426 DALEY ST.PDFiiiiiiiiiiiiii
10741
426 DALEY ST
nc
TAX ACCOUNT/PARCEL NUMBER: Ob4�54mZ-6op9co
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS�.-,/ — DETERMINATION: Ej Conditional Waiver E] Study Required n Waiver
DISCFETIONARY PERMIT #'S:
DRA174AGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (
PLANNING DATA CHECKLIST DA
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
SHORT PLAT FILE:
SIDE,SEWER AS BUILT DATE
SIDESEWER PERMIT(S)
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
LID #:
LOT: 1C) BLOCK:
WATER METER TAP CARD DATED: i
OTHER:
LATEMP\DSTs\Fonns\Street File Checklist.doc
APPLICATION
for
The City of Edmonds SEDE SEWER PERMT EASEMENT No... ........................................
NEW CONSTRUCTION 0 REPAIRS 0
114-o52oo
Richard C. Johnson
OVITNER .............................................................................................................. CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS .......... �_._)�gqey .... qt ........................................................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAMEOF ADDITION .........................................................................................................................................
0
Lu
co
0
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ......................................................................