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1048 EDMONDS ST.PDFiiiiiiiiiiiiii 10938 1048 EDMONDS ST �J TAX ACCOUNTIPARCEL NUMBER: Mq5 Z041U15�DV BUILDING PERMIT (NEW STRUCTURE): j q 5 COVENANTS (RECORDED) CRITICAL AREAS: DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DA PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): ffil "l l Ctet.W PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver SEWER LID FEE $: LID #: / f SHORT PLAT FILE: LOT: �J BLOCK: `i' I SIDE SEWER AS BUILT DATED:�{e SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT WATER METER TAP CARD DATED: OTHER: LATEMP\DSTs\Forms\Street File Checklist.doc of Edmonds Side Sewer Drawing The City EASEMENT NO- - -------------------------------------- 218-01900 NEW CONSTRUCTION ❑ REPAIRS ❑ LID NO ................... ASMT. NO..-.---..-.--..---. OWNER ..... W..-.C:...BR Fl� W ............................................................ CONTRACTOR -----•-----••--------•-•-••-------•------•--•-------------------------------------- PERMIT NO. ..------------------ JOB ADDRESS ..... 1048--EDMON-DS--ST---------------------------------------------- LEGAL DESCRIPTION: LOT NO. ...................................... BLOCK NO. .................................... • • .•----------•------•-------------•--•----••--•--•----------------•---•--••.-•----........--------•----.......-----------------.--------------....------------..... . NAMEOF ADDITION.---•--------•----•------•-•-----------•-------••---•------•-------•----•------------------------•-------------•-.-- DYE TEST ON SEf ]ER Approved: cr) i 0 PWW-0001-11/75 (REV.11/78) DATE ------------------------------------------- BY------------------------------------------------------------ APPLICATION for The City of Edmonds SIDE SEWER PERMIT EASEMENT No ........................................... NEW CONSTRUCTION O REPAIRS 118-01900 OWNER........... ......C......B.reM3n................................................................ CONTRACTOR................................................................................................-- PERMIT No....................... ADDRESS ....... 1048..EamOr!.ds...St . ........................................................ LEGAL DESCRIPTION: LOT No............................................... BLOCK No............................................. i •.a' n t b W. • NAMEOF ADDITION..............•.......................................................................................................................... Dye Tested On Sewer 1972 Approved: DATE................................................ By......................................................................