536 BELL ST.PDF11111111111111
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536 BELL ST
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ADDRESS: T5-itG ",a[l ,
TAX ACCOUNT/PARCEL NUMBER: t) �zb 210 it 0 0
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREASL/ DETERMINATION: F] Conditional Waiver E] Study Required E] Waiver
DISCRETIONARY PERMIT #'S: CLLLA�
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:-Ig��&� Ltbkp-3
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: 12- BLOCK:
SIDE SEWER AS BUILT DATED -A -S� KI-7A
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
OTHER:
LATEMpm)srs\Fomis\Street File Checklist.doe
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APPLICATION
for
The City of Edmonds SEDE SEWER PERMT EASEMENT No . ..........................................
NEW CONSTRUCTION [] REPAIRS 0
114-02700
OWNER ........... !�!?hn McCollom
.................................................................................. I .......... CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ....... 53-6 ... Ball ... S -t ................................................................ LEGAL DESCRIPTION: LOT No . ...................... ....................... BIA)CK No . ............................................
NAME.OF ADDITION .........................................................................................................................................
Dye Tested On Sewer 1972
Approved:
DATE................. .............................. By .......
PLAT QF-SVRVEY F OR: IPANK E. DE I NER
LOT 12, BLOCK D, CITY OF EDMONDS, ACCORDING TO THE PLAT THEREOF RECORDED
IN VOLumE 2 OF PLATS, ON PAGE 39, RECORDS OF SNOHOMISH COUNTY, WASHINGTON.
SCALE: I"
= 20 FEET
OCTOBER 7L
1963
'.-)=ound Noi V..
120-00
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NOTE:
Boondary lines :�cf !n accordance,
wifh deed5
given +o Correc�
Z9.50'
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REM, MIDUETON & ASSOCIATES
15 'A/ icy
Consufting Enoneers & Land Surv6yom
324 Main St PR 8-1171
EDMOND!� WASHINGTON
LA
JOB No. 2595
FB 150/10