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23203 77TH PL W
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STREET FILE
USE
CITY OF EDMONDS ZONE Rs —a PERMIT
NUMBER 93
CONSTRUCTION PERMIT APPLICATION joe 4),15,58
OWNER NAME/NAME OF BUSINESS ADDRESS 7 7 SU E/APT
(r LEGAL DESCRIPTION CHECK SUBDIVISION-NO7 LID NO.
W RESS
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0 PUBLIC RIG�T OF WAY PER OFFICIAL STREET MAP TESCP'ApProvi
CITY' ZIP TELEPHONE NUMBER AWiepr0riihequired 11
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/I METER SIZE BUILDING SUP NO. OF FIXTURES
ZIP TELEPHONE NUMBER cr
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0 X�T
03 '?(J6 a REMARKS
STATE LIPENSE NUMBEf`1 EXPIRATION DATE
SIGN AREA"'-"" "'M"0TSEPAt=REVIEW
ALLOW POSED COMPLETE. EXEMPT
Legal Description of Property - include ail easements WIT'
0 E#
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ARIANCIEWIA I //JLAPH�FG tREEkY D TE
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SETBACKS - FEET EIGHT LOT COVE
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u.' Property
Tax Account REMARKS
Parcel No. 716 -660 -00 060(>2
[9-IEW .[�RESIDENTIAL F] PLUMBING 5/
ADDITION 0 COMMERCIAL EJ MECHANICAL
REMODEL APT. BLDG, El SIGN -r4rw Lc) !h
GRADING FENCE CHECKED BY TYPE OF CONSTR ON CODE HEIGHT
REPAIR f CYDS. X —FT)
WOODSTOVE SWIM POOL SPECIAL INSPECTOR -.." J'AREA JOCCUPANCY OCCUPANT
DEMOLISH El INSERT HOT TUB/SPA REQUIRED GROUP LOAD
aww- q& El YES
E] RETAINING WALL/
ROCKERY RENEWAL REMARKS
Y) EXPLAIN: PROGRESS INSPECTIONS PER UBC 305
(TYPE OF USE. BUSINESS R !�qPVIT
0
CL
rr
NUMBER NUMBER OF CRITICAL
0 OF DWELLING AREAS
STORIES UNITS A/h NUMBER 9Z C�10
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
4e XCO /0 IMSM&POEft� FINAL INSPECTION REOUIRED
11-------j,- =- - I
VALUATION FEE
SZ �-
PLAN CHECK FEE
BUILDING
HEAT SOURCE: LAZING
2>
T PLUMBING
Qn
MECHANICAL
Plan Check No.
This Permit covers work to be done on private property ONLY. GRAD.ING/FILL
Any construction on the public domain (curbs, sidewelks,
driveways, marquees, etc.) will require separate permission. STAT. ESURCHARGE
Permit Application: 180 Days
STORM DRAINAGE FEE
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days
"Applicant,.on be'half of his or her spouse, heirs, assigns and ENG. INSPECTION FEE
,n successors in interest,. agrees to indemnify -�qefbrid, and hold
'Its officials,
21 harmless the City of Edmonds,, Washington, 1
2 employees, and agents from any and all claims for damages of
a: er nature arising directly or indirectly from the issuance
whatev
of this permit. I�suance of 1161s.permit shall not be deemed to PLAN CHECK DEPOSIT'
modify, waive�or.r educe any requirement of any city ordinance
or nor limit in any'Way the City's ability to enforce any ordinance TOTAL AMOUNT DUE
p!ovision."
I hereby acknowledge that.1 have read this applicatioh;,that the ATTENTION APPLICATION APPROVAL
[jiformation given is correct; ind that I am the'owner, or the duly
authorized agent of the owndi. .1. agree to comply with city and
state laws regulating construction; . �ihd in doing the work authoriz- THIS PERMIT This application i's' not a permit until
AUTHORIZES
ed thereby, no person will be employed In violation of the Labor ONLY THE signed by the Building Official or his/her
Code of t�kState of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is
acknowledged in space provided.
tion Insuranc)e. INSPECTION
S1111 AT E( NER OR A DATE, SIGNED DEPARTMENT
CITY OF OFFICIALs SiGNATURE DATE
-7
DATE
CALL* Fo R. rRELEA
ATTENTION IN61PE'CTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APP�OVAL OR 771-0220 ORIGINAL - File YELLOW - Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, UBC
CHAPTER 3. PINK Owner GOLD - Assessor
2.4 1
0
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C Lot #1
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Goode Const Inc.
dba Northwest Garages
334-9262
Plot for:
Howard Holloman
23203-77th Pl W
Edmonds
8075-000-001-0002
Lot #1.
