21512 84TH AVE W.PDF111111111111
7915
21512 84TH AVE W
NOTICE:
-No warranty OT accurd(-Y--.
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
Th,le City of �Edm.onds does not ' warrant the
accuracy of anything set for.th on these
map(§-). Any person or entity -requesting a
copy should conduct an independent
-ation shown on
inquiry regarding the inform
-t-Fe -map(s), including, but not limited to/
I b shown. Such
the loc*at*on of any sewer stu
sewer stubs may or may, not exist and may
or may not exist at the location shown.
Neither the City of Edmo*nds nor its
. h. I b e 11 a. b'Fe f o r -IlL h e
emp1o,yee's o*r off i-ce-rs -S
information given on this rnap(s), nor for
ion provided based
any one representat*
upon said map(s).
APPLICATION
The City of Edmonds
for
EASEMENT NO - ---------------------------- -- ------
SIDE SEWER PERMIT
Nh* CONSTRUCTION REPAIRS
LID NO . ..... t ASMT. NO.
OWNER --- P -------------
. ........ ------- ---------------------
--------- CONTRACTOR ----- ------
( 4- j tA �—= �-7)(�D5�
-.- - ------- — ... ----------- PERMIT NO. 4.e — --------- —
r2 - ---- -----
JOB ADDRESS ------
7-A
LEGAL DESCRIPTION: LOT NO -
- - - - --------- ----- --- ------ BLOCK NO - ----------
7=� I (ZD
---------------- ----------------------- ------------
L-CD-T --4
I ----------------- ---------------- ..... ------------------------------------------------
0
1]
NAMEOF ADDITION — ------------------------------------------------------- - ------------------------------------------------
DATE ------------------ By
j
10� I
t. V
PER fil,
CITY, OF)E M.
TOMS'
JDE� SEWER' Z, Mt
WATEWSEWER DEPAJjj T
MEN
P
El�.l 4
C
.7,75-2525,, for, side :,sewer 'InsPectioni-,, BEFORE' xoYe-rIn&*,any ,p'ortjon,_Jof-`-' e'.
1 1 . �. 71* . C t
on� wAlni-24'�_,,�oumlfter requst.; .,ons ruction,
nsl?ec�tl will' be prov
'j" y, sp C 0 s:
or %ollda in 'e' ti
ADDAESs L cAli, `-Nth kv6n
0 CONOTRY GTXON._.�. ?1512- �111�.12 *
ON"�OFT Roe We:
RTY M od�
............ ...........
OPE LEGAIL DE 6f
S P 04, ."VI :1.0
..... W.... : .................
CIty-kPION
............. ............... ....................... .. .....
... ....... ....................
............
..................... .............................
....................
......................
..........
.................
. ........................................... . 7�
DT 7FR APP.�;.
...... OW—NIERANEIV
L
............
ONITIVAC ....... �
OWNER
C TOWS! NA311k�*& AMDRkSS .............
............. ................ ........................
',Poriffls 2'� 074,
4on.ls'�gfante& .......................... , ....... .........
6 ianitii.
System Im acdorda repair�an4�o -.��,ohfi t
nc6Witb C1ty',dfEdnfonds1*ordin' cl T sewer.
anem
A-TTENTIOM IS;,CALLED:TO)THE',FOLLO
WING
No,.! —The owners oof the:'prop6iiy, ms�y 66tain-,a -permit jtd,f6onst'
sid&,sewer ruct :sewer inside �propert Side,Sew
Y�?Iine.k Allicensed,
n �,, 7 t. must lbe -employed! lt6l,construct,
In street,fared. Do. not.'6over, a Y� Portion 46f,sewer.-before: It 'has been4,'Ihsptbted��
,NOTE No.. 2—All! work. �performed, In 61ty,right-of-wa3�'requii�eg.,a'tit i1e!r4nItAobt ,
I 'bity-0iigil'
"4 It. , �, , ". ,, 1,�er',W,office;,
.NOTI� No_3_,,Obta�ln fullt'info,"mation; regardi�g,Ordinan litlon.;'7�o�6jhjj 'i'&; '- adhable'-di,66i, th'66
Ce-11U6'.1030,.&nd,R�e 1
NOTE No. —Top of,skle,`sewer,,,mu g . .'sewers jvhen,�y ge perrhit�:,.
St. have' � t least,30i inchew�'c6v�rage, &&,property, Ilfi�.,and' 1�_ ihdhes Iriside,:pro -ou'l
a
sharper than� 1/. willlbe,Perrnitted� U
Trenche 1�,
NOTE No. .5— s Perty 1 ne;: mi nim rn.�grade,of; 2%, N60bipd&, n,,grade,,
street, �must :b� �vat�rl,settlbd
-and' stirface,of � stre& �r(�stored ' 0, origin 1 it-
-work,,which may develop -within -one, Y�ar of complefi .66 ' lo.,� Contrk�t6r� shall�,6e re ponsible 'for, iallurd-,due ito,'Ampro-perl-
ow. -t al md
NOTE] No�. 6�-It is� unlawful,. to, alter, or,do any other.
,,�.orkv than is provided. fbr-.)in, thw perffilt-,j- Y,
',-'sert,the tpipe into,the,wye.,, 6r',t-o.,do an" �.wor .�lorr4he, main. sewer,o�
its' appur enances,,except)to�-J,n.
J,
DISAPPR
B
...... ....
.......... ate::'
..........
gm � . " - :- -7'-- - -
k .. ...... ...... ...........
/4"
. . .... Date,
By:� .......
APPROV � D
...........
A4MD. ate...
.......... ...........................
Re
Inarks:1 _J111-4AII
C, ...........
7 ........ !-7 ................ ........ ..........
.. f
.............................. ............ ............. ..........
....................... .......
.................... .............. L� ....... ............
........................ .
00TH �Pbrmit.;Copies AtU, 87,Be Signed: -By,Owner- �of..,F.ft,
.�:PerfLorTn�ni,'gdh6trudti'611I �pRjon T. ques�
For -Ins'Pectfon,'
7 '-i e'
9 ')�erf'G'rrnIn Con'structio
(,Owner of Contractin' �_he�eby,ce�t
rtifyt,hat,the, Sd sewer-,Anstal a. Johillponstructe&,uni er-this pertnit.
,in,
e pt)t
Nkas, installed, r�,-_ �Icwl-
h on s
nancevo ;_;df dM d
im accokdahee'.urith, allt.governing.,ordi If '' " : " k . . _,,
t e�
0
S
Dated'thl :4day
. .... . .............. . 9?
V V.', Check BEFORE�You d1kfor-.:,Wiiei,'
Tcilephonc,�,gl,, Power.gl, Sew�K Dther
1� ThO City of Edmonds
APPUCA71ON
for
SIDE SEWER POMW
NEW CONSTRUCTION
OWNER
................................
JOB ADDRESS
---------------------- --------------
w
EASEMENT NO. -_ .........
REPAIRS E] LID NO. jq,-� T. NOAj�-
.......... . ASM
CONTRACTOR --- 1'17� ---- ---------------------------- PERMIT NO.
LEGAL DESCRIPTION: LOT NO - ------- ------------------------------ BLOCK No.
----- v ------- .....................................
NAME OF ADDITION
DATE---------------- - -------------------------- By - -------------- -------------- .........................