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18427 HOMEVIEW
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PERMIT NO: 1111
City of Edmonds
PERMIT EXPIRES 11,11ldl
SIDE SEWER PERMIT ./ I /
Address. of Construction: 7 L&-1VL) _,T) �2, LED#
Property Tax Account'Parcel No. �/Z 246 4W 445� 1�� to/
Attach copies of all access and utility easements Verified and Approved b
Owner and/or. Contractor: ^-je"o ILj le 7W-- 5 ZI..;
Contractor License #:
Hl'ingle Family
F� Multi -Family (No. of Units'
F-1 Commercial (No. of Units
F� Public
5 z IV
uilding Permit #:
Invasion into City *Right -of Way: EJ Ye's Eq-No-
*RW Construction Permit
Cross other "Private Property: El Yes �o
"Attach legal description and copy of recorded easement
5�25_
Ownert rac o
Owner or contractor signature and acknowledgement statement: Date
By signing for this permit I certify that I have read the City's public handout p"tifl-d
ide Sewer Specifications, and shall comply with all City requirements outlined therein.
9 CALL DIAL -A -DIG (1-800-425-5555) BEFORE ANY EXCAYATION 9
W FOR INSPECTION CALL 425-771-0220 extens ion;:329-,W
24 HOUR NOTICE REQUIRED FOR ALL INSPECTION REQUESTS
............
.. ... .. ...
... FOR OFFICE USE ONLY
Permit Pee $_ Repair Fee $ Issued By: 4k
Trunk Charge $ Date Issued: z
Assessment Fee.$_ Receipt No: :��el4l
City Permit Surcharge Fee $5.00 Total Fees Paid $
NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN
INSPECTOR ARRIVES A $45 R�)-NSPECTION FEE W LL BE CflA
JRGED.
Job Site Ready YES NO- Date: Initial:_0__
EPartial Inspection: Date: Initial:
Partial Inspection: Date- Initial:
FINAL INSPECTION APPROVED: Date: Initialuz As -built to Street F ile: _j
1,� PERMIT MUST'BE POSTED ON JOB SITE.t,
White Copy: File Green Copy: Inspector Buff Copy: Applicant
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House
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23' 22 Bend
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CO 5" Deep ROW
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Homeview Dr-!vE-=>
CITY OF EDMONDS SIDE SEWER AS BUILT
ADDRESS
Permit Number
18427 Homeview
Drive
9467
HOMEOWNER
CONTRACTOR
Johnson
Earth Services
DATE
6/6/01
DRAWN
BY R Lemcke
LID
No, 215