21908 HIGHWAY 991111111111111114032
21908 HWY 99
TY OF EDMONDS - SI' ' SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT N? 4939
/Call 775-2525 for side sewer inspections ISF.FORF covering any portion of the construction.
\Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday Inspections.)
ADDRESS LOCATION OF CONSTRUCTION ....... �1908 i J-0Wdj/ 99
PROPERTY LEGAL DESCRIPTION ......... 5gjx)p r..'S. F1_V2... A.cre... Y'dCtSa A TACFIED
.................................................. ........................... ........................................................................................ ........................................................... .............. ........ ..
GA I �--�CE . Eo Lid ... .
1 C (.i-�1 t...�:..../�l Z .......
....................................... ....... .................. OWNER AND/OR BUILDER ... ..._................'
CONTRACTOR'S NAME &ADDRESS rriru:. n.!C.4
..............................
`y�vrLLc 7c
Permission is granted ................ Ju�y ... 16......... ............... 19-74. f repair and/o connection o a side sewer a ty sanitary sewer
system in accordance with City of Edmonds ordinances. � � ",i/ "
ATTENTION IS CALLED TO THE FOLLOWING: ��ked ' f �v �y�24� � U-4 ~-/ ///3/7 �U-�
NOTE No. 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. _
DISAPPROVEDp Date ... ....... .................... .. By ................ Date ........... :;"By ................ Date ................ ................... By ................
APPROVED Date ... , ' ,..._ B ° r
Ia' .«* Y » :.�......._.......................................................................................
Y...,... ..........................................................
................ ..................................................... _................... ..... ....................................... ........................................................... _.......................................................
— BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection —
I,Own r of contracting Firm Pertoming Co��..r "'' hereby certify that the aide sewer installation constructed under this permit
nstruction )
400* was installed in accordance with all governing ordinances of the City of Edmonds.
Datedthis ....... ...._.._........... day of ....................................................... ......... 19.........
Check BEFORE you dis fors Water p, Gas p, Telephone p, Power Cl Sewer p, Other 13 -4 4
7�
CITY ®F®b'®ND5? 4075
OFFICE OF PUBLIC WORKS
WATER DEPARTMENT RECEIPTS n
Date ... �S. ...S.N79(-.........
Received of...._., J�..... (..,:._.. ':... .. " i Y-S i •4 -....................................................
CI�- 4i p
1 For No. i__-+ _l� :". �' l'zdel>........ .rUA?I y
� For No. a
Departn
i Amount No. r.............7
i...................................
i
Amount No. z......................... i. tri
By
.............•••••........
Mr. Gail C. Leslie ✓�
20624 Maplewood Drive
Edmonds, Washington 98020 `
Re: Property at 21908_Highwa 99 Edmonds
Doar Mr. Leslie:
In reference to Your receipt of a. Certified Lettrr^ of ;ia 1 ,
I974, requesting you to connect your property to LhC� LC'1]-0r,;;s c,an-i tart'
sewer within sixty days; due to the harrdship sta�tcC! it' yoi, a,!1d indicated
below, you are here�,Jtlh a i lovIC�d an er:tension to _August 1_,_ 1974,___
in order, to make the sub, lest sewer cor,nectiun:
Time Extension Requested Df?Cr1USe:
Owner is unabl e_to employ_ a si de -sewer c_o_ntractor �_
this time to make the necessary sewer connection._
S4ncerely,
-0TY 1 DS
CITY of EDMONDS
200 Dayton Street • Edmonds, Washington 98020 • Telephone (206) 775-2525
Department of Public Works
Mr. Gail C. Leslie
20624 Maplewood Drive
Edmonds, Washington 98020
Re: Property t 21908 Highway 99, Edmonds
Dear Mr. Leslie:
In reference to your receipt of a Certified Letter of May 1,
1974, requesting you to connect your property to the Edmonds sanitary
sewer within sixty days; due to the hardship stated by you and indicated
below, you are herewith allowed an extension.t:o August 1, 1974
in order to make the subject sewer connection:
Time Extension Requested Because:
Owner is unable to employ a side -sewer contragtor at
this time to make the necessary sewer connection.
Sincerely,
A-tp
JBM:te
ACKNOWLEDGED BY PROPERTY OWNER: ��-�i� ��+Q e mac_ � `.J.� J
PROPERTY ADDRESS: 0
MAILING ADDRESS: � O 6 �
ACKNOWLEDGEMENT DATE: % ��
APPUCATION
The City of Edmonds for SIDE SPERM EASEMENT NO- --------------------------------------------
EWER
NEW CONSTRUCTION ❑ REPAIRS E3- LID NO. -Zd ------- - ASM-F. NO.
