21112 80TH AVE W.PDF111111111111
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21112 80TH AVE 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(s-). Any person or entity -req uesting a
copy should conduct an independent
regarding the information shown on
t-Ke -map(s), including, but not limited to,
the lociation 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
empl-o-yees o-r officerS shall be liab-le for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
7.
ospect 6-110i
;C11n,
-EDMONDS
-CIVIC. CEN _E -VIATEn7SEWER DEPARTMENT 2,25-
tio�s Satfiid' viday 0 0.1days.) NO
-S WE PERMIT'
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...........
o th . ................. ................ ................
2 1 s t ............. ... ....
ADDRESS................................... ...................
MCW
......... w ......... ........
Wayne S.mith ............. ONTAAG ......... ...............
-OWNER .........................................................
May 17, da�s -CONNEM -a side, sewer
is granted ............................ ------- 19 ... for ----- �: ..........
tfi.�City Se , wers - in accordance With at) . pitcation,oh file nd kovqBrn� ir ordin nces.
j%:TfE_NTION IS CALLED TO THE FOLLOWZ property line.. -A.itc6nsed Side sewer contractor mu . st
Lln a permit �o' construct sewer inside
—T property tr t Do not cover any portion of siwer.before It has been inspecfed.
I he owners of the t id
.NdTE� No. true s e se er in a ree area.
be employed to cons permit.
2—Obtain full information regarding- Ordinance 11-.16.030 and Regulations governing -side s.e.wers when you get
NOTE No. grade of 21/6-
rage at property. lln� and 12 inches Inside property line;. minimum
N . OT I E No. 3—Top of side sewer -must have at least -30, inches cove
No. bends in grade sharper than 'A will.be permitted: tj . on. Contractors shall be responsible for
f street restored to original condi
et must be water settled and surface 0
No. 4—Trenehes in stre
failure due to improper work which ma ne y9ar of,compik.16n.
y develop within 0
6 permit, or to' do any work on the main sewer or its aPPUr
niELv-rful to alter or do any other work than- is provided for In th
NOTE No. 5-7It Is u
tenances exceptAo Insert the pipe into the wYe.
-066 APPLICATION
V for
The City'of Edmonds SEDE SEWER PERMIT
Fu--'2�NEW CONSTRUCTION 0 REPAIRS E]
OWNER ...............
... ......... .......
ADDRESS( .... �74�-�� .......................
go, Wers r
10
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EASEMENT No.
-/ /. J> / -3
P907
Ul. U. Vi-, NG�
CONTRACTOR .................... ..... . t4 ..................... PERMIT No. ...................
8'EXi-0-E' �VASI-1 9�P3 EilA 2-5198
LEGAL DESCRIPTION: LOT No . ....... w .... :? ......................... BLOCK No . ............................................
NAME OF ADDITION
;P
�, W-704---
4PPROVED
MAY 17 1351
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Approved:
45
DATE .: .......................... I .............. ..... By
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DEVELOI'MENT SERVICES CTR.
CITY OF EDMONDS
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CITY OF EDA401YDS
NOTES/REMARQUES/NOTAS
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0 1995 The Mead Corporation, Dayton, Ohio 45463 U.S.A.
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RECEIVEC'
J U! 1 1 1997
PERMIT COUNT�-
ITY 0
CITY of EDMONDS BUS LICENSE APPLICATION DAT LICENSE NO.
401 140—
Edmonds, washington 98020
Civic'center ca P
'City Clerk Phone 775-2525 L'.! K ANNUAL FEES PENALTY AFTER FE.B. 15
01 0 H OCCUPATION
INSTRUCTIONS: CLASS YEAR C. EFFEC. DATE REASG. LIC. NO. SPEC. $1 . (A) ADDITIO 5.00 0
• All items must be completed �� F, /I I I I . .
I . I I I I 1 0 SMALL BUSINE
RECEIPT NOlj. DATE PAID
or application will not be ac-
A— $ 00
PRINT'X . $15.00
ITIONAL $7.50 0
cepted.
IN SPEC. BOX us ines s w ij 0 0
FOR ISSUE OF 0 Busines -h 0 or
so
FEE PAID PENALTY PAID
• Sign and return application
CORRECTED more P
ADI DITION'AL $ 2 �.�
I
,2 1
with fee. Renewals received I I I
LICENSE WITH _.�Ioyees
'LC' ACTION. '450.00 (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)
NAME OF FIRM
BU51NJESS PHONE
NO. OF EMPLOYEES
MAILINd ADDRESS
NATURE OF BUSINESS
rt)o -�3 me)� C e
BUSINESS ADDRESS
�00c)
-0L-Iz-0,0
INDIV UAL
PARTNERSHIP CORPORATION
(S)
(P) P
NERS NAME
q
HOME ADDRESS
, *?-
IF53 Ar,,�
;T?o
-Z
H)OME'PHONE
J
DAT� OF BIRTH
PL5E OF B R
SOCIAL SECURITY UMBER
z
EMERGENCY NOTIFICATION:
(1) N A M E & T E L E P H 0 N E
(PLEASE LIST
TWO)
(2) NAME& TELEPHONE
WASHINGTON STATE TAX NO.,-�ZLj�!---7 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 LAND USE CODE ZONING CODE
ji� APPROVE 0 DISAPPROVE
SIGNATURE, j, 1.7,4
CONDITIONAL USE PERMIT
COMMENTS
BUILDING DEPARTMENT DATE
D-'APPROVE 0 DISAPPROVE SIGNATURE
COMMENTS:
I I I CAPACITY: (NO. UNITS, APTS., OFFICES, SEATS, BEDS, STUDENTS)
Building
0
Hotel/Motel
(L)
Permit T-1
I I I I
0
El
Apt. Bldg.
Office Bldg.
(A)
(0)
Occupancy
0
Restaurant
(R)
Group
El
Hosp/Nurs Home
(H)
0
School -
I (S)
FIRE DEPARTMENT DATE (;�:� - / z - 1?1 i U. F. 1. R.
-77
;K APPROVE El DISAPPROVE SIGOATURE
r(51
COMMENTS:
POLICE DEPARTMENT
1147�'PPROVE 0 DISAPPROVE DATE SIGNATURE
COMMENTS:
PUBLIC WORKS DEPARTMENT
El APPROVE 0 DISAPPROVE DATE SIGNATURE r 16 7 L; fT I -t
COMMENTS:
P1 FA!:�F RFTI IPNI TO rITY (-,I FPK
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