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315 CASPERS ST.PDF
IIIIIIIIIIIIII 10568 315 CASPERS ST 0 TAX ACCOUNT/PARCEL NUMBER: Z:z o5z4f) ozi BUILDING PERMIT (NEW STRUCTURE) - COVENANTS (RECORDED) FOR: CRITICAL AREAS: DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: DETERMINATION: r] Conditional Waiv er 0 Study Required E] Waiver PERMITS (OTHER): tq-7 0 0 (kkl) 19-1?2oll 9-16enu) V I - I PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DA' SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED:11 Ak U SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: OTHER: LATEMP\DSTs\Fomis\Street File Checklistdoc 4 APPLICATION for The City of Edmonds SEDE SEWER PERNaT EASEMENT No . .......................................... NEW CONSTRUCTION E] REPAIRS 0 115-05700 OWNER ........... �.. A. Murie ............................................................................................... CONTRACTOR .................................................................................................. PERMIT No . ...................... ADDRESS ....... 3.1.5 .... ....................................................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................ uj u- cc I-- W 40 NAMEOF ADDITION ......................................................................................................................................... Dye Tested On Sewer 1972 Approved: DATE................................................ By ...................................................................... e zd' rg ble' to Cha ea t4o. DESCRIPTION RATE 7WOUNT Wte� - ---------- ... M�ter Box -------------- ------- ------------ _-_ ----- Meter Pla't6 ..... .............. ............. .. .......... .......... Check Valve .......................... .......... - ------ ...... --------- .............. Pipe, Galv..Screw ------------------ -------------- -------- ............. Nipples --------------------------- ! -------- -------------- . ......... ...... .......... ..... ---------- --------------- ---------- Bushings .......... ------ _q) ------ Plain Ells ---------- --------------- ---------- St. Ells ------ .... -------------------------- .......... - - - ------------ ------- - -------------- ---------- I . ...... : --- ---------- --------- ............. ------------- Tees ------------------------ ---------------- ............... ------------ ------------------------------------------------------ ----- --------- ----------- ----------- I --------- ---------------------- ---------- ----------- ; ----------- ------------------------------------------------------- - I -------- .......... --------- ---------- ---------------- -------------- -------- -- ----------- I - ---------- ------------ I ---------- ------------- - - - -------------- ------------ .............. I ------- ---------------------------- ------------- ------------ --------------- _ ---------------------- .............. ........ I ----- ------------- ------- ;K� ------------------------------------- ---------- --------- ; ------------------------------------------ ---------- -- ---------- ----------- ----------- Materlal Chargeable to Taps Connected ----------- .-NO. SIZE DESCRIPTION. RATE AMOUNT -------------- ------ --- Pipe, Black Screw ------ ------- --------------- ---------- Pipe, Galv. SCreW _ 7 ------------- ------------ ------ -------- --------- -------------- -- ___.2 . ..... .......... I ------------- Lead Connec tions ---------_-_--- ------ ---- Curb Cocks -------------- - ----- G ------- --------- --------- ------------- ----------- Corp. Cocks ------ ------------------ ------------- ---------- - ------- - ............. Unions ......... ------- .......... Saddles .......... --- ---------- ---------- - NioDles ------------_ --------- --------------- __ ..... Bushings ---------------------------------- -- -------- ------------- ---------- Plain Ells -------------------------------- ------------ ---------- ----- -- ---- ------ ...... ........... Street Ells -- ---------------------- ---- Tees ------------------------ .......... -------------- ---------- -------------- Curb I oxes ------------------------- - -- - --------------- ---------- d, Ext' i ensions -------------------- -- ----------- ---------- Gates .... --_------------------ 7�� ---------- --------------- --------- ... ... ------------ Plu& - --------- -- Ai- . ............. 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