OWNER ---- ............................................ CONTRACTOR MACTOR 5-0-1 ----- IV.Klj-r* -------- ---------------------------------------- PERMIT No.
JOB ADDRESS ... �/.q'OS ....... &- ?f ------------------------------------ LEGAL DESCRIPTION: LOT NO. .- -------------------------- ------- BLOCK NO. ---------------------- ------------
................................
---------------------------------------------------------------------------------------
NAMEOF ADDITION -----------------------------------------------------------------------------------------------------------------------
DATE.......... --------------------------------- By ------------------------------------------------------------
I.
MAKE REMITTANC
PAYABLE TO:
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SNONDMISH COUNTY
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90206
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SNOHOMISH COUNTY, STATE OF WASHINGTON
OF ALL STATE, COUNTY, MUNICIPAL,
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4+
SCHOOL, AND ROAD TAXES.
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TOTAL! GENERAL SPECIA
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NQ}p PLEASE PRINT CHANGE OF TAXPAYER
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NAME
ADDRESS
CITY
ZIP
STATE CODE
CI
IN[
H
ON
YEi
M,
APPLICATION "
The City of Edmonds for
SIDE SEWER PERMIT EASEMENT NO- --------------------------------------------
g NEW CONSTRUCTION ❑ REPAIRS 0 LID NO.-_ 1 - ASMM N4
OWNER C�h ll_ ---C:- L.�•S---------------------------------- CONTRACTORr--lh1-VW
--- -.....................................PERMIT NO.
JOB ADDRESS .... 4--4�� Wd�_ ".` >�" LEGAL DESCRIPTION: LOT NO- ------------- --- ---------------------- BLOCK NO. .----------------------------------.
3'
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----------------------------------------------------------------------------------------------------------------
NAME OF ADDITION --��--------------------------------------------------
Approved:
f;
DATE.•-- � ,,wr'K-��----•--- BY ---------------- /I- ---------------
a
REGARDING: 21908 Highway 99 n
TaddiessT
R E C O R D O F C O N T A C T S
DATE NAME, PHONE NO., $ COMMENTS ACTION TAKEN
ADDRESS of CALLER
5/l/74 Gail Leslie Certified Letter No. 406438 sent Letter received.
6/7/74
• 7/1/74
�/5/74
7/16/74
12/29/75
12/30/75
1/12/76
1/13/76
1/16/76
requiring hook-up within 60 days.
Bob Aklin will be installing side -
sewer in the near future.
Certified Letter No. 406595 sent
requiring response by July 12.
Requested extension to 8/1/74 as
unable to employ contractor at this
time.
Bob Aklin obtained permit #4939.
Mrs. Martin (new owner) came into
office re if property connected.
R.W. Martin Called Jack. Connection is required.
Mrs. Martin brought in copies from
Gail Leslie of ext and receipt.
Lynnwood Sewer picked up permit.
Connection completed.
INITIALS
TE
Letter received. TE--'
Letter signed. TE
TE
Gave her all information available. JT
They will contact Bob Aklin to obtain JT
permit. They wish Lynnwood Sewer
to install.
JT
JT
JT
...
NO INSURANCE COVERAGE PROVIDE
REC
t.
SENT,
Lb
TREE
.
` cr)CD
L�
rRETUR
Apr• 1971 3800 U—
NOT FOR INTERNATIONAL MAIL ($ee other side)
4 GPO: 10700.397-<66
RECEIPT FOR CERTIFIED MAIL-300 :Q.cta e
SENT 70
_Mr. Gail C. Leslie I ATE'l
STP.EET AND No. J
20�62_4 Maplewood . Drive Jg1
VIP O.,.STATE AND ZIP CODE I fi
Edmonds, Washington 980207 v
I� OPTIONAL SERYICES FOR ADDITIONAL FEES
`RETURN !� 1: Shows to whom and date delivered ..... .. 154
RECEIPT ELV\J With delivery to addressee only ........... 65E✓
SERVICES Z• Shows to whom, date and where delivered .. 350+
With delivery to addressee only ............ 850 I
DELIVER TO ADDRESSEE ONLY
............ 506
SPECIAL DELIVERY (extra fee required)....
INSURANCE COVERAGE PROVIDED Apr.
Form r. 1971 3800 NO IN —
(See other side)
NOT FOR INTERNATIONAL MAIL 9GPO: 1970 o.397-466
i
(plus postage)
POSTMAK
OR DATER