547 3RD AVE N (2).PDF11111111111111
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547 3RD AVE S
ADDRESS: 6*;7 sa- & :Z2 -5
TAX ACCOUNTIPARCEL #: �\2 7Z�C�2 I I
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: DETERMINATION: F1 Conditional Waiver E] Study Required E] Waiver
CRITICAL AREAS #: DETERMINATION: E] Conditional Waiver Study Required F-1 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:
a WATER METER TAP CARD DATED:
OTHER:
LATEMP\DST's\Forrns\Jana's Street File Checklist 5-14-08.doc
-4
APPLICATION
for
The City of Edmonds SIDE SEWER PERN9T EASEMENT No . ..........................................
NEW CONSTRUCTION 0 REPAIRS F1
Lon - r) 5! 1 ca
OWNER.... 61.Z..f.ery .. ... M.rs....A ........................................... CONTRACTOR .................................... . ............................................................ PER,?VlIT No . ......................
ADDRESS .5.4.7 ... 3. Tq - A Y -9— ----- %5A ............................................ LEGAL DESCRIPTION: LOT No . .............................................. BI.4OCK No . ............................................
0
0
It
40
NAMEOF ADDITION .............................................................................................................................
Junq-j Iq 7a
,D v Te6*,c( On Se- wa-r
Approved:
DATE................................................ By ......................................................................