16605 74TH PL W.PDF16605 74TH PL W
CITY of EDMONDS
�y For Inspection Call 771-3202
Address of Construction:
RECEIVED,
SIDE SEWER PERMIT
SEP 2 PERMIT NO.�_V'@ o 6
PUBLIC .. R �tET.HLE
LyN_NWQ0Q_LLBfl
Property -Legal Description (Include all easements):
Owner and/or Builder:
Contractor & License No:
r� UL�=.ate
� .-'`-
Singl:e Family Residence
Multi -Family .(No. of Units )
Commercial (No. of fixture Units )
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.),
PLEASE READ THE ITEMS LISTED ON THE BACK
I certify that I hav ead and shall comply
with the items listed on the back.
cr0
Permit Fee: 3 D
Trunk Charge: 1pS
Assessment Fee:
Date
Issued By : c�G.e "1 cry
Date Issued:
Receipt No.:
Partial Inspection:
Comments Date Initial
Final Inspection Approved: 4 7 83'
Date Init• 1
oRejected:
•n .
Reason Date Initial
a�
** PERMIT MUST BE'POSTED ON JOB SITE **
a�
White Copy - File Green Copy - Inspector Buff Copy Applicant
. ia�17�� FiY
Side Sewer Drawing
The City Of Edmonds EASEMENT NO- ------- -------------------------------------
(AGAR. CoNnl n
NEW CONSTRUCTION El REPAIRS ❑ LID NO. - ,-1Q--- ASMT. NO. __________________
OWNER ... 3- 'AN...---Q_R.le_5C?-P-------------------------- ------- CONTRACTOR _L.UT 5------B_AGK- A0e------------------- PERMIT NO. ��C3
JOB ADDRESS A-G �`I -T-- ---P- - =----W•=---- LEGAL DESCRIPTION: LOT NO ______________________________________ BLOCK NO. _
------ YNNWflOD--LINE
1
CRP 2roP.
NAMEOF ADDITION ------------------------------ ----------------------------------------------------------------------------------------
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mis. The City . (;3tyl of Ear
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of E6"On ez; not wa:rz qp STve
" form on �e r� A� •�, 4� s y rscil or enDy r y " 6
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f ter i ���_ a giver, 0n this nap ncr fr i(pfo O 5
rrc..� test upa5+ c6n nab;
/�� 74-r 4 PL. W.
20'
60'
11'
1►r�Te=us
'0
r
pyWW-0001-11/75 (RVV.11/78)
OR /
4•'c.o. w �sE /3
10
1 1�'
i
'b 3'D P
O 20" DN►. wEJ^u KAS
Approved:
DA-- ----------- 2 {-90.7__. By --------------------------------
AW1_2
;pm�,44
STANWOOD WATER COMPANY
27016 102ND AVENUE NW - P.O. Box 307
STANWOOD. WA 98292
C.STANFORD OLSEN Z�-- rew
F PRESIDENT