APPROVED BY PLAN . KING
In
-AU6 18 1993
COUNTER
STREET FILE
p
93 11:53
3345192
GOODE
PAGE 03
QTP%
.. KET FILE
Critical Areas Checklist'
W."41 A&r x
Site Xaformation
rt4"Wanm Pemit Numb=
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App X- 1 p Site Size (a== or xqum few):
Raw you Mad Qid=1 A== OWMA f0r Z PMJOM OU *is X'W beftc?
Gwaval Site Conditions
L Has 68 site be= cleac6d Or'109900 Daw of-04 rae4a
SaM / Topogmphy
2. In do sudke3igh 0awty son SMMW. VA*t is dw U1*PPCA SOB WOO)? —
3. D==iW 60 X==9 Sift UVOVM*Y- ChWk &U dW SWY-
L--*"-Fla Ica d= S " 014vadm CIM80, ovcr =1*0 Sim
170 --Rollinx 410pa an site genowly IC25 em 15% (a Vft*d Time of I
bMt=t1j 4b"UM of 66 fam)
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Of 10 fbaof bocixoWd 6xftnm)
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HydrninviVraeftfiAn -
4- Site contoin arm of yw4mmd sbuding WAtW-
Appcox- nqp
5. Sftc 400nbd" areas Of s"SOnal swndiM WUW.
:Site is in the floaway QQ floodphin�O�of a w2w COMM
M �flaws
7- Site amtsins a crack or an am whaM W" flows wnm the gm=ds zu
am year-round? —12C�—Bows arc scasOW? /Z e-)
S. Site is pdumily*
. focMed meadow shmbs ixed
9. Obvious wedand is present on site:
10. Wedand invcntory or map indicates wedand prmcnt on sim.
11. Ctitical Amu inventory or tMp Indicates any Critical Area on sitcx
,I g4x �,
CITY OF EDMONDS SIDE SEWER PERMIT
8 9 0 - I , c�Z STREET FILE PERMIT N, 0- 8355
Address of Construction:
Property Legal Description (Include all easements):
10-
Q
0 17�
Owner and/or Contractor:
State License No. J 44FZ 7 Building Permit No. 2149 1711
dsingle Family
C3 Multi -Family (No. of Units
Commercial
El Public
M
Invasion into City Right -of -Way: [�No C1 Yes
RW-Construction Permit No. -
Cross other Private Property: No Yes
Attach legal description and copy of recorded easement
I certify that I have read and shall comply with all city requirements
as indicated on the back of the Permit Card.
//7/fe2—
Da(e--/
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
Reason Rejected:
Final Inspection Approved: Date -initial
Date -Initial
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File Green Copy: inspector Buff Copy: Applicant
Revised 3190
1 .
Revised 3/90
S JS �W E -.REQULR�MENTS
IDE -Ri P E R M,11
Side sewer permits shall be posted -at job-site.and available to
inspector at time of inspection. Inspection during normal working
hours only. One (1) working day notice.required. Side sewers
must be left uncovered until inspected. A water test is required.
2. P�dpeirty owners can obtain a . pe . rmi . t to install side sewers on
private property. Licensed side sewer contractors must be
employed to construct side sewers in the City right-of-way.
Invasion into City right-of-way requires a separate permit.
3. The side sewer contractor assumes full responsibility for each
installation for one (1) year.
4. Trenches within City right-of-way must be restored to original
conditions. Street restoration fees s-hall be paid in advance
under a right-of-way permit. Contractors shall be responsible for
right-of-way failure due to poor compaction of fill.
5. No down spouts, footing drains or floor drains can be connected to
a side sewer system.
6. Pea gravel is required for bedding,when installing sewer lines
through other than granular soil.
7. Cleanouts at property line and at house will have risers installed
to within 12" of surface grade with removable cap.
