18416 72ND AVE W.PDF11111111 lill
5687
18416 72ND AVE W
'.-?C.-i %4—'
Address of
PERMITNO: 9.32.6
City of Edmohds*
SIDE SEWER PERMIT PERMIT EXPIRES
itrud I tion: d Uj LID#' Zl�
(OM 0_2 00
Property Tax Account Parcel No.
Attach copies of all access and utility easements Verified and Approved b
Owner and/or Contractor:
Contractor License #: *� ree, ri
Egegi`ngle Family
F] Multi -Family (No. of "Units
Commercial (No. of Units
.F� Public
ilding Permit #: 2-M I
Invasion into City *Right -of Way: E],Yes AE%o
*RW.Construction Permit
Cross other "Private Property: El Yes ��o
**Attach legal description and copy of recorded easement.
� I _� /. - Uwner%Contractm�/
Owner or contractor signature and acknowledgement statement:
.;.,--,..By signing for this permit I certify that I have read the City's pub] ic handout entitled
A
$ide Sewer Specifications, and shall comply with all City requirements outlined therein.
2 CALL DIAL -A -DIG (1 -'800-425-5555) BEFORE A Y EXCAVATION, W
-771-0220 extension'
FOR INSPECTION CALL. 425 31112-9ol
NOTE: IF JOB SITE IS.NOT READY FOR INSPECTION WMEN
INSPECTOR. ARRIVES A $45 RE -INSPECTION FEE WI . L(BE CHARGED'.
Job Site Ready YES NO Date:� Initial.. —
Partial Inspection: Date: Initial:
kPartial Inspection: Date: Initial:
FINAL INSPECTION APPROVED: Date: L4.T
.tie. I Initial:, f) U As -built to Street File:
t�- PERMIT MIUSTBE POSTED ON. JOB SITE 1�-
WAA,;i rl C;1 I,- r, I I n ff f% A 1; � i
-PY4 �jjy F Wy FIF
L;te*mp;bldg-,forms;sspeFmitjlg4/00
J2
r'n
I
b.; lifl:�
CONC. PAD
r
LLJ
C/o'
31 DEEP
>
21
C/o
—31
—391
61—
cu
CITY
OF EDMONDS
SIDE SEWER AS -BUILT
ADDRESS
PERMIT
18416
72ND AVE, W.
NUMBER
9326
HOMEOWNER
CONTRACTOR
xxxxx
PERRIS
DATE
04/06/01
DRAWN
BY
LABILA
Ll
7-1 1
F-J-
4