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604 ELM PL
ADDRESS: 604 ELM PLACE
TAX ACCOUNT/PARCEL #: 00736400000700
BUILDING PERMIT (NEW STRUCTURE) #: BLD19860413
COVENANTS(RECORDED)FOR:
CRITICAL AREAS #: DETERMINATION: Conditional Waiver El Study Required Ej Waiver
CRITICAL AREAS #: DETERMINATION: Conditional Waiver El Study Required El 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: Not dated.
SEWER LID FEE $:
ID ESR-279
SHORT PLAT FILE: P-9-83
LOT: 7
BLOCK: ELM PLACE BLK 000 D-00
SIDE SEWER AS BUILT DATED: SEPTEMBER 2,1986
SIDE SEWER PERMIT(S) #: 07516
GEOTECH REPORT DATED:
STREET USE/ENCROACHMENT PERMIT
FOR:
WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DST's\Forms\604 ELM PL Street File Checklist 5-14-08.doc
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CITY of EDMONDS STREET FLE SWE SEWER PER I M I T
For Inspection Call 771-3202 PERMIT NO. 07910
VIA EDMONDS WAY
oq e, [ TRUNK LINE
Address of Construction: VV\ ��Oo_US_ I
Proper ty Legal Description (Include all easements):'
Owner and/or Builder: thVI<_ Acx�
Contractor & License No: rAu — V V I r- — L--tl _�_ —
Singl:e Family Residence
Multi -Family (No. of Units
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No >-*-4 Yes (If Yes, easement required,
attach legal description and county easement number.)
PLEA;SE REA0 T 7EMS�,L-ISTED ON THE BACK
I cdr1tify that"I/h4ve re`ad and shall comply Efa t e"
with the items l"i'sted on the back.
Permit Fee: Issued By: L&I
Trunk Charge: Date Issued: 4 //3 1 41
Assessment Fee: Receipt No.:'
Partial Inspection: Comments
Date Initial
I NSP. 1B5
Final Inspection Approved: 9 J - STUMPF
Date initial
Rejected:
eason
** PERMIT MUST BE POSTED ON JOB SITE **
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White Copy - File
Green Copy - Inspector
Buff Copy - Applicant
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The City of Edmonds Side Sewer Drawing EASEMENT NO . .. ......................... ............... kl*
NEW CONSTRUCTION REPAIRS E] LID NO . .................. ASMT. NO . ..................
OWNER ..... ......... IM-C - - --------------_---- CONTRACTOR .... LUTZ ......... .................... PERMIT NO.
JOB ADDRESS .6-0-4 -------- P_ - ------- P P — ------------- LEGAL DESCRIPTION: LOT NO. --------------------------------------
................................ BLOCK NO.
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NAME -OF ADDITION—P.A= OF ------ C-Lt-A ------ P_L_)._Nr_
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PWW-0001 -11/75 (REVA 1/78) DATE ............ ................. /4
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MEMO TO: auil�ing Division
Planning Department
FROM: Engineering Division
Public Works Department
-2
SUBJECT: eezx�, //—z;
After revie-.-i of the subject' Building Permit application, vie have the. Following
commen ts
1. - Connection to City water System required.
2. Connection to City sanitary sewer system req(iired.
3. P i g h o F- wa y
permi t required For any viork on City property.
4. Oriveway slope not to exceed I (10J
L
5 - Back-.-iater valve required i F doanstairs plumbing is below elevation 01
upstream manhole.
6. Water and se-,.ier I ines to be separated by 10 foot 'mininium.
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