18308 72ND AVE W.PDF111111111111
5677
18308 72ND AVE W
ADDRESS: —
TAX ACCOUNTIPARCEL NUMBER:—
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATEI
EASEMENT(S) RECORDED FOR:
PERMITS
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
DETERMINATION: E] Conditional Waiver E] Study Required E] Waiver
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:_
SIDE SEWER PERmi-r(s) #-
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LATEMMS'PsTomis\Street File Checklistdoc
,jA
0
PE IT NO: 92T8-
'Cityb f Edmonds -o-01
PERMIT EXPIRES
SIDE SEWER PERMIT
Address of Construction:' 30T q ?.,I'd AVC # 15
Property Tax Account Parcel No.4-P5 W0* 5—
Attach copies of all access and utility easement Verified *and Approved b
Owner and/or Contractor:
Contractor License lowint V- Building Permit
9'Single Family
E] Multi -Family (No. of Units
Commercial (No. of Units
Fj'Public
Invasion into City *Right -of Way: Ely'es Z No
*RW Construction Permit
Cross other "Private Property: 0 Yes VQ,,No
"Attach legai'description and copy of recorded easement.
wner/C8ntractor
Owner or contract'or.,signature and acknowledgement statement: Date
By signing for this permit I certify that I have.read the tity's public hN&ut entitled
ide Sewer Specifications, and shall comply with all Cit ts utlined therein.
,y requiremen o
V-
W CALL DIAL -A -DIG (1-400425'555$--) BEFORE ANY EXCAVATION W
R FOR INSPECTION CALL 425-771-0220 extension9�_q__ --a
24 HOUR NOTICE REOU1,REft FOR -ALL INSPECTION REOU)ESTS
NOTE: IF JOB SITE IS NOT READY,FOR INSPECTION WHEN
INSPECTOR ARRIVES A,$45 RE -INSPECTION FEE WILL BE CHARGED.
Job Site Ready.YE,S 'NO Datd:_Initial:
Partial Inspection: Date: Initial- .
Partial Inspection: Date: Initial:
t6
FINAL INSPECTION APPROVED: Date: 1�1 Initial: As -built to "I'V
PERMIT.MUST BE .-POST.ED.ON JOB SITE t,
White Copy: File Green Copy: Inspector.. Buff Copy: Applicwt
L;temp;bldg;forms-,ssperTnitjig4/00
in,,, atiop. ,�nrx cri 'le
k hte6 bY Ci,)Y*of Edmo:�-_
alld Trjr: Ue_
V"g�",T?74 1! � - . cl
L
c..
Jl c"I
C-j z, c
th t.,
co of E,l� ...... tr,'- i4s c- 7
cf�ll
I C,,, , _! - *, :2 nc;
garage
DRIVEWAY
LLJ
>
50' 4'
D
21
z
4' PIPE
IN
V
J
z
0
C/O 2' DEEP :w C/O 5' DEEP
13'
cf) I
co
I
CITY OF
EDMONDS
SIDE SEWER AS -BUILT
ADDRESS
18308 72ND AVE W
PERMIT
NUMBER 9278
HOMEOWNER DAVID
ELKINS
CONTRACTOR HOMEOWNER
DATE
03/23/01
DRAWN
ISMAEL ABILA
BY