19029 DELLWOOD DR.PDFIIIIIIIIIIIIII
10891
19029 DELLWOOD
DR
ADDRESS:
TAX ACCOUNTIPARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: E] Conditional Waiver 0 Study Required 0 Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED.
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED:_/6_'Z1z'&K
SIDE SEWER PERMIT(S) #: , 2>141
GEOTECH REPORT DATED:
STREET USE ENCROACHMENT PERMIT
FOR:—,
WATER METER TAP CARD DATED:
OTHER:
LID #:
LOT: Z?5 BLOCK:
41
LATEMP\DSrsTomis\Street He Checklist.doc
The City, of Edmonds
APPUCATION
I for
SIDE SxwzR PzRMr
NEW CONSTRUCT-Itgq 0 RZPAMS 0
� ... . .............. COMMACTOR
ADDRMS .... If .... 1.0 .... 91 .. P.... -- a
. ..... . 6—� ..... Ml �GJCL DESIC�ON: IJOT
NAME OF AMMON
W 0 e) Z)
APpft0VjD
OCT 211968
PLANT
MASWOWT P4�
....... 9:;� ........................ BLOCK No.
to /l? z /1111 4-7�*
Approved:
DATE ... By'.
ui
=4
U.
0
, C IT.,
OF
EDM6NDS
SIDE SEWER p . can *-Rospect 6-1107
Is F for in..... When
ERAUT t.,.= OIL (No
Sat-",, SIn2day or hoffi_�
IWO da's.)
-------- 9�q --- Driv
...... ... IB 141
01"ER ... ...........
............................ .............
Perynissio ----- - -------- ............... ..............
witi, cityn 's 9-ranted ........ ... ............ .. . .........
Sewer, in ------------ : ---
TTENT.ToN accordance ------------------------_--- CONTRACTon .. wool ------------------------------------
Wit" aPPlica 19 -------- I for . . __ . _!!V�_�_-ipe & Sewer
jS tion On file - ----- ----------- -- YS it ........ ..........
X07-E NO. .1_ C41"XD TO T and go --- da 4 ..............
The IM.FOLLOWING: verzu�g: RUIPAJU ...........
VN be ordinance, or
y6d of the CONNE
NOT- . COZM
0- 2�Obtaln 19��nidm-y Obtain CT a side sewer
IV '-0rMatj e sewer . a permit to
0- 3—T.p of - 1 012 regard' 'a street ,, lc�n3truct sew
AL No. NO b,,d"die sewer ,, 'ng Ordi ea. 1: 0 not -Ole, 'r inside "Ole,
s n grade sh st have at I nance 11-16030 any portion of y 1,
4—Trezicbes arp6 east 3o inches : meo A licensed
_r tha . d 4egulatons sewer be
NOTZ e due to ,,I 132U n be Ve Coverage at gOvernin
failtn. In street will re it has l5e Sewer
,_It I., st be Water se . rmitted. 9 side sewers been Inspec
tenan Unlawful to Proper Work whj�h ttled and surfs, Property, line Ind .12 . when you get ted. Contractor Must
ces except t alter or d may develop . e Of street Inches inside . property Permit.
0 insert thO any Other work. than Within One restored to line;
e Pipe Into is Year of Origin,
the Wye. Provided for Completion. condition. Con mInIn3um grade of
In the Permit, or tractors shall be 2%.
to do any work 012 the main responsible for
sewer or its appur_.