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21816 84TH AVE W.PDF111111111111 �936 21816 84TH AVE W APPLICATION L� . for T65" City of Edmonds EASEMENT NO . .......................... .... ------------ SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS F� LID NO. ASMT. NO. OWNER ........... CONTRACTOR ......... . ..... ..................... ---------------------------------- PERMIT NO. -2 JOB ADDRESS ----- -k --------- BLOCK NO - ------------------------------------ --------------- ------------------------------ LEGAL DESCRIPTION: LOT NO - -------------------------------------- a --------------------------------------------- -------------------------------- ----------------------------------- ------------- ------------------------------- - NAMEOF ADDITION ----------------------------------------------------------------------------------------------------------------------- —21 1 f2 -�q L-L /19. -1 Approved: DATE ------------ -��lx ... ......... By ---------------- _-7 _77 7' 5T :M -BURLINCION777 NORT'HERN 7 co lV, 7 Al 71 Fi-EDMON05- -T)TSIIIDE,,S IM MEW"PM" wATER NT-, -SEWER,.'DEPAR7*k �4 ,(,,Call' 17.5-2525 for slde� s6�er- ins�6eti6ns,'T�FFORF'.,,cov�,ring"., any;, port lon,ii'of--, �fbe 'const ructi?w AT" Inspection: willi -be irovid6d' Nvith&,24 lliouff,,Vfter reilust. N&I;Sat' ,dZm- _-oi,lholl 8 S, lay An. pectl6n -West: i)N',O]FICONSTRUCT.ION,.',..�.2181,'6::- 84th.-AVenue. ADDRESS............ ..................... ............. . ................................................................. ....................... ION'.� `Nk I . ' 0 .:, ?� 6 P t,,! � M - 0 F e TO ?7, RV'04- R -1/2- NEI 'PR0 XE&AIL!' T PERT�Y�,E R .......... ............................................... ......... ....... ........ * . ...... ......................... ......... ........... APESP. MIT d FT - L6s�i'R .... ....................................... ............. .................. ....... ......................................... ..... .................. ............... ...... ... ......... .............. . .. . ............ "d ArMstea .......... EW. -A.ND/OR-)BU- ILDERI.n.- ................. ..................................... ...... . .......... ...................... . CT V J CONTRA OR' S NAME,& ADDRESS ....................... ................................................................................................ ............................................................ San ',sewe:r, Pennission4s,'granted"' July a 6 7.4' 'for repair. it i ....... .............................. M ... M .... IA and,/6rhi!onnecti�on a gi .in accordiince) nas- ordi�anc :";Ith'tCity of EdMb es., 2, TH& FOtL' AT-TENTION, 1&`d�LLEDI�T-O, 0 WI N. G property-, Y'? �ffiust-.�b��epipjoyed tq,.�ons�ru5_.,,, No� I_The� owners�cii tl�e btain a':perihit, to,,constiuct' sei�e'r�"*.�inpide,pr6�ert�,41iiie�:�,�&l�liedrised-Side,�gew�r�'Co�i'ra not.�cover any,.Port eci area. Us` Ion �Vsew ribefoiejit -;has been,,Inspected side, sewerin,-�tr c NOTE. No. 2—A,111'work'�erformediln city, rl , ght,,6f'way',requires a:n-'InvdsIbn,, of';Aig�tIo'f-.W_a:Y, gerrnitk6lit aJnabl�,Irorn,the,dIty E�glheer's,,ofi!16�'- NOTE No; 3�Obtain, full inibrr.r4tlon- r�gardfng, Ordinance.',11.16MO and, Regulatibns� govbrning.slde, sewers'-whep,,yd�i_,'get,, P'ermit: NOTE No., 4�Top, of'lsi.6,�sew'er Y�ust.,have fit, least: 36 -inches, co,�erage�-at'.`proj�'t�, 12 inbhes,'IhsidsC��6perty line;�'.minint luryflgr�ilb.-�o`f i%-. �No,�,IlAndsj.'iw 'grade�' sharper than I/k-will'-be� permitted� f NOTE No.. 5—Tren&s ln:street must -be water,settl'edi and, surface -oi"strie'�etkrestdred: to orlginaJ',:c6n�it'lonI.,- 'Cantraefors shall' e res onsib 6 foi�"fatfttie'�due. to Ampropei work whicb�,may* develop within -.one :year of'completion, NOTE) No. .6--It is 4nlawful'to alter or,,do-any other,work thwjs provided, for.Ari Afie,permit or't& d . o an work 2 'on, the maJn�sewer, o:r i�s: a�purtens;n . ces,exce�C f6.*jn-:' ". I I Y., sert the -,pipe into the,,wy6. 0. Rate� 'DISA �PPRqVE t6 ..... .... ... .... ....... . ...... :7: ..... r ........... APPROMED .. .......... ...... " B: .... V. .. ................................ ........................................... .. Y__ . ....... is:, ........ Atemarl . . ........ . .. . ............................. .............. 7 ..... ;77--:-7--j- r ................. .......... ...... ;. . .................. 7 ............ :1 .... .... ...... .................... ................... ....... ; ... .. ......... .. . ........... ...... 'Pei -0 fFJ ing,* onstr-uction',PRIOR,To,-'.Requ�st;�For. 0 —BOTH -m�lt,,Copies'-MUST-Be�Signed:By wner�o. irm- e orm lns�ecti I ............................. ............................... .......................... .. her*eby,.--�6ettify..tha�i.,t.�i� (Owner of, Cont�acting Firm-,Nrforming Conitructiofi)), was, -installed iri,accordailceiwitii,.�a-11,1�L-6v6rning:ordinaii6!es,of Ifie City',of Edmonds "'..4 Nda _P_ ........................ ........ ......... & ...................... ...... 0 E]; 3�ou'dlg, for:,.Wa;ter -E];�-,: Gas,.�E] -Xh.eck BEFORE. Telep'ho APPLICATION The C4 of Edmon& for SIDE SEWHt PaMff EASEMENT NO - ------ --------------- NEW CONSTRUCTION rN REPAIRS 1:1 LID No. -.1,F-��---ASMT. No. J-2-7 OWNER ............ -- ---- --- ti -- ------- --- CONTRACTOR ........................................ --------------------------- ---- PERMIT NO. 7�>C/ JOB ADDRESS ..0 ............ . ........... ------- ------- ------ -------------------------------- LEGAL DESCRIPTION: LOT NO - -------- ----------------------------- BLOCK NO . ...... ............... c ---------------- ) --------------------------------------- ------------------------------- ------------ I ------------ NAME OF ADDITION e- () RECEIVED JUL 8 1974 gro If tt!r-- Appro�wl: DATE------------------ ......................... By __ 0 NOTICE: Nd'n warran I id I The Jinformation 'shown on the attached map(s) was compiled for use by the City of Edmonds'. its Employees and Consultants. Th,' e City of �Edm.oncls does not ' warrant the accuracy of anything set for.th on these rnap(�_). Any person or entity -requesting a copy should conduct an independent inquiry regarding the 'nform'at*on shown on t-He -m a p (s) . Including, but not Hm*ted to, th'e loc'ation of any sewe r stub shown, Such sewer stubs may or may not exist and may or may not exist at the location shown. Neither the �;ty of Edmo'nds nor its k__1 I emp[o-yee-s o-r officle-rs -sha`rl be l.-Ja-b-Ife for t-he information given' on this map(s), nor for any -one representation provided based upon . said map(s).