Loading...
20111 84TH PL W11111111111111 15412 20111 84TH PL W APPLICATION The City of Edmonds for ,rvTft-,�­F, � -z-,H_ jd,-i0;.. SIDE SEWER PERMIT EASEMENT NO . ........................ NEW CONSTRUCTION REPAIRS LID NO.-z:._ ------ 'NO. ............... ............. OWNER . ... .. ...... . ........... ... CONTKACTOR,--: -NO.-'---: ------------------------------------------------ ...................... ----------------- --------------------------------------------- ------------_---- ... JOB ADDRESS-- -- ------------------------------------------- ­__.- -------- ------------------ ------ - ---­-------­--------------- - - ­---------------_--- -------------------------------------------------------------------------------- ----- -------- --------------------------------------------------------------------------------- NAME OF ADDITION ------ : ----------------------------------------------------------------------------------------------------------- DATE ....... .............. '71 ------- -- ------ By - --------- 7`­L,��Avl!�'. il '!; M4 0 AE Ary: I, F.,EDIM. 01 R 'PE RMUT; YW. STW�R,.-.DEPARTMENM,'�'. 7 # ERMIT 0 t n. spectlon8­11EFOI F �i�o�ering,,;:anyl, p r Ion .,of, the constructio rail 17�5, 2,11, 'Iri� io� il"� in s -�pr6 Ided`7;witr�in.'24 fhbuis' !after,' i requst.,'., or.�hollday inspections.) pec lon,*III �be Nest 20 IJ, j� `84.- 11� ­ . ........... AMDRES&..-'�L GCA110N':0FJC0NSTRU.CT10N ............ ................ 0, . . ;t , '�' ........................................................................................................... ......... ......... .. �,7 ivisian P-ROP,ERT,Y,'�L�'EG�AIL.,,�ESCRI-P.�1(j W /Z -'0UjT.c!ct,'­_:-E&st 'Edrp.6nds�-Ac'�es,'.;- 1)" .............................................. ............................................................ ........................................ ......... . ........... ............................................................................................................................................ _ .............................................................. ........ ........................... ........ .. , jj _JiujLDt _RT AREj f-AMAN' ... .... ff V MNEWAND/OR" Rl'.....,... . . ................................. ............. * ........... ............................................ ........ 7 ..... ......... z ..... ..... 6110 6 ds Joh,69bh W',aei --&­P: Umbi n0j;,1,6009, R Mead d­ 1 Riis's - S16 I ow, a o Rd'. CT-OR',,S;,N'AM-W,'�t",A�DDRESS, ............................ ...... . .. ...... .......................... ........ --------- t .............. t .................................. .. . ........ 0A ...... -A4 �t ...... -f ' �x�6pair--' nd .?�On .&,.Ade seW46 -P or a leiiiilssionllsitiantZd�,*.�-.: ...... �1'1' �oi nectlon,.;of r W:Clty of Edmonds�'6rdlrfanees.'�� �.a cojdj"�C�wit .kT�EN,TibNJi�I.CA­LL'ED TO . THE 1* FOLLOWING.: ir, I -Not, A' ` . _1� ' of the ,,,Th'e:,owners -property may. obtain, a permit �fo-.pnstruet'seweri,inslde property line::, A,11censed Side"Sewer Contractor �must-be '_­�4�glde­ sewer in,street. area. Do n6t:c6ver- any, �portlont of,;sewer, 115efoi6 t,;J�as,beenAnspe6tedi w ork per'fo�m ed'i n. c I ty.'rl ght - o f- way, requires an-1 . n a" PermfV-obialfi'ble from We City Engi neer's, office, No vasion-of.tRight -of.-*,W y a i NOTF,;rN -,,"Obtain' full-Anformatio&"regiqding� Ordlnanee� 1,1.16- 3 .60 -and,:Regulations goyerning. sidi:se�;eis � e n, y"ou' '. g� it perm"It. �NOTEIN�.14LTop,,of;side sewer. must,haveat:- I , east 30 incfies� 66 eragie,at, property, line and 12 inches�inslde -property� line; minimum grade� oi-.i%.