21806 84TH AVE W.PDF111111111111
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21806 84TH AVE W
A"LICATION
The City of 440-FIREET FU for
SIDE SEWER pmmff EASEMENT NO.
NEW CONSTRUCTION REPAIRS E]
LID N05
S
OlwNER 7 - .j ....
-- ------------------------------------------------------
----------------------------------- CONTRACTOR
---- - ---------------------- -------------------------------------------------------- - mm,
-ZA ( - PElu No
JOB ADDRESS . ......... S06C�'
------------------------------- ------------------------------ - - - 'LEGAL- DESCR.
IPTION:- LOT- NOPEE
-------------- ------------------- BLOCK
--- - ---------
------------------------------------------- ........................................................
-------------------------- ...................................
NAME OF ADDITION .........
F:!T 114
APproved:
DATE 5-
.... ..... Z . ................ � By .........
_,Z
`7
4M'
�7
Y,
'�PERM
v,7-,,�,7 J2,
D MA SEWER
N:.,; I D� S "S VE
HTY* T 5zi
4; C 7ME"
JITP
-:,�M EW DEPA'RTIV,
AT. _SEIVER
N�
'RERM I T,
':inspections BE
C 11 2525,* "for, side -sew 'cnverjn�.a;y' p �r'tjo�o e. cons rue, on.).,
t tj
c ion�*wlll,.be toy _wlthin,�2��.Eours'�ai 'Sum_.Vi, holidiy,Insp�c�lons
GnZe P i&�:, fter. r�equst; ,,,N Sat
h� .....................
."DRESS�;-LOCATION�bF`
CONSTRUCTION-_ .. ...... . ......... .........
.................... .......... .. . ...
c.
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, - -- ---- �:* - - EK
...... ............. :_.-....!_,.OV*rN -AND OR�BUILDER:: ................. ...........
...........................
'S, Ni
AAkW_'ALDDRE ...... ..
....................... ..... . ................................
P_ ... 4�5
.. . ... ..... -and/ 'y 766Wer
or,repa r or, conne6ilon 0 'W;Side Se�ve to.;-thet-city gan I tair
r
-liCit��ofkdMondgoi�dina-nc6s.��
C 'iD'�TO THE, FOLLOWING:
ALL
the`�*6�"�rs�of Ab6.
'�T -Prope�ty`inay.`obtain a,permit-,.to construct sewer
Inside,property line., A 1166n.jd�
in,:street side -Sewer -C6otractor_ n�itist-,b 4
ar�a. Do not cover anV portion of sewer. before.it ' has been -inspected: e,!mp eyed tocons rue
NOTE No.' 2—All' w
ork in.-city-right-of-way.requires an, ln�asion -of YUght-of-W.ay,Permit.obtaJh"*I'e-'from'. the City Engineer's office!- -7
nee 14.1 6.030'and.' Reg diation s
TE,No:%3.—.ObtaJn f6ii-linf6imati6n-re��ding,Ordink -s,ide sewers'v�hdn'y6u get permit.
tAg
NOTE No:. 1�ave at- 16 t:3 Jn6h6s 12 :1�c�e��JnsW- oio lin9-."mlnlmum�'.gi"e of-�2 No: li�hdsi in: grade
'slukl�berLthan. 1/8 will be permitted . .oyer4�"--at -line said, perty
'5-'.Frgnches:-ln�,strb�t must -be*water'setticd' and.su�fa:cfi.,bf-.i�reet*iestored, 'to orikinq'. bo"riditlo Co tr e . Aue'— t i
-%�vork'_whlch� may,-devel6li within one* -year of completion.,' actors shkil, be respomilble fbr failur 0 roproper
s,un awful toialter-orido any other --work, thaw ig-pi6vide-d'for, in the permit, 'or.to do -any work on.the. main's6wer or.its-appurtenarices �6xcepC, to* in:,.
'"serCthe�pipejnto� the-w
-ye,
7
................ .
D At ei..* ........ 1.
K lj,� Diite..: -�-D t
............................... By, a e
-A
......... .
APPROVED� 0.
...............
.........................
piar s:� ............................. ........................ ..............
......... ........................................................................ � ......................
..............
i k 6 ordance jtk.,aj1, governiii 'ordinafibbs,6f-thb* Ci X,
tyi d tdn
-thls:�.
Clieck:BEFORE -you fit. for.: WA6n 0.;E 6k� b, Tel�ph
Ori6'
insppcti,ow."
.....................
9�
qwer�.,O; _�Sewer iE]f 'Other- E]
APPUCATION
The City of Edm*Ms for
SIDE SEWER PEWff EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION IR REPAIRS E] LID No. --(T�Zn ----- ASMT. NO.
LA
OWNER -- - ---- C=—W"
11E ................. ------------------- CONTRACTOR CIO
JOB ADDRESS Ef --- 1 --4 . ........ ERMIT NO.
------------------ --------------------------- -----------------
LEGAL DESCRIPTION: LOT NO. t---ZTN--Pr--lBLOCK NO - ----------
---------------------------------------- I ------------------------------------ ..................................................................... --------------
NAME OF ADDITION ..................
....... .
d.3S
6F-
Approved:
DATE---------- ................................. By ................................................
r
It
C>
7-3, 7
c, r: r M TWD 27 R G F 04
fi T--26) 6 EG So E' r- OF SEI/4 NW 1 /;It T V NO 0- 2Z.
--T TO
3CE 646. 5 FT T;j N 5 9 9: 3 2- �OW 20
4
TDa TH C� N T N59*32. 30W 101-1,')-.:T TH/I�
'�00.5 I- r 15E 101
W 73.Z5P T'l
24F T NCO 2 2 3 OE. 73.27-T To Pr
TH
r"4 7 21 -Rc, L��2
7z- t4s 7-2
V,% 42 G,� 2- 1:--�
27 )4
P.f; r
T --2 6F S� -CC)R 'SZI/4 NWI/ -2
Y=. TH
Z 30E 646. 1-5�r r 14 N 8 ck 32 30W
f-.,. 0 F T, I PS TH CONT, Me C 01 1'�S -- W 70FT
9 ':� 31
CC) Ct!t 15 15W 146.44FT TH So
1 .5 E 7 01: T TH NO 3 1 5 15S 146-4,-7;:T
f�l TO TPS
NOTICE:
urar
-Nbw-a rra nty-.O�t:a-cc
The information'shown on the attached
map(s) was compiled for use by the City Of
Edmonds, its Employees and Consultants.
TNe City of �Edm.onds does not. wa rra nt the
accuracy of anything set forth on these
rnap(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the inform-ation shown on
i ed to
tFe -map(s), Including, but not limit
b shown. Such
the lociation of any sewer stu
sewer stubs may or may, not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
empl-o-yee-s o-r offi-ce-rs -sha`rl be 1--ia-b-IFe for the
information given' on this ma p(s), nor for
ovided based
any one representation pr I
upon'said map(s).