21712 84TH PL W1111111111111115417
21712 84TH PL W
NOTICE:
:o...wa r�r a nay a.c-a- --- -
The -information s
hown on the attached
. Map(s) was compiled for use by the City of
p
Edmonds,
its Employees and Consultants.
t warrant the
'Edmonds does no
Thy City ®f .
ac of anything set forth on these
accuracy
nn a p (s person or entity -requesting a
). Any
copy
should conduct an independent
inquiry regarding the inf®rm�ation shown on
anq y
tFemap(s)d including, but not limited to,
n of sewer stub shown. Such
the locatio an Y
sewer may or may, not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
enlp.l-oye . e-s o-r office-rs sh.all be Via.b-'Fe for the
information given on this rnap(s), nor for
any one representationprovided based
.
upon said map(s)
. p E .
I*
# APPLICATION
The City of Edmonds for EASEMENT NO.
SIDE SEWER PERMIT
'14E-*-CONSTRUCTION REPAIRS ❑ LID NO. ------ ASMT. NO.
OWNER ...... r---l---...I'IC�g���i-----•--------•------------------------ CONTRACTOR-.-TUGKT✓. -----•--•-------- PERMIT NO.
JOB ADDRESS _Z1 12.-. T`'- �/t=1�tU ..W T LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO. ....................................
7—
---------------------------------------------------------------------------------------------------------------------------------------•-.....-•----............
NAMEOF ADDITION-----------------------------------------------------------------------------------------------------------------------
Approved:
�d
DATE ..----�'���,�.��--�-f�✓- By .. -.. .-----•--------�:.--
G ✓
— —— — z �— _ _ - _ _
; �� �.� . -� ups • . •-
CITY ,0. EDMO.NIDS+: SI�D1E MSEWER PERMIT `
"fly WATEWSEWER DEPARTMENT, .
PERMIT
tCall. 775-2525 for' side -sewer' :inspections- ;BEFORE covering any,-. portlon �.of the „constructl'on 1
`\Inspection•,will. be',provided "within 24 •hours after.•requst. NO •Sat., Sun'," -or holiday .lnspectlons �-
tjppppj
ADDRESS LOCATION"OF"CONSTR'UCTION.......*'. .. 1 il`+�.......6.4.!� .;............ .......
PROPERTY LEGAL.DES CRIPTION................. r - p t `"" s...r^ „ •..... • •' •'
................ ....... ..., .............. .
:.. :.:OWNER AND/OR BUII:DER ........�"_? r" I1: .l.��L...("3��..\ .........................................
................:.. ....... ... . .. -..
CONTRA, TOR'S.NAME &, ADDRESS......... ". '".- s Y• .-.. �r r- '�1! )r'+. A.Kn- Y�A ........................... ..:: ..---------
Perinissiorn Is.granted ...........�..... :........ ........:.,'19!..�'"�;•ior repair and/or :connection of -a-side "sewer, to! the city sanitary,: sewer
system in:accordance,,with,`City of Edmonds ordinances:
A�i ANTION: IS, CALLED; TO,THE:FOL'LOWING':, - - -
N,OTE: No. 1'—=,They owners, of-.the`,prbperty may obtain a permit to �construct•,sewer inside property%line: A _licensed' Side, Sewer, Contractor •must be employe&to, construct' .
side. sewer ;in' street, area. Do.;not cover any' portlon,•of sewer before it has been•.Inspected
NOTE No_2--Ml work perfarmedi-ins-eity.right-of-way requires an Invasion;,of:Right-of-Way,'Permitobtainable. from the: CityEngineer' s,office.
,;
NOTE. No. •3—Obtain fully information regarding Ordinance 11.18:030• and':ReBulatione governing side `sewera°�wtien you:get, permit.
NOTE`No.',4—Top of'side,sewer,must'have at9east 'Inches: coverage' at property line and 12"inches,inslde property'Slne;'minimum•'•grade of 2/0. No bends,in grade
. shaaper`thab -'A, will :be permitted.
NOTE. No. S—Trenches..ln, street must be,water. settled a.nd: surface,of- ,street restored' to.,orlginal condition. Contractors shall' be responsible for failure ,due'to.,iinpropen
work`,which may develop; within one year, of completion, -
NOTE. No. 6--It: is,vNawfull 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 :
DISAP PROVED' ❑ Date .........� ..-...-. By ................ Date..:...... ., ....... By.:... ---. Date..-............- By
`.-...:�
APPROVEDDate ........... ...... ..........�/ .............:.. By-. .r' ::-.. _......................... -.....................................................
