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18320 HOMEVIEW
DR
IJ7 C. I STJ
PERMIT NO: 93 9-11",
City of Edmonds . "PERMIT EXPIRE
SIDE SEWER PERMIT
Address of Construction: L110E Aj Dte. L10D #
Property Tax Account Parcel No. 4!:7::2&0 CX�10 nq I
Attach copies of all access and utility easements Verified and Approved b
Owner and/or Contractor: EA&7w- <se_ 0- vj etz
Contractor License 'Building Permit
�ingle Family
F-1 Multi -Family (No. of Units
Commercial (No. of Units
F� Public
Invasion into City *Right -of Way: El Yes Nwo__�
*RW Construction Permit #
Cross other "Private Property: E]Yes
"Attach legal description and copy of recorded easement.
p
Owner/ ontracto
Owner orcontractor signature and acknowledgement statement:
By signing for this permit I certify that I have read the City's public handout entitled
ide Sewer Spmifi cations, and shall comply with all City requirements outlined therein.
9 CALL DIAL -A -DIG (1-800-425-5555) BEFORE ANY1XCAVAT;I-ON*W
W FOR INSPECTION CALL 425-771-0220 ex'tensionMz'
24 HOUR NOTICE REOUIRED FOR ALL INSPECTION. REOUESTS
FOR OFFICE USE ONLY
Permit Fee$ 7 Repair Fee $ lssuedl3y:jear� _k'-s�Are)ks
Trunk Charge $ Date Issued: n
-Assessment Fee*$ Receipt No:
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 WILL BE CHARGED.
Job Site Ready YES NO —Date: Initial:
Partial Inspection: Date: ln4itial:
Partial Inspection: -Date: Initial:
FINAL INSPECTION APPROVED: Date: Initial: D(T As -built to Street File:
t� PERMIT MUST BE, POSTED ON JOB SITE t-
White Copy:. File Green Copy: Inspector Buff Copy: Applicant
L;temp;bld fbnns�sspernnitjIg4/00
91*i
t
LLJ
AVERAGE
DEPTH 7' >
71 C/ 0
Li
45*
15'
23'
13'
22* C/o
45
22* 71 16'
81
37'
CITY OF EDMONDS SIDE SEWER
AS -BUILT
ADDRESS 18320 HOMEVIEW DR,
PERMIT
NUMBER
9319
HOMEOWNER TIM
CONTRACTOR
EARTH SERVICE
DATE
04/12/01
DRAWN
13Y ISMAEL ABILA