21815 80TH AVE W.PDF111111111111
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21815 80TH AVE W
REGARDING: 21815 - 80th Avenue West c/627 - 0 Boo,)
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R E C 0 R D 0 F C 0 N T A C T S
DATE NAME, PHONE NO.J. & CO"V1ENTS
ADDRESS of CALLER
7/17/75 Steven Smiley Certified Letter No. 406686 sent
requiring hook-up within 60 days.
9/11/75 K & D Sewers * came into office and
obtained permit #5306.
9/12/75 ConnectiQn cQ=leted
f 7'
0 1
3
ACTION TAKEN
Letter received.
INITIALS
JT
JT
JT
RECEIPT FOR CERTIFIED MAIL-30� (plus
postage)..,
SENT TO
Mr. or Mrs. Steven Smiley
POSTMARK
OR DATE
cc
00
CID
CD
STREET AND NO.
21815 80th Avenue West
P.O., STATE AND ZIP CODE
Edmonds Washingon 98020
OPAONAL SffV-10E- TOR ADDITIONAL FEES --
(See othor side)
GPO: 1070 0.397-450
RETURN.
RECEIPT
SERVICE
> 1. Showsito whom and date delivered
W th delivery to address ee only %, 650
2. Shows to whom, date and where delivered ..'350
With delivery to addressee on!y ... 85�
DELIVER TO ADDRESSEF ON(.Y I I I sod
SPECIAL DELIVERY (extra fee required) ... .... ... .
PS Form NO INSURANCE COVERAGE PROVIDED—
Apr. 1971 3800 NOT FOR INTERNATIONAL MAIL
APPLICATION
I'le City of Edmonds for EASEMENT NO . ............................................
SIDE SEWER PERMIT
P
r4fi-V -CONSTRUCTION REPAIRS 0 LID NO. 11 ---- - ----- ASMT. NO
OWNER ...... 7-- T = ---------- — --------- CONTRACTOR ..... ej=li
-------------------------------------- .......... -------------------------------------------------- PERMIT NO. ...........
JOB ADDRESS .... ... ----------------------------------------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO.
I
8
.................................................................................................................................. -------------------------------
NAMEOF ADDITION ----- . ...................................................................................
Approved:
By .. ... .....
DATE ...... Z5 ...... ly ............... V .................
V
APPUCATION
The City of Edmonds for EASEMENT NO - --------- --------------- -------------_---
SIDE SEWER PERM
NEW CONSTRUCTION REPAIRS 0 LID NO - ------------------ - ASMT. NO - ------------------
OWNER --- 4�Tk__JS ----------- S ---- A --- A --- CONTRACTOR --- ------
--------_----------- -------------
-- ----------------------------- PERMIT NO.
JOB ADDRESS ----- ....... B-0 Lj
.4 ------------------------------- .... LEGAL DESCRIPTION: LOT NO. ------------------------ ... BLOCK NO. _2- jd4
--------------------------------
1-1)9,p q e g e
........ - - ------------- . .......................... I ---------------------------------------------------------------------- ........... ------_-----
NAME OF ADDITION ------------ MAJ?Jre�_��_)f ..........
Approved:
DATE ----- — ----------- --------- By ------------------ I -----------------
vt
NOTICE:
No warranty of accuracy.
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of 'Edm * onds does not warrant the
accuracy of anything set for ' th on these
map(s-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
..-----fh-e -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
emp-l-o-yee-s o-r officers -shalil be liab-11--e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
CITY,'OF EDMONDS SIDE SEWER:PEkMft
WATER -SEWER DEPARTMENT
A
PERMIT 5306
fcall 775-2525 for side sewer inspections BEFORE covering any portion of the construction.)
'kI..pectio. will be provided within 24 hours after requst. NO,S&t., Sun., or holiday inspections.
ADDRESS LOCATION . OF CONSTRUCTION ... P-j . ...... -ul -- -------------------------------------------------------
PROPERTY LEGAL DESCRIPTION --------- (1N _47: ......... ....... ............
...........
.............. - -------------------------- - ---------- . .......... - ------------------------------------------------------------------------ . ............... ....................................................................................... .
-%V� AN LD P .......... .......... ........ --------------------------------------------------------
..................... --------------------------------- R D/OR BUI E
CONTRACTOWS. NAME & ADDRESS ---------- - k-:� ------- ------- ------------------------------ ...................................................
19:77�j;�f6r repair and/or connection of a side sewer to the city sanita ry sewer
Iission. Is granted ... .. . .. . . ................ --- - -- - ------------
�s -m ifiaccordance, with City of )Edmonds ordinances...
ATTENTION is CAL�ED TO THE FOLLOWING:
NOTE No. I —The ' owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to con . struct
side sewerin 'street area. D6 not cover any portion of sewer before it has. been inspected.
.NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office.
NOTE No. 3—Obtain'full information regaxding I Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
N6TE No. 4-m-Top . of . side sewer:m ust have I at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2 %. No bends In grade
sharper'.than %..,will be permitted.
NOTE -No. 5--Trenches in street ' must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to improper
work which ma:Y develop within one year of completion.
NOTE No. 6-1t is unlawful to alter or do.any other work than is provided for in the permit, or'to do any work on the main sewer or its appurtenances except to in-
sert the pipe into the wye.
DISAPPROVED lj�ate� --- - ------------- ------------------- - By ---------------- R
------------- y ---------------- Date .......... t ..... . ................... BY ----------------
y----
APPROVED Date -------- -- -----------------
B ----- ---------------------------- ------------------------------------------
.......... .....
Remarks: ------- - ------ - ----------
----------------------------- ------------------ ----- . ....................................... .......... . ............................................
---------- ...... -------------- - ----------------------- _ ................................. ................ .................................. ................................... -----------------------------------------------------
7
B6TH''Permd'd6pies' MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
------------------------------------------------------- --- hereby certify that the side sewer installation constructed under this permit
-.Mwner of Contracting Firm Perfrming Construction)
governing ordinaiicbs,of the City of Edmonds.
was nstalled.in"ac.cordarice with all
Datedthis__� ------------- - ----------- day of� ............................................ ............. �19 .......
Cheek BEFORE you dig for: Water, Gas E], telephone Ej, Power. E], Sewer E], 'Other E]