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436 ADMIRAL WAY.PDF
iiiiii iiiiiiii 13780 436 ADMIRAL WAY ADDRESS: TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) CRITICAL AREAS: DETERMINATION: F] Conditional Waiver F] Study Required 0 Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED PERMITS (OTHER): J 974� 00 PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: OTHER: LATEMP\DS7s\Fomis\Street File Checklistdoc The City of Edmonds APPLICATION for SIDE SEWER PERMff OUTSIDE 0 INSIDE 0 REPAIRS 0 OWNER .................. 6.49TOfflac 13 0,6-F 1400Jif ................................... .......... I .......................... ........................... V.3 HOUSENo . ................... .... .... .............. . .......................................... CARD No . ............... .............. ......... EASEMENT No . .. ............... ...... ................. .... CONTRACTOR ..... ...... T., ............ yl-'c ................................... I ....................... ....... PERMIT No. STREET AVENUELOT No . .............................................................................. BLOCK No . .................. ................ ........................ NAMEADD . ................................................................................ ....................................................................... ............. .......... Date BACKFILL WORK ORDER ISSUED ..................................... DEPOSIT, $ ......................... SEWER WORK ORDER ISSUED ................................................ , w .1 4 ofelcle .!rroa.4 6'e 01- .0 C. APPROVED C 4 1962 Approved: y -B . ... ..... D ATE. ..... . . ...... . ..