324 CASPERS ST.PDF11111111111111
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324 CASPERS ST
TAX ACCOUNT/PARCEL NUMBER: Z-- 7 0 -5 Z(I=
BUILDING PERMIT (NEW
COVENANTS (RECORDED) FOR:
CRITICAL AREAS i—/ — DETERMINATION: E] Conditional Waiver F] Study Required E] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS
PLANNING DATA CHECKLIST DA
SCALED PLOT PLAN DA
SEWER LID FEE $:
LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED: LAkjjj�.S�- [0 7Z-
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DSTs\Fonns\Street File Checklist.doc
APPLICATION
for
The City of Edmonds SEDE SEWER PERNaT EASEMENT No . ..........................................
NEW CONSTRUCTION 0 REPAIRS 0
115-05900
R. W. Nordstrom
OWNER-------------------------------------------------------------------------------------------------------------- CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ....... ---- S.t .......................................................... LEGAI, DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
0
Eu
0
NAMEOF ADDITION .........................................................................................................................................
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ......................................................