18416 73RD AVE W.PDFlill 11111111
5787
8416 73RD AVE W
0
0
ADDRESS:
TAX ACCOUNTIPARCEL
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
MA
CRITICAL AREAS: DETERMINATION: n Conditional Waiver E] Study Required E] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
SHORTPLAT
SIDE SEWER AS BUILT DA
SIDE SEWER PERMIT(S).#:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
OTHER:
1�4,
LID #:
LOT: BLOCK:
LATEMP\DS'Ps\Forms\Street File Checklist.doc
PERMIT NO: SQ5,
City of EdMoh'ds.
PERMIT EXPIRES. to o
CIMU QUIAIUD IDUDX4Trr
C . 199,
Address of Construction: 01 LID #
Property Tax Account Parcel No. ltm (2= I OD 1 (09
Attach copies'of all.ac*cess and utility easeme : nts Veri . fied and AUpFeK(d b
Owner and/ P6 ' 4-r M&
oKontiactor* (4 &—R! I= ! � T
Contractor LicZ`nse#-� KO I rt fly X4 Building Permit #:
.,�Single Family
Multi -Family (No. of Units
r I Commercial (No. of Units
F] Public
Invasion into City *Right -of Way:. I Yes 21-0
*RW Construction Permit #
Cross other "Private Property: F-1 Yes .��o
"Attach legal description and copy of recorded easement.
7 C)
Owner or contractor signature and acknowledgement statement: Date
B signing for this permit I dertify that I have read the City's public handout entitled
y
ide Sewer Specifications, and shall comply with all City requirements outlined therein.
2 CALL DIAL-A-DIG(1-800-425-5555) -BEFORIE,' ANY EXCAVATION-2
'R. FOR INSPECTION CALL 425-771-0220 extension 1329 9
24 HOUR NOTICEREOUTRED FOR ALL INSPECTION REOUESTS
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: Initia�l:
Partial Inspection: Date: Initial:
Partial Inspection: —Date:—Initial:
FINAL INSPECTION APPROVED: Date: initial:1)f .-As-b.uili to Street File:
1,� PERMIT MUST BE POSTED, ON' JOB. SITE,
While Copy: File Green Copy: 'Inspector Buff.Copy: . Ap plicant,
L;tennp;b1d&,fornns;ssperrnitj1 - j4/00:
0
T.
F ACCUR41 '%
to, " , e"I'dirl
W A C, ol E
N011,0S,
_Me City 01 �Ons d or enRY (C-- ;c
th M., AnpeZrioll1la"2�
n
ar, t� on e
tot! &IV regarding th! I
independent IN 11 on 0 a""J
or '.
Co�du%a.', rn� Cl
,lg bui not limited to, the loca
f—P nay not mdst and MaV
not its cr �zllo'i
01 r City 0i Edmonds Cr6
Suclt S the not tot
, f A tj
tt,- C�'C):w - 1 the intOrm2ficrl Overl on this map,
oltice"30�160*e 9' d upon said MV
rep vlaseliaudn provided base
ch)
ZL
TOPS
7 7
45'
45'
NOME NO WARRANTY OF ACC& The Information on, tffg��
aft,a-�rd map was compiled for use by the City of Ed,,nc--,' :,.s
aw! c:nsuftants. The City of Edmonds does not warm-r L of
o s-�! forth on the map. Any person or entity "-'Py
sl�i,,' -�J conduct an independent I*ry regarding the lnfor�. C cl
thLi c',4, including, but not limited to, the location of 2--'; c,
stL, b
shc,t�!t. Such sewer stubs may or may r& e)dst and
thf� louation shown, Neither the City of Edmon& nor It 0 �o s c r
off iczrs shali be liable for the Information given on th s map or for z ny ora]
repre n n provided based upon said map
22*
22*
22*
—71
C. 0.
V
45' HOUSE
1-" C. 0. I/z
180 ST SW
E.D CITY OF EDMONDS SIDE SEWER AS - BUILTS
ADDRESS:
I Q A I CZ —7 7 ID r-) A WE \A/
M
HOMEOWNER: CONTRACTOR:
McMAHON POITE CONST.
DATE DRAWN: DRAWN BY: SCALE: PERMIT NO.
6/28/01 1. ABILA NTS 9425
: 9
27
;'45*
45*
NOTICE: NO WARRAN1Y OF ACCURACY The Information the
atta-�!��!d map was compiled for use by the City of Edmc.-. -,s
an,,. consuitants, The City of Edmonds does not warrar:j j,:
sn� sci forth on the map. Any Person or entity rc
SK
CO;"
lduct an IndependeM lnqWry regarding the Infori-a—i.
thO F.' * inc:Liding, but not 11miled to, the location Of an,
shc'�-"il , Such, m.nver slubs may Or My not Wdst and m yorm- I pcj c:l
tho louation shown, Neither the City of Edmonds n.
Infoandon g1m on this
0 1C.01's liable for the on this n
represm on based upon ogd map of for an� ord
-.2 2' 1—, .1,
22*
22*
7-7 ' -7
C. 0.
HOUSE
45'
C 0.
180 ST SW
01
ED* CITY OF EDMONDS SIDE SEWER AS — -BUILTS
<� ADDRESS:
-7 7 ID F� A \ /E- W
I Q A 1 C,
,61-t. 1890
HOMEOWNER: CONTRACTOR:
McMAHON POITE CONST.
DATE DRAWN: DRAWN BY: SCALE: PERMIT NO.
6/28/01 1. ABILA NTS 9425