18107 70TH PL W.PDF11111111 lill
5550
18107 70TH PL W
PERMIT NO: 942.1-
City, of.E.dm6ft"ds PFRART FXF IRFR
T"fl QUA17U113 DU11)A41rP . . - - I
C. I
Address of Construction: LED # 34
Property Tax Account*Parcel No.
Attach copies of all access and utility easements -.'&//,4 Verified and Approved by
Owner and/or ��&n_tract i:
Contractor License
uilding Permit #:
�Single Family
El Multi -Family (No. of Units
Commercial (No. of Units
F-1 Public
Invasion into City *Right -of Way: 0 Yes [21 No
*RW Construction Permit #_
Cross other "Private Property: E] Yes. V1 No
**Attach legal description and copy of recorded. easement.
Owner or contractor signature and. acknowledgement statement:
Bysigning, for this permit I certify that I have read the City's public handout entitled
r�wide Sewer Specifications, and shall comply withall City requirements outlined therein.
5- -7
Date
9 CALL DIAL -A -DIG (1-.8 00-425-5555) BEFORE ANY EXCAVATION 9
.9 FOR INSPECTION CALL 425-771-0220-extension329'9
24 HOUR NOTICE REOUIREWFOR ALL INSPECTION REQUFSTS.
NOTE: IF JOB SITE IS NOT READY, FOR INSPECTION. WHEN
INSPECTOR ARRIVES A $45 RE -INSPECTION. FEE WILL BECHARGED,
Job Site Ready YES NO —Date:' Initial:
Partial Inspection: Date: Initial:
Partial Inspection: Date: Initial:
FINAL INSPECTION APPROVED: Date: Initial: As -built to Street File: t
t� PERMIT MUST BE POSTED ON 1�1
White Copy: File Green Copy:. Inspector Buff Copy: Applicant
L;temp;bld&,forms-,sspermitjlg4/00
NOTICE, NO WARRAMY OF ACCURACY The Information shown ci the
attarh,ad map was compiieud far use by the City of Edrilc7f i' 7
anc.. cor-sulants. The City of Edmoids docs na warant Cl:,' of
arly[fUlf! sc", fortif, oo the map. Any poacn or entity req',_"
_:�i' '. a C�py
shc�'�,J condiuci an 6;:a�, im,ulljr regarding the Into, rri��'Jcn .'N*.,-,i cn
.
the ciao, in(,.! -.,.'f'ng, bi -i no', Iii-idi ed to, tho* location of any s0v:cT stub
'SUCS
ShU,1.6 stjbG mall or riot cAst and may or rr-^y nct El
tho Io al.�;: st,-vin, Nelthor the City of Edmonds nor its omp .1 c. 2 3
�11 L v G!
sti-Ilb-Ii le for th�, infoaadoi givao on this map, nor for any o0
representalion prc vided basod upoa said map
z
<
CD
u
20
> Ld
[:3 LLJ
00
18,
'u 161—
u Ln
33' 30'—
CITY
OF EDMONDS SIDE SEWER AS
-BUILT
ADDRESS
18107
70TH PL W
PERMIT
NUMBER 9429
HOMEOWNER xxxxxxx
CONTRACTOR ACORN
DA TE 06/01/01
DRAWN ISMAEL ABILA
.
BY
33
ow lu