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542 BELL ST
ADDRESS: V)Ll-:?� j�cl I a0ki
TAX ACCOUNT/PARCEL NUMBER:Dp4p2o2-tb t zDo
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS: DETERMINATION: E] Conditional Waiver Fj Study Required Ej Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATE[
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LOT: BLOCK:
LATEMPOSTsTomis\Street File Checklist.doc
APPLICATION
for
The City of Edmonds SIDE SEWER PERNaT EASEMENT No . ..........................................
NEW CONSTRUCTION [j REPAIRS C]
114m-02750
OWNER ........... K4therine Lahood ----------------------------- PERMIT No . ......................
............................................................................................. CONTRACTOR .....................................................................
ADDRESS ....... 5.�-2 .... Bell .... S.t ..............................
I Tz-
40
0
.................... LEGAL DESCRIPTION: LOT No . .............................................. BL40CK No . ............................................
NAMEOF ADDITION .........................................................................................................................................
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ......................................................................
'A
c I 'r Y o I,. I D IN I 04OD S
67
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STREET- FILE
STOPPAGE OF
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DATE-:
TINIF CALL IT. C r- I Vr-. D:
LOCATION4 F. Ss*lr'OPPAGE:
TINE OF ARRIVAL ON Tlif. JOB SITH:
TINE- NORNW. FLOW OF SANITARY SDVER IT-ESTABLISHEM:
CAUSE OF STOPPAGE-: M K
ACTION RE-QUIRr-D TO Cl,l-'.,M Nt,�JN A�j�)/OIZ P, 0 Dj:) e c
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P L CA\T 0 P, KC— `,3,Am EE
CITY CRDV ON STOPPAGl' CALL OUF (Personnel Involved):
LOCATION OF RE-SIDENCE AFFI:Ci'[-.D:
ADDRr.SS, AND P11ON1-' OF PROPFRTY OWNER:
DESCRI K DAMAGE. TO PRIVATE SL
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