1229 CORONADO PL S.PDF11111111111111
10674
1229 CORONADO
PL S
0 � •
ADDRESS: f � �.�iY�� (ZC7 NO.
TAX ACCOUNT/PARCEL NUMBER: WU 0 ZZ (3 O I O (390 0
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS(RECORDED)FOR:
CRITICAL AREAS: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER): �76�
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
FOR:
WATER METER TAP CARD DA
OTHER:
LID #:
LOT: 9 BLOCK: A'
LATEMP\DSTs\Forms\Street File Checklist.doc
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT
EASEMENT No. ..........................................
NEW CONSTRUCTION ❑ REPAIRS ❑
401-00300
OWNER.......... Peter.-J.--Anglos-•-•--•---••---....-•--•------------------------•-•-•---. CONTRACTOR..-•---•----------------------......--•--•-----............-----......--••--...................... PERMIT No.......................
ADDRESS ......-ZZ9•-! Oqr nAao.. P1ACe................................................. LEGAL DESCRIPTION: LOT No. .............................................. BLACK No.............................................
•
•
El
NAMEOF ADDITION...........................................••----.....---................................................................................
0
I
PJU
Oc
U
Dye Tested On Seaver 1972
Approved:
DATE................................................ By......................................................................
�s'lfi•�`.�'
iv r
•� ai
56lC YN i I®1� C[ �,UiLDINU PERMIT i� Aprl. No........ ......... _ :` L
1
, OF ing Deportment erwit limit, one year
rEDMOND'S Builyear
6yPCATION is hereby made for.i permit to construct the follo'vmg work, in accordance with the acwm
E.I
j`g plaIn�e and specifications. Two sets arc submitted herewith for approval. y
k addn c..fy
Off -St.
"2�_.._..... Parking
.......... ew
Fire .-one__��...2" ...
....._.`.. Use zmc_ a}
.............. Const. type-............... .,:
ncy.........r A }
...............t:. Wit. .:....._..Lot _ .l._......... Blk....
Address.:._....................g _
yy` 3 p p .... ..__......... ...._.Sc tank_......_...r.............._.._..._.._.. ...._.-
3 ANY.. ....ZO.r... $ ti
O � �vU�
Lnttfronage Area .r....._
•
la^':: sevbacks
-( r. side_ -}��•
" c . front ............. 7 ..... I. aidc_......_:r-r.......... rear.._.................._...
No....
.._:�.`"�............._..... _ ----• � � a
....
1 t sPg!rrcF% Ad Tel. No ......................... .
jy al:rrt r t, r dress............_...........
sr.,oeat,._ ., ; r ....• y ; Address.._..........__.... _ - — - -.._ TeL
.Budder ••� � �,
`y';r;:',:..rr, a., •-... �� Plans by.............._..........._....---•----...---•----••--••----
v n }
1 t
. ...' Remarks '
.The above is a correct statement, and I agree to comply with all applicable Codes -and Sate laws en thts
work
Signed Owner/Agent ....._ir..:, /i/�!! ... .... _Address...._
subject to the above condition,
and to compliance with the ap
PERMIT for the above work is hereby approved,1 ; . r
proved plans a �e t(i�a otts nd Euilding Department notam Acreon. ? +
i
�Y -w �j_,.._... J f
ll Pttmrt fee.._._. Reed. by..!_,/. �• � Y.
71
Valuation . `7:- ................. .._�_. •..• .. � a
.... f ,'jam Y
r
Building De artment, By. i1 ............... ........................
Date.—� • �t
g isL
INSPECTION RECORD Y ..5, ,; •?;,;
Fdn, OK Frame, OK __..__----------------------
am......._..._._ Final, OK..........._ ..................
...........................................} ,a
This Permit does not cover Plumping, Sewer or Electrical installati•
: At14{