21412 92ND AVE W (2).PDFiiiiiiiiiiii
8904
21412 92ND AVE W
50
REGARDING: 21412 --92nd Avenue West
(address)
R E C 0 R D 0 F C 0 N T A C T S
DATE NAME,, PHONE NO., & CONtENTS
ADDRESS of CALLER
5/l/74 Donald Phillips Certified Letter No. 406168 sent
requiring hook-up within 60 days.
5/14/75 D.I.O.S.
6/5/75 Certified Letter No. 406468 sent
rescinding letter.
ACTION TAKEN INITIALS
Letter received. TE
TE
Letter received. TE
..Qpstage)
RECEIPT FOR CERTIFIED MAIL-30� 014
d.,
110-07900 0 R T�A�
00 P F1 I L L I P S , DONALD
Q01 21,�12 92ND AVE. W.
EDMONDS, WASHINGTON
98020
C) OPTIONAL SERVICES FOR ADDITIONAL FEES
R I Shows,,tho who m an d date.dolivered ............ 150
TURN W,o delivery to addr ssee only ............ 650(,1__1'
E
RECEIPT
SERVICES 2� Shows whom, date and where delivered .. 350
With delivery to addressee only ............ 850
DELIVER TO ADDRESSEE ONLY 50d
SPECIWL DELIVERY (extra fee required) ... I
Ap pS Form 3800 NO INSURANCE COVERAGE PROVIDED— (Soo other side)
r. 1971 NOT FOR INTERNATIONAL MAIL GPO; 10100-397-400
SENDER.-Be""Sur6lo, followl Insfrucfi'on's OnL 0jhCr Side
PLEASE F7URNJS.H S9R_V,ICQS�,"'INDICAT*E'D "By BLOCR(SY
'_,(Addition a 1 1 Charges �equi;ed'for -these servicus)'.
Show addres I s. Deli'ver ONLY
El.
where dolivered' t b a d d rdss 6 e .
'RECEIPT .
:Rccpiyeq'4h numbered article.-desic . Kbed.beil . o, w
REGISTERED NO.
K.,SIG NA I ys be i n) .
NATURE.0 NAM&OF ADDRESSEE wy.
CERTIFIED N 0.
S SG�, 0,
IGN E'OF ADDRESSMIS AGENT, IF ANY,
INSURED Me
DATE DELIVERED �SHOVI WHERE.,DELIVERED (Only,if requested, and iiiolude ZIP Code)
10
S E 14 R` su�C fOj 61low instructions.an bfhe.r:side
.
VICE(S) INDICATED BY'CHECKED BLOCK(S)
(Addition�l charges-reguired for theseservices)
11v
Show address, D I* er ONLY
K,�tjoaddres�see
where -delivaed - -
RECEIPT
ReceiiedJhe numbered arf icle- describe d'b elo w
ISTERED fig..
RE IJ R 111ANCE F ADPRESSEE Must alWays.'be filled in)
_;dERTIFIED NO,
S1
S L... Xv All T.
SIGNATURE OF ADDRESSEE'S Ati JJV
J
,10URED NO.
AM I vmb ZIP Co 6)
DATE7—DELIV RED
HOW
4
0
lkqr.
.
C/
!:a
2 o
ca
E E
-cc
at
LU
�tv
11
X, 0
CD
0
x
too 0
2C
L&.
x
CL
C,
IV;
z
. a: Q <
E
LU
C�
CL
M 0
09 ix
89�90t�,
I
NOTICE*
N'o ... Wa r-ra n t. y ... Ur—ac--c-ur----a-c�:
The inform ation'shown on the attached
Map(s) was compiled for use by the City Of
Edmonds, its Employees and Consultants.
Th,..e City of "Edim.onds does. not. warrant the
accuracy of anything set for.th on these
Map(s). An . y person or entity -requesting a
hould conduct an independent
COPY S
0 ion shown or
inquiry regarding the rm'at'
tHe including, but not hm'ted to,
er stub shown. Sud
the c ion of any sew
lo' at'
sewer stubs may or may, not e.xist and may
or may not exist at the location shown,
Neitheir the ,ity of Edmoinds nor its
em pl-o-ye e-s o-r off i-ce.rs -shal] be 1--i ab-lf-e for the
information g1ven on this map(5), nor for
'ded based
any one representation provi
upon said map(s).
APPLICATION
The City of Edmonds for
SME SEWER PERMT
EASEMENT No . ..........................................
&EW CONSTRUCTION Ej REPAIRS 0
OWNER�Mald .... ......................................................... CONTRACTOR ...................................................... ........................................... PERMIT No . ......................
ADDRESS RJVA-2...:n .... q,?Id ..... 44)e- ... 0� ............................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAMEOF ADDITION.. .......................................................................................................................................
0
//)c7 -711
Approved:
DATE................................................ By ......................................................................
APPLICATION
for
The City of Edmonds SME SEWER PERAHT
NEW CONSTRUCTION E] REPAIRS E] EASEMENT No . ..........................................
110-07500
OWNER............. Exne.sl ... J.eris.eri .............................................................. CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ......... 2-14.1.5 ... ..... 92.n.d ... A.ve ....... 1.1 ............................................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . .............................................
.. .... .. .. .. .... ...
0
is
NAMEOF ADDITION ..........................................................................................................................
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ......................................................................