21316 92ND PL W.PDFiiiiiiii lill
9032
21316 92ND PL W
4
—r-
CITY, OF EDMONDSe SIDE SEWER PERMIT
0 19 riLr. r— rZ 11 lVI I I
17
Address of Construction: 2b-Le
Property Legal Description (Include all easements):
_o� 7),
M 0 N DS'
TLI,
N P.LAN77
K'Ec ac� \Y\
V L U
NOV 0 9 199U
PUBLIG WORKS
Owner and/or Contractor:
State License No. B uilding Permit No.
,bz'Single Family Invasion into City Right -of -Way:% No 11 Yes
C3 -Multi-Family (No. of Units RW Construction Permit No..
13 Commercial Cross other Private Property: A No 0 Yes
El Public Attach legal description and copy of recorded easement
I ceriiCy Vat I have read and shall comply with all city requirements
as indicated on the back of the Permit Card.
Date
* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION *
OFFICE USE ONLY
FOR INSPECTION CALL 771-3202, PUBLIC WORKS DEPT.
_.e. ':P
Permit Fee: I ss u ed B i
.y
Trunk Charge: Date Issued:
Assessment Fee: Receipt No.:
Lid No.:
Partial Inspection: Date -Initial -
Comments
Reason Rejected: Date -Initial
Final Inspection Approved: Date lnitiaK6L
PERMIT MUST BE POSTED ON JOB SITE
White Copy: File Grewri Copy: Inspector Buff Copy: Applicant
Revised 3/90
NOTICE:
The -information shown on the attached
for use by the City Of
map(s) was c0M ' Piled
Edmonds/ its Empl.oyees and Consultants.
Th,..e City ofEdrn.onds does - not ' warrant the
accuracY of anything set for.th on t hese
r entity -requesting a
Map(s). Any person o
copy should conduct an.independent
inquiry regarding the infcOrmation shown, o
M a p (s), including, but not limited to,
ocation of any sew-er stub shown, Suc
the I
sewer stubs may or may* not e.xlst and may
or may not exist at the location shown.
,ity of Edmo-mals nor its
Neltheir the %11�
e m pl- o-y e e-s 0,r o ff i -c e -r s -s h. a [ I b e Vii a- f o r t- h E
n on this map(5), nor for
i nfor . mation give 'ded based
any one representation provi
upon . said map(s).
The City of Edmonds Side Sewer Drawing EASEMENT NO . ......................................
NEW CONSTRUCTION REPAIRS LID NO . .................. . ASMT. NO - ---------------
OWNER --------------------------------------------------------- ---
...... ---------------------------- CONTRACTOR ---------- ------------------------------------------------------------------------- PERMIT NO.
BLOCK NO - ------------------------------------
JOB ADDRESS --------- ------- LEGAL DESCRIPTION: LOT NO - ---------- -7 -----------------------
-------------------------------------------------------------------------- ---------------------------------------------------------------------------------------
NAMEOF ADDITION -----------------------------------------------------------------------------------------------------------------------
M
--q� I I I I -*--
./ -40�
*'P.v.c— c4o
A, 'Deq.
PWW-0001-11/75 (REV.11/78)
. I �' I.*.
13 1
I'rREAEDA40NDS
; 7MEN7 PLAIVT
-a. I 's I I a-
elo
L4-' 0 c- t, P -
CA� 10 k' ID,- 317,4D'�
Approved:
1-: ----------- ..................
DATEJ .............. ...... .
- ----- a ...... - By
APPLICATION
for
SIEDE SEWER PERNaT
The City of Edmonds
NEW CONSTRUCTION REPAIRS n EASEMENT No . ..........................................
111-05450
OWNER .......... 9!�qp.an t
.................................................................................... CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ...... 21.3l.G...!n ... 92n-d ... P.] ...... W . ................................................. LEGAL DESCRIPTION: LOT No . .............................................. BL4DCK No . ............................................
NAMEOF ADDITION .........................................................................................................................................
0
0
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ......................................................................
APPLICATION
for
The City of Edmonds STREET FIL9 SWE SENMR, PFJLMT
EW CONSTRUCTION E] REPAIRS 0 Eomo?"
I 711"Th"T PLMV
OWNER--------------------------------------------------------------------------------------------------------------
02J
ADDRESS ..... . ....... (4
... . . 42 ---- j!.-W ----- \N/ - -___-
0
q*
No. ..........................................
CONTRACTOR................................................................................ ................. PERMIT No.'-( ..... .. .......
HCALL
LEGAL DESCRIPTION: LOT No . ........... ....... BLOCK No . ................................ . ..........
NAMEOF ADDITION ...........................................................................
tj I
W. �nF�W-m
Approved:
DATE 2/ ............ EY
NJ
P
RECEivED
MAY 0 9 1995
PEFOAITCOUNTER
L-r-- D
A V
�-ictuS q2-'.5.1,LL - C�TS-04
V/A 'fbOW
5eEz - ?xo -rv-jp. L-7 2L-3F- D4
RT- I.:SP-t -ngq b F7r o 1:,
I ig t - s (.0 pi- OT:- .5 $L I vi
5 \iJ �14-, 63ovr L�oT 2- L-.E!:&
\Li So FT. VbV- TF-t>
-r a -T
10