21514 88TH AVE W.PDF111111111111
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21514 88TH AVE W
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Mr. & Mrs. Erwin Fagerholim
Route 3. Box 61-A
Stam-lood, Was.h ir, g ton
Dear Mr. Mrq. Fagerholm.:
Please execute, the encl�6\qo�-d
CO—itract Agreement for the side sewer
connection at 850 p:j.ftet�j,,t)j-A
a el
2, uth Edmonds, have it notarized, n
return the Contract Avreemeat-with
11
a in the amount of fifty dollar-o
($50.00) at your earl e.t colivenienc
Yours very truly,
CITY OP I'DI-10IDS
JEM:ek
Enclosure
N
rZAN
ient of Public Work$,
U)
w
P::PT. OTC!, LTST
AaNEW ......
P111"UT PEW17"!
AV %,
Strcet Plirlit-oE-Way Existing 90.00 1
Access 1-asommits Existing Unn
Utilitv Eascinent F_xistina PTOD
Iot Per Subdiv;sion --'In Plat x Asscssor I 'Ili) e!—
Sitc Plm (Icd.-cd for Accuracy
Unclorground "'i 11cod.
by
Date
L'atcr �,,!in
Hvdinvit si.7u j""istin!"
.;red( rh
11v(Inint PC(IM Ne re C_,,),:1C, Si ze
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Iiecl. "c,.:c,- Rccitircr!
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V.:I t �6_— 17— 77
PC
oc,"Aic "mi:
Scpruc peall"it Pcouired 'Poinit 70.
Saidtnn� Sel...-or Availahil ity 11ro i
Dnndiln File
Sidc 5M.:er Availabilio- Ez?
—T-0
colmcctioll Yco Ponllircd
7
7 :-Z 7 7_77
(!I I 1)i J:Cj I
_N4 j-,-
clilvort P quired Size
0 zy�
-od r!ite Plan
Catch 1"asill Re '111 il Indicate oil
n n
n
N,111hole req Ili 'I(" C'-' to oil Site 113,-m
Soil coll.ditions F-, Grotold 1.1"Iter Fi CICI Olodled--e
'Ite
RCviC;-,, b%,
AdIk
street Paving, Rupircd,
�I " 17 "Zin I ej
(Ilrb -md C,,,,ittcr Rcquirc(I
sidclrall� Pccuircc!
Cum nut for Driveway Rcquircd
Pi 1 t - o Construction PcIl',lit Rccluircd
Bond Required for Riblic Improvcrients, x1r)AI,:t---
Stroct Sinji Rcciiircd
Other Signing Rcmlirco.
it Site Inspcction nacic on
Pre Perm,
Sewer
Water
StTcct------
�71
Tocial. I-istcd in me'l-lo to Puildin- 11cp'n-tment
1.,C;jjF, f.il).CCJ ill ell
ion
1)"Itc
Pra"..J.-n"'s St-,E-"")Cd and 'Not;Itic"Is .!,-[(Ic
J'), -f
Date
Approvccl 'by Public 1,'Orh�s TY01),13-tillont
APPLICATION
for
The, City of EclmondbTftt: I FILE S11DE SEWER PERMIT
CARD No . ...........................
e�o OUTSIDE E] INSIDE E] REPAIRS EASEMENT No . ......................................
OWNER ........... 211?-,� 4 ------------- ................... /k. AI;Z L .... CONTRAC OR ........ ....... j��. & -7,6f - j�!- re. -e-� ------------------- PERMIT No.
STREET C�7
HOUSENo . ..... ...... 'Y ........ ........ AVENUE LOT No . ...................................................................... BLOCK No . ...............................................
C?.'f NAME ADD . .......................................... ..................................................................................................................
0
0
I
Date Approved:
BACKPILL WORK ORDER ISSUED ................................... DEPOSIT, $ ---------------------------------------------
SEWER WORK ORDER ISSUED .......................................... DATE .........................
By
NOTICE:
.0...Wa t!!'� 17 aoa= Y
N Y the attached
The -information shown on
map(s) was com.piied for use by the GtY Of
Edmonds, its Employees and Consultants.
Th,.e City of Edmonds does not warrant the
t these
accuracy of anything set for. h on
rnap(s�. Any person or entity *requesting a
copy should conduct an independent
inquiry regarding th-e inform-ation shown- on
�t -map(s)., including, but not limited to, -1-
-er stub shown. Suc
the lotation of any sew
sewer stubs may or may- not exist. and may
or may not exist at the location shown
of Edmonds nor its
Neither the City
empl-o-yee's O*r offi-ce-rs -sh-al-1 be llab-]--e for the
information given' on this map(5), nor for
presentation provided based
any one re
upon said. rnap(s)