21016 80TH PL W.PDF111111111111
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21016 80TH PL W
NOTICE:
No warranty of accuracy.
The -information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of Edmonds does not warrant the
accuracy of anything set forth"on these
map(�-). Any person or entity -req uesting a
copy should conduct an independent
inquiry regarding the information shown on
tFe -map(s), including, but not limited to,
the 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
emp-I-o-yee-s o-r office-r1s) Sha-111 be liabj-11-e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
CITY OF EDMONDS
Call PRospect 6-IL107 when work
CIVIC CENTER — WATER -SEWER DEPARTMENT is ready for inspection. (No Inspec-
tions Saturday, Sunday or holidays.) N2 3291
SIDE SEWER PERMIT
ADDRESS ............ 336 - 20th Place South
................................... ....................................... ..............................................................................................................
OWNER -------- RQ9er .. KlIeXill ------------------------------------------------------ CONTRACTOR .... Zdtn.QAdq.. d
!h4rapmn ............................
Permission is granted ........ ..... 19 ......... for ------------------------ days to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —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 regaxdft 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; minimum 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 street restored to original condition. Contractors shall be responsible for
failure due to Improper work which may develop within one year of completion.
No. 6--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 appur-
tenances except to Insert the Pipe Into the wye.
APPLICATION
J
for
The City of Edmonds SIDDE SEWER PERMT
NEW CONSTRUCTION [] REPAIRS
OV*rNER .... ... . . .............. f .. /
�p. ?0e
-71-A-e �0 ..............
ADDRESS( ................... .......... ............... ........
,.*16 / 4 — 96 7-* A 4j -
EASEMENTNo . ..........................................
CONTRACTOR 4�Z�IW ---- ... .............. PERMIT No.
................
LEGAL DESCRIPTION: LOT No, .... �ge .................................. BLOCK No . ............................................
NAME OF ADDITION ........ .................. .. .. ....................... ............................
APPROVED
JUN 6 1969
�19
Approved:
-ip
DATE ... ........ .......... By ......
Ty
7 CITY.of EDMONDS
AINESS LICENSE APPLICATION *E- LICENSE NO.
Civic Center * Edmonds, Washington 98020 REET FILE
City Clerk Phone 775-2525
ANNUAL FEES
PENALTY AFTER FEB. 15
0 HOME OCCUPATION
INSTRUCTIONS:
CLASS[YEAR
LIC. EFFEC. DATE.
LIC. NO.JSPEC.
$10.00 (A)
ADDITIONAL $5.00 0
• All items must be completed
(�
?,ql I
IREASG.
. . 1, 1 1 1
1
1
XSMALL BUSINESS
P
or application will not be ac-
RECEIPT No.
1 DATE PAID
AL-
PRINT
$15.00 (B)
-ADDITIONAL $7.50 0
cepted
0
IN SPEC. Box
FOR ISSUE OF
0 Business with 10 or
• Sign and return application
FEE PAID PENALTY PAID
I
CORRECTED
LICENSE WITH
more employees
ADDITIONAL $25.00. 0
with fee. Renewals received
'LC' ACTION.
.$50.00 (C)
after February 15 must pay
0 NEW APPLICATION (LA)
penalty in addition to fee.
0 RENEWAL
(LB)
NEW BUSINESSES AFTER
0 CHANGE
(LC)
'JULY 31, 1/2 FEE.
(PLEASE MAKE ANY NECESSARY CHANGES) 0 DELETE
(LD)
'i
�71E OF FIRM
C-- b<1-- /r/- /< -
4
I P,r
BUSINESS PHONE
-
16;�6
NO. OF EMPLOYEES
. 1��
jtl >
7 7 �/-
MAILING ADDRESS
TURE OF BUSINESS
21
02 1 -7 S"�
IND IVIDUAL PARTNERS HIP COR PORATION
EN (S) (P) P
S NA
C,
HOME ADDRESS
.41,1-
7
TY NUMBER_
ki) IMIAIVIC(k 1tItrI1UNt A 01LIall/ Ar:7
(PLEASE LIST TWOi�-�- (2) NAME & TELEPHONE
WASHINGTON STATE TAX NO. il� APPLICANT'S SIGNATURE
DO NOT WRITE BELOW THIS LINE
STAFF REVIEW: FILL IN LAND USE CODE, . UFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR
DISAPPROVAL, DATE, AND SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT"
SECTION. ROUTE TO NEXT DEPARTMENT ON LIST.
PLANNING DEPARTMENT DATE '�t- -2 V - 9 LAND USE CODE ZONING CODE
M"OPROVE 0 DISAPPROVE
SIGNATUREn&,,J,-��
CONDITIONAL USE PERMIT
COMMENTS
BUY)LDING DEPARTMENT
L,,Z APPROVE 0 DISAPPROVE DATE
SIGNATURE b!
CP`MMjE TS:
APACITY: (NO. UNITS, APTS., OFFICES, SEATS, BEDS, STUDENTS)
Building -
Permit
El
Hotel/Motel
Apt. Bldg.
(L)
(A)
Iblyloll 101y:
Office Bldg.
(0)
Occupancy
0
Restaurant-
(R)
P.l:pup
0
Hosp/Nurs Home
(H)
0
S,chool
(S)
-F114�-D-EPARTMENT DATE U. F. 1. R.
<APPROVE 0 DISAPPROVE SIGNATURE
V
COMMENTS:
POLICE DEPARTMENT
V�-APPROVE 0 DISAPPROVE SIGNATURE
A&
DATE �1