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.-'---:
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......................
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------------_---- ...
JOB ADDRESS-- -- -------------------------------------------
__.- --------
------------------ ------
- ------------------------- - - ---------------_---
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----- --------
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NAME OF ADDITION ------ : -----------------------------------------------------------------------------------------------------------
DATE .......
.............. '71
------- -- ------ By - ---------
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Ary: I, F.,EDIM. 01
R 'PE RMUT;
YW. STW�R,.-.DEPARTMENM,'�'.
7
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ERMIT
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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�
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AMDRES&..-'�L GCA110N':0FJC0NSTRU.CT10N ............ ................ 0, . . ;t , '�'
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ivisian
P-ROP,ERT,Y,'�L�'EG�AIL.,,�ESCRI-P.�1(j W /Z -'0UjT.c!ct,'_:-E&st 'Edrp.6nds�-Ac'�es,'.;- 1)"
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_JiujLDt _RT AREj f-AMAN'
... .... ff V MNEWAND/OR" Rl'.....,...
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7 .....
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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 ........ ......
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APPRWYED 7 ...... L
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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,
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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
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