20521 85TH PL W.PDF111111111111
8083
20521 85TH PL W
NOTICE:
-N�o---w-'ar-rah-ty—ota—c-c-ur-a-uy.—..
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 Ecim.onds does not warrant the
accuracy of anything set for.th 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, -h
-er stub shown. Suc
the loc*ation of any sew
not exist and may
sewer stubs may or may
or may not exist at the location sh ' own.
Neither the City of Edmonds nor its
empto-yee*s o*r offi-ce-rs -sh-a-11] be Viab-'Fe for the
information given' on this rnap(s), nor for
tation provided based
any one represen
upon said map(s).
APPLICATION
0
The City of Edmonds-,,; for
EASEMENT NO - --------------------------------
SIDE SEWER PERMIT
t
NEW CONSTRUCTION REPAIRS F] LID NO . ............ ----- ASMT. NO . ..................
-V:; 4 E�,--74
OWNER ......... C.� CONTRACTOR ----- ----------- ------------------ PERMIT NO . ....................
-7t
JOB ADDRESS - — ------- — - cs:!�-->cE3 ------ - ----------------------------- LEGAL DESCRIPTION: LOT NO . ...................... - .............. BLOCK NO - -------------- -- ----------------
......................................... ---------------------------------- —, ...................... I ----------------------------------------------------
I V--.l �7--= IF21—\ �-->
NAMEOF ADDITION . ----------------------------------------------------------------------------------------------------------------------
.7-1 V:::�
Approved:
DATE----- .......... By -------------
e-
The Citv of Edmonds
APPLICATION
for
S11DE SEWER PERMT
NEW CONSTRUCTION -12k REPAIRS 0 EASEMENT No . ....... 7 --------- 1* ....... ** ------
......................
OVITNER ...... —K ...... ';TRACTOR ...... Zvi
............................................... .............. PERMIT No.
.......................... COI Ocl�i,;UL-
8�; >
LEGAL DESCRIPTION: LOT No. ------------------------------------- BLOCK No . ............................................
ADDRESS .........................................................................................
NAME OF ADDITION ....... ... ... hg� ----- VJC ..... . P,� ... . ....... P,'4 - — --------------------------
0
r2
2 1 1974
Approved:
DATE................................................ By ..........................................................
--r-P7 17. -.--7 �7,77r� 7 . ......
?
DMONDS-...'
iC71TY'-,OF7E St DIVE SEWE W PE:RM1T':-:'-,._,'
J.
-'.:.W!ATER-SEWEN.,DEPAIRTrA.EN.T'
. 0.,
r
j
ERM,
-r4
It
RE V6overing; n iPort on bf. th �ons rVe, op
C &;ii5';)525 f6r� �I' -%.,6qvcringj. e'.'
hours aftergetiust'
de,;scwer Inspeiction BFFOj1.E
"O'nspectio.z. be -ptoviqFq' �vit�inw, F4; t-':" ofldayr,inspe&ion
CP e�S
ADDRESSoLOG AnIO qNST-RUCT1ON..-,..�..0 ..... ................................... ......... I . ....................... ....................................
i.!i eR
I (V q Q
ION ......
�PROP -EGAL DESCRIFIT ........ .................. ....................................................................... ........
ERT.V..,L ...... ............................ ......................
V, ,
............ .... .........
. .......................................................... ................ ......... .......................................................................................................................
................. :OWNER, A
ND/OR,,BU1 ...... ....................................... .................. ........................................ ...........
7- % -
ACT &
CONTR QW&WAIMEL ADDRESS- ...................................................... I .......................
.......... .....................................
--Perinission�lls,,krani�d�"*'�";: ow.,
.......... ��of a-side:se r�:to.t"..'cl�yIiapit,
"S'ys'tem'-�-'Ili,,aecordan�c'e)wi'th,-Ctvo;i�,i�monds ordinance's'."
AT.�7NTIONIIS'CALLED.,TO,�THE:-FOLLOWING:, j
hel,owners of Jfii -pr.opert��,mayl:obtatn- a, permit',toj con st ruct,,-isewer', insIi1e*:piopeRyA ine.� A, licensed Side' S; il6r. must -be kemploye& to,cqnstr�tt
N No� V—T
side,sewer'i . strect area., Dlo,not'ecover,any portion'of 'sewer lbefore At...has
beery ins I pec�ted.,_
-WELY -Pernntt,bbtairralile,_f�on ffi
NOTE' -No. MV N�,ork �p�rf6ime*dl in*,'city".�ight-�f-�v&��'requirei �an, lnv��Ion".Of",Fught -�f ce.
