23806 80TH AVE W.PDF111111111111
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23806 80TH AVE W
ADDRESS:
TAX ACCOUNT/PARCEL#: 00'
.5
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS(RECORDED)FOR:
CRITICAL AREAS #: DETERMINATION: El Conditional Waiver E] Study Required E] Waiver
CRITICAL AREAS #: DETERMINATION: E I Conditional Waiver El Study Required Ej Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE:
LOT:
BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USEIENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
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(�-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
�h-e -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
emp-l-oyee-s or offi(-Ier--) Shall be liable for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
APPLICATION CARD No . ....................................
for
The City of Edmonds a E SIDE SEWER PERMT
"ET FILE EASEMENT No . ......................................
OUTSIDE INSIDE REPAIRS
,—),o /
OWNER —.-� ...... &% ---- ........ .......................................................... CONTRACTOR .......................... PERMIT N� ---- ---
STREET
HOUSENo. . . ............................. AVENUE LOT No. ..-/ ................................................................ BLOCK No . ...............................................
dv
NAMEADD . ..... Zl-- .11 ... /47 .... . .......................................................................................
.14-Ae
PROVED
� 24 1963
Date Approved:
BACKFILL WORK ORDER ISSUED ................................. .. DEPOSIT, $ .............................................
SEWER WORK ORDER ISSUED ...................................... ... DATE A P. .... --- By .... �P�" . . ...... ...................