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18314 72ND AVE W
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PERMIT NO:-, .9512
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PERMIT EXPIRES
SIDESEWER PERMIT
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Address of Construction: LUD #
Property Tax Account Parcel.No.
At . tach copies of all access a flity easements Verified and Approved b
Owner and/o o ttactor: V-'1
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Contractor, Llen I L 2, ih,�ermit #:
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�Single Family
Multi -Family (No. of Units
Commercial (No. of Units-
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Invasion inito City. *Right -of Way: E]Yes 02 �01
*RW Construction Permit
C,ross.6ther, "Private Property: El Yes 2_iqo__�
"Attach legal description and copy of recorded easement.
I Own
Owner or contractor signature and acknowledgement statement: Date.
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.
2 CALL DIAL -A -DIG (1_800_4�qq_-5555) BEFORE ANY EXCAVATION.2'.
2 FOR INSPECTION CALL 425471-0220 eitensionl/_Aya N
24 HOUR NOTICE REOUTRED-FOR ALL INSPECTION REOUESTS
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CITY OF EDMONDS
SIDE SEWER AS -BUILT
ADDRESS
18314 72ND
AVE W
PERMIT
NUMBER 9512
HOMEOWNER xxxxxxxxxx
CONTRACTOR PERRINVILLE
DATE
06/23/01
DRAWN
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