21217 92ND PL W.PDFiiiiiiiiiiii
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21217 92ND PL W
4F
CITY of EDMONDS
Ft E Ct 1 Xt Q
S I D E
1�*
00
CD
For Inspection Call 771-3202
OCT 2 9 1935
PUBLIC WORKS
SE WER PERMIT
PERMIT' NO. 0@09
Address of Construction: 1� Z 'Irk ��T �_A�
Property Legal Description (Include all easements): AV J':V-e__ �EDMONDS
7—
M
THEATMEW PLANTI
qT
P.A E 7f
Owner and/or Builder:
& License No
Single Family Residence
Multi -Family
Commercial
I I -� '--� \,
(No. of Units
of.fixture Units
Invasion into City Right -of -Way: No (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property:,' No
_4z Yes f Yes, easement required,
attach legal description a"n'd county easement number.)
f
PLEASE -READ THE ITEMS LISTED ON THE BACK
1 certi y that I have read and shal I 40mply Date
w lith t e items listed on 'the bac I- All?
(No
Permit Fee,:' Issued By:
Trunk Charge:' Date Issued:
Ass-essment!�Fee,: Receipt No.:
Partial Irffpection:
Comments
Final In A-V
s tion Approved: -/ a-._25. ir
Date IniVal
Rejected:
.,.,Rea'son-,
Date Initial
Date Initial
PERMIT MUST BE POSTED ON JOB SITE
Wh.ite Copy - File Green Copy - Inspector Buff Copy - Applicant
NOTICE:
-a.
No"War-ranty...o.
The -information shown on the attached
for use by the City of
map(s) was compiled
Edmonds, its Empl.oyees and Consultants.
Th,..e City of *Edm.onds does - n ot. warrant the
acy of anything set forth on these
accur
m a p (.S-'-). A n . y person or entity -requesting a
copy should conduct an independent
inquiry regarding the infbrm-ation shown, o
-t-Fe -rn a P (S) / including, but not hrn'ted to
th . e lociation of any sewer stub shown. Suc
sewer stubs may or may- not e.xist and may
-he location shown,
or may not exist at t
Neitheir the city of Edmo-nds, nor its
I
ice-rs'sh.a-H be I--,, abj`e. for +hE
e m pl- o-y e e-s 0 0 ff
information given on this map(5), nor for
Ided based
any one representation prov
upon'said map(s).
4
/11�
The City of Edmonds
Side Sewer Drawing
EASEMENT NO - ----------------------------- .............. i %'
NEW CONSTRUCTION H REPAIRS [:] LID NO . .................. ASMT. NO . ..................
OWNER N.W,FmP.,.. ��A-c - ----- ------------------------------ CONTRACTOR ------------------------------------------------------------------------------------ PERMIT NO. 7236—co
JOB ADDRESS 21Z-13 ....... 9214-a ---- P-L-1 ... W ----------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ---------- EDM-0NDS-...
- \ I TREATMENT PLANT
me) IRT44 -.01W
NAMEOF ADDITION -----------------------------------------------------------------------------------------------------------------------
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92ND P L. W.
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---------------------------
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TIME ON: b 1p V%%,
DATE OFF: 2 q -15 5-
TIME OFF: I - I 5',A r-N
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PARTS TESTED:
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DISCRIPTION
000 REVISIONS -
DATE I BY
ISSUED TOr 45"7 10 �_
DAYE: JUN 10 19%
CONTACT:
NAME:
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DESCRIPTION
ISTOCK NO.
BILL OF MATERIAL
PERMIT
EOMONIOS
TAX CODE
8,5
PERMIT
D.G. R.
0(0-
PERMIT
1/4 SEC.
Nr-- 2-5-2-7-3
PERMIT
PLAT
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APPD. CHK'D.�� 6-1( 1 'OB e53-p-39
_67 DRAWIf4G
SCALE I" - 5c� APP. 853-239
1 L/I
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