I *' iiti'�n.,i�ga]rdiiigtOrdiqanc :11'�MOM'and;.Re�iii�tio�s; governing slde%sewers_w�en. ;06 'get, peim�it�
NOTE,No. 1—Obtain-full, in orm e
cs� C'oy�r�
g, C,property e and,12.,Inc es-jnside�,prop*er�y ��Ih�',Mlnlmuffi`gra:de'. ofi*2%�� :No'�-bends,,' wigrade
NOTE, No.: 4—T.p of side�sew"'C�,- must'.-�av�e,a�i-,I'Past'30' Inch
sharper:.than .,'A will'ibeqpc7itted.
'NOTE' No' '5--T.rencbes. In,Tstrect must -be water settled- anill surface'tof .:st reet. restortid, to- brlginali�condltton:.. Contraptors shall,�be,,responslble for falluire'due,�fo,`lrnpro,per:
devel?�, within one, year of. completion..
It is,�nla�vful..to ait�r'.�or'ciolany, otht�r.work_than, Is'provi6ilffor,in the Dermit,:.o "A
,_�work� which; may; do,any'work oil 1 e malft;sewe�r or;its appurtenances except t . o n-.,
NOTE No r 0,�
sert,thelpiliqlrit. , o the* wye.
a e,
.y A W16 .............. L:.; .......... ..
B
.......... .... ...
A' P P R OV
.. . ........
... ...............
.................. ............................................... * ............................. .....................
.........................
0.
Y.
. . : ........................... ....... .......................................
............... 77 .........................
.............. . .. ... ... .......... ......... ........
P equesi
r e Opll;� 'STL�B
BOTH V�' m� -forniffigi
�"'By� di,"er::6' Pei
stallation,cor d
7 ................. . .. hereby, r. yoth istructe&un 6r.ithis;,Permit
a y I
�ce t
(Uwner:.oi -Conti%�ctjng- Firm* Peif6rming. Cons*tr�ctlon),
wo
4
q-lnst ed imaccbrdancemith:,all goy-ernifig�o�dinaiieesf(if.�t'. of 0
y
F. 1
Ahis-� ..... ................ .
Telc'p h'"on*p",j
for,:, W Se%ver� -C];..
.�,_J-_-,Cheek.,-BEFORE',you, ig ater.
%
tV: -
REGARDING:
20521 - 85th Place 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
5/1/74
Greg Fornia
Certified
Letter No. 406336 sent
requiring
hook-up within 60 days.
6/21/74
Came into
office and obtained permit
#4874.
6/24/74
Conneaioa
mmleted.
ACTION TAKEN
Letter received.
INITIALS
TE
TE
TE
ostage)
T FOR CERTIFIED MAIL-30� (plus _p
RECEIP � �F.Ulb �194111 Am Rr �K,
-7-� OR VAQT -
422-02200
FORNIA, GREG
(_0
20521 85TH PLACE 0*
EDMONDS, WASHINGTON 141,
98020
�L FEES
CD OPTIONAL SIERVICES FOR ADDITIONI
1 Sho,�S t Whom and date delivered 150
RETURN - With delivery to addressee only ............ 65
- Show to re delivered .. 350
RECEIPT s whom date arid wher
2. ssee only .. ......... 850
SERVICES dcfiv�ry to addre
...........
DELIVER To ADD —�SEE ONLI .... -- d)
PS Form 3800 NOT FOR INTE AL MAIL Gpo: 1970 0.397,4110
Apr. 1971
d
SENDii'-- 46-su're: to 'fdll.�ik 'Ostru.c. #011s"on �of
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SY
BLOCK(
AND16T.tD..,
'RNISWSERVICQ01
PLEASE' fU -ed,for tltcsg' gervices)
(.A'dditio?ia1.6hargc9 uh
'De I.%,
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SIGq addr,6'ss
to,,abd rbss 'i
EPL,EA E',Wl
'b'ed'b'"e'lo w
e n.UMjjLred-,jrfjc esqri
Ef(lm ust;�alvvays DA,fillecIA6),
NAME OF�AOD
—SIGNKf1 4- 1
REGISTERED Nd..
At
G RTIFIED NO. SSE AGENT, IF,ANY
IGN TURE Q "ADW
4NSUREU Nu.
VE �D:
requested, aiidMt61q G.ZIP C"O'
E -DELIVERED!', ,SIIOW, �VjHER �DELI
ZY.
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