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1011 OLYMPIC AVE
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✓ CITY OF EDMONDS SIDE SEWER PERMIT
'890.19PERMIT NO 9145
Address of Construction:
Property Legal Description (Include all easements): 021. ►tee Al,'r+' m 5;J SeWtC
55 e0o 0[2 QUO
Owner and/or Contractor:
State License No. ���� pSII Q J Building Permit No.
EDMONDS
TREATMENT PLf4Rt7
Single Family Invasion into City Right-of-Way:,O/No ❑ Yes
i.
❑ Multi -Family,, (No. of Units ) RW Construction Permit No.
❑ Commercials. Cross other Private Property No ❑ Yes
❑ Public S Attach legal description and copy of recorded easement
I certify I have read and shall comply with all city requirements
as indicated on the back of the Permit Card.
C
Dr to
* CAUL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File Green Copy: Inspector Buff Copy: Applicant
Revised 3190
The City of Edmonds
Side Sewer Drawing
NEW CONSTRUCTION ❑
OWNER....................................
JOB ADDRESS to../--- /( a.21,111c ....... ��---------------------
%0�
li
a) 4 v 4 Fernc cb
l�
PWW-0001.11175 (REV.11/78)
5 KePcac'
Sc6d yd Pvc 4"
g`/� deep.
REPAIRS
EASEMENT NO . ............................................
LID NO. .................. .ASMT. NO ..................
CONTRACTOR.................................................................................... PERMIT NO..
LEGAL DESCRIPTION: LOT NO ............. ........... BLOCK NO. ....................................
Approved: G�--
DATE.................... B J
C! 14
i
The City of Edmonds Side Sewer Drawing EASEMENT NO . ............................................
218-09000 NEW CONSTRUCTION ❑ REPAIRS ❑ LID NO - ------------------ ASMT. NO... -.------..--.---
OWNER ----- JRRRY... D...... ROCKSORD----•-•-----------------•--•-------------- CONTRACTOR ........................................ ------------------------------------------- PERMIT NO. ....................
�OB ADDRESS ---- 1-0.1,.1... QL- YjT-IC,--.AV.E.,-............ ---................... LEGAL DESCRIPTION: LOT NO.-------------------------------------- BLOCK NO. -------•--------•----.----------•--
........................................................ '------------- '...........................................................................................
NAME OF ADDITION --------------------------------------------------------------------
DYE TESTED ON SEWER
Approved:
PWW-0001.11/75 (REV.11/78) DATE ............................................ By............................................................