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21901 93RD AVE W
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NOTICE:
A r-r-a n
j the attached
The -information shown on
Hed for use by the City Of
map(s) was com ' p nd Consultants.
Edmonds/ its Empl.oyees a
Th,..e City ofEdrn.onds does . n ot. warrant the
these
accuracy of anything set for,th on
Map(s). An . y person or e.ntity -requesting a
copyshould conduct an.independent
c) r rn . ation shown, o
inquiry regarding the infi
including, but not limited to,
-m a P
c ion of any sewer stub shown. Suc
the lo' at'
sewer stubs may or may- not e.xist and may
or may not exist at the location shown.
Neitheir the City cf Edmo-nal-cl, nor its
em p],o,yee*s O*r off rcers s.h.a-H be 1--i a-b-Ii.-e for t h
information given on this map(5), nor for
'ded based
any one representation provi
upon . said map(s).
oTt"i"EET FILE
CITY OF EDMONDS SIDE -SEWER PERMIT
9 0 1 9 PERMIT
Address of Construction: 21901 93. Ave."W. Edmonds, Washington
Property Legal Description (Include all easements)Tbe South 100 f Ppt- of Nortli 600 feet of Lot 14,
Bicplr, 7, of no 9, Ac-a=jing t;c Plat t`hPrt-of recorded in volume 10
t 100
Gf plats, page 6, recor_�ds of Snaomish cox'Dty, Washington; FW"FW, thp FRs I
0 .
EDN40NDS
RF-CEIVED
Owner and/or Contractor: Neal Johnston and Kathrvn J: Johnston IAN Z S 1991
PUBLIC WORKS DEPT,
State License No. Building Permit No.
FLI Single Family
El Multi -Family (No. of Units
El Commercial
0 Public
Invasion into City Right -of -Way: U/No 13 Yes
RW Construction Permit No.
Cross other Private Property: 094o 13 Yes
Attach legal description and copy of recorded easement
Kedf; t�'afl �,a`vve read'a'nd s haill comply with all city requirements
as inclicalted 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 -MINIM PUBLIC WORKS DEPT.
.. 1-W 00 no= _P
Permit Fee: !1 nage- Issued By
Trunk Charge: Date Issued:
Assessment Fee: Receipt No.: 2_5
Lid No.: -
Partial Inspection: Date -initial
Comments
Reason Rejected: S Date Initial
Final Inspection Approved:
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File Green Copy: Inspector Buff Copy: Applicant
Revised 3!90
The City of Edmonds Side Sewer Drawing EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION REPAIRS R LID NO. ...... . ASMT. NO . ..................
IT NO.
OWNER-------------------------------------- ...................................................... — CONTRACTOR ------------------------------------------------------------------------------------ PERM -S
9--D qu r--- \#J-- ---------------- LEGAL DESCRIPTION: LOT NO - ------------------ ------------------- BLOCK NO - ------------------------------------
JOB ADDRESS .... .. -- ----- — -----
3,V
q 3
5MV-0001- I lift) (HLV.11/16)
:z
NAMEOF ADDITION -----------------------------------------------------------------------------------------------------------------------
31
a .4
Approved:
-� - S-7
DATE------------------- �-'-:3 ----------------- By