15904 68TH AVE W.PDF111111111111
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15904 68TH AVE W
CITY of EDMOND FILEFor Inspection Call 771-32OTREET
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SIDE.SEWER PERAIT
PERMIT NO.
[1 Address of Construction:
Property Legal Description (Include all easements):
Owner and/or Builder:
C�
Contractor & License No: co /P n r�sru c7�/U h
Singl:e Family Residence
Multi -Family
Commercial
(No. of Units )
(No. of fixture Units _)
EEOD LINE
Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No Yes (If Yes, easement required,
attach legal description and county easement number.) OFAMIA&VT` Ot—
PLEASE READ THE ITEMS LISTED ON THE BACK.
1Y t V c, v 4 Lj
I certi y that I have read and shall comply Date
with the items listed on the back. MAY 9 1989
PUBLIC WORKS
Permit Fee: 30- vie Issued By: -170
Trunk Charge: Z4,0 Y2-- Date Issued: -5V d;
Assessment Fee: 01f4b IYX a1d/✓4--Z-- Receipt No.: /6 389
Partial Inspection:
Comments Date Initial
Final Inspection Approved:
Date Initial
oRejected:
Reason
a,
** PERMIT MUST BE POSTED ON JOB SITE **
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White Copy - File Green Copy - Inspector
Date Initial
Buff Copy - Applicant
F�.
Side Sewer Drawing
The City of Edmonds EASEMENT NO
• ---•-----•--------------------------•-•-----
w NEW CONSTRUCTION [!/ REPAIRS LID NO- ------------------ -ASMT. NO...................
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OWNER--------•-----•----------•-•--••--------•--------------•------------.---------------•----------- CONTRACTOR --,tom -------- PERMIT NO: O�A—q._Q
4 QtW
JOB ADDRESS I5--1 0-........ (� V4 ' LEGAL DESCRIPTION: LOT NO. BLOCK NO.
--------------------------------------------------------------------- -LYNNWOOD LtNE
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i NAME OF ADDITION----•--•---••--••-•-----------•---......---••------------------------------
Clo GADS io 1 bF �t.24�� _ ,A11
PWW-0001-11/75 (REV.11/78)
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�$ l{ A-U Approved:
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DATE .........
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By