507 3RD AVE S.PDF111111111111
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507 3RD AVE S
ADDRESS: 6,-,�7 t:t-�e
TAX ACCOUNT/PARCEL #:
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: DETERMINATION: Conditional Waiver El Study Required E] Waiver
CRITICAL AREAS #: DETERMINATION: El Conditional Waiver El Study -Required E] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s):
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:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
APPLICATION
for
The City of Edmonds SIEDE SEWER PERNaT EASEMENT No . ....................................
NEW CONSTRUCTION [3 REPAIRS 0
100-09000
OWNER........... ..................................... CONTRACTOR .................................................................................................. PERbUT No . ........... ..........
ADDRESS....... 507 ... 3rd.-A.v.e ...... S .............................................................
I-
44
E
LEGAL DESCRIPTION: LOT No . .............. ............................... BLOCK No . ............................................
NAMEOF ADDITION .........................................................................................................................................
Dye Tested On Sewer, 1972
Approved:
DATE........... .................................... By ......................................................................