21717 85TH PL W.PDFIIIIIIIIIIII
8098
21717 85TH PL W
NOTICE:
No ... wa rra nty he a ttached
The -information shown on t
map(s) was compiled for use by the City Of
Edmonds, its Employees and Consultants.
Inn
The City of 'Edm.onds does not ' wa rra nt t,
accuracy of anything set for.th on these
rnap(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the lnform'at*(Dn' shown on
-map(s), Including., but not limited to,
b shown. Such
the loc'ation of any sewer stu
sewer stubs may or may, not exist and may
or may not exist at the location shown.
Neltheir the r-ity of Edmonds nor its
emplo*yee-s o-r office-rs -,S)-h-a-1.1 be l-`,a.b`--e for the
information given on this map(s), nor for
ovided based
any one representation pr
upon said map(s).
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PUBIJC WORKS — EMINEERING
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SUSPENSE DATE:
Date: z(0 Time: 1 e #
I �i Attachments:
SUBJECT
REQUESTOR: NAME:
ADDRESS:
PHONE:
REQUEST RECEIVED BY:
TELEPHCNE
CONTACT IN OFFICE
OTHER:
RECEIVED BY:
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=Yes
=No
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ACTION:
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All Concerned Notified P��i
Action Completed/File =
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-SEW, 1ER! 'PERMY "IT
CITY 10F ERMWO: -.SJIDE--�,
-,W,,A EW
TER-,s MRDEPARTMENT,
IMIT
:P.EIR
1Call,.Vq8 for slde� sev�.er 'Inspections,. MEFORE, covering any ipor6on'�., of �the constr�zctlon,
Jqo, 8 ',;;Sun. nspections:
kinspection,villAe Provided wIthin!,244hours, after-,re(jUest. ,�or 'holiday I
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.21717 85th P1
"DRESS..fL'OiDA.-nON"..�O)F�"CONSTRU,,(D-TION .........
......................... ........ ...... ................ ................................................................................................
�-PROPERT-,Y.�LEGA-r,,DESCRI,P,T,lCiN�� ............... LOt 6" Che.,�ry Lane
.................................................
....................................... .........................................
................................................................................. .......................................... ........................ ..........
.......................................................................................
0''
Be hj am I anner.
VvW,,,ER, ANWOKBU ILDER ................ ........................ 7 ............................ ......... ..........
. ... ................................... ... . ..........
...................................
C_(>.,4��ACTIOWS, NAME4AMDRESS .006r,
. ......................................................................... .
........................................... ........... ..................... I ....... 7 ............
May, 73,
'FerinigstonAs,,granted" 19: ....... �4orr�pai
...... .................................. I ....... roand/,6i.�,connectionf of a,side, sewer to
th6(�dltk� -sanitary,.?sewer
il'sy.stem�in�a'c'corob6nee�.,Withk�C-itk.,,gf',"Edmcind!4 6rdinance&-
A- NTiON'JS,,CA-LLED,1T6 �!rk-E!'FOLLOMNG:
��,N No. !.�The owner,s,61! the, property. -,may obtain a �permft. to:,constr�ct sewer' -Side Sewer %Coneractor must ;b6 employed, to -construct,
�side sewer In street area. Do not cover any"portion �of sewer 'before It 'hasl,bb6n linspect6d:
NOTEL, No.. , 2-:-Alhwo k p erforrned� in �city ir . Ig I ht-of-w' y' re
r a qu�lres ;an'4nvasion of Might -of Way, PerhilCiobtain-able fron7l.ithe �City'Engineerls,bfflce..-
�,NOTE No. -3—Obtain-.,full�'�nforMatiori--,reg�ixding,'O�di�ance�,IV.,16�O30 &nd�,RegulAfons; go,;erninj' you �get,permlt,
NOTE Not..A—Top,of �side sewer � must have iaf deast 30 Inches coverage -at,.property line and, 42 incl4giVinside p operty No. �be ds In'-grad'e
shELiber Ahan. ils Lwill'be "permitted. r line;.. min Imum grade of 2,%.
NOTE 'No. �5--.Trenches Jn street must -be water.settled and surface:�of street restored -to rorIg1naJ..-Lco�dItIbn.' "Cimt�r due,,io� frnproper",
-work mMich- may,d( - actors shall be-responsi.ble -for 'failure
ivel6p�withih,one year of,completlon�
NOTE Wo. '&�Itls unlawfuiLjfo��Ite'�,.or do',,&ni other, work ,than is -providej for jn'� tbe,p_erniit,.';or to�,&��ny,,work'!on �the'.main se . w . er or, Its app6rtenan6es e�cept to..
Oer I he pipedritoAhe "A�yc, .
�DISAFPROVED 'Date ... . .......... ................ Ay .... ........ Date ..... ..........
Date: ............................ .... By ......
ED
APPRON By..�...
.............................................................
............... ....................... .............................. .............. . . ........
. . ...................................................................................... .. ..
........ 407"
............................. ................
.................................................................... ............. w ......... .......
. .......... ....................................... ............. .. 7 ..... 7 -------- .......
B0TH,,Perm'it�C6Pie:s,.MU ST Be Signed By. Owmer df. Film Perfb�mink j,c6iistri�aiory PRIO" "T6, R�equ6st For. Inspecticin
........ hereby,, �cer
tify �that)t-he�sid6lsqw�e�r.,,installation�.,constrl"ucted,under,this,,perrriit
........................................................... ......
FJrrVPerfcrmIng 'Cimstruction9,
;w,' 'nst0ledAn,
acc6rdance,wit-4 fa�j,.`.goyerning ordina c6s,ofthe �City oflEdnioni
d
V
tS �11104� (of ........ ............ I ..................... 19
hi
(ib'fi'eci,"BEFORE;,ybiii,,dig- for:, W,,ater, �Ga& iE], , "Telephone, 4PoWer� i e
V CT, isewer:11, t1i r�A,E] -4v,
APPLICATION
for
The City of Edmonds
SIDE SEWER PERMIT
EASEMENT No . ...........
NEW CONSTRUCTION REPAIRS .......................
............................... ....................................................... ........ CONTRACTOR.J::>-".N��..i ... ...... ......... ...... PERMIT No.-4.:�
....................
ADDRESS F—='L::
........... . ............................... ........... . .........
NAME OF ADDI
TION;� ......
. . .............................
..ft,BENOA4!0r�� As
IT
27' 41%C L
40
A, —4 *MEN
ISO
Ders
V� -
4P e
Approved:
DATE. ...... By
4r,
. .... .................
City of Edmonds
APPLICATION
for
SEDE SEWER PERMUT
NEW CONSTRUCTION 0 REPAIRS
7—
OWNER ....... E-F . .......
ADDRESS .. . ...... . ...... R
.. .. ..............
EASEMENT No . ........... -i'
...............................
/40 Age 3 (/— �a )
CONTRACTOR .............
. . . . ................................................... PERMIT No.
LEGAL DESCRIPTION: LOT No . ....... 6 ............ .... BLOCK No . .......................................
NAME OF ADDITION ................ .................... c-
....... zl�
rtzt,--,
(*— — E "V E D-
MAY I 1 197,3
Approved:
3 PA
DATK. ............................................... By ......................................................................