18114 72ND AVE W.PDF111111111111
5670
18114 72ND AVE W
. 4N44wln .1 1:
PERMIT NO:. 9344'
'City of. Edm. onds,.
PERMIT EXPIRES- /'/()I
j7c. SIDE SEWER PERMIT.
rul o' -7 -Z
Address of Const cti n:: LrD #
Property Tax Account Parcel No. 1:Mq(a 00r-). Of di
V i
Attach copies of alLasqss and utility easements er fied. and Approved b
Owner and/o(`ContracQ AAA r�_w 41 C,
................
Contractor License 4A I A Ltt�ep Z_ BJding Permit
e Family Invasion. -into City *RighCof1Way: El Yes 0
Singl' P�FN
F] Multi -Family (No. of Units *RW Construction Permit
0 Commercial (No. of Units Cross.other "Privke Property: El Y:es Q'No
FTPublic "Attach legal description and copy of recorded easement..
Owri.er/Contractor
6wner or 6Tntractor signature an�d acknowledgement statement: Date
By signing for this'permit I certify that I haveread the-City's, public handout entitled
ide Sewer Spebificatio'ns, and shall com ily with all City requirements outlined therein.
p
*2 CALL DIAL -A -DIG (1 �80,0425-5555) BEFORE ANY EXCAYATI-ION 2
9 FOR INSPECTION CALL 425-771-0220 e*xtension',�, 4/2-
HOUR NOTICE REQUIRED FOR ALL INSPECTION REOUESTS. -
FOR OFFICE USE ONLY
...... . .. . .. . .... I.; * ... .....
... . ..... . *:,:: ... ...
........ .. ........ ......
�R'epair Fe . e,$,
Permit Fee Issued By:.
S
F
Trunk Charge $ Date.Iss d:
4e
Assessment Fee $ 'Receipt No:
City Permit Surcharge Pee $5.00 'Total Fees Paid $_31.!�_.
NOTE','.IF JOB SITEIS NOT READY FOR INSPECTION WH.tN',.
INSPECTOR. ARRIVES A $45, R&INSPECTION FEE WILL BE, CHARGEP.z�
Job Site Ready YES, NO Date: 'Initiak,
Partial Inspection: Date: Initial:
Partial Inspicbion: Date: Initial:
FINAL INSPECTION APPROVED: Date: a 0 Initial: C+-�6 As built to Street Pile:'
PERMIT MUSTBE'POSTEDIONTJOB. SITE
White Copy: File Green Copy:. Inspector Buff Copy: -Applicant
L;temp;bidg;forms;sspermitjlg4/00
CO
CO
21'
T
80
l 10,
o'—]
HOUSE
�17,717" C- ACCMr,'y Thp Cl ts
fa:' ucc, by too Chy oi E-�r
fit G f
461
cl o; C,,
te. the
th GR.If of Edmcnc.'�' rc', i.-
c 0
c
04'J
20,
EDGE OF PAVEMENT
72ND AVE,
CITY [IF
EDMONDS SIDE SEWER AS -BUILT
ADDRESS
18114 72ND AVE, WEST
PERMIT
NUMBER 9344
HOMEOWNER N/A
CONTRACTOR AAA EXCAVATING
DATE 4/10/01
DRAWN
DANIELLE GILBERT
BY
STR6,�m FILE
CO
CO
21'
T
HOUSE
MICE: RG WA9RAN17Y OF ArCCURACY The Informativ shown on the
anached map vjaf�. compiied ft, usc by tho City of Edmc,-.,,':� ', i'� C:-.7'-Y-.:3
4�'
and consulta'ato. Trio Gib; of Edfiimw's do--:! nc� w-urni cl
anyihing sei toviii u;. tik: n**:.:). kw�'-, p,.isc,! o'. entli�tl a C-�y
bui n( llrrL� tc,. th- lociflig olf c r
ti�'-. m7u includinq ny cs..:�i
iiL uls! ajidimay or m�) p:Z.!, ',*-i i2
th, locatliail th,:: Ci,",f oi Edroinds nci its c f
&!al bo fc!� bi� gff.-ti ur tids map, nL( f0f any 0M.
C 0
reprasw.cuki� PrG.'.'ijjL LL_..'� U,lu'f uju rll�p
20'
EDGE OF PAVEMENT
72ND AVE,
CITY
[IF EDMONDS SIDE SEWER AS -BUILT
ADDRESS
18114
72ND AVE, WEST
PERMIT
NUMBER 9344
HOMEOWNER N/A
CONTRACTOR AAA EXCAVATING
DATE 4/10/01
DRAWN
DANIELLE GILBERT
BY