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18020 70TH PL W
T NO: I- &I
City of Ediho' n'- ds, PERM . I
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"7C. SIDE SEWER PERMIT
Address of Construction: 7 b (_-A 4j LID #
Property Tax Account Parcel No. (0 0
Attach copies of all access and utility easements Verified and Approved b
Owner and/or Contractor: LeM ew
V
Contractor License 4.r 4 D" 62 -Z. Building Permit
g�Single Family Invasion into City *Right -.of Way: El Yes 'QNo
Multi -Family (No. of Units *RW Construction Permit
Commercial (No. of Units Cross other "Private Property: El Yes JZ NO.,-.
F-1 Public **Attach legal description and copy of rec6tded easement.
Owner/Contra'ctor'
Owner. or contractor signature and'ac�jwledgeinent statement:. Date,
By signing for this permit I certify that 1 have read the City's public.hando'ut'entitled
Wide S ewerSpecifi cations, and shall comply with all City' requirements outlined therein.
2. CALL DIAL -A -DIG '(1-800-425-5555) BEFORE ANY EXCAVATION 2
L
R FOR INSPECTION*CAL 425-771-0220 extension-3204
24 HOUR NOTICE REQUIRED FOR ALL INSPECTION REQUESTS
FOR OFFICE USE ONLY
....................
Permit Fee $ Repair Fee$ Issued By:
Trunk Charge $ D ate Issued: v
zer—. 7_5--o
Assessment Fee $ Receipt No:
fell.,
City Permit Surcharge Fee $5.00 Total Fees Paid $
NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN
INSPECTOR ARRIVES A $45 RE -INSPECTION FEE WILL BE CHARGED.
Job Site Ready YES. NO —Date: Initial:
Partial Inspection: Date: Initial:
Partial Inspection: Date: Initial:
o. Street File:
INAL INSPECT16N APPROVED: 'Date: Initial: As-b'uilt t
PERMITIVILIST. BE POS,TED'ON JOB SITE t,
Inspector. Buff Copy: Applicant
White-Copj: File Green, Copy.
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CITY OF EDMONDS
SIDE SEWER AS -BUILT
ADDRESS
18020 70TH PL
W
PERMIT
NUMBER 9398
HOMEOWNER xxxxxxxxxx
CONTRACTOR XXXXXX
DATE 04/24/01-
DRAWN
BY
ISMAEL ABILA
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NCTICE- NO WARRAMY OF ACCURACY The informativi shown on the
attrachad map was cOmPfled foruse by the City of Edmc=3, i,,, CT.7'--"/!—
.3
ance cons0anit-s. The City of Edmonds does not warre'rit th-,- of
anytiiing set forth on the map. Any person or entity ,, c,-,-jy
shc:�`O'conduct
an ind3pendent Inquiry regarding the informLlion slo- ' ,, cj
the ri-tap, including, but not limited to, the location of any sc�;74z;r'sub
shc,.�jn, Such sewer stubs
may or may not e)dst and may or mzy not cict cl
the location shown, Neither the City of Edmonds nor its empioy,�.^-' cr
officars shall be liable for the information given on this map, nor for a, orr.1
representation provided based upon said map
>
clewout ...
(21 Deep)
18020-70th AyfL W
C2 1/2' Deep)
(S' Deep)
CITY OF EDMONDS SIDE SEWER
AS -BUILT
ADDRESS
18020-70th Avenue West
PERMIT
NUMBER
9443
HOMEOWNER
CONTRACTOR
B&M Contractors
DATE 5-16-2001
DRAWN Jim Roberts
By
PERMIT NO: 9443
& non
City, Of E. As
V1171I?X41rT 1ITV1P ID117.. o
SIDE. SEWER PERMIT..
Address of Construction- LUD #
Property., Tax Account Parcel No.. (D 0 '22 QQ ()z
Attach copies of all access and utility easements Verified and Approved b
Owner and/or Contractor: fe? m L/--'- o re /i roe
f
Contractor License (LC 0 13 "CA1(_-,0A1 (�63k 3 Buildi n.g Permit
Single Family.
r-1 Multi -Family (No. of Uni,ts
EJ Commercial (No. of Units
F� Public
i — I
Invasion into City *Right -of Way: E:1 Yes [2/No
*RW Construction Permit
Cross other "Privat , e Property: Yes E�No
"Attach legal description and copy of recorded easement.
LZ a- 0 zt!4le vwnerit-ontractu
1-7 � Z_7
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
Date
2 'CALL DIAL -A -DIG (1-800-42�-5555) BEFORE ANY EXCAVATION 2
FOR INSPECTION CALL 425-771-0220 extens.ion:329. 9
24 HOUR NOTICE REOUIRED FOR A LL INSPECTION REOUESTS
. ...... ... . ------ W.; ........ . ....
.. .... .....
FOR OFFICE USE ONLY
... ...... .... .... . ......... . ...... 44
PermitFee$_ RepairFee$ Issued B A UAAak-
V
Trunk Charge'$ Da te Issued: Iq 0
Assessmi nt Fee $__L_ Rece! pt No:
City Permit Surcharge Fee $5.00 Total Fees Paid $
NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN
INSPECTOR ARRIVESA $45 RE.INSPECTION, FEE WILL BE C.HARGED.
Job� Site Ready YES NO Date: Initial:
rPartial Inspection: Date: —initial:
Partial Inspection: Date: Initial:
IFINAL INSPECTION APPROVED: Date: Initial: As -built to Street File: [j
t- PERMIT MUST BE POSTED ON JOB SITE f�
White Copy: File Green Copy:, lr�pecto'r Buff Copy: Applicant
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