21915 86TH PL W.PDFIIIIIIIIIIII
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21915 86TH PL W
NOTICE:
No---W-3- nt-y oT
The information . Shown. on the attached
iled for use by the City of
map(s) was coMP
Edmonds/ its EMployees, and Consultants.
The City of Ecim.onds does not warrant the
t forth on these
accuracy of anything se
map(§-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the inform'ation shown on
_tRe -map(s)/ including, but not limited to, -h
th'e lociation of any sewer stub shown, Suc
sewer stubs may or may, not exist and may
at the location shown.
or may not exist
Neitheir the City of Edmoinds nor its
empl-o-yee-s o-r office-rs -sh-a-11 be 11a-b-Fe for the
n on this ma p(s), nor for
information give'
any one representation provided based
upon . said map(s).
9TREET FILE APPLICATION
for
"'The Cily of E"amonds SIDE SEWER PERMIT
NEW CONSTRUCTION 0 REPAIRS 0
EASEMENT No . .......................................
OWNER .............. ...... . No . ...............
CONTRACTOR JC=�"t
.................................. ........ ....................... .................................................
ADD ------
LEGAL- DESCRIPTION: LOT -No. ....... --BLOCK--N-o: .....................................
RES,S ---- .......... ............ .......................... ................................... . ... ...... -----------
NAME OF ADDITION . IIS411
.. ... .. ... ............... ........ ....... ........
01
......... EY ----------- - ............... / ..........................
I
P
OF tpi'MA
wA NT
EP
A 5 5) 05"
PERMIT
(,Call 7.75-2525 for side sewen inspections �BEFORE. covering any portion! of the' construction V,3
inspection will be provided within 24, hours, , after requst. No Sat., Sun., or) holiday 'Inspect . lons)
- SW
ADDRESS. �LOCATION OFCONSTRU CTION ......... 21915 1 P1 ace- Ues t
.................. ............................................
............... ............................. ...............
......................
Lot 5,'Donny.,Glen
PROPERTY LEGAILDESCRIPTION .....
....................................... I ................................................ ...............
................. ............... ................................. .
:Al� 4
.................................................. ....................... I ............................................... ........... .
....................................................... ................................. : ........
n..E, Fi, S h
................................................................ OXXINER.AND/OR BUILDER: ............. 6prdc ..................................................
.......................................
CONTRACTOR'S NAME. & ADDRE§Si ........... R.u.s.s .... N o r.t.h..,.Ke a d o'wd a I e Rd. .. Edmonds §8020,__�'
............................................... ........ I ........ ...........................
Janp.4ry .... 1§ .... pj4:, for]�c
Penuission-4s,granteid . ............ ....................... p91'r1- and/or- �conhectltin%of a side'sewer, to the�-dity.1"filtary-4.
,syr' �in accoidance with City -of Edmonds ordin6nees.,
.117 TION IS CALLED TO THE FOLLOWING:
NOTE No.. I —The owners of the property may bbtain a permit to construct sewer inside property line.- A: licensed Side, Sewer Contractor must'be em'pioyed� to construct
side sewer in street area. Do 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 PermW obtainable from the City Engineer's office.
NOTE NNo. 3—Obtain, full Information *regarding ordinance 11.16.030 and Regulations governing side s . ewers when you get permit.
NOTE No. 4—Top of side'sewer must have at least 30 inches coverage at property line"and 121inches Inside' property line; minimu
iivgrade,of 2 No -bends'ln grade
sharper than 'A will be permitted.
NOTE N9. 5�Trenches In street must be water settled and surface of street restored to oilginal, condition. dontractors shall be responsible for failure. due'.to improper
work which may,develop within one year 'of completion.
NOTE) No.'
6---It is. unlawf ul 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 exce�j to� in-
sert the pipe,into the wye.
DISAPPROVED n. Date ... . ..... ............................... By.; .............. Date ................... 0.: r-7.) ate....
y'. ...... ... ........................
APPROVE]
v
Date ...... M:.., BY .......
...... ...... .................
........................
Remarks: ....................................................................... * ----------
............................. ............ ...................................................... : .................. I .........
............... ......................................................................................... I ....... I ...........
Inspe
BOTHPeV�lt Co�ies,MUST,-Be-.S`i K-h d'� er,'of Firxii P6rform�i-4g,.-:C�on!�triidti6ii PRIOR To. Re%iest,For cbbn
pel- wn
K hereby certif y that -the side -sewer installa ion constructedf under'.this perMit
...... .. .
............. ...... ..... ..
(0 W'ner of corfitracti onsLru loh)
wa stalle Iffilacebrdanc.&wit 11 governi brdi,n ic6s,of--the City of Edmonds.
-/zDated- this .... ........ dayof ............................................ ....................... 19z:
Check BEFORE, you, dig for,: W -E], Telephone I
atei
tD Power �[g, Sewer iE],, Other.' [3, V,
Th : City..Of Edmonds
e
APPLICATION
for
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS 0
EASEMENT No - ---------------- .........
Z 9-a-
4 ,
RMIT No.
............ .... PE
--- io
CONTRACTOR
OVVNER BLOCK No . ..........................................
LEGAL DESCRIPTION: LOT NO. ------------- ...............................
...............
ADDRESS ------
NAME OF ADDITION ......... �fl ....... ..... .. . .................... ...........
r
Approved:
DATE----------------------------------------------- * By .... .................................................................
INTER -OFFICE COW ICATIONS
DATE Januari Z5,
TO Herb Gilbo FROM Leif R. Larson
Director of M & 0 City Engineer
Public Works
fGAM 41 - LITTLE'S
SUBJECT:
Acceptance of sewer line in L.I.D. 192 for Bene-ficiaZ Us
The sewer Zinein 86th Place W., north of 220th Street S.W.J.
is acceptable to allow hook-up for the following properties
subject to the UauaZ fees and regulations:
Name Address Assessment No.
J. A. Mayberry 2Z9Z6 86th Pl. W. Z30
Paul E..Nolan 2Z9Z2 86th PZ. W. UZ.
Arline Richelieu 2Z9ZZ 86th PZ. W. Z32
Gordon Fi8h 2Z915 86th PZ. W. Z33
C
LRL:nor
cc: Bob Maya
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