21902 93RD AVE W.PDFI iiiiiiiiiiii
9044
21902 93RD AVE W
"EET FILE ERMIT
45. P
CITY OF EDMONDS SIDE SEWER
PERMIT NO '8487
8 9 0.19"
Address of Construction: 2 A"e �T&20
Property Legal Description (Include all easements):
— ('JU / — C-)/
Owner and/or Contractor:
State License No.
V,91'ngle Family
El Multi -Family (No. of Units
El Commercial
El Public
;zt �y _t4t I have read a hall c
I cerT 0
as indicated on the back of the Perm
Building Permit No
Invasion into City Right -of -Way: No 0 Yes
RW Construction Permit No.
Cross other Private Property: 0�,No 0 Yes
Attach legal description and copy of recorded easement
ply with all city requirements
Card.
6 /f /�_,3
Date /
* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION *
USE.ONLY,_'::..t..
FOR INSPECTION CALL06" PUBLIC WORKS DEPT.
77/- od 16
Permit Fee: Issued By _,N4e
Trunk Charge: Date Issued:
Assessment Fee: Receipt No.: �Az) P :�Z-
Lid No.: —
Partial Inspection: Date —Initial —
Comments
Reason Rejected: Date—Initl:al—
Final Inspection Approved: DateqAlk3lnitia
( ------- T_
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File Green Copy: Inspector Buff Copy: Applicant
Revised 3190
I
A
The City of Edmonds
Side Sewer Drawing
EASEMENT NO - -------------------------------------------- T
NEW CONSTRUCTION REPAIRS Fj LID NO - ------------------ - ASMT. NO - ------------------
OWNER------------------------------------------------------------------------------------------------ CONTRACTOR --------------------------------------------------------------- ............... PERMIT NO. -31-M
JOB ADDRESS -------- .... r4o�, ------ 1.4 -------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
- X" .<
PWW-0001 -11/75 (REVA 1/78)
NAME OF ADDITION
q- 'P-V-c, co
j" Dt-r-p - U4� %
?.V -c C-o - 3'Pe cp
Ilk
r-0
--p
�s > 4u &-. W .
0,
�O�ONVDS
0
ANT
ipL
Approved:
DATE------------ By ........
NOTICE:
No..W a
The -information on the attached
Hed for use by the City Of
map(s) was Com ' p
Edmonds, its Empl.oyees and Consultants.
Th,.e City ofEdm.onds does - not ' warrant the
these
accuracy of anything set for.th on
Map(s). An . y person or entity -requesting a
copy should conduct an.independent
orm-ation shown-o
inquiry regarding the inf
incl,uding� but not Jimited to,
-rnap(s),
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.
on, -A-. nor its
,ty of Edm
Neitheir the �,� I
e M 0-y e e-S 0 r o ff i -c e -r s -s h- a I- I b e l.-i a.
n on this map(5), nor for
information g'V e' d
any one representation provided base
upon'said map(s).