21212 SUMMIT LN (3)11111111111111
14480
21212 SUMMIT LN
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Ob =CON�'1'IUCTION �tats�re c c say LE6?AL, DESaRIPTION i.. � 7 � ..
... ..... .. ....................... ........
a OWNER AND/OR BTJILDER:. �ORMAN V.4
...:
NI[AkOTOA NAME &'ADDRESS
8`1 ... pa connection of a side sewer to the cit sancta se
,",rinlsion is ' antecr a , 18. .., for re it and/or ' y ry wer
;sytenfin accordance with City of Edmonds°=prdinances.
P P'"'�ENTION IS CAt.LED, TO THE,FQLLOWING.'
P N00'1 ,The';ownere,of the pioperty:may bbtain a permit.to construct sewer inside property=line. A licensed Side Sewer Contractor inUe4 t;9 lrtYFPloyed to construct
sid8� sewer ln; street; sxea."- Do not cover »any portion of sewer before it has been' inspected. � # � r��� Az
^N¢TE No 2—A11MWork performed9n'city ri6ht of-wytectutresan Invasloh of -Right of -Way Permit<obtainablo from the City.Engineer's..office
Nf11k7 ? 3--�bt�i�h in, or regaiding`Ordtn9nce SY ig030 ggd`Aegulation4 'gbverning side sewers when You get permit ^ "`n
�k O } ii e �iols.of efde eewcr mli°st h8dd'•at least 30 inchea'covei�ge at:property line and 12"inches inslde�-property line; nilhimurigrade of" q 0,1-
1 in,
Pads
?` ieY sharper thats!3¢ wilt be perrpitte'd. . `
,;N� r G r�jeticheaaris'treeti,muet be water settled,end 'surface of street restored to original^condition. Contractors shalt„be reAPohs"ble for al" lnre':dn.e to'hn
,a��� �WockVhtch t#laY develop witiiri one }eai of.domple}ioia.< Prop
3 $� t to i t ' s finla ful to alte or do any other rwork ^then is^ provided ,for in the permit,, or,to do any work on the main sewer "G' its appurtetiance4 °except tt> in}
c ttgrr �!r
'iAPif'ROVF�I� ❑ !Date y Date.
e R Y gtl
Date i....z $
.AP 'hhi��EU'i lyate �/V ..w C-4
�r a a s
1 Remarks...............................s"
L = P 8 pew tS
.. _ .... - ............................
v
3'
SAUTOWS AME & A b'
i• •• '.3 fir
Viewer installation constructed under thfa pinft'
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RECEIPT FOR CERTIFIED MAIL--30
423-02900
BURKE, NORMAN D. 1
8201 MERIDIAN
SEATTLE, WASHINGTON
981
'>OSTMP
OR DACE
A P1
OPTIONAL SERVICES FOR ADDITIONAL fceb
—
15d
1. Shows to whom and data delivered ............
65'
RETURN With delivery to addressee only ............
RECEIPT y, Shows to whom, date and where dolivered ..
only •••__••••••
350
a5Q
SERVICES Wilh delivery to addressee
---
DELIVER TO ADDRESSEE ONLY ....................................................
SPECIAL DELIVERY (extra too required) •• •• ...................
PS Form UO INSURANCE COVERAGE PROVIDED— (See other side)
gp00
Apr. 19'71 NOT FOR INTERNATIONAL MAIL
+cvo o.aueeo
n Pro v
a
APPUCATION
The City of -Edmonds for - -----------
SIDE SEWER PERMIT EASEMENT NO -------------
NEW CONSTRUCTION REPAIRS ❑ LID NO. ------ - ASMT.
_-GON.----,
OWNER--- ......................--- ----
.......
-------- -- --....... --TRAC TOR--- ------------- -------------- -------------------- -------------------------
----------------------------------------------------------------------
I -_ T kr? JOB ADDRESS ---
i JMM- ------ A, NE�EGAL "DESCRIPTION LOT� -NO.BLOCK Nia
NO.:- BLOCK' -.
-------------------- _ -- --------- ------------------
----- ..................................................... -------------------------------------------- ..................................................
NAME OF ADDITION ............................................... .........
Approved:
DATE ;�/ ............. BY
CA
,,The City of Edmonds
APPUCATION
for
SIDE SEWER PERMIT
NEW CONSTRUCTION ] REPAIRS El
OWNER --- VPk.e AA) -------
------ ..... . ------------------------------
JOB ADDRESS /'//4/-,/ 7� /-�/j 4, -X-z
............................... ........... ..........
STRERLE
EASEMENT NO- --------------------------------------------
LID NO. -10-1 -------- ASMT. NO.,,5- lz-,:�
CONTRACTOR
------ - ----------- --------------- -------- PERMIT NO.
LEGAL DESCRIPTION: LOT NO. -------- 61 ----------------------- BLOCK NO.
----------------------------------------- 2�---------------------------------- ---------------------------------- --------------------
NAME OF ADDITION .... 14-1-POIA6410CP AAIIZ�R
---------------------------------------------------- ------------------- --- -----------------------------
Approved:
DATE-------------------------------------------- By .............
REGARDING: r-
(address)
R E C O R D O F C O N T A C T S
NAME PHONE Mn F_
DATE
ADDRESS of CALLER
COMMENTS
ACTION TAKEN
5/l/74
Norman Burke
Certified Letter No. 406358 sent
Letter received.
6/4/74
8201 Meridian
Seattle
requiring hook-up within 60 days.
Came in to take out permit. Did
�.l
not realize legal or drawing was
needed. Will send contractor for
permit.
6/5/74
Lynnwood Sewer obtained permit #4837.
6/26/74
Connection completed.
co
or
INITIALS
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