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23111 76TH AVE W
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CITY o RECEIVED S,IDE SEWER P E R M I T
bfAftVALE MAY 2 I'l-986-
For Inspection Call 771-3202 1 PERMIT NO.
PUBLIC WORKS -�4 , ?
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.Address of Construction:
Property Legal Description (Include all easements):
Owner
CTTrtrz,c,toy-t-L-+e*efi-sa-ND..-
rl f7
�Singl:e Family Residence
Mul-ti-Family (No. of Units
Commercial' .(No. of fixture Units
Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way'
Construction Permit required. Gal 1 all -Center (1-800-424-5555) before any
excavation.)
Cro_s,s-otF`er P-�i-v-ate Property: N o Yes (If Yes, easement required,
/,-�attach legal de criptio-n--a-n—dcou-'n't easement number.,).
�s S-7 1 ly
P L
I certify that T have reCd--aTrd--s+,a
with the items listed on the back.
Permit Fee:
Trunk Charge:
Assessment Fee:
30-00
Partial Inspection:
Comments
Final Inspection Appr oved:
I Rejected:
son
U
BACK
comply Date,
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Issued By:
Date Issued: /60,6
Receipt No.: S2 -74/.
Date Initial
Date Initial
Date Initial
PERMIT MUST BE POSTED ON JOB SITE
Wh-ite Copy File Green Copy.- Inspector Buff Copy Applicant
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Street Pavinp Requi red
ftirb and Gutter Required—
Sidev-.,alk 1-1,equired—
CurI) Cut for J)rivei,,,a-,,, Required
Construction Permit Reouired
Blond Required for Public Improvements
Street Nai-ae Si,pn Required
Other Sig
,ning Required
Pre Permit Site Inspection made on
Sewer
Water
Street
Engineering
Special Rcqidrcmcnts listed in. memo to Building Dcpirtment
By EE�b . I sl :�
All items filled in on Building Permit Application
Datc 77
Dr.awin-s Stamped zmd Notations 11'adc
By Rito
Approved b� Public VIorhs Department
APPLICATION
STREET FLE for
The City of Edmonds SEDE SEWER PERNaT EASEMENT No . ..................................
NEW CONSTRUCTION M REPAIRS
2n-),- n3490
OVVNER.... lla�--m- onck ...... R ......................... CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ... ... Avc..W, -------------------------------------------- LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
40
NAME OF ADDITION ..............
Jun(L) ICIIaL
D� %, -Ta5+qLd
Approved:
Or\ Sawqx
DATE...................................... ......... By ......................................................................
NOTICE:
No warranty of accuracy.
The information shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of Edmonds does not warrant the
accuracy of anything set forth on these
map(s). Any person or entity requesting a
copy should conduct an independent
inquiry regarding the information shown on
the map(s), including, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
employees or officers shall be liable for the
information given - on this map(s), nor for
any.one representation provided based
upon said map(s).
,7 C�
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IZAL tar xo� ZLOOCIKSO . . ............ ...........................
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