18305 HOMEVIEW DR.PDFIIIIIIIIIIIIII
11762
18305 HOMEVIEW
DR
(I;fX,r PERMIT.NO: -946%8
PERMIT EXPIRES
SIDE SEWER PERMIT _/ �/. I
Address of Construction: /9-3,05- I&I-L4 L4/A/ P(2- LID # c4 15'
Property Tax Account Parcel No. �7 4V te.�9!!!Z
Attar-h i-�n ies of all access and utility easements V/14Verified and Aimroved b
r
Owner,4nd/or Contractor:6�5,6
Contractor License #: (Z7-tAl
M"S'ingle Family'
F] Multi -Family - (No. of Units
Commercial (No. of Units
Public
75 A-0' 'Z XA A J AkD ;IA; D I ;+ 44
�) U 11r, �.1111
Invasion into City *Right -of Way: 0 Yes
*RW Construction Permit #
�No
Cross other "Private Property: F1 Yes EP-N`6_
"Attach legal description and copy of recorded easement.
Owner or contractor signature and acknowledgement statement:
City's public
By signing for this permit I certify that I have read the handout e—n Mi�ed
ide Sewer Specifications, and shall comply with all City requirements outlined therein.
57- � �
Date
9 CALL DIAL -A -DIG (1-800-425-5555) BEFORE ANY EXCAVATION 9
2 FOR INSPECTION CALL 425-771-0220 extension 1329, 2
24 HOUR NOTICE REOUIRED FOR ALL INSPECTION REQUESTS,
.... . . .... FOR OFFICE USE ONLY
... . . . .......
Permit Fee $� %:�149 Repair Fee $ Issued By:.
Trunk Charge $ !�IZ4 Date Issued:
Receipt No:
Assessment Fee $
City Permit Surcharge Fee $5.00 Total Fees Paid
NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN
INSPECTOR ARRIVES A $45 RE -INSPECTION FEE WILLBE CHARGED.
Job.Site Ready YES NO —Date: Initial:
Partial Inspection: Date! Initial:
Partial Inspection: Date: Initial:
FINAL INSPECTION APPROVED: Date: Initial: As -built to Street File:
T� PERMIT M ST BE PO STIED ON JOB SITE T_�
White Copy: File Qreen Copy: Inspector Buff Copy: Applicant
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CITY- OF
EDMONDS SIDE SEWER AS
-BUILT
ADDRESS
18305 HOMEVIEW DR,
PERMIT
NUMBER 9468
HOMEOWNER
CROSBY
CONTRACTOR
EARTH SERVICES
DATE
05/251/02
DRAWN
BY ISMAEL ABILA
ILI
nd/j