1225 CORONADO PL S.PDF11111111111111
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1225 CORONADO
PL S
ADDRESS: LU5 I�YMg 1 U �(
TAX ACCOUNT/PARCEL NUMBER:��p
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): j jj
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED I.q % L
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
LOT: BLOCK:
LATEMP\DSTs\Fonns\.Street File Checklist-doc
APPLICATION
�/ for
The City Of Edmonds SIDE SEWER PERMIT EASEMENT No ...........................................
NEW CONSTRUCTION ❑ REPAIRS ❑
401-00800
OWNER...........D.. P-'-...HarroW................. CONTRACTOR.....--...............-----....---•-•----..............-•--•-...........----...................... PERMIT No..-----
ADDRESS ........:225..Ci11:'onado..Place.................................................
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LEGAL DESCRIPTION: LOT No............................................... BLOCK No.............................................
NAMEOF ADDITION....----...-•-•.......................•-----••---............---------...................................................................
Dye Tested On Sewer 1972
Approved:
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DATE...............................................• By
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PPLICt+I` iOtLDiNG PERMIT Appl.
CITYF 'Fc6MONDS' Building Department Permit limit, one year •:
APPL.leiii6N -is hereby made for a permit to construct the following work, in accordance with the atxrom ?' Ji,;
ysst'Q%Plans and; specifications. Two sets are submitted herewith for approval.
�i anew, /alter Of
EVJork zddn : 'repair .... ............... ..-f�................................ _.._..... Par gU.t..
g pan�y
........... Const. type.........Y........_....... Use zone -...._.._. Fire zone...- i__T�'.�..4! t�'-w 4__._.._. ......_.. Addt✓_`� .'...
frontage.................y.e. Area_.._�i-/o - - - Septic tank....._......_...._ _..—..7
C ......*1............... 1. side...........��........ rear................................ z
$;'Bld . sct•bacict — front..._..: ............ r. side... ,
J S "6 _....... Address..l� �
...................._............. T o..............
Address.._ .................._..... _......_.......... TeL.No.... _...... _.._.... .-:
?� s
>....---......_................_... Address....__.........._......_.............._....... Tel. No...._......_ I „t!
.Plans by ._.................. ............._.... N:
,.
Remarks. -------------------------------------------------------------- - ------ - --- - - - -- - - -- - --------- -----------------------------
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- The above is a correct statement, and I agree to comply with all appliab�e Codes and State laws regulating this
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Signed Owner/.Agent �. _�l ._.0 ........:...... __. _.__ Address_'` 1_G I- 1 _..-- Date_.>!a_
PERMIT, for the above work s hereby approved, subject to the above conditions, and to compliance with the ap•,.'
Omved.,plaw and specifications, and Building Departmenc'notatiom . ercon. '. J.
Valuation ........ .moo .............. Permit fee....3.77,.-......... Reed. by::....._._..::.._ ....... _..- ......... ......... :' m
Date 40�
cl•-cT --•-• ~
-Building Department, By ..................
INSPECTION RECORD;
Fdn, OK ................... _....................... Frame, OK ...- ....- .....-.._.._ _�._. Final, OIC.._._..._.......:...._.._.....
This Permit does not cover Plumbing, Sewer or Electrical i-tstallations.
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