21606 HIGHWAY 99IIIIIIIIIIIIII
14029
21606 HWY 99
APPLICATION
The City of Edmonds for EASEMENT NO- -- -------- -- ----------- -------- --
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS ❑ LID NO. ASMT. NO.
OWNER ------------ H C!N, -4
---------------------- ------------------------------------ ------------------- CONTRACTOR -------- -------------------------- ---------------------- ---- -------------------- PERMIT NO.
JOB ADDRESS -------- LEGAL DESCRIPTION: LOT NO. --- BLOCK NO. ---------------------------- -------
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--------------------------------------------------------------------------------------------- -- ---------------------------------------------------
NAME OF ADDITION
TF— :
2D LNc� FNV-?,T OF LO-V 31 LYING
OF ¢lc�ICD Np.l
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APPLICATION
7 . Ste City of Edmonds for EASEMENT NO. ------------------------- ------------
SIDE SEWER PlRMff
REPAIRS El LID NO - ----- No.
NEW CONSTRUCTION 1:1 ----- - Asmr 19)
30-Z . .................. ------------------------------ PERMIT NO.
OWNER--------------------------------- ------------- ---------
JOB ADDRESS A-
- CONTRACTOR-Y
- ----------------------- LEGAL DESCRIPTION: LOT NO. ------------- ------------------------- BLOCK NO. ..... -----------------------------
-----------
NAMEOF ADDITION .......... ----------------------------------------------------------------- RECEWED-1 ---------------
Approved:
DATE-------------------------------------------- BY
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REGARDING: 21606 Hi-ghway 99
a ress
R E C O R D O F C O N T A C T S
DATE NAME,, PHONE NO.,
ADDRESS of CALLER COMMENTS
5/l/74 F.E Roberts
Certified
Letter No. 406374 sent
requiring
hook-up within 60 days.
5/31/74
Bob Aklin
obtained permit #4823.
7/1/74
Certified
Letter No. 406596 sent
requiring
response by July 12.
8/1/74
Connection completed.
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ACTION TAKEN
Letter received.
Letter received.
INITIALS
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1IN
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CITY of EDMONDS
200 Dayton Street • Edmonds, Washington 98020 - Telephone (206) 775-2525
Department of Public Works
July 12, 1974
Mr. or Mrs. F. E. Roberts
21606 Highway 99
Edmonds, Washington 98020
Dear Mr. or Mrs. Roberts:
According to two previous Certified Letters to you from this office,
water service to your property located at
was to have been terminated on July 12, 1974. In atcordanc6 with the Edmonds
City Code, it is required to connect any property within the City of Edmonds
to the sewer, where it is available.
It is now required that you appear in person at the Public Works
Department, 200 Dayton Street, Edmonds, or contact Mr. John B. Mitchell,
Water/Sewer Superintendent at 775-2525, extension 226, within two (2)
days after receipt of this letter to make the necessary arrangement for
connection. If no contact is made, your water service will be terminated.
Your prompt response will be appreciated, as it is not our desire to
discontinue your water service.
JBM:te
Sincerely,
ACKNOWLEDGED BY PROPERTY OWNER:
PROPERTY ADDRESS:
MAILING ADDRESS:
ACKNOWLEDGEMENT DATE:
SENDERr Se sdre fo follow inwuciiods on other side
LEASE" FURNISH SERVICES) INDICATED SY: CHECKED §LOCK(S)
(Additional charges required far.theseservices)
oShow address:: _ Deliver ONLY
where delivered- to addressee
r RECEIPT _
Received fhe numbered d►iicle described heiow ( _ _ _ _ M_ AIL_—___ 30� (plus postage)
I _ _R_E_C_ RECEIPT FOR CERTIFIED
REGISTERED NO - SLGNATURE ME OF ADDRESSEE (Must always 6e filled m) POSTMARK
' 426-04500 0 " IE
:CERTIFIEDjNO 1 'S ROSERTS, F. E. �O '��✓
�4063r� (�— 21606 HIGHWAY 99 �/ HPg
,�t '_r 2 SIGNATUR A D E EESAGENT,IFANY EpMONDS, }niASHIf�IGTDN l I
4 g ED . NO.
30
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0 OPTIONAL SERVICES FOR
- RETURN t • Shows to whom and date delivered "......... i
RECEIPT With delivery to addressee only ............ 65 u
3 2. Shows to whom, date and where delivered . 35
h delivery to only ............ 85Q
e DEpYVEP.STO^ADDRESSEE ONLY .. 506
addressee
SPECIAL DELIVERY (extra fee required)-
y t PS Form 3800 NO INSURANCE COVERAGE PROVIDED— (See other side)
Apr. 1971 NOT FOR INTERNATIONAL MAIL d GPO: 19700-397-46e
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A?usf - PS Form NO INSURANCE COVERAGE PROVIDED—
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