18417 74TH PL W.PDFIIIIIIIIIIII
5968
8417 74TH PL W
111T NO: 9264
City of Edmonds
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Address of Construction: t941-7 -74" R_ LUD #
Property Tax Account Parcel No. 4-7
Attach copies of all access and utility easements a,4Z Verified and Approved b
Owner and/or Contractor: Xcov-A 1�tITEMISE
Contractor License Building Permit
Single Family Invasion in to City_.*Right-of Way: El Yes L4 No'
F� Multi -Family (No. ofiUnits *RW Construction -Permit
F� Commercial (No. of Units Cross oth& "Private Property: No
Yes
F� Public **Attach legal description and copy of recorded easernent.
Owner/Contractor
,Owner or contractor signature and acknowledgement statement: Date
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.
9 CALL DIAL -A -DIG (1-800-42.5-5555) BEFOREANY EXCAVATION 2
W FOR INSPECTION CALL 425-771-0220 ektension
U'tST
24 HOUR NOTICE REOUTRED FOR ALL INSPECtf6N RE
NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN
MPECTOR ARRIVES' A $4'5'RE-INSPECTION FEE WILL BE CHARGED.
Job Site Ready YES NO Da.te:—Initia'l:
Partial Inspection: Date: Initial:
Partial Inspection: D te* Initial:
FINAL INSPECTION APPROVED: Date: lniti(5117� As-builtto Street File- F-,4T/
tk, PERMIT MUST 13� POSTED ON -JOB SITE t�
White Copy: File Green Copy- Inspector Buff Copy: Apolicant
L;temp;bldg;forms;ssperinitjlg4/00
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aft-achcd rn,P %112S to ;�- " -
constaltan'tis. Tbc,, Citj 01 Le �n,,j�g n i
ant,
g,jy�jj,;j,g the map. 01'G-l'tity (Cq
s,,t forth oil
an independcnt rog�,fding the Inform
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inciuding, but not fihk- 4). tho joca�,ion of any stub
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r1LVn6I: exiA and may c
sho, ,o- Sur.,�! stub3 may os
Neither tht� C! , tV Of Edmond'. nor its ernpiorVIIS, Or-
n on this m, nor-for.zworzT'
-.:on ghm IP
0 IL-6 b,; liable for the infoinip
provilood based wo-, sdd w.
4 8'
CO 2' to Sur -Face
65'
CO 1.5' to Sur -Face in Frame Lid
DRIVEWAY
ROW
0
22'
1
Edge
oF Pavement
74th Place West
CITY OF EDMONDS SIDE SEWER AS BUILT
ADDRESS
18417 74th
Place West
HOMEOWNER
CONTRACTOR
Julian, Barbara
Acorn
.DATE
3-13-2001
DRAWN
BY P. Lemcke
LID
NO. 215