8. Commercial establishments require a minimum of six inch (6") side
sewer line. I
9. Side sewers may not be installed closer than thirty inches (30")
to any structure.
10. Cleanouts are required at 30"-60" from each plumbing exit line and
at minimum intervals of 100' along sewer line run.
11. Side sewer lines must be laid 0 at a minimum grade of 2% (1.150)'
and maximum grade of 100% (45 ).
12. No turn in side sewer gre8ter than 450 (1/8 bend) is allowed
be Veen cleanout. All 90 turns must be constructed of a
45 (1/8 bend) and wye with removable cap for cleanouts.
13. No cleanou ' t shall be paved over. If located in pavement, cast
iron lids will be installed.-
14. All connections will be of gasketed type. No solvent joints
unless prior approval is granted.
REET FILE
CITY OF EDMONDS SIDE SEWER PERMIT
PERMIT NJO 8355
Address of Construction:
Property Legal Description (Include all easements)
P.16-
M
VIA BALLINGER
I —
Owner and/or Contractor:
State License No. J 4�F,/ Building Permit No. ?Ie9 711
dSingle Family
El Multi -Family (No. of Units—)
El Commercial
El Public
I
Invasion into City Rlght-of-Way:[�No 0 Yes
RW Construction Permit No.
Cross other Private Property: F No 0, Yes,
Attach legal description and copy of recorded easement
I certifythat I have read and shall comply with all city requirements
as indicated on the back of the Permit Card.
/Z If
Dafe
" CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION *
OFFICE USE ONLY
FOR INSPECTION CALL 771-3202, PUBLIC WORKS DEPT.
ob
Permit Fee: — Issued By
Trunk Charge: M-6 Date Issued:
Assessment Fee: Receipt No.: 16W 7�/
Lid No.:
Partial Inspection: Date —Initial —
Comments
Reason Rejected: Date —Initial —
Final Inspection Approved: Date`2-/2- Initial
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File Green Copy: Inspector Buff Copy: Applicant
Re�ised 3!90
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), in cluding, 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 lia-b-le for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
The City of Edmonds
Side Sewer Drawing
EASEMENT NO . ............................................
4. NEW CONSTRUCTION REPAIRS F-1 LID NO - ------------------ - ASMT. NO - ---------------- -
'OWNER -- -------------------------------------------------------------------------------------------- CONTRACTOR ------------------------------------------------------------------------------------ PERMIT NO. �355--
JOB ADDRESS --- i>L. W.
..... ---------------- / ---------------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
PWW-0001 - 11/75 (R EV. 11/78)
NAMEOF ADDITION -----------------------------------------------------------------------------------------------------------------------
I EAr- C
LIFF
Approved:
DATE ------------ By C�. �Z. - ------ . ....
Z�-�
...........................
I
.1.11 V" -- , -- -
6 9 0 . 1 9 4 -
ulty or Ectmoncis
RIGHT-OF-WAY CONSTRUCTION
PERMIT
Permit Number:
7
Issue Date:
on: nO �5
'A.ZTR EFwTt.f R' L'trEi"
B. Type of Work (be specific):_'00.n nu 02
t
C. Contractor:svxo GO PUD -*-I
MailingAddress:
State License #:
D. Building Permit # (if applicable):
Contact: tt)e� Hn I:t
Phone: —
Liability Insurance: Bond- $
Side Sewer Permit # (if applicable):
E. - Fj Commercial Subdivision El City Project Utility (PUD, GTE, WNG, CABLE, WATER)
F-1 Multi-Famil ing -amily Other
INSPECTOR: INSPECTOR,:
F. Pavement or Con es []No G. Siz� of Cut: x Hr, Charge
APPLICANT TO READ AND SIGN
Id the City of Edmo, arm ess am t . �9eslamages, or
INDEMN17T. Applicant understands and by his signature to this application, ag, Z �w nds h I �Jo
claims of any kind or description whatsoever, foreseen or unforeen, that may be made against the City of - Edmonds, or any, its departments or employ-
ees, including or not limited to the defense of any legal proceedings including defense. -cos( and atiorneyfees by reaso raniiQ-tT permit.
