18408 73RD AVE W.PDFlill 11111111
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18408 73RD AVE W
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Ciety of Edmo"'Al"s
SIDUSEWER PERMIT
PERMIT NO: -9-428*
PERMIT EXPIRES
Address of Construction: zio Ave -, tu LED# 2 15
Property Tax Account Parcel No. clan gap co cx�)
Attach copies of all_access
Owner and/c(C-ontractor)
Contractor Li
ity easements V
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.4.ep *�c)qqLlm
S Single Family
ingle Fami
Multi -Family (No. of Units'
Commercial (No. of Units
Fj Public
6q,--4*%
uilding Permit
Invasion into City *Right -of Way: El Yes
*RW Construction Permit #
Cross other "Private Property: . EI Yes ��o
"Attach legal description and copy of recorded easement,
I S-7-01 '-I' I
Owner or contractor signature and acknowledgement statement: bate
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 (1-800-425-5555) BEFORE ANY EXCAVATION, W,.
2 FOR INSPECTION CALL 425-771-0220 extension 329. W
.24 HOUR NOTICE REOUIRED FOR ALL INSPECTION REOUESTS
NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN.
INSPECTOR ARRIVES A $45 RE-I.NSPECTION FEE WILL BE. CHARGED.
Job Site Ready YES NO —Date: Initial:—'.
Partial Inspection: Date: Initial:
Partial Inspection: -Date: Initial:
FINAL INSPECTION APPROVED: Date:' Initial: Dff As -built to Street File:
1,� PERMIT MUST BE POSTED ON JOB. SITE t-
White Copy: File Green.Copy: Inspector 13.0 Copy: Applicant
L;temp;bldg,forms,sspermitjlg4/00
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N0110E: NOWAMMOF ACCURACY The Information show on the
attached map was compiled for use by the City of Edmc,-.�.', i' � cm.'!,,yees
and consultants. 7W City of Edmonds does not warrant tho c_-='.;'y of
anything set fcrlh on the map. Any person or entity requee�' .n .9 a copy
should conduct an Independent Inquiry regarding the Informdon shown an
the map, Including, but not llmbd to, the location of any sewer stub
shown. Such sower stubs may or may not e)dst and may or m:y not e)dst at
the location shown, Neither the City of Edmonds nor Its employees w
officers shd be Us* for the information given an *As map. nor for any aW
representation WmAded based upon aid map
CITY [IF EDMONDS SIDE SEWER
AS -BUILT
ADDRESS
18408 73RD AVE, W.
PERMIT
NUMBER 9428
HOMEOWNER xxxxxxxxxx
CONTRACTOR *
POINTE CONST,
DATE
05/07/01
DRAWN
13Y ISMAEL ABILA
MM6