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18025 ANDOVER
AVE
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District rA
City ofEdmonds — Water DepartAnt
TAP CARD
Reading: 000 Date Q �OVSI
No.
Meter Tap
{Size �4 " { Size
Mfgrs. No.36, - — 91 Style PlOcKwiatu �/Q-,
Purchaser: M9.4-
Serv.,Add. 190aS
-788 - 3 2_1
Lot No. Blk. No.
Add.
Residential:
Other:
Meter Location J_ 61Z' DIB 11;9 h I D,! -0Q4
ig I= 3 — 16 "o F�
Service Material:
Pressure lbs. Test
gj A
Date of Work 7
Foreman
Guar. Voucher No.
Proj. No: UJ I IS ZL,,
Remarks: kr=co&qDrn) TiRrP4�54+0 P S--f 9-87 ed,'-r-
OUTGOING Index- Reg. -Route Bk. - Stencil- Card
INCOMING Index____2Rcg. -Route Bk. - Stencil- Card-
ROUTING SLIP
ADDRESS: IS2 1�k-S
DATE:
'�2 A -q c-) Q^ I % Am nmoc o - 1Zc LAr-A-rr-
8: oo DIAL A DIG #811�23 2.5
P.UtTREET FILE -
TELEPHONE
CABLE T.V.
GAS v0ju
FOREMAN
STORM SEWER
OTHER
FUTURE, SERVICE INSTL: YES NO
BORE: CUT:
vi 1 5"s 0�;)'
LOCK
CREW
DATE: INITIAL:
UNLOCK
DATE:- &15k2INITIAL:,&iA6=
METER SHOP
ACCOUNT NUMBER:
SUPPLIER: PLJ�,->
TREATMENT PLANT
FOREMAN
E B T
FOREMAN
INITIAL: DATE:
TAP CARD
METER S HEET
APPLICATION/
UTILITY
.
DISPATCH
BILLING
7176
ADDRESS: AOCINeV-
TAX ACCOUNT/PARCEL NUMBER: 2.7104 1900 10100
BUILDING PERMIT (NEW STRUCTURE).
V
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: [] Conditional Waiver E] Study Required E] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED/ �-�L21 -- aff ' 5f W6 - 145M'5-
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER): t9y`102-L05- Lrk) Z3 b 0 0-19 Al
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: A BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #: -1 �-eAf
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED: '� 7-9 1 -
LATEMADSTAForms\Street File Checklist.doc
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USE
PERMIT
CITYOF EDMONDS E NUMBER 2702r
zoN
CONsTRUCT!ON PERM IL APPLICATION
NAME F Busl ss) ADDRFSS L�02,5 A),,A
V -9157-
I'( L �.L DES IPTION CHECK SUBDIVISION N LID NO.
V s, -",4141
TEL11.111,11.1U..El PUBOC RIGHT .1 WAY PER OFFICIAL STREET MAP.
, 1 —/00— REOUIREDDEDiCATION-0—
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___ RIGHT OF WAY CONSTRUCTION PERMIT REOUtRED
ADDREaS STREET USE PERMIT REOUIRED 7 z
SEE ENGINEERING MEMO DATED z
city
ER
NAME
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ADDRESS
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CITY IFIXTURI UNIIS
EPHONE NUMBER
ITEL f 4
L 1, 14,0
STATE L1 ENSE NUMBER
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N .E R
REMARKS
e, c— SIGN AREA ENV. ATVIE, tz
oe pt ion of Property - Include all easements ALLOWED PROPOSED � ElEMP
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WDIALTIR ELI COLMM'InCIALL MECHANICAL
REPAIR RETAINING WALL SIGN
DEMOLISH EXCAVATE FENCE CHECKEDBY JTYPEOFCON51RUCTIO"
JCOOE
OR FILL L_X_FQ
PRE-MoVC INSPj CwIM WA
co, I S;FCAAL 'INSPE:CT�O.R JARFA occu OCCUPANT
REM..EL KIA CE INSP. L_J POOL REQUIRED GR.UP^'— LOAD
[:]WOOD TOVEI 0 YES
INSSEAT APT BLOC RENEWAL
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NUMBER-EF —STORIES PROGRESS INSPECTIOmS U
�14 i.-JUMBER OF
DWELU
No
ol UNITS
NATURE OF WORK TO BE DONE (AUACH PLOT PLAN)
'Jacmcu
NCV IN�nffl N REQUI E-(-)'--
- ___ . 1. . M "'. I I I
--= ! , VALUATION PEE
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PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Perm I t covers Work to be done on private Property ON GFIADINGIFILL
Any construction on the Public domain (curbt, sidemalks.
