED TO THE FOLLOWING:
A
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—All work performed In city right-of-way requires an Invasion of RJght-of-Way Permit obtaJnable from the City Engineer's office.
NOTE No. 3—Obtaln full Information rega-rding Ordinance 11.16.030 ard Regulations governing side sewers when you get permit.
NOTE No. 4—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 'A will be permitted.
NOTE No. 5—Trenches In street must be water settled and surface of street restored to origiral condition. Contractors shall be responsible for failure due to Improper
.work which may develop within one year of completion.
NOTE] No. 6—It Is unlawful to alter or do &ny other work than is provided for In the permit, or to do any work on the main sewer or its appurtenances except to In-
sert the pipe into the wye.
DISAPPROVED0 Date... ............................ By ................ Date ...... .................... By ................ Date ............... . ................... By ................
17
APPROVED 0 Date ....... IgL*, ........................
. . ......................................................................................
By.
Remarks:
...........................................................................................................................................................................................................................................................
BOTH Pe it Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
............. .... hereby certify that the side sewer installation constructed under this permit
ntracting Fiyrri Performing Construction)
(Owner of co ;
WELS installed in accordance with all governing ordinances of the City of Edmonds.
Datedthis. —I .. 3 .... ........... day of ...... ................................... iq.ZY
-J V Check BEFORE you dig for: Water C], Gas [], Telephone.0, Power F], Sewer F], Other 0 -� 4
STREET FILE
REGARDING: 20104 - 81st Avenue West
(address)
R E C 0 R D 0 F C 0 N T-A C T S
DATE NAME, PHONE NO., & COMMENTS
ADDRESS of CALLER
S/l/74 Darlene Falcone Certified Letter No. 406311 sent
requiring hook-up within 60 days.
6/26/74 Lynnwood Sewer obtained permit #4902.
7/1/74 Certified Letter No. 406S66 sent
requiring response by July 12.
7/lS/74 Lynnwood Sewer can't install— before
7/19/74.
9/13/74 Connection completed.
.ACTION TAKEN
Letter received.
Letter received.
Don't shut off water.
INITIALS
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PLEA�E
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R '��e:RECEIPTp,,� -4
kl-.11 v eCetV6dfhqnumbeii!d4rf�c" RECEIPT FOR C
I'T RED -No. IL�� described bdiow , '-'' .. I --:Z- ______
EF?Tj
SIG 418-0510
SIG T �F'ADDRESSE MlAllt-300', (p,
T-7-Y�7ke filled in),
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DARLFNF
2-0.104 POSTMARK
81ST AV—
E'OF A D EDMONDS, W4SHL`- W f
TIIIF�ANY.
2
C)
INGTON
0PT#0 30
1111111 98020
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—DELI'VER.—fol With deliver 65e,
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NOT FOR IN 'TERNATIO OVjDED_
(See other
:iWh6re de1iveF6d:. AL MAIL
side)
CPO: 10700�397,458
Re ei.v' iiadq ficle- described
REGISTERED- NO. 6�
SI 9 NAME ADDRESSEU 'luiteall I e. fal6a'ia).
CERTIFIED NO.
fSIGNATURE.0E-APDRE
_SSEE'S1,AGENT,.AF ANY I
T"
RECEIPT FOR CERTIFIED MAIL-30� (plus postage)
�DATE. DELIIVE7RED., §HOW *WHERE .-DELIVERED.r (Pnlj ii rcaitcste'd.'dizd'ir.e�,�d�LZ�p
SENT TO
POSTMARK
3 R DATE
CID N 0.
tfzz
STREET AND
Li P.O., STATE AND ZIP CODE
(b , : %W
OPTIGMAL S6�Vl �E;FOR�ADDITIO
�IA. �EES
R RN
ETU 1. shows to whom an
With delivery to addressee
RECEIPT only
SERVI CES Shows to whom, date and where defive
With delivery to addressee. only . .
854;'_
DEL IVE To `DDRESSEE O�Ly
.......... .............. ............... I . ......
50d
y 1____ __ __ .
SPECIO D_)_E1:LL_jVER. I k extra tee requi rnef) . ...............
PS
Form
Apr. 1971 3800 NO INSURANCE COVERAGE PROVIDED—
(See other side)
NOT FOR INTERNATIONAL MAIL
CPO: 1070 0-327-456