18029 70TH PL W.PDFIIIIIIIIIIII
5547
18029 70TH PL W
11 C. 1 PI-7
1E111 10: 9520
City of Edmonds
PERMIT EXPIRES_&kg_�2W
SIDE SEWER PERMIT U j
Address of Construction:
LED #
Property Tax Account Parcel No. i�,5-041(r C)()() 0
Attach copies of all access and utility easements Verified and Approved b
Owner and/or QCn!t!ra!l5t�,dr: kcc!*�
Contractor License cc, P_tAP_ -k 0 Ik t4l ng Permit
AyAlf 2 FZJ)
Single. -Family Invasion into City *Right -of Way: Lj Yes [ZrNo
F� Multi -Family (No. of Units
Commercial (No. ofUnits
*RW Construction Permit #
Cross other "Private Property: � F-1 Yes No
Public "Attach legal description and copy of recorded easem'e*nt.
Owner/9-6-ritracDor 7- 2-5
Owner or contractor signature and acknowledgement statement: Date
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 outlihed therein.
9 CALL. DIAL -A -DIG (1-800-42�+5555) BEFORE. ANY EXCAVATION 2
9 FOR' INSPECTION CALL 425-771-0220 extension
24 HOUR NOTICE REOUIRED FOR ALL INSPECTION REOUESTS
.....................
....... ... .......
...... . . .....
. . ....... .... . . FOR OFFICE USE ONLY .. ... ....
. .... ... . .. .. .. ...... .. . .
Repair Fee $
Permit Fee $ Issued By:
Trunk Charge $ Date Issued:
As sessment Fee $ Rec eipt No:
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:
Initial: _�As-built to Street File:
rFINAL INSPECTION APPROVED: Date:
1,� PERMIT MUST BE POSTED ONJOB SITEn-
White Copy: File. Green Copy: Inspector Buff Copy: Applicant
L;temp;bldg;forms-,ssper-mitjlg4/00
NOTICE" MO WARRANRY OF ACCURAcy The Informatiop shown oq the
aft8chad map VJ29 Compiled for
arl', c use by the QY Of Edn, c7f
c Isultaffis, The
's The i4f of Edmi0nds duas
r1c,
an Y,;` g set forth on thr; -nap. .. Warrant lh�
Any person or entity C, C I,,
Gondur"i an irdepcfident inquiry
regUding the Intoral'--Jiv C;�
th(t MCI, 1, including, but not lim;,tad t o, the location
of any
sk'-'-*� � - S" c� sewer s'103 may oi, M a
loo� YflGie)dslandmayor m,!yrcjc,',�-iaj
th " i;(jrf shown I Neither the City of Edmonds its
nor e`Mp)y-,,,, G,
Offluz; Sii4' bc- liabl'e fo, g.vl? Information g'Ven 0
reprwc, 4 bon provided 0, n this map, nor for grr,
S914 Map 171
I
............
n
CD
181ST PL, S,W,
.CIT,Y OF EDMONDS SIDE SEWER AS -BUILT
ADDRESS . 18029 70TH PL W
PERMIT
NUMBER 9520
HOMEOWNER xxxxxxxxxx
CONTRACTOR ACORN
DATE
08/06/01
DRAWN
BY ISMAEL ABILA
D-9 -75 �k Pl.
w �-,u
0 0