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11721
531 HOLLY DR
/'E;
REGARDING: 531 Holly Drive /0z1-,0 7-��n6
(address)
R E C 0 R D 0 F C 0 N T A C T S
DATE NAME, PHONE NO., & COMMENTS
ADDRESS of CALLER
5/l/74 Ralf Halsan Certified Letter No. 406156 sent
requiring hook-up within 60 days.
5/2/74 We -Ire on sewer. Please dye test.
5/6/74 D.T.O.S.
6/5/74 Certified Letter No. 406459 sent
rescinding letter.
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ACTION TAKEN
Letter received.
Scheduled dye test for S/6/74.
Letter received.
INITIALS
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The City of Edmonds Water Service Drawing EASEMENT NO. — .... ....... ------- - ...................
NEW CONSTRUCTION 0 REPAIRS &K/ LID NO . .................. ASMT. NO . ..................
OWNER..................................................................... .......................... CONTRACTOR .................................................................................... PERMIT NO . ....................
JOB ADDRESS ....... LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . ....................................
............. .... .. .......... * ...... **'*'* ...... .........
............................................................................. 11 ......................................................... I .........................
NAMEOF ADDITION ........................................................................................................................
PWW-0001-11175 (REV.11/78)
Approved:
/--7/— ? f2illul toe. -
DATE ...................... 7 .................. By ............... .... &Alft-tl
,;;o .. ........... t ...................
APPLICATION
for
The City of Edmonds SIODE SEWER PERBUT EASEMENT No . ..........................................
NEW CONSTRUCTION [:] REPAIRS 0
OWNER. ...... '1j'a-1.6an .................... b -------- ---------------------------------------- CONTRACTOR -------------------------------------------------------------------------------------------------- PERMIT No - ----------------------
'L ... ... Kilie . ............................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
ADDRESS .... 5.31 ...... .. ..
NAMEOF ADDITION .........................................................................................................................................
is
V
11
Approved:
DATE................................................ By ......................................................................
'RECEIP.T-'- R
D 1 �=3
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104-07200 -)STl40K'\-
P?7R DA�IE
HALSAN, RALF M.
531. HOLLY DRIVE
7. EDMONDS, WASHINGTON
9802
t� `0 IT 0
11111:111135 !DVADDITIONAL,
RETU .:,��bnows to whom and gate 0�!iy�red 15� -
IN �iWi�hdeliver!
-only -6
RE(it T`� V. to,aq0rqste 5
PI
ERVI61 Shows to whom, d2te'an'd whire'delive 3
ES
With: delivery� to �addresgee,�only
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5KTIVER�
.. ...... . .
PS form
3860 NO INSURANCUOVERAGE *R1OVIDEO_:'_r:'..'
AOr. 1971 NOT' FOR - INTERNATIONA ie- other side)
L MAIL" GI!O: 19 . 76 0-347..58
27�
NWNO�*.`
P!Po�, STATE,,ANIP, 21 p CO
r=
k
�"Kii tA5`;FOR ADDITIONAL',, FEES \_7
;RETURN 50ws to whom,and ate defivqred . ....
R ECEIPT, With deliver�yjo addressee only, 5
Spowi t
SERVICES 0 w 0m,,date and Where defiiered`35�
';�Withd6liveryto'addi-sgee,only,�,
�DELIVER.: �TO - ADDRESSEE i'O .850
0
PECIAL DELIVEFY ........ . ... ... 50,4,�
'"ut red) ................... ...........
PS F orm
A,,.- 1§71 3800.. NO INSURANCE' COVERAGE _PROVIOED.L_
.,(See o er si�.)
NOT 'FOR INTERNATIONAL 'MAIL - .
. *
GPOI t2700-397-438