18301 HOMEVIEW DR.PDFIIIIIIIIIIIIII
11761
18301 HOMEVIEW
DR
'PERMIT NQ;: 9"4-.
City of Edmonds.
PERMIT EXPIRES=:K- -,z
SIDE SEWER PERMIT
Address of
00 & obh 0 0 0 a
Property Tax Account Parcel No.
Attach copies of all access and utility easements :A1#4 Verified and Approved b
Ayd', A "I
rOwne�4nd/or Contractor:
Contractor License Building Permit
Yes,
EreSingle Family Invasion into C.ity *Right -of Way: 2<00,
F-1 Multi -Family (No. of Units *RW Construction Permit
F� Commercial (No. of Units. -Cross other **Private Property: Ej Yes P<o
El -Public "Attach legal description And copy of recorded ease mient.
/Ownerl/ontractor 40/
Owner or contractor siggnatu e and ac�know iegement statement:
.,�,.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 EXCAVATION W
W FOR INSPECTION CALL 425-771-0220 extension 126: �Ar I
24 HOUR NOTICE 1REOUIRED FOR ALL INSPECTION REQUESTS
... .......
...... FOR OFFICE USE ONLY . .. . .....
Permit Fee $ Repair Fee $ Issued By: ==6
Trunk Charge $ Date Issued: Jf_ zo —0/
Assessment Fee $ Receipt No:
City Permit Surcharge Fee $5.00 Total Fees Paid $ 3_57
NOTE: IF JOB SITUS NOT READY 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: Date: Initial:
FINAL INSPECTION APPROVED: Date: q Initial: As -built to Street Pile:
15, PERMIT MUST 0 E. POSTED. ON JOB SITE '6-
White Copy: File 0�en Inspector Buff Copy: Applicant
-ssperm g4/00
L;tcmp;bld&,fornns, itjl
182NB
ST. SW
-50
C/o
31
HOUSE
24' 45*
c 0 6'
226
22* 4- 5-
15'
Ljj
23'
15' 71 19l
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CITY OF
EDMONDS
SIDE SEWER AS -BUILT
ADDRESS
18301 HOMEVIEW DR
PERMIT
NUMBER 9394
HOMEOWNER
CONTRACTOR ROLLIN
DATE 04/26/01
DRAWN
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