Remarks..:-.-....--. .........................:. .-.
...................... .. ..........................................................
:BOTM Permit {Cop 's :MUST Be 'Signe By Owne1 ,of Firmr 'Performing ,ConstructionkPRYOR To' Request For Inspection:-.—
...- /� ....... hereby `certify that the side sewer �ins'tal'lation'constructed' under this: permit
.(Owner of;Contracting- Firm, erforming.Construct:on),
ww_-installed in accordance withr'all•,governing ordinances
'of'the City of'Edmonds y
....-- ........... . -< 19f
Dated: this .._........ day, of : -. Q. G U � �
cr
Check ❑
BEFORE you dig for: Water ', Gas ,❑;. Telephone ❑;, Power �;,.: 'SewerOther ❑,' ,❑; �! d,
�r • APPLICATION
The City of Edmonds for EASEMENT NO . ..................
SIDE SEWER PERMIT "' '
NEW CONSTRUCTION REPAIRS ❑ LID NO ................... ASMT. NO. .................
.
/
OWNER ------ -'�- r`) l.' �' r................................... CONTRACTOR -•--------- ... /--`---(•-�---"J-------------~---------------- PERMIT
JOB ADDRESS......---/--...-//•--------....---/..................`3---•--...-------- LEGAL DESCRIPTION: LOT NO. ...................................... BLOCK NO.----•--------------
0
�� �� of L j
Approved:
DATE----------------------------------- -------- BY............................................................
Statutory Warranty Deed,
his "i fe
THE GRANTOR k. lra,qns an! 7ravens,
OxIstiny mortgage oblODtion only
for and in consideration Of RSSUMP"of " earl &- Nore . on, his wif''
in hand paid, conveys and warrants to Kenneth". Noreen and State of
oh
,taw, imated in the county -Of
the fojjO\\-jng described real e
Washin n : of Onion
��That 0:�rtlon of the ST 1A of thq A as follows:
?I Northy, Rance h Fait, Vy., describ
corner of Md subdivision; thence
peQnninF at Vj- Northeast 19, 7ast h2i , hh feet
South 1
South W 5h' W"t ?0 feet; thence o IoUtt P90071 West 264.25 feet;
Q trug noint of beAnniu; thenrq a nce Unrth 89" 07' East 264.95
thence 1. 1)61 '.-,,t!3t 75 f0t; tt. eginning;
feet; tbence North.!" 10' lest 75 feet to Me p6int of 'i
sXCIPT the Nest 89 feet thereof; 3t,t, or wishington.
situate in the Monty of SnOhOm'syl
REGARDING: 5TR-E
qa-1-6 Z5 _)
(address)
R E C O R D O F C O N T A C T S
NAME, PHONE NO., &
DATE ADDRESS of CALLER CONIIwIENTS
7/17/75 Ray Pepper Certified Letter No. 406674 sent
.c/o Securities Mtg. requiring hook-up within 60 days.
1900 3rd Ave.
Seattle 98101
10/23/75 Ken Noreen Tucker Const. obtained permit #5330.
10/24/75 Connection completed_.
ACTION TAKEN
Letter received.
INITIALS
JT
JT
JT
RECEIPT FOR CERTIFIED MAIL-30� (plus postage)
y SENT TO �) POSTMARK
OR DATE
S iEET N N. — —✓ _ °rf a ;
., WE AND ZIP CO '. ( C 1 V •:)
� _
CD OPTIOIj '. o RVICES FOR AdDITION- FEES
t. Shows to whom and date delivered
RETURN ........... 15 ,.
With delivery to addressee only'.--- 65'
RECEIPT 2. Shows to whom, date and where delivered
SERVICES � With delivery to addressee only
u DELIVER TO ADDRESSEE ONLY ......._...,...._ _ 50�
® SPECIAL DELIVERY (extra fee required) - I
PS Form 3800 NO INSURANCE' COVERAGE PROVIDED— (See other side)
Apr. 1971 NOT FOR INTERNATIONAL MAIL GPO: 10700.397.400
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3
17
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SETBACKS:
PJ T
R
HE,iGHT
i n inQl;
C I TY iiF NDS
UDG. DEPT.
CONDITIONAL PERMIT
WORK./f&-S leby
ADDRESS -
Al
OWNER.
APPROVED DATE.
BY
BLDG.
THESE STA%4PED
PLAINS 0111 J"JESSiTE FOR
ALL INSPE-CTIOINS
I PERMIT NO. SHEET
1 1,
F�
ctry copy