18115 73RD AVE W.PDFlill 11111111
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18115 73RD AVE W
PERM11.10:, 93.37"
G of Edmonds
ity 1DV1D_NAF"rP VVV 1DVQ, [,)I I
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Address of Construction: LED #
Property Tax Account Parcel No. �j -7-5 <`(-)-)Q 0. q 0 0
Attach copies of all access and utility easements Verified and Approved by
Owner and/o Co tractoprr: .0,NN
n ra
Contractor License #: ; )Mf, r=- Building Permit #:
5(single Family
F-1 Multi -Family (No. of Units
E],Commiercial (No. of Units
Public
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Invasion into City *Right -of Way: E] Ye s., EA No'
*RW Construction Permit
r1k
Cross other "Private Property: El ye.s No
*,*Attach legal description and copy of recorded easernient.
Owner/eontractbri) /-//4/ 14C
v t statement:
�wor contractor signature and acknowledgemen tv
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 outlined therein.'
W CALL DIAL-A-DIG'(1 -800-425-5555). BEFORE ANY EXCAV.,ArriON 2
2197
W FOR INSPECTION CALL 425-771-0220 exteinsdon'S
24 HOUR NOTICE REOVIRED FOR ALL INSPECTION REOUESTS
..... ... .. ... ....
FOR OFFICE USE ONLY.
... ........
Permit Fee $ .—Repair Fee $ Issued By: t:::5e )r\G:E�i rT
Trunk Charge $ - Date Issued:
Assessment Fee-$ Receipt No:— 7—
City Permit Surcharge Fee $5.00 -Total Fees Paid $ C)o
NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN
INSPECTOR ARRIVES A $45 R&INSPECTION FEE WILL BE CHARGED.-
J& Site Ready YES NO Date: Initial:
Partial Inspection: Date: Initial,
Partial Inspection: —Date: Initial:
A-s:Tbuilt to Street FiI6:
FINAL INSPECTION APPROVED: Date: Initial:
1,� PERMIT MU ST BE. POSTP ON JOB SITE t�
White 4y: File Green Copy Inspector,. Buff Copy: Applicant
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CITY
OF EDMONDS SIDE SE\A/ER
AS -BUILT
ADDRESS
18115
73RD AVE
W
PERMIT
NUMBER 9337
HOMEOWNER
xxxxxxxxxx
CONTRACTOR
JAMES NEWTON
DATE
04/18/02
DRAWN
BY ISMAEL ABILA
7-3 alkL
73),d ctl'u,
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