18015 73RD AVE W.PDFlill 11111111
5753
18015 73RD AVE W
41) C. jg9,
Address of
PERMIT NO:, �'. 9389
City of Edmo nds'
PERMIT EXPIRES. L
SIDE SEWERTERMIT
015-0
1001
Property Tax Account Parcel No.
Attach copies of all access and utility easements'X��_7Veeified
and Approved by
Itractor j
- A - OMAJ
Owner and/or e0l CFO k2,.- T8
;7
Contractor ]License#:
—Building Permit #:
Single Family
Invasion into City *Right -of Way:
El Ye's
Multi -Family (No. of Units
*RW Construction Permit #
F� Commercial (No. of Units
Cross other **Priv*ate Property:
0 iVes
[A.�o
Public
"Attach legal description and copy
of recorded aseim.en.t.
Owner or contractor signature and acknowledgement statement:
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;
9 CALL DIAL -A -DIG (1-800-425-5555) BEFORE ANY EXCAVATIONV'-�:-..�_..�,
2 FOR INSPECTION CALL 425-771-0220 extension +W
24 HOUR NOTICE REOUIRED FOR ALL INSPECTION REOUES-TS
t� PERMIT MUST BE POSTED ON JOB SITE T�
White Copy: File Green Cop�: Inspector Buff Copy: Applicant
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CITY OF EDMONDS SIDE SEWER
AS-B.UILT
ADDRESS
18015 73Rt) AVE
PERMIT
NUMBER 9389
HOMEOWNER xxxxxxxxxx
CONTRACTOR
xxxxxx
DATE
04/24/01
DRAWN ISMAEL ABILA
BY
0
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TOPS
35502