18323 HOMEVIEW DR.PDF11111111111111
11766
18323 HOMEVIEW
DR
Z�—,
. I s9z
PERMIT NO.; 9333
C* of Edmonds... .
ity . .. PERMIT EXPIRES (0
Qlr"U QrWrlD PVDX4-FT 40-(
Address of Construction: I ___)
Property Tax Account Parcel No. q -1-7
Attach copies of all access and utility easements Verified and Approved by
Owner and/or Contractor:--&
Contractor License Ar LCEJS e 10 141,3 7, Building Permit'#:
Osingle Family
r-1 Multi -Family (No. of Units
Commercial (No. of Units
F� Public
Invasion* into City *Right -of Way: 0 Yes
*RW Construction Permit
Z�o
Cross oth er "Private Property: - E] Yes E] No.
"Attach legal description and copy of recorded easement.
t Owne�Contractor_.
Owner or contractor signature and acknowledgement statement:
0,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.
)�,-
6ate -
9 CALL DIAL -A -DIG (1-800-425-5555) BEFORE ANY EXCAVATION 9
W FOR INSPECTION CALL 425-771-0220 extensiodl�,Ic-v�Wl
24 HOUR NOTICE REQUIRED FOR ALL INSPECTION REOUESTS
. . . . .... . .........
FOR OFFICE USE ONLY
. ......... ..... ...... ........... .
Permit Fee $ '_7,0, -Repair Fee $ Issued 8 e.X,l CA
Trunk Charge $ Date Issued:
Assessment Fee $ Receipt No: 7z 8 "2
i$
City Permit Surcharge Fee $5.00 Total Fees Paid
NOTE: IF JOB SITE IS -NOT READY FOR INSPECTION W,HEN
INSPECTOR ARRIVES A $45 RE -INSPECTION- FEE WILL B * E CHARGED.
Job Site Ready YES NO —Date: Initial:
Partial Inspection: Date: Initial:
Partial Inspection: Date: Initial:
dl Initial: .62 As -built to Street File: %
FFINAL INSPECTION APPROVED: Date:
f� PERMIT MUST BE'POSTED,ON JOB'SITEt,
White Copy: File Green Copy: Inspector Buff Copy: Applicant
L;temp;bldg;forms;sspennitjlg4/00
100,
V�' 6'
LLJ
2
LLI
14'
LLJ
CITY OF EDMONDS
SIDE SEWER
AS -BUILT
ADDRESS
18323 HOMEVIEW DR,
PERMIT
NUM13ER 9333
HOMEOWNER DAN GREEN
CONTRACTOR
ACORN
DATE
04/04/01
DRAWN
BY
ISMAEL.ABILA
Wn
W/(7AQ7