1057 ALDER ST.PDFIIIIIIIIIIIIII
10041
1057 ALDER ST
10511
TAX ACCOUNT/PARCEL NUMBER: �-` 7�3 MIN)
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS(RECORDED)FOR:
CRITICAL AREAS:
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DA'
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DA'
SEWER LID FEE
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S)
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
OTHER:
DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
LID #:
LOT: BLOCK:
L:\TEMP\DSTs\Fonns\Street File Checklist.doc
APPLICATION
The City of Edmonds for EASEMENT NO- ............................................
SIDE SEWER PERMIT
103-04SSO NEW CONSTRUCTION ❑ REPAIRS ❑ LID NO . .................. . ASMT. NO. ..................
OWNER Marvin E. Smith .............. PERMIT NO. ---"................
-•--•---- ---------- ---" - -•- CONTRACTOR ....
JOB ADDRESS ---- 1058 Alder Street ........................................ LEGAL DESCRIPTION: LOT NO.-------------------------------------- BLOCK NO. ----.-------..--..--..-.-----.---...
NAMEOF ADDITION-----------------------------------------------------------------------------------------------------------------------
DYE TESTED ON SEWER - February 10, 1976
By Jim Jensen
Approved:
DATE-------------------------------------------- By............................................................
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