�.',N'6,,beifd�.,in��grade. permitted.. .will,be NOTE N&' 5�7!Tren�hes, in,streit, must be, -water';seftled and7 su rfac6,"of' street restored to original condition. Contractora'shall be resp6nsible for'�falibreifaue t6 Improper,* --�-��w6rk',�vhidh'mb�y�idevelop,- ith In -one year � ofcompletion. w NOTE N6.-,*,"6,—Ie.,I's"u�l�wi�l"t6 'alter or''66 any 6thei,w6rk:i�aj�;1'�.,i�oiiide'd,f6i,ih the permit, or. -to do,finy work -on the main 'sewer -or its &pgurten� except �tol.ln�_�, 6rtithejip6-'fiitoAhe wy "D t -DISAPPRO ED 1,E] 'Bate: a Y­ Y. 6 ........ ...... .... ......... _V ...... B ............ APPRWYED ­7 ...... L . B ........... ... .......... . ............... ........ . ...................... ; .............................. Y rb.te ....... ... C�z ......... .. . ...... .......... .......... . ...... ....... ....... I ....... ........................ ..... ................... .. ..................... ................ ...... . ... ....... . ............. ........... .......... . .............. ............................ 7 ......... ........ .... ............................. �;.. S .'ii;e*.',S*'�ned-��B.�,�1,6�vn6�,�of,Eirm,,':Performingi',C6ristruction,PRIOR'To,k' o�quest For .'Insplectimili—,", Z�_ . ......... ..... .... thejsidezewer-iri�na 1aiioh,conSftvcted �ndie`r4hfstpe�rhit' ......... f , cent tink Fir;�­ rf'c,'r'ming*"C*bn*struct-i�n;'* -was.,inst" dc rdan 6* t4,all goVernffig ordinances ofttfie',City of. Ed6i'ofig.-, f .................... ............ .......... atedl e 'iOth6r Eg e0oiier V,'.V " -* �� ": . vaierii T ­.:Se'Wer Uvl; el Th., City of Edmonds 6) APPLICATION for SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS OWNER --- ........ Y JOB ADDRESS ------ ----- 0 ---- / ................................... . ------------------- EASEMENT I)LO . ......................... LID NO. W./'��/,ASMT. NO. CONTRACTOR ------- 2 ------------- PERMIT NO. LEGAL DESCRIPT I ION: LOT NO. ....... 77 ------------- BLOCK NO . .......................... .......... ---------- ........ .............. NAME OF ADDITION ----- -------- ---------- / ............................................... -NeQ pleot:- 0��jR -`%lTz Approved: DATE-------------------------------------------- By ...... . . .. . ...... J ld,'follow -ins rue. tons. orl,0 ter 510!6, 'r. 'SENDiR- B'e'sdre 'CHECKED -BLOC y DICA _j PLEA SERVId(4�1-N xED,:BY,­ SE,FlJkNI�W't 9 �C, � � . (Ad iii iai�gesrqqt r Deliver' SKOW addreg l. . I 1 11.1 . 1. fo ad&e5�e i'C d: RECEIPT' dfhe.nun b6ed;cfifl�le described, katbw Receive, �always'!be fillo& ln)� .1 .0 t ADDRESSEE (mu6t R GISTEREDCNO SIGNATURE40 CERTIFIED NO.� bDRESSEEI--lVANY i AGENT, R SIG 4f,t', RED,­N0,.: 'DATE DEUVE RED, :7 z, uav'kae-o 010 1 :Ode 4 (opq jaq4o aaS) 11VW 'VNOIIVN831NI UOJ ION IL61 'AV —0301A08d 3OV83AOO 330811SNI ON 0013C .,. ...................... (poA!nbaj aej c,xo) =I Sd X83M. a IVLOM -- ------- OS � AINO 33S33HOOV 01 QA1130 ­10- V4 A.IQA110i) I - JUM 099 MOM lop BANIM pue glop 'wo4m 01 SIA04S -Z AlU0 ')0SS0JPPe 01 AJOA110f) IMM SMAMS 1,113338 PajoA1101) glop pUL W641�k 04 S, Nonau S333 1111,10111 13:3 EA L3 _IVN;11,10 C) 0 V 0 -.0 7- 0 9 6 Wi ") N I H S VM "�(INOW03 1 M, M 3)Vld HI-17P ji 06VHDId i`SNVWV3A r\) 8V Qd 'Ills, (a e �50C—Ilvw 031JI1833 HOA i d1333H STREET FILE REGARDING: 20111 - 84th Place West 0 0 (address) R E C 0 R D 0 F C 0 N T A C T S DATE WE, PHONE NO., & COMVENTS ADDRESS of CALLER 5/l/74 Richard Yeamans Certified Letter No. 406262 sent requiring hook-up within 60 days. 6/19/74 Bechtold was in for owner to locate lateral. Owner has full basement and can have only 1% grade. 6/24/74 Russ Johnson came into office and obtained permit #4890. 6/25/74 Connection completed. 0 ACTION TAKEN Letter received. Larry Ogle to investigate. /A INITIALS TE TE TE TE