1227 CORONADO PL S.PDF11111111111111
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1227 CORONADO
PL S
ADDRESS: i� Eby ohs �0 T ICL
TAX ACCOUNT/PARCEL NUMBER: 'D(Yn0 ?Z b0 10 I b b 0
BUILDING PERMIT (NEW STRUCTURE): lq r79 D t i� CG✓1
COVENANTS (RECORDED)
CRITICAL AREAS: n DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT #'S: A ' ` D !.2 n'%cjdt 1
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: I'D BLOCK: A
SIDE SEWER AS BUILT DATED: d/lam �C(4 (Q� Z
SIDE SEWER PERMIT(S) #: 0
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DST's\Forms\.Street File Checklist.doc
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT EASEMENT No .....................
NEW CONSTRUCTION REPAIRS ❑
401-00400
OWNER...........Ted...FOster'............................•--......................................... CONTRACTOR.---.....--•-------------...............................----...................................... PERMIT No. ......................
ADDRESS 1227 COrOnddO Place -----••....................................... LEGAL DESCRIPTION: LOT No............................................... BLOCK No.............................................
•
C]
•
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NAMEOF ADDITION...........................................................................................................................
Irm
Dye Tested On Sewer 1972
Approved:
DATE................................................ By................--....................................................
i
k-,10PUGATION IjUILDING.MMIT
Building Department
.'EDMONDS
Appl. No . .......
permit limit, one yeu,
I CATION is hereby made for a permit to construct the iollowing work, i. accordance with the
pW%saland specifications. Two sets are submitted herewith for approval.
Off -St
:.dtci --------
41� ...... . ......... ...... Parking
addrx,'�-,s repair ........
— Fire
Const. type..._-..=S— :on ...........
Blk ...... . Ad
...... ....
Septic tank.....--M'K�a
................... Area --------------------
lear .......
.. . .......... 1. side.
. . ....... r. side ....... .. . ...........
... 9.f Tel. No
.......... ............. Add ... ....,. ----------
------------- —
........ . ......
Tel No
—Z . .. . .
... Address.--
Tel. No._._..— --- ..............
Address.—
. .............................. .......... —
XZM
........................ ................................
ks.. ....... ................... � Remar ..................... ..... ..... ..
-
nt, and I agree to comply with all applicable Codes and State laws r, gulating:
The above is a correct stateme
;work.;-,
�L
Addes
-Signed Owner/Agent�... ............
PERMIT. for the above work is hereby approved, subject to the above conditions, and to comPance with the ap",
'
specifications, and Building Department notatiow 0-00n.
p*rbved plans and
....... ... ... ......................
valuation .........
......... ............ Permit fec. .... Z ------
Re 411l—A.4 . ..
Building Department, By ............... INSPECTION RECORD .4c is
........
Final, .. . . .
Fdn, OK ........... ................................ Frame, OK
This Permit does not cover Plumbing. Sewer or Electrical installations.