412 DALEY ST.PDF11111111111111
10735
412 DALEY ST
ADDIRESS:
TAXACCOUNT/PARCEL NUMBER: DUP:-2 420-2 j:XW Q
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: 0 Conditional Waiver n Study Required [] Waiver
DISCRETIONARY PERMIT #'S:.A - gs:q ?j
DRA174AGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):_
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID
SHORT PLAT FILE: LOT: 5 BLOCK: 9
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S)
GEOTECH REPORT DATED:
STREE.T USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DATED:
LATEMP\DSTs\Fonns\Street File Checklist.doc
APPLICATION
for
The City of Edmonds SME SEWER PERMIT EASEMENT No . ..........................................
NEW CONSTRUCTION E) REPAIRS 0
114-05500
OWNER ........... �oseph L. Roe ............................................................................ PERMIT No . ......................
.............................................................................. .. .. CONTRACTOR ......................
ADDRESS....... 412 .... P4-1.'�-Y. ... St ..............................................................
0.
0
LEGAL DESCRIPTION: LOT No . ...... : ........................................ BL4DCK No . ............................................
NAMEOF ADDITION ..........................................................................................................................................
4f.
1-...
41.1
co
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ......................................