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17826 69TH AVE W
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NOT110E: NO WARRAWY OF ACCURACY The Information shown on the
attached map was compliedfor use by the City of Edmondis, -s
and consultants. The City of Edmonds does not warrant
anything set forth on the map. Any person or entity -C'l -c--;;y
shc-.,ld conduct an independent Inquiry regarding the infowialc7i
tho map, Including, but not limited to, the location of any sov,--t stw�b
shown. Such sewer stubs may or may not e)dst and may or mZy nct cz;�t 8
the locat'on shoivn, Neither the City of Edmonds nor its or
offlc�2i-s shall be liable for the information given an this map, not for L"nv orii
representation provided based upon said map
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CITY OF EDMONDS SIDE SEWER AS- BUILT
A
6 ADDRESS
17826 69 AVE W
HOMEOWNER CONTRACTOR SCALE
JD NEWTON NTS
1-6W �E — DRAWN PERMJT
05/103/01 �BY ISMAEL ABILA NO- 9424
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17826 69TH AVE W
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PERMIT NO: :94941'.
City. of Ednionds
PERMIT EXPIRE
SIDE SEWER, PERMIT
Address of Construction: W. LED #
P roperty Tax Account Parcel No.
Attach copies of all access and utility easements Verified and Approved b
Owner and/or.((onttr�ac�to 3_ayy,_-�
Contractor Licensek d4 Building Permit
V
�FSingleFamily_
Fj Multi -Family (No. of Units
El Commercial (No. of Units
Public
Invasion into City *Right -of Way: 0 Yes
*RW Construction Permit #
Lo
Cross other "Private Property: . El Yes ' �o-
. I "Attach legal description and copy.of recorded easement.
Owne ontractor'
Date'
ner or contractor signature and acknowledgement statement:
,;;dllk,By signing for this' permit I certify that I have read the City's public handout entitled
ide Sewer,.Specifications, and shall comply with all City requirements outlined therein.
2 CALL DI AL -A -DIG (1-800-425�-5555) BEFORE ANY EXCAVATION 9'.
NOTE: IFJOB SITE IS NOT READY FOR- INSPECTION WHEN
INSPECTOR ARRIVES, A $45 REANSPECTION. FEE WILL BE CHARGED.
�Job Site'Ready YES NO —Date: In.itial:
Pa�tlal Inspection: Date: Initial:
Partial. Inspection: Date: Initial:
As it
FINAL INSPECTION APPROVED: Date: Initial: -buil to. Street File: Nr
1,� PERMItMUST BE POSTED ON JOB SITE f�
WhiteCopy: File Gr6enCopy: Inspector Buftopy: Applicant.
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CITY OF
EDMONDS SIDE SEWER AS
-BUILT
ADDRESS
17826 69
AVE W
PERMIT
NUMBER 9424
HOMEOWNER xxxxxxx
CONTRACTOR JD
NEWTON
DATE 05/03/01
DRAWN
I BY ISMAEL ABILA