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18411 74TH PL W
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NO-WARPV��JTY OF AV)ORKY ThQ lnformatic,i s.",-.,P c) the'�
fo! bli th-.-� Ci0i Efunn.,
was. c-cm-pilu 0* ul,-- of
an. Tiia City of Ec�!'on%ic;o do.;% no wurul C-i'_
tortl�� on thi� onap. ol cn'!�j rclrt�.t.-. a c--,-y
sli, an in. J�s'pclidcnt kl�. i',l ti'm infu,,:-_*.!�-. cn
'u, locaition of :b
ti,_ inc:ud:-g, not Htv" . t,
'x:j6i 6tu)G mx" or and may or ul
th Ndtder ihc. City e, Edroond& net its
bu liabla. for the inIG, iri;f.lci giveii on ihl� map, nor for :.r,,v 0 E
provided based L,-)j,, scid muri
CITY [IF EDMONDS
SIDE SEWER AS -BUILT
ADDRESS
18411 74TH PL W
PERMIT
NUMBER 9445
HOMEOWNER xxxxxxx
CONTRACTOR XXXXXXX
DATE 2001
DRAWN
I
JASON P
BY
Address of C
011 PERMIT NO: .9445
City of Edm ds .
. PERMIT EXPIRES &1ZLel
SIDE SEWER PERMIT
- �i
1ruction: 17 L11D
Property Tax Account Parcel No. 4"o, e�7&
Attach copies of all access and utility eas vnts- Verified
Owner and/or 66ntr�actor_)r%t��— rc) AZaACra V
pproved b
4Z9
Contractor License A4 MI�44Z�W uilding Perm
hA IJJ- it
ingle Family
"*.<S
F� Multi -Family (No. of Units
F� Commercial (No. of Units
F� Public
Invasion into City *Right -of Way: El Yes
*RW Construction Permit #_
Cross other "Private Property I Yes )kNo'
**Attach.legal description and copy of recorded easeffient.
0 w n e rXo'n t r a c -to"h
Owner or contractor sip -nature and acknowledgement statement:
By signing for this 'permit I certify that 1. have read the City's public handout entitled
ide Sewer Specifications, and shall comply with all City requirements outlined therein.
N
W CALL DIAL -A -DIG (1-800-425-5555) BEFORE ANY EXCAVATION V
W FOR INSPECTION CALL 425-771-0220 extension;329 W
24 HOUR NOTICE REOUIRED FOR ALL INSPECTION REQUESTS
NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN
INSPECTOR ARRIVES A $45 RE-.INSPE.CTION FEE WILL BECHARGED.
Job Site...Ready YES NO Date: Initiak'
Partial Inspection: Initial:
Date:
Initial:
Partial Inspection:
Ilk -Yate:
FINAL INSPECTION APPROVED: Date: �2 .1127 Initial:- KVV As -built to Stre et File: E]
1,� PERMIT MU.ST BE POSTEDONAB SITE I-'
While Copy- File Green Copy - Inspector Buff Copy: Applicant
L-,temp;bldg;forins;sspennitjlg4/00
1' DEEP
co
4' DEEP
31 4�1
3 9'
,A
d a s c orn i 1 d f on, j,: C 1 Ity of E d 7v-.
ar, The City ol, Edmcndt; not viaurz�-,.i i".
s,; forth or,, the map. P,,, po?,'W;� or entil rcc_-.,.
Ily
'ng the Iri'Vi- �c.. i:-_
th., but not lh.o Lh,- jocalj�on of aiy
rstubs mayo! f"! i�l and may crri,-*.,
th- Neither the Cit� cr; Edraur!L nor i's c,-, of
infci -friCion fot ap o,,L,"
pail oil thic, m
E,,. 1!-, ;!a toy the C ap. nor
re.omseili,aisc, provided based upoi, scid map
CITY [IF EDMONDS
SIDE SEWER AS -BUILT
ADDRESS
18411 74TH PL W
PERMIT
NUMBER 9445
HOMEOWNER xxxxxxx
CONTRACTOR B & M Contractors
DATE 5/18/01
DRAWN
JASON P
BY