18430 73RD AVE W.PDFlill Iiiiiiii
5791
18430 73RD AVE W
V
Address of 1
G of Edmohds' _111IT NO: 9451
ity PERMIT EXPIRES 0 V
SIDE SEWER PERMIT
,.tnictinn- I qu-�C) '114 t-0 - r4 ue LID # 2,1 r
Property Tax Account Parcel No. 000 Q-73 000-7
A c copies of all access and utility easements Verified and Approved by
Own>erd/or Contractor: ee
MC
r
<:on ractoor License #: L) Building Permit
Single Family
Multi -Family (No. of Units
Commercial (No. of Units
El Public I
Invasion into City *Right -of Way: 0 Yes
*RW Construction Permit
Cross other "Private Property: El Yes 5a No
"Attach legal description and copy of recorded easement.
Owner/Contractor C) I
Owner or contractor signature and acknowledgement statement: Date
By signing for this permit Lcertify that I have read the City's public handout entitled
ide Sewer Specifications, and shall comply with all City requirements outlined therein.
.'R CALL DIAL -A -DIG (1-800-425-5555) BEFORE ANY EXCAVATION .9.
9 FOR INSPECTION CALL 425-771-0220 extension 329 9
24 HOUR NOTICE REOUIRED FOR ALL INSPECTION REOUESTS
FOR.OFFICE USE ONLY
... ..........
Permit Fee Repair Fee $ issued B
Trunk Charge $ Date Issued:
Assessment Fee $ Receipt No: -b-10 16
City Permit Surcharge Fee $5.00 Total Fees Paid $
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: Initial:
Date: Initial:
Partial Inspection:
Partial Inspection: Date: Initial:
FINAL INSPECTION APPROVED: Date: Initial: As -built to Street File:
1,� PERMIT MUST BE POSTED ON JOB SITEt,
White Copy: File Gree� Cop*y: Inspector Buff,Copy: Applicant
L;temp;bldg-,forms;ssper-mitjlg4/00
NOTICE: NO WARRANTY OF ACCURACY The informn!iIC-1 �,,crwn
&��cd map was compiled for u3e by the My cyl E`71,-.
c-1 tne
anr: . c )nsultants. Tho City of Edmonds does'� nci
Vv,,i -y-, sci forth on the map. Any person or enolly
CA
"y
zk' conduc!'an -independent Inquiry regarding the
C.1 la
c'7td,;, g, but not limited to, the location of F"
stubs may or may not eyist and may or rn.,.,
711 at
Neither the City of Edmonds ncr i'M c-.
cr
zr -)
the information given on this map, ncr ior y or.
b---, ad upon said map
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CITY OF EDMONDS
SIDE: SEWER 4S-BUILT
ADDRESS
18430 73RD AVE W
PERMIT
NUMBER 9451
HOMEOWNER
xxxxxxxxxx
CONTRACTOR
Mc DONEL
DATE
06/01/01
DRAWN
ISMAEL ABILA
BY
No
r#
NOTICE NO WARRAM, OF ACCURAcy The Information Sh
use by
&18C�A map wa3 compiled fo,
n the
the C4 of Edmr--
M- consultants. The City of EdmCnds does not "7 of
'I set forth on the map. AnY Person or entitty rc-t-'
M Yll' M-
s 1 � "' - condurd ain indepenacal InqWry regafdinq the 1
U :' "1' -9 I.C.,
but not limited to, the ion of
sw��G may OT MaY Rot Wdst md may or c
-, ''.—i
hleitil�r the City of Edmonds n�,,, j.,3"
ii-i"0i'mation given on this mz-3, nc
f,-T
floon sald map
. . .............
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