23615 74TH AVE W.PDFIiiiiiiiiiii
5908
23615 74TH AVE W
4)7 C. I S9�
City of E'
SIDE SEWER 9
Address of Construction: tl� 66
Property Tax Account Parcel No
Att ch ies of all access an rtility easem
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(�O_It��or Contractor:
C_ontractor,�License
erskile Family
Mu \'-Family (No. of Units
ji
E] Corn ercial (No. of Uni
0 Public
Owner, or ckntr�tt(
By signing for-ffiis
Side Sewer Specifi
12 � CALL D)I,
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�mond,s
RMIT.,
PERMIT NO:. 9631
PERMIT EXPIRES- I o - I - a:Z_
4�,e
W VI'Verified And Approved b
E� ms� o 1)
Building Permit
Invasion into City, *Right -of Way: F-1 Yes J2-No
7R*RW Const Permit
""16 nst Pern
W Co a . -1 Yes _L2-No
Cross other Private Property: F
"Attach leg description and copy of recorded easement.
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he ontractor
Pnt etntp t Date
r t I certify thai y'.s public handout entitled
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,io and shall comply with all City. requirements outlined therein.
�1,7- -DIG (1-800-425�L r90E*TF(0)RE ANY EXC I AVATION 9
F�\QR NSPECTILWrALL 425-771-0220 extension
D FO
NOTE: IF JOB SIXE IS N01W,,EADY FOR INPPECTION WHEN'
INSPECTOR ARRIVES Aj$45 RE-110KCTION.11EMILL.BE CHARGED.
Job Site Ready YEI§ NO -`*ft�te: Initial:
Partial Insoection: Date: Initial:
Partial Inspection: Date:` Initial:
FINAL INSPECTION APPROVED: Date: Initial: As -built to Street File: E]
ON �T�
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NqTICf NO WARRANTY OF AGGURACY 1he IMPM�,"C,—
by the City ot Edmc:,,,,"
atta,!h2d map was compiled for use
M, C-3nsujtaj-.ts, The City of Edmonds does not warrui� L",
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se't forth on the m8p. Any person or entity
an independentinquITY regarding the Inicu-11,
inc��,�&ng, butnotimitedboOlIeW.4110n Of VIY
stubs mayor mayral iodst and mayor m..j Dcl,-�
S.,,ovm, Neither the City of Edmonds nor,45 cr-Vic 'Y'
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bo liable for the Information given 00 this map nor for t,,, c,
provided based upon saidMEA
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NOTIGE- NO WARRANTY OF ACGURA,Y The Informatior, oc,A,;i c�,j tje
aftached map was compiled for use by he City of Edmc,-,-': i
anr, consu!tants. The City d Edmond., does not warrzif-t�,.' -
anj1mq,1 se' forth on the map. AnylersonorentityreqV.—
st�,--JJ conduct an Independent Inquiry arding the lnfM-HZ�iL
th" i rnap, Including, but not Imited the location of an y Silrl-
shcvlo - Such srwer stubs or may e)dst and may or rr,:) ZU
th,- location sh.oklin, Nei her the City of Edmonds nor its
Offic----s Sl�a!l be liable for the Int ation given on this map nor f��znv r,,:
m)rosemauon provided d upori said map
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