21521 80TH AVE W11111111111111
15309
21521 80TH AVE W
STREET FILE
December 5, 1980
MEMO TO: Utility Billing
Fire Department
Police Department
PUbl.i`G Works`,
FROM: Building Department
SUBJECT: ADDRESS CHANGE
RECEIVED
D EC 5 1980
Dir. Of Public Works
It. was found that the Redd Clinic located at 7935 216th Street
S.W. was assigned the same address for both of the buildings.
Since these buildings are separate they need their own separate
address.
The building that was the first one built will keep the address
of 7935 216th Street S.W. The second building, the one farthest
north of 216th, will have a new address of 21521 80th Avenue W.
Please note the above change.
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APPLICATION
The City of Edmonds for . ..............................
SIDE SEWER PERMIT EASEMENT NO ..............
NEW CONSTRUCTION Eg-- REPAIRS 0 LID NO. Illqr ...... . ASMT. NO - ------------------
OWNER----------- -------------------------------------- ------------ I ..... CONTRACTOR ------ _/��< .................. I .................... PERMIT NO —
JOB ADDRESS ... ......... .................. ------ U.
---------------- LEGAL DESCRIPTION: LOT NO. ......................... --------- ..- BLOCK NO.--------
12
------------------------------------- --- — ------------------
NAME OF ADDITION --------------------------------
-------------
luJ//
Approved:
DATE............................................ By -----------------------------------------------------------
11/75
APPLICATION
The City of Edmonds for
EASEMENT NO . ........................... ..........
SIDE SEWER PERMIT
�3 NEW CONSTRUCTION REPAIRS ❑ LID NO- .................. . ASMT. NO . ..................
OWNER ........................ --------- I ------------- CONTRACTOR ...... PERMIT NO.
JOB ADDRESS ..... �------------ LEGAL DESCRIPTION: LOT NO. BLOCK NO. --------------- ..........
z �--j bljE—:_ . uj .
I
I
NAME OF ADDITION :
Approved:
DATE
0
NOTICE:
No warranty of accuracy.
The onf ormation shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City ofEdmonds does not warrant the
accuracy of anything set forth on these
map(s). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
the -map(s), including, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
ernp-l-o-yees or officers shall be liable for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
' CITY
OF EDMONDS - SIDE SEWER PERMIT
WATEWSEWER DEPARTMENT
PERMIT
(Call 778-2525 for side sewer inspections BEFORE covering any portion of the construction.1
Inspection will be provided within 24 hours after requst.- NO Sat., Sun., or holiday inspections./
ADDRESS LOCATION OF CONSTRUCTION ....... 793'216 th St. S.W.
_"-..-.•.•.......................................................................----•---....._.................._......------•--........
PROPERTY LEGAL DESCRIPTION ....................... ��---A1 IACHED....`.......__...._..._......._..._.._ ... . ..... . .....................
.................................................. .......... _.......... _......................................................................... ............... .................................. -..................................................
................................................................OWNER AND/OR BUILDER-....-. - TIR—--- REDD ...
"RACTOWS NAME & P ADDRESS ....... B®b---Akl �-n.-- -- Ban'•---ti9 wa
------•-------------•-••---•-•------------------------------- ---- -------------------------------------------------------
IIssion is granted --------..._.. June... 0...................... 197T, for rep
air and/or connection of a side sewer to the city sanitary sewer
sy--_-,m in accordance with City of Edmonds ordinances.
A[TION IS CALLED TO THE FOLLOWING:
NO-,.2No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed 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 Permit obtainable from the City Engineer's office.
NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2-/_ No bends in grade
sharper than 'A will be permitted.
NOTE No. 5—Trenches in street must be water settled and surface of street -restored to original condition. Contractors shall be responsible for failure due to improper
work which may develop within one year of completion.
NOTE No. 6—It is unlawful 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 except to in-
sert the pipe into the wye.
DISAPPROVEDDate__._._-„ .._.....� •----" -B�--------- Dayr' - -v-.-.........._....__._..By..................Date.__.........._.---•--.........._... By ................
APPROVED Date... �...._ -----
B......................
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Remarks
BOTH Permit Copies MUST Be Signed B Owner of Firm Performing Construction PRIOR To Request For Y g q Inspection —
•-- ................................................ • hereby certify that the side sewer installation constructed under this permit
(Owner of Contracting Firm Performing Construction)
0 installed in accordance with all governing ordinances of the City of Edmonds. �%�
4J Dated this .---._.3P............day of ............ ... 1..`.. _
N/ Check BEFORE you dig for: Water p, Gas ❑, Telephone p, Power E], Sewer ❑, Other p N
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