IS
THE CON7RACTOR IS RESPONSIBLE FOR WORKMANSHIPAND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWNG THE FINAL INSPEC77ON
AND ACCEPTANCE OF THE WORK. ES77MA7FDRESTORA 77ON FEES WILL BE HELD UN77L THE FINAL STREETRATCH IS COMPLETED BY
CITYFORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPLICANT
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Department- 771-3202.
Work is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer.
.All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
I have read the above statements and understand the permit requirements and the pink copy of the permit will be ava ilable
on site at all timesfj r i pech . it u s
Signature: Date:
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK .
01
NOWORN SHALL,BEGIN PRIOR TO PERMIT ISSUANCE
Engrg. Div. 1991
-FIELD INSPECTION NOTES (Fund I I I - Route copy to Street DeIM)-
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION. 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July 1985
STHO" EE FIL.E.
L)SE
ZONE PERMIT
CITY OF EDMONDS NUMBER
CONSTRUCTION PERMIT APPLICATION ' R5L-
4
JOB
OWNER NAME/NAME OF BUSINESS ADDRESS SUITE/AFT
jai/ e,
a:
— Aczr /-Xoa e__,� LEGAL DESCRIPTION C�HECK SUBDIVISION NO. LID NO.
W
Z
MAILING ADDRESS
4p 4 7F
V P_ I EF
3
0
!Z/ — q7h Ale" So .
7 PUBLIC RIGHT F W AY PER OFFICIAL STREET MAP. 11
CITY ZIP TELEPHONE NUMBER TESCIP-Approved
EXISTING AW Permit Required 0
REQUIRED DEDICATION
Street Use Permit Req'd 0
/;7 dizq 2 --af ;Lq PROPOSED — Inspection Required 13
NAME 44n!
Sidewalk Required AJ6 0
(D
a/ REMARKS
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CITY ZIP TELEPHONE NUMBER
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'ADDRESS A
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METER SIZE ZE
SUPPLY Sl FIRTURES
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IBUILDING
CITY ZIP TELEPHONE NUMBER
cc
0
REMARKS
STATE LICENSE NUMBER
SIGN AREA
AF-1--r r SEPA REVIEW ADB NO.
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ALLOWED PROPOSED� Cc EXEMPT
Legal Desc6ption of Property - ihclude all easements MPLETE
Z
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VARIANCE OR CU NNING REVIEW BY DATE
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SETBACKS FEET HEIGHT LOT COVERAGE
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FRONT REAR
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NEW 21"RESIDENTIAL .
PLUMBING r11
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ADDIALTER 1:1 COMMERCIAL MECHANICAL
E] REPAIR APT. BLDG. SIGN
�11_
GRADING FENCE CHECKED-EY TYPE OF CONSTRUCTION CODE HEIGHT
El
DEMOLISH CYDS. L_ x _FT)
CARPORT swim R OCCUPANCY'__�. OCCUPANT
REMODEL GARAGE POOL
REQUIRED 7REA
S ROUP LOAD'
WOOD STOVE I RETAINING WALL/ 1. 0 YE JG
:INSERT RENEWAL
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ROCKERY REMARKS'
0
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: PROGRESS INSPECTIONS'PER UBC 305
Z
Ae!5 Av
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NUMBER OF STORIES NI IMBER OF
in
DWELLING
co
UNITS
RIBE WORK TO BE DONE (ATTACH PLOT PLAN)
Ile C.,da —a P ..SPECTIO'N REOUIRED
VALUATION 1 FEE
r PLAN CHECK FEE'
yas
-V-.f-Q
S-
BUILDING'
PLUMBI ING
33
Plan Check No. Z MECHANICAL
This Permit covers work'to b6done on private property ONLY. GRADING/FILL
Any construction on the public domain (curbs, sidewpiks,
driveways, marquees, etc.) will require separate permission. STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE
"Applicant, on behalf of his or her spoLi�e,,lieirs, assigns and ENG. INSPECTION FEE
successors in interest, agrees to indemnify,-. defend and hold
harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT
modify, waive or reduce any requirement of any city ordinance
nor limit in any way the City's ability to enforce any ordinance
provision." TOTAL AMOUNT DUE
m
a:
<
I
<I /V,-- V--,
I hereby acknowledge that I have read this application; that the
information given is correct; and that I am the owner, or the duly ATTENTION
authorized agent of the owner. I agree to comply with city and TH . IS PERMIT
state laws regulating construction; and in doing the work authoriz- AUTHORIZES
ed thereby, no person will be employed in violation of the Labor ONLY THE
Code of the State of Washington relating to Workmen's Compensa- WOR.K NOTED
tign Insurance.
