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PERMIT NO: 9240
City of Edmonds. PERMIT EXPIRES
.1 _. 1i to/o/
SIDE SEWER PERMIT
Address of Construction:. /8,50,� id,,*/ Ave- 11-5
Property Tax Account Parcel No. �i-7-7S—_=QC2C2_02_2,_0n RECEIVED
Attach copies of all access and utility easements Verified and Approved b NOV 0 6 2000
Owner and/or Contractor:
i A - - . �9-e_ ir t .
Contractor License V Pt Building Permit#: �J A.
Single Family
Multi -Family (No. of Units
F� Commercial (No. of Units
F-1 Public
ni,
Invasion into City *Right -of Way: F� Yes eN 0
*.RW Construction Permit #
Cross other. "Private Property: , El Yes RON-o
"Attach legal description and copy of recorded easement.
//- & -� Zoo 0
Owner oe contractor signature and acknowledgement statement: Date
By signing for this permit I certify that I have read the City's public handout entitled
Side Sewer Specifications, and shall comply with all City requirements outlined therein.
[LYNNWOOD 'LINE
2 CALL DIAL -A -DIG (1,-800-425-5555) BEFORE ANV-,,�.,,,,EX1, VATI-0
W FOR INSPECTION CALL 425-771-0220 extension=_W
24 HOUR NOTICE REOUIRED FOR ALL INSPECTION REOUESTS
NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN
INSPECTOR ARRIVES. A $45 RE -INSPECTION FEE WILL BECHARGED.
Job Site Ready, YES NO , Date: Initial
Partial Inspection: Date:- Initial:
Partial Inspection: Date: Initial:
FINAL INSPECTION APPROVED: Date: 111110o Initial: CR..)C,,oAs-buiItto Street File:
15, PERMIT MUST BE POSTE.D.ONJO.B SITE t�
White Copy: File Green Copy: Inspector Buff Copy: Applicant
L;temp;bldg7,fonns,sspermitjlg4/00,
The City of Edmonds Side Sewer Drawing EASEMENT NO . ............. ............... 1L
NEW CONSTRUCTION E] REPAIRS 0?
LID NO. Asm-r. NO.
..— ......
OWNER ......... ------- - 9-c- .0 . ...........
.. ........ ..... ............ .. CONTRACTOR ...................... ................. I-, ................
.. ................... PERMIT NO.
JOB ADDRESS . ........
...... LEGAL DESCRIPTION: LOT NO . ....... ......... : ..............
...... BLOCK NO . .......................
...........
pv.j 'r?,14-
0 d 6' C/o 7-0
PWW-0001-11175kTV77MT— 23PT, , x
NAMEOF ADDITION ............................... .......................... ......................................................
N
DATE .1113100 ................... By ----- ....................
-7.2 'vd Ave- t,-..;