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1128 SEA VISTA P L
ADDRESS: I : _ PL
TAX ACCOUNT/PARCEL NUMBER- �
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) c
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE
LID
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DA
SIDE SEWER PERMIT(S) #:
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
L:VMMrDSTs\FormslStreet File Checklistdoc
APPLICATION CARD No .......................................
for
The City of Edmonds SEDE SEWER PERMIT
EASEMENT No.
OUTSIDE ❑ INSIDE E] REPAIRS 0 ......................................
-T . ................. PERMIT No.
..... _j
OWNER ....... . .... ................................................ CONTRACTOR ...... . ..... q
STREET
..... BLOCK No . ......................................
)-.n - ----------- ....... �klz
HoT]rsE No . ........ ......... e .......... ................. AVENUE LOT No. ................. A - ----- -
NAMEADD. .......... ............. Ls.----•-•---•-••-•--------------------------------.............-•--•-......------...
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Date Approved:
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ .............................................
SEWER WORK ORDER ISSUED .............. .......................... DATE ��-"3r/---Zj4o
';� -- ---------------- By . . .... .. . . ... ........................
S' 7A T-4 S
fof ulsa by the City of Edma?:.: �?
--- — -
of EdmonGs dqs:-
-c: f,la. My persc i or entity rcc.... .
Inq:,! Iy reg-!, �li.LA th", Inrb.Jlt_•`_ y',•/_ - ' _` _- -- -' -- -- - -
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