driveways, marquees, etc.) will require separate permission. STATE SURCHARGE
Permit Application: %3 _Liays
ENERGY CODE
Permit Lim it, 1 Year - Provided Work Is Started Within 180 Days
"Applicant, On behalf of his or her e heirs. assigns and 11 "Y'111;
spous
successors in interest, agrees to indemn! defend and hold
harmless the City of Edmonds, Washington. its officials,
employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issu 'j,
an
of this Permit. Issuance of this permit Shall not be deem( PLAN CHECK DEPOSIT
ce
to
xj
modify. waive or reduce any requirement of any city ordinance
nor limit 1� any way the City's ability to enforce any ordin
- 1
I hereby acknowledge that I have read this
provision. TOTAL AMOUNT DUE 6381
appl, G:,1:on,;,1hIL.d1U1, ye- T -
information given is Correct; and that I am the own o ATTENTION APPLICATION APPROVAL .....................
authorized agent of the OWIz.?r. I agree to comply With city and I
u I
AUTHOR;2-S plication Is not a permit until
"late laws reg lat ng construction; and In doing the work authoriz THIS PERMIT This ap
ed h ereby, no person will be empioyed In violation of the Laborr ONLY THE signed by the. Building Official or his
a
Cod of the State of Washington relating to Workmen's Compensa- WORK NOTED 'Deputy; and fees are paid, and rec
1IQn Insuranct. eipt Is
acknowledged In space Provided.
spEcri 1
S:'- A URE (0 NEA A�l __7A_TESIF;_ED o..,
DEPARTMENT
OFFI1;IAL'S S11 RE
CITY OF DATE
EDMONDS
771�320;11 EASED BY: A E- u;,
AT EN 10 IN
.,IS NLA FUL TO USE OR OCCUrY A BUILDING �)R STRUCTURE
-I FINAL INSPECTION HAS BEEN MADE AND
APPROVAL OR ORIGINAL — File YELLOW Inspector*
TIFICATE OF OCCUPANCY HAS BEEN GkANTED. UBC
TER 3. _j
..78 PINK — Owner GOLD — Assessor it'
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OILI
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NTY of EDM S S 1(f S E W El P E R M I T
For Inspection CalslrjiT FILE. PERMIT NO. 07686
P-�KI-Q WORKS
EDMONDS
Address of Construction: e" el -le— TREATMENT, PLANT
Property Legal Description (Include al'T easements).:
�,Owner and/br Builder: C /V T-/-
Contractor & License No: I Z
single Family Residence
Mul ti - Fami I y (No. of Units
Commercial (No. of fixture Units
Invasion into City Rightnof-Way: No- Yes' Z(If Yes, Right -of. -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.) -7'
Cross other'. Py . �.ivate Property: No Yes :(If Yes, easement required, -
attach lega,l describtion4nd county easement number.)
PLEASE READ"' THE ITEMS L-ISTED ON THE BACK
I�jcertify that I h�Veo-read...and'. shal I q
,.bmply' Date,
With thp, irteffs-� -1 �'i �'s' t "d on the back.,
Permit Fee:,
Issuedr'By:
TrunkChar e': 2,5. 00
D t e, 1,; s s u e d
Assessment, Fee:.
Receipt'*No.:
Part.ial Inspection:
ic. oMm6ht§;,t
Date
InitiTl
Fina:1 Inspection Approve,'d,':,,..
7- 8 -87
Pate
Initial
00
Rejected:
C>
Reason
Date
Initial
PERMIT
MUST BE POSTED ON JOB SITE
.White Copy File
Green Copy
Inspector.
Buff
Copy
Applicant
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The City of Edmonds
Side Sewer Drawing
EASEMENTNO . ............................................
NEW CONSTRUCTION g REPAIRS E] LID NO . .......... ....... . ASMT. NO . ..................
OWNER �AamE--D ...... N a a-T. --------------------------- CONTRACTOR .-G-o.L-o-j-GGje-k..s ................... ............ : ............. PERMIT NO. 7.(0'SG..
JOB ADDRESS A.S.&IS ...... As.-,NJDC).\J.F--P ....................... LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO . ......... .......
TREATMENT PLANT
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NAMEOF ADDITION ............................ -- .....................................................................................
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RETIREMENT
,0 STREET FILEASSETO&MATION SHEET
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION --5'
SERIAL NO.
LOCATION A D E��
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
I
*PROJECT NUMBER
PROJECT COMPLETION DATE
COST
B.A.R.S. ACCOUNT NO. ILI —t) 424)
ESTIMATED LIFE
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
U�ZDEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE DATE
kvp) INITIAL
DEPARTMENT FILE
AS2-�
VERIFIED BY
PROCESSED
BATCH NO.-