21417 80TH AVE W.PDF11111111111111
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21417 80TH AVE W
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ADDRESS: �? 6 1-:+ !�Om " U,--3
TAX ACCOUNT/PARCEL #:
BUILDING PERMIT (NEW STRUCTURE) #: &VD 2T) iq -0-3m
COVENANTS(RECORDED)FOR:
CRITICAL AREAS #: DETERMINATION: El Conditional Waiver El Study Required El Waiver
CRITICAL AREAS #: DETERMINATION: El Conditional Waiver 0 Study Required 0 Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE:
LOT:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE/ENCROACHMENT PERMIT #:
-FOR:
WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
Certificate -of Occupan-c
Building Division
This certificate is issued in accordance with the requirements of Section III of the'2012 International Building Code
certifying that at the time of. issuance this single, family residence was in compliance with the applicable provisions of
.the codes and ordinances of the city regulating construction and use of buildings.
Description: 64 - Single Family Residence New
Site Address: C2:14�1:7� �Q-TH- - A�VE -W, �ED M �ON Q�
Construction Type: V13
Owner: PRIDE VENTURES LLC
PO BOX 429
EDMONDS, WA 98020
1�161
I)BLkIding Official
Permit No: BLD20140308
Parcel No: 27043000106400
Occupancy Group: R-3/U
04/13/2015
POST IN A CONSPICUOUS PLACE
Date Issued -
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