21615 85TH PL W (2).PDFIIIIIIIIIIII
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21615 85TH PL W
NOTICE:
y 0. -T - Urary--77
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The information shown on the attached
map(s) was compiled for use by the City Of
Edmonds, its Employees and Consultants.
T e C*ty of 'Edmonds does not warrant the
h� J
accuracy of anything set for.th on these
rnap(S"). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the inform'at'on shown on
t-Fe -map(s), including, but not limited to,
wn. uch
the loc'ation of any sewer stub shown
sewer stubs may or may- not exist and may
or may not exist at the location shown,
city of Edmonds nor its
Neither the th'
emp.1L e
0Y e e-s o -r o ff i c e r s S. h. a- I. I b e 11 a. b.-IFe f o r
n on this ma p(s), nor for
information give' .
any one representation provided based
upon said map(s).
7y
St -.511D ,,SEN 'FjZ PER)MAIT
it OF P! M,
4RDS &E
MA DEP��,
tTER-SEW.ER NT
P RM
-8 IT.- .417
,the.
"1" 716-1107, for side'..sewer' Inspections, BEFORE -�co�Wiink, �4� �bpr�l6n-"Of construction:
ection, be'Iirovided, witbifi'24 h6u"rs- after;re ue -'JSun;;�-or`.-fioIIda 'inspections.
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ADDRESS, -LOCATION OF iCON5TRUCTIO*N`-..' � I - 1 11 � -
............... ........... ......
..... ......................................... ................ ............................
PROPERTY LEGAL -DESCRIPTION'... -P
r
Lot-61'.:�Md,61s6n, ark,
............................... . ......... ...... ...............
.......... .. ...... ..................... .............. .......................
.........
................................ ......................................... ........
.................. .................... ................... ................................ ......................... .................................... .............
........................................... .......... ............ OWNER AND/OR BU1tT*R-..: HANSEN. '�'HOKE$
...................................
.. .. .... .. ....
�sto r .. W(Mrs* Ta I k -1fistal 1. t to, s I -a k ei S t ev. e n -k '14
'CONTRAC TOR'S;.'NIAME & ADDRES . ..... L.L ..................................... n ........... ........ al n P. 0. Po;k 164 ash�
....................................
77 ........... ............... I .......... M .........................
"Pennission Isgranted Ju 21 72
--------- i-------------- ........ ........ :,.,19 ......... for. repair and/or, connection:: of a side Sewer 6 thei city sanitary sewei
System in,accordance with. City'.Of Edmonds or�dinances_
�LTTENTION IS-CALLEb TO THE FOLLOWING:.
NOT-i V
Q; 1—The owners� of, the property may obtain a permit, to co1ristruqtje,.�er_ inside* -property.. line. A,.Ilcens6d Side Sewer Contractor must 6e-emplo�ed to. conAtruct
side seweriin.strect area. Do not cover any..porti6n of' -sewer before It - him beerr lnspected�
/-IN6TE No. 2�All'work performed in! city right-of-way. requires, an Invas ion..o U-Mght-of�Wa�- Permit: obtainable f . rom the City. Engineer's. off Ice.
MOTE'No. 3�Obtain,��ull. information, regardi.ng'OrdinLnce'i-i�.l��030 an cl,Rejuiati o*ns `-govern] n g,sIde-sewers4hen y6u'get 0
ty _line'zixia- Ii- i��hes� inside pr"opertj I I I . he; -m n mum _b . ends
NOTE, NO: 4—T6p-of side,,sewer must have -at licast, 30 lnche��'co'�eriaijg" -at' er .- I --I *,. " %
.�prop grade o -2%. -14o,. in- grade
sharper-,tha..n % will be'perniitted..'
'NOTE:.NO. �5�Trenches, in jitreet Must be- water settled and s rface of,stieet:resiored -to: origirfal-conditiom' Contractors: shalf be
work which. may develop. within one year of 'courn - pletiom resp.6nsiblb for fallitie;:due to, improper
NOTE), No. '6--It Is unlawful; to alter or.do any 'other work, than1s,'provided 'for in. the 'kr!#Jt or:to;dojany w6rk. on the, main 'sewer or lits.-appuqenan
s , ert-,thevfpe� lnto� the wye;,: 6s�ixcept �fo �in-
--------------
o,
DISAPPROVED, Date ............... ........ ............ 1.
APPRO ...... ................. ..........
Z_�_T 7
T . ........ ........... . .................................................
VED ]Dat� 7
narks: .......................................................
...............................
...................................................... .............. ..........................
............
...................................................................... ................. .............. .......
"-B.O.T.-Ii, Perinit�:-Copies'MUST Be;-,Sig�n6d!'.-i3y,�:b�viie�t;of A�irnTl i�etfo�i-Af Construction PRIOR- TO 116qu,,E�t-]�or Irisp�ection
........ hereby-1certif v thatthe'side- sewer installatioll. cons tructed*.t]inder,this, permit'
........... ........ ........
n
wner �f
Contracting Firm Performing Construction)
-with,A]f -gove 'nds�
wa 6rdiiia;ftc'�e'& of Ahe; City
S insialle&ih acc"Ordance rning
of Ed'MO
S..
......................
7
E you',dig for:* a e :Se�wer E],,_ Other F
Check. BEFOR t"r.j Gas Tci4,h64,-[j;: �,Po��;r 1317
The City of Edmonds
E
PLICATION E,�-JfVj FINT PLAN T
STREET F1 for
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS 0
0 �S- ��o
ONVNER ...... . . /:4
........... ......... / ................................................
ADDRESS.... .... ............ ......... . ...................
EASEMENT No . ........................
CONTRACTOR ...... ............. z j ........ ....................................... PERMIT No . ........ ............
LEGAL DESCRIPTION: LOT No . ................ 4,'-2 ....................... BLOCK No . ................ .
NAME OF ADDITION ..........
I . .. ......... .............
JUN
Approved: �2
DATE ... ......... - By
....................
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