19018 DELLWOOD DR.PDF1111111111 lill
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19018 DELLWOOD
DR
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER: Ct� Is MC&OO
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS.:
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):R70-4 (�&&)
PLANNING DATA CHECKLIST DA'
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED:2
SIDE SEWER PERMIT(S) #: /6K13
GEOTECH REPORT DATED:
STREET USE /ENCROACHMENT PERMIT
FOR:
WATER METER TAP CARD DATED:
OTHER:
DETERMINATION: r] Conditional Waiver E] Study Required 0 Waiver
LID #: 13q
I
LOT: BLOCK:
LATEMP\DSrs\Forms\Street Filc Checklist-doc
The City of Edmonds
OWNER
ADDRESS
0
48
APPLICATION
for
SIDE SEWER PERMIT
NEW CONSTRUCTION E] REPAIRS 0
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CONTRACTOR ....... �) .. ..... PERMIT No.
LEGAL DESCRIPTION: LOT No. /V/ .... le .................... ..... /BLOCK No . ............................................
N E OF ADDI
?M TIONJ:)."P4�4 --- PV.1120.d .......... Vt'..Z. LA ... Cie ........ --------
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Approved:
DATE ...... 7 J.
... ..... ..... By ... .......................
77— a
PO,�`.EUMONDSI`..
.:W Call PROspect 6-1107. when
WATF isre%dy. far.'.
C
,.SE orholidass.),
Sundsq.,.
itorli'satur"i
iT
.��i.s,!DE SfWE
7,
........................ ................... .....................
D 'I 60a ........ . ......................
Ar;kyq ......... ant
. . . ...... g4_ — ..... i
. .. .... PM7 ServiC6
Allied W)5, - .
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F_Johns6n 471"CTOR .... . .........................
. ................... .......... 'Col,
................
........ . ..................
:"0
CT a side sew
te .1� to.REPAIR or COIqNF
.. 7--- for ...........
....... 196
�jjojj- W.granted - ------- fil I j3 and goverl"g ordinancm
PeirWS,
-A- jjj ae6rdaaC6 With SPPlics "on on.
%iith, CitY
contractor inust:,
.�TTEN�ON IS CALLEI) . ;k6 j FO . LL<>WING: A licensed Side sewer
q it may o6Wn, a, permit to., coinsinkt sewer inside property, line
any portio -,of sewer before It has been inspected"
NOTE 1�0.-I�i7he qwnez�s;of.- the prope y : ei-in streetarea. ']:)6 not cover h
%belemployeid't& construct side s6w. ge�vers when 'yon get Permit-L
OnS L gov�einlng, side:
-Ordinaoce grade. of
rejarding,'
y line' minimum
No 2Obtain fu property line and'ij iticbes inside PrOPert
inbhe�'60'6raie at
-sew�� ziiuse�hsLv6 sjlqej&� 30',
'thsjj,%7'*iII'�be.permitted.
No. '3�Top'& side
jqq� bends in grade.. qbs�rl*r condition. Contractors shall be iesp, . ohs ible fo , r
- I- . . - . � - . :'j- - - - :s�rf ;bj� street restored, to original
"street n�..be . water; -se tled� and,
qo. ches !n ace r of con1pletion.,
NOTE I �'which may develop within,one Yea
due � to lmprdp&'�_work permit or to do any work on the maill sewer or Ili &P��
Ln 'work
tbgLn` is Pi6irided for. in the
NCjTE - No. 5__It is unlaw�ul toalter-or,do g y,16theF
intd
:except toLjnsert the-pip.6 the
piutena,6ce.s.