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18023 70TH PL W
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PERMIT NO:. 9,387'..,
'10L
C ty., of Eichonds
.i ' : - PERMIT EXPIRES (Pit
SIDE SEWER PERMIT
Address of Construction: Z.3 .70 LED #
Property Tax Account Parcel No.- 06
Attach copies of all access and utility easements Verified and Approved b
Owner and/or Contractor:
Contractor License
Single Family
r-1 muilti-Family (No. of Units
F� Commercial (No. of Units
Public
-Building Permit
Invasion'into *Right -of Way: Yes �&No
MW Construction Permit #
�Cross other **P rty: F-1 Yes
rivate Prope FNo
**Atta*ch legal description and copy of recorded easement.
Owner/Contractor
Owner or contractor signature and acknowledgement statement:
y'signing*for this permit I certify that I have read the City's p uklic 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 EXCAVATION 2
V FOR INSPECTION CALL 425-771 -0220 extension 30,,W)
24 HOUR NOTICE REOUTRED FOR ALL INSPECTION REQUESTS
. . ... ......
........ .. ...:.FOR OFFICE USE ONLY
Permit Fee Repair Fee Issued By: 4JA
Trunk Charge $ Date Issued: —
Assessment Fee Receipt No:_
$5.00 Total Fees Paid $
City Permit Surcharge Fee
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:
Parbal Inspection: Date: Initial:.
It to Street File:
FINAL INSPECTION APPROVED: Date: 16itial.—As-bui E]
1� PERMIT MUSTBE POSTED ON JOB SITEt-
White Copy: File Green Copy: Inspector �Buff Copy: Applicant
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NOTICE: "Y The information shown on the
C"�-j of 03 crnployees
attached map wz� C_ F'
and consultants. R! ric, wuru.t tj�l-; i=curacy of
anything set forth c. t or cntlii
I y a copy
should conduct an b%, . I I
ro"-' Cic lnfum,�Lfloiq 0o'.wi on
the map, Includirg,, L t-.). t:,,3 loc-c'Llori of amy sowei stub
shown. Such s6wet i�:�L c*32' and may or r,,--,j not exist at
tho location shown, i.,, C'. cl Emonda ncr its employlaes or
officers shall be liable fe L — :�-i r, - ' - �a on this map, nor for any ord
representation provided L!,0J =-!d m2n
70th P1 W Accessory Structure
9-
1/8 Berld
(L- Deep) 4
1/9 Bend
(4' dfte-eXpi_s,,,�
Too----------- 1
C5, Dmp)
fter
to vwfam
9
70th Place West
37-
CITY OF EDMONDS SIDE SEWER AS -BUILT
ADDRESS 18023 — 70th Avenue West
PERMIT 93e7
NUMBER
HOMEOWNER
CONTRAC TOR
AAA
DATE 4-25-2001
DRAWN Jim Roloerts
B - Y