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1012 CASCADE DR.PDF11111111111111 10543 1012 CASCADE DR 0 ADDRESS: TAX ACCOUNT/PARCEL NUMBER: C) b 5c[" 2- Mon 0%� BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) CRITICAL AREAS' DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED. EASEMENT(S) RECORDED FOR: PERMITS (OTHER): l I % U 1 �,�D Q � ' 6159 �—A-44 PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: SHORT PLAT FILE: SIDE SEWER AS BUILT DATED: _ SIDE SEWER PERMIT(S) #: r j GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED: 91 &-7 W OTHER: LID #: LOT: .15 BLOCK: L:\TEMP\DST's\Forms\Street File Checklist.doc J! r t�lti.e d, wt. i i try � 4 i C. r AI'O'L': It3td; BUILtF9NG'ER19IT AP-2` No �1� CITY OF EDMONDS Building Vepatm a Petmtt a nir oac year � r , �i x APPLICATION is hereby made for a pelmet to construct the feUnwing ou k a accordance with' the aocom! 1 1 r, parrying plans and specifications. Two nets are wbmilted bercmith for approval nalter Off St� Wock addn repair .....t'..._....... ......... ....._. _. _. Parkm Occupancy ................................ Coast. type ....................... Use zone ....s. ... L. ....:- Fire zones.::.....!:• Address...............:......... ^r 4-�Ce .'��rLtx.-.__�1 ..-_._. Blk....... ...... _.I_... Lot frontage . .............................. _....... P•rw............ .... ------------ Septic tank_ _ �/L4y^Z/" ` Bldg. set -backs front---.. ....... r. sid`__.....9-....1 ndc._.. A>.t.--............ rear..: Owner... I li' ti Cf J ( c .ie � Tel No ....... !jam r7 `�` `-s�''•. Wit` ... ?.:.. • A�dtz.../........ _ _.... - 1 i ` EJ f r C t t err r'1 �P y. Y ram.E Builder...... .... ... ............._...................._ ........ r Address--•----...........-----. -... ........... Tt1 0 Pix:u by ..................................... - Address ...._................._..... ...... ........... Tel. No...._.. a r ' o ��• 'h 1 Rcmarks......................................... /...................--....... _. ._._.-..........:..:....,............:.: i ......._..........................................................._. ................ ....................................... ._ .............................................._...................................._.......... .. i' L The above i• a correct statcmrnand I agree to comply with all applicable C;ad,-I and State laws. regulating this s Ica sYz. work. K•-�e� � Signed Ovmcr/A^ k�_ ddrcts.............. .... ......... ............ 'B,tes .. ....:........' tLsx•c work is approved, subject to the alve ,o•,ocditicxr i, and to tioapb.nce avtth the cep• �,� `n, r #a r� proved plans and srecifications, and Building D partmcnt nrnatiu PERM. for the n tYeteon. ( r�r h, Valuatio t `�' /SGr d v r� ^ �' rt _....... ... ...... _.._.._---- Permit fm.._. �.. ..._• -- Rood. by.. Build.nn Department. BY- Date-_-. - .._................ as �Y........._.._....-----...-.._............... : This P-writ dos no., cover Pi,m'v.'ng $ewo o.- creetr:ea::zsaPaeions: - �� lam{_ �'• ` . '' i. `het=nr, '/ c• :N 1 �. w • The City of Mmonds APPUCATION for SIDE SEWER PERMIT OUTSIDE 0 INSIDE 0 ....... je.9 HOUSE No . ....... lelo-:� ... ..... L�rc ..... ............ Date BACKFUJ- WORK ORDER ISSUED ..... SEWER WORK ORDER ISSUED .............. CARD No . ............... .............. ... EASEMENT No. .- - ...... ............ - ... .... CONTRACTOR t, ..... .. PERMIT No. -1-:27-P STREET AVENUE LOT No....... �;I. ... -Y ......RLOCK No . .......................................................... ...... ............................................... ............... - .............. ui .J LL I--,- Lu ul co Approved: .... DEPOSIT, ......... ..................................... - .... DATE.4.IBX .............. .............. SEP thl ............................District Jity o f Edmonds ---Water Department TAP CARD 04� 44A RAID SEP 2,-, 1962 Date.............................. 1� ............... No.................... .......... No ......................................... Meter Tap Size .............................. Size..................................... f I I Mfgrs. No ................................... ... ...... .. . Style....... For......................................... . .. .. . ............. ... .. . ......... ............. .................................................................................................................. ................... ................................................................................................................. . ....... . ............ . LotNo ........................................... Blk. No................................................... Add....................... I .. .... . V., ................ Service Location ........................................................................................................ . ....... . ....... . .............. MeterLocation ............................................................................................. . . ................................................................................................................. . .................. MakeTap ............................................................................................................... .......................................... Pressure.............................. lbs. Test.................................... % f. Send Bills to .................................................................................................. . ..... ....................... ...... I Date of Work ................................................................................................... ................................................................................................................ Foreman Guar. Voucher No ........................................... $ ................................... ...... Remarks: .................................................................................................................. ....................................................................................................................................... ........................................ t'q%Kw ... F fLE .......... ............... .................................................. ME 1w] ...... -- - ------ - ----------- - - ....................... ---------- .................... ................................................................................................................... OUTGOING Index .......... Reg ....... Route Bk ......... Stencil ...... Card..._ INCOMING Index ........ Reg ....... Route Bk ......... Stencil ...... Card .. . ...