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314 3RD AVE S
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TAXACCOUNT/PARCELM
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: DETERMINATION: E] Conditional Waiver El Study Required El Waiver
CRITICAL AREAS #: DETERMINATION: Conditional Waiver Study Required El 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 $:
ID #:
SHORT PLAT FILE:
LOT:
FBLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE/ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
APPLICATION
for
The City of Edmonds SIODE SEWER PERMIT EASEMENT No . ..................... ....................
NEW CONSTRUCTION REPAIRS 0
OWNER .... l4ws-fda. CONTRACTOR .................................................................................................. PERMIT No . ......................
... Donald ... 4E --------------------------------
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ADDRE wd LEG." DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
. ...............................................
STn- i FILE
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NAMEOF ADDITION .........................................................................................................................................
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DYC Tc-cl-ad On t5a-wa-r
Approved:
DATE................................................ By .............. . ......................................................