21705 80TH AVE W (2).PDF111111111111
�194
21705 80TH AVE W
NOTICE:
No warranty of accuracy.
The information on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of �Edm.qncls does not warrant the
accuracy of anything set for ' th on these
map(�-). Any person or entity-reque sting a
copy should conduct an independent
inquiry regarding the information shown on
the -map(s), including, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may'not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
empio-yees o-r officer'--) sh-all be liaID-11--e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
0
APPLICATION
for
The City of Edmonds"' i�� SEDE SEWER PERNaT
NEW CONSTRUCTION REPAIRS 0 EASEMENT No . ..........................................
L— k C---) I c !-) 2
F7 a
'NER ....................... r ------------------------------------------------------------------------------------- ................. A -7
OVY W. E--- . " E- L �-- ELF) S-T I N F— CONTRACTOR ................................................................................. PERMIT No . ......................
2 17 C) E—D E�S� IL-� F-- . \N. ................. -T EL40CK No . ................. : ...........................
ADDRESS .......................................................................................................... LEGAL DESCRIPTION: LOT No.
NAMEOF ADDITION .......................................................................................................... ..........................
� wjr.-
mv.
Approved:
DATE ...... If;;; Vr ...... By
,,4� C'A .. �,Tl—! .......
Jo? -- 04
4
x,
IDWON
t 1"j�:;'It.;;._-.1-�'..� CVTYK,�,,*,O'F,�:l M
I A. I E, R M I 4-T
�10 ;4 PE
ii.-WA EIVSEWER-,:
'VA.
v
:,for -islde;' it
;j, ,,c,)v -portion. of'., thp const
�uo '101�-" t
Inspection .%Yi 'be provided .�w'lt'�fi�:24.,.hoti'rs'iftir* i:equst�'.', NOI,.,�Si�t.,:.-S�6.,�.--'Or-'�"oilda'y-.Inspections� t-"1-
.7
e5
di4�TRUCTION.."." ............................. ........ ................................................................................ ; ....................................
W t
-2
�A6DR
ic-L,.orth
Mt ` 1 r Lots'. -1
........... ......................................................................................... .................. 1171;�,"C�%�
4*,ROPERYY,,&EGrP.W/ DESC 1 .. 1. ... . 1. ....................... .... . ..........
Vr
. ................. ......... .................................................. ........ . . ............ ............... ......... . ............................................................................................
.......... ...........................
r
FERSTINE
4k AN ...........................................................................
-OWN
. . ... . ...
............................
F,
c _J1,;11,�:i _6k . — B 0, a wa
iT_RAC-T,.0*,R1Si'M�'
.................... .......................................
............................. . ..........
01F,
......................... ty,'Asan tary
7 a side, 'scWer"4`W,.'i1i�,,` 1i
ma' ibity 6fE'diiion&,*6rd1naficeS`. ."..V,
-system,4 c6idance,�vith
j-
A.
.4TIO'NAS, (JAIL. j:
-The lowne�s,,of'th'
-propert
A-ri, e, iii4.bertly.' ol�ti6n'-a 'p6rmitJol.,cong ewer - inside y,1 line.,, A Side Sewer..Contrac ye ito,ppristr9cv:
Do notcpvei�,aiiy..i�ortldnldf:se�vb�vbe*fbre.it has .�been, Jnspected'.',�ij -.e
'In*
F'..t
:NPT��j �49,.2' b � thab]6.fi-oTii. the Cl
'.., Obta '�xdinii :6rdina. deiiiw��il�whm you. get permit.
N�q:rk!, No. 3— iii i�'ii;'tnf6rmat'I6h,'r'4 nce 1.1*.,16�030,�*and,;,Regulattonsl.goyern.ipg�;sI
e
-NOM No- I�j
rw �c;ov'�'r�',gc_',.a -:�io�ert j�' 1 12 1 n*6hes 4 1 W�
:shaxperi-than'L.Jff.,%�Jll; bc.'P��Itted. J,
'and': s'u'rf9ce, �fWst' d �po s le�! ?aiI!,ie.1,'duei!6�*:1
NOTE,,N 5: Tr6i�i'c6eg reWrestore ��Contractors-.shall� be' e n ib f
ettled,,
'pl-, , _ , . . . � , " .. . . . . , . , " , _ . ". , " *- 7" 7
-year;of compI'c'tI'on.'-'.` 7.:*,
.,.,work*�whichi�ti�ay,iqeyelop..�%v hln�-6ne
- - oi.'.j�s.�app r e6an��gluex� th.to, n-'
It '�'iiiain:., ew
N6T1Dr,No.- *j�,�it`�. , . . . , . . " . ; .
�lter;:orz,doLftny�.,otfie'�,,'Wor�'�th�hl;�ig�.;��o,�f�ed,"f6��-,iii--.�ihe�i�r'r�ji,",6r,'-to'jd6.�,*a'n ;-work�bn�.the s �r,t
I ' - �, I _ !, -11�1'..% :. " , -1 * I
s��t,��e:�pipe-intc.,the.,'Iwye*.,
Y-DISAPPROVED7 Date ... ...... ....... ....... .... .........
0 .. ......... By ........
,iipp. �iw D.;t /,,0
............................................................... ..............................
:V.
............................... ...... .. . ................... ....................................... ...............
"A istall6d, ccor I
ti
Y
)a ............... ........
J t
A
%i
... . ...........................
. .. . ............................... ................ . ...... ..
......
..............................................................................
......................... 7� ................
..................
-Siihed
.,s: MUSV-Be� -EyffOwfier bVFirm,1,Pbrforming, d6nstructionPRIOR;� o,:'Request*,
"d 'ii
....... �....,.,.�..,.,,.,,hereby.�certify,�.that-,the'�siiie-ise*,er��inita-1,lation'-I'constr-ucte 1.,i.
..:F :Perf' 0 'tr-`ctIo"*_
,bi-8d in" cin.ds',.,`,!�`
with-' o . v r3
jn'�mppes
di
D 't" d' thisl::.'..� ......
.7
v
-eleofione:'3, �i:*P,o%Ver,,.E]',, �Sewer;[];..-, --,Other.,
ir.
s p e c i'o* n�";,7` 7*-,*-,'.—''
!j
Tho City of Edmonds
APPLICATION
f4*
SWE Szvvm PERAW
NEW CONSTRUCTION REPAIRS m
EASE31ENT No . ........
vNER q1 7-1 Al e-
IC -e IL ree
......... ................. I ...................... .................. .......... PF
O'V ......... t ... ..... CONTRACTOR ............ 2��.Z .......... !w ... ................................. Ft]klw No
g I t'7 'fa,#tl-e &,/
ADDRESS .... o—., ............ LEGAL DESCRIPTION: I40T No . ......
................................................................................. ..... — / ................. mOCK Iqo.
NAME OF ADDITION --- .... .. YS ..........
.... .... ... .. ... ...... .... ... ... .........................................................................
DA'M ................................................ . 15Y ------ ...............................................................