21916 92ND AVE W.PDFiiiiiiii lill
8939
21916 92ND AVE W
STREET FILE
CITY OF EDMONDS SIDE SEWER -PE,RM'IT
9 0 1 9 PERMIT.
Address of Construction:
Property Legal Description (Include all easements):
,7-7,36)-o
Owner and/or Contractor:
EDMONDS
NT
State License No. ZJ_ 5- Building Permit No.
9 Single Family
El Multi -Family (No. of Units
E] Commercial
El Public
RFECEIVED
F E B .0 3, 1993
1-1-41
Invasion into City Right -of -Way: n No El Yes
RW Construction Permit No.
Cross other Private Property: ED No 0 Yes
Attach legal description and copy of recorded easement
�_;rl 2-
I certify that I have read and shall comply with all city requirements Date
as indicated on the back of the Permit Card.
- CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION -
OFFICE USE ONLY
FOR INSPECTION CA! PUBLIC WORKS DEPT.
Permit Fee: in 171- Wed By r_.�g -
Trunk Charge: Date Issued: 1?z
Assessment Fee: Receipt -No.:
Lid No.: —
Partial Inspection: Date —Initial
Comments
Reason Rejected: Date —Initial
Final Inspection Approved: Datel-Lt—L Initial Lff4
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File Green Copy: Inspector Buff Copy: Applicant
Revised 3190
Ag
EASEMENT NO . ............. ....................
.4sTRUCTION REPAIRS
LID NO. ... . ASMT. NO ..........
------------------ CONTRACTOR .............. -------------------------------------------------------- .......... PERMIT NO.
.................
q'ir 4� -c
q �\ " , V%u 1�� - \� ,
PWWO00 I - 11/75 (R EV. 11/78)
LEGAL DESCRIPTION: LOT NO . ................. ------------_------ BLOCK NO - ---------- ------- .................
NAME OF ADDITION ------
E D%,,. - N D S
F..v - e— e. o - N, F,= __�,
D T R E A ii4 T Pl_ A N. T
r
Lf t
11
VL
ooPc tie R_
pole -
I. Is'-1
41
.0
F61
$1. %1. e_ e— 0
ve-,? -
? I' t�e ?_ I
Approved:
DATE— ---------------------------------
----- By ---------------
�sET
"LE SIDE SEWER PERMIT
CITY OF EDMONBF
8 9 0 9 PERMIT N 0- 8443
Address of Construction:
Property Legal Description �Inclucle all easements):
7 n n- (on-
Ovvnerand/E*�trteter. sl L
State License No.
I1 .1 . .. , "!
']K Single Family
El Multi -Family (No. of Units
11 Commercial
El Public
A-S /A
86ildi n*g P'ermit No.
Invasion into City Rlgll�!-of-Way*0 No C3 Yes
RW'Construction Permit No,-..
Cross other Private Propprty-0 No El Yes
'..Attach legal description and- copy of.'recorded easement
I q.6rtify that I have read and shall complylith all city requirements
as indicated on the back of the Permit Card.
2 - 2- 52-3
Date
CALL DIAL. -A -DIG (1-800-4,24-5555) BEFORE ANY EXCAVATION
OFFICE U S'E ONLY
FOR IN.SPECTION-CAL UBLIC WORKS DEPT.
Permit Fee: 'By c:�
Trunk Charge: 0�2,�5- Date Issued:
Assessment F . ee: Receipt No.:
Lid No.: -
Partial Inspection: Date%
initial
Comments
Reason Rejected: Date I nitial
Final Inspection Approved: Date -Initial -
PERMIT MUST BE POSTED ON JOB SITE
White Copy: File Green Copy: Inspector Bull Copy: Applicant
Re�ised 3!90
i
NOTICE:
' . N --War.ranty ... CYT —a C-C-u-Fd-(,- Y
o ttached
The information shDwn on the a
lied for use by the City Of
map(s) was com ' p
Edmonds/ Its Empl-oyees and Consultants.
Th,.e City of does - not. warrant the
these
accuracy of anything set for.th on . *
r entity *requesting a
Map(s). Any person o
independent
copyshould conduct an
orm . ation showno
inquiry regarding the inf
I
t� -Map(S)i including, but not J*m'ted to,
th . e location of any sewer stub shown. Suc
sewer stubs may or may- not e.xist and may
or may not exist at the location shown.
,—ty of Edmo'nrqc, nor its
Neit-heir the �" I '.,A -/ I
emp`o-yee-s 0-r Off rcers *shal] be !--iab-'Fe for -411hE
n on this Map(5), nor for
information g'v e' d
any one representation provided base
upon said map(s'.