SIGNA RE NSPECTION
(bwNER OR AGENT) DATE SIGNED DEPARTMENT
I . - I
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his/her
Deputy; and fees are paid, and receipt is
acknowledged in space provided.
OFFICIAL-S,,aiGNA DAT
ATTENTION
IT IS UNLAWFUL TO USE OR OCCU-PY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
10247
CITY OF
EDMONDS
CALL FOR RETE D BY: DATE
INSPECTION
771-3202 "ty Inspector
ORIGINAL File YELLOW
PINK — Owner GOLD Assessor
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Lt2LIC UTIUTY DISTRICT N. i PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATION 23203 -77 -rH F L_
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AREA '210 4'-0LJW1"y
POLE NO. W E_�_- 1/4 S '31 T 2 1 R 4 DATE 3/'9 /'� Z W.O. NO. 195015
,REASON FOR WORK FfIZ V I C?E,� FIZ-1
U6 W P PO Z ENGINEER HOLrr
DWG. NO. 094-75S
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u.G. NO. 74 -9 5
H16Ht_AWq*
(0 L-OT-5 -
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SCALE
I LPROVED K-M
DATE WORK COMPLETED FOREMAN
ENVIRONMENTAL ANALYSIS
SUBSTATION Vq
FEES REQ'D 2 YES 0 NO
N EXEMPT 1:1 NOT EXEMPT
PARA. 18 ITEM C
CIRCUIT NO. 10-40-7 PHASE
PRIMARY OVERHEAD
a:;$T. U,G. COND. _-7. ?_ KV'
ROAD CROSSINGS ONLY
0 RESIDENTIAL
ADD 4-b5;, C KT. FT. I PH
1:1 COMMERCIAL
REM — CKT. FT. PH
EAPPR NO. DATE W.O. NO./DWG. NO.
LEO#
NET 4915i CKT. FT.
1 e) e'01 1�; / 0947 51)
@
_
O.H. U.G. COND. KV
—
REVISIONS
SECONDARY OVERHEAD
ADD CKT. Fr. PH
BASIC FEE $
APPR NO.1 DATE DESCRIPTION
@$ $
REM CKT. FT. PH
METER/CONV. POLE s
NET CKT. FT.
PERMITS (DATE GRANTED)
PRIMARY UNDERGROUND
El TREE TRIM
0 RESIDENTIAL
0 STATE
0 COMMERCIAL
0 COUNTY
BASIC FEE $
a CITY F_pm0qp'5
LEU#
@$ /=s
0
SECONDARY UNDERGROUND
EASEMENTS 0 REQUIRED
E - NOT REQUIRED
BASIC FEE $
-0
OW PI -AT
UNDERGROUND PLAT
DATE SENT TO R/W
00
BASIC FEE s 950 —
'F
1490 k Fr. @$..I !_212-/ I Z4e?O
FOREIGN CONTACTS
0 GTNW JPN#
STREET LIGHTING
0 CATV JPN#
FT. @$ $
_j
Z JOINT TRENCH GTNW & CATV
WORK IN RIGHT OF WAY
2 JOINT BORE GTNW & CATV
IN PRIMARY 4 1 q'(P 4, G S�` = $2 -7 Z 3
o
AS-BUIILT
0 SECONADARY '9010 1$ -7 '--O= -7515,
POLE STENCILING
APPR NO.1 DATE DESCRIPTION
t-FT.@$ $
FROM TO
MISCELLANEOUS FEES
TAKE OFF POLE
VAULT $
PRE-CONSTR. REQUIREMENTS
41-rYor E5pM PERMIT $ 30
0 TREE TRIM 0 PUD LOCATOR
4, F7e96 (,V �4,rol $ 1 g,00 'E�
0 BACKHOE 0
$
N ONE CALL DATE
TOTAL DUE $90Z?-.
INDEXI POLES PLAT
DATE PAID
LOGS I U-MAP
U_M
RECEIPT# G rp-7 t�, e 6G-7&0
C-MAP
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NEW SVCE APPLICATION#
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