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21014 WOODLAKE
DR
APPUCATION
The Cify of lWmonds for EASEMENT NO - ---------------------------------
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS LID NO.
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OWNER
CONTRACTOR ---------------------------------------------------------------------- ........... PER - ------------------
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GJOB ADDRESS-.----. --------_-------------------- -------------------------------- LE AL DESCRIPTION.- LOT NO - ---------- ---------------------- BLOCK NO - --------- --------------------------
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NAME OF ADDITION .... N=M-V-Tt 4_��t-A ----
DATE --- ltgk-..y .. !;?to - ------------ By _- ------ -- ------
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APPUCATION
The City of Edmonds for
SIDE SEWER PERMIT EASEMENT NO. � ------------------- -----------------------
NEW CONSTRUCTION REPAIRS E] LID NO. .1(491 ------- ASMT. No.
------------------
OWNER ------- .................... CONTRACTOR ---
JOB ADDRESS ------------- PERMIT
------- P& --- i LEGAL DESCRIPTION: LOT NO - --------- -------------------------- BLOCK NO - ----------------------
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NAME OF ADDITION IV ---- 0-4 CL k� - -
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........... 444-1-7.1 A
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RECEIVEL)
FEB 2 7 1976
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Approved:
DATE............................. ------------ - BY ------------------------------------------------------------
CITY of EDMONDS --- PUBLIC WORKS DEPARTMENT
Routing of Building Permit Applications
Proposed Property Address of Application: 21014 Woodlake Drive
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BUILDING DEPARTMENT
Applicant Fill
USE PERMIT HECEivEld
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JOB 6LI 1975
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LEGAL
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LOT AREA
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MAILING ADDRESS
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VARIANCE OR
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PROPOSED YARDS
FRONT SIDE REAR
IGHT
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PLANNING DEPT. APPROVAL DATE
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STREET R/W
EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY
ADDRESS
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COMP. PLAN ST. R/W FT. FT.
CITY
TELEPHONE NUMBER
REMARKS
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ENSE NUMBER
CITY LICENSE NUMBER
CKED BY
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STREET AND/OR UTILITY El YES
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WORK REQ'D D NO
UNDERGROUND El YES
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TYPE CONNECTION
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NUMBER
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REMARKS
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METER SIZE710E
SIZE
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REMARKS
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INSP. POOL
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TYPE OF CONSTRUCTION 1CODE
SPECIAL INSPECTOR
REQUIRED
1:1 YES 0 N 0
OCCUPANCY OCCUPANT
GROUP LOAD
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITT
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31,04,
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REMARKS
NUMBER OF STORIES
NUMBER OF
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