23405 76TH AVE W.PDF111111111111
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23405 76TH AVE W
CITY OF EDMONDS
ASSET INFORMATION SHEET
Z/NEW
ADDITION
RETIREMENT
STREF FILESET NO
ADDITION TO ASSET NO. -
,5-11:5-41
DESCRIPTION
SERIAL NO.
LOCATION
DER NO
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
B.A.R.S. ACCOUNT NO. WVLVA:2
ESTIMATED LIFE =Plff-
INITIATED BY
DATE
*PROJECT NUMBER kA4,7Q.5 1,2-7
PROJECT COMPLETION DATE Z,!-2 E-r/-
COST- 2z-, 0 �
APPROVLD BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
10""'DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
0 G.L. ENTR
REFERENCE
�ta
VERIFIED BY
PROCESSED
BATCH NO.
DATE
ttnp INITIAL
DEPARTMENT FILE
00
I
C)
Ln
C I T Y of EDMON DS REC�VVEQ
S I D E S EVE R P�E R M I T
For,Inspection Cal*1.770 j
Pi ' , '
PERMIT, NO. 0
EET FVIA BALLINGER
U#W WORKS r �., y
_3VP L11
Address of Construction: :2 LIFT STATION
Property Legal Description (Include all easements): '?�9
V
Owner 'and/or Builder: cq-�
//VS0 0
Contractor & License No:
Singl:e Family.Residence
Multi -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. C all. One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No L.I�yes, (If Yes, easement required,
atta.ch,legal description and county,e'asemen,t number.)
PLEASE /AD'THE ITEMS LISTED ON THE BACK
,We flty�/t h a t/;T- h a v e read and shallpdomp-ly Date
ah the items listed on.the back.
Permit Fee:. .,1za.11b Issued.By:
Trun'k Charge: Date Issued:
Assessment Fee: Receipt No. -
Partial Inspection:
Comments Date Initial
Final Inspection Approved:
-14 _LTO
Date Initial
Rejected:
Reason
15a- t _e I t Fia 1
PERMIT MUST BE POSTED ON JOB SITE
Wh.ite Copy - File Gre.en Copy - Inspector
Buff Copy - Applicant
The City of Edmonds Side Sewer Drawing EASEMENT NO - -------------------------------------------
NEW CONSTRUCTION [A REPAIRS D LID NO. -1-09.-----ASMT. NO. — -------- ------
OWNER BmMlEi .... ------------------- --------------------------- CONTRACTOR RUS-S ...... A-QAt,&�--N ------------------------------ PERMIT NO.759.8 ...
JOB ADDRESS ---- 22)_A-O_S ........ 7_(0:Tj4 ....
PS�M�-W— LEGAL DESCRIPTION: LOT NO.8 ---------------------------------- BLOCK NO. 4
V!-A --- 84CLINGER'
LIFT STATION
-------------------- -- ----- -------- -------------------- ------- -------
NAME OF ADDITTON ...... --- co ----------------- -----------
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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).