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18317 HOMEVIEW
DR
PERMIT, NO:, �gt17 - -
City of Edmonds. I / () 1.
PF.RMIT 1F.XPIRIF.s. < 1,
W J SIDE SEWER PERMIT
Address of Construction: 12-317 lln�UTPJ `��rue LID #
Property Tax Account Parcel No. � L/771� n000L5-600G
AttaGh.cppies of all access and utility easements Verified and Approved b
(fw wner d/or Contractor: 6sea-tF kafZE
r 4
t Building Permit
ontractor License #: Ing)-
Single Family
F] Multi -Family (*. of Units
Commercial (No. of Units
F] Public
Invasion into City *Right -of Way: El Ves No
*RW Construction Permit #
Cross other' "Private Property: El Yes KNo,_
*.*Attach legal descriptJon,an8 copy of recorded easement.
Owner/Contractor '7jo�'
b�vre�or contriactor 0'ature and acknowledge m'ent statement: Date
— B i ning for this permit I certify that I have read the C
y S.*g ity's public handout e,ntitled
ide Sewer Specifications, and shall comply with all City requirements outlined therein'
WX CALL DIAL —A —DIG (1-800-419_i5555) BEFORE ANY EX.CAVATION.-W:
W FOR INSPECTIONCALL 425-771-0220 extension`t3�al
Trunk Charge $
Date I
Assessment Fee $ Receipt No:
City Permit Surcharge Fee $5.00 Total Fees Paid
NOTE: IFJOB SITE IS NOT- READY FOR INSPECTION WHEN
INSPECTOR ARRIVES A $45 RE -INSPECTION FEE WILL BE CHARPED.
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:
PERMIT MUST BE POSTED O.N.JOBSITE f�
WhiteQopy: File :GreenCopy: Inspector Buff Copy: Applicant
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CITY OF EDMONDS SIDE SEWER
AS -BUILT
ADDRESS
18317 HOMEVIEW DR,
PERMIT
NUMBER 9517
HOMEOWNER xxxxxxxxxx
CONTRACTOR
CLARENCE
KORF
DATE 08/06/01
DRAWN ISMAEL ABILA
BY
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