18126 70TH PL W.PDFiiiiiiiiiiii
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18126 70TH PL W
PERMIT NO: '94951
City of. Edmond,
PERMIT EXPIRES
oc3 SIDE SEWER PERMIT, .
Address of Construction: 70* Z? #
o 0 rf�
ax Account' Parcel N
Property T 0.
Attach copies of all access and utility easements Verified and Approved by
Owner and/or Contractor!- �e_ e- CCY7 1S'7ri-1C-1, .-on
Contractor License *0 0 S*e Building Permit
Single Family Invasion into City *Right -of Way: 0 Yes 29, No'
Multi -Family (No. of Units *RW Construction. Permit
Commercial (No. of Units Cross other "Private Property: El Yes 9,.N.o
Public ?"Attach legal description and copy of recorded easement.
ro', Zz-�, Owner/Contractor
Owner or contractor signature and ackn6wI edgement. statement: . Datj
By signing f�r this permit I certify that I have read the City's public handout,entitied
ide Sewer Specifications, and shall comply with all City' requ irem.ents outlined therein.
9 CALL DIAL -A -DIG (1-800-425-5555) BEFORE ANY EXCAVATION 9-
2 TOR INSOECTION CALL 425-771-0220 extension 320- W
24 HOUR NOTTCF, REOUIRFD FOR ALL INSPECTION REOUESTS
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FOR OFFICE USE ONLY
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Permit Fee $ Repair Fee $ Issued By.
Trunk Charge $ Date Issued: /,/I -z-- ID
Assessment Fee $ Receipt No:
City Permit Surcharge Fee $5.06 Total Fees Paid $ 52 t�n
NOTE: IF JOB 81TE IS NOTREADY 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! Datc— Initial:
FINAL INSPECTION APPROVED: Date:. 1(/& Initial: As-�uilt to S*treet,File: Q
t�.PERMIT MUSTBE POSTED ON JOB SITE6-
White Copy: File Gre6n Copy: inspector . Buff Copy: Applicant
L;temp;bldg;forms;sspennitjlg4/00
181ST PL SW
EP
91
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41 DEPTH=3'
24
1'
14' T_
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DEPTH=5'
21
FRONT DOOR
61
NOTICE* NO WARRAMY OF ACC Thp Infnrmnt;nn shpp a_
ett2C.4ed M2P Was Compiled for use by the City of Edmv,-,'3, i,
and consultants, The City of Edmonds does nai warrant Of
anAinic set forth on the map. Any person or entity req;1.--,',i,5 a copy
t
shoulc..'conduct an indcriwidont inquiry r
I agarding the 11iformation shown on
the map, Including, but not limKod to, tho location of any sevier stub
N
shown. Such s6vier stubs may oi, may noi e)dst and may or may not e)dst at
the IocaWri shown, Neithev the City of Edmonds nor its emp!oy,-es
or
officers sh'-'j bc. 1��ble for th(_ infojj-..jLjjr1 rj,*jf',
j j;jIs. map, nor for any ord.
rePreseft�E,60-11 pruMcd b".j uPua SLjo map
CITY [IF EDMONDS SIDE SEWER
AS -BUILT
ADDRESS
18126 70TH PL W
PERMIT
NUMBER 9495
HOMEOWNER
CONTRACTOR
COHEE CONST,
DATE 06/13/01
DRAWN
ISMAEL ABILA'
I
BY
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