21827 84TH AVE W.PDF11111111 lill
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21827 84TH AVE W
R `PERMET--_`,�
ON 'St"
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W TER�.s DEPANRIME
A EWER:
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P MIT'; q
ER
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call, .77512_5�5::for '.id�, sL.w�'r ins�ec6ons "BEFORE portion-IoL,the .*,Construc
covcrl�g ti
"Si t :s " �i , .. "I - I I - I . :
P, n;pection-.1will �e: proi�lded, \�i htr� 24 *hours, -afier'requst NO�. at'. .,Sun�.-.or,�h*oliday.: Inspectlors.
%:
-ADDRESS; ..8 thi
0 TRU ...... ..........
. .......... : ................ ................................
4bTiCIN:-_' ... .......................... ......................
01
....................................... ...................................
1/2.7 '1 2� W"I
A �� tij;
tl 70 1. .1 1�
v,.)PR0PERT.Y:'IiE"L','DESC RIPTION'..3"..' ......................................................... i ......
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.......... ................. ...................... ................................................... .............
...............................
........................... .......... ......... ....... ...... .. . ..............
FREI), 1
L
............................................... 6WNER:��DZOR BUILDER_;
. .................................... ............. ....................
...........
............. ........................................................................................ q
�3,,: -CONTRA& -AM _&ADbRESS ................ .............. .... :,..,-d- Cb ox,
. 150C tol
OkiSiN -E, re
.......... .................
9:'. 1ind/6iri;'c'o`n" sewer-tdAbo"�"C
/P ............................................ 4 74' nection -or �a Si
'tii,iLccoiditnce,�%�itfi-City�b'f Edmonds�0'rilihailice§..�._'.'
system,
--'�,ITION IS. CA-LLED- TO THE. -FOLLOWING:
obtain a" permit.'.t6.-,co�si'ruct-,*sew�r-. in�sld6.prdl;,4�ty,-Itfiel. �z-A,"Ii�ensed.�'Side,Se�we'r�.C'gnt�ra.c.t'or�, m':u I st�ib� ei-e
er,b6f6r6 It has,�bcen Ifisp6cted' C
cover,any port.l,o.n of seiA
Vo. -�Pe -wa. j y, req . uIre . s,a _Lrut6ie!-fro`m;'the� -City,:E ......
�fo'riinied' In:cIiy'!Hght 0 n:. I nvasion'.of RI ght'-6f,- Way,. F�Crinit:obt
NOTE;' 2- Alll�wo
ngineer s'office.
J! NOTE Did. -3_"O�ta�ir�' f6rmait l6nsj�e�*din`g tOr*dina.ce.1-1�i6*:'O.�0,'andt.-Regulations-�g6�o;�riing,�i�ld'6cs�%��'rs'���vh�n-��oui t'-Ioerr��it
ge
in: gr
OTE, No! '4-7cpl,�f.iside!,pewei� rnust,�hav�,dt`,Ieak'�
0, lnches�-coverage,-at�'�r6�e'rt'y "Ifrie ind-Ii- lln�';-. rnl' WY .. .... �d e,
sharpen'than' �A will, bc.'perrnitted�;
-of�.�Street,fe!��ored,-'to.,originai�'ico'n*di66n.r-'�,:cor�ir'a'ctors)4 ba' nsible,j 'r' failur�,,du�i7to4irnpr
be � water -settled and isurfa6e *� :1 ! - — "I
o�nia� diivclolp�.witfiih,one year -of, cornpletlon�: s 11 be, riesp.o o
ft
work,wh cY
N 'th 16'any, w6r*k.ory the nnainsewer,'or- Its a�pfiurtenan�Wj�xcept to�An--. t
Afawf4ftiw,alt�r:or ��6,aliy,,'otber for -in. epi��Mlt, or,to.,(
sertAhelpipe%lnto the %4e
tDISAPPROVED -�.E]. Date .................. ......... -By,:!....
..�Date ........ ....... B Date ........
y ..... .......
�,AIPPRO-Vkl
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ar csv-�....
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7:11""". -
I 1�.; - 1. - ` I i . ' �. :. J . . '. . , . :` �'t
BOTH
ctioir,PRIOR To�
�ifistall�ti'bili,"c'�nstrudtedl.-lundei.-,ithi'sqperm-it�-'�i,
. .. ... ... ...... _,,,hcpzby.,certify;that,,
Owner 61' n, J Ing i rn PerfGrmjn :Coilstruction-)�
4
wa.ia�jnstalledl i�:,ac�cirdance..cwtithi I govei,ningg,ordinaiices.6f�;the.-City.:�6f'Eci" d
mon s:
!.A
a -tti ..... ..... .. .
C
you�'dlg. for:*:Nvater
C he
4_
TL
APPLICATION
for
e %. ty zk-sb
"i
F
ILE
SIDE SEWER PERMIT
EASEMENT NO . ......................... ..........
NEW CONSTRUCTION REPAIRS
'�C=25r_>* . .....
LID NO. ...........
OWNER .... ------- C
....................................................................
-------- PER-M-IT -NO-. A-1--
------------------- ......... .............................. --------- --------
JOB ADDRESS --------------------------------------------------------------------------------------
.......... .. ..... .......... ........... .. ............. . ... ... ....... .
LEGAL-DESGRiPTION: -LOT- NO ------------
--BLOCK-NO.--: --------------- ----------
......... � By --- --
1 7
- - - - - - - - - - 16 i
APPLICATION
for
Thila City of Edmonds SIDE SEWER PERMIT
EASEMENT No. ...................................
NEW CONSTRUCTION 0 REPAIRS 0
F,R L TO
OVVN ... ....... ...... .... ....... . .......
.................................. CONTRACTOR . ....... ........ ... ........................................... PERMIT NoA�5!..� ..........
ADDRESS ... ........................ .... .... ...... .............. LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ........ ...................................
NAME OF ADDITION ................. ...................
/,V
L4
MAY -;,, 9 i974
7
Approved:
DATE................................................ By ......................................................................
NOTICE:
N*o n y ot c n on the a . ttached
The information show
Map(s) was compiled for use by the City Of
Edmondsl its Employees and Consultants.
Th�' e City of Edm.onds does not * wa rra nt ti ie-
accuracy of anything set forth on t hese
rnap(�_). Any person or entity -requesting a
copy should conduct an independent
ormation shown on
inquiry regarding the inf
t-Fe -map(s), including� but not limited to,
th'e lociation of any sewer stub shown. Such
,not exist and may
sewer stubs may or may
or may not exist at the location shown.
Neither the �ity of Edmo-nds nor its
empto-yee's o'r office-rs -sh-a-11.1 be Via.b-'Fe for the
n on this ma p(s), nor for
information give
tation provided based
any one represen
upon . said map(s).