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18211 HOMEVIEW
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PERMIT NO: 9320
City, of Edmonds.
PERMIT EXPIRES 16
SIDE SEWER PERMIT I
Address of Construction: kkmax 11E L &=2 LED # &
Property Tax Account Parcel No.
Attach copies of all access and utility easements Verified and Approved b
(,=-ra or Contractor: ZACL�I'A
,�n�e
Contractor License #: Building Permit
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LpSingle Family
n Multi -Family (No. of Units
Commercial (No. of Units
Public
Xnvasion into City *Right -of Way: El Yes [YNo
*RW Construction Permit #
Cross other "Private Property: El Yes 59 No
?'*Attach legal description and copy of recorded easement.�
Owner/Contractor '2
Owner or contf"- * - _64 �an *acnowl izement _91-atement: Date
By signing for this permit I certify that I/ave read the City's public handout entitled
10§ide Sewer Specifications, and shall comply with all City requirements outlined therein.
9 CALL DIAL -A -DIG (1,-800-425-5555) BEFORE ANY EXCA)AT
9 FOR INSPECTION CALL 425-771-0220 extension��-,-
24 HOUR NOTICE REOUIRED FOR ALL INSPECTION REOUESTS .7777
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................. .......
FOR OFFICE USE ONLY.
........ ....
. ..... 'Permit*'Fe*e'$�3:�, Fee $_ Issued By:
Trunk Charge $ Da te Issued: 412-10 1
Assessment Fee $ Receipt No: 1 -7 ;46�7
City Permit Surcharge Fee $5.00 Total Fees Paid $__L'
NOTE: IF JOB SITE IS NOT READYFOR INSPECTION WHEN
INSPECTOR ARRIVES A $45 RE -INSPECTION FEE WILL BE CHARGED.*'
...Job Site Ready YES NO —Date: In.itial:
Partial Inspection: -Date: Initial:
Partial Inspection: Date: In , itial:
nitial:D_a_- As -built to Street File:
FINAL INSPECTION. APPROVED: Datb:.
t- PERMIT MUST BE POSTED ON JOB SITE '6-
White Copy:� File Green Copy: Inspector Buff Copy: Applicant,
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CITY OF
EDMONDS
SIDE SEWER AS -BUILT
ADDRESS
18211 HOMEVIEW DR
PERMIT
NUMBER 9320
HOMEOWNER YEN
CONTRACTOR GCM
INC,
DATE
04/12/01
DRAWN
BY
ISMAEL ABILA
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