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CITY of E,DMON D S. RECEIVED. S I D E SEWER PERMIT
For Inspection Call 771-3202 JAN 7 '1986 PERMIT NO. 07428
PUBLIC WORKS 7?V
Address of Construction: 12" z�v-"--- A/- Z� /-/ 0 A44CQ�
Property Legal Description (Include all easements): -s7— qq-77
TREATNIENT
Owner and/or Builder 7-/-/ yl-, 7- R / C.// PLANT
Contractor & License No:
Single Family* Residence
Multi-Famil'y (No. of Units
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No �Yes (If Yes, Right -of -Way
Constr'uction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No -Yes (If Yes, easement required,
attach legal description and county easement number.)
PLEASE READ'THE ITEMS LISTED ON THE BACK
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I certify that I ha(ve r�ad and,shall comply Date
with the items listed on the back.
Permit Fee: 30.00 Issued BY: 1-TZA
Trunk Charge: Date Issued:
Assessment Fee: Receipt No.:
t4 0 C-LEANOU-T i Li S. Tt%,%- L-CD N-T GOM 146LnE A-2-9666
Partial Inspection: JWSP FQ6M 63AEAGL-T.C)
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Comments wA, a- -rs-s7'r- c) Date 4nitial
Final Inspection Approved: 19X
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Rejected:
Wh-ite Copy - File
Reason -Ta—te --I—nitial
PERMIT MOST BE POSTED ON JOB SITE
Green Copy.- Inspector Buff Copy Applicant
4
PUBUC WORM — EICINEERIM
ACTION REPORT
87R)EET FLE
SUSPENSE DATE:
Date: LR 2,Z Time: q-'50 AM File #
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PHONE:
_776
REQUEST RECEIVED BY:
TELEPHCNE r--1
CONTACT IN OFFICE
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ACTION:
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All Concerned Notified
Action Completed/File
The City of Edmonds
Side Sewer Drawing
OWNER -------- DoRT.Rti ------ P-t--r--PxCJcA -------------------------
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JOB ADDRESS --------- 1-9 - --------- AV-F— --- ItAo - - -----------
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PWW-Ml-11175 (REV.11/78)
EASEMENT NO - -------------------------------------------
REPAIRS LID NO. -5-5 ------- - ASMT. NO. --- ----------
5-r 140ula
CONTRACTOR ---- O.W.N.W-R -------------------------------------------- ------------ PERMIT NO. 742.18...
LEGAL DESCRIPTION: LOT NO - -------------------------- -- -------- BLOCK NO. -- EDMONDS
------------------------------------------------------------------------
NAME OF ADDITION ------------------------------
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PROP.
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