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21704 85TH PL W
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-27R
REGARDING:
21704 - 85th Place West
(address)
R E C 0 R
D 0 F C 0 N T A
C T S
Uj
DATE
NAME, PHONE NO., &
ADDRESS of CALLER
COMMENTS
ACTION TAKEN
INITIALS
LA.
5/l/74
Vernon Olson.
Certified
Letter No. 406367 sent
Letter received.
TE
requiring
hook-up within 60 days.
1B
5/2/74
Dye test.
We're on sewer.
Scheduled.
TE
5/6/74
D.T.O.S.
TE
6/S/74
Certified
Letter No. 406493 sent
Letter received.
TE
rescinding
previous letter.
APPLICATION
for
The City of Edmonds SEDE SEWER PERMIT
EASEMENT No . ..........................................
;:],ET F
NEW CONSTRUCTION 0 REPAIRS 0
OWNER..... LIYA-M . ......... ................................................. CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS .... ................ LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
................. ..............................
0
NAME OF ADDITION ...........
b 14-40
Approved:
6,n 5,-v'z)4 r
)J)", ) �- 19-7e-1
DATE ..
- ................................... By ....... ................... ..........................................
0111 fltto its 1"Ilew
KED "LOCK(S)
D L
f1`0010imps 6
(4) INDICAMD
By CHECKED BLO
PK(S)
-k�PEIPT
t FOR CERTIFIED
Deliver 0 N
t 0 —30f, (Plus postage)
o Ver ONLY MAIL
addre�sseey
ddressee 424-08100
POSTMARK-
OLSON, OR'DATEN
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k"NAMELIVAQ Rd§C
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RECEIPT 2. Sh
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3800 NO INSURANCE
VIOED—:
I. Apr.1971 COVERAGE PRO
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ti �"O: